The URL can be used to link to this page

Home My WebLink About95-00804 ............. ~II III ~I N'} ~ ~ cI. ;:j -q-, lit 1'!.~'!':'Il fi~ \ :' ,\,~ I,,"; '. ,. ,'-', ',' ~~,; . . .... t.t'). ,ll.,\:. ~,.. -,i' . -"'-;"'1--."'~- _"~m"" \, .Ul Ul .<0 .. Ul ',,- <<J IT" , ..n t:J N ~1!8 ~~~~ ~!!~ DJ~~ .' ~ I'l)\"', \:>om ~~, .:' \ :I~~. . 11 o~ E GJ z: _, S "\;1~t C'O~l;;:") ;;:'.... c.~ :'..: (" I 1..,( ~ . " . t:..;j 1>1..( t;,.;,'~ ~ I",) 1f~~ ::;;.,.. '-'-~ ..~, G,.;t;: e or; '"Ix l':r',-~ " ~ ....; m,.'; ~/.", (,), , 111" . z a: i (,) s ~. o Q ... ~ 1", I '"' .. ~I.. i "''':,1 /'."'."'~& ., '. "'l,/ /.." '. .~ / I ,~ ~... ,r &' /' ,.' /~//i..:r ':.',; '.' ! ~l' ~"'" ~,' , I j '. ,'. I , ~: ~/ '<., ,,' . >:..:~. " ,,' .. . ,;, ..~ '~.!". ,; ..~~. ; '. ' ~"" .::1 /, .;...~ !' . N' /~,., ,l/..<.'. /~ ~~,::(~.,_"g.'i'J!1l.._. "~~'.:;;:"'; I' ~. . ')~,%-:.i'l':""q..,.",>",., BUlIn JDI no",~u ....... . ,/ .. . .; 1- ;.~/lJes ldleoell Wnlell. . iI':. . I! f - ~ i " ~,i:;" i ; ! e iI ~, 'i g '. 1 ' " II '" I 'i=... J . ~ Ii ;; " g:o:t: e'';' ',1\>_15 ~ .j~ "'Ii~. ./ .!.: ~ 'i !1 0 Ea'e g l!: ~ ~.il ~ 8 ~~ ~.~ ~'q 600 ~ t 'J ~ ~ ~ ; ~ ,CJ <;a 001 0 O='ECD~ :a:i .:~ ~ .5 a " III I- '0 :l; 0 1__" ;;;~~.: rli5z....8~1lIlo " - :a I U 'lIG ,m 'l;:'" l;: G " - - c; ~ 'e ...... !1 c 11 ~ ~ ~'l~! 13 ~ i h :: N ~o Bl 0 ..: . cd ~. i ~ t1 ~ a i Al g I I I: ~ ' ! ~ r ~ i D 1 It ~ a; 1 l 1 ii ~ : 11 ! 11 ' . g 1l . !: ~ i \i 2 ~,~ 1 ~ 1 ti 1 ~ il 1 ~ ~ ~ ~ $ :: ~..; H H:g 6 10 Cl "!! ~ '~lpl,J~~ ~g8ni ~ a E ..G~ ~~~.E 'il >,1O-;:j c ~ 0 ffiiFaU~~t~~O d 3: I~ ~ ffiA~h" nHl ri 'u ~ B ;lInJ.~,"OA'1 i U). . . !! . .g. . U'OldwO:J SS3illia'd lepl" eIlDAO. 04\ uo p .,' 'j , " \.,:, ." ., '" .. ROLF E. KROLL, ESQUIRE Pa. SuprDmD Court 1.0. No. 47243 REYNOLDS & HAVAS 101 pine street Post Office Box 932 Harrisburg, Pennsylvania 17108-0932 ,. Telephone I FaxI (717) 236-3200 [717] 236-6863 DONALD E. DALE and CHERYL DALE, his wife, Plaintiffs v. CINDY TURNER, Defendant Attorney tor Defendantl CINDY TURNER (SAXON) IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA : NO. 95-804 CIVIL TERM CIVIL ACTION - LAW : JURY TRIAL DEMANDED NOTICB TO PLEAD TO: Donald E. Dale and Cheryl Dale c/o Timothy A. Shollenberger, Esquire Post Office Box 60545 Harrisburg, Pennsylvania 17106-0545 You are hereby notified to file a written response to the enclosed New Matter within twenty (20) days from service hereof or a default judgment may be entered against you. DATE: 0 //~ 1~5 - By: ROLF E. KROLL, ESQUIRE Pa. Supreme Court I.D. No. 47243 REYNOLDS & HAVAS 101 pine street Poet Office Box 932 Harrisburg, Pennsylvania 17108-0932 Telephone I Faxl [717] 236-3200 (717) 236-6863 Attorney tor Defendant I CINDY TURNER (8AXON) IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA DONALD E. DALE and CHERYL DALE, his wife, Plaintiffs v. NO. 95-804 CIVIL TERM . . Defendant : CIVIL ACTION - LAW JURY TRIAL DEMANDED CINDY TURNER, ANSWER WITH NEW HATTER OF DEFENDANT, CINDY TURNER TO PLAINTIFFS COMPLAINT AND NOW, comes Defendant, cindy Turner (Saxon), ("Defendant") by and through her counsel Reynolds & Havas, a professional corporation to answer the complaint of Donald E. Dale and Cheryl Dale, his wife, ("Plaintiffs") as follows: 1. Denied. 2. Denied. 3. Admitted in part and denied in part. It is admitted that cindy L. Turner is an adult individual. Ms. Turner's current address is 409 william street, Towanda, Pennsylvania 18848. Ms. Turner is now known as Ms. cindy L. Saxon. 4. Admitted. 5. Admitted. 6. Admitted in part and denied in part. It is admitted that Ms. Saxon was operating a 1993 Jeep at the time of the accident. The remainder of this paragraph of Plaintiffs' Complaint is denied. 7. Denied. O. (a) - (j) Denied. The allegations of this paragraph and its corresponding sub-paragraphs constitute conclusions of law to which no responsive pleading is required and they are therefore, denied. l DONALD'DnLB V. CINDY TURNER 9. paragraphs 1 through 8 hereof are incorporated herein by reference as if set forth in full. 10. (a) - (g) Denied. The allegations of this paragraph and its corresponding sub-paragraphs constitute conclusions of law to which no responsive pleading is required and they are therefore, denied. By way of further answer, Ms. Saxon is without knowledge or information sufficient to form a belief as to the truth of the averments of this paragraph of Plaintiffs' Complaint and they are, therefore, denied. 11. Denied. 12. Denied. 13. Denied. 14. Denied. 15. Denied. 16. Denied. 2 ~ WHBRBVORB, Defendant, cindy Turner (saxon) demands judgment in her favor and against Plaintiff, Donald E. Dale with costs of suit assessed to plaintiffs. CHBRYL DALB V. CINDY TURNBR 17. Paragraphs 1 through 16 hereof are incorporated heroin by reference as if set forth in full. 18. Denied. WHBRBVORB, Defendant, cindy Turner (Saxon) demands judgment in her favor and against Plaintiff, Cheryl Dale and with costs of suit assessed to Plaintiff. NEW MATTBR 1. Plaintiffs have failed to state a claim upon which relief can be granted. 2. Plaintiffs' claims are barred by the doctrines of contributory and comparative negligence. 3. Plaintiffs' claims are barred by the doctrine of assumption of risk. 4. Ms. Turner (Saxon) was confronted with a sudden emergency to which she responded reasonably under the circumstances. 5. Plaintiffs' claims are barred by the applicable statute of limitations. 6. plaintiffs' claims are precluded in whole or in part by the terms of the Pennsylvania Motor Vehicle Financial 3 Responsibility Law, Act of February 12, 1984, 75 Pac cons. stat. Section 1701 ~ ~ as amended. WHERBFORB, Defendant, cindy Turner (Saxon) demands judgment in her favor and against Plaintiffs, Donald E. Dale and Cheryl Dale with costs of suit assessed to Plaintiffs. Respectfully submitted, I I \~t:or~~Ys for Defendant, CINDY TURNER (SAXON) REYNOLDS & HAVAS A ofe sional Corporation / 1)/) riff!!! Dated: <5'-)0;1s ..- 4 . , . VERIPICATION I, CINDY TURNER (SAXON), hereby acknowledge that I am the Defendant in this action; that I have read the foregoing document; 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.C.S.A. Section 4904, relating to unsworn falsification to authorities. DATE: CC-' . '")"/"'l- ER (SAXON) " . I i CERTIFICATE OF SERVICE I HEREBY CERTIFY that I have served a true and correct copy of the foregoing document upon all counsel and parties of record this L day Of(2x-'\(\, I I , 1995, by placing \ \ the same in the united states First Class Mail, postage prepaid, at Harrisburg, Pennsylvania, addressed as follows: Timothy A. Shollenberger, Esquire Post Office Box 60545 Harrisburg, Pennsylvania 17106-0545 \J"'l en "J'". - , - ,;..... -~ N -;r ......1 -- >- ...:',;.~ -- '(.' , DONALE E, DALE and CHERYL DALE, his wife Plaintiffs IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PA v, NO, 95-804 Civil Term CINDY TURNER, Defendants CIVIL ACTION - LAW JURY TRIAL DEMANDED PRAECIPE TO REINSTATE COMPLAINT PLEASE REINSTATE THE COMPLAINT WITH REFERENCE TO THE ABOVE CAPTIONED ACTION, DEFENDANT CINDY TURNER (SAXON) CAN BE SERVED AT 409 William Street, Towanda, Pa. 18848, Respectfully submitted, LAW OFFICES OF TIMOTHY A. ;:/ ./ ..-', ......,:--_.. '.:/ By: . / SHOLLENBERGER .../ Esq, Dated: March 31, 1995 I.AW tllllcl:~ PI TIMllIllY ^, SIIlIJ,I.I.NIII:IUlIlI 11'110 I.lNtJl.I:STO\'I,'N It! 1,\1> . 1'0 lluX (l\,1\H . 1l^1I111~1I1 '1111, I'A 11H1/11\H\ 11171 !IH1l\' . I;AX (111) !IHllI! ~ = u_ '" c:> (T) )~ :)- .r.l. i.: "".1 ";I"..~ f t.J .r i.~ .: t-;.'.:': . . .. \ '.'.~ .' ?" pC ,... -'" ~ ~ l-. f' ...:. )~'l J....~ 8 Donald E. Dale and Cheryl Dale, his wife -vs- In the Court of Common Pleas of Cumberland County, pennsylvania No. 95-804 Civil Term Complaint in Civil Action and Notice, Interrogatories Propounded By Plaintiffs To Be Answered by Defendant and Plaintiffs Request For Production of Documents directed To Defendant Set ONw Cindy Turner R. Thomas Kline, Sheriff who being duly sworn according to law, says he served the within Complaint in Civil Action and Notice, Interrogatories Propounded By Plaintiffs To Be Answered By Defendant and Plaintiffs Request For Production of Documents Directed To Defendant-Set No One, by mailing a certified letter return receipt requested to the defendant Cindy Turner on February 15, 1995 to her last known address being 34 Dacula Road, Dacula, Georgia. The letter was returned to the Office of the Sheriff on March 7, 1995 after 3 attempts to make service. Sheriff's Costs: Docketing Surcharge Certified Mail r/r 18.00 2.00 3.44 $ 23.44 3-7-95 So answers: _ /, )./ ./ -;:' Y&~~;(//;:? 'h. Thomas Kline Sheriff pd. by atty Sworn and Subscribed To Before Me This Nf!, Day of th<u(/-J 1995, A.D. '--"I',--C. Illti&..."J2/0, Prothonotary ,. ... SHERIFF'S RETURN CASE NOI 1995-00804 P COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND DALE DONALD E ET AL V5. TURNER CINDY R, Thnmns I\Ii'lI' , Sheriff, who b~'ino duly Gworn accordtng to law, oays, thnt he made diltgent Gearch and inqu1ry for tho within named defenda~t. to wit: _TUB~~~INDY but was unable to locate deputized the sheriff of t~ serve the within Her BRADFORD COMPLAINT 1n hlS bailiwick. He therefore County, Pennsylvania. On April 24th. 1995 , this office was in the attached return from BRADFORD County, ,'oce1pt of Pennsylvania, Sheriff's Costs: Docketing Out of County Surcharge BRADFORD COUNTY 18.00 9,00 ;2,00 20,00 '~49. 00 TItlOTHY SHOLLENBERGER 04/24/1995 So answers: /,-, I~:';~~-~ __~ //-:: '_) ~ii~~la~ 'b'ln'e;"ShC'nff Sworn and subscribed to before me this .u. tt-- day of .!J/!:kl 19 '1(' A, r>, ('1.,u.-fl ~~.~rA~-e,_c_--,-- ~l I ~lloCloti:lry SHERIFF1S DEPARTMENT BRADFORD COUNTY, PENNSYLVANIA COURTHOUSE, TOWANDA, PA 18848 SHERIFF SERVICE PROCESS RECEIPT, Ilnd AFFIDAVIT OF RETURN C.()UI" NUMIlC f' 95-CUMB-51 PlAIIflIFFISI DONALD E. DALE AND CHERYL DALE (SAXON) TURNER NAME OF INDIVIDUAl., COMPANY, CORPORATION. ETC. TO 6fflVICE CINDY (SAXON) TURNER t.OllJlESS (SlrM' Of RFo, ~lII1morl No.. CIly,IlDfo, hp., Slalo and lIP Codo) 409 WILLIAM ST. TOWANDI\. PA INDICATE SERVICE: lfj\PEflSOIlAL OPERSOt/ IN CHAflGE ODEPUTIlE OCEm, ",AIL DOCUMENTS UflEGISIEnW"'AIL ClrlllSI C~SS "'AIL IJPOS1ED NOW, 19 J, SHERIFI' 01' DRADH>RD COUl'fIY. PA. do hen:by d<putl1~ U,. Sh.rirr or Counly \0 ueeuLe tbll Wrllond moke relUm "'ereor aewrdlns 10 Ilw, Thll depuuUon helnS mlde II "'e '.quOlt Ind ,Isk 01 "'. plalnUfl, SIIClUJ l' Of' URAlJlllfUl COUNIY SPECIAL INSTflUCTIOt/S OR OT~EflINFllJlMATION THAT WILL ASSIST IN EXPEDtTlNO SERVICE: - SIGNATURE 01 ATTORNEY Of oIhor ORIGINATOR 'oquo.ng......1co "" bohd 01: X>>'!AINTIFF TIMOTHY A. SHOLLENBERGER. ESQ. ODEFENDANI SPACE BELOW FOR USE OF SHERIFF ONLY - DO NOT WRITE BELOW THIS LINE (SlOllATURE 01 Aulho~'od pcso Agorll Doll fl"'o~od It"'ln~plrollon 0010 4/10/95 5/4/95 TELEPIIONE I/UMBER DATE 'lcknowlodot receipt of lhe wrlI or cO"l)lalnr as IndlGaled abOYt I hereby CERTIFY ood RE11JRN ",.11 have pem>nally ",,,ed, --.J10.. mved 1'....0 io diAl'" ",,,,,I by: the writ Of complaint duc:ribed OD Ole individual. COfn(!.1D)'! ~~tJOb. cle. Illhe addrell ,hOWD above Of 00 the ioolVldual. company, CDfpouOoa. clc. all1le ,d<l'ual....l.d below by bondi., (or .....i.I). TRUH ono ^TlCSreo COPY TIIEREOP _I hereby errdl)' and return I NOT FOUND becawo lam uaablo 10 lotal8 the Individual, eOl1lpaaf, e",p., rei., n~llIC"d ahovr. tlAME AND TITLE OF 11/01 AL SERVED ATTE"'PTS 1.111.. 0091. Irl, .,00 "" t\l..n6 OliO ...11.. Depe,"". Delo 1.111.. DopI.'rl. Dal. __ ^ f'C'Ul1n ol.uilahle ale ItJlthnE in ,he deCca:bnt'. u~ull r'ace of abod:. DMC SER CE 11...E SERVEO g:,31'..... Oat. MIIIt 0ep1. Itll ~DVANCE COSTS S'fYlce O~ Mllng. fflt't NllIlIY surdlatgo Postage MI... so ANSWEn, \FFlnMEO and aUble,bed 10 belor. me Ihb tJ~ 01 lD P'dhc;lnoU'Y~..,P\Ai1o IV CO......,SSIOtI EXplflES ACKtlOWLElXlE nECEIPT OF TIlE SIIEnlH'S RETUnN SIGNA TUnE r AUJIlOlUltD ISSUltm ,AUnlorUTY A/4D TillE. JO. U.118 'l/Kolvod I -, I'" ' . C ry J n~ .....OUI"i or .::mrnO~1 Donald and Cheryl Dale V5. -,~L=::s or" {'-t,.. I'-':\~"l''''nr--l ...1..'U........'1 P-:....r:""yl"......J.... '-.....,..-....... -Ii l.oo.e....".- "'" I _,..... ....i' "-4 Cindy Turner :0<0, 95-804 Ci~Jl Term ---, :?.._- :-low, ^pril 05, 1995 :9_ !. SE:::?~~ 0= C~Gz:?..'!..A..'ID COt.-:-rT'!. ?A.. co :~::1Y c..;:ue::: th:: SOdS oi Bradford C-=- '0 ..-_.,.. .:..:. ',V..:. '"" ~f' -....--- - ...... .., ... . . ~ =u:::cn =....,0:1' -!'l"'. ~t ~ :-=::u=t . -, , =.d:-=...!k oi :':: ?!Jl:~. -;;.>'-?"r:'/~:'>' . /,-:'4 .of ~.:.;::.......-;:...'.t.....J:..~ .... ,."'..---rfl , ~e.'":.:f ot c.. ", ~..:u:d CJu:rr, ?:1. A,,ffida.vit or Se:'"Ti~ :-low, ~9 -. o'.:.!cc:: ,,[. !::.-."":';:Z. , " :.::: ':'1"_.,, '.lpaa ~t by ::u:db; :0 3- <==pr et == ~::::,:....,I " :md -~,.:- !cawn , :0 :.::: .:::t:::.:3 :...-:::=t. So =sw=. ;L-':;" oi Counrr. :~ 5wcl':1 :mc T.lc.c-J:d beer: COSTS Suv"ICZ ~1Ir.2.-\GE ,-\::ID'\ "v"'IT s , . ~-' == :::.s _ r;;.;J.y ot 19_ ---........-----. s 1- "-! J'P I , -. 1~>.' !>:'J:! f'l' fd'jl IU I 321111'55 \ ~ ROLF E. KROLL, ESgUIRE Pa. Supreme Court 1.0. No. 47243 REYNOLDS &; IIlWM 101 Pine Btreet Poat Office OOX 932 IIardaburg, Pennaylvllnla 17100-0932 Telephones Faxs 17l7) 236-3200 (717) 236-6063 Attorney for Defendants CINDY TURNER (SAXON) : IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA DONALD E. DALE and CHERYL DALE, his wife, Plaintiffs . . . . v. NO. 95-804 CIVIL TERM CIVIL ACTION - LAW : JURY TRIAL DEMANDED CINDY TURNER, Defendant PRABCIPB TO BNTBR APPBARANCB iro THE PROTHONOTARY OF CUMBERLAND COUNTY: Kindly enter my appearance as counsel for Defendant, Cindy Turner (Saxon). DATE: .(-''), ')-,$ ,) - ,,) REYNOLDS & HAVAS A pr;f~J:tonal Corporation / ~/}rJ/; - ( IJztfJtP RO;LF E. KROLL - ;7 Attorney' for Defendant, CINDY TURNER (SAXON) By: --: ..- ~,! .\ CERTIFICATE OF SERVICE I HEREBY CERTIFY that I have served a true and correct copy of the foregoing document upon all counsel and parties of record this ~}/{{ day of (~y~ ' 1995, by placing the same in the united states First Class Mail, postage prepaid, at Harrisburg, Pennsylvania, addressed as follows: Timothy A. Shollenberger, Esquire Post Office Box 60545 Harrisburg, Pennsylvania 17106-0545 , . ( p- -. ;I-~ ,r> '::!' '.,!'; ,-. ,-, CI") . , , ' DONALD E. DALE and CHERYL DALE, his wife, Plaintiffs IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO, fij-- <l01/ Cl.{}v\...LdL-L- v, CINDY TURNER, Defendant CIVIL ACTION - LAW JURY TRIAL DEMANDED NOTICE YOU HAVE BEEN SUED IN COURT, If you wish to defend against the claims set forth in the following pages, you must take action within twenty (20) days after this Complaint and Notice are served, by entering a written appearance personally or by attorney and filing in writing with the Court your defenses or objections to the claims set forth against you, You are warned that, if you fail to do so, the case may proceed without you and a judgment may be entered against you by the Court without further notice for any money 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(sl. You may lose money or property or other rights important to you. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE, IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. CUMBERLAND COUNTY COURTHOUSE Court Administrator's Office 1 Courthouse Square Carlisle, PA 17013-3387 (717) 240-6200 I , ; , I I I I I I I I I , ! I.A\\"l)fHCI::;lll: TIMllTIIl' ^, 'lI11llENIlERllUl 11l~(lI.lSljI.L~nl\\'N ItllAll . I'l} lI,{lX ~\H . II^HIU~I\I-'lH 1, I'A 171C'f1l1\<4\ I7Ii1 H4.)j(\' . fAX Ii 111 H4,/lH! ". DONALD E, DALE and CHERYL DALE, his wife, Plaintiffs IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO, v, CINDY TURNER, Defendant CIVIL ACTION - LAW JURY TRIAL DEMANDED NOTICIA LE HAN DEMANDADO A USTED EN LA CORTE, Si usted quiere defenderse de estas demandas expuestas en las paginas siguientes, usted tiene veinte (20) dias de plaza al partir de la fecha de la demanda y la notificacion, Usted debe presentar una apariencia escrita 0 en persona 0 par abogado y archivar en la corte en forma escrita sus defensas 0 sus objeciones alas demandas en contra de su persona. Sea avisado que si usted no se defiende, la corte tomaro medidas y puede entrar una orden contra usted sin previa aviso 0 notoficacaion y par cualquier queja 0 alivio que es pedido en la peticion do demanda. usted puede perder dinero 0 sus propiededas 0 otros derechos importantes para usted, LLEVE ESTA DEMANDA A UN ABOGADO IMMEDIATAMENTE, SI NO TIENE ABOGADO 0 SI NO TIENE EL DINERO SUFICIENTE DE PAGAR TAL SERVICIO, VAYA EN PERSONA o LLAME POR TELEFONO A LA OFICINA CUYA DIRECCION SE ENCUENTRA ESCRITA ABAJO PARA AVERIGUAR DONDE SE PUEDE CONSEGUIR ASISTENCIA LEGAL, CUMBERLAND COUNTY COURTHOUSE Court Administrator's Office 1 Courthouse Square Carlisle, PA 17013-3387 (717) 240-6200 1^\VllIIIiTSln T1MllTIIl' A. SlIlll.LI'NIIUUlI'1l I"!(' U"'Ill.LS1'U\I.'N IIlVd) . 1'\1 IklX 'J\.'~H . 1t^ltllI~IIl'lllj.I'^ l1h't'l'~H 11171 H4.J1i\.1 . rAX i7l711l4.Hlll ". Donald E. Dale was operating a 1969 Plymouth Valiant traveling south on Route I-81, 6, At the above-referenced time and place, Defendant Cindy L, Turner was operating a 1993 Jeep Station Wagon also traveling south on Route I-81 directly to the rear of the vehicle being operated by Plaintiff Donald E, Dale, 7, At the above-referenced time and place, Defendant Cindy L, Turner's vehicle collided with the rear of the vehicle being operated by the Plaintiff, Donald E, Dale, 8, The aforesaid collision was the direct and proximate result of the negligence of Defendant Cindy L, Turner in operating her vehicle in a careless, reckless and negligent manner as follows: (a) In operating her vehicle at an excessive rate of speed under the circumstances; (b) In failing to have her vehicle under proper and adequate control at the time of the collision; (c) In failing to apply the brakes in time to avoid the collision; (d) In negligently applying the brakes; (e) In failing to operate the vehicle in accordance with existing traffic conditions and traffic controls; (f) In permitting or allowing the vehicle to strike and collide with the rear of the vehicle operated by Plaintiffs; (g) In failing to drive at a speed and in a manner that would allow Defendant to stop within the assured clear distance ahead in violation of ~3361 of the Pennsylvania Motor Vehicle Code; (h) In failing to keep a reasonable look-out for other vehicles lawfully on the road; lAW nll/L1:s 01' mUllIIl' ^. SlhH.I.I'NlllltllUt l"h\IISlill."fi'\\'N 11Il.....lI . I'll I\()XN'~H . Il^HItI~I\I.T/tll, I'A 17Jl1tlCH'i 11111:1~ 17.\\ . IX'; 11li'IIU.11111 '. (i) In operating the vehicle in a manner not consistent with the road conditions prevailing at the time; (j) in failing to operate the vehicle with due regard to the safety of the Plaintiffs and the Plaintiffs' vehicle; and, (j) In otherwise operating said vehicle in a careless, reckless, and negligent manner and in a manner violating the Motor Vehicle Code of the Commonwealth of Pennsylvania, DONALD DALE V, CINDY TURNER 9, Paragraphs 1 through 8 of Plaintiffs' Complaint are incorporated herein by reference and made a part hereof as if set forth in full, 10. As a result of the aforesaid collision, the Plaintiff, Donald E, Dale, has suffered serious and permanent injuries, including, but not limited to the following: a, severe strain and sprain of the muscles, tendons, ligaments and other soft tissues at or about the cervical spine; b. severe strain and sprain of the muscles, tendons, ligaments and other soft tissues at or about the lumbar spine; c, post-traumatic myofascial pain syndrome; d, severe shock to nerves and nervous system; e. post traumatic cephalgia; f. severe strain and sprain of the soft tissues in and about the left shoulder girdle; and I.AW Olllt;ES O~ TIMOrllY A. SIIOLLENDEIlGW Itlll' I.INUll~TO"'\'N !tOAD . J'n, BoX 6OH5 . 1l^ltltl~IIUj{(}, I'A 111('/).(lH\ 17111 H4-17ro . FAX1717l1H.HIJ1 g. extreme mental and physical anguish. 11, As a direct and proximate result of the aforesaid injuries, Plaintiff Donald E, Dale has undergone and in the future will undergo great pain and suffering for which damages are claimed, 12, As a further result of this collision, Plaintiff Donald E, Dale may incur reasonable and necessary medical and rehabilitative costs and expenses in excess of the amounts paid or payable pursuant to Subchapter B of the pennsylvania Motor vehicle Financial Responsibility Law, workers' compensation or any program, group contract or other arrangement for payment of benefits as defined in 75 Pa, C.S.A. ~1719. 13. As a further result of the aforesaid injuries, Plaintiff Donald E, Dale has suffered and may continue to suffer a loss of earnings for which damages are claimed. 14, As a further result of the aforesaid injuries, Plaintiff Donald E, Dale has suffered a permanent diminution in her earning capacity and power for which damages are claimed, 15. As a further result of the aforesaid injuries, Plaintiff Donald E, Dale has sustained a permanent diminution in his ability to enjoy life and life's pleasures for which damages are claimed, 16, As a further result of the aforesaid injuries, Plaintiff Donald E, Dale has incurred or may hereinafter incur financial expenses and losses which exceed sums 1,^\\'()HI('I:~lll T1Mlllllr A. S!lU1.LENII1.RIlUl I~N UN{i1.[~'lJ\\.'N IH'''I) . I'\.) l\l.l,X "'-'H~ . 11^11II1~IHIIIIJ, I'A 1711't'~'\4' 17111 !I417~\.' . 'AX 17I711H ;oJ!! recoverable under the limitations and exclusions of the Pennsylvania Motor Vehicle Financial Responsibility Law for which damages are claimed, WHEREFORE, the Plaintiff Donald E, Dale demands judgment of the Defendant Cindy L, Turner for compensatory damages in excess of the amount requiring compulsory arbitration, CHERYL DALE V, CINDY TURNER 17, Paragraphs 1 through 16 of Plaintiffs' Complaint are incorporated by reference herein and made a part hereof as if set forth in full. 18. As a further result of the injuries sustained by her husband, Plaintiff Cheryl Dale, has been and will be deprived of the assistance, companionship, consortium and society of her husband, all of which has been and will be to her great damage and loss, WHEREFORE, the Plaintiff, Cheryl Dale demands judgment of the Defendant, Cindy L, Turner for compensatory damages in excess of the amount requiring compulsory arbitration. Respectfully Submitted, LAW OFFICE OF TIMl1HY A, SHOLLENBERGER VII/Ii I ' By I / /11// TimotHy , Attirney I, D, No,: Date: 2/13/95 l.A\I/ l1nlcl~ UI: TIMOTIIY ^, SIlIlLLF.NIlEltOElt ItI!l' L1S0llS111\VN Itl1AIl . 1'0 IlollX t..c\H . 11^ItRI~I\t'IHj, I'A I7ICfI,l'~H 11171114.1100 . rAX 1117) ZH.tI!l! " .. ~ APF.IDAVl:T COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF DAUPHIN Donald E. Dale , being duly sworn according to he is the Plaintiff in the facts and allegations upon facts given by the counsel and are true and knowledge, information and of said COMPLAINT is that of Plaintiff that Plaintiff has relied upon counsel in COMPLAINT law deposes and says that the foregoing action; that contained herein are based Plaintiff to his correct to the best of belief; that the language counsel and making this based upon his information, , rlX::.?'--n~!# d9d/ r DONALD E, DALE Sworn to and subscribed before me, a Notary PUblic, this 13th day of February , 19 95 . ul-1l-~ C NOTARlAL8EAL R!IlI!OCA 8, RU8llATCH, NOWlV PUBlIC HAR1118llUI\Q, DAUPHIN COUNlY ltfOOt.l\ll8S1ON EXPIRl!8JUN1!2S, 1M lA'J.I OlllCI:S 01 TIMllTlIY A. SlIlll.I.ENIlEIlGl:1l IH10 IINIiI.L"i'f(}\1.'tlItO^lJ . I'n IIlJX t.o54S . "^IUtlSIIlJltO, I'A 1710f1.0H5 17111114.1100 ' fAX 17I1111011l oJ '''' Ilptlt ~. N?j- (I, :," I' 1":'/-,1 ;di'lsl. (,L J). /--l. fJ. ;-rJ /fl. .{.LI~l'. '..~'./! l.n ~ >. ",>- ...-.r". I ,'" I' ~J~:',; :' ....'-If. . ;':, ?~ ~;~ ~ t.": :':.::j~.; .""jf . i I: 3' ~l' '. :J ,~{., .~ ...... ~0\~ ~ .~ r-- t- ~. ~ r(1 rn ~ iE .... ,., N -::- - "" ~ 0~ -.... .. ~ ~~~ ~ ~( ~~, \ . \ ........J !~ . Ul ~ ..:l . 11<.0: ..:l z~ ~ alil lil ~11< ~ III 8~ j~ U Il-l 'tl Il-l ~ ffi I': 'M I': ~ III 15 ~8 I ~ III I': 'tl "M I': ~ lilQJIll ~ ~ ffi ~ ~ E-iU ZO :;i!ll-lo-l E-i II: a 'M 11< . > . QJ Z CO H:;i! 0:3: 11:0 H !T" a~ E-i r.:l ~ U U . III fij e:!~ ~ ~ ~lil ~~ lil'M O~ C ~ o rn ~. E-i a ~.( 2 ~ E-i~ H>l :;i! . U . > II: Zlil >l ~ i:::r:~ Q~ g ~~ ~ t"j ~, ".' ~~ . : . """,UI.lO ~I'NOIO:) UUI,'.CI"I' ..,..." "'onll"..~~nu. " " Donald E. Dale and Cheryl Dale, His Wife, Plaintiffs In the Court of Common pleas cumberland County, Penna, No, 95-804 civil Term v, Civil Action - Law Cindy L. Turner, Defendant Jury Trial Demanded And to Amend Now this Complaint ~ Order ~( day of June, 1995, the Stipulation has been J. .')~~ '- c: " '" . ~ '. . ,....., . 1'1;" .. ,. CO '. '" VI ,', '" VI . - c ,. '" ~ .. ;JC: ., ,. -, :'" - <.C> CJ1 I I ! tAW nHICI:S 01' TIMOTHY A. slllll.lENlIlRUEII 11i:D I.IStil.l~hlWN ltoAIl ' I~ll. UOX ~'~H . 11^IUIISnuno.I't\ 17ll'M'HS tll7llH.Il." ' fAX 111111lHZII '. 8, Defendant need not file an Answer to the Amended Complaint, 9, This Stipulation will be presented to the Court for approval, Law Offices of Timothy A. Shollenberger Attorneys for Plaintiffs Havas or Defendant Date: June 14, 1995 Date: June 14. 1995 1.^,\\'\)JIIlJ:S llf T1MllTIIV A. S1111LLl,NIlI'Il11E1l liill' UNlll.I:Sh)\\lN IHlAD . 1'0. flUX MH5 . JlAltltISIH!lltl.I'^ 171,'ltil'H\ 17lilll..I1f\\ . 'AXliJ1IH4-iilll . ~"."""'''>'>'-lo.,......~-".....~ :,-'1,1- ,',', ".;',J,'- ~,.,_..r';!'>~'4~~" ,', .' ,": .' ",' , ,', '.' '.. '< ~ , CERTIFICATE OF SERVICE I, Rebecca S, Rusbatch, Secretary to, Timothy A, Shollenberger, Esq" do hereby certify that I have served a copy of the within Stipulation to Amend Complaint w/attached Order by depositing a true copy in the United States Mail, postage paid, at Harrisburg, Pennsylvania, addressed as follows: Rolf E, Kroll, Esq, Reynolds & Havas p, 0, Box 932 Harrisburg, PA 17108-0932 Law Offices of Timothy A. Shollenberger Attorneys for Plaintiffs Date: June 14, 1995 tAW l}lllClS or llMOTIIV ^, SIlO~LENIlF.nllF.l\ '"h.1l1NtlUSTO\\'N ROA(1 . 1'0. IlOX WH\ . IIAJUtlSIIUlllJ, I'^ 11Il'fI.l'H\ 11171 11<. II,\) , f^X 1711111"111 JUN 20 199\ \..< ," , '; . ~~ , ~'1 .... ~ \.n '.9 J en - .. .,. --< = n.... ,.;) <n l l/l cry en ~ , '" ";. "" -, r:- ~ Ul III QJ .-i. Pllll I': I': I': ~~ ~ ~ o -8 ~ QJ U:>, Ill~ -IJ.-i...:ll': \j.l 1':'0-1 III O::S :> I e 0'0-1 QJ -IJUUl:O ~ 0 ::S~""o-I.-i o I':O+J III U III co U '0-1 .-il";~ QJ~ltl 8 '<:QJ"'..-l -IJ~ .'~ ~ I': 3 O'o-I::S HUZUt-:l - QJ \j.l '0-1 Ul ~\j.l 'tl \j.l I': Ul,o-I III '0-1 -IJ :I:l I': QJ ,.-I .-i -Ill IIlQJ.-i O..-lPl III '0 rLI .-i ~:>, .-i~ III Q) 1':'<:: OU o , I;. Kill_ ~O"II.'1unll.' III ,,"UII (~"IIO'o"\44nS"{IJ1Jl.1l1t1' . :> .jJ I': III -~ ~ I': QJ QJ I':\j.l ~ QJ ::sO 8 -IJ 01': .jJ'o-I III I':.-i 01). '0-1 e -IJO IIlU .-i ::S~ 1).1': '0-1 QJ ~~ ~ ~ ~ ~ ... ~ ~ - o ;.J ~ '" !.:: e 51 ~. ;:; ~ ffi 2' O! .. cl ~ :s < .. ffi ~~ ~ o ~ . H :>, ~ I': '0-1 U , .. '. .' ~;;;.. ".-';f' ~ 'd'_~:::f~:'. DONALD E, DALE and CHERYL DALE, his wife, Plaintiffs IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO, 95-804 v, CINDY TURNER, Defendant CIVIL ACTION - LAW IN ARBITRATION DELAY DAMAGES PURSUANT TO PA.R.C.P 238 Plaintiffs, Donald and Cheryl Dale, respectfully request delay damages pursuant to Pa, R.C,P, 238 (a) (1) , Delay damages shall be calaculated based upon an 8,5% interest rate listed in the Wall Street Journal published on January 2, 1996 plus one percent interest, Plaintiffs request delay damages added to any compensatory damages they may receive calculated at 9,5% interest from April 10, 1996 through May 28, 1997 = 414 days, Respectfully submitted, I I I By:E~:LtL 0 (fJ. j/ Elizabeth A, Ontko, Esq, Attorney I,D, #78053 ; , Dated: May1JL, 1997 tAW 01 nCl:s or TIMOTIIY A, SllllI.UiNIII'IIGW IH10 I.INOl.tSln\VN nOAD . I'll nux f.o~..~ . 1l.\IUU:;j\UItO.I'A 171(1h.O\H 11111 lH.I1l\1 , FAX I1I1111HlIl Donald E. & Cheryl Dale, his wife 434 Ridge Avenue Waynesboro, PA 17268 Plaintiffs IN TIlE COURT OF COHHON PLiiAS OF CL"IBERU~D COUNTY, PENNSYLVANIA NO, 95-804 CIVIL 19 Cindy L. Saxon 409 William Street Towanda, PA 18848 Defendant RULE 1312-1. The Pecici~n for Appoincmenc of Arbicracors shall be subscanc~ally in che following form: P~TI';'!ON FOr. APPOmTIIEN'T OF ARbITRATORS TO THE HONORABLE. THE JUDGES OF SAID COURT: Elizabeth A. Ontko . counsel for the plainciff/w_ in che above ac:ion (or actions), respeccfully represencs that: 1, The above-capcioned action (or actions) is (are) at i~sue, 2. The claim of the plaintiff in che action is S less than $25,001l TIle counterclai!:: of the defendant in the actic;n is ------- The following atcorneys are ~nterested in thO! case(s) liS counselor nre other- vise disqualified to sit as arbicrators: Elizabeth A. Ontko Lauralee B. Baker-Starr WHEREFORE, your petitioner prays your Honorable Court to appoint three (3) arbitrators to vhoe che cnse shall be sub~ittaJ, LAW OFFICES OF TIMOTHY A. SHOLLENBERGER 1820 Linglestown Road, Box 60545 Harrisburg, PA 17106-0545 ORDER OF COURT ~jPe~f(yd~lQxled , Eliiabeth A. Ontko, Esq. Attorney I.D. #78053 , AND Now,-Ej?/l,'L J~ ,lrfl7 . in consideration of jhe foregoi:1g petition, ~ll..Ad It.. Y r:::/l... '-/'I:c.-,Esq.. IYJI7!l1( J./r, /ARiLNF/C l/_ I /,. A'" / Esq., and --.Ll.dm.{~(' l:)L5 L~ ,Esq., are appointed arbitrators in the above-captioned action (or actions) as prayed for, ~' P. J. .. ~' F.1Lr:D..O~F,I~~ )T!,l'{ Or! ' f~nll 1"'1\1:1.2 CJ7 \1'1' I " , '( '\ I C""_ .,. "d" C 11,'... ," '. ~..., ~ " I' - 0, I'. 1~, >( .. i 'I \i \ "l:l".r..l , ~ I ' co ,- ~ ~ r.' tr: -, . .'. " ".-, I-~' c::; < . ~ LJj, , , ~ <;!' .... " ~:j t . r ~ I.."; c_ "-r: ) 9,;, (--.! ,. ~, ~ (..)L: . ~ n UJI. :i\J . -11" . 1"- . ll_ -. ". ~\2) '-0: , (\~ l!_ r- .-." 0 f,.::' U '- . Iio'il\ IIRII'r.S\DAI,II.ARII .-..... DONALD E, DALE and CHERYL DALE, his wife, Plaintiffs IN THE COURT or COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO, 95-804 V, CINDY SAXON, Defendant CIVIL ACTION - LAW IN ARBITRATION PLAINTIFFS' ARBITRATION BRIEF I. FACTS This case arises as a result of a motor vehicle collision that occurred on rebnmry 18, 1994 on State Route 81 near the Exit 13 ramp in a single lane construction zone, Plaintiff. Donald Dale, was travelling North in a construction zone in the single right lane open for traffic on Route 81. At some point. traffic became backed up, and Plaintiff's vehicle came to a stop, The Defendant. Cindy Saxon, was driving a Jeep Cherokee pulling a U-Haul and was travelling directly behind the Plaintiff, The Defendant failed to stop and collided with the rear of Plaintiff's vehicle, As a result of the collision, Plaintiff, Donald Dale, sustained serious injuries including cervical sprain and strain, lumbar sprain and strain, myofascial pain syndrome, post-traumntic headaches. a clicking noise in his head. and sprain and strain of his left shoulder, On rebruary 19, 1994, Plaintiff went to Hess Medical Clinic for his injuries, He treated there for his collision related injuries until July 27, 1994. Plaintiff's doctors, Dr. Hess, Dr. Coda and Dr, Douglas. diagnosed him with chronic cervical, lumbar, and shoulder girdle sprain and strain and posttraumatic headaches, On March 8, 1994, Dr, Hess ordered Plaintiff to attend physical therapy nt 1','1', Associates of Chambersburg, Plaintiff illlcnded physical therapy at this location from March 8, 1994 through March 24. 1994. 1 I-AWlHl1i [,PI llM'llIll' A, ~1Il)I.nNIIUIl;1I1 1'l:C I.ISliU.:iTll\\'S fh'''.P . 1'(1 f\n:-; 1,~'\4\ . 1l..\Ii.Hlio;l\l.'llti, "^ 11'1<'" ('~..~ 171;' !14lil\' . ~AX 17111 !J.H!I! .. ~ ~, On March 24, 1994, Plaintiff's location for therapy was changed to Ryan Physical Thempy Associates because it wns a closer commute to his home, On March 24, 1994, Donnld was evnluated for physical therapy at Ryan Physical Therapy Associates, and he attended physical therapy from March 24, 1994 through July 28, 1994, On July 12, 1994, Dr, Hess referred Plaintiff to Hershey Medical Center to see Dr, Emilian Hekler, a neurologist nt Hershey Medical Center, for a neurological examination, On July 27, 1994, Plnintiff saw Dr, Hess for the Insttime regarding his injuries. In his last office note, Dr, Hess indicated that Plaintiff was suffering from "chronic" neck pain and there was not much he could do for him, On June 12, 1995, Plaintiff went to see Dr, Paul Miller, a chiropractor, for his neck and low bnck pnin, Donnld continues to treat with Dr, Miller on a weekly basis, In an August 2, 1996 reportleller, Dr, Miller states, "it is my opinion, within a rensonable degree of chiropractic cerlainty, that the nccident of Februnry 18, 1994 is 'the cause of [Mr, Dale's] present discomfort," Plnintiff, Donnld Dale, continues to receive trcatment from Dr, Miller, and Dr, Miller estimates in a May 2, 1997 reportleller that another nine months of treatment will be necessary, II. ISSUES 1, Whether the Defendant, Cindy Saxon, failed to stop the vehicle she was driving on State Route 81 north in a construction zone on February 18, 1994 and collidcd with the rear of Plaintiff's stopped vehicle? (Proposed Answer: Yes) 2, Whether the Plaintiff's injuries were cnuscd by the February 18, 1994 motor vebicle collision? (Proposed Answer: Yes) 2 l..'\\'\)IH('I:~ LlI: TlMOnl!' A, SlIlll.LENIIIOIllJl'1\ 11i~L' L1StjUSTl)\\.'N RI),\P . I'\l I~ ),\ fl,.'l~.j\ . 11i\IUlI"'IIl:/lll, I'." lill"t 0H~ l1Iil !lHi\'.' . fA\ 17111 !H1'i!I! ~ ~ 3, Did the Plaintiff, Donald Dale, suITer injuries and/or sustain damages as a result of the February 18, 1994 motor vehicle collision" (Proposed Answer: Yes) , ! III. ARGUMENT 1. 11/e Defelldallt, Cilldy SaxOIl, failed to stop IIer vellicle wllell slle was travellillg all ROllte 81 Nortll III a cOllstmctioll z.olle ami collidedwitll tile rear of Plalmiff's stopped vellicle, The Defendant, Cindy Saxon, failed to stop her vehicle when she travelling on Route 81 North in a construction zone and collided with the rear of Plaintiff's stopped vehicle, The Pennsylvania Motor Vehicle Code *3361 states that "no person shall drive a vehicle at a speed greater than is reasonable and prudent under the conditions and having regard to the actual and potential hazards then existing, nor at a speed greater than will pennit the driver to bring his vehicle to a stop within the assured clear distance ahead, , ," This section goes on further to state that "Every person shall drive at a safe and appropriate speed when approaching and crossing an intersection, . , when approaching a hill crest, . . and when special hazards exist with respect to pedestrians or other trartic or by reason of we:lthcr or highway conditions." (emphasis added), Defendant, Cindy Saxon, had a duty to stop within the assured clear distance rule and violated that duty when she collided with the rear of Plaintiff's stopped vehicle on State Route 81 North, Under the assured clear distance ahead rule, a motorist may not enter blindly upon a hillcrest or curves, but wther, must proceed slowly cnough so as to avoid II collision with obstructions that may be on the roadway. Lockhart v, List, 665 A,2d 1176,542 Pa, 141 (1995); Turner v. Smith, 346 A,2d 806, 237 Pa, Super, 161 (1975), In the instant case, at approximately 3:00 P,Jn" Plaintiff was twvelling on 81 North in a construction zone and was stopped for tramc, The Defcndant, Cindy Saxon, was driving a Jeep Cherokee pulling a U-haul, failed to stop and collided with 3 L.4,\\' \)II11.l~ \"11 TIMOrln' A. SIIlH.lENIIUUiUt P':,' I.ISliUQl1\\'N Itl'-.4,1l . ,'n 1\(1); f>I."'" . 1I^I\HI~IIL'1t1 i, 1':\ Ijll't,(lH' lil71 11-4.1;1\' . t."'" Iiljl !H,,~:I: ..-., ~ the rear of Plaintiff's vehicle. The Defendant, Cindy Suxon, has sluted in her deposition tuken on October 3, 1995, and marked as Exhibit "A," that she was travelling on State Route 81, came up over a knoll, hit her brakes :md collided with the rear of Plaintiff's vchicle. (I', II, lines 17-25), The Defendant, Cindy Saxon, had a duty to stop within the assured cleur distance aheud and apply her brakes in time to avoid striking the re:tr of Plaintiff's vehicle and failed to do so, The Defendant muy argue that her duty is excused because she was confronted with a sudden emergency. Howevcr, her duty is not excused because she was not confronted with a sudden emergency, In Defendant's deposition, she stated that she came up over a knoll on State Route 81 and that she could not stop and collided with the rear of Plaintiff's vehicle, (Saxon Deposition, p, 11, lines 17-25), The assured clear distance ahead rule upplies to stulic or essentiully stlllic objects, while the sudden emergency doctrine applies to moving Instrumentalities unexpectedly thrust Into the driver's p:lth, Lockhart, 665 A,2d at 1178. In Lockhart, the plaintiff was travelling on a roadway and came upon an S.curve in the roadway and collided with a garbage truck thatlmd been travelling on the roadway, The court stllled, "it is quite reasonable to hold a person accountable for colliding with a stationary object on the road, , , while it is quite a distinct mailer when an object or instrumenlulity suddenly moves into the path of an oncoming vehicle," ilL. at 155, In the inslllnt case, there were no moving instrumentalities suddenly thrust into the Defendant's Plllh, The Defendant came upon Plaintiff's vehicle stopped for traffic on State Route 81 in a construction zone, The Defendant had been travelling in a one lane construction zone for about 10-15 miles with signs indicating tl1lllthe speed limit was reduced and a police ear was silling in the closed lune for the purpose of slowing down traffie, Therefore, she had notice Ilmt vehicles could be stopped in thc construction zone, (Suxon deposition p, 10, lines 1-13), Defcndunt, Cindy Suxon, was lIl)t confronted with a sudden emergency, and hud u duty 10 stop within the <I L-\\\' {'I Hn~ l"'!I: T1MOTII\' A. SllllU.tNII[ItGUl 1"~\.'II-";IIU~Tll\\'S f\...,.",P . I'll 1",)Xt~\.n . 1I.....'uw.rllf{li.I.,.\ lih'j.I,.'H\ 1;171 H41;.:'~' . lAX 17I11!1-4 ~!l! \ "'" ".... assured clear distance ahead rule and failed to do so when she collided with Plaintiff's vchicle stopped for traffic on SllIte Route 81. 2. velticle collisiol/. I'lailllifJ's il/jl/ries were cal/sed by tlte Febnwry 18, 1994 motor Plaintiff's injuries were causcd by the February 18, 1994 motor vehicle collision, Plaintiff has complicd with the Pennsylvania Rules of Civil Procedure and provided opposing counsel with twenty days notice of his intcntion to introduce medical rccords of his trcming physicians in lieu of testimony (Pa.R,C,P, 1305). (See Exhibit B), Dr, Paul Miller has treated PlaintilT for almost two years, In an August 2, 1996 report letter, Dr, Miller has stated "within a reasonable degree of medical certainty that Mr, Dale's injuries were caused by the February 18, 1994 motor vehicle collision." In a May 13, 1997 report letter just received from Dr. Miller. he has stated, "I can state with a reasonable degree of chiropractic certainty tlmt Donald Dale's complaints arc a result of the injury of February 18, 1994," Dr, Miller estimates that " another ninc months of treatment will be necessary to relieve Plaintiff of his neck and back pain, Based upon Dr, Miller's report letters, he has stated within a reasonable degree of chiropractic certainty thm Plaintiff's injuries were caused by the February 18, 1994 motor vehicle collision, 3, I'lail/tiff, DOl/aIel Dale, has mstail/eel il/jl/ries al/d damages as a resl/It of tlte February 18, 1994 1lI0tor vehicle collisiol/. Plaintiff, Donald Dale, has sustained injuries and damages as a result of the February 18, 1994 motor vebicle collision, As a result of this collision, Plaintiff's doctors, including Dr, Hess, Dr, Coda and Dr, Miller, have diagnosed Plaintiff with chronic cervical and lumbar sprain and strain, This collision occurred over three years ago, and Plaintiff continues to experience neck p:lin and lumbar pain a couple 5 1.:\\\' l'Hlct~ {'. lIMlllll\' A. Slltll.1.[NlIrnUI:It I"!~' 11~~{jU~ll"\\'S RP.....P . I'll 1\\.':\ ""q~ . H^III\I"f\t ;iti, I'..... 11h'" .".f' lil71 !1.f.I;.'.' . lAX I'jl7l !I".I~!I: ~ """" times a week, sometimes Illore often. For approximately three years, and up into the present time, and certainly into the future, Pluintiff will continue to suffer neck and low buck pain und will continue to need treutmen!. Dr, Miller has estimllled that unother nine months of treutment will be necessury, In uddition, Pluintiff suffered left und right shoulder pain, heudaches, und u clicking noise in his heud for approximutely two yeurs post collision, As u result of his injuries, he Ims treuted with his family doctors at I-less Medical Clinic, attended physicultherapy from February, 1994 to July 1994, saw Dr, Emiliun Hekler, u neurologist from Hershey Medical Center, and Ims treated with Dr, Miller since June 1995, Dr, Miller expects that Plaintiff's treatment will last for u period of nine months or more und lubels Pluintiff's injuries us being "chronic." Plaintiff's injuries huve also Imd u substantial effect on his life, Pluintiff works at Regency Thennogruphers and engraves c:lrds with u CUlling tool. Pluintiff Ims been doing this work for approximutely 30 years und hus never hud a problem perfonning his job, Immedimely ufter the collision, Pluintiff experienced difficulty perfonning his job because it requires him to sit at a desk and/or stund, und cut greeting curds keeping his neck in a bent position and use his umlS und shoulders to engravc the cards. His job also entails a signilieunt amount of lifting, bending und reuching to put puper into un overheud nmchine, Pluintiff's injuries Imve ulso prevented him from doing household chores thut he customurily perfomled prior to the collision, such us mowing, shovelling snow, raking leuvcs, und tuking out the trash, Pluintiff uses u push mower to mow his property, Pluintiff is responsible for mowing und ufter the collision, he could not mow his yurd und hud to huve his son do this for quite some time, Pluintiff eventuully hud to mow his yurd or otherwise it would not get done und when he did perfonn this uctivit}', he experienced un onset of puin in his neck und low buck, In the full and winter months, Pluintiff rukes the leuves off his propert}' und shovels the snow, und found these chores ulso difficult to llo hecuuse it cuused him G L\\l.'llIUnS\lf TI~llnll\' ^. S1ILlt.l.fNIIUHiEH 1..!(,1 USt,!l:,h-l\l,'S R~'Al1 . I'l' f',tl.\ t>I.'H~ . liAftftl:-111 'Ih., 1':\ 1111.'1' l'H't 1;1;, ~H.li~\~ . L-\\ lilil 11.4 ":11 "., . , ~ increased neck and back pain. Plaimiff 1Ilso hlls other household responsibilities, such liS tllking out the trllsh, doing other Yllrd work lInd helping his wife c1elln the house lInd could not do them for quile some time lifter the collision, PllIintiff's wife, Cheryl OllIe, hlld to do mllny of these chores, Plaintiff does these chores now beelluse they need to get done, and this clluses him increased neck lInd bllck pllin, To this da:l, Plaintiff hlls not returned to his pre-injury condition lIndllctivity level and still hlls low back lInd neck pain when he lIttempts to perfonn household clio res or any lIctivity that requires him to exert him~elf. PIlIintiff's relationship wilh his wife, Cheryl, hlls 1I1so been lIffected by this collision. Since the collision, lifter Donllld comes home lifter 1I long dllY lit work, he is often miserllble because he has neck and/or bllck pain lInd often eomplllins to Cheryltlmt he is in pain. Since the co\1ision, Plaintiff is 1I1so very short tempered with his wife, PIlIintiff. Donald Ollie, has sustuined injuries lInddllnmges liS 1I result of the February 18, 1994 motor vehicle co\1ision, VI, CONCLUSION Wherefore, Plaintiff. Donald OllIe, respeclru\1y requests lhllt this Honorllble pllnel enter an lIwllrd of $25,000,00 in his favor, Respectfu\1y submitted. Dy: (' ( Eliza eth A, Ontko, Esq. Attorney 1.0. 1178053 DlIted: MlIY 28, 1997 7 1-..\\\'1".11.1."\'1 lIMOllI\' A, SlIlll,ITNIIUUiU\ 1..~,\U~;liU"'h~'\'~llh',...P . I'll I\~'\ f'\'~.&~ I 1I..\IIItI"III'/Ui, 1',", In;f'\'\.&~ 17171 !1-4 ,;,'.' . t:\\ \it1l :\.4":11 . ~ . 1 DONALD E, DALE AND CHERYL DALE, HIS WIFE, 2 PLAINTIFFS IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW DOCKET NO. 95-804 CIVIL TERM 3 V, f 4 CINDY TURNER, JURY TRIAL DEMANDED DEFENDANT 5 6 7 8 9 DEPOSITION OF CHERYL D, DALE 10 TAKEN BY: DEFENDANT 11 BEFORE: SUSAN M, SIMON REPORTER-NOTARY PUBLIC 12 PLACE: REYNOLDS & HAVAS 101 PINE STREET HARRISBURG, PENNSYLVANIA 13 14 DATE: OCTOBER 3, 1995 BEGINNING 12:00 P,M, 15 16 17 18 19 APPEARANCES: 20 LAW OFFICES OF TIMOTHY A, SHOLLENBERGER BY: TIMOTHY A. SHOLLENBERGER, ESQUIRE 21 FOR - PLAINTIFFS 22 REYNOLDS & HAVAS BY: BARRY A, KRONTHAL, ESQUIRE FOR - DEFENDANT 23 24 25 . -~ ..-.... '. '\'.-"\r;=\\W 1'8 '\:::'.dJ IF' If t.AW Of'I.:t:> (If TIHOTli, A :;1t~JI..U~llh[Ar,t.A I'll: TI~.)IIH A. ~lliH,UtlhfAr:r.Il. "::(.;111111 Ie. l'I.I\lIjT1H:i CIIERYL D, DALE I [lllNALO f.. llAU M.D CltUll.lII\l..t, Itl5 win, J f'IAltltlIlS l y, 4 tlNll1 TYAh'A. IJllltitJ"tH . U[l'05IIIUN 0' ; to TAHN hi' /l'"'lI Condenselt ,.. OCTOBER 3, 1995 Pugc 3 \I 1\',1'(;11.1:1 IN IIU. I.:ll'~AT III l'l:~:', rl..r."~ ct"wrlllVoljll nllJtlll. l'tl;~:\'I.~'''"I'' 1 Slll'I:I.MIOS 2 II is herehy S1ipulated hy ullll helll""" cllulIscl fllr 3 Ihe respecliw parlks Ihlll reudiug, sigllillg, sculillg, filillg 4 ~l1ld c~rtilil.:alil1l1 m~ \\'al\'ed; ullll thai ulll1hjl.'ctiuns except us 5 111 Ihe fllnll 111' Ihe IluesliulI ure re""rwd unlillhe lime 111' tl Inul. 7 ('IIU1\'1. IJ O^U, culled us u willies<, hdllg duly l'l swum. Icstilkd as fullows: I) l~o'\,\~1ISAI"IIJ~ \II 11\' MIl. KltllSIII^I, II Q Wllu'd Y"II pku"" Slale yuur fullllame, 12 A Cheryl nialle nOlie, 13 Q Alld yuur address'! H ^ 222 Itinggllhl SIII"", Wuyneshllrn, I'^, 15 Q lillII' lung haw yuuliwd Ihere'! If> A A'""u 21 years, 17 Q Ynu heard yuur hushalld leslify us lu clllmllencing IH divnree prnel"dings ugUillSI ynu un ullc.LSlulle uecusiulI, is II) thul cnrrccl'! ZU 1\ Ycs 21 Q Is Ihal lIue, Ihal he, ill ti,cl, did dlllhalllll al 22 k~'st nn~ ul.:l:.lsinn'! 23 A Yes 24 Q J lad Ihere hl"'" any ulher dil'll"" prncI"dillgs 2~ cnl1ut1cl1ccd tllher Ihan thai one lim..:'! " P1.Atf! 1l II IJAU! II " " \I " " Arru.pAtjCI:\; l~ 1....11. Ill: Tl C N I....,. f~H~t t I 1111. 'l~. "14 "I ~ II. 1t.Ptl JYllt filiAl. fll"",NI,lll l'IIU,l'l. [J, I1M.I. tUf.Nll"'.T SUll"" M, :1IHCN "'1,I~lArtll"IOIAllt rUI.LIC 1I['r!mUl::l , ""....,,:1 11)1 PINt DU,U.T H""l1ll1~Ullrl, rtlm:lI't.V"'lI" oqOlltll. J. 1"'1\ fltllllllllM: t~ :OU 1',", " IIIMtlnUl:; , H"....A:> 8'11 bAlllI. A, tIlOIlTHAt.. 1,:iI.lUIIII: ,n..CtrUPMT 1'1'1".' Pugc 4 " " " " 1 WITNU:1 J (HllnL OAU , b~ H'. ~F+r.tt'41 " II II 1l " II " I' II I' :11 " ,'l " I> f Pout.X I 1\ N", 2 (,) 011 )'U1I n:c;111 whClllhaIIIllI1I1Clll"lI'! J 1\ Oil, I dlm'l knnw 11Il.: eXlICl )'cur, IlIli!:!hl nlll he 4 uhle In 11.:11 1 lie eXllcl yc:ar, 5 (J WlIuhl il havc hl'ClI wilhin ii\'c )'CO.lr,~'! 6 ^ ~hlyhc live or heYllnd .. or li\'C. six nr more, 7 (,) BclWCCII live mill ten }'Cilrs" H 1\ Y""h. rlllhahl)', I) ~) 1111\ e )'1111 ewr hl"ClI Sl"p11fllll'tl from )'IlUr hWilllllld" III 1\ Y",h, II Q Wh",,'! 12 1\ Igllc'i'i hefore IIml rmccllurc, IJ (..1 Fur hnw Iiln~'! 14 1\ COllplc 1111111111\,1 VlIC\'i, I ~ (J Thai \\'11\ hdon: the di\tlfcC rftlel\.'t\iI1~'i Wil\ I h ell11llllcIH:ctlo is lhal ellffl'CI, IIf \\'il' it uhcr'! 17 1\ 1'11I1101 'iun.:, IN Q 11",1' ""11I)' lillll~ Ili1\" )'"" h",,, "'Jl"rdll1II,,,'" )'"ur 19 11lI'ihlllHl'! 20 1\ I hdic\c l1IH.:C, 21 (J run dU1l'1 rl:1I1l1I1hl.T'! \V1I~ il wilhin thc la~llh'c 22 }'loOlfS'! Z3 1\ UAAIIl^tfO, 24 fJ 2~ ^ J'III nlll \lIrC, It lIIil!hl havc hl\:n 1II11f'C thnnthlll, Ilil\c you e\er 'itlll~llllllllfrill~e ClIlIlI\c1illp'! Nil. Susan M, Simon, Reporter-Notary I'ublie Page I . PlIg'~ 4 " ., CHERYL D, DALE ~ Condcnsclt'M I'ugc 5 I Q lIuve you ever hUll u pruleelion frum ul'u", order'! 2 ^ No. 3 Q Po you contemplate gelling a divorce or "'panlted 4 inlhe near fulure'! S ^ "union'! 6 Q Do you eonlemplale gelling u divorce or "'paruting 7 in the fUlure'! K ^ No, I'm aguinst il. I don't helieve in il. 9 Q lllher than the one child who lives Ul home, do you 10 hove any other children'! II ^ No. 12 Q Whut is his nOllle'! 13 ^ Seoll Pule. 14 Q lias he lived at hOllle eonlinuously sinee the time IS of Ihis accident'! 16 ^ Yes. 17 Q Tell me hrielly whut lype of pain your hushood IK experiences. ny thai I Illeon, where docs he experience il'! 19 Where is his pain'! 20 ^ lie complains of Ihe huck of his heud m,,1 his 21 shoulder and his neck .. Q lie cOlllplains of puin in his shoulder'! MIl. SlIlJl.I.ENUEIUiElt: Were you done wilh your 22 23 24 nnswer'! 2S lllE wrno;ESS: No. And the IOlVer purl of his huck. Pagc (, I MI{. SlIOlI.E.'i'UmUiEU: Illeasc Icllk.'f Iinish. 2 Mr. Dale. why don't BI1 sil n\'t,.T in Ihnl corm.T. 3 MIl. KRomIlAI.: I'd a,k Mr. Dale, doo'ttell hl:r " what In soy or In show IlLT .. S lllH WIlNI:.'\S; I Wl1sn'llmying UllclIlinl1. I dilln't 6 know what he wus doing. 7 totl" SIlOI.U~SnElujf;lt: Ihe JC:ISt111 I iIlIl.TI1I(lh:d in K the first ('Ilace. Mr. Krunth:}l. was hl.'CulIsc )'IlU dilln'tlct 11\.."I' 9 linish IM.T onSW"T. In MIl. t\.IU)~III^I.: IlhlHlgll1 she \-\-'ns finislk.'tl. Tlll..1C II WII!i Q rUlIse thl."Tl:. 12 MIl. SlIol.I.l:.'mEIUiElt: NU, thl."rC waSII"n rilllse 13 tJK.TC. 1113,'51hc (luint. You WI..'TC t.1lking ulthc n:rY"lll1Ic 14 momcnl os siR: was; lalking, jusl 11" )'1111 justlillkL"t1 illlhc IIllllllcnl 15 I wos Inlkill!l. \'UU'h: donc it II cullplc timcs lloW, 1I11t1llilW 16 you're implyinH lh:ll t-..tr, Dalc is titling slIIlIdhing wilh hLT I 17 tlon't \\'oullo !lct inlo n!ltlllll, I g My ',-"mllll for inlLTmpting \\'I1S you "larlL'\llu l4:llk 19 bcfore she IinisllL,t and tllLTC wus 11\1 1111llse. Cuulll YlHl plC~hC 20 lelm)' clicl1tlinish lILT UlIsWlT hcflll': )'1111 spL'nk. Thank yuu 21 MIl. KlulS"IIIAl.; I cLTtllinly will. Thclc \\i1S II .n (HlUSC, Ithoughl sill.: \\Wl lInhilll'tl, Illllu't 1I1l',III 11l1n:i11II111 23 Ill.T IIIIS\\\.T, I hdicn: shc WII'i 1IIli'lhl'tlulllil )'tlll 'illid nre )'11\1 24 IinlsllL'\I, lllhllhell she 'illlttllillll\ll shc Ihllllgllluh111l11l1l1llher 25 pain. Ami Mr, Dale llitl wilh his harlll irulicllle 1m his wi!'e lu Susan M. Simun, Reporter-Notary I'ublic .--. OCTOBI!R 3. 1995 Puge 7 I shush de..r1y AIIlII wlluld ask that he 11<1 lunger Ilulh..1. ~ Mil ~lllll.1l'NUI:lll;Ht: .\1,,1 I 1",l'C IlIlllell hllllllVer 3 there slllhnlthat wu1I'1 haJ1J1clI. 4 11\' ~t1!. KlllINTII.II.: ~ (~Lel me ask Ylluthe Ilueslitlll again Whcre lines f, )'nor hushaml eUlllplnin Ilf J1ain'! 7 t\ 11.e hack parI of his head, his neck, shnuhlcr, N Inwer part of his hack, hack here lindiellling). ~ IJ Me ynu linishcd'! III ^ Yeah. II l~ When ynu suy his shoul,ler, which shnulder, right I~ nr Ieft'! 13 t\ 14 lJ IS t\ Ih had... 17 IN I heliew his left, I hdiel'e Dnes he cnlllplain uf puin anywhere clse'! Yeah, as I said, Ihe huck pan allll just whall lJ IIllw nften dl>:S he have these pains'! l'lll nul '1uite sure. Illlight '1unte the wrung, ynu A I~ knnw... 211 ~I (~ lIow nl'ten IIncs he eUlllpluinof pain in the hack uf his head" ^ Pm nul sure. 1'111 nut gning In gi\'~~" I cnultl ffi: 23 wrung un how nr,,:n, 24 Q If ynu hdievc you know nften he elllnplnins nf pain 2S iuthe huck of his heud. Ihen ynu haw to unswer. 22 Pugc K I 1\ Olt. cilllplc lil1ll.'S II \..wk. 'hrtlu~h Ilk: \\\'ck. 2 Q I III\\' oftell dncs he clJIlIpluin uf pilin ill his I\\,.'ck'! 3 ,\ Thc 'illlllC mntllllllllf limc. I'd 'ill)', .. tJ I III\\' uflellllllcs Ill: clllllplain uf rllin in his left ~ 'ihIlUhler',1 h "SlII1IL.mlllllllllllfliIllC. 7 <J 11m\' uftcnlllll..'S he cUIllJ1luin uf pllin ill hi" 1t1\\\.T '" hllck'! 9 A I ~UC'iS Ihe sUllie llutllUlll11f lilllc. Itl (J Olll:'i )'11111' hU'ihllllll dtllllly1hint! IIII' lhc pllin'! II ^ t\IIlY lIl~e Tyk:lIl1lln help. 12 (J Anything e1'iC'! 13 ^ NOI. 14 lJ ,'ll." there IIn)' m:li\'ilics lhnl )"11111' hll~hal\ll eIlFII1,!\.'\1 I~ ill prillr !tllhc ill:cillcllt thilt he ClIlI1111 IOllgl.T cngugc ill hl'CIIII'\C I" 01 his clllllf1lt1inls III' rnin'! 17 ,\ I k lltll1'llhl, like II\: dllll" llll Ilk: Ilcli\'ilics thllt IN hcdllltchcfllre, Ii) (J \\'hill <II"\: dlll'iC lICli\'itlt:'i'.' ~O 1\ Ltke \lhl\e1iug 'flU\\'. 111IL'i1Il, IhlJ \1111 t1itln 1111111 21 Ihc \Ihlwlill!! ill' llll' SlItI\\' illlhl' WiIllLT, 2.:! I...' Dill ht.' ttllthllt hCrnfC tile IIcchlenl? 2.' ,\ Oil. )'l'ah. ht.' Willi 11111 there shll\"ClillllUIlIIIl' lime, 24 C...l I\n)'lhin}! ..:hc'! 2~ A Well. Ihc \!l1l did n IlIlnr Ihc 1I\1IWill~, Page 5 . Puge II . CHERYL D. DALE A Condensell'" OCTOBER 3, 1995 I Q Anything oJse'! 2 A Ilaking I"'''..... 3 Q Your husband tc.-.tilicd Ilmt )'011 cum:ckd his 4 oppointment wilh the chimpmclnr fur future uppninllllCI1I'i. Is S UlDI en"",,!'/ 6 A Yenh. 7 Q Why i, Um!'/ 8 A Well, Ilhnughl when it rull' 0111 wilh Ihe 9 insurance company... 10 Q I'm ,orTY, Pllrdon'/ II ^ IIIIP:.an. mayhe you dnn't Ulllk,.Slllllll \\lhllll'm 12 13 14 IS 16 17 18 19 211 21 22 23 24 2S 511)'ing. q Gu ullCtld. Your OnS\\'l.T is wllilt'! I just didn', h""ryou. ^ Well. Ihe lnsuruncc cOI11pall)' is paying the ens I uf h. omll figure if thuI nms oUI. well. I dnn', \\'mllll1 he sluck flaying. Why should \\'C puy fllr the eml uf it. Ynu knn\\'. ii's going 10 gel \'1."1')' cxpcnsh:c. I Jigurc. To lIle. J'd cOlltinue goinH. )'1111 kllllW. if it's n:olly helping him. [lUI if it', nol helping him, 1 enn'l "" OilY st.'me illguing really. Tlml's my upinillll. Q You don't believe Ilk: chirnprm:lor WIIS hdping hilll'! A I don't knnw, only an''''-7 Umt n:olly. lIe muy be helping him. lie enuhl Page I 0 I Q Why did )'Utl ClIl1ccllhe fUlllre i1J1pninlll1cnl wilh Ihe 2 phy,ieullllLTlIpi,!'/ 3 A I don'l n.,nL,nhl.T clInccling that. 4 Q I UlOughl yuur hu,hand 1....lilkd Ihul ynu dilln'l S wanl him In g" fnr phy,iclIllIlL711py unYlllo",. 6 A I believe he r.gun.,llhat he dill"'lu,,,,1 il 7 onymnre, I dnn't n.'IIL,nhLT, It's bc.'C1I so lung thullk: "'CIII 8 then:, Il's hl'Cn quite 0 while since he \\\."nt In the tl~Tupisl, 9 Q YOII know )'ou hrought 1I1nu nf cumnrtiullI claim, 10 i. U,ul e"m.:cl" II A !'urd",," 12 Q Yuu UlHkTslund Ihul )'UU hrnllghl U IIl",s tit' 13 c:onsoniwn c1l1im ill the cUlI1plainllhlll )'CIII ulltl your hU'lhilllll 14 fila) against Ms, TUmc.T. do )'UU UllllLTSlillld 11m"! IS AYe,. 16 Q CUll yuu hriell)' descrihe the hlllih (If Ih,lI claim. 17 Ilow your hushund is diflL"l'ClIII1l1W ulkT Ihe nccidenllllilll lIe Wll'i 18 before the accident'! 19 A Ik,,"'lllllDI lIguio'/ 2IJ MIUillol.l.El'mElUiElt Ih: nskL"C.1 you !Ill\\' D\llUlhl is 21 dilTc."l'Cl1t nnw lIum he wus hl'lim: Ihe IIcddl.'1l1, "'11'llhal whal 22 you lIskc.'\I" 23 MIl. KIUIN"III,\!.: .111i11's cmn-ct. 24 'IIm \\'IINI'.."iS: I.lke I jU",lltlhl YUII, hc CUlI't 111111 2S 101 "r Ihme Ihlng' Ihal he lIill n!lnnull)' heli,,,,, )"H' know. Susan M. Simon, Reporter-Notary J'ublic Page 9 'l III II I~ 13 14 15 III 17 IS I'l 2tl ~I 22 2.1 lo\ .:!~ r--. Page II I nl-cllll~C he \\'i1"' lIh\lIY~ illn.'f'iUII In kl'\."Jl hilS)', )'1111 knllw, had III he 2 lining 'itllllelllill~ 1111 Ilk: tillll', J II\' MIl. t\IlIlStll^I' .. (J Ilhillk )'1111 iclclIlilic.'d he hll'i trouhle ruking S kil\'C'i. 'ihll\cling ~11l1\\", 1II11willg Ihe lilWII, is Ihal CIIm.-cI'! 11 ^ \\'ell. C'ipl'Cillll)' 1111.' 'ihuvclill1flhc 'illll\\'. 111ill'S 7 wdphllJll'n: pickill~ up un Ihal ~htl\,c1. X (J Is IIk.'rc 1111)' U!lIlT lIinL"l'ClICe helwu:n )'llllr luuhalul l) nuw 1I11lllhe WiI)' hc wus hefllre the uccidcnl'l IfI ^ 1\11)' diffc.TCllce, )'tlU suy'.' II M/t SIItIl.l.I~SIlEIUiEH: \'cs. 12 1111: \\'II~I;,.\''' well. he's hc.":11 ~eltinH tc.'lIflc.T, 13 wlIulll )'1111 ",lI)"Il.,npc.T, 14 Il'I'Mll.KlU'S-111,\I.; IS III 17 IS t.} Alhl do )'(111 nnrihule that In the Deciden!'! ^ I'll suy, hl'\:IIUSC he WIIS IlC....I.T like 11m 1 hefnn:, <J All)' 1l11....T lliffL'n'ucc'! ^ Well, like.' he cumc'i hOll1c from wllfk. )'OU knn\\', 011I1 Ii) Ik: WiIllls hI Iii)' down. Ill)' dnwn IIl1d n.-st. Ikrun: he cnuhI cume 211 hili 111: lUullc.lr illhl raking Ic..lvc", ulltllhings like Ih.lI. '1'1111 21 knllw. lk: WiI'i ulwlIY' OJ hus)' pLT'iIIll. {J 1\l1llhill~ c1'ic'.' 23 t\ Jllsl likl' he 1I11l1'l WIIIlIIII dllllluch 1I11)'lIum:, Don't 24 \\'lIlIllll dn ;1lI).thinp hunl hUI jU'it sel unulIld tJr lilY uruund. 25 11mt's the (jnd's Innh. 22 P:lge 12 Can youlhink of any othcr Q Is lhal it then'! ~ differcnce'! ^ Well. as he complains, you know, of his pain, Q Is lhal il then'! A Yeah, 1 assume, MIl. KllONTII^L: That's alii have, Thank you, (The deposition was concluded al 12: 15 P,l11,) 3 4 5 II 7 S Pagc 9. Page 12 13 1 COMMONWEALTH OF PENNSYLVANIA SS 2 COUNTY OF DAUPHIN 3 I, Susan M, Simon, do hereby certify that before 4 me, a Notary Public in and for the County and Commonwealth 5 aforesaid, duly commissioned and qualified, personally appeared 6 CHERYL D. DALE 7 who was then by me first duly cautioned and (sworn, affirmed) to 8 testify the truth, the whole truth and nothing but the truth in 9 the taking of (his, her) oral deposition in the cause aforesaid; 10 that the testimony given as above set forth was reduced to 11 stenotype by me in the presence of said witness and afterwards 12 transcribed by me or under my direction, 13 I do further certify that said deposition was 14 taken at the time and place in the foregoing caption specified, 15 I do further certify that I am not q,relative, 16 counselor attorney for either party, nor am I otherwise 17 interested in the event of this action, 18 IN WITNESS WHEREOF, I have hereunto set my hand 19 this 13th day of October, 1995. 20 ;~;a,t:l )17, 2Jip'u Susan M, Simon Reporter-Notary Public 21 su ' IICTARIAL S~/\L tfJ~:j!6u~/I.;OIJ, liolJIY PUblic My Comn+'i:OI'rO;UP!:ill COUII'y .., ,,, N,./..< P:I. :W, laaa 22 23 The foregoing certification of this transcript does not apply to any reproduction of the same by any means unless under the 24 direct control and/or supervision of the certifying reporter, 25 1 DONALD E. DALE AND CHERYL DALE, HIS WIFE, 2 PLAINTIFFS IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA 3 V. CIVIL ACTION - LAW DOCKET NO. 95-804 CIVIL TERM 4 CINDY TURNER, JURY TRIAL DEMANDED DEFENDANT 5 6 7 8 9 DEPOSITION OF DONALD E. DALE 10 TAKEN BY: DEFENDANT 11 BEFORE: SUSAN M. SIMON REPORTER-NOTARY PUBLIC 12 PLACE: REYNOLDS & HAVAS 101 PINE STREET HARRISBURG, PENNSYLVANIA 13 14 DATE: OCTOBER 3, 1995 BEGINNING 10:40 A.M. 15 16 17 18 19 APPEARANCES: 20 LAW OFFICES OF TIMOTHY A. SHOLLENBERGER BY: TIMOTHY A. SHOLLENBERGER, ESQUIRE FOR - PLAINTIFFS 21 22 REYNOLDS & HAVAS BY: BARRY A. KRONTHAL, ESQUIRE FOR - DEFENDANT 23 24 25 (C(Q)[pJ)f DONALD E. DALE ~ Condenselt 1M OCTOUER 3,1995 ,,,",, puge 3 I OUNAW t. DAlt "'HI , IN TIlt nJUIlT III !;I)l'J1<llj I'\.rl.5 tnuwt. OM.t:. Hili Mlrt, , l'VHIUII,...tlll I:OUllfl. 1''-'H.~,1.VM.IA I SIIl'IIl.AIION , rt.o\INT1HlI , It is h~rehy slipulul~II hy and hcl\\~'Cn enunsel fN , CIVIL "(fI11l4 . 1J\1Ij 2 , Y. , ,_Jnu NO. "~'IU. 1:IVIL TlMH Ih~ resp~~live purti~s Ihlll reulling, signing, sealing. liIing , 3 . CINorTvPNtJl. , allll ecrlili~ulion are wuiv~II; nmllhal all nhjeelions ~xe~pl as Or-UNI'''''T , JUMr TRIAt. Of_M^,Wf-l1 4 I 10 Ih~ form of Ih~ lIu~slion are reserwll unlillh~ lim~ of 5 . lrial. 6 1 Il11NAI.D E. DAI.E, eall~II as a wilness, heing IIuly 7 , swom, I~sliliell as follnws: H , or:ro:UTlON or I OIlNAW t. pM." 9 EXAMINA'110N 10 T.M'tH arl tlUtNr,ANT III II\' MIl. KllllNTIIAI.: \I BUlllltl :lU~"N H. lltHON Mtl~JRrr.R'NOr"Rr l'UIII.le II lJ Mr. Dale, woulll you please stal~ your full nam~ II PlActt MUNUt.lJ:l'I11\""'''' 12 anll lI11dress. \J 101 rINtr;nlt.U 1l^ItRI!ll\U'l.tl. l'tIiNSYLVAlII^ IJ A Dnnalll E. Dal~, 222 Itinggolll SIn.'CI, Wayn~shoro, " CioTtI OCTlllltll 1, l~'H 14 I'~nnsylvania. " (l[t;lImItHl 10:4U A.H. I< IS Q Are ynu ~urrcnlly ~l11pln~II'! \l 16 A Y~ah. \I 17 lJ As whll!'! " "rrr.1Jl.ANCt': IS A I work al R~g~n~y 111~mlOgmph~rs. " u.w orrtrr., or TIMOTlIY II. SUOLU.lllll1l.I;[Il. I') lJ ClIn you sp~\IIIIl1I'! fUl TlMOTllY A. littOLltltll[lIr,tlt. f.~<':Ulll.l 21l A I ~an 'I sp~lIlh~ lasl nmn~. " fflll. . rt.A1NTln:; /l RUtlOI.O.5,IIAVA, 21 lJ 111~mlOgraph~rs'! by; RAlUIY.... '.Il.C"TML, [~\,l\.lIRr 22 A 111~rl11ngraph~rs. " roll. . OF.flNOANT " 23 lJ Whlll 110 Ih~y dn'! " 24 A Curd fU~lIlry in Wayn~sboru. 25 Q Carll'! Whal dn you m~an carll'! f>"lrZ Page 4 I I NOLl( I A Chrisll11l1s eurlls. w~II11ing ellnls IIIllI sluff lik~ 2 \ljltHt'.!I [XAHItIATlllN 2 Ihal. , DOIIALO ... OAlL 3 Q Whlll IIn ynu IIn Ih~re'! . 8y Mr. 1(1 l'l1'1 UaI .l 4 A I wnrk in Ih~ ~ngruving II~parlll1~nl. I CUI \\\:IIding , 5 curds nut, wedding invitations. . 6 lJ Ilnw Inng hav~ ynu wnrk~II lh~~'! , 7 1\ 2H y~ars. , I S lJ IIl1vc ynu ulwuys hall Ih~ sllm~ posilinn'! . 9 A y~s. 10 III lJ Are ynu a high sehnnl gmllulll~'! 11 II A Nn, I lIuil in 121h grull~. II 12 lJ Frnm wh~rc'! IJ 13 A Wayn~sbnru Area S~ninr lIigh S~hnnl. \I 14 lJ Ami whal y~ar was Iha!'! " IS A '66. I< III Q Ilav~ ynu had IIny olher ~IIu~ulinn nr Iruining sinL\: \l 17 Ihallil11~'! \I IS A Nil. \. Il) (J Wh~n ynu left Wayn~sboru lIigh in I WIll, IIill y"u " 21l il11l1ll:dialdy nhlain cl1lplnymcnl',' 21 21 1\ YC~lh. /l ~:! lJ And where was thut'! 11 23 A Wayn~shnrn LlIll1llry. " 24 (J Whlll ,lill ynu 110 Ih~re" 1\ 25 A l.ik~ run wash lIla~hin~s. Susan M. Simon, Reporter-Notary I'ublie Page I - I'age " DONALD E. DALE ~ Condensell'M ,-. OCTOUER 3,1995 puge 5 Puge 7 I Q How long IIid you work ul Wuyn~shoro lannllry'! I A W~ ha\'~ u hoy 22 y~ars 0111. 2 A Till F~hruury Ih~ 27th. '(,7. 2 lJ D,,,,s h~ li\'e wilh you'! 3 Q 111al's u p~lty gooll 1ll~lllory, Is lh\:rc u ~asnn 3 A "~ah, 11.: Ii\'es ill hUln&:. 4 you rem~mh~r thlll dllle so sp~cilicully'! 4 lJ Is h~ in s~hoollll ull'! 5 A W~II, I know .- no, I jUSI ~111~lllh~r I'\'~ hl'Cn 5 A No. 6 th~n: Ihut long. e. Q D,,,,s h~ huw u joh'! 7 Q On F~hruary 271h, 1%7, you left Wuyn~shorn 7 A 1I~'s picking apples righlnow. H Laundry .. X lJ D,,,,s h~ Ii\'~ with you y~ar'rnul1ll'! 9 A .. unll w~nt to work at th~ eurll fll~lory. IJ A Yes, 10 Q You work~II at th~ ~urll fll~lory eonlinuously sine~ III lJ Do you have uny olh~r ~hilllren'! II Ihl'll'! II A No, 12 A Y~ah. 12 lJ lI11v~ you ~ver hl'Cn scpllrul~d frnlll your wif~ for 13 Q Ha\'~ you hllll any olh~r jnhs oth~r 1IIUnlhose two 13 any reason'! 14 sin~~ you I~ft high school'! 14 A No. 15 A No. 15 Q I lave you ~v~r soughl l11arriag~ ~ounseling for any 16 Q 11,~ joh thut you hllve allh~ eurd fuelory. II,,,,s 16 ~ason'! 17 thai involv~ any physi~al u~li\'ili~s'! 17 A No. W~'\'e hall urgulll~nls, hul w~ n~v~r... 18 A \V~II, CUI counl~rs OUI wilh u knif~. IX Q Youn~\'~r soughllllllrriag~ ~ounseling for llny 19 Q Cun you sp~lIlhat'! 19 reason'! 21l A Coul1l~rs, w~II11ing invilulions. W~ ealllh~111 21l A No. 21 counters. 21 lJ I assume yuur \\!if~ ur yuu have never Iikd u 22 Mil. SIIOI.I.ENIli:lIliJ;Il: l"ll'u-n'I-~-r-s'! 22 prol~~lion frnlll uhusc wilh th~ court'! 23 'IlIE WITNESS: Y~lIh. 23 A No. 24 Mil. SII01.I.I:Nlli:lIGElI: I.ik~ Ih~ wnrll "eounl'''! 24 Q Ilu\'~ you ~ver ~ollllllenc~II divore~ pro~ccllings 25 11m wnNESS: Y~uh. 25 against your wili,.! Page (, puge H I BY MR. KRONTIIAL: I A W~II, on~ lil11~ I IIid, 2 Q You use your hands and anns for that'! 2 lJ Wh~n was Ihlll'! 3 A I use my hand to cut. with my h:llld knife, 3 A 1,lon'l ~m~mhcr righlofl1,and. 4 Q Arc you right-hllnded or left-hunded'! 4 Q Within Ih~ lusllive y~urs'! 5 A Left-handcd, 5 'I1m wmmss: wh~n was it. Ch~ryl'! 6 Q Do you do unything else of a physical nature in 6 MIl. KIlON'I1IAI.: w~II, lei him answ~r, 7 your job'! 7 TilE Wln>:I;SS: I m~an. I don'l knnw. H A No, H II\' MIl. KllllNTII"I.: 9 Q What shift do you work'! 9 lJ You don'l know wh~n'! In Ih~ IlIslli\'~ y~urs. I~n III A First shift. III years'! II Q Which is what lime'! II A Muyh~ Ih~ lusl I~n y~ars. I IIon'l know. 12 A Day shift, 12 IJ And YIlU cmn11lcnccd lhnsc divorce proceedings'! 13 Q From when to when'! 13 A Y~ah. 14 A From 7:30 10 4:00, H Q Whal hIlI'P~n~II Ihallh~y dilln'l gOlhrnugh'! IS Q Have you always workcd that shift'! IS A W~II, \\'~ ,lecilkll on going hll~k logc\h~r. so \\'C 16 A Yeah. It, drnpp~d il. 17 Q An: you currently married. sir'! 17 Q W~re you scparal~II alllny poinl IIuring thallim~ 18 A Yes, IH p~rillll'! 19 lJ Who is u 19 A Y~ah. 21l A I've bl'Cn married since '72, ~Il c.' Fur hnw long',J 21 lJ Who is your wife'! 21 1\ I'rnhahly li.r u ~ouple \\'I'Cks, Ih~n w~ \\'Cnl hu~k. 22 A Cheryl Dale. 2:! lJ Is Ihllllh~ only lillle thlll IIi\'nr~~ prncl'Cdings 23 IJ Is this your only malTiage'! 23 have IK'CU CUll1JncnCCll hy eilher YlIU nr your wilt.:'! 24 A Yes. 24 " Yeah. 25 lJ 1)0 you have UIlY ehilllr~n'! 25 I) Is Ihallhe only lilll~ Ihal ~ilh~r you or your wil~ Susun M. Simon, Reporter-Notury I'ublie I'nge 5 - I'nge X DONALD E. DALE ...... Condensell'" Page 9 ,/"'-, OCTOUER 3,1995 I'age II I have bcl.'1 sc."J1l1rRlal'! I 2 A y""h. 2 3 Q Did you rclllin a Inwyc:r fur this divun:c'/ 3 4 A y""h. 4 5 Q Whut is his nRlne" 5 6 A 11 was .. he wa, in wilh K~IILT 111111 OIL'Il, John 6 7 Keller. I Ie was in with thc..,n. Lisko or .- 7 H Q lie WIlS in WiOI K~IILT, KclkT and KlIlllillski'/ H 9 A y""h. I) 10 Q TIle qUL-stinns I'm guing 10 nsk YUII. sir. un: puing III II 10 be din:c1cd In Ihe lime pLTind prior In F~hnlllry IN, 1994, II 12 the dale of the occident. Okay. dn yuu lIIuk-rslund lhur! 12 13 A TI.. dale nf 0.. aecidenl. 13 14 MIl.SIIOt.t.ENflHltoHH: NO. he snid prior to. lie 14 15 means before. 15 16 IlY Ma. KROtilllAI., 16 17 Q PrinT fo Ihe dote or the accident. Okay, dn l'nu 17 IN undL....lllnd1 IN 19 A y""h. 19 20 Q LcIIl1C tell you. if at nny JloilU yuu don't 21l 21 untll.'uland Ilk: qUl,."Sllon that J've usked or dun't hear n question 21 22 I've a,ked, please lI,k Ille In n:peal illlnd I will dn '0, OkIlY'/ 22 23 You have In speak yes ur nn. Dn )'OU t1mlL,.slaIH1'! 23 24 A YL"', 24 25 Q If III,k you 0 questioo ond you on""T il. I will 25 Page 10 I Dssume thot you have U1ll..h.Tstnod ii, you have hcnnl the qUl..-slion. 1 2 you hove onIlLT'h""1 h IInd 1I."'liliL,llrulhflllly. I, Omlliair'! 2 3 A y",. 3 4 MlloSIIOI.t.t:NIII!IHllm: Thccourt r\.1UU1LT Cltnnnllnkc 4 5 down lIod, of 11.. h""d nr ,hokes of OIC h"ml. 5 6 MRS,llAtH: Ir you don't umkTslllnd. tell him, 6 7 ny MIl. KJHJNmAI.: 7 H Q rr 01 uny time ynu wnnlln SlllJl uud talk In N 9 Mr. Shollcnb\.TgCT ror any I'C3S011. you clln dn So. Okuy'! I) III A y..... III II Q Ilefon: Fehruary IN, 1994. WI:n: you eVLT II 12 hnspillllilcd for ony ","'on'/ 12 13 A YL~. 13 14 Q \Vhen nlld rnr whut rci1~IlI1'! H IS A I had u n:ctU1I1 uJl\."tUliun dUllc. IS 16 Q WI...n WlI' Olul'/ 16 17 A I had two lInnc lIn\,,'n 1k."TC. ill '93 lInd Ihis J111~1 17 IN l.....r, Fehnlllry '94. IH 19 Q Wlk."fC WlIS Ihur! 19 21l A TIle HCIIL"fill.llllrri~hlUY geIlL"fullulSpil.II, :w 21 Q OSh.'tlJlllthic 11t)"ipilal'! 21 22 A lIuh1 22 23 Q 11.. OSlClJpathic Iln'pila!'/ 23 24 A TI.. g~nLTIII right III:re is nil I know. 24 25 MIt ~1Il)I.I.E,"lIlElUWII: lIel\: ill II1Irri"ihurg'! 25 Susan M. Simon, Reporter-Notary I'ublic Till! WIINI'SS, lI~re in lIurrishurg. MIl. SIIIII.I.ENIlI'ItOl;It, lIarrishurg lIu'pitul. II\' MIl. KIUlN'IlIAI.: lJ lIarrishurg lIospilal'! A Y~s. lJ Any u!h~r huspilalizaliuns'! A Wdl, lirsluf all f hllll .. in 'H9 I hUll 0 re~IUIll op~raliun IIon~ in Wayn~shurn Ifospilul, in 'H'I, lJ Any ulh~r huspitalil11liuns'! A Nu. lJ n~fnr~ F~hrullry I H. 1'1'14, hlld yuu ~v~r injurell yuur ha~k or n~ek ur anns or shuuhkrs in any a~cillL"l1I'! A Nu. lJ I'rinr lu F~hruary I H, 1'1'14, hall yuu ~v~r hrok~n a bun..:'! A Nu. Q n~fore F~hruary IH. 1'194. hllll yuu ~v~r gon~ 10 a hospilal ~Ill~rg~ney mUIll'/ A Fur ~h~sl pains. lJ Do yuu relll~lllhcr wh~n'/ A Oh, my. I dun'l re~lIl1. I IIuu'l knuw righl oflllanll. lJ Lasl Ii \'~ y~ars'! A y~s. lJ Within Ih~ luslliv~ ~ars'! Page 12 A Y~s. CJ Whlll hus(1itnl would Ihul hu\"c hu:u'! ^ WO)'l\c"ibnru, lJ Ilcli,n: Fehnlllry IH, 1')94, hud ynn eVLT ba:n injun,1 al wllrk'! ANn. lJ Prinr 10 nr hefun: Febnmry I H, 191)4, had yuu cVLT had OilY s\.7hlllS illnesses for which )'011 snngln lIIl.'tIiCill llC4Ilmenl'! A Nu. lJ Il~fun: Fehnlllry IN, 1994, 01lll.T IIUlII WayoL",boru Iln'pillll aud Ilnrri,hurg Iln'pillll, had l'uO eVLT bCl.1llullny ullILT hospitals fnr 1I1l)' ~snn'! ANn. (J IlllW lung IIiI\'c ynu h\.\:1I living III Wnym.."Shllrn. 'iir'/ A All my life. (} Deline rehnmr)' IN, 11)1)4, hnd YllU C\'L"f h\.1.:'l1 in un)' nlIIL"f Inultlr vclliele i1ceidel1l'l'! J\ Nil. (J 1111: Fehruary I H. 11)1)4 lIccidel11 \\'i1'l Yllur 11111)' ucchlcnl. Iinil nceidl:III'! " YL"'l. (J Prim III ur hdill'c Fehnlllry I H. 11}1J4. hllll )'1I11 c\"Cr hu:n injurell ill 1111)' 1Ilhletic activit)"! A No. Page 9 -Page 12 DONALD E DALE .... Condenselt 1" .r-... OCTOBER 3, 1995 PlIge 15 PlIgc 13 1 Q n~fun: F~hruary IN, 1994, whu was yuur family 2 physi~ian'l 3 A' Dr, lI~ss, Dr. It~U11l:11 lI~ss. 4 Q Wh~n: is h~ lueal~II'! S A Shally (jrnv~, I'A. 6 Q lIow long hils h~ h.'C1l yuur family physidall'! 7 A I gu~ss ullmy lilc n:lIl1y, 8 Q lie eunlinu~s lu he yuur fumily physidlln'! 9 A y~s, III lJ Wh~n: w~re yuu hum, sir'! II MIl. SIIIJI.I.ENIIEIIGmt: \'ou l11~an whlll luwn'! 12 MIl. KllON'IlIAI.: y~s, 13 mE wnNESS: Ilhink I was hum III hum~. I'm nul 14 for sun:, IS Il\' MR. KRON'I1IAL: 16 Q In whlll tuwn'! 17 A I think lliv~d in Wuyn~sboro. I'm nul fur sure. IH Q You may ha\'~ heeu bum in Wayn~shuro'! 19 A I'll hav~ to usk my mulh~r, 211 Q You b~lieI'~ yuu mllY hav~ h.'Cn bum at hnl11~'! 21 A Maybe, I'm nul for sure. I n~v~r got inllny 22 eonv~rsation like Ilml. 23 Q Whal is yuur dal~ of hirth'! 24 A O~lober th~ 51h, 194H, 25 MIL SIIOI.LfiNllmlGmt: lIapJlY nirlhllay. 25 Puge 14 1 2 dowo. 3 4 S 6 7 H 9 III II 12 13 14 IS 16 17 IH 19 Tim WITNll...'\S: lids is B birthday (H\.."Scnl cClIuing MIl. SIIOI.t.l~IlElumn: orf the n:cnnl. (Discussion held olT d", "-'Cord.) nv Mil K1toN11IAI.: Q Prior In or befon: Fchnuuy I H. 19tJ41 Imd )'OU CVI.T been to ony othe.T type of doc lor Otllt.T than your fam;!y ductor'! A Not lhat II\.'ColI of. Q Prior 10 or b~fo", I'ebnlllry I H, 1'194, hud yo" e".T ba."l1 to 0 chiropractor'! A NOllhut J n:call of. Q llefoR: I'ebmury 18, 1994, do you "--':1111 enT going 10 what's cnlh.:d on orthoJlt.'dic ~ur!!Ctm'! A No. Q Y till ho\'e nC\'~T bl.'Cn In unc'! A Not dUll 11\.-':1111 of. Q Berun: FcbnJlU)' IN. IlJ94, 11l1l1 )'011 cwr !:!um: fllr physical d"''f'lIp)''1 A Not Ihllt I "-'CIIHllf. Q So wnulll it he fair In slnt..:. sir. Ihat herun: 21 Fchnmr)' I H. 191)4. ynur nnly huspitllli/lllilllls W\:re I'llr the 22 n.'Ctlllll pruhk1m that )'llU hud in 19MI), Ji)l)3 n1uI1994'! A AlulI Illul n vllsl"ClnlllY, lJ When WIIS Ihurl A Prnhllhly 'HH, 'N\), I dOll't n.-cull whell. 211 23 24 25 Susan M. Simon, Reporter-Notary I'ublic I lJ Whn was 11", "neln, Ihat h,""I1"llhe I\.'CIIIIII 2 prnhk1m'! l A Or. Curt~,. 4 lJ WI",,,, Is he lo",n,,!'1 S A 11t:'~ Il1enll'(l ill WlI)'IIC Heights rlphlllllW, lie lI1uvl"tl h down nUl Ill' 1I~ hi~ Ilmec, 7 I) Wuyne Ilcighls'l H A WII)'ne Ilcights, ~""h. () Is thnt near Wn)'l1l'Shtlm'! 10 A Wllym..'Shllro, )'cah, II Q Wllllld II fllrth<T be flli, 10 stille Ih~lllhul p,lur 12 Itlllr hclilR: I'ebnlllry I H, 1994, ynll hud llCV.T Injlln:d ~onrs~lf I J III wurk, lIe\'I,.T slIslnim,'(llIny broken hunes. spmins nr stmins In 14 IIny purt Ill' ynll' bmly'l IS A Nil. I(} 17 IH 9 I) Tlmt's ellnl'Cl'! WllllI I just slated is enm'Cl'! A y""h,)""h. <J Wuuld it also he cnnccllu sWIC Ihnl hcliul: jI} Fehnlll!)' 1 K. 1')1)4. )'IHllle\'lT "iun"7\:d from ony st.Tinlls 111 i11l1csscs',' 21 A Nnllhal I knnw of. t) Ami Wllllhl il he fllir In lilnlc Ilml before Fehruary 23 I H. 11)94. )'UU WlTC nC\'lT ill\'IlI\'\.."tl in uny uutmlll1hill: oecillellls'/ 24 ^ Nnllhal I knuw of. Q Dcfurc Fehnmry I H. 1994, WlTC you C\'\..,. il1jun:d III .U Page 16 1 hOllle. )'UU kllnw. dlling gurdening. working unlllllll th.: housc in uny 2 wlly'l l 4 5 6 7 8 A Nil. ~m. SllIll.l.ENIU:IUiEIl slJlnclhing'/ Mil, KIUJS-IIIi\I.: "C'I, ruullll ask )'Cllltll clarify MIl. SlIol.l.ENhl:ltllElt when you USkl'd him nhnut tJ~ ueeith:nls thul he \\'11'1 ill heftlrc. I wllsn'l snn: if 1 umkTSluml 9 11mltn mcan nccidenl.'I in which thl1'C \\'IIS injur)' or jusl un)' In kind nf lI\;:cidclll. II Mlt KIUIN"llIi\l.: i\ecidelllS Ihill C1Hlsl-d inju!)', Mil. SlIllU.ENIIEIUiElt: Ill1l1l,nhlT whclI he ash'(l )'UU if 13 you WlTC ill UII)' occidenls'! IIc's slIying wllllt he meanl wns 14 necidl'nts. cur lu:citll'llls ill which )'lJU \\\.TC injun.'lI. 15 '1111:\\'IISIi..'iS: Nu.1 wus nc\'l." injun-d, 16 11\' Mlt. KHONIIIA1.: 17 Q Wen: Y"U iunn)' cllr lIccidcllts'! IX A Nu. nut Ihal I knnw of, You're asking LlUl'SlillllS, 19 I'vc hl\:ll driving fur 1lhlllllc )l:iIfS, nmll ClIII'1 n..,ul1nher thut. ~t1 (..1 YUII dOli" J\'Cull. liS )'IlU 'Iii hlTC Imlay, cn.'" 11 hcill~ in 111I>' cnr uL:dtknls prim II) nr hcfllrc h:hruury I X, 191)4, 11 is lhal cllm.'ct'! ^ Nil. (J Nil. )'1111 hll\'c lIul hl\.'Il'! ^ NIlI 111111)' kllllwlc~l~c. 12 2l 24 2S Page 13 - Pagc 16 Condcnselt'M puge 17 I Q Olh~r Ihan Dr. lI~ss uml Dr. Cart~r, are Ih~rc uny 2 olh~r doelors Ihal you w~nl tn Ihal ynu ~an reeallll<:rore 3 F~hruury (8, 1994'/ 4 A I w~nl 10 Dr. Tccl~r fur Ihal vaseelol11Y. 5 Q (Ihoughl you hud saill ynu w~nt In Dr. Cart~r'! 6 A For th~ rc~IUI11 op~r~linn. Anll ( hall eU'lmllunnd 7 don~ hy Dr. Curt~r in 'H9 Inn. B Q lei m~ go 10 Dr. T<'CI~r. Wh~re is Dr. TL'CI~r 9 local~II'/ 10 A 1I~'s relircll now, II~ usell In h~ on Rnadsid~ II Av~nu~, WlIyn~shoro. 12 Q You w~nlln Dr. Can~r for ~arpullunnel syndrnl11~'/ 12 13 A Y~ah. 14 Q Whlll typ~ of doctor is h~'/ IS A 1I~'s a surg~on. 16 Q Wh~n dill you go In Dr. Curt~r for Ih~ ~arpal 17 lunnel'/ IH 19 21) 21 22 23 24 2S DONALD E. DALE - A (Ihink in 'H9. 1'111 not for sure. Q Is h~ u surg~on nr an onhop~IIi~ surg~on'/ ^ lie's n surg.:on, a gcncml surgeun. Q Why IIill you go In Dr. Cart~r wilh regurll 10 th~ ~arpullunn~I'! A (J~~ause thai's who Ilhnughl ynu'II golo really. Or. lI~ss re~omm~nll~d mc lln In him. Q Dr. lI~ss, your fumily physician'! Page 18 I A Y~ah. 2 Q Whal symploms ~auscll you 10 go to Dr. lI~ss'! 3 A Numhn~ss in thc Iing~rs (inlli~lIling) hy IIruwing 4 th~ knif~ wh~re I work al. S Q Now you're using ynur I~ft linn when you say 6 numhn~ss in your Iing~rs. Is Ihal. in fu~l. Ih~ ann you w~re 7 huving Ih~ numhn~ss in'! 8 A Y~s. I) MIl. SIIOI.I.ENIIERGElI: Arm'! I IIon't Ihink h~ saill III II 12 13 14 IS 16 17 18 19 211 21 ann. 22 BY MIl. KIUlN'I1IAI., Q You w~rc hllving nUl11hn~ss in your lei'! hanll Iing~rs'/ A ring~rs. Q Fing~rs of your I~ft hanll'/ A Y~s. Q All your Iing~rs'/ A No, JUSI a eoupl~ nf Ih~l11. I IIon'l rem~l11h~r which on~s. It's hL'Cn so long. Q Anll you w~ollo Dr. lI~ss ~ol11plaining or Ihis numhn~ss in your Iing~rs, is Ihal ~nrrcel'! A Y~ah. Q All1l Dr. lI~ss referred you 10 Dr. Carl~r'! ^ Y~al1. lJ 'Ill~y Inlll you, y"u hall earpallunnd synllrul11~'! 23 24 2S Susan M. Simon, Reporter-Notary I'ublic ........ OCTOBER 3, 1995 Puge 19 I A Yeah. 2 lJ On ynu rcm~l11ll<:r whll it was Ihal wIll you Ihal'/ 3 W" it Dr. lI~ss or Dr. Carl~r'! 4 A Dr. Carl~r is th~ on~ Ihal 10111 m~ Ihal's whllll Shad. I I. I lJ Anll h~ dill a surg~ry IIn your kft hand'! A Y~ah, on holh or Ih~111 h~ dill ellrpllllunn~1. Q Ynu w~re having ~nl11plllinls of pain in your righl l} ann or huml'! 111 A Jusl in my ling~rs I was huving eUl11plainls lik~ II lhey w~re going In slL'Cp ha~k in 'H9. lJ Sn you w~re hllving numhn~ss in holh Ih~ Iing~rs I J on your I~n hanll ami in your righl hanll'! 14 A (Jack Ih~n, y~ah. IS Q 111~y IIiagnoSl:II you as hllving carpal tunnel in holh 16 your righl hanll anll 1d'1 haod'/ 17 A Yeah. 18 lJ Anll you hall surg~ry on holh your righl hanll anll II) I~fl hanll'/ 211 A Y~ah. 21 lJ AIllI thai surg~ry was p~rform~II hy Dr. Cartd! ^ y~s. Q Anll ynu heli~l~ Ihis was in apprnximal~ly 19H9'/ A I helicl~ il was. Q Anll wh~re was Ih~ surg~ry p~rronllell'! II 7 H 22 23 24 25 Page 20 I ^ Wayn~shnrn 1I0spilal. 2 Q Dill you hal~ any eUl11pli~alinns 1If1~r lhal surg~ry'! 3 ^ Nn. 4 lJ Dill thlll ~nll Ih~ numhn~ss Ihlll you w~re rL'Cling in 5 holh hanM! (; ^ Yes. 7 Q You IIill nol eonlinu~ to hll\'~ numhn~ss in cilh~r 8 hand'! A No. lJ Or Ii I1g~rs'! A No. Q IluI~ you hall any olh~r surg~rics thai w~ hllv~ nol 13 IIiseussed'! 14 A No IS (J I hlle you se~n any olher doelors hclilrc F~hrullry III 18,11)1)4, olher Ihan Dr. Carl~r. Dr. Ikss IIml Dr. T<'CI~r" ~1It. sIl01l.l::>III:I\OI'II, Dn ynu wlInllolalk 10 m~ II ') 111 II 12 17 lti minulI.:'.' II) :!ll 21 mE \\TI1'o:1:SS I'll snon~r lalk III h~r a mil1ul~. MIl. SIIOI.I.ENIII:llm'll: YoU ~an lalk hI h~r a l11iI1UI~. (l'ilUse lilkenllfr Ih~ re~onl.) Till' W1I1'o:1.SS. I hall a ealh~l~ri/alion IInn~ nv~r in 23 lIag~rslo\\'11 IInspilal. 2.1 11\' Mil KIlON'JII,\1 : () Fllr your h~arr! ~2 25 Page I 7 - Page 20 DONALD E. DALE Condenselt 1>1 Page 2\ ...... 1 A 11M..")' wanted In cllI..ock. soo if tl,,-11.: WU'i UI1)'thillg I 2 wrong wilh tl.. heart 2 3 MllS.IJ^I.I~; 111'1 hcurt'!I fine. 3 4 'nl~ WUNIl.5S: nut my heart Is line. 4 S U\' MIl. K1lUN'fl 'AI" 5 6 Q You had 0 heart colhck.-ril.l1linn lhml.: utllllgl"fsltlwn 6 7 lIo'pilal'/ 7 H A YC:Jh. H 9 Q Any oll",r docll1rs7 ') 10 ^ No. III II Q Defore tl.. accldC'll1 on I'ehlllllry I H. 1')94. did YOIl II 12 ever slIffer f"'l11 any 1Il.",k or bllck puln" 12 IJ A No. 13 14 Q Defore tl.. accld~nlon I'ehlllllry I H. 1994. dill yon 14 15 ever 5UrrlT from any pain in yunr shouldl."fs Dnd I1nns utlk."f than IS 16 tl.. earplll tuonel tllat \\~ hllve dl,ell"",I'/ 16 17 MIl. SIIOI.I.I!NIlEItOER: I huve to Ohjl'Ct tn the l"alnn 17 IH of tlllll. Go olk:l:ld Dnd UI1'\\\'\:I'. IH 19 Tim WITNI:"'i."i: No. 1') 20 MR. SIIOt.l.HNllmtUl:.Jl: MY nhj"'''Clinn WiJS he snitl his 211 21 linsl.,.s. He didn't 50Y his un1l5, 21 22 MIl. KltOf'(fIlAI.: ,.CS. I undLTslund. bUll just wont 22 23 to muke sun: he undc..'Tstnod. 23 24 !IV MIl. KR()NTIIAI.: 24 25 Q Ilow long have you lived ilt )'U\1r cum:nt UjJdn..-ss? 25 Page 22 I A 21 or 22 )'Cllrs. I 2 Q Is that Q house thut )'011 live in1 2 3 A YC:Jh. 3 4 Q Ami othC.T than your wife and your 5011. lIocs al1)'lIllc 4 5 else live 1Ix.TC1 5 6 A No. 6 7 Q lias anyonc else lived lIx..TC in Ihe (Hlstlcll )'COm'! 7 H A No, H 9 Q Now. let's talk nbnutlimc flL'Titltl ulkr Fehruary 9 10 I ti, 1994, okllY'/ As a 1\.'S1I1t of the lIecldcnt. illllllC~lllItcly IIftl.T III II the DccidL"nt. WIM.TC did you ha\'c pain'} II 12 A In tl.. oeck right h..'!\." (Indicatillg). uud I gut 12 13 palu, rillht Ih..'!\." in tl.. hllek uf tl", head Illll. 13 14 Q rnr Ihe record. )'oulrc pointing tn the hack of 14 15 your neck whL"J'C yotl ha~l puln. i~ lIwt cllm-cl'! IS 16 A Yc:,h, bllck ill It..'!\." (Iodicallllg). 16 17 Q Aho\'c )'our sh{luhk'f~'! 17 18 MR. Sllol.l,E,-..:nmHiHt: Turn l.Ira1und !in Ik.: clIn Sl'C, II! 19 nY MIl. KltONT1IA1.: 1') 211 Q Y(mln: indiclllin8 jus I ulul\'c )O\lr sh'lIIhkr line'.' 211 21 A '{cnh. ri![ht ill nh1l1~ tl\LTC, 21 22 lJ Wlll'TC e1sc dill you hll\'c ruin'l 22 23 A Ri~hlllL-n: .. 1 pili pain'! niT 111111 till rilthl 1))l'l"C 23 24 lu tl.. bllck llf II.. 111",,1, rll!hllhc"" 24 25 lJ ,"uu'n: ImJit.:oting just beltlw thc crnwlI of )'tlur 25 Susan M. Simon, Reporter-Notary I'ublic .,-.... OCTOUER 3, 1995 PlIgc 23 skull. is Ihlll ~urre~I'/ A Y~uh. IJ Is Ihl\l inllll~IIialdy lIn~r Ih~ lI~~hl~nl'! A Ilighllll'tcr Ih~ lIecill~1I1. lJ IUghl afl~r ill1pa~IOr a f~w ll1inul~s lul~r or lal~r Ihul day'! A W~II. IIn~r th~ ill1pu~l. I slart~II g~lling il righl ha~k h~re. lJ Wh~lI y"u're saying righl ha~k h~re, you're m~uning jusI uhov~ your shoulll~r l~v~I'/ A Shllulll~r. lJ Itlllll~IIialdy lIf1~r impll~l'! A (Nmls h~llllup IInd IIowtl.) lJ Wh~tl dill you start g~\ling Ih~ pain inlh~ hu~k of y"ur h~all'! A Cllupk IIays lal~r. lJ Ilud you ~v~r had puin in Ihe ha~k of your h~ad hefore'! A Nil. Q Ilad Y"u ~wr hall pllln ahtlvc your shoulll~rs, in Ihal area h~fore'! A Nil. Q Wh~n IIid Y"u Iirsl Sl.'Ck Il1~IIi~al trealll1~nt !llr thlls.: pains'! A 11"'1 sall1~ night thai I hall th~ a~cill~nl. I w~nt Page 24 Dr. COlla Wtllt on call that hUlI1C IImll clllkd the fumily \luctor. night III the nUke. lJ Dr. C"lu'! A lie's in Wllh tl", I koss~s. lie WIIS on clIlI, alllll n."urtcd it tn him. ami he didn't scmll1u: oul 10 tlk: hospital lhlllllighl. Q What time \lill )'11l1 call him. do you n.-cIlII'! A II wus nhnnt 7:31l, 4"urtl.T of H:1l1l tllllt nlghl. Q \\111I1 did h~ Sll)"/ A lie snid In take Il hnt wllnn tnwcllllUl (1UI ilnl1 111)' I1L"Ck 1l1ll111lkc Tylenol. If it waltll't IIIIY heltLT in the l1It1ntiug. III givc him a clIlI. lJ Allhis pnlol, Ihe pllin was ,liII jnsl cllnOned 10 )'uur IILock. cnm:cl'! A Yes. <J Did il get nil)' hetllT the nc:~t (lilY'! ^ No. (,} nil! you I,lk..: (lain 1ll1.'tlkl1liuu'! ,\ Itlluk the Tylcnullikc he snhl. <J Did )'1111 PUI the hnl ClIlIlpf\."iS nn'! ,\ Yes. 01 Q Dill )'1111 dllllll)'lhill~ thcn'! nid YIlU cult 011)' tllldHr'illrllll)'lhilllJ:tlflllill'illft'.' t\ TIll' Ii':XlllllY ) culktl hllck t11'lhlTC, 111111 Dr. DIIUplil'i WIIS UII cull. 111111 he sent lIle 11II1111c hO'il1ltllllilr Page 21 . Page 24 DONALD E. DALE ,<!,-. Condcnselt 1" Pagc 25 ,..-... OCTOUER 3,1995 Puge 27 I x-rays, 2 Q Which hospilul is Ihut'l J A Wnyn~shoro, 4 Q Did you drive Ih~re yourse\l'! S A Y~ah, 6 Q Your wif~ dilln'l go wilh you'! 7 A (Shak~s h~all side 10 sill~,) 8 Q You shook your h~all no. You hav~ 10 say no so sh~ 9 eun take il down. 10 A Oh, No, I I Q So you w~nl hy yourscJr! 12 A Y~s. 13 Q Wus your wife working allhllt lim~'! 14 A No. IS Q Do~s sh~ work'! 16 A No, 17 Q Is th~re n reuson sh~ dilln'l go with you'! 18 A I'm usually.. I usuully go myself wh~n I go 19 som.:wh~re like lhal. 20 Q So you w~nl 10 th~ Wuyn~shorn ~m~rg~o~y rnomlh~ 21 n~xI IIay, is Ihal eOrl\.'Cl'l 22 A Y~s. 23 Q Do you reeull approximulc1y whllllim~'! 24 A I'll say mayh~ 9:00, 10 o'c1o~k IImlmoming. 2S Q Anll you hull x-ruys luk~n'! Page 26 I A Righi hll~k in h~re (indi~uling). 2 lJ You're inllicllting just lIhovc your hips in your 3 Inw~r hll~k'! 4 "y~..h, righl hll~k h~re. 5 lJ Did ynu hll\'~ p..in lIn)'\vh~re ~Ise'! 6 A No. nol al Ih~ Iim~. 7 lJ So allh~ lim~ you w~nllo your IIoelor for Ih~ H Iirsl lil11~ afl~r th~ x'rays, you h..II (lllin in Ih~ n~~k jusl ahov~ 9 your shoulders allll in your low~r hll~k jusI uhov~ Ih~ lin~ of III your hips, is Ihal ~orrc~t'! II A Y~s. 12 Q Anll Ihal was Ih~ only plae~s you hllll pain'! 13 A Y~s. 14 Q Dill Ih~ pllin in your hll~k rallial~ inlo your legs 15 or go inlo your legs" 16 A No. 17 Q Dill Ih~ pllin in your n~~k go inlo your amlS or 18 shoulll~rs al all'! 19 A II hillh~ shnulll~rs th~rc 11I1~r as lil11~ \\~nl hy. 211 lJ Dill you hav~ any numhn~ss in your I~gs or IInns'! 21 A No. 22 Q Wh~n you w~nllolh~ IIo~lor Ih~n IIml Iirsl lil11~ 23 IIft~r Ih~ x'mys, whal dill h~ I~II you'! 24 A II~ saill .. Dr, Douglas saill it was som~lhing lik~ 25 II whiplash. lie saill il was a whiplash or som~lhing like Ihal. Page 28 I A Yes, I lJ Whlll IIid he I~II you 10 110 for it'! 2 Q Wlk.'t'C was the: 1'111n when you wenl at that time'! 2 A II~ gave me nlt:dicinc Cor it. 3 A 10lho hack of Ihe nl'Ck. 3 Q Whlll typ~ of I1I~IIi~in~'! 4 Q Is IIml II.. only placo it WIIS'/ 4 A I lion' I know. 5 A Ycs, 5 Q Was it pres~riplion I11~IIi~alion'! 6 Q Do YOII n:call whullhe hospilallold YOII wus wnln8 6 A Yes. 7 will,yolI? 7 Q Was il pain I11~IIi~alion'! H A No, II..'Y didn'l1<:11 l11e. H A Lollin~'! 9 Q Did 1I..'Y rcl"",e you" 9 Q Dill h~ I~II you 10110 anylhing ~Ise for your 10 A Yl." III injury'/ II Q Did lb...")' tell you what In dn rnr your prohlt.1n'! II A No, 12 A No, II..'Y wid l11e 80 hack 10 Ihe fUl11ily dOClor. 12 lJ Dill h~ seh~IIul~ .. follow-up appoinlm~nl with ynu'! 13 Q Did YOII do IIIUI'/ 13 A Yes. 14 A Ycs. 14 lJ For how Ions'! 15 Q When did yuu go back In the rllmil)' dm:tur'! IS A W~II, wilhin a wl'Ck or sOI11~lhing lik~ Ihlll. ~ouple 16 A I think it wU!C u couple du)'s 11Ilt.T I went buck In 16 days or a \\'l'Ck. 17 the fnmily doctur bt.'CDUSC it \VIIS a SlIturday. So I dun't know if 17 lJ Dill you kl'Cp IhaIUppoinll11~nt'! IH I went bock Munday, TUl.osday, when Ilk.")' cuuld ~cllln: ill. I dnn'l 18 A Y ~s. hUI I gol unolh~r IIo~\(lr. Dr. J{~u~n Ih~n. 19 knnw. II) lJ Why IIid you 8~lllnolh~r IIo~tor'! 20 Q \Vlmt complaints uf Pllin dill you hu\'c when YIlII Wenl 21l A 111~y're 1111 in Illg~lher, IInd if you want an 21 10 the family ooctor alllml poill!'! 21 IIppllinll11~nl, you gill IIlI"k~ whll~v~r is on e..lI. 22 A I hlld il ill II.. hllck of Ihe Ill'Ck, 1ll1l11 hmllhe :t2 lJ \Vh~n you W~nl hll~k 10 Dr. R~uh~o, whal kil1ll of 23 Im\'lT pun Ill' the huck !'i}'1ll(1lmll~. 23 ~lll11plllinls of pllin IIi" you hllW, if uny'! 24 Q When YUU !iny 1tl\\'\.T J1l1rt Ilr )'llllr huck. Whl"fC till )'1111 :!.l A '111~ n~~k ul1lllllw~r pllrlllf Ih~ hll~k. 25 mean 10\\.\1 pllrl nl' yuur huck" 25 () Ntlwhc~ else'! Susan M. Simon, Reportcr-Notary I'ublic Pagc 25 . Page 2M DONALD E. DALE .... Condenselt'M I'age 29 .'" OCTOUER 3, 1995 I'llge 31 I ^ No. I 2 Q ~- 2 3 A Should~rs, I gul this eli~king noise in my h~all. 3 4 Q You'v~ gnl a eli~king noise in ynur h~all'l 4 S A Y~s. S 6 Q Wh~n dill Ihal slart'/ 6 7 A Righi afl~r Ihe aecill~nl. 7 H Q Wh~n you say a c1i~king noise in your h~all, ~an 8 9 you ~ a liltle more d~s~ripliv~. Do you h~ar a sounll'! 9 III A It's a sounll, lik~ ~liek. III II Q Do you know wh~re the sounll is coming from'! II 12 A I gu~ss Ihe n~ek hll~k h~re. 12 13 Q Wh~n you h~ar Ih~ eli~k. 110 you hllv~ 10 110 13 14 anything 10 mllke th~ cli~k sounll'! 14 IS A No. IS 16 Q You can jusI ~ silting th~n: lollllly slill aoll 16 17 h~ar the ~Ii~k'/ 17 18 ^ Now anll Ih~n I can h~ar th~ click, y~ah. 18 19 Q Withoul uny mov~m~nl'/ II) 20 A No. I huve 10 mov~ it 10 h~ar it. 20 21 Q You hav~ to moV~ your n~ck'l 21 22 A Y~uh. 22 23 MIl. SIlOI.U:NIIElIGl,It: MlIk~ sure you und~rslllnd his 23 24 qu~stion ~fore you give an answ~r h~~Juse h~'s tllking you al 24 2S your word. So if you lIon't unll~rs\Unll, you can say - 25 Page 30 I Mil. KJUJrffiIAI.: If you doo'l under,llInd, 1'",1 rll.'C 2 III o,k m~ 10 ll.'j1hrJ,e il. 3 Mlt SllOl.I.I~IIERmm: 1 got the sense fWI11 that last 4 BI15\\'\..T lb.:rc In the bl~inning. t don't think you reall)' S undLTStoOO hil qOL"Slion, 6 IIY MR. KItO~ruAI.: 7 8 I) 10 II 12 13 14 IS 16 17 IH 19 20 2\ Q I don', want )'OU to On!i\\\.'T 0 question )'I1U h3wn', ulldcrstoOO. If you doo't uodLTSlUml, YOII klme konw. (Jill if you ons\\\.,. it. I'll O~5wnc thut you Ita\'c U1UkTSllXkl it DIUI onl\l~-n:d illrUOlfully, Okoy'1 Yoo have In IllY )~... A Yes. Q lei', gn bllck. YOlllllld clicking )'nll ,old 111111 llL,!!an in ynor nL'Ck hnnll:dilllcly olil.T 010 hnpllcl, illlllll cnm:<t1 A Yes. Q WlIOII did Ihal clicking oC~lIr'} A Cnuple dll)'1 Ufll.T Ihe impllcl. Q Ithnught )'tlU hau sahl it stllrt!..'\1 iml1ll'1liutcly Of4.T the burnet. Nnw )'ou'rc telling llIe it startl'tl U l.:tlUr1c days uftl.'T the il11(1ucl'l A lI'ell, 1110 paill WII, "10 da)' nr Ihe impacl. lJ WI.." di,llhe clicking hL,!,in" A Ne" da)' nr IWo, "lOll I 111111 Ihal c1ickillg. 24 Q Ami when dl1~s Ihe clicking happell'} III n1hcT 25 words. what dll )'UII have hl lit) II) mnkc that c1h:klng !illlllhl'! 22 23 Susan M. Simon, Reporter-Notary I'ublie ^ JU'it t\lm m)' Ill.'\:k. CJ Turn )'uur Ih."Ck frum !lhlc In sidc" ^ YClIh. Turll h 1I1111n1l1ml. lJ ^n)' timc )'11ll turn )'Ilur m:ck sidc to ..hlc IIr up DI\II down, )'UII hear n clicking'! A YL.... Q n" )'IllllllwlI)" IIOlIr a click! ^ Ahllllsl ulllhe time. t,) Oill yuu e....l.'1I~1r II click befure the ucdlk'nt'! AN". Q Oill )'IIU e\l.T tcUnn)' nf 11k.'Sc uoctors uhllullhi~ clicking suulIll'! A YL.... lJ Whal did II..')' IllY'! A "101' d""'1 'a)' milch of allylhillg "",II)'. lJ 11'11011 )',," weill 10 Dr. DOllgllls, umllhlll wOllld hale 1ll.'C1I afll.'1 thc x.ra)'~, the !irsl visit nlk'1lhe x-ra)'li" A Y,,1I1. Q Or wIlllhl it hllye h"'"I\IO follow.up vi,il? \ lhink )'UII said .. ^ I think it wus following. uftt.'1 the x.rays. Q Letmc jmt. Sin I'm clear. I helic....e your h..'Slimun)' C4lrlil.T WlIS. IIml Mr, Shullcnm.Tgl.1' CUll com:ct mc if l'mwrullg o. Mlt SIIlJl.u~NIIEIUjl~: ~lr. Sholk.nhL'f};L'1 is ohuutln Page 32 I so)' Ihal, unl\."is Ihili is n tIl\.'Uury I,",'SI, moybe we oughl to 2 n.'I1\.'11Ibl..1' IhalllM.'n: un: t)'peWrilu..'11111l.'llicnl n:cnn.Js lhat spcuk 3 for tlk.,nsc!vcs. und it's kind nf difficult to expccllhis mun In 4 n.'II\.'nh\.T.- S I CUl1lllUk'rst.md he 11111)' l\.,nl..,l1b\.1' in BL'f1l.Tulitks, 6 hulln cxp",;d him hi n.,n\.,nlN..T sllmc lhe of things you're Dsking 7 him, 1'11I nnt sun: Ilun 1 cuulll n..,nL,nhcr or you could n.1tIl.,nhc:r H \lhal you did on !'ehlllary. ,a)'. Il)lh, 1994,aud eXllcll)' hnw l1IallY 9 du)'s )'U\I WL'n: Ii) fnUnw up On....TWDrds. 10 n....'CotlSc the n.'Cnnls soy hc's tn follow up in live 11 dn)' fur n:-cxl1l11inutinn. SI} \\'hatl'lII ohuut tn dn is st.ut 12 ubjL'Cting IIml SU)' the r\.'Curds spC41k fur tlK..,nsel\'c.". 13 MIl. KJUIN'IIIAI,: I ul1lkTs~1nd, hUll wallt tll kOllw 14 what he 511)'S is his chnlllulllg)'. I S ~lIl. S1U)U.I~"iIIEIHjEH: you're Inuking fur Ih hll:unsislcm:h:" fur the r\."Cllfd su )'IIU CUll hn(1C41Ch him Dt triol. 17 We ul\ller'illlml that. 1 t\ MIl. 1\IU IS-IIIAt,; I wunt tn knllw what his chronology II) is, :w 21 ItW WItNt'."iS I Cnll'II\.'1It..1nhl.T that for. M". SIIIII,I.I~~IIUHjElt lhcll )'1111 hu\'c tl1tcll him 22 th.lt. 1\lId thl.'lI he has hi lei yuu luok al thc l\.'Curds su )'OU eUll 23 n:fn:"h )'llur n.'\:IIIh."Ctillll, TlllIt's thc fnir thing In lilt 24 1IlL~ess Inkeu 1''''111 1\: 12 11.111. Ulllit II: I 5 11.111.) 25 Page 29 . J'uge 32 DONALD E. DALE ... Condcnselt'M Page 33 I nv Mil. KlUlN'IIIAI" I 2 Q Nnw, we W'-on: on the vidt. the sc..'Cl1Iu.I visit uflc..-r :! 3 tl", x'roys. And you'll ~)hlme wlllll cOl11plnlnl' of poinl'IIU hml 3 4 in the shouhJc.."I'. Inw bllck. DUll you ohnlllClllitJIll'd the c1ickil1!l 4 S In your neck. Am.I you ",""n: given YIlU helieve Lmlinc 5 6 pn..-scri(11inll mcdicutitll1. h 7 Did )'011 continue IfCnting with YUllr flllnily 1 8 physician? 8 9 A Yes, 9 10 Q Abom how I11nny more vl,its did yuu hllve with your III II fllmlly physiclllll? II 12 A I don'l koow, 12 13 Q Voo don't n:coll'/ 13 14 A No, I doo'l n:coll, 14 15 Q Was II more tllllO leU, if you kllllw'/ IS 16 A VLOS, 1 think so. 16 17 Q Oyer how III0S 0 pLTlod of lil11e'/ 17 18 A I doo'l n:coll. IS 19 Q OVLT lil11e did your poiusel WII"~, sel b~llI.T or 19 211 Slay tl", 'Dine? 211 21 A Slayul tlle .nm~. 21 22 Q Did you hu\'c ruin in any utlk..T llreas uf YUllr bod}' .22 23 OtlM.T than what )'OU have nh'COld)' id\."tllitictl. the clicking in 23 24 YOlU neck. the pain juslahove your SlulUhlL.TS in the huck of 24 25 your oeck, and II", Pllin ja,l ohovc your hip. in llle low hllck'/ 25 Page 34 I MIl. SIIOll.F......IlEJUmJt: And he also sold in his hC.1d. 2 in fairness. 3 4 5 6 7 8 9 10 II 12 13 14 15 16 17 IH 19 211 21 n\' Mil. KltON'TI/AI, Q Aod io llle bock of your I"",d. Did yon hove Plliu on)'WI...", cl,e? A 11", ,hOllldLT' 1 did hnvc, bntlhey \1\'''' workins their way out. I've bccn going for Ircullllcnl.l1i. Q WI",n did II", poln In II", bllck of yonr h~",1 hL,!!iu. do you n:tnL1l1b'T? ^ Don't n.'"l,nblT. Q WO~ it u 1110nlh unCI' the occidenl. six lII11nlhs'! DI1 you 11lI\'~ OilY id",,'/ A Could l'OU ,oy lllOt "S0ill. Q Do you n.',<:oll when you hml the puin in Ihe h;u:k uf )'our head bl'gin urtC.T Ihe ucchlL'Tlt'} Wus it within U IIItllllh. .ix months'l A J'd soy within u week. somcthing like (Imt. Q Just sn we're clcur. Dnd make SUn: it's c1colr, Otlll.T tllOoll", pnill ill tl", bllck nf l'our hC;IlI, Ih~ c1ickillg ill )'our neck. Ihe poin in Ihe huck or )'Our Ill'Ck just uhu\'c )'IlUr shnuldlT line IlUd the puin ill your InwlT huck jmt nhtl\,c Yiltlr 22 hips, huvc )'ou lultll1n)' pain UIl)'wlk.'fC c1~c ill )'l1l1f hOlI)' th;1I )'1111 23 attribule or you helievc rcsullL'tl frnl1l1hc FehntllJ)' I H. 1994 24 mtltor vehicle Ilcchlcllt'} 25 ^ I ,"ld righl ill I.."" (illdiclllillg). righl'! Susan M. Simon, Reporter-Notary I'ublie .--, OCTOUER 3, 1995 Page 35 Q Yes. A Thlll's 1111. (} Whcn )'011 sn)' right 11l'fC. )'1l11 lIIC<llllhc flllin illlhc huck uf )'tlllf 1Il.'Ck thill \\'CIII inlll )'llIIr shtlultll.'Ts'! A "clIh, wellt inh) Ihe shtlultk'Ts. (J OUIllll",'T t11i111 the ruins Ih.1I Jlm\'c idcruilil...t1 in Ill)' last IIUcSlit1n, Im\'c )'I1U IUHI fluin IInywlk."fC e1sc Ihnl )'UII ~II)' Wn<ri clluscd h)' Ihc Fehnull)' I Hlh nccitlclIl'! A No. (} No, is Ihal )'UlIf UIlS\\'lT'! A I\ishl. Q Nn is )'our III1S\\'l.T'! " Nil. Q The pllill ill Ihe hn~k of l'our 1"';111, do y"n lIiII have Ihat ImJay'! A Nil, II", paill ill 11", hllck ul' t1", hcud .. I gel il tlllce in n Hn.'tU whilc. hill thai's it. h's lIullike it USl.,lln he. lJ A lJ A lJ A lJ II's imprn\'l.'tl nn.T limc'! YC:III. Ilnw did il used 10 he'! JIISI like a dullllchc. l'ullslul1l'! Yes. And IIn\Y ynll ~ct il. you !initl. ollce in n grcnl 1 whik! 2 3 4 5 Page 36 A Q Y~IIh. Wh~n yuu say ulle~ in a greal while. whal IIll\:s Ihlll mean'! A I IInn'l know, mllYhc nn~~ nr Iwkc a ,,','Ck. e. snl1l~lhing lik~ Ihal. pllin in Ih~ ba~k nf Ihe h~oll. Q On ynulak~ IIny I11~IIkalinn lilr il'/ ,\ Ilak~ Tylennl fnr it. lJ ()v~r'lh"'~nunl~r'! A Y~ah. Q 111~ pain in Ih~ ha~k nl' ynur n~~k. dn ynu slill 12 ha\'~ Ihlll Inllay'! IJ A V~s. 14 Q Is Ihal Il ~nnslllnl pain, nr is it a pllin Ihul IS ClHl1CS am) gues'! Ie. A II's a pain t1ml .. wh~n Ilum my h~ad anll slufl' 17 it's kind "f I'd say etl1lSlanl really. 18 lJ Whal ahnuI Ih~ pain in ynur I"w~r hack'! 19 A 1 slill hll\'~ Ihal ~"nSlllnl. 211 lJ Vou slill ha\'~ Ihal ennSlant'! 21 A (Nods h~mlup and 1101\11.) (..) No math:r what yuu'n: dning, yuu hu\'e u puin in 2.1 y"ur low IWl.'k" A V~s IJ When wa, I"~ lusllil1l~ ynu SIlW your I:unily 7 8 9 III " i i. ~.2 24 25 "age 33 - Page 36 .-.. , DONALD E DALE - Condensclt 1M ~ OCTOBER 3,1995 Pagc 39 Page 37 I phy,ician for tl""e Injnri""'] I 2 A W~II,I" 2 3 MR, Sllnl.1.t!SIWIUIEIl' ohjl'Ct In the funll, Ask",1 Rlul 3 4 OllS"""",, lie .old I", dO""IIl'1 n.,n..,nh..T. 1l1l11 \\11I1~1I )'01111", 4 S la'III1a1lcol record I hove 10111)' me I' July 27, 1994, TI.."" 5 6 WaC visil'i SUbScqUl"llt tn that. oml wc'lI ~c, )'OU Ihose 6 7 nxonls, And whelher it's III1:nlinlll'll nr Iltll, Illtlll't knllw, 7 H IIY MIl. KRO~"II^I.: H 9 Q I lave you scen ony nlhlT IlCOllth core pnl\'idlTs or I) 10 flCOple ror the Injurid that you utl~e COllie rrom this Fchnull')' 10 II 18th motor vehicle Dcciden!'! Ilove you seen on)' nllll"l' doclnu, II 12 nurses, phydcal thl"rnpisl5, chirurrnctnfS, lHl)'OnC c1~e'l 12 13 A Dr, Milk"l', J'\'C hu:n going In him, 13 14 Q Who i, Dr. MllkT'/ 14 IS A Chimrrnclor, IS 16 Q lie'. 0 chlropraclor, okoy, WI.."" I, I", locol"I'/ 16 17 A 011 Moln SIru:I. Woyn....hnm. 17 IH Q Do )'UU n..'IlCtl1hlT whI.'n )'olllirsl saw Dr, f\.1il!lT'! 1M 19 A I don'l ru:oll"'CI. I dnn'l knnw ri~hl unhand, I') 20 Q \Vas it within six lIuJltlh'i ur the lIccillcllI, U )'C<Ir'! 20 21 A I'd .IIY ofler II )'CUr, Of"'T Dr, II....'. 21 22 Q Did snmoone m:nnunclul ynu In gn Sl'\: him'! 22 23 A No, 23 24 Q Iluw did ynu chnn~e tn go In u chirnprnclnr'! 24 2S A Well, tl", po In WIIS II.."" ond nil. I he,,,,1 p"'plc 25 Page 3M I saying, well, why dou'l )'UII try 0 chirupnu:lur, 1lI11)'he thc)' cnn I 2 n:lil.."\'c some or the rain, 2 3 Q Vou \\\.111 In him for which rllin~'! 3 4 A The neck rain omllhc luw\.T huck puin, 4 S Q Do )'UU continue ~uing to him 10 this doy'! S 6 A I'd .IIY .. how would I SO)' Ihal. Tim'! 6 7 Mil SIIOl.lIi."'lnmUIEIl: I con'l nnS\\'\.T Itlr )'OU, 7 8 That's whut I would !lo)', Po YOll walllln lalk In me nhuut if! M 9 You hove the ri8hlll1 do Ihal. ') 10 TIll! WllNl'SS, I'd 5lXlI1..T Illlk 10 hlll1. III II Mil, KRONTIlAI.: okay, gn uhcml. II 12 (TI", wIIO"". Mr, Shollcuh"Tjl"T olld Mr<. Dale 12 13 confer oul or dl..'1HJsilinl1 roOIl1 rrml1 II: It) 0.111, uUlill1 :24 lUll,) 13 14 IIY Mlt KJU)NTIlAI.: 14 IS Q You ho\'e now hod 0 chance to cnnkT with IS 16 Mr, Shnlll"llhL"ft.'\.T. ynur IU\\')\.T, Dn yuu n'ClIlI whcn the III'\t 16 17 time ynu Sll\\' Dr, ~1i1kT. lhc chinJIUllclnr'! 17 IH A 10 SI:I'I..,uh..T. IX 19 lJ Of 1995'! 1'1 20 A '95, TIle I'Clsnl1 why" 211 21 MII.Sllol.l,HNllmumn: lie dilln't mk )'lIl1lll}IICSlilln 21 22 )~I. 2~ 23 I\\' MIt, KHONIIIAL n 24 IJ Ynu clln lini'\h )'lIl1r 1l1l'\\\'Cr, (illllhc;ul. 24 2S MEt. SlI()I.l.l~"ml~luil~U: I,ct hilllll'\k yutlllqIlC'ilinn, 2S Susan M. Simon, Reporter-Notary Publie 1I\'MIt.KJUJS"IIIAI.: tJ Oil )'lIUIIiI\C II sllllllling urpllintlllcnl wilh Dr. Milld/ A Nil. e) \\11)' lire )'1111 cllIuinuing In !il'C him'! Whlll cllInrlililll'\ tlf ruin dl) )'11U h,I\'C Ihilllll'Cl"Ssillllc )'1)11 cmuinuillH 11ISl.'COr,MilIt..T'J ^ I hmllhc IIl.'Ck puins nud II1\\\.'f hack ruins, Ihnl's wh)'. tJ Dn )'IHI Sl'C him l\.'gulilrl}"! A y",llIill. (..1 Wh)' dnn't )'1111'" Again, I gel frum thllllln!i\\\.T lhilt )'11111111 11Ing\.'f '\l\: him. is IJml ctlm:ct'! A WclI, lilY \\'ifc Iholltfln it \\'1I'i nmning illlll hk1 lUllch I11UlIl')', 111111 ~he clllkd nllll cuncckd Ihe uprninUlICI1I, She 'initl il wmm'l hd(1in~ me. IIl1d 1 said it WIlS, Su, hllw wlluld )'011 1l1l'i\\\.T lhill'.' Mlt sllul,I.l!NIIE1Hil!U: I gUl"SS you Sl\: u MIt.KUoS-IIIM.: ., Ihe dicholom)' tb...TC, 1I\'~IIt.I\IUISIII"I.: lJ Illls"luplln y"nr wife', hcli~f Ihal illl,.....n'II"'lp )'1111. )'llII're uultll11!:l..T guing Itl Sl'\: him, cllrn-cl'! A She's Ihe (l11C th:1t culll'llulUl clIl1cclcd the IIrrUillllllt:lIl. hili Ithillk 1'11I p.uiug tn go hild, I rcnlly do Ihink I'm ~tJing In glt hack, Ilhink he was IlCl(1ing mc u Inl Pagc 40 n."lIy. MIt. sllOI.I.I~SIlE1Ujl;lt: I'nr the n.'cunl. \w dll nllllm\"e Ihll~C rwnrtl~ 11'1 )'Ct. (lllr illlilnUllliul1 is Ihal he Iinl 'ill\\' thc chirn(1mClnr in JUIIC nf 1995 Ulltllllill he lilsl '\II\\' hilllon S.."I<1nh"T Ihe Slh, 11)1)5. As I slIill. I dl1 IIIll haw Ihme l\.-cords ns we s(1Cllk. hUI \\'C llhllCk'J1hune Ihe dnclllr's onicc In get thll'\c dnll'S III ~i\'c Ihl,n hi YlIllllllllJY, IIUlI wc'lIpi\"c )'OU thme n'Cllnls, Wc dll cnnll,ul tlmt thill is uccidcnl-I1l.:Cl.'Ssil.lll'll Irc<lllllcnl. TIml's wh)' he Was pning Ihl..'TC, II\,r-ollt.I\IUIN"'IIIAI.: Q Is Ihilllhe lir'\l time Ihill )'UII 11iI\'C C\"l"l' seen I) chirtJ(1raclilf',' A Yes. Q Oilt )'1111 S\X u!I)'hudy el'\c t1lhlT IlulII Ihe chiru(1rnclor, Dr, MilkT, iIIul )'ullr fUlllily rhy"icilll1,\ hlr injurics frllln Ihi'\ uccidcnt'! " It)'illI" Phy'\icnl Thl'nlp)', I wCIII111 IlIl,n rig hi ullLT the IIccillclIl. Q Whlllnltl )'011 In 1111 thl'rC',1 " Or. 11m, Or. (;",1". lJ C lllc Ill' )'llllr lillllil)' rhy,iciulI'I" " FilllliI)' plt)"jcilllh. () IIIIW Inll~ Ilill )'1111 ~II III the rh)'OjicilllhlTlIpi'iI"',l " I lh, I ~IIC\\ I \\cnllhl..TC si., 1II11111h or hCUlT, - -. I'agc 37 - Pagc 40 "_ I DONALD E. DALE Condenselt'M Page 41 .... I Q A,"lwhy did Y"ll ""P ~IliIlH 0.."," I 2 A Sl~ !oltlll)(,."fC wu" IIlll1lnrc 11K.")' c(mltl till. I hiM 2 3 Ik.T I wu. ~nln8 1111 In II\.Tshc:)' ItI ''''.~ n ~h:lur uJ1IIk.TC. 3 4 lJ When )'uu say she told )'tlU 111\.11: wn'i lIothing nltlfl: 4 S UIL")' cnuhl un. tln )'UU 11lCi.1II she Il\'inlollhc ph)'sic11111l\.TIIJ1i'iI'.' 5 6 A Y""h. 6 7 Q TIle physh:nl t1llTnpi"illnM you (h..on: \\'11'1 IItlthing 7 K more Lh,..-y cnuld dt)'! 8 9 A CI"'I}'I .. 011I1'. nllllll..T '(111)'. CI"'I}'I '")" .Imp ') III \hill. III II Q Your wife Inht )'lln to !illlJ11Ztling rllr the Jlh)'sicol II 12 O..TUPY" 12 13 A YL~. 13 14 Q Why dill )'uur wife tell yuu In slop Buill!! fur 14 IS phy.lcolll..'fDpy'/ IS 16 A She Iho1l8hl iI wus nJlming irun IUOlllllch IlIIIIlCY. 16 17 Q Su that'! why )'tJIl SlupJ1l'tl ~()illg hi ph)'!licnl 17 IH II..TUpy" 18 19 A YL~. II) 20 MIl. SlIuI.I.ENIII:lUi!:lt: Un )'lllllllCOm In imply h)' )'uur 20 21 qUC!itiun that's lhe unly n.:ounn he slopped pning In ph)'siclll 21 22 O"TUpy'! 22 23 MIt.J.:.JU)!'fIIIAI.: "I.~. 23 24 MIt.lillnl.l.l:SIIERtiEIt: 'Ihe n.:cnnl slIg,gcsts 111l'TC \\\.'TC 24 25 Otl~T rc:unns, hilt .... 25 Page 42 I MIt, KltONTIIAI.: I'm nnt o~klng )'nu In testify, Tim, I 2 MIL Sllol.l,I~IIE1umR I unt.!lTstllnt.!, 2 3 MIl Jo:.ItONTIIAt,: lhat's whal he said. 3 4 UY Mil KJUJNllIAI.: 4 5 Q An: tI~"re any ntlM..T t.!nclun or J'lCllple that )'1111 5 6 \\\."111 lO os n result or tl1C: injuril."S )'UU olkge n:sulll'\l fnlln 6 7 \hi. eolli.ioo" 7 K A No, s 9 Q JUsl sn I'm clear, R" u n."!iult III' the injllril'~ 9 III thut )'011 belie\'e )'011 suslnilll"tl in the collisiun, nkuy. )'UU weill III II In your family ph)'siciDII, )'UII wcnl tn Or, MilllT the II 12 chimprnclor, )'011 wcnt In WD)'I1Cshurn Ilmpitl.l1 fur the x.rny... 12 13 nnll you W\.'1l1ln the ph)'slcnl tlM..-rnpisl, ili that cum-ct'! 13 14 A Alld lip III IILT'hey M"lieall'~lIlLT. 14 IS Q YIIII al", "'''"IIlIILTsI..'), M"licllll'eIlILT. \\1,)' did IS 16 )'1111 go 0..",,/ 16 17 A Oecause Dr. I leu sent me up II\lTC, 17 IH Q Who dilll1C: semi you In utlkT!ihe)' ~k'\lkull\.'11lt.'1"! IH II) A I d01l'1 ll.'Call. 19 211 lJ \\11)' di~1 he !'iend )'\111 tn IIlTsl"'j' ~kdiclll t'ellllT'! 20 21 A Ol'CuU'ie uf the dickin}!: in Ill)' hcoltl, 21 22 Q (1) )'llulmnw WIM )'111I "Ii1\\' 1IIIIlTshey f\.kllkall'cnllT'! n 23 A Nn, B 24 lJ Dill )'1111 PI) In the l1111'r~CnC)' mom ilt I knhey 24 2S M"II~lIll'elllcr" 25 Susan M. Simon, Reporter-Notary I'ublie ",-. OCTOUER 3, 1995 Puge 43 ^ Nil, Ihey lUll 1 it aheml)' upJ1uintl.'tl fur lIle, I) Dill Ihe)' lell )'11" whallhlll elieki,,~ ill yuu, ,.",,1 \\'1I'i'! A Nil. l.} Ditl the)' 'ill)' Ihl.j' ~me\\', ur )'UII just dnll" n-culJ tlll'1l1lcllin~ yuu'! ^ flinn', n:call thc.,n telling me. CJ II1Iw 11I1111)' lime" have )'1111 gnm: tn IkTshey MediclIl t'cntl.-r'! ^ JUStUIH:C, (J 011 )'1111 huw uny nppninllllcnls schcc.lulcrl tll gu hock'! A Nil. l) 1)1) yuu ha\'e un nppnintmcnt In pt) hack In sa: )'uur ftullily pll)'sicillll" ^ I WtlS then: llU1rs~llI)' night. lJ WilS that hl'Cuuse nr Ihl.OSC injuries tlmt )'IIU ulk.1:!e rcsul!l.'tll'nllll t11C: collision'! ^ Nil, hc IInll't \\'onl hi hem unythilllllllllrc abuut it, () Why ,Ic..:su', he WU"iIl't tn hcur uH),thing more uhout if! ^ Ol"ClIIlse he suit! yuu're slIprnsl'tlln lilrpctuhnut it lUlll kl\.'pli\'ing, lJ Which doctor Willi Ihis" 1\ Or. Heuhl'lI IIcsli, lJ Whe" IIitl he lell )'II"lhlll'! Pagc 44 ^ lie Inld me that, I1h. I gUl."SS 0 gJkH.1 while DBU. lJ A)"" ugll" ^ I dnn', knnw hnw lung it's hlOCl1, nut I've been ~Ilillg huck In him en.T since. hut we wipl'\llhat niT tl1C: mllp h\.'Cllll'iC he llidll'l \\'mlt In IIC4Ir it. MilS "All" 'Iell hillllliey'n:-- MIt Slllll.I.ESIWIUil~lt: IIC'S suJ'lposClI tll nnS\\\.T, 11m \\'nSI;~\Slhey'rc plain people. 1I\'MIt.Io:.IUI~.III,\t lJ They',e wha!'! ^ T1k:'Y'rc (lluin peuple. (i\.TlUllll Onptists, The doclors arc U..'TIlIlln OuptislS, aud tllf..")' don't wunt Itl hem u 1111 of pruhk1ns, t.llt. SIIiJI,I.I~NUI:JUil~lt; tel's tnke II hreak Ik.TC. (T11C: wiln..:ss. Mr, Sholh:nhl'TglT 1IIul Mr'i, Dale cunlLT nut of the ,k"nsilinn mom rrum II :31 a.lll. until 11:35I1,IIl.) 1I\'MIl. Jo:.IUlS"III,\L: Q Nllw. guill!;! hack. when \\':1S the IU'\llilll": lhal )'nll n'Cull pllillg: hi )'llllr filluil)' ph)'liicil111 fur Ihe: injllril.:s )'011 n:lnlc: n:slIlll'l.II'n1l11 Ihis IIcdlll'lIt'! 1\ I dllll" recull. (J ()tlll..'r lllilllllll..' II\l'1"IIIC.~lllllller T)'11'1Il11I11l'l.IJf,;1I1hlll Ihal )'Illllllh', till )'IIUllIKe 1111)' lllller tlrll~S IIr IIIl'1lklllillll'i fur Ihe raiu 111.11 )'lIU ullq!l'l.lI)' haw'! I'uge 41 - Pugc 44 DONALD E. DALE .. Condenselt 1M Puge 45 .'" OCTOBER 3, 1995 Page 47 I A Nil. 2 Q On ynu dUllny phy,icnl ~'crci,e Ilr rhy,icnl 3 UII.TUry al hOlllc III help YIlll nllevlale Ih~ ruln'l 4 A Nil, S Q You slull"tllhal )'1111 hcli~\',,: you're ~\lilltlln HH 6 buck to the chirupmclnr. i!\ tlull cnrn."CI'! 7 AVes. 8 Q An: y"u gnlog 10 gll huck fllr rhy,iclll t111.7arY'! 9 ^ J'm going buck III the chirupnu:ltlr. 10 Q You're nnl ~nill~ In go huck I'm ph)'dcnlllll."fllp),? 11 A Nil, 12 Q 11", rllin Ihal you hnve IUlll in I'll Sill' Ihe hllck Ill' 13 U", OLock and U", 10\\\.7 bllck jus I fllr .. 14 Mlt. SIIOl.U:SlJmUiElt: I wnnllll go huck In 111lI1 IS prior qm.-slioll nnd intcrpmc un nbjl'Clilll1 hl'ClIlISC ht)\\' do )'nu go 16 to physical till-TaP)' without n t1nchlr's J1r\.'Scriplinn'! SIII'I11 Jllll 17 sure whnt )'I1I1I11C4l11 by the: qlll..-slillll. (io ahem!. IN Mlt t\,RI)N'IIIAI.: I think I~ cnn Btl back. 19 MIl. SII()f.I.ENnEltOI!lt: ()h. )'tlll cl1n'} elkny. (illllllCOUI. 20 MIl. KHON1IIAI.: t ha\'c J1t.Tslll1ully. 21 MR. SIIUl.I.ENIIEIUiEll: on ohcml. 22 23 24 25 nY MIl. Knm-n I 'AI.: Q Do YOIl hll\'e uny inlclllln gn huck for physical UII.711ry'1 A If II", doc lor sClllls llIe blick, Ihal" Ihe nllly way I Page 46 I~p~ I 2 Q 1l1~ pain in Ih~ hll~k nf y"ur n~~k IInll in y"ur 2 3 low~r ba~k, has lhlll gllll~n b~ll~r. worse or sllIy~II Ih~ sal1l~ 3 4 oV~r lil1l~'! 4 5 A Slay~II Ih~ sam~. 5 6 Q 1l1~re's hc'Cn nil improv~m~nl'! 6 7 A No. 7 8 Q D,>..s th~ pain in your n~~k anll ha~k. Inw~r bll~k, H 9 inhibit you nr stop you from dlling any a~liviti~s'! 9 10 A W~II. SOI1l~ it dn~s. III II Q Whlll aetiviti~s'! II 12 A Lik~ if (mow th~ gnlss llr sllm~lhing. it hils. 12 13 Q D,>.:s it stop YllU frollll1l11wing th~ grass'! 13 14 A I kc'Cp lining it ~~l1use I gol IlllllllW Ihe gmss. 14 15 Q Are th~re uny olh~r aeli\'ities Ihal you assllcial~ IS 16 within inereasell puin'! 16 17 A No. 17 18 Q Are lh~re IIny a~livilics Ihal Y"U ~'nl11111 II11 nllW IX 19 Ihlll you elluld II11 ~fore Ih~ l1ecill~nl as u result of y"ur pain'! II) 20 A I uon'l know how tn uns'\'cr Iho.1t 4u~stion, 211 21 lJ YllU II11n'lunll~rsll1l1lllh~ ,!u~slion'! 21 22 ^ No, 2:! 23 lJ Are Ih~re any 11~livili~s Ihul you elluld .Ill heiilre 23 24 th~ aecid~nl Ihal ynu ~un 1111 Inng~r do h~~l1usc or lh~ p"in Ih,,1 24 25 Y"U IIlkg~ rcsult~II fmlll th~ uecill~lll'! 25 Susan M. Simon, Reporter-Notary Publie I ^ IIIC\'\.T hmllUllICliviliL-s III dn CXI,;\.'" mnw the 2 i:fnl~S IIml wnrk l1WlIlld Ihe hOllse, 1 Usetlll1 dc;.llIthe huuse, hili 3 I'm ju,1 .sllli""llhall dllll'l dn ullylhiug "",Ill' hardly. .. (J Yllu're lin'll. lII1llllllll'S wh)' yuu dilll'ltln ~ Ilnythil1~'! 6 A INllds h",,,1 ur uud ,lllWIl.) 7 Q J.i 111lI1IK'CUUSC Ill' Ihe puin m jusl hl"ClIlISC )'uu're H tired nllw'} I) ^ I',lin. In (J SlIlel IIlC lI'ik )'111I lignin. whUIIIClivilie'i. if 1111)'. II cllulll )'1111 tll) heliuc Ihe Ilcdllclllthal you clln'tlln IIII\\' rn.'Cl1I1SC 12 of Ihe puin'! I J ^ I don'l kllllW. hL"C;llI!iC I cun't .. I mow thc gross. 14 bUll haw 111 dnlhillg', bill 1 kL\.1' dllillg 1111.,11. IS Q Su wiluhl il hc fuir III stulc Ihul c\'\.'f)'thing yuu 16 did hcfllle II", IIccidclll YOIl slill dn'l 17 A Ilry In dll, bill 1 dOIl't <11111' \1l:11. I H Q SlIch lIs'l 19 A Mllw gruss. Like I used 111 heir hL7 cleao II", 211 hUlIse. hili I dun'lli,:c1 .. Ilwllircd IIlkT II day's wnrk, I 21 CIIII1C humc in Ihc e\'cning, Ill'Cllin.'11. 22 (J I~ Ihal hl'CIIU~C uf Ihc puin. (lr ii lhill jU'it 2J hl'CIIIISC Yllu're gCllinll nldlT 1111I1 )'1111 li:c1lin:d IlIIW'! 24 ^ Thill'i hl'CIIlISC uf Ihc rOlin, 2S CJ Oill yuu lusc Iln)' lime fmm .......urk us it n..'iull uf Ihe Page 48 injuric'i )'1111 ulll'gC resultl'll fnlllllhe nccitlcnl'! A I Instil CllUr1c hours nne dllY hl'Cuuse I hud ruin sn hml ill Ill)' huck. in Ihe nl'Ck, Ilnst u couplc hours 11IIC dl1)', c.) nn ynu r\.'I.'nll whcn Ihlu WIIS'! ^ Ni), I dnn'l n.'cnll when it WIIS, Q IlIlhe lusl six 1II1I11Ih,,'! ^ ()II. this had hren ri~hl nfll.T Ihe IIccidcnt, Q Since Ihcn h,l\'C you lust nny lime frUln work'! ^ I wcnllnllLTshc)' Ml'llicul Centcr ,1I1C day, I hml In IlIke nIT from wurk, C.J Lelmc hc IIlnrc spl'l.'ilic, Sincc lhe lime nl' the m:chlcnl. IltlllT lhall Ihe cnurlc hunrs you havc itlcnliJiL'd, Im....e )'011 Ins I 1111)' limc 1I'i n reslIlIlIl' Ihe injllric.'i. h\.'I.'lIuSC uf the pain'! " Nil. SUIIIC tllI)''i 1 didn'l Ih:1 like ~lIil1g in. hUll hmllu hl'l.'iHhC I had hill'i III ra)', (,1 IliI\"e )'llullad Itl change IJr tnudif)' )'uur dUlic'i ul work hl'ClIU'iC uf Ihc rllilllJr )'lIur injuriL,-s'! ^ Nil. 1'11I 'itill pushing. hUllhcy knnw I gilt II Inl Ill' ruin SIIII1C t1il}'S, (,.l YIIII sn)' Ihey kiln\\" Meaning whu'! 1\ My hll'iS, I II: knllws Ihall hil\'C luw\.T hack pain llIHI Ihc Ill'Ck, () What j" hi~ nilIllC',' ^ Paul Fe'islL'r. lie kllll\\'" 'iIIIllC tin)'" lhulI Ilon'l Page 45 . Puge 4X DONALD E. DALE ~ Condenselt 1>1 Pugc 49 OCTOBER 3,1995 Puge 51 I feci glXlll ~llIn 1l11~T dill", 2 Q An: Y"U .lillllhle Illllri'e'l 3 A YL". 4 Q \VIIIII 1)'(1c uf CtllllllllllC \In )'(111 ha\'C 10 nml frllm S wurk" Iluw IUllg docs it Illkc )'I1U In ~cllil nlld fnlllt work'! 6 ^ Abuut Ii\'e minule",. 7 Q ()11 yuu dn uny ullK-"1 lIri\'llIll" H ^ NUl she umull)' dnc~ the driving fllr 1111.:. 9 Q I. II~TC 1I1C3.0n for ~\a\'l 10 ^ She dUll" lnt-.lmy driving. Since lhi~ Ul:CitlcII1. II .he don'lIm.1my driving. 12 Q She lIrh'Los fllr )'UU 1ll.,\:QUSC ytlU hOl\'c ruin'! 13 A Nil, 14 Q Since this nccidcnt, hll\'e )'\1\1 hl~n in\'uln.,1 in 1111)' IS othC.Tl1ccidcnls'! 16 A Nil. 17 Q Since tlli!i occident,lm\'c )'tlU injun'tl )'tnlf'iclf il' IN OilY nllk.T way" 19 A No. 2U Q Since lhl!C occidellt. hu\'e )'UII socn nn)' utlk.T 21 dnclllu or hcullh can: (1rn\'ltkn nlhlT than wllilt We Im\'c nlrcouly 22 di'cu"....I'1 23 A Nil. 14 Q Ynll hu\'c not hurt YUllrself III wnrk nlllll since 25 this Dccident'l Illl\'C ynu hurt )'ourself at wnrk 1111111 sincc thili I'age 50 I a~cill~nl'! 2 A No, 3 Q Ilavc you hL'Cn 10 a hospital ~m~rg~ll~y mom al all 4 sin~~ Ihis a~cill~I1l'! 5 A No, nullhat I klluw of. 6 Q Nol Ihal yuu knuw orl 111~re may ha\'~ hL'Cn IIlim~'! 6 7 A I IIon'llhink I ~vcr rn.'CIl. 7 8 Q lJav~ yuu injurell yourself al hum~ doing anything ~ 9 sin~ Ihis aecill~nl'l 10 A No. II Q Ila\'< y,'u hC'C1l hospitalil~II fur allY reasOIl sillc~ 12 this a~cid~nt'1 13 A No. 14 Q lei's hri~ny lalk ahuullh~ u~cill~llt. Whallyp~ IS uf ~ar w~re you IIriving'! 16 A '69 Plymuulh Valiam. 17 Q Iluw lung havc yuu h",llh~ ~ar'1 18 A Sin~~ 1972- Q I assum~ you huughl il u~d'l A Y~ah. Q Illlw many mil~s w~re Oil il al th~ lim~ ur Ih~ 22 ucchh:nl? A 14n'som~, Q Did il hllvc u vlIlitl iusp~~lillll sliek~r'! A Nu. 19 211 21 23 24 25 Susan M. Simon, Reporter-Notary I'ublie ('\ f) It IIill lillI" " h~u~ m~'! Whal 1111 yuum~an hy vlIlid'! 3 Mil SlIlll.I.I'NIII'.lt<lI:11 pill y"u ulld~rstllml thai .. \IUl!stilln'! 5 Till: WII~I:SS I IIillll'lunll~rsl",,,llhal Ilu~Slillll. Mil SlIlll.I.l,NIII:ltGl'It, 'lh~1l yuu IlL'CII 10 I~II him 7 'IIII' WII~I;SS I'm sorry. ~ III' Mil KIUlNlIIAI.: lJ Dill it ha\'~ all iIlSp~~liull sli~k~r un Ih~ vehiel~'! A Yes. l) Dill you g~1 il illsp~~t~d'! A Y~s. 13 lJ Was Ihal iIlSp~~lioll stick~r dOll~ in U limely 14 mallndl 1lIlIlh~r worlls, was it dOIl~ whell it hall 1111>1: dun~'! 15 1\ Yes. 16 17 I~ 2 I' OJ III II 12 Q Wh~1l I say \'ulill, Im~all was Ih~ ~ar illsp~el~d in a Iimciy m,,1 prnp~r fashilln alld dill it pass insp~~liull" ,\ Yes. I') Q Ami priur 10 Ih~ aecill~lIt had you hall any prnhl~ms 211 with llllY pari of Ih~ ~ar'! 21 A No. lJ Wh~re w~re you h~",lillg Oil Ih~ day of lh~ aecill~nl'! A Dnwnln Dr, Sulkllh~rgds nflil'C. lJ Why w~re you going In Dr. Slllknl1crg~r'! A For a eh~~kup. 22 23 24 25 Page 52 2 I) A lJ A f.' " Whn i'i Dr. Stlllcnhl.TglT'! l1te n:ctulIlllllcttlr, Whl"rC i"i h~ Im:IIII.'I'! Itight hl.'TC 1111 Frllltl Slrl\:1. St) )'\lU \\\.'rc 1~ldillg It) Dr, Snlll'nhl.Tt!lT''i ulTkc'! ,"CIi. I -, 3 4 ~ lJ Whcn: W\.TC )'1111 cOllling fwm'! ^ \\'u)'lIL~hnrn, Q FWIII hOlllc',' A bUill hllllle. c..1 Cun yuu dl'''icrihc wllllt harpelll.,1 ill Ihc accidcllt. A 1 Wltti selling dCUlI lililJ, nmll Wllti w<liling UII II 13 \"Chidc in frllnt of 1111:' In IIItWC, And an)'hnw. I had III)' s~t helt 14 lilt. I hemd the wh....cls, u squealing, so Illlllh'tl hack Ihrnup.h 15 the I\.'llr\'i....'\\.lnirnlr 1I11l11 Ii\.\.'lIll\.T Ii'ihluilillg fIr CllIllillp tlllwn. 1(1 Sill l'Ulmy Ii.tllt "lIlhe hl'i1~c II" Imrd 1I'i I clluM. nml tl~ 17 lill.\.Tillg wlll..\.'l. I hlllll till tlllhe 'ill.\:rill~ wh..'c1 [llll 'ihe 1II1)\,1.'t1 IX IIII.' Ill' nlillle \\111:11 'iill.: hilme. Tlte cur lIul\'l.'tll1(1 utiliII:'. 19 <J W.I'i nn)'tlllC ill the cur Wilh YtlU'! 1\ Ntl. (J YUII liay )'1111 heartllirc'i 'i4I1CHllIlg'! A \\..\ 'I III II 12 211 II .:!~ ~J (..I ,\Ihllll how lilll~ 11I.'l'1111,' il1l(11h:1 dill )'lllllll'.lr tlK! 2J lilcIi lilllll.'oll? ^ JU'illl clluple 'il.....tlllth. Ahtlllllhc, 11,.'11 'i1......llllth. 25 Pagc 49 - Pagc 52 .... - ,. ,-....".. .- "-~....~---~..... .;- . " .J.~'Ho:.t. ~4 - "'~ r""" ,. .-". . ~"W<~~.q-.......,,,, ,~J" , "-. '. -0-" riP' '-" , "f' . , , , , ,.,.'. " - , ,. ,. DONALD E. DALE ~ Condenselt '" Pugc 53 .-. OCTOUER 3,1995 Page 55 I \'~hicl~ ,lireelly in frunl of yuu'! 2 A y~s. J I} I'rior tu Ih~ il11l'ael" 4 ^ Y~s. I} Ilow fur f",wlInl IIill your ~ar ~~t movcll afl~r Ih~ I s{\,"~lhing like Ihal. 2 Q 1I0w woulll you II~s~rih~ Ih~ imJ1a~I" 3 A Just on~ hig hang. lIarll. 4 Q Was it II harll il11pll~t, a slighl imJ1uct'! S A A hnrll impael. 6 Q You said, Ilhink. you w~re w~uring yuur seal 7 ~II" H A y~s. I Wa.s. 9 Q Did any pllrt of your holly hil any J1urt of Ih~ 10 inl~rinr of Ih~ car" II MIl. SIIOI.I.ENIIl:IlliEII: Do you und~rslunll his 12 ,!u~stion'! J 3 'nu: WI'I1'oIESS, Excuse m~, say thai again. IJ 14 III' MIl. KIION'IlIAL: 14 IS Q Dill any part of your hody slrik~ or hit my part of IS 16 th~ inside of your ~ar'! 16 17 A \V~II. wh~nlh~y hit. my seal h~1t was hollling 111~ 17 18 hack. hut I w~nt up towarlls Ih~ slL'Cring WhL'C1 allll ~am~ hack IS 19 nying. 211 Q I und~rSlanll. My ,!u~slion is. dill any part of 21 your holly hil any part of th~ insill~ uf th~ ~ar'! 22 A Not thai I know of. 23 lJ WIIS any pari. lik~ was Ih~ wiullshiclll Ioruk~n'! 24 A No. Q Was Ihe rearvi~w mirror glass fra~lured'! 5 (I il11pact? 7 .\ S \'~hiclo. I) III yuu'! II A I} A Q A ~nl. 'J 12 I judg~d Ihal il wus ulmoslul,IO Ih~ ulher 111~ olh~r \'~hi~lo. l11~aning Ih~ v~hicl~ in frunl uf Y~S. II dill nol slrik~ Ih~ v~hicl~ in rronl of you'! No, il IIidn'l lou~h Ih~ v~hi~I~. Whal IIamage was IIon~ lu YOllr ear'! 111~ fram~ in th~ hack on Ih~ passeng~r sill~ WaS I} 111~ fral11~ .- ^ 'nl~ fral11~ was hent on Ih~ pusseng~r sid~ onlh~ 19 ha~k,lh~ ~ar rram~ was h~llI un il. I} Any olh~r IIl1l11l1g~'! A Y~s. 111~ f~nll~r on Ih~ loft-hand sill~ and Ih~ 22 hump~r allll th~ InUlk. I} 111~ Irunk'! Whal 110 you 111~lIn Ih~ InUlk" ^ 111~ Irunk was IIing~II in a litll~. I} AnYlhing clse'! 2S Pagc 54 I A No. 2 Q Was Ih~ sleering wh,'C1 h~nt at lIlI'! 3 A No. 4 Q WlIS Ih~ IIa.shhoarll hrok~n or erush~II or ~rumplod in 4 S uny mllnn~r" 5 6 A No. 6 7 Q You saill you lonk~d in Ih~ n:arvi~w mirror anll you 7 8 saw h~r Iishllliling'! S 9 A (Nods h~all up IInd IIow11.) 10 Q Is Ihal a y~s'! II A Yes. 12 Q You th~n put on your hrak~'! 13 A I hllll on my hrJk~s. hut I hold lh~m lighl~r y~1 14 ~~ausc I kn~w sh~ was going 10 hil. IS Q ll1cre wa.s vehi~ks in frnnlof you'! 16 A Y~s. 17 Q Whal typc or \'~hicl~ was IIireelly in frnnl or yuu., 18 A I IIon'l recall righl off th~ hal. 19 lJ Dill you slrik~ Ih~ \'~hicl~ in frnnt of you'! 19 A No. 211 lJ Whlll was Ih~ IIislan~~ h~I\l'L'Cn you ulllllh~ vchicl~ 21 22 in frnnl of you prior 10 impa~1 whilo yuu w~re slol'l'~d'! 23 A 111~ fronl .. Ih~ \'~hicl~ in I'mnl or m~" 1',1 "'y 24 I'd ~ ha~k mayh~ n fool or IWu. 25 lJ So you w~re slllpl'~II ahonl a fuol ur IWo h~hilllllh~ 25 A No, Ihat's all. I} Dill you hav~ Ih~ ear repaired'! 1\ t\llhis lim~ I hall th~ I'nn11~ pull~II oUI anll lIlI. hul I IIilln'l hllvc il ~pai~II y~l. Q So you had Ih~ fral11~ pull~II OUI, hul you didn'l ha\'~ Ih~ II~nls ami IImgs reJ1airell'! A Nnl y~l. eor~~1. I} 11,~ ~ur is IIri\'ahlo'! ^ I '\'~ h,'Cn driving il I'or II whil~. y~s. Q You drnw it frnmlh~ se~n~'! 211 21 23 24 25 2 J 'J III II Page 56 ^ y~s. I} \\'hal IIid you 110 inll11~dialcly IIlkr Ih~ impa~l" 13 "I dfll\'~ nn lInwn In Ilurrishurg. 14 I} Lclm~ go ha~k. Yuu hmllh~ impael. Dill you g~1 IS nut III" yuur car'! A Y~s, I dill. I} Did you wlk lu anyon~'! ^ I lalk~d 10 h~r. I} Whal haJ1J1~n~II,luring Ihal convas;llion'! Whal was ~lid'.' .\ She WaS in h~r vchicle. 111~y IIhln'l g~l oUl or 22 Iheir \'chick She W~lS in her vchicle, nnll she s~lilllca\'c lilt: 2) gi \'l! YlIU my IMllll', phllne IHll11hcr nnd illsnnlllL'C numher 0- 1.1 Dill yml gd tllIl ;nul gu hI her vdlich:'! .\ Yes. 211 21 Susan M. Simon, Rcporter-Nolary I'ublic 12 \(, 17 IS 24 ('age 53 - Page 5(, DONALD E. DALE Condenselt '" IiOi\ MR. SIIOt.lHoilWJHlER Puge 57 ohl yuu I1nish )'C1ur IIIlS\\'\.,.'! 1 2 nY MR. KI"'~' 11M" 3 Q Did )'OU ~n nut oml pll In IN.'' ,"chicle'! Oill )'1111 gel of nut or )'our car nod gn In Ik."f \'chicle" 5 A Yc,. 6 Q And ,hc WIlS inlk.T ,"chicle'! 7 A Ycs. H Q Wh.1 did sh~ say'/ ^ She said she'd 1liw 1111.: Ill,. stnll.1l1cnt. IM..T lllllllC. 10 phone mUnhl..T nnd insurnnce cnrd. nnd we'll swlleh null we'll!!11 lion our WO)'. And un...,. I SIXI1 wlk.'rC it Willi rnnll (il'llrgiu. I said. 12 no. we won'l, I snid the pulice is 11)1 O\'loT the hill. UIUI wc'll I J wnillill he CUII1L"!t down. So when Ihe police CIII1Il: lIllWII. they 14 told me tn move lit)' \'chid!.: niT 10 the righl. he dill. l1lCl1 he I S 801m)' nnUll: oml nddn:ss ami Ill.T nllme 111111 ndtlrc'is. like 16 5witchc,xl. And we went nn nur WilY. 17 Illlllhc Cllp said hc Wlllllull', CIlII M"lic 2 hl'CIlIlSC 18 he didn't sce nt) hlntlll ur aoything, DUll Clllllpluinctl hllhc cop 19 ahout Ill)' m,"Ck Lhen hurting Uflc..T the wl\.-ck. Uftc..T he WII~ Ihc..'fC, 2U Q You snit! )'UII CUl11plllil1l"llln Ilk: nflicc..1' IlhUlIl )'lIur 21 neck hurtinif! 22 A I'cs. Q Dill you tell him )'nu hall puin nl1)'\\'I)I:11.: clsc'! A Nil. Q Your tI..-slimuny i!i Ihal he suid he wlluhlll'l cnll UIl 9 23 24 25 Page 5K J nmbulllnce b~cause there was no blood'! I 2 A Yes, 2 3 Q Was this u state police officer'! 3 4 A Yes, 4 5 Q Was it just one officer who was ut the scenc'! 5 6 A Just one officer, h 7 Q Did Ms, TUnler usk you if you were okay'! 7 8 A I couldn't recull. 8 9 Q Did you tell her. do you recall telling her that 'I III you were okay'! III I J ^ No. I didn't tell her Ihut, II 12 Q How long were you at the scene of Ihe aecidenl'! 12 13 A Oh. I guess we were Ihere maybe 20 minutes. 13 14 somelhing like t1ml, 14 IS Q And Ihen you drove your eur lIway'! IS 16 A Yeuh. I drove on down to Harrishurg, 16 17 Q And you procL'Cded 10 see Dr, Sollenherger'! 17 I H A Sollenherger, I H 19 Q Who pulled out the frnm~ on your cur'! i'1 211 ^ Dave Shoekey, 211 21 Q Wh~re is he'! 21 22 A He's II body shop in Zullinger, 22 23 Q Where'! 23 H A Zullinger, 24 25 I) Is Ihut II J1luc~'! 25 Susan M. Simon, Reporter-Notary I'ublie ,....., OCTOIII!R 3,1995 Pug~ 59 A Y~uh. h~ O\lllS Shoek~y's nody ShoJ1. lJ Do you know how mu~h Ihal ~os\'! A Nol ri~hl oftlHmd. (.) \\'~~ Ihere uny witnesses to Ihe ueeitlcnl'! A '1l1~re wus \\'ilo~sse', hUl th~y k~J11 goiog lJ So youllilln'l ~~llh~ lHml~ of lIlIyon~ whll \1'lIS a 7 witness In the m:cidem'! H A No. lJ Sol assum~ you didn'llall: Illllllyon~ else olh~r III limo Ih~ IHllk~ ornc~r lImlmy c1knl. Ms. Tum~r'! II A No. I) Did you lalk III h~r J1usseng~r'! A Nil. t.) Did 'inu sc..'C Wh~ll damage \\-'ilS dnne In her cur'! A J Ihiok I saw II hump~r uml a grill~. I dilln'l II> relllly ~ollll over h~r vehkk 10 Sl'C whlll was wrong Wilh Ih~ 17 \'~hicl~. IH i'1 211 21 22 23 24 25 2 3 4 5 I> 'I 12 13 14 IS Q Sin~~ Ih~ lim~ of this u~cid~nt. hll\'~ you lUlk~d 10 IInyon~ eI", ahoul Ihis aecill~nt olh~r limo your wil'c, your dnClnrs IUlll )'tlUr lawy....r'.' A No. lJ IllIv~ you ~i\'~nll stlll~l11~nllo anyon~ ahoUl this accident nther lhan ynur wire. Ihe dm:lnrs nr ynur lawyer'! A 111~ insumn~~ ~ompany, Ihal'S lIll. Q \\'hat insumnce eUl11flany'! Page 60 A Craig.J'rkllly. Q Whal is your insuran,c eOI11J1"ny'! Is Ihal frum your insurance ctll11Jlany'! A Y~ah. lJ What is Ih~ nlll11~ oi' your insuran,e emnpllny'! Mil. SlIlll.I,ENIIEltoEIl: lJ~!' & Ii. TilE WITNESS: liS!' & n. I kn~w Ih~ huillling WIlS dnwn Ilcrc s()me\\.'lh:rc, Ill' MIl. ~ltl)NTII"I.: lJ ()Ih~r Ihalllhis lawsuil. ha\'~ y"U hl'Cll invnlv~II ill allY nth~r 11Iwsuils'! A No. Q Uu\'e you e\'er mUlle any c1uims fur Jlersonal injuries nr workers. compensation'! ANn. lJ Jusl gllillg ha~k fur a lilll~ with r~sp~~llnlh~ ucchknt scene, Is il Irut: Ihal tlll:~ was construclion on X I 'J ,\ Yes I.' Ilnw 111an)' hll1~s nf trame w~re Ih~", ill ~,,~h dirediun" t\ ()Ile, l.) \Vas Ihe~ uny roUIll nn either side nf the nne lane'.' ,\ Nil (.) \Vllal Wil., nil either side nf lhl.! lane'.' A hhl" well, nnl"~ righl-halld sill~, it was lik~ PlIge 57 - I'lIge liD DONALD E. DALE Condense Page 61 "UII ... I on cxll wi..", II..'Y \\~", cllllling Ilff Ihe rnlll~ III g~llln HI, 2 could pull off II.."" bul 11'01 wo. II, 3 Q Whol abllm II.. len ,1M/ 4 ^ Nu, 11M.'fC wasn't anything )'llU cuuhl pI11I UIl, III S II.. "'-~I of lilY kllllwlcUge. 6 Q Wos II..", 0 kllllll, o. ynll hcnul M.. TUflllT 7 describe II. jlllt befon: wi..", II.. accldelll hJ~~~llcd'/ 8 A Excasc IIlC'/ 9 Q Vou heard Ms. TUOll..'T'S ll.-slimoll)'. i~ that cnm-cl'! III A Y,,~. II Q VOII heard lll..'tllcscrihc thn.t she \VIIS cllluilll!1I)\'LT a 12 kooll jll.1 bcfon: .1.. COIllC .. 13 A A bridge ami com!: down. 14 Q Idlal com'Ct'/ IS A Y,,~,II i., 16 Q Wh,.:lI ynu cuml: 0\'1..'1' Ilmt knoll. \\\.11.: the ellrs 17 already S10~pcU In frolllof you'/ IH A Yl~, 19 Q Did you have to jam on )'our hrakes In sluJl'! 211 A 1'10, 21 Q Wl'fC )'ollr brukl.."S in gllml wnrking unll:r'! 22 A Yl~, il wa., 23 Q Did yonr loilliglu. work, do YIlU kOllw'/ 24 ^ Yc" 2S Q Did work'! Page 62 I A 2 Q 3 A 4 Q S A 6 Q 7 tires? H 9 10 II 12 13 14 IS 16 17 IS 19 211 21 22 Yes. Did YOllr brokc lighl' work'l Yeah. Dill you 1lCl:lr uny hom honking or an)'thing'! I'Illpe, TIle nllly thing )'011 hcmd WII" lhe sCr\.'\.och nf the ^ Sc=hiog of thc III\.'S, Q Ditl )'011 sce ony skid lIlurks nil the romlwlly'! ^ I wnsn'llonking fllr one. Q Ditl )'011 n:cci\'c u cilatinn alii II result of thili Decide:n!? A 1'10, Q Jmt om: mon: questiun. OllllT than the c1~lIIing dUll you !'In)' you can't do h\."Ca1Jse )'IlU're tin.'d. is 11l\.'I'C on)1hing cis!: that YUIl tun'l dn or don't ltu" ^ I dnn't do hardly anything sill!:!: tlk: uccitll:ul. I jll.1 fccllulY U 101. Q Lct Ill!: jllSllll1 hack so 1'111 cI~lr Il\.'\:nllsc we ll.ll1l1 little pruhlL."111 with lids, \'1111 SIl)' you dllll'llll1 nn)'lhing hl'\:lI\m~ you're lin~d omlln1)'. MIl. slllll.I.ENIIElHilm: lie didn't say Ilc was lin.'tllllld 23 lillY, IIc sni<l hllw hc fell. 24 MH,I\JlON"IIlAI.: I U1ulLntlllul. 2S Susan M. Simon, Reporter-Notary I'ublie It ,,, .""', OCTOUER 3, 1995 Page 63 I 11\' MIl. KIU1NTII,\I.: 2 lJ lllh~r than Ih~ hnuseekaning, whal olh~r Ihings 3 ,lon'l )'OU dn now Ihul ynll did h~ron: lh~ u~cill~nl'! 4 A I IInn'lluk~ Ih~ lrush nullik~ Illsellln I 5 ka\'~ lhalUJlln h~r, Alllllhings, jllSllilll~ things. 6 l.} Anylhing clse'! 7 ANn, H lJ Are Ih~re uny spnrls or sodlll aeti\'i1I~s Ihul ynu l) engllg~II in h~fnre th~ lI~cill~nl thai ynll IIon'l ullnnw'! III A In~v~r hau uny lime to un Ihings \ik~ Ihlll. II lJ Dill ynll ~wr gn out dancing nr howling or uo 12 onylhing h~fore th~ a~cid~nl thai you IIon't 110 now'l 13 A No. I lion 't ~v~n howl or IInything, 14 lJ Soolh~r Ihan Ih~ housewnrk und tllking nul th~ IS Irosh, Ihose are Ih~ only Ihings Ihal ynu no Inng~r 110 Ihal you 16 diu hdore lh~ uccillcnl'! 17 A Itighl. IH MIl. KIIONTII,\L: Thai's alii huve. 19 (111~ II~pnsilion wus enndUlI~II 01 12:111l p.m,) 211 21 2~ 23 24 25 Page 64 ("OMMOI"WI:,\1.11I OF I'i:NI"SI'I.VA~I^ I ) SS 2 ('oUNTY OF lMlII'II1S ) J I. Susan M. ShIlUII. do h\.-n.:hy cl.'T1ify thul hcfore 4 me. II Nlltnr)' IIUhlic in nnl! J(lr Ihe Cuunty null CUl1ullnllwmlllJ 5 ufllll~said. tllIl)' CUlIlll1issitllll..'d Dml qualiJiL'd. pt..Tsol1ullyappeared h DONAtU 1:. DAtE 7 will) was then hy me !irsl dilly cuutiom.'t.1 nnd lswunI. nHinnoo) 10 H testify the Inuh. the whole InJlh and nnthillg hUI the Innlt in l) the tltking llr (his. her) ural dl1Hlsilill1llnthc cuuse nrlU\."Sahl; III lllll1 the teslimul1Y gi\'cll liS nhuvc "icl fllrlll wns n.-ducl'tltn II stellllt)'pC h)' me in the pn.'Scllce of snill witness 11ml nrtLT\\'urds 12 Irnnscrihl'tl hy lIle ur llluh..r m)' tlin.-ctinn, I J I du rurllu..T CLT1if)' thai slIid dl"nsitinn WitS 14 IJlkcn at the limc 111111 place in the fnn.'gnlllg caption !ipl"CiliL'd. IS 1 dll furthl."f CLT1if)' Ilml lum nnt u n:llIlivc. Ih cuunsel (lr ulInrncy for chhl't Jlllrt)'.lI11r mn I nllk.Twise 17 interc~tcd in lhe event Ill' thili Dction, 1 H IS WIINI:.."iS \\'1I1:1(1'.tll;.1 have 1k.'n:unltJ set III)' hant! 19 this 13th day ofOcluhL't. 191J5. :w 21 ~ll\l.:'\hniln 2~ HCPllfh",,,'Nlllary Illlhll'c .'J Thc lilll1!llill~p:cr1i\..it.:lIt\l1ll 0 IllIis lrnll~crifll llll;~ IIl1tllr.r.IY. In IIn)' r\.'Jlrm 111:11011 11 the slime 1)' UIl)' 1IIl'i1tJ'i IIntl'SS UIII cr lhe 24 dir\.'l:Il:lllllrlllllllil/m 'illpl'r\'isiolllll" the !:crlifyinp ICflortcr, 25 Page 61 - Page 64 1 DONALD E. DALE AND CHERYL DALE, HIS WIFE, 2 PLAINTIFFS IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA .< 3 V. CIVIL ACTION - LAW DOCKET NO, 95-804 CIVIL TERM 4 CINDY TURNER, DEFENDANT JURY TRIAL DEMANDED 5 6 7 8 9 TELEPHONIC DEPOSITION OF CINDY L. TURNER SAXON 10 TAKEN BY: PLAINTIFFS n BEFORE: SUSAN M. SIMON REPORTER-NOTARY PUBLIC 12 PLACE: REYNOLDS & HAVAS 101 PINE STREET HARRISBURG, PENNSYLVANIA 13 14 DATE: OCTOBER 3, 1995 BEGINNING 10:10 A.M. 15 16 17 18 19 APPEARANCES: 20 LAW OFFICES OF TIMOTHY A, SHOLLENBERGER BY: TIMOTHY A. SHOLLENBERGER, ESQUIRE 21 FOR - PLAINTIFFS 23 REYNOLDS & HAVAS BY: BARRY A. KRONTHAL, ESQUIRE FOR - DEFENDANT 22 24 ~ (Q) [P))f EXHIBIT I A 25 CINDY L. TURNER SAX~ Condensell'M OCTOIJI!R 3,1995 Puge 3 ..-.. 1 [);)fIjAI.O t. r.ALf. ""'0 [1I[1I1t. CAU, HI5 'll'lft. 1 pl..o\lNflrU I IlrI Tttr.I.:OUIIT III (C~lN PlI.f.:1 I (UMIlIIlI.AIW l'olJtlfI, 1.I,N..:Oll...."'H" I ~llI'lJl.^lIlJS 2 It i, 111.""")' S1ipIII",,,J h)' nml hcl"\'C1I Cllllllsel lur .l the rc'iflf.."Cli\c rllrlic~ II.." fCOlllillg. siHllillll. sl'nlin~. Iilil\ll .. allll ~\."flilkaliillllln: wiliwd: IIml lhllt 011 nhj\.'\:lillll'i cX!.:1.1H U~ 5 III 11M: fllnllllf Ihe I.I1Icslilln lire n:'il"f\'I..'tIUlltil the lime uf f. trill!. 7 t'lNII\' IMll:llNEIl SAXON, calk..1 U!i Q \\'iulI:ss. tK.iu@ H tlllly sworn. IL"\lilk'd us liJllnw'li: l) I:XAMISA nON JO II\' ~m slllll.I.FNlIl:lull'.lt II CJ Would )")11 'illllc )'llUr fullllamc rica'll'. 12 A Cind)' L, Suxon, 13 lJ 111"" is )'Illlr middle inililll" 14 A L. IS lJ ", in .. Ih ^ Linne. L+wl1"'C with n h)'J1Ik." (Wl.T it. 17 Q Spell )'our IllS1lllullc. IH ^ S'u.x.u'n. 19 Q ~h, SlIxon. III)' mum: is Tim ShllllcnhlTgI..T. I'm on 211 11110"'0)', 1II11111\.'1'I\'Selll Dlllluld ami CIII.'I)'I Dule, Aod I'm ~Ilill~ .21 Itl he iI'iking )'1111 ..tlllIe l)tll:slinns IlKIII)' ahuuI un accit.lcnl that 22 ncclIrrl'tl nil Fchruary tH. 11)1)4, 23 "Yc~. 24 lJ If I shlluhl u~k )'llll u queslinn IlUlI yuu hnvc nlll 2S hc:mllhc 4t11....liun. will )'UII Icllml: IhOlI'! l y, : CI\lll. ArTlON . t"iIl r Wq.u Nll, ~~"H (1....11. n~M 4 CIIIOY T'JP;IlU, t:UlHllANT t IUIIY TItIAL {)!-HAII(':lll . U1UltOHIC Oll'O'ItIIlH nf I CINO} L. tUIINllt S".I:N 10 TAntlllY1 PI.AINTtf" " 12 Il !W,AN M. 'I"Cll 1l[f"l)P;Tt:M'NIlT"AY rUhLIC lIln::u:, P1.Acr.t Mf;Ytmt.Oj ~ 11"....":1 101 PIIU:!lTllr.1:T IlAAJIlI'IWM,I'lNN:aLv","IA " OAUl OCTOl\tR J, Iqq~ l\[Gltlllltl;, lOtiO A.H. II .. 11 II " APP[AJlA!tCU: " l.AliI orncr:; or T1I1UTHY A. ,ftOLt[llht:IIGI.1I flY: TtHOTHY A. ,ftOLu;llhtAr,U, LSCUIII[ rup. . PU.INTlfI~ " " ll.[UOL03 ~ KAVA:. 1'1: ""'1"Y A. ~"C;NTIl"'t., [sQ'JIlt[. fOil - 11lHNtlA"T " " " 1 I N 0 [ II "I"";;' I 2 3 4 5 6 7 H 9 III II 12 13 14 IS III 17 IX 10) 211 21 22 23 24 25 Puge 4 2 "!TNU, t:lW4INATltlIl A Yes, Q If I shuuhJ u~k u question ami )'UU Im',c nul Ul1lk,.sluml the qm.oslinll, will )'011 tcllmc 111I11'! ^ Yl.os. Q t'.1Il1 assUlI\e lllllt if )'ou hll\"c nnswl.T\.'tlm)' question. )'lIl1lm\'~ bnlll l)COml it oml UmknltKxJ il'! A Yes, Q On )'llU ul1t!l.'rslmul )'011 cun Ulkc u break 01 nny timc It) Cnll'illh with )'nur uttomc)', Mr. Krnnthal, who i" IH\.'Sl.1U b.:n: IIKll1)"! ^ YC'i. fJ If )'1111 widl II) lllkl: II hrctlk fur nil)' utlK.'f n:.olSIII1, jU'i1 Stl il1llic1I1C. IIIllI we'll ~i\'c )'uulhc uflpnrtunily tn lllkc II hn:ak. 011 )'llll Undl.T'it.lnd tlmt'! " Ycah, J CINDY L. TIiP;Ntll. lIAIIOt! 4 &'1' Ht. 'h"ll_nN.r1.( , , " II 12 Il II II \\'l.'T\.' )'lJ\I ill\'Uhl.'t1 ill n ctJlIi'iillll un ~chmlll')' 18, II IJ 191)....' t\ lJ " Yl."i. Ilnw l1HII1)' \-chiclc'i \\\:re in\"t1I\'l.'t1 in Ihat cnlli,jun'! 1\\'n. Wh"l kiml nf \'chicle \\\.TC )'tlllllri\'ill~ that dOl)''! J~\.'[1 ChCfllkl'C. Whal )e,,(' '94 .. 1'lI1l1ul c.\lIdly ~lIn:. \Vlhlll\\.llctl it'! " II " 20 11 lJ ,I IJ A (J ~ u " II " Susan M. Simon, Reporter-Notary I'ublic Puge I . Puge 4 CINDY L. TURNER SAX ' Condenselt 1M Page 5 ,,-..., OCTOBER 3, 1995 Pllge 7 I A My sisl~r, I A Yc",. 2 Q What is h~r nam~" 2 l.,1 \VII" there nn)' 111.\.,1 fur )'1111 In Uti!.: )"uur hcmlli~hl' J A JlInin~. 3 IHIIII'! 4 Q Sp~1I it" 4 A Nil. S A J-a'n'i-n'~, Martin. M'II-r.(oj-II, 5 lJ Whallilll~ hatl YUII 1~f1 (j~ull!ia Ih'"111urnia~'1 6 Q Wh~re II~s sh~ liv~" 6 A I .lidll'llcavc (k't)rgin 111l111111ln1illlJ. 7 A Towanlla. 7 lJ Frum WIk.TC did you leave tJlIIllI1l1n1ing'! 8 Q What is h~r allllrcss in Towunlla" N A Vifllinill. 9 A JUt I, Box 19SC.I, Towllnlla, T'o-w-a'n-II'a.I'A I) Q Wlk.TC:inVifHinin'l 10 18848, III A I{tlllllUkc, II Q Dill you hav~ p~rmission 10 use Ih~ Ch~rnkL'C Ihal II lJ OCI\\\\:II I{nanukc umllhc lime uf the cnllbiulI. did 12 day" 12 )'tHllllukc UII)' Slups'! 13 A Y~s. 13 A Yes. 14 Q Who gav~ you p~m1ission In use it" 14 lJ WI~'Il:'I IS A Her hushanll, IS A (illS stuliol1. 16 Q What is h~r hushanll's nam~" III Q Fmlll J{nilllllk..: In the pnin111r the collisiun. Whll 17 A Shan~. S'h-a'n'C, MlIrtin. 17 dill the driving? IH Q Wh~re w~re you coming fmm and wh~re w~re ynu IN " ~Ic, 19 going" II) Q Ilnw Inng did yuu slnp ulthe ~l1S stllliun" 20 A J wu.~ coming from Georgia, und I was ~oming h~re 211 A 1'11I nul eXlle11)' SIIR:. 21 10 Towandu, 21 lJ Whlll1imc did )'1111 lcolvc Itmll10kc Ihalll1l1n1ing'! Ily 22 Q W~rc you moving" 22 Ihallllllnlillg. 1 11",.':'11I Ilk: Illuming or the cnllidnn. 23 A Yes, 23 A AflIlIlIIl 1II:311, Ilonntl 1II:1I0, 11I:30, 24 Q Wu.~ unyon~ wilh you in th~ Ch~rnkcc al Ih~ lim~ or 24 lJ II"w 1I111ch sl,,-1' had YUII had Ihe nighl her"'e'! 25 Ihe collision" 25 A Ahtllll eight hnurs, Page 6 Page H I A Yes, I lJ Nut cnunting the: slull you Illude ullhe gus stodun. 2 Q Who? 2 how lung \\\.'1'\: you driving from the pnlnt ynllleft J{uonnkc unlil J A Tina, T+n-a, Vanderpool, V'a-,,-d...-r'p'Il'n-1. J the puinl ur Ihe collision, hnw IImny hours'! 4 Q Would yoo "1'''''1 Tilla's IlIsI nnme ph:lIS~. 4 A Ahllut fuur Dnd a hillf. Jive, S A Vallderpool. 5 Q Ilnw lung dill )'IIU slUp al Ihe gus SllItiulI'! 6 Q TIlCrC is one IIIOrc thing you ought to n.,nt.,nht.T, 6 A 1'lI111ut eXllclly SUR:', 7 know II's hard with the phone, bill if you CUll wailulllill 7 lJ Did yuu Slup tlll.TC lilr un hnur ur Ic.'is than n 8 finish Dsking my qucslions before you UIISWt.T. it would help liS. N hnur'! 9 A Okny, 9 A Le,~s dUII1 n hour, III Q Was Dnyone else in the 10.." with you ntl~T than 10 Q Ilnlf nn hour or It.-ss limn n lilliI' 8n hour'! II Tina Vuntlerpllol'! II A 1'11I11111 SIIR:', 12 A No, 12 lJ Slllllc\\'ht.TC hct\\'l'Cn hull' un huur and nn huur'! IJ Q lIowold is Tinu" IJ A I'm nul eXllctly SUn:. 14 A 24, 14 Q Wha1 did yuu dll whil~ y"n "~'Il: ullhe gos slnlilln'! IS Q Whn1 is IIl.T ",Iulioo,hip 10 YOII'! IS A (jnt snll1cthill~ to Co11, 16 A A friend. 16 lJ Oid YOII sh1' ul ull'! 17 Q Why wn, she with YOII'! 17 A Nu, 18 A To help me lIrive back frum Georgia, IH Q Wt.TC )'UU UII uny lIIl'tlicaliulI nil thc dule of the 19 Q Whatlimc did this cullision occur" 19 cnlli,itlll'J 20 A I'm nnt exaclly sure. 211 A Nu. 21 Q Did it occur in the I11nmin~h nfllTlloun nr Ihe 21 Q Did )'tlulliI\'c 1I11)'lhing Ill' UIl nlcnhnlic nulurc In 22 CVL"tlinS" 21 drink un Ihc dUlc lit' Ihc collisilln" 23 A I hllvc In SI1)' like Inwards Ihe e\lcning, l'llllllc.III, 13 " Nil. 24 it's nnllulc hut lIut carly cilht.T. 24 Q l1i~1 )'lIl1r SiSlt.T illltl hl.T hushlllul givc )'1)11 2S Q WllS it slilllighlllat whell ilo"",,,>!" 25 JllTlIIis'iiull lonllll\l,' Tinll III dri\'~ Ihe Jeep" Susan M. Simon, Reporter-Notary Pub lie Page 5 - Puge X CINDY L. TURNER SAXQi;4 Condenselt " Page 9 r""o OCTOUER 3,1995 PlIge II I ^ \'e"" 2 Q Why llhlntt Tinn dl1 nn)' dri\'ill~ frul1ll~nllllnkc In tJ)C 3 1'0lnl of d.. ~nlll,ion'l 4 A Ocellll,e II.. Will hllvlng pllins wilh he~ IllIInllch, 5 Q She WIIS l\llvlll~ whll!'1 6 ^ I'ain~. She WII~ p1\.11UUl1. 7 Q lIud sit!: nnl had the slmnilch J1llius. WIIUlll she hl1ve 8 (..I(>Cd YOIl wid. sOllie of U.. llrivll1~'! 9 AVes. III Q TJ.. infl1nl1aliol1 dlUl \\'C IlIlVe is lhallhis II collisinn llCcum:d on a rollll calle~lllnlllC HI. Ooe'5 Ihlll jihe 12 with your n:culk-cljnn1 13 A Yes. 101 cj What direction Wt.-rc )'OU going nn H I. north or 15 lolllh7 16 A 17 18 19 20 21 22 23 24 25 North, (OisclI"lool..ld I1rf Ihe n.'~ord,) nv Mll511()1.I.I~NIII!I((]ER; Q So you Wl.'fC going north nil 81. In Ihe 111\.'&1 WIk.7C the collision occurred. how II1l1ny June.. nurthhlluml WL.7C IhLTC'! A Olle. Q Why dn YOII SIlY II WIIS oll~'1 ^ Tlk.TC wus rolJdwork. Q Which of lhe Iwo IlIlIe'5 WII' "I'CII, Ii.. Icn or II.. righl'! Puge 10 I A 111~ righ\. 2 Q Al th~ point wh~ru Ihe ~ollisllln o~~urrcll, hllll you 3 just e'Ol~rull th~ ellnslru~lion zone or hall you he'Cn In it for a 4 p~riou of lim~'! 5 A DCt.'O in it for a p~riou of til11~. 6 Q Ov~r whut uiSlane'C hall you bee'O in Ihe 7 eonslruclilln zone before Ih~ ~ollisil1n oc~urrcll'! H A Ahl1ul 10, 15 mil~s, 9 Q Ovcr Ihal 10, 15 mil~s. wus Ih~re only Ih~ righl 10 Inne ope'O'! II A Yes. 12 Q W~re spe'CU limits rellu~~II'! 13 A Y~s. 14 Q Can you u~scrih~ ~ither hy mak~. ml1dd or eolnr IS th~ olh~r v~hide Ihul was involvell inlh~ eollisinn'! 16 A It was prim~r color, like II gray-rusl ~olnr, 17 18 19 20 prim~r. Q Can you iUcnlify il hy l11ak~ or molld'! A No. It was IIn old~r car, Q So il was IIn olu~r. gray-rusl-~olorell enr'! 21 A Y~ah, 22 Q IInw long Ilere ynu follnwing Ihlll ~nr hdilre Ih~ 23 ~ollisinn'l A 1'l11nol ~xa~lly SlIre, Q W~re you following il fnr long~r Ihlln 5 1IIi1~s'! 24 25 Susan M. Simon, Reporter-Notary I'ublie I ^ 1'11I nllt "Un: 1l\,"CIIUSC there Wil; U cllr in fmlll Ill' 2 me Ihlll flulll'tl nil. sl1l'lIInol clI.lIclly ~lIrc hm\' 11I11~ I \\'II'i 3 rllllllWill~ hill1, .. <J Whell )'1111 "II)' Ib.:rc \\'11" II Cllr ill frnnl of )'1111 IIml 5 1'1I11"llIlf, IIIIS Ihal u ~lIr lhlll I'lIl1e,llIlf 1111 c.drl 6 A Yes. 7 <J 011 )'011 n.111cmhl..T whlll exit IIl1l11hl..1' it Willi'! M A Nil. l) fJ From Ihe puinl III which Ihut ellr pulkd nfr. Up In III Ihc time Ill' Ihe cnlli~itlll. \\\'TC yuu IhclI din..cll)' hehilUl the II old\."I". nlst.cu!lln."t cllr'! AVes, 13 Q On,T whal dishlllCC WII" Ihar! 14 A c.:llul'le lI1i1e"" IS Q Tcllllle Whllllllll'l'~n"llhcnlhllll,,1 up Inlh~ 16 cnlli~illn IIml hnw Ihe cnlli"iun nccum:d, 17 1M 19 211 21 12 A I WlIS tfll\'cling hdliml him. I Clune up n\'\."I" II kllllll. nnt! \\'111:11 I gut tn Ihe tllp or knoll nnd stnr1cd down the knnll. Ik: \\'11'1 slupp\.'tl. Ami I hilmy hrokes. When 1 hillllY hmkes. I had Il U'lluul hehind lIIe Ihllt jusl kL111 nn pushing lI1e, Ilrk...1 tn gellllf the mutl. I wmUl'1 uhle tn 8Cl niT the rmul, 22 Sll lilY len fronl hUlIIpL"I" hil his right ddc hUlllpl.T Dnd Yo'C 23 slnflfll'tl. 24 25 CJ Su when yuu CUlIIC nVLT Ihe knnlllhen. lhc oldL"'. n1'1I.cullln."l.1 Cllr was III Il clllnph:le stop'! I 2 3 yuu'! 4 5 6 7 H VL'5. Yuu cun"lcllult: how tlmt ellr eumc III U SlOp. CDn A lJ A Alllhe Cllrs We'll.' hnckcd "I'. Q DUI )'(1ullidn'( see huw it hrukcd or how it came 10 a stnp. did you'! A Nil. Q ^" )'HU lIppronchl,:d lInd come OVLT Ihut knull, I1VC.'t 9 Whulllislunce wus the uhk.,.. (lrillllT.cnlllfL11 cur Ullt of yuur III \'idnn'! II 12 A l.) Ilnw Illllg \\'us it nUl uf my vision'! "L"i. ill k.'T1I1S of disllIIlce. lIIullhen I'll usk )'UII IJ time. 14 IS A 1'lIIuot exactly SlIn:. Q Ilnw IUllg in limc Wll~ il nut of yuur visinn" ^ JU'II u fcw llCClllHls. 17 Q rrmn Ihe lime it went out nf )'IlUr vision unlil the I H time YlllI SIlW itugnin wht.:1I )'Utl come nVc.T Ihe knull. did your II) sru....1 iIlCR:<l'iC. lk-crcilse m slny the IIlUIllC'! 20 A I Willi guing u(l U\'lT II hill. su I wus trying tn 21 ~i\'c it more !Iii"; hllllllkc it up O\'lT the hill. (j Wcll. )'llllllidll'IIIllS\\\.T my qUI."Slillll. Dill )lunr 23 llpl'\:cI incn:mc. dCI.:J'ClIse m sillY the slIllIe" 24 ,\ 1'11I11111 cxnctly slIre. (J \\'11l'1I you Iil'it 'ill\\' the cur In fmltlor YlIUlIllIt It. 22 2~ Page 9 - Page 12 Page 12 Condensell'M Page IJ I (\'\,"111111111)' WII. ,lnlck. hnw fll!1 \\\.1'C )'t1U ~t1hlH wlM."l1 )'1111 Ill,,' lUIW 2 It hefnn: ynu 11'111 UV<T Ih~ knnll'/ 3 A AruulIll 31l, 35. 4 Q When )'011 clune lI\'lT Ihe knllll ami "II\\' it SIIlPJl'.'tI. 5 I.,w fu,1 "''''' yuu ~nin~" 6 A Ahmllll", lome. 7 Q Whe.'1 yuu !lIIW it WIk.11 )'1l11 ClIllle nl,lT the kllullllnd H IIIW the cur, wu~ your funl nn the !lll' ur Ihe hrnkc'! 9 A Ooll",~ul, III Q Did 11", Ja.1' Ihul you Ill.'" drlviu~ hUI'e uOli.I",k II hrukC5'1 12 A Pour'wh~d drive, I dnu'l knnw,.. 13 Q Whullllodcl uf 1L\1' Wnl il'! 14 A A J,,1' C1"Tnk",. 15 Q On )'IlU knnw if it \\'11" u V.h or V-H'! 16 A A V'6. 17 Q I'nll\T 5I,,:rio~7 IH A V,1'. 19 Q WlIllh..", nn)'lhin~ nll:chunkully wrun~ wilh Ihe 20 Jcqt Owl )'OU bclil.."\'c CDUSed ur cOlllrihuh.\1 Mlhis colli'iinn'! 21 A NlIpe, 22 Q So h,"i,.lIy you'l\: IdlillS lIle loday Ilml yuu ClIlIle 23 over IlIC knoll, you Iried In 5Inp, hul )'ou ~ouldu'l slOp ill 24 IllIle" 25 CINDY I.. TURNER SAX<W A \'t.~. r-.. OCTOBER 3,1995 puge 15 Page 14 Q And Ih"'IllhuI's whal eausell Ihis eulllsinn'! A y~s. Q Upon impact. what happ~n~II tu yuu insid~ lh~ JI'Cp'! 3 A Nolhing, 4 Q What happ~n~II 10 yuur passeng~r'! 5 A NOlhing, Q lIo\\' wuulll you d~s~rihc Ih~ force uf lh~ impaet'! A 111~re wasn't mu~h, Q Dill Ih~ impll~1 lIlak~ any noise'! III A A litll~ hit. y~ah, II Q Coulll you II~scrih~ th~ noise fur m~'! 12 ^ Lik~ laking IWu IIlclal pans and slapping Ih~m 13 tog~th~r lighlly, 13 14 Q Dill Ih~ k'Cp n:~oil ha~kwarlls wh~n it hil th~ H I 5 olh~r ~ar'l 15 16 A Ex~usc 1Il~'! I h 17 Q Dill th~ k'Cp n:~oil hll~kwarlls ul,on impael with Ih~ 17 IH ~ar in fronlofyou'! IX A Did it nlll\'~ "(lckwarlls'! 21l Q y~s, m(l'alll. 21 A No, 22 Q What IHlpp~n~lllu Ih~ car in fmnl \l'h~n it \\'(lS 2J slruek'! 14 25 I 2 3 4 5 6 7 8 9 19 A lJ Nnlhing. II jusl sellhen:, W(lS it push~II inll1llr IIid II hillh~ v~hiele in I fmnl uf it'! 2 A Nil. J lJ Whul kind uf whiel~. if nny, \\W~ Y"U ahle 10 Sl.'C .. was in I'mnl nl' It'! 5 ^ Cnr. small cur, I) b~use 1Il~'! A I ""id il Wits u slllull car. Ami Ih~y IImw uff, I) '111~y k~1'1 guing'! A y ~uh, I) An~r Ih~ illlpael oc~urrcll. whul IIill y"u IIu'! A W~ sellh~n:, \\'ait~II fur Ih~ orne~r lu ~1I1ll~ dOl\11 12 lh~ mall. 13 lJ Were yuU ahle lu pull yuur ~ar uff Ih~ mall on~r 14 th~ illlpa~t'! Was Ih~re a sp(le~ III du Ihal'! IS "Nil 16 lJ SII lrurn~ haek~d up hehinll yuu'! 17 A Y~ah, I H lJ Was Ih~ ~(lr in fmnl of ynu mnv~II on~r th~ II) illlpll~I'! 211 A 111~ ~lIr I slruek'! 21 lJ Y~s. 22 A An~r lh~ impa~1 nr hcfnr~ Ihc ~np gnllh~re'! lJ Slrik~ lhal ,!u~sllnn. I'll n:phrasc it. A I ean'l h~ar ynu, I) 1'lIl1sk il ngaln. h 7 H ./ III II 23 24 25 Page 16 A Okuy. lJ Afl~r Ih~ impa~1 .. A \'~s. lJ .. I think ynu lulll m~ whallh~ car dill, Whall'm asking is, IIid Ih~ IIrivcr nf thai car ,"nv~ lh~ car in any way 6 IlI:fnre Ih~ pulic~ ufli~~rs arrivcd'! 7 A Nu, h~ sal righllh~re. I ask~II him 10 mnv~ iI H uff Ih~ wall sulh~ olh~r cars enulll gn hy. unll he IIilln'l wanl 'j tu. I k wanl~d Ih~ ~Ol' In ~nm~ IIll1l'1l. Q Dill yuu g~luuI of ynur car'! A Y~ah, lJ Did yuu walk up In his car'! A \'~ah. I) Was h~ slill in Ih~ car'! A II~ gul mil nf his car. lJ I k II'IIS uul nf his car'! ^ \'~ah, IJ \Vas tllere i.lI1)'lII1C cis..: in his car? A In his ~ar'! 1,1 \'~s. r\ Nu. I) Dill yuu CIlnvcrsc'! A Did IW lalk'! I) Y~s. ,\ I ask~d him if h~ II'(lS ukay. 2 III II 12 1'/ ~II 21 ~! 23 24 2~ Pugc 13 - I'ugc 16 ,.",.', '.~ .." ,';, ,. .. ).,-.....""'..........,1.1....... ~~, , , ' Susan M. Simon, Reporter-Nolary I'ublie CINDY L. TURNER SAX~ Condenselt 1M Pug~ 17 ~ OCTOBER 3, 1995 I'age 19 I Q Whlll did h~ say'! I 2 A V~s. h~ WIIS Iin~, 2 3 Q So )". didn'l eOl11plllin of uny pain or any sYl11ploms 3 4 ut Ih~ SCl'l1~ 10 you'! 4 5 A No, 5 6 Q Dill you h~ar him suy IInylhing 10 anyon~ ul Ih~ II 7 s""'I1~ 10 indieal~ In you t11l11 h~ \I'JS injured'! 7 H A No. N 9 Q Did h~ ha\'~ uny visihl~ signs of injury'! I) 10 ^ No, III II Q Dill you I~II him hasi~ally whal you tolll 111~ ahout II 12 how Ihis u~~ill~nt nc~urrcll'! 12 13 A V~all. Itolll Ih~ OrnlOCr Ih~ SUI11~ Ihing, 13 14 Q So a polie~ oflilocr ~um~'! 14 15 A V~all. IS 16 Q Who cull~II lh~ poli~~ orne~r'! 16 17 A Nohody, II~ wa.~ righl Ih~re, II~ eoulll S<.'C us, 17 18 Q Oh, I see. ~~ause .- IN 19 A" ofth~ roall eonslru~lion, 19 211 Q Wh~re was Ih~ poli~~ oflie~r'! 211 21 A Just a ~oupl~ seconds IIownlh~ nlud, Vnu eoulll 21 22 see him from wh~re II'C hall Ih~ il11pll~t. 22 23 Q Did h~ hav~ 10 lum arounll IInll ~0111~ hu~k 10 th~ 23 24 sC\.'I1~, or hllll you alreally pa.~sell him'! 24 25 A No, h~ IIidn'l have 10 tum unlund and ~nl11~ hu~k, 25 Page IN I Q As you w~re driving down Ih~ roud in Ih~ nlall 2 eonslruction bl:fore Ih~ ~ollision. dill you pa.~s th~ polie~ 3 oflilocr Ihat el'l'l1lually ellm~ 10 Ihe s~~n~'! 4 A V~s. 5 Q Wh~re wa.~ h~ In~al~II along Ih~ road'! Was h~ off 6 the road'! 7 A II~ was in Ih~ olh~r Inn~. in Ihe lan~ thai WIlS 8 c1osell. 9 Q DUllhe lwo v~hicl~s, yours und Ih~ v~hiek Ihal 10 you slru~k, hoth Ihose \'~hi~ks passell Ih~ poli~~ ~ur prior tn II Ih~ ~ollision'! 12 ^ V~s, 13 Q So Ih~n he eal11~ up In Ih~ enllision lln~rwllrlls and 14 spok~ to hnlh of ynu'! IS A Y~s, II~ ga\'~ us a shl'CIlo Iill oul. 16 Q Dill you rc~d\'~ any injuri~s inlhis ~nllision'! 17 A No, IH Q Dill your passcng~r reedv~II uny injuries in Ihis 19 collision'! 211 ANn, 21 Q Dill dlh~r ofynu S<.'Ck ur gclllny trealm~nt 22 bI:~ause nf Ihis enllision'! 23 A No, 24 lJ W~re youuhl~ tn II~I~nnin~ if Ih~re \\'~re any 25 wiln~sses 10 Ih~ ~ollision'! Susan M. Simon, Reporter-Notary I'ublie A '111~re was lots nf Ih~m lJ 111~re w~re u 101 of wiln~sses, Did you ~cllh~ nal1l~St Ulhlrcsscs, plulIle l1umhcrs or nny witn~sscs I() lhe clIllisinn'! ^ Nu, Ih~y ull k~J11 nn going, lJ MI~r you ~nn\'~rsed with Ih~ polic~ oflic~r IInll wilh Mr, I>al~, my ~Ii~nl, dill ynu I~a\'~ th~ sc~n~ of Ih~ cullisiun'.' ^ Yes. lJ And you ennlinu~II nn wilh ynur lrip'! A Y~ah, lJ Wus Ih~ Jl'Cp drivllhk'! ^ Yes. lJ Wus Ih~re any visihk dal11ag~ In Ih~ J~p as a result nf lhis collision'! ^ Yes. lJ Would ynu d~serih~ Ihllt pl~ase. A A small II~nl in Ih~ hUl11p~r anll a Iilll~ ~rJ~k in Ih~ grill~, lJ Was Ih~re uny IIal11agc In Ih~ ~llr in fronl Ihal wus slru~k hy Ih~ Jl'Cp'! ,\ Yes. lJ A Q Woulll ynu II~s~rih~ thai pl~a.o;c. Sl11alld~nl in Ih~ hump~r, Afl~r ynu kn th~ s~~n~ amI conlinu~II on wilh Page 20 I ynur trip. InsSlIlIIc )'11I1 c\'Cntulllly urri\'l.:d in TuwumJll'! A \'cull, 3 Q Dill >,"U clIllul1)'ul1": in hctwu.:n IC<1\'ing Ihe scene .. und TUWlllUllI In lell t1Kml ahllutlhis culli~inll'! 5 A \'l~, h CJ 1cll1llc whllt )'1111 dil11hen. 7 ^ I ~nl U('I hi wlk.11: I cnulllln II pluJn!.: umll calk-d }\ 111)' Si'ilc..T lIull inftlnnl,IIk.T "II 'ihe cun infunn Ilk: imurnncc l) 1.:11I11('11111)', fJ \\'uuhl )'1111 f'l1'l"lll )'lIur nI1S\\\.'f rIC:I"iC, t\ I "iaid uBl,.'r I ~llt 1I1ltllwny frnm thc 'iccnc WI1\.TC I 12 \\'U'i IIhl~ III rull tl\'lT tllll ('Iii)' ('Ihonc. I cnlkd 111)' sislt.T. Inld 1 J lilT Ihal I \\'II'i in IlllllCcillclll SlI she cUIII~1 infnnll hlT insurancc 14 IS If! 17 IH 2 III II ClIlllran)', (.) Dill )'1111 "illl('llll Ihc 111:'11 cxilllr tli~1 )'1111 drivc.. ,\ Nu, I dw\'c Ulllitl gnlnlf nn II-IS, () Stllllul"i like )'IIlI'rc SIIIIII.."\\'hal fUlI1iliilr wilh the arm wlM."fC this collision ncclIrn'tl. I hul )'uu drivcn (III H I in 19 I'clUl"i)'h't1l1iu hcl'lIn:'! 20 t\ \'cilli. 21 t.) Ilatl YIIU ,1m en illlhc lire;! \\"hl"fC this cullisiull 2~ m:curn.tf hell,":',' 23 24 \',.""h, Dill )'1111 !!rllw tlfl ill cenlral PCIIII"iyl\"lllliil'.' I )!'rl'W tip ill Tll\\'jlllda, I'clIll"iyl\'ullia, A 2~ IJ 1\ Page 17 . Page 20 CINDY L. TURNER SAX<liiIl Condenselt 1M 1"\ OCTOUER 3,1995 Puge 2\ Page 23 1 Q So you hlld IIriv~n Oil lhis Sl~leh of M I h.:rore'! I A Y~uh, 2 A y~s. 2 lJ You tonk lhnsc ullh~ scene'! 3 Q nul IlIssum~ you hud nol IIrivcnoll il in Ih~ roud 3 A Ycah. 4 conSlru~lion" 4 lJ Why IIill you lak~ pi~lures of Ih~ ~ur IIriving IIway'! S A No, 5 A 1 look I,klures of Ih~ ~ar. 6 Q W~re you giv~n any ~italions as a resullor Ihis h lJ Why'! 7 collision'! 7 " ()f Ih~ damag~ so I ~oulll giv~ illo my insumnc~ 8 A No, x eompallY, 9 Q Did Mr, Dalc g~1 any ~ilalions liS a ~sult of Ihis 'J lJ Dill youlllk~ pi~ll1reS of Ih~ k'Cp'! 10 collision" III A No, 11 A Nol that I know of. no, II () Why nlll'! 12 Q What kioll of polie~ orn~~r WIIS il'! ^ stal~ 12 A Il~~aosc Ih~y gollo S\.'C Ih~ j.'Cp, 13 poli~e. orne~r'! 13 () IS<.'C, 14 A Ycs. 14 A W~ had 10 lak~ il Illlh~ illsumlle~ ~ompallY fur IS Q So ali~r you 1~I~phon~II your sisl~r anll reporl~II IS Ih~m 10 S<.'C it. 16 to h~r the a~cill.'111 so thai sh~ ~ould call h~r illsurane~ 16 lJ Was ilo~~~ssary 10 ~pllir lh~ j.'Cp'! 17 compllny. dill you eonlinu~ Oil with your lrip'! 17 A Y~lIh. 18 A Y~s, IH () Whosc insuran~~ company paid fllr Ih~ ~pairs 10 19 Q Dill you mak~ any olh~r SlOps IIlllng lh~ WilY'! I'J th~ j.'Cp'! 20 A On~ mOl\) Slop ill Williamsporllo g~l gas ngain, 20 A Nllhmly's, 21 Q 1l1~n you wcnl on 10 TowlIlllla'! 21 lJ Did your sisl~r ami hrnlh~r.io'law hav~ eollisioo 22 A Y~s, 22 cn\'cragc un tl1\: 11.'CJl'! 23 Q I1l1ve you b.'Cn eonla~I~II hy aoyoo~ 10 giv~ a 23 A 1lley haw full ~IlVCrllg~, 24 slalem.'11I. ~ilh~r writt~n or ov~r th~ I~kphon~, ahout Ihis 24 lJ Why IIillo'l their eov~rag~ pay for Ih~ IIalllng~'! 2S collision'! 25 " n~~ause Ih~r~ wasn 'I ~nough IIall1ng~, Sll I paill for Pagc 22 Page 24 1 A By "'y 1.'\1'1."1', 1 i1m)'sclf. 2 Q Ifow about by any insurance clllllplln)"! 2 () 1I1I\\' 1II1lch dill YlIU puy'! 3 A W~II, yeah, by SUIte FlIno, 1 ","'III, "'Y 11I~""1' 10 J A S21111, 4 gel .hold or lIIe, 4 lJ IlllWlItllch',' S Q Did II..'}' record Ih~ slal-'neollhlll Y"O gn\'~ 11"'0 5 A S21111, 6 over the tclL."hol1c. or did II",")' cllIm: und see you nnd l<lkc II 6 Q \Vhll cSlillllth."lthc dmnllgc In the Jll.j'I'! 7 statement in wriling? 7 A I tllllI" knnw, 8 A I \\'\.001 down 10 !iCC Ihc..'11I. X lJ WIk.'fC dill ynur hmlher-in-Iaw DIUI siSILT luke Ihl: 9 Q You \1,\..-01 down 10 see tlll.'1n? 'J Jl,.\.1' forn'J1l1irs'! 10 A Yeah, III ,\ I don'l knllw. 11 Q Wl..-n:,ho.-n:iollllrrishorg'/ II () Villi jll'l pahllh.,1I S21111'/ 12 A No. 1k.Tt: in TnwuluJl.1, 12 A VIlP, 13 Q Oh. yuu WCIII 10 Stnlc Fann in Ton-lIuda'! 13 () Dill )'011 c\cr talk Itl Mr, D;lle III 1111)' lime IIlkT 14 A Yeah, 14 the sccnc Ilf thc cllllisitlll'! IS Q Did thl.")' lul\'c you dn Q ~t.1Il,."lnenl felf th...,II'! Did IS A Nupe, 16 tlk.")' Dsk you how the Dccidcnt hllf1f1CII""1. IIml did )'UU lell th...,n'! Ih IJ lime )'11\1 Scell him since'! 17 A Y""h, 17 ,\ Nupe, 18 Q Did Ih...")' make a tnpc n'\:nrding Ill" tJlilt ur di\llhc)' IS 1..' DIl YClU kiln\\' ullyhml)' wht) h:ls lnhf )'ClU till.:)' saW him 19 handwrilc il'l 19 since the cllllisillll',' 20 A I gu...'Ss Ih...")' 11l1mh\Tute it. I'mnnl Sill\:, 211 " Nllpe, 21 Q Dill YIlU sign if! 21 IJ Is th....n: Illl),thing elsc )'1111 Willllln lIdd lIhnut hllw 22 A Ycolll. IlIlsl1 i,UI\'C th....'n pictun:s. 2:! this clllIisinn IIccllrn:d thnt I didn'l Cn\....T wilh yuu'! 23 lJ Whal piCIUn."S tin you have'} 23 " Nopc, 24 A PiclUfl:s uf tJlC enr, of the 811)' driving l1WlI)'. "4 MIl_ SIIIJI.I.I:NIII'Hlil"It, 1\11 righl. 111:lllk )'1111. 25 Q Arc )'Cltllnlking Ilhnullhc ellr thai \\-'us slnlck'! 25 (The Ik1lllSilitlll WlIS clIllchulctll11 IO:Jh lUll,) Susan M. Simon, Reporter-Notary I'ublie Page 21 . Puge 24 '" CINDY L. TURNER SAXq;;,. Condenscll ..--. OCTOBER 3, 1995 ['OMMONWI,Al:lll OF l'I'NNSYI.VArlA I'uge 25 I ss 2 1'l.Jl1NlY IW IM1JI'IIlN ) 3 I. Susnl1 M. Sillml1. n Nnt.1l)' (luhlk illumllur the 4 Counl)' Dnd Cnllllllunwcalth ufmcsnld. dill)' CUlllllli~"llIlll'\llIIltl 5 qUlllilicd. Lln hl"fChy clTtify 1hnt villlcll1lhunlc cllllllllunicnlillll 6 l"ISIJ\' I.. llJllNlm SAXON 7 WBS by 11I1.: lirst Llul)' cautiuned lIud (swum. IIllinlll'tllln tc'ilify H 0", lrUlh, II", whnle Inllh ulld IIIIIhil18 111111he IIllIh ill Ihe 9 laking IIf (his, Ik.T) orol dc."nsilinn illlhc cnuse I1fm'c'Il1id: 10 lIU1llhc IcslillUIIlY 8iven 0" Ohll\'C set fnrth wos n:ducL,1 In II sll."ClntyJlC by me Dnd OnL"lWDnl!llnm"crihcd hy me nr Ulu!L-r 111)' 12 din:clinn. 13 I tin furtlM.T clTtify Ihal slIillllL"miliilll WIIS 14 tnkL11 ~Ilhc lime 11ml plnce in the fUI\.'gnill8 cap linn srl"Cili~l. 15 I dn furtlllT cL'11ify th.ul 0111 nllt n n:lali\'C. 16 counsel or oUonn.')' for cilhc.:r pllrt)'. nor alii I nlhl,'wisc 17 Ink."t\."StaI in the l.."\-'cnl of this Delioll, IH IN WITNI...\S \\'IIIiRl:fIF,llm\'c Ik.TClUlhl -.cl my h,ll1,1 19 this IJOI day III' ()CIIIh..T, 1995. 20 21 -SiRli1rM:'""stHlllll 22 JlL"nr:r'NII~I~' l'ul1ljc 23 TIle fu":;~h~,CI..T1ifjcnllnll n . ~Iis tnm. erin' ll~", nnl u~~I\1 1n Dny n.,n U 1011 ullhe slime y nllY lIIf:,il1S un css U1U l.: 'he 24 din..-c1 clllltrul nmVnr sU(1l..TVisinn uf lh1.: C\.TlilYilll! n.:J1ilr1lT. 25 Susan M. Simon, Reporter-Notary I'ublie I'age 25 . Page 25 --- 25 1 COMMONWEALTH OF PENNSYLVANIA SS 2 COUNTY OF DAUPHIN 3 I, Susan M. Simon, a Notary Public in and for the 4 County and Commonwealth aforesaid, duly commissioned and 5 qualified, do hereby certify that via telephonic communication 6 CINDY L. TURNER SAXON 7 was by me first duly cautioned and (sworn, affirmed) to testify 8 the truth, the whole truth and nothing but the truth in the 9 taking of (his, her) oral deposition in the cause aforesaid; 10 that the testimony given as above set forth was reduced to 11 stenotype by me and afterwards transcribed by me or under my 12 direction, 13 I do further certify that said deposition was 14 taken at the time and place in the foreguing caption specified. 15 I do further certify that I am not a relative, 16 counselor attorney for either party, nor am I otherwise 17 interested in the event of this action. 18 IN WITNESS WHEREOF, I have hereunto set my hand 19 this 13th day of October, 1995, 20 )l7ttr7/;. ,'j..22--" Susan M. Simon Reporter-Notary Public 23 The foregoing certification of this transcript does not apply to any reproduction of the same by any means unless under the 24 d~rect control and/or supervision of the certifying reporter. NOTARIAL SEAL SUSAtI M, SIMOtl, tlolary Public Harrisburg, Dauphin County My Commission E~plres Oel. 30, 199B - 21 22 25 . OS/20/97 08144 USFG HBG CLRIM ~ 92348212 A NO.B51 P001 ,-.., ~ H~~tK Facsimile Cover Sheet USF&G Insuranc:e P.O. Box 9700 Harrisburg, PA 171Q8.8700 To: ~..~ A "n.:l-L o Cacnpanr. ~,~, ~ .s.~QO..b,MV'_ , ~ Pbane: Fax: ~-::,y" %:;\ d- From: \ ~ ,"~ '1. Sl'-.J'..lc\~r- u.s...\c..' Cacnpanr. PIlOnr. &'7 ,- 7'('( '1 Fax: 11'1 C,")f - 7 ...~< I '. om: \'I, "'"'1 d.O I "I "i I 8 Pages Including d11s cavor page: Comments: \~ \)..)lC, d.:. sc:..u..s.s -Q.~ 5 I \ "\ l "l ., . ~"'~*'* ~ lid-\. ~o-~-Io;", c:rJ; \-'""..........-\-..ONS. :>. \e\lli....- ~~t"..,o;.o~' -\~ l...O\..<:-..... \" ""A..~nL-'::. n~ ~ ~, ,.,........ ~~. ~or ,~' ~.... \;\\sc' , ~ <..'C'~'1 0+ ~ ~p OS-6t fKlJ.orse.mE!.Nt, -\ OJ'<'<- '05/20/97 08144 USFG HBG CLAIM ~ 92348212 ~ ,,-.... NO.851 POO2 ~~ U S F+G~ '1 IlSlIlltl May 20. 1997 TimlJlhy A. Shollenberger 1820 Lln&lcslown Road P.O. Boll 60545 Harrisburg. PA 17106-0545 Re: Insured: Donald E. Dale Claimant: Donald E. Dale Policy #; PPA 10577209503 DIlIC ofLa5s: 02118/94 Dear Mr. Shollenberger. Per our lelcphone c:onversauon of May 19, 1997, thisleller is 10 advise orlhc coverage provided 10 Mr. Dale for the above captioned loss. Policy # PPA 10577209503. cndOTSl:menl PP OS-51 issued dale 07190. provide lhe following coverage for aUlomoblle First Party Benefils as follows: Sl0,OOO/medicallimil; SI,OOO/month-S5.0001MAX. wage limit and SI.500/funcraJ benclit To dale, a tolal amOURI of$3,704.54 have been issued for medical benclits on behalf of Mr. Dale. The medical services being provided to Mr. Dale shall continue to be pr0ccssc4 under Ihe above pollcy, until such a !lme should arise, which the trealments provided are found nollo be r"'5OMble and nexess:uy 5Crvia:s in regards 10 the Injury SUStained from Ihe molar vehicle accldenl . The medical benclits applied 10 Ihe above policy ll1C subject 10 a sbMe of limiaatlons for submission of medical claims. Under the Pennsylvania Act. G Law, Subehapler B. Section 1721 <a> General rule. - Ifbencll1.5 have not been paid, an aeUon for first pany benefils shall be commenced within four years from the dale of the aexidcnt giving rise to the claim. If O...t partv bendil. have been oold, 00 action fnr furtber benefits .hall be eommenced within four vtan fmm lhe dale of lhe last pavmenl. A copy of SectIon 1721, Is altal:hcd for your convenience. Please conbeltbe wlderslgned, should you have any qucsuons regarding this matler. Slncucly, ~~~A+_ Tammy L. Snyder Claim Consultanl .7449 1.lrlll~ ~il;trI" ~1f1""I't .'1111 (Ilhll.IIII'1 CIMI'~\<JIl' 2GllS l'lIC"""r" ll,,\,. SlliI" ~w Hjjlfl\hll'~ f'A III H) U~ MJ": t'U Ijtj, 9M,1 Hllml'lIlll, PA I/lull '...111111611.51)01 INJllilJ1i-otr" "A.llll1h/l.{J'31 . OS/20/97 0Sr 45 USFG H8G CLAIM ~ 9~348~1~ ~ .......... NO. 851 P003 ,,-... ~)'.. . .' . /.'.: .,. .' /." . ,. I (1) ~ile intentionally injuring hilllself or. another / or' attempting to intent:ionally injure himself or anot:her. (2) While c~itting a felony. (3-) While seeking to elude lawful apprehension or arrest by a la~ enforcement official. (b) conversion of vehicle..-A person whQ knowingly converts a motor vehicle is ineligrble to receive first party benefits fram any source other duUl a policy of insurance under which he ia an insured for any injury arising out of the tnaintenance or use of the converted vehicle. (c) NaIlIed driver exclusion.--Atl insurer may exclude any insured or bis personal representative fram benefits under a policy enumerated in section 1711 or 1712 when the insured is excluded fr01ll coverage while operating a motor vehic.le in accordance with the act of June 5,1968 (P.L.140, No.78), relating to the writing, cancellation of or refusal to renelol po~icies to autOlllobile insurance. ,.. S 1719. coordination of benefits. (a) General rule.-~Exc.ept for workers' cOlllpensation, a policy of insurance issued or delivered pursuant to this subchapter shall be primary. Any program, group, c.ontract or other arrangement for payment of benefits such as described in section 1711 (relating to required benefits), 1712(1) and '(2) (relating to availability of benefits) or 1715 (relating to availabiliCY of adequate lilllits) shall be construed to cont:.a.in a provision that all benefits provided therein shall be in.-exC,ess of and not in duplication of any valid and collectible first party benefits provided in section 1711, 1712 or 1715 or ~orkers' c.ompensation. (b) Definition. --As used in th:1.s section the term "program, group contrace or other arrangement" includes, but is not limited to, benefits payable by a hospital plan corporation or a professional health service corporaeion subject eo 40 Fa.C.S. Ch. 61 (relating eo hospital plan corporations) or 63 (rela~ing to professional health service plan corporations). 5 1720. Subrogation. In aceions arising out of the maintenance or use of a 1II0tor vehicle, there shall be no right of subrogaeion or reimbursement fram a claimane's tort recovery vieh respect eo workers' compensation benefitS, benefits available under section 1711 (relating to required benefits), 1712 (relating to availabiliry of benefitS) or 1715 (relating to availability of adequate benefits) or benefits in lieu thereof paid or payable under section 1719 (relating to coordiIlacion of benefits). .' .' ., 5 1721. St:at:ur;e of l:lm:i.tations. (a) General rule.--If benefits have noe been paid, an action for first parey benefics shall be commenced within four years from the date of the acc.idenC giving rise to the c1ailll. If first party benefits have been paid, an action for further benefitS shall be cO\IllJlenced W'it:hin four years from the date of the last rayment. L-6 ,05/20/97 0S145 USFG HBG CLAIr'1 ~ 92348212 "'"' NO.851 P004 "....., .' . ' . I . (b)' Minors, uFor minor; entitled to benefits described in section 1711 (relnt~g to required benefits) or 1712 (relating to availability of benefits), an action for benefits shall be cOlDllenced within four years frO'll1 the date an \/bich the injured l!li.nor attains 18 years of age. (c) Definition.--As used in this section the tcm "further benefits" means expenses incurred not earlier tMn four years preceding che date an action is.commenced. f 1722. Preclusion of pleading, proving and recovering re~uired benefits. In any action for damages against: a tortfellsor arising out cf the maintenance or use of a motor vehicle, a person who is eligible to receive benefits under the coverages set forth in section 1711 (relating to required benefits) shall be precluded frO'll1 pleading, introducing into evidence or recovering tbe amount of benefits paid or payable under section 1711. This preclusion applies only to the amount of benefits set forth in section 1711. f 1723. Reporting re~uirementS. Beginning December 31, 1986, and each year thereafter, each insurance company vriting automobile insurance in this COllJl1onwealth shall file vith the Insurance Department the number of its insureds, the number of its insureds "ho have purchased first party medical benefits in excess of the min~ required' by section 1711 (relating to required benefits) and the n~er of insureds who have purchased first party medical benefits in the amount of $100,000. The Insurance Deparement shall furnish this information to the General Assembly annually. SUBCHAPTER C UNmSURED AND UNDERmSURED MOTORIST COVERAGE Sec. 1731. 1732. 1733. 1734. 1735. 1736. Scope and amount of coverage. Limits of coverage. Priority of recovery. Requesc for lower or higher limits of coverage. Coverages unaffected by workers' compensation benefits. Coverages in excess of required amountS. S 1731. Scope and amounC of coverage. ' (a) General rule.--No motor vehicle liability insurance'policy shall be delivered or issued for 'delivery in this Commonwealth, with respect to any motor vehicle' registered or principally garaged in this COIIIlIlonweslth. unless uniJ:lsured motorist and underinsured motorist coverages arc provided therein or supplemencal thereto in amounts equal to the bodily injury liability coverage except as provided in section 1734 (relating to request for lower or higher limits of coverage). (b) Uninsured motorist coverage.--Unins~ed motorist coverage shall provide protection for persons who suffer injury arising out of the maintenance or use of a motor vehicle and are legally entitled to recover damages therefor from owners or operators of uninsured motor vehicles. L-7 , OS/20/97 08145 '/ ,.,/ USFG H8G CLAIM ~ 92348212 ~ NO.851 P0e5 r-., PP 05 51 07 80 FIRST PARTY BENEFITS COVERAGE. PENNSYlVANI~ The provisions 01 Ibis Polley apply unloss modified by this endorsement. SCHEDULE BASIC FIRST PARTY BENEFIT Benent Limit 01 Liablllly Medical Expense Benent Up 10 S5.0lXl The following options apply Inslead ollhe BasIc First Party Benent as Indicaled below or in Ihe DeclarationS: o ADDED FIRST PARTY BENEFITS Senelils Medical Expense Benent Work Loss Benent ,. Funeral Expense Benent Accidental Death Benefit o COMBINATION FIRST PARTY BENEFITS Benefits Maximum Tolal Single Limll Subled 10 the following Indlvlduallimlls: Medica' Expense Benefit Work LosS Benefit Funeral Expense Benefit Ac:ddental Dealh Benefil Limit 01 LiabilitY Up to $_ Up 10 $ _ subject 10 a maximum of $ _ per month Up l~ $_ $_ Umit 01 LiabilitY Up to S_ No specific dollar amount. No speclne dollar amounl. Up to. $ 2.500 5 NOTE: II ADDED FIRST PARTY BENEFITS or COMBINATION FIRST PARTY BENEFITS are not shown as applicable In Ihe Schedule or Declarations, only the BASIC FIRST PARTY BENEFIT applies. I. DEFINITIONS Wllh resped 10 First Party Benefits Coverage: 'tbo Act' means tho Pennsylvania Motor Ve- hicle Financial ResponSIbility Law. In addlhon. Ihe followlllg words and phrases are defined lor Flrsl Party Benefits CoIIorage. They are In quolatlon marks wben used. .Bodlly Injury' means accidental bodily harm to a person and Ibat person's resulting Illness. dis- ease or death. .Insured. means: 1. You or any 'Iamlly member.: 2. Any other person: a. Whlta 'occupying. 'your covered auto': or b. While not 'occupying. a 'motor yehi. cle' II inlured as a resull 01 an accidenl in Pennsylvania inyolYlllg 'your co'" ered aUlo.' II 'your covered auto. Is parked and 'un, occupied II Is nOI a 'motor vehicle' In.' volved In an.lIccldent unless It was parked In a manner a610 create 'an unreasonable risk 01 Injury. 'Molor vehicle. mean~. a sell.propelled vehicle. operale" ar designed for use upon pUblic roads. ' However, .motor yeblde. does nOllnclude ave. .hlele operated: 1. B~ muscular power: or 2. On rolls or tracks, "!'our eoverQ'd aulo' means a 'molar vehicle.: 1. To which liability coverage under this pol, icy applies and for which a specific pre. mlum IS charged: and 2. For which 'you maintain First Party Bene' fits Coverage as reqUired under Ihe Acl. PP 05 51 07 90 Copyright. Insurance Services groce. Ine.. 1990 ' Page 1 of 4 OS/20/97 0S145 USFG HBG CLAIM ~ 92348212 '""'"' pp 05 51 07 90 II. BENEFITS A. BASIC FIRST PARTY BENEFIT We will pay tile Basic First PartY BeneOt In ace<>rdance ....ltll tile ACIIO or for an "Insured" '11110 sustainS "bodily InlUry- caused by an accident arisIng out of 11\0 malr,tonance or use of a "molOr lIelllcle: -be Basic First Party BeneOI consists of a ,\ledical E_pense BencOl. Tile Medical !.,- pense BeneOt consists of reasonable and nocessary medical e_penses incurred as a result of Ihe aceldonl for an "Insured's.: 1. Care; 2. Recovery: or 3. Rebabilltalion. Tills includes remedial care and lrealmenl rendered In accordance willi a recogniZed religiOUS method 01 healing. Medical e_penses will be paid If InCUrled wilhln 18 montlls from the dale of the acel- denl causing "bcdlly inlury: II witllin '8 monlhs from the dale of the accldenl caus,ng "bcdily ,nJUry' II is ascenalnablo wilh rea. sonablo medical prebab,liIY thai lunher ex. penses may be Incurred aner Ihe 18 montlls as a resull of Ihe .bOdlly injury: medical ex. penses will be paid wllbout limitation as 10 lhe lime such funller expenses are Incurre<l. B. ADDED FIRST p~RTY BENEFITS II IlIe schedule or Declarations IndlcalOS IlIat Added Flrsl PartY BeneOls apf,IY '110 will pay Added flrsl PartY Benents nslead of IlIe Basic First Party BeneOtlo or fO<' an "Insured" wbo suslalnS .bOdlly InJUry" causod bY an accident arising out of IlIe rnainlenanC1l or use 01 a "mOlor veblcle: Theso benoOls are subject to Ibe provisions of tile Act. Added First PartY Benelils conslsl of the following if sbown as applicable in tile Schedule or Declarallons: 1. Medical E_pense Benont as described In the Basic Flrsl PartY BeneOl: 2. Work Loss Benefil consisting of: a. LOSS of Income. Up 10 80% of gross Income aclually lost by an .Insured" a. a resull of Ibe accident; and b. Reasonable expenses actuallY in. eurred to reduce loSS 01 Income by blring: (1) Spacial help. tllereby enablin9 IlIe -insured- lo work: or (2) A 5ubstltule 10 perform thn work a seu-emplOyed .Insured' would have oerformed. However. Work LosS aenelll does nol In' clude: NO.851 P006 """" '- a. Loss of expec1ed Incomo lor any pllrtod follo....lng thll dealll 01 an "Insured.: or b. Expenses In~urred lor servi~es per- formed following Ibe death of an .In. sured"; or c. Any loss 01 Income, or upenses In. eurred for serviceS performed. dUlIng tile first 5 worklllg days Ihe "Insured. did not work aner the accident because 01 the "bodilY inlUry: 3. Funeral expense Benefit. Actual expenses Incurred lor an "In'L'red's" funeral or burial II .bOdlly Inlury" resulllng from the accident causes lhOlr deatb wllllln 24 monlhs lrem lhO date of Ihe accident. 4. Accidental Deatll Banom. A death benefit paid U "bOdilY Inlury. resulllng from tile accident causes IlIe dealh of you or any "familY member" wllbln 24 montlls from tbe dale of tbe accident. C. COMBINAnON ftRST PAR'I'Y BENEFITS lithe Schedule or Declarations Indl~ates Ihal combination Fi"1I PartY Benefits apply \IIIe will pay comblna\lon Flrsl Parly Benents inslead 01 the Basic FirSt PartY Benefit to or let an .insured" who sustains "bodilY injUry" caused by an accident arising out of Ihe mainlenance or use of a .molor vehicle: Comblnallon Flrsl PartY Benents sbail be sUblect 10 a ma.imum lotal slnglo IImll of II. abilty wilh Individual IImll8 for specifiC bene. ms as sllown In Ihe SehedUlo or DeclarationS. We will only pay Combination FIrSt Pany BenefilS for expenses or loss Incurred wltbln 3 years Irom tbe date oflhe accident. These benefils are subject 10 llle provisions of tbe Act. Comblnallon FlrSl partY Benents consist 01 1M following. as des~ribed In tile Basic First pa"y Benefit and Added Flrsl Parly BenefilS: 1, Medical E_pcnGC Benem: 2. Work Loss BeneOt: 3. Funoral Expense Benefil: and 4, Accidental Dealll Benefit. EXCl.USIONS We d? not pl'ovido benefits for .bodlly InJUry., 1. Sustained by any perSon while Inten. 1I0nally causing or allempllng to cause .bodlly Inlury" to; o. Himself; b. Hersell; or c. Any oIlier person: nor will we pay an Accidental Death Ban. elll on behalf of tllat person. 2. SuSla,ned by any person while com milling a felony. pago 201 4 Copyrlgbl, Insurance Services Qmce. Inc., t990 pp 05 51 07 90 ..... ......... OS/20/97 138.45 USFG HBG CLAIM ~ 92348212 II"" , 3. Sustalnod by any person while seeking to elude lawrul apprebension or arrest by a law enrorcement official. 4. Sustained by any person while mainlaln- Ing or uSlllg a .motor vehicle' k/101IIlngly converted by that person. HowlMlr, Ibis exclusion (4.) doos not apply 10: s. You: or b. Any 'ramlly membor: 5. Sustained by any person who, at tho lime or Ihe accident: a. Is tbe owner 0' one or more reglslered "motor vohicles" and none ot those "molor vohlc/es" have in elfed \he n- nanclal responsibility required by the Act or b. Is "occupying. a "motor vehicle" owned by Ihal person ror whldltha II- nanelal responsibility roquired by Ihe Act Is not In errect. B. Suslalned by any porson mainlainlng or using a .motor vehicle" wbile loc:a1ed 'or use as a residence or premises. 7. Sustained by any person injured as a re- sult or conduct wllhln the course cllhe buslnoss or repairing, servlclng or Clher- wise maintaining "motor vehicles: This exclusion (7,) does nol apply litho lXlllduct Is olf Ihe business premises. B. Sustained by a pedeslrlan ir Ihe accldenl occurs oUlslde or Pennsylvania. This ex- clusion (B.) does not apply 10: a. You; or b, Any "ramlly member: 9. Sustained by any person while "occupy- Ing": a. A recreational vehicle designed lor use orr public roads: or b. A motorcyclo, moped, or similar.type vehicle. 10. Caused by or as a consequence 0(: a. Discharge or a nuclear weapon (even II accidental): b. War (doelared or undeclarod): c. Civil war; d. Insurrecllon; or e. Rebellion or revolution. 1'. From or as a consequence 0' Ihe Iollow- Ing. whether controlled or unalntrollcd or however caused; a. Nuclear reacllon; b. Radlalton: or c. Radloactivo contamination. NO.851 P130? ,"-'. PP 05 510780 LIMIT OF LIABILITY The limit or Iiablllly shown In the Schedule or In Ihe Declarations ror Ihe nrsl party benenls that apply Is lhe most we will pay to or ror each "In- sured" as the result or anyone acc:ldent. This Is Ihe most we will pay regardless or lho numbur or: 1. Claims made; 2. Vubleles or premiums shown In the SChedule or In the Declaralians; 3. Vebl~les Involved In Ihe accldenl; or 4. Insurers providing nrsl party benents. II Combination Flrsl Party Benents ara alforded, we will make available al least the minimum IImill1lquired by Ihe Act ror Ihe Basic Flnst Party Benenl. Tbls provision will nol chango our lotal IImlL9t liability. Any amount payablo under Flral Party Banents Covcraga shall be excess over any amounts paid, payable or required 10 be provided 10 an .Insured" under any workers' ~ompensallon law or similar law. PRIORITIES OF POLICIES We will pay nnl party benefits In acccrdanee Wilh Ihe order or priorities sel Iorth by Ihe Act. We will not pay IIlhere Is anolher Insurer at a higher level or prlorilY. The Flrs1 c:alegOl)' listed below Is the hlghesl level or priority and the Fourth calegory IIs1ed below Is tho lowesl level of priority. The priority order is: FIrst Tbe Insurer providing benents 10 Ihe .Insured" as a named '_____._._ . Insured. Second Tho Insurer providing benenlS 10 Ibe "Insured. as a ramlly ... member wbo Is not a named Insurod under another policy providing coverage under tho Ad, Third The Insurer or the "motor ....... vehicle" which the 'Ineurod" Is "occupying. al the tlmo of Ihe accldonl, ~ Four1h The Insurer providing bononts on any "molar vehicle" Involved in Ihe occident Ir tho "Insured" is; a. Not .occupying' a .molor vehi- cle"; and b. Not provided firsl party benents under any olhor aulomoblle pol. icy. In Ihls pnollty, an unoe~upled parked "molor vehicle. Is not a .motor vohiele" Involved In an acci. denl unless il was parkod in a manner as 10 croate an unreason. able risk or injury, PP OS 51 07 90 Copyrlghl. Insurancl! Services Qllice, Inc,. 1990 Page 3 el 4 OS/20/97 0S145 USFG HBG CLAIM ~ 92348212 ~ NQ,S51 pe0S ~ NON-tJUPLlCATION OF BENEFITS No onc will be enlitled to recover duplicate pay- ments lor Ihc same elemenls 01 loss under tbls or any othqr similar automobile insurancq inCluding sell.lnsurance. PAYMENT OF ACCIDENTAL DEATH BENEFITS The Accidental Oealh Benem under Ihis polley will be paid 10 the ~ ,ecutor or admlnistralor 01 Ihe de- ceased -lnSUrolQ s' estate. IIlhere IS no e~eculor or adminlslrator. benents shall be paid to: t. Tbe deceased "Insured's' surviving spouse: or 2. II thore Is no surviving spouse, tbo deceased 'Insured's' surviving cblldren: or 3. II thoro Is no surviving spouse or surJlvlng children, to lhe deccased "Insurcd's. estate. Ill. CENERAL PROVISIONS Part F Is amanded as rollows: The Our RighI 10 Recover Paymenl provision does not apply 10 First PallY Benents Coverage. This endorsement must bc anaehed 10 the Change Endorsemenl when issued aner tne policy Is wrlnen. PP 05 51 07 80 II 2 or more policies have equal prlori!y wilhln the highest applicable prlori!y level: 1. Tbo insurer against wh<lm the claim is firsl made shall procOGs and psy thO claim as II Wholly responsible. The Insurer Is tbereener enlllled 10 recover contribullon pro ral8 lrom any olher insurer lor the benefits paid and the cosls of procossing the claim. II contribution IS SQugbl among insurers responsible under the Fourth pri- ority, proration shall be based on the number 01 Involvod mOlor vehicles. 2. II we are Iho insurer against whom the claim Is first made. our llaymentto or for an 'Insured' will not exceed Iho applica. ble IImil or lIabill!y lor Finl Party BenemB Coverage shown In the Schedule or in the , Declarations. 3. The ma~imum recovery under all policies will not exceed Ihe emount payable under lhe policy willi the IIlgllosl dollar limits of benellls. ' Pago 4 01 4 Copynght. Insurance Services Qlliee, Inc.. 1990 PP 05 51 07 90 , :"'lcllmJi ~hOo AL JM "<)7011 'I"M.." ~ 1-1:::"$ Men,coi Cli~,.(, PROGRESS NOTES DATE # -23-94 7-12-9 COn '/27/94 3-12-94 "..... DALE, Donald E. NAME B.D. 10-5-48 T. Patient called us back at 75% better, lIis neck still hurts though, lie is getting physical therapy 3 times a week, lie denies any pain in his arm. I suggested we cut his pbysieal thernpy to twice a week, Try to "wean him off that". (RDII rnb) Appointment with Dr, Robcrt W. Brcnnan nt lIershcy on Tuca. July 12, nt 9:30, (rkl) I , , r T, Donald wanted to check with me about who to sce. We have an appointment arrnnged for him with Dr, Brennan. 1 think that is a reasonablc placc to start, IIc says his back pain is 75% bctter, lIis ncck hurts sometimes but he fccls a clicking in there and a funny feeling in his bead that botbers him. We couldn't get Donald in with any of the neurosurgeons in tbis area because they won't take aceidcnt victims. (RDII:nh) Dr, Hekler--No neurological. problems were found. followed clinically, He recommendod him to be (RDH:rkL) A. S. Patient comes for a recheck of his back and n check up. He said he still has the clicking noise in his neck when he turns his head, He haa an internal itching type feeling over his occiput and a little bit over his right parietal area that if he just touch his hair that tends to settle it down. He has an occasional psin down his right trapezius aren, This occurs a couple of times a day and then goes away, He says his lower back is doing well and it's about 60%, He's back at work and able to do his full work. Also he's had a cold and cough for the laat three days, O. His BP is 126/96, His neck has somewhat limited range of motion in all directions but not more so really one direction than the other. This is including flexion and extension, There's no palpable tenderness there, There', no scalp abnormalities seen, His patellar reflexes are 2+ and his Achille's are symmetrical but not very marked on either side, Chest nnd heart are unremarkable and with his lungs being clear. A. Patient with hypertension, p, I put him on Tenormin bid now instead of q day, 12A, Patient with history of neck pain, He's been on physical therapy for quite a while and I recommended that he talk to tbe physir.nl th~rapigt about ellercises he can do at home, It sounds to me like things have improved and he's probably at the point where it's better to just go on and accept what he had there and not focus on thnt discomfort, I'm not planning to renew his physical therapy. He's seen thr neurologist at Hershey and there's no evidence of neurologic findings. Ite's back at work and I think some of this may be chronic, To focus on it further is not going to assist it, (RII:bh) Copy of Office Notes for 7/27/94 sent to USF& G as requested. Authorization on ftle (cr EXHIBIT I A '0.~.411 DATE N 1-31-94 4/5/94 3-24-94 C 4-11-94 C 4-22-94 .-25-94 5-16-94 ;-27-94 ~ .-, NAME B.D. IlALE, Ilonald E. 10-5-4ll PROGRESS NOTES T, Hr. Dalc nccdcd a rcqucst for physical thcrapy, Ilc is unablc to go to Eastcr Scals bccausc of conflicts witb work schedule, IIc wanted to know if he could go to the pbysical therapist association at Rynns over on Cumberland valley and King Street, I told him that would bc fine. lie was given a prcscription, (LC:nh) US Fidcli~ & Guaranty Co, request for records on injury of 2/18/94 to present sent to them along with copy of X-ray, & bills. Authorizntion on file. " (cr I , ,. a. 5. Donald ia here for recheck of his neck and back pain, he alao is complaining of a few days of sorc throat and congcstion, Hc reports that his neck pnin has been decreasing and is gl!tting some relief with hia physical therapy. O. Temp. 98.90. HENT is unremarkable, Neck, he is able to flcx forward 70 dcgrees, cxtend backwards 10 degrees, lateral flexion to the right, 10 degrees into the left, 20 degrees. Rotation, 45 degree a to the right and 40 degrees to the left. Lunga are clear, heart without murmur, A. Cervical strain, Mr. Dale condnuca to Dlake slow imjJrovement. P. 1 recommended that hc continue with his pbysical therapy an additional 4 weeka and followup nt that time for re~evaluation, A. Viral respiratory infection. P. Supportive therapy only with Tylenol for the fever and cough syrup as needed, (LC:jad) Ryan Physical Therapy Assoc, See report. Physical Therapy Assoc. of Chamb., lne, Marsha A, Lacy, PT. (ssb) Sec report, (sob) Copy of progress notes of 4/5/94 & bill sent to USF & G as requested. Authorization on file. (cr) A, S. Patient comes with pain persisting in bis neck, lie describes it from the right occiput down into his neck and straigbt down into his lower back, He eatergorieally repeatedly denies any pains in his arms, any weakness or numbness in his arms. This does bother him at work, when he leans over and does some work there, O. SP is 112/84. His chest scems to be doing well, Denies any chest pains. His lungs and hcart are unremarkable, lIis neck he can rotate about 45 degrees from straight abead, both directions, It seems to be about equal and he can cxrenn his np.ck only e little ways patt vertical but can flex it with his chin down to his chest. Tbere is mild tenderness on palpation of the trapezius but no deformity otberwise noted althougb he has some kypbosis, lie has intact reflexes in bis arms and intact sensation in bis botb arms including up to the deltoid area, lIis pensor grip seems to be equal in both hands. A, Patient with neck strain getting physical therapy. lie came bccause bc had called mc on Sunday and wantcd to go ahcad witb ecrvical collar which bad bccn suggcsted, p, 1 fitted bim in a largc scrpcntine typc collar. Recommcndcd that bc wear it during tbc day as much as possiblc and prcferably at work although he doesn't think bc is going to bc ablc to do that, 1 rcordercd somc physical thcrapy for him [or a month ann thcn told bim that probably would be as long as we could cxpcct, bcncfit to occur. 1 think it will havc to be an cnd point somewhcrc, lie is to let us know if thin[(s [(et worse, lie docs hnvc a follow up appointment. (HIlII:nh) Copy of progress notes & bill for 4-25-94 sent to U,S,F,& G, as requested, (cr) Appolntm,'nt Wltb Dr. Byrd, lIagerstowll lor Thurs.. Jun,' 2 at 9:45am. X-rays of 2-19-94 C-spine ~ L shoulder released lor patient to take to appointment (mabi ~'OR".Ot:l il""IIl ,'........., NAME B.D. llAl,E, llona ld E, 10-5-48 DATE # PROGRESS NOTES cont. However abduction is limited to 90 degrees, There is no specHic point cenderness but he has dLffuse muscle tenderness over the trapezius muscle, A, Soft tissue injury to the neck and shoulder, P. Patient wns sent for cervical spine and left sboulder x-ray. He will be notified if tbese are abnormal. lie is also put on some Lodine 300 mg, to take 3 times a day for 5 days. lie is to followup in 5 days for re-examination (LC:nh) 2-22-9 1. S, Donald was in an automobile accident on Friday, Apparently he was rearended wbile going to Harrisburg. Didn't go to tbe doctor immediately, Came down to see us, llr, Coda saw bim and on examination had some cervical spine tenderness. ordered a C spine film, Don said his headaches are getting worse and bis neck is more stiff. Thought he ought to come in and be checked lIad some pain going down into his left shoulder and his left arm, o. Patient has good range of motion of both arms. He bas normal reflexes bllaterally,' Good range of motion of the neck, Some shoulder girdle tender- ness. A. Shoulder girdle sprain, possible some cervical sprain note, C spine film shows old cervical spine disease. p, lncrease Lodine to 4 a day, Put him on Norflex 4 times a day and reassured him. Recommended lots of heat and range of motion exercises, (D811:nh) 2/21/94 T. DALE. Donald 9655 The patient's arm is still bothering him, he has a followup appointment here and I recommended that he keep that, if it gets worse, let us know. He wanted to know about taking his hypertenaive medicines with the pain medicine and that is fine. (RDH:ja( 3-7-94 T. I spoke to Donald1s wife who reported that he is having a lot of itching and deep pain in hia neck where he had the recent car accident. I told her that if there was nothing that was seen on the akin that he just needs to continue his medication for the muscle atrain. If she does see something on the skin, he can come in for evaluation, (LC:jmr) T. Donald is complaining of persistent neck and back pain, 1 recommended be call for a followup appointment for further evaluation, (LC:nh) '2-25-94 3-8-94 A. S, Donald is bere for re-evaluation of his neck and back pain, lie continues to complain of neck pain which is associated with a lot of diffuse itching of the scalp, 0, There is no scalp lesion, His range of motion is limited in his neck, lie has about 45 degrees rotation both to the right and the left, 30 degrees lateral flexion to the left and 20 degrees lateral flexion to the rigbt. 45 degrees anterior flexion and 20 degrees posterior extension, There is no tenderness over the spinous processes and no complaints of shooting pain down the arm. lIis back there is no tenderness over the spinous processes, he has full range of motion of the back and no pain on' straight let\ raise. Normal deep tendon reflexes, A, Cervical spine strain and low back strain. 1'. Patient was sent to physical therapy for evaluation and treatment, in addition he was told to continue his Lodine but Lhis was changed to 400 mg, twice a day, lie is also to fullow up in 2 weeks. (LC:nh) ~ ,-... \L4uollll} 2-19-94 A, s. Donald is here for evaluation o( his sore on neck and le(t shoulder that began yesterday after a motor vebiele accident. Tbe accident occurred up in the Carlisle area. lie was on interstate 81 and was hit (rom bebind by a truck pulling n trailer, lie remembers hitting the side or his head against the steering wheel and tben tbrowing it back n lot. Now he complains o( pain along the cervical s~ine and also in the left shoulder. O. Tbere is some mild tenderness along C4 and also along tbe paraspinn1 muscles of the neck. lIis left shoulder has good internal and external rotation, ~ PEN N STATE ~ ~ College of Medicine IIIIl University Hospital'Children's Hospital ... The Milton S. Hershey Medical Center P.O. BOX SSP HERSHEY, PENNSYLVANIA 17033 r.. Reuben Hess, MD 1964 Buchanan Trail East P.O. Box 04 Shady Grove, PA 17256 July 12, 1994 Dear Dr. Hess: ~ ~::r:S" MSHMC #627139 RE: DALE, Donald Thank you for allowing us to see Donald Dale in consultation in reference to his intermittent right shoulder pain. As you know, Mr. Dale is a 45-year-old, white male who sustained a motor vehicle accident on February 1B, 1994. He was not hospitalized at that time and did not lose consciousness or sustain anY open traumas. He has been complaining of intermittent cervical as well as occipital pain since that time. The pain radiates to the right shoulder and subsides spontaneously with rest. He also has experienced several episodes of right retroauricular hyperesthesias. There is no evidence of numbness, paresthesias, headaches, weakness, blurred vision, double vision, or vertigo. On neurological examination, mental status examination, memory, speech, and calculation were within normal limits. Cranial nerve examination was essentially intact. Motor and deep tendon reflexes were +2 throughout. Strength was 5/5 throughout. On cerebellar examination, finger/finger and hee1/shl n/knee maneuvers were within normal limits. Tandem gait was normal. Sensory examination was intact. In summary, Mr. Donald Dale is a 45-year-old, pleasant gentleman who sustained a motor vehicle accident in February of 1994 and has been complaining of right shoulder pain since that time. On neurological examination, there was no evidence of neurological impairment at this time. Cervical spine films obtained the day after the accident were unremarkable. No further neurological evaluation is warranted at this time. Recommendations are patient should be followed clinically and if symptoms persist, we will be glad to re-evaluate him at that time. Should you have any further questions regarding Mr. Dale, please feel free to contact us. Sincerely, r--- ??,;;1",~ ~~ ""1 '). Emilian Hekler, MD ,- " \( "... EH:RAR 0: 07/12/94 T: 07/13/94 10: 2879(llMED [QUAL OPPOAIUkrn,ArFlnaUnVE ACTION ("PLO't" ,.... ,""" RYAN PHYSICAL THERAPY ASSOCIATES 127 CUMBERLAND VALLEY AVENUE WAYNESBORO, PENNSYLVANIA 17268 TELEPHONE (717) 762.7711 ~-_.- STEPHEN D. RYAN, M.P.T. MASTER OF PHYSICAL THERAPY ROBIN MORRIS.SWOPE, P.T. PHYSICAL THERAPIST 911sS- Donald Dale Referring Physician: Dr. Louis Coda 03/24/94, Diagnosis: Cervical and Lumbar Strain, S: Patient is a 45 year old white male who reports he was involved in a motor vehicle accident on February 18, 1994 when a car rear ended his car on Route 81 North, Patient reports his car was rear ended by another which pushed his car into a tractor and trailer truck, Patient reports that he was wearing a seat belt although he sustained injuries to his neck and low back region, Patient reports pain in the posterior cervical spine region with irradiations of pain into the left upper trapezius and shoulder and occasional pain radiating into the right upper trapezius and right shoulder region. Patient reports also a infrequent of radiations of pain into the interscapular region as well. Patient reports pain across the low back region from L-3 to S-l spine, Patient rates his pain in his cervical spine to be an 8 on a scale of 0 to 10 and his low back pain to be a 6 on a scale of 0 to 10, Patient's occupation is working at Regency in the engraving department, Patient reports frequent headaches since his accident in February of 1994, Patient reports that this pain is limiting his life style and interfers with his activites at work. 0: X-rays not available. Neurovascular status is intact, Patient displays a forward head posture, kyphotic back, protracted shoulders and a head tilt to the left with patient in slight left side bending of the cervical spine with patient sitting, Cervical range of motion displ ays marked limitations wi th all motions including forward and backward bending, right and left side bending and right and left rotation with patient reporting increased pain symptomology with all motions, Patient is left hand dominate, Right and left upper extremity range of motion is equal and within normal limits, Trunk range of motion displays a moderate amount of movement with patient reporting increased pain symptomology in the low back with left side bending, Right and left lower extremity range of motion is within normal limits, Selective manual muscle testing of the bilateral upper and lower extremities are equal and within normal Umi ts. Deep tendon ref I exes are equal in the bilateral lower extremities for knee jerk and equal in the bilateral upper extremities for elbow jerk, Patient is point tender to palpation in the bilateral upper trapezii musculature, posterior cervical spine, and rhomboid region as well as the bilateral scalenes, ~ ,...... 0, ROBERT HESS, JR., M.D. DOUGLAS B, HESS, M.D. REUBEN D. HESS, M.D, LOUIS E. CODA, M.O, 1964 Duehlnan Trail Eat~ P.O. Do. D4 Sh.dy Ora.., P.nn.ylvtnla 17258 T.I.phon.: 587.7131 Ju ly I, 1994 Annette M, D. Mellott, PIP Adjuster United States fidelity and Guaranty Company 3211 North front St. lIarrisburg, PA 17110 RE: Donald E. Dale Birthdate: 10-5-46 Claim #: 2600-AL-263957-01-1 Dear Ms. Mellott: Thank you for the opportunity to return your questions on Donald Dale. Mr. Dale has had persistent neck and back pain, after bis accident in february, that has been exceedingly slow in resolving. After I saw him on April 20, 1994, I fitted him with a cervicle collar and recommended that he continue physical therapy for one further month. I felt to simply stop all interentions at this point wou ld not be wise. Donald fe It that he was improving and my hope has been that he is going to continue to see gradual improvement, At this point, Donald is now four month after his automobile accident and continues to have neck pain that is better, he has a clicking sensation in his neck and a funny feeling in his head that he is concerned about as well as some persistent back pain. It continues to be my hope that Donald is going to ultimately improve. I am uncertain as to why he hasn't made more improvement by this time and feel that we need an opinion of someone else and I have referred him to an neurologist. He will not be seeing Doctor Byrd, because he does not accept accident victims. lie presently has an appointment with Doctor 6rennan at Hershey Medical Center. Sincerely, ~!J)~ Reuben D, lIess, M,D, RDH:nh !' Y ~ :" f./ .. DR. PAUL. e. MILL.ER CHIROPRACTOR ::12<4 W. MAIN GTREET WAYNKBQORO,PA.1720B PHONe 7aa.:USI.3 Hay 13, 1997 Eizabetb A. Ontko, Esq, p, O. Box 60545 Harrisburg, PA 17106-0545 REI Donald Dale 2600-AL-263957-01-1 Dear Hs, Ontko: I can state with a reasonable degree of Cbiropractic certainty tbat Donald Dale's complaints are a result of the injury of 2/18/94. I would like to continue working witb bim for a period of nine montbs or more as I tbink with a reasonable degree of Chiropractic certainty I can give bim relief at times. Yours truly, :/ ^' 6.j.~c3 / ht-,,-/;.-~ ~~ ~ ,~ CR. PAUL. e. MIl-LEA CHlrlopnACTon aa.. W. MAIN 8ThEIn" WAVNEaOORO,PA.I73aa PHONE 70a.3a 1:1 Mny 2, 1997 Elisabetb A. Ontko, Esq, P. O. DOl< 60545 Hnrrisburg, PA 17106-0545 RE 1 Donald Dale 2600-AL-263957-01-1 Dear Ms. Ontko. Enclosed are copies of my latest notes on Donald Dale, His last visit was April 30, 1997. The left sacroiliac continues to burt, Pain is locnted at the joint and does not extend beyond. It has changed little, It does not interfere witb bis work, Tbe cervical spine is considerably improved the last several months, Formerly he bad continuous cervicooccipital pain. At presently hc has about two attacks weekly whicb are immediately relieved by tylenol,Neck rotation is about 75% on rigbt and is normal on left, Sometimes rotation is normal, Witb the lower back lateral bends are normal. With tbe straicbt leg raise test be experiences pain in tbe left sacroiliac wben eitber leg is raised to 90 degrees, In tbe last three months tbere haa been no cbange in his condition, TbereforeI would estimate witbin a reasonable degree of Chiropractic certainty that tbere will be little improvement hearafter. Diagnosis: 8/,7,00 847,3 98940 Cervical Strain/Sprain Sacroiliac strain/sprain. Manipulation, Treatmentl Yours truly, ~. '" \__,/--;;/71/3 ,fr~ ~ ,.-..., DR. PAUL. D. M1U.n:R CHI"O,""ACTOn ..... W. MAIN aTna:1fT WAVNK..ONO,PA.171.. . ""ON. 7a..:sa.. April 10, 1997 Ms. Tammy Snyder USF&G Co P. O. Box lBB Harrisburg, PA 17107 RE: Donald Dale 2600-AL-263957-01-1 Dn 02/J,~/97 Dear Ms. Snyder: Enclosed are copies of recent notes for Mr. Dalel Generally his cervico-occipital pain is improved, However he experienceda period of neck pain of greater frequency for about two weeks. He is again having painfree periods in the neck. I X-Rayed the neck. There is some flattening of cervical spine C1-C5. There is exostosis in the C5-C6 bodies in the anterior inferior. In the low back there is pain in the left Sacro- iliac with eome degree of stiffness. Lateral bends cause some discomfort in the left sacroiliac when bending left. In the straight Leg raise test the left sacroiliac has some light pain at ninety degrees. ~here has been little improvement the left sacroiliac recently. It doesn't affect his work. Diagnosis: Cervical strain/s~rain. Sacroiliac Strain/Sprain Treatment: Manipulation, B47.00 847.3 9B940, Yours truly, /~~ ,- ~ r" DA. PAUL.. D. MILL.ER CHIROPRACTOR alii.. W, MAIN eTAEI!:T' WAYNE8aoRO,PA. .7aao P"ON. ?ea.::u" a February 26, 1997 Mr. Timothy A. Shollenberger, Esq P, 0, Bolt 60545 Harrisburg, PA 17106-0545 REI Donald Dale 2600-AL-263957-01-1 D/A 2/28/94 Dear Mr, Sbollenbergerl Enclosed is copy of my notes on Mr, Dale for tbe date February 17, 1997, His cervical problem is about 90% improved, With a little more time I believe bis low back problem would improve, I bave not yet billed tbe insurance company for the January & February dates. Yours truly, . 6?lt1/~ ~ I !JD 1./("3> ., / q ? [P.A-9-r... &/),~'l-L."- ~R. PI) Q/! - /1 x P~(-' /1- e. C~<".:, oC......~_,.~ . /. - ,~., G--:> ~ > C '-t c:. ~ (..'J-C:-<:.J _._(.-<.,?...J....:.. C. '3<~/ ,t . 1<.. (' ~ ., ."t' ). L- (<-..(::.~ ' -0..1"""\ ....... -.J<. ) q ? 7 \ ! j l 1 :\~'t."'-r.(..C'c...I.'c:(/ (~T\,)!-C0 / 11'17 v'r.J) ~ ) , '\....:/' ~ . -,.-- .... Ct.-I"- [/-r1 /"'a-~ , ," /,i?1 (C) :;~0~~. .'fJl~ -r:1I )~U,p C?~ J2-'-1i-'f- )~~. t-' .) /2 ( r.... (I 9-6-f c? I - ~ ( U_}O---:- {'",J\ .II ~ ('2-"\, [ ~ C";:; '-c., <- 1- c. %-C;? VJ ", .) ,1} ~ ~ - -tCNt.... ' ftt-t P / / N _ . 'II? It{ 7 _ /IX p~..s 1"\ /VI - C. .setl'- C:3 c..~:::. (;so} .?' 'III ../17 . I.. 5 L' '-/, p({, ~ _'-9-;;'1'. c. "c't <::.", c:. '> ~ e ~) t?-r:'~~ \..'l ~_, ~ ch<.~_ ~~ '-11/ 0' I!. 1-1 ( c."-r:.--r:.. -,.t';::'-I_t'-e cr:4'l-1 2-{j'7 ~ 'f \....J 01 / ( ^d~' . (J ... ~ .;:, .,J-Qfre-;' .1I[J-f:P.e/>-0 '\k(.~....._.::- _ ----' ''11- /J r ~cbz..~( <.1,//"... ' "n- ~-.-'Lq .....ca...t_ "( I o,J c~ _~ rn.-C-I ,.<...f! ~-;j .h~-o-S- ptt. I- <-~oa ~_... . .~ ----1..(' Lf /2. :;/1 ~.h"-L6 ;~d:';;5 ~ ~" +/2/ _ .'. Uf--Y-~c7 --"'i~~--l,. lV-_,,-,- ,ft.. 0z~ ie"' /U.>......:._<;. 1J)~i, ) _ ~'5""f J C_ :.-;- C: ,(.. C. ~, L' ,- ~ ,1_<::.--<...-,.. (/ t2.---~ I' I~ tfl ~e,19? r~c~ &<-~(/ (J~L &"Le.~ C G {)-<J oP~>t-t.-I'(-" /k.e ~- d~4.0.~L ~ ~ 71J.'~b- .~-e<<9-n .~ c-'-~ 7 s%/ ,~ r:1~. u.:.~ , d€. v ~J/r ~?.........tz~.a..-e rJOJ./,........,f2.::, Ct"'-4. ~. -' ~.n.-<'r~ .-L~~ /'1-~..e... --J{L. (--e..~ <!"l:.L.e~ /P. . r 1&, ~~fr/- ,-9--ac.~ _ ~ C.u~ U tvvv'l ..-<'VI. '~r ~ I -Z /J . -P- t!J ~e.ft-'-"..;Z~,:<--~.. ("L~.~,oQ...e.,.",..e . .<, ~~I.- 9'0 , -oA'.r;:;t;~ . .z........~ 7;!,c..-c<-. ( <...." fi-~~r ;;J-e- " ' :.-e.......,g oiL (O~zv<:"J'""(.I".:1.A.:.Lt..d_oe_ . if' 0--1.-1.."............v-. ~r u .-D"1~C~.'~.A:~~:~- ~. IV ~ .1""1, I u if I>t G - ~cv0(- 2 ~""'-r' - ~1/~, ~-c- ~~ Cl-~ .' ~ , .~y~~ ~(/.Vl-t~ ..dA:?, C? ~ '"L-~ .4~~ ';{~t~ ~ ~~, n f9/))(J( LLv p~ 'S ' I{ j,-'.~f' A?Lrr: ~(, /T/" I ,.._. I.>(Ji / ?t ' c.X-e--f'1 - .A- J( P R. ~ "?'I -i';"'!f" .A ~ ~ ';" 4.P7-- Q3~ --f~ -I:rFf)C"7" "~Le<'Ljt:f""~ < . ~,.G.rl ~e?.,......p~~ C S c :s C.::>c :s~~) /z../1?!91. /;fo-o.:Q I~(l.::>orrc" ~oP" 1=>-/12.,. (?/~ :? ~ J...,:> -- <S-L--t......-, t'~ ~ a::;l .I- ~ P - c .>- c..',3 C.:>c. 3 (:j-,) 1&1 ~ :l..~::l r? -p \.g ?? : h ~ / oz/ 20 /q c.. d-t--o ~ V ~L 0').C0-'f Z <= ~.t:'~ i/~ 5g~~ ~ ~ G'c~ ~i;i t~f"/ - L S c. S C ",-CO ~($<0 Q ~ /~oI9r:. ~~)~ V?~, -i,..".-.. 'y ~ 6' G CS' c; 'fC:..3' QS-'~ ~o) IMen., ,~I?~~ ;?~,~ "~ j,"-<~' ~ <:..~c..Lf c.~ (t.fb) ~ ~ ~~ /~Clrp '7:7 I , 1i 11 ~ (U1\) ~ df!.A..'L<-cn:..fh '1 .~ ~~,.~ I ~~~: , (] . ." J ~,~ A... .k'rJ. ;"(f"+-....L 'kt ~ ~ '7't-n .. ~ n ~\ 'D'v..::t--. h..>:.....L"'- ~ ~ '~)'~"'-"-- '-::--~J 7~^ 1'>. ~~ . ~$~~~~QO'~'~ ~ r~~~~ -&-5.2-!r.iz.5(~ (..c.Jvt:: \ 1~ 1 2.-. / / 7 ( Li? _ . \/ -t . ~ "".1 l. t:_ < l:~ A.:+rt c.~~ r( 'lei) I~~,~ ?--~-~~ ~9.-J"\.'~(,A:'--"'t....~_ ~ t:::;l.). (). ' ',' '.,a.... I "t..t..tt....r !'L<. ...(..--;1 ...R- LA....t.-t.-La-W t-c.....s ~ ~/ . 'rf';~~' Q-JS?Ic.'-f' Io/.-e.. d2-f2-o_____."" '1-..: ."e.{~, ~.~~ '. : ~. A-~,--. "':': ".C~ ,*-,Q~ f L{' e (:/ \ _ ( ..-0 . ('J.. . ~ V )-- ....,.':::. \ f\./ ("ll"'J-? (.'- .":>.' c. _Cr <';' .'$ 0t- o) ~t 7' 315~/~7 .l'{. f---{'-o 13> C~~_ /T c: e _ d _7 () -? , . j) c<l,{:;;.;z,Yl-k.-t.( ............0;;..(:'-<::.""''- r;i;:~, ~.-O . I...~ I.. ".'0 (:2.... .v,-, _ A L' ,,--'-tf-1. ,. 0 1 oJ r '.. e:.~c......e-r..-<,....." ... ".-"'1 .......r~.c....vVl.,.._~ I"oJ. ~~ t ......c..." l.(,....o' .", ........ .- ~ ......... (. ... ," . r I . ~ C. .5 - ( c)- c :3' (~ " ) -. r ~_,,\... . .3 1/'0/ '7 )>. (."(f P .I. _ f(...p:I. [i) (i.~.......__ G C. LJ.C-=3( "-/0) /1. ( Ii ('"~ /J c.." P _"'"7 /~ 5' II q / en .J,,-<~ 'f'~"J'.. )!'';=~0, ~~"<-, "~.'( , )~1 ..e..,i.?.Ci~1- ./&'-L<.,. (,,,,,--'}_ t:?J-C-j ~'~...~ c~ f;"c. ~ c-:, C Y-I) ) J . J / 2,W 97 r.;"'AJj --r;'a.~ .c.~ )A?~<- (i~~ 6H-.gR~, . -~ o.i?(....l.."t.ct. J,/...." .K';'''''' '." /' (j::> . .;, \ 'J' '1 T I -'-..- ,/ - IJ- r ....'-IoI.'c..~ t?-Z-Lt _.) /1.~ h./.....,.......d..(t" ,~ 'IT- !..l.V' cJ-c... . . I --'1~.,.- L:'$(o!...[.. oj) y. ...."-, ) J-..J-p-"I- /f.. ~l.t(.:rt:'? JJ-(....... ) c)1?-tLI..'~ .f.;,-{? _,..........--.. /r-x p ~ $".., /v-r;n- ~ (- ,1--.::-_ (t..-Le e~(j-. df2..~'/- .:...Sl-.....f. c...:-:: Cl(-C.~ .}/t!.$"(() OJ ...... '. I\.' I .1 I . . " ..:" I ..' I' .., .. I " I ".I'--'[."..J . . . . . " '~. iI .. _,." t.7<::..~ ~~ <: s..:;,.."" ('..$~c> <::: <:OWl::>:,. ...s,.. r-r r,V <:::;::::, (ft-(? (\:~ A r--, DR. PAUL B. MILLER CHIROPRACTOR =0101 W. MAIN IITRIrEl WAYNEeaORO, pA. 172GB PUONC 7aa.:USI3 November 26, 1996 Timothy A, Shollenberger, Esq, p, 0, BolC 60545 Harrisburg, PA 17106-0545 REI Donald Dale D/A 2/18/94 #2600A1263957011 Dear Mr, Shollenberger: Enclosed are copies of my current notes to tbe insurer, as well as my personal notes on the CBse. Tbis ellplains tbe situation, I see him bi-weekly. There seems to be a tapering off of the cervico- occipital pain, Yours truly, d rt4~3/~-"'-~~ . . () ;.I...i..,.. l .. " :--L':aJ lo...,......L-?K. '--"' ....-~n I\-, ~ .. /1-1"'1 r ~ (,.. J"~t.. 2 ,,(J.M-P - ~, o-c-c.... CF' ~ . C<-J~/~'~''l~.), ,,j'-" c/fr- eo--c~"'-V> ~&"M-<~ .d L-: . i) d 1"'\ :L....J.,.'\./{.."1 ./.t~ ;f..'~t"L:t' (Vli? .:.!(. i't.z td...e-y ___~ , ,(9-(i.(J (:J (' , /fX P ~ s ., /( j,-~\? ,_~ L:'0 / "i'J 1/ ?c. icYt..R._J) I - /f- J( F' R ~ -- /1. -[...7S-"!'" fl '" ~ /":'j.'lv'- c/3(,....r:.-Ct- cPC1-~ ~"'--1,' ~ C" '-- '( )<-..e..C-:, ~'-( "-<:'''(7.../'-<:.9-v~ C SC S C:;)C:::;~~) 1C."/1?/9.1. /;/-o-o-J2.. 1':>.,( /S-.,.{c" ~O~, J~/JL-. (r!I.'--'~ :.? (t'/i:-,!V, .L,.> "- U!~1 C; '-'<:- <;6'~ /.... ~. j.->'.- C .J- C-",3 C.:>c.. '3 (fJ / ;,.y ?~'/rl G. d-t-o ~.-4 (? ~'"' ~ ~ 2: ~a..'?I-::; ;/::!.t'L?'?"'Lu. ~ (if'~ IvD.-c..e't<'( - c.. s c S C. S- C' .3(7' 0 /~b(9",;-'~o ~_)~ 0'~, , If; f~7 ;~~;;~ .C;, V?' ~e '~" co ~'-~ Q~~ I'-" I, . ~ \J {;I.VYL cJ...... ...., :? l-t...~' .~ ,,1 _ . . 7.,L...1'A....(- s,. 'V ~ .~ ~ c~;:, ( ~Ib ) h...L,,-,,~ ~ ......L-~ ~ p, ,/, Y:? 1 , t/t 11 ~ 'T;'<F< ~ Je..v~ 1 ~ "<.,~--...\, ,~ n. ").0 '-"-... ~>L...... t'", )!...o-y l"~1 ""';."" 'kt ~ '.r ".l.LJ\.. ~'nA..,-, , ~ , (f ')I-j) h..., II ...-<> .~..:.:!h.,~ L..'v...:t_ h.......t-. ~~ '-IL.... .........",loI. ~ '<;V,'ll '--...J ~ J f;,'f .~t.?ti~('c.(c.e ~ .,{;?..e-.<-",; 1B-:}:~~~' ,efi:rWd..I! .~(k:c..Q L~1 ~~ :.~. :.."if'"' ";5;:[;, cr~ :;t'-iv v ('........~....g G&.........l<. ;;5l;lc,'" -;It.." )t~';j:.,-,,--...r.tr1-<..r-- U t';J.c:'..~CC'/'d;t.-, L~!::--lA_.A. (.t. . ..~c-t.., <J {'&-t.~, _ _... .____. , . . I I L '- i '/;' / .j. . ~'l~' ~l.., .., \.. I." - .J""., . . 'l;, ...... . -. I ~J /? ,...-.. ( """"") .Q )~ C-o-c VVC:-'u",. l-e~ / f. L.l' ;J1" ~_~t'/.c...I'-"L4"-.>- , / / Ii c/ 7 , / \ /) ., '1.~, ~ ' ' 'J K ? f::;:;!:' h..~ ':" Ale: rtc.,t! CA(_J2<./ CL oJ.!-(-c- '--"--....1 /- r ' --"'" . .__.__..J. " /,,17-1/ ~? if' ):-0 e..9--)~~ ,IgeJ2 (Y/-, .d.~ ~~L ~ c>q~3"(~I!)tfc~ ,'--:.. , 't:c(? ,,~~.~ (c...~~.- .._~c-f-<.) ~~ ~~ vn Jh;.u; /T2-(.-c.t2o ,- H ~ ~ 9o~. I /?-. 2--11' 7 ~~ f'~, 1}Qf'l. ' - c:? c':f-c3( ~ ~ "!27[ ~.~ J,?~Q 1/2.3: """? ~d!7 Lv-c;ct{.)~ <j ""L.1-~ C 5~/f C-.:J C:ft) ~ (~ R. _ &t~ f? 1_ . II' 1 I~ - ..b~C"--c:v... 'J-M... ~ ~ .4 ;.~ '1' .. '--C:'vV\ LP.....~ () . \ d/7") )l.-o ..Q...-~ --~~ 0--v<2...-VP" L! /2.. 7 ' - t.. ~~~~;Jf) .~ V'R - ~~ ~ zll>fc'J7 ~FR.-. c::s~*::s ?. I (tl (CJ ?, c.. :>-L.'t c... '$ ~!:.~'0 v1,Q /vU-c:'P ~/- ~3 e!J-~, ~ ~ (\ DR. PAUL. B. MIL.LER CtllnOpnACTOn 224 W ""AIN GrAter WAYNI:Onono. PA 172OfHDU3 Pumu; 7ft;l'3!513 November 26, 1996 Hs, Tammy Snyder USF&G Co p, 0, Dox 188 IInrrisburB, PA 17107 REI Donald Dale 2600-AL-263957-01-1 D/A 2/28/94 Dear Hs, Snyder, Enclosed are copies of office notes to date, lie has periodic.!: attacks of low back pain, witb not as much severity as before, lie had problems Idth his head "droppinB" involumtarily. This is no 10nBer a problem. lie has experienced cervico-occipital henrlaches almost daily that arc relieved by tylenol, At his last visit on November 19, he rcporteu fewer headaches. " I will continues to concentrate on the neck & head discomfort, At present I am seeinB him bi-weekly. 1./1'-''''''' 7/f-v>~7 .. 'J' ,oJ /,.:,_, /~.l7A~~~ ('O(vf.( (jJ, ( '--1 ~ 11111'1""11 .11 ,. "10'. J'ILI ,......, IU~ $15.00 15.00 15,00 15,00 15,00 15.00 15.00 15,00 15.00 15,00 15,00 '$ ---rs-;o o. 15,00 15,00 --n-;o 0' 15 .00 ------ $240.00 ~ . ., ... ,.,., .. ..."'....1--...1~. ~~'. , '\ . ~' " - ,,", . . DR. PAUl. O. MILLER CUlnO""ACIOIt 2201 W MAIN SI WAVN[5nOJlO, fI^ ,"/znU.15UJ SSII 173-03-2981 Nov. 26 Mr, Donald Dale /,3/, Ridce Ave Wnynesboro, PA 17268 IJ/A.2/28/94 Trontmentl A2000, Manipulation. ni,l pnUH::.bIUNAL 6LnVICI~5: 6/5/96 847,3 Sacro-ilinc strain/sprain 6/19/96 847,00 Cerv.Occ, strain/sprain 6/26/96 847,3 L.S. 7/3/96 847,00 CervicoOccipital 7/24/96 847,00 " 8/7/96 847.00 " 8/14/96 847,00 " 8/21/96 847,00 " 8/28/96 847.00 " 9/4/96 847,00 " 9/10/96 847,00 " 9/24/96 847,00 " 10/8/96 847.00 " 10/22/96 847,00 " lL/5/96 B/,7 . OO'""O/,IVO:O "^V/olLNI 11/19/96 8/17,00 , (: ( I '/ "'C \ C 1,,' t '-.";' "'-.. /, I .l ,.-"'-1- '- ..-. ~_.~ -:. r'\ '.L.i ~ /2J~' ,[)-PJP/.. ~~l 'J-IJI,JCI(, j~ __y, h.-z-~ v.;q I' ~ ~ L~~-/~:::>-t-<'.l ~ h~.....4 vI e..<--V;:.5 C t.f C j-c. <f L3a.) I$l..f p -- '-.. c:..Y /~f(2- ,/+ c ~ , rS:Lc:u..., ~:-j/L(./c)G (!l.......VV~ a.:>~\?r~ ~ (f' / I l~ /' _ 'y-~ ~/7 rC-td ~. /tc,..:...->Z c ~ .... - r- K~~ c-~ /.1l-r P " (i!'- - y_)~_-., r:n L $(-r:s ~. / /. / I -:-cf,l...a- 6. c/2e~ ~ ~-, ? II v I ?.6 L.-Q...I.....j ~~.V' -f1'''::.-u- '~ ?" "'" - ,- - G.- . (j (.' /..) .....{ .-.:......., )A.--t:'-r C<'~ . . '--::-<-.-o'.,h ; ....C-.,.:'o.::.. ..rJ. {)-(..<'_ .- fro: ,-(--,~..,. ~ (,.. 0 ."' h-~'..l..l. ,_ , ,Ii-., ,< i( 'J~L'--'>.l.... (} E.. lY~'-"'- ...1 ><1~7 (~ ~. (:/? ~ . ,..- . - " / -2 /.1 I -, . .' / I ., Li (, )--1-("7-7 ,..(;"'''--A<..,.. --,"-(~<....--J-..=.nQe... ;? ~ /1- x r I'~ ~ '- I~-S l~ - Ii- ~ 0-t-r-,...-, - '(=' .{9--I--IJ tPl, c_ '3 ' 161-,;;8'r,"i~, cJ1~ [;:..,,,, ~C>-~ il..~ c~~ ( -J~..--' _ .~~yt /~~.t:t._ n......d. -"( '.../1 -..- I -~ Jc'L. ~~...,_ h-t_~..::.~-----..::..j)." o-~ ~ '''-~CL-.~~i~~1 ITX rr f?5:, - ;i-s ~ - t<J e ~~ ~?P/(- C~ ~.. .' S I of L~19L. (2:::fr, VLC~ ',1' ...f.&.aU \ ./tx.~,. fts Rf- III . ,. 2~~~ ,iJ)~ P/~ ::E(j:'_ ~ ~.~!~ .'1 /s;-! 9{, 1.. ';c> .a:~ A...d-o~~ -t~~ /1-x~ ~ (t.s R1 :lo:H ,rl' ,,~~-,. ~ . \ /""S v:: . ~ 3 ~ e II/I 9/ 9~ ~I-c.''-L<-. I'f-c-r:.-c-Q,c'-C.-/u-<) \ '/U?--r-'- Q~.\ ~ i ,Jr'6-f' (' f - t1-r"-.q- ((.$ .-. A.-,> r....' , ('-' C') 1.,1. L ~{ k.,~ Ce, r< 9f'.{.' o -- . b/S/9? ).,.s c?tL.~ (i2A-'~~t:.-<-> r~~ \ te;r (.,~eAA-O-(" ~~ /\}-1f.-P P (-. /~ c,. ~ t/11/9[;;. e.....,P" rL.<. <:?~, ~~ \:1"","1.:"" \jJ Ci.~ /;\rA.e-~ /J1~ g~ ( f~~l (\ (-1-x' ar. (/, lSd. -r~ .. I I I I " i , c. -;; c:. '-f- ~ {,j 2r./9,1; ./..9,;-(" (JI-- (0"1 (Z.-.("J.x(l~, CS-c.C/-C~ .4..~ln-t..-<- A t'>;1..f"'o G tl-e-&.., (? ~ I ~h~ A-:Z'"...... fJ c. 'F' C 5" c:. >'- ~ I ~ . _ ? (..:; I tJ.C:.r J CL'):),- e-L~~'-t..~ ....::;, ,_ (}l..C~-:l..' 'r.--.:) (]7CI.-~I"1 ( / 1--<.<......... \Of 27 0/- . /J t..{J!r.>~ I, ~~ '" '? . -<-<-t ,t!(t:~;.'7' 7~ t.l/ ~ ('i...-e"7..-<-<:'~C::(?.7 )'7". r....-, /' /.Iv, - [) I .. . . ~ ~'~t:'" l:c C ' .. /' . ..~) '--t, 7'..-z.p-~_'!-: , 7 /? 'I. ( q {, '. (l.U ';_ -' ...) ,;t.-..I.... L..,..s . t:.'-e..-,!I.? .~) ,"{.'o-c..u-.. tJ,,- n CJ:::> ' .;? C.'-L 3 '7"-... . !J. -'" ~ '\I ~ I ,r c. (.... ~ '-'-7" L...-L f) j-JL.c..<..,-~:c. 1 ._~ '::~-t:~\~.. /J (I", e:.. ~(~EL""'<'--tv'c..-. \ () t~~r- r r- L...... '"'-;J ..,.Q... ~~ ' "'" t, -3 0 j~~ "'n.~~ ~ /~~( l? I, ~~~~ d.,.. _ --.J ~ r r@ /7{c/ ) r>. /.i_,-, A n ~~,~ '"~ /J n , '( l-., (y-"~'\/I '~-c, ("2 . ',,,,, .'L-f-. ..I , ~ ILl.. -,. .0' J C<-L.Lc ~ ~, rL'"@ ~ ~ ~ -e'I:"<-~""'"L..t., G -, ....~C"'"2-r-3 ~--::- . ~Q-t''-f'PI_.. <-<-;e _;;; ~~~ ~'n., ~ ~r It, I~ q \. r r 1-): {y , ~-<--r- J...i-~ .~ ~ g /1</ I q;; A- $" &-i.e.. p \ C S y...-3 e;." j /f<,:,t':... ':-' " ' ( ( 9: f 2-/ ? l. LL;'" '1',~~ '7 ~ J, tf::::I.......(.7' "'::> ~ 3 on-y~~ ~~ ~I\. . C?c"''rL-'f Ll........~fi.. (,I'.. ~ ~ tt>-K 7Le "\ 1 '-<. ~ ,'t.l~t'-C...::c;. 'c'-~~f-;;. t.: ~ ~-.-C, .L"''1..t.''rj.C! V r..............,.... 1..-t.Y.~ '..P''-<-;1 " 0'-0 L.'c......~<.-t_l' ___ ~V t-;>-'-C>:>~ ~ ~~,) .,... ~() PI.. f1 >- P-... ~ {\ on. PAUL a. MILLE.R CHIROPRACTOR ;ZOZA W MAIN STRCET WAYNI:SUOnO, PA l7adll PIlOJ'ol1l 7not':S~13 August 2, 1996 Mr. Timotby Shollenberger, Esq p, 0, Box 60545 Harrisburg, PA 17106-0545 RE I Donald Dale D/A 2/18/94 Dear Mr, Shollenberger I In view of tbe fact tbat Mr. Dale reported no symptoms before tbe accident and tbat be felt pain and loss of motionfollowing tbe accident, it is my opinion witbin a reasonable degree of Cbiropractic certainty, that tbe accident of February 18, 1994 is the cause of bis present discomfort, I would, witbin a reasonable degree of Cbiropractic certainty, estimate that treatment for anotber year by Cbiropractic is needed to reacb an asymptomatic condition, Tbis would require bi-weekly visits, Hben be is asymptomatic I will lift all restrictions. Yours truly, , /-1~~//;g;~"c-C::-/~ It':' c . "'" t." DR. PAUl. B. MIl.LER CHIROP"ACTOR 224 W MAIN 6H'lE&T WAYNCSP0!10, PA 17.2nIH,",Q.1 PHONE 7na'3!J13 July 11, 1996 REI Donald Dale D/A 2/18/94 Diagnosisl 847.00 847.3 A2000, Cervical Strain/Sprain Sacroiliac Strain/Sprain Manipulation Treatment Mr. Dale first came to tbis office on June 12, 1995.. He complained of constant neck pain and "clicking" wbicb increased with rotation. I reviewed cervical X-Rays from Wayneaboro Hospital, Tbere is flattening of neck from C2 to CS,ratber than the normal anterior curve. It is impossible to determine whether this existed before the injury, Examination of neck showed tigbtness & limited movement of neck in flexion & extension as well as, in Lateral flexion, A copy of my report on lumbar X-Rays is included, Mr, Dale bas never been this office before for a neck or back problem. He states tbat he was completely free of any symptoms before the accident, Patient states that his car was struck from behind by by a Jeep pulling a U-Haul. Immediately he felt the pain & "clicking" in his neck, That same evening be felt low back pain. He has worked for Regency Tbermographers, Waynesboro, for 29 years, His job consists of sitting at a desk and cutting wedding invitations, lie lifts paper to put it in macbine, This is an overhead movement & he is required to reacb over head. He says tbat the paper weighs ten pounds or less, He states tbat he has bad no adverse reaction to this work either before or after ths accident, . t""'\ DR. PAUL 13. MILLER CHlnopnACTon aOl:" W MAIN BTAttT WA'f'Ntanono, PA 17""UHeu3 Puo,... 7nil;'3nIJ July II, 1996 REI Donald Dale Hr, Dale continued treatment in tbis office from June 12 , 1995 until 9/5/95, He diacontinued until November 8, 1995. During that two montb period he was asymptomatic. He returned November 8, 1995 complaining tbat his low backwas hurting again, Tbe neck was improved. Hr, Dale bas n lot IB3x200. Wben be mows it witb a pusb mower it irritates bis back. At present he still bas neck discomfort, but of a less severe degree. Headacbes in cervico-occipital area about twice weekly, whicb last about 15 minutes. Relieved by tylenol. He bas periodic low back pain. Wben it hurta, he says the pain is about tbe same intensity as a year ago. At present I will see in three weeks~ Treatment includes manipulation of pelvis for low back & manipulation of cervical spine for tbe neck, Witbin a reasonable degree of Cbiropractic certainty I am confidant tbat tbe problem can be corrected. This is my opinion from past experience. As for bis present job tbere is no disability. I have advised him to refrain from lifting more than 15 pounds nnd avoid ellcessive bending, lJ6#f%:7,.h~'-(~$--~ ~o ," j- .....' \ I o. , ";,1' o \, t/-VU.~'L ....- (0J~r--. /19 (; / .z-' <, r..>_ . cu (. v-et.-&., . ~.k~1 J>::<<....... '7 ' U/l.- !1:~.u ;;. Jr~t; 11~111/? o~v::::- ~ r't~.v<---. c-v'f L-Vt' '-'--rf:!_vuv' ~o? 1/'~ fla~ i3~~ . . . t-<-C"'-c...-- 1~""""'1.-L-C ') \ (~f~c;~t-~' ..J.;.-- : ~//__ ({,'\.'-- ,..A..(Q,(.A......-<-- , (.~/t'-l:'-'~VG: '-ru~" L ~r' .fJ-( {:'f - I~ c:.. ~I..- J.Y(jJJ!"'/ ... -( -;J>:-('-{- .r-':; C-~ .J ';YL.v-t-/t?c. _C~ ?G9-(!~, ~ C/Yt..i!.4;). /~t?l/o--' II 7 ' f}'1 L..,. /) (j cYLt-C--&.., I Y L--V Ol::....&;; ~ J ~::12119b 1C--t.~L.....h,-.(/ d---tc:..~;..-:r:..q 1/ .-Q..;(".~~ -1J '8 "~'1 ~ I, 0 .~. / ~ \" ~ {<:'c'C'--<1--u-'::"(''?,;>(,dr C1-4'ul!-r:-r.<~ 11' II ",-",..." -.......-.. 4y:- -/-/<(1 7.t~!....9- _e-<~--;, r~~'l.k_'Y 'If..r-fr' a.-vc.. ~c.t4 (" ,.., (( (1\ ,If, - C 5C'I' C3 .- /iJ..f-t P II tI <! ~ '-\.. .c~ I ~ / z,/~j,-(.s )-](-<-~-<4~ (.,C~.t-~ .",--), ~ I . '. .\ . J :r(( '-1;.<' c(, '-J ." . ~ J /"- . /i ~ .[':'1fo .~CU.,~'-- .tip;- /U~Lv/" ,/ 't."t,;~~f ~., V' (.) , r-' ">.t.. d" I . . I ...... ,..., ,/ .P'.... t'.:, ~ '~~LIJ" l'''l' ,.(---:-.c!,'.:.,,;<...c.._ c '--'~;' L--i.l'-IJL(-t<---L ~ /0 , , 'C"-' it' .L'-,..l,.-,).'.~ Ct ,. I, (.) -J S . ' , Y II f!.-< t' L'"::f- lM-L-~ )1...'-C.t..'L "'L.:t:..{j L .<'- ";7 -~-'-<-<-- / , ., I .& 0<-1 V 'J;. --:..- ..: -/ ').C,C1 c.~<,,"-<--<..~,-V :.<....;r- /L.&-<:--...t ct.Q., ~ l hL..-t:. f1 X' (Dt- C s.. J.J-r:.-e -p ( f l ,.....i. i \..c.:'- I "i'j ':::,- ~____':, '( -;.-/<..~....t,;:/. . "......" 1 .' ~~~(."'--1vlj!;n:"~ 'q" ~ --- i ! !i ! , I I ,. / >1/ 3 It! .)~. /. ?. tJ~ I .....Lc~N'.....;.... ~(..-~ (....--,., '--'1-" . 'E.L- C<..-<--....d <L. l. ,.- V _4.'" --- /J..-:c- ...t:'o-v'v" c:'-'f}"; 4XvL+-, c:. >-c.; l"'C~ - /c;.r7' . / ,'}Il_r.!/C?:.:.: .., < ",,'-..........-- (iLl;. ~".,-,-. ) ~I Ih. -, .,,-,.- ., ,-;I. I -..2.. C1 C-" i!-1,'L'(.,I..-, I/":-;;;i- r(...~t.c---.r c' '-1(<-<-0-.... ll-A../.tJ .........L., .' -- I f..;'ff-. .-J;?:, ,.L'7 /4:, I. ~ /~'l,.~ 0 ~ p..J"-- ~ 0 ~ ~'Cf,o 1-<--<-.,4::-,<;,<..:",,<.2,. --Z;. &'4 ~-t.e...t.(.r. ~t- _ .~ .. , I ,..-p--..".,. , c.e~~. vt,;~~'0:J ~''''1-1 ~--='~-e:-~ ~f<...A-. . I.... .~. ,0~ ~:-"-?-,;1 )'Lt;<-1"--- '1-. t-p-?C_ " ;C'kl ~ 1:>( .2. II 'I ~~ )'.....,;-; .aA"~~r-- rc~....l. .t:e.r~- )7-<:"'-':;"'t1c.x,' )n.e-...t2~ ~ .~~ ,- ~ .Lr;' ,..,..,c'.. . .,..:.... ~ ~-:"""""--.~."'"~"'~" .... . -~.. '~"". ' ,.. ..' . \ . / ,..'T/7.-'-c''''''(. c'\ f\.7-i.i.L-._ / y~. \ " .}.. ~ /..'>",:,~", , ..~ s- (( ,5( CI ::) {<rc-c: I ~ 'J t..G-~/ P/ L .:~-r~1 [)It,'f cC.:!. - c. SC:-.y <::" ;'/2 I I c, ..r pp ')-;n.,,~d. ......6t-~C. /I""'e_~- C'J /1' iJ " ,..J oS I.><J . " <-- ,,_ '~7 C7"-3( >>--UiP{~L-~P/~ 7 ~ 0/ r -s (~>~ . 8 rei f/I --:/.'" ('c.:: Iii c C fI ~ ~-0;>~ I ? ;. "//' ... (;"/., ,;A- ~ t.,~c..v.: ~//"..cs...:-I-n v c~ ~ /I~c...e /l~{-c.::e:-~ . "'/ I . .. 'J ~ ~ I'~ hk--Il tV-'G.-.::..CL-) J /'ry,AU~ c; l.~1i-'~ J.-. ,?, /r(rl_'-cJ,1; I . f)t-e P ( if-K.(1 ,-,s /!-JC t- c."'3 : ~j~/?~~ . , " . /;v"'~ ~~~ ' ,j, s G( et:JvYL- ~A.~-.-tI ,J. II / 'rsl'1::J p'" l) tJ, nrc-~'2,A.....l~" I _r:L-Ll-rc.~C.LL--C'_I't---r ~ '/. IJ-C:-P fr ~ ,r:; K. LS.':, I- K~, .~ )1/;' ~....')('/).- L (, A -:;--, '~~"') 4. II~ ( , ,.), ~ I'll fC!I'Q.-c.~ ~ V- .rrJG/Vy ,c..s-c~ /Ji-tP/. ~_~..~ ~_---.. C' . '" 1/1/.:dCZ'S' ~ f?j.- ~tP.7~ .;J:~y-tJ'?' /f ~h.., AK f'R" s:;:.- {~-"C,. (lf~ C;. ~<=-.. -:s. 1/1 /':;'(9 _C L. ,s ~.a.p ,~~ ).~~ ~,' "-'VL<..-Q. .(~ ...f. -. t-t.-,-,-t-4 ~~\ l,:~ '~~f--~..z.c~ &~, If) f-:( P 1- l-op\ ~(f- (-f.A":Pt<.S'- c.~~ (1/2.i/th' hL..~; ~&.:..~-'--- ff~r/- LOoT;? _ C.0f'- C '3 - ;1e. ~ ---- II / 7:..7!~(:-.i" 8~e /-Lb:r- t(c:.~~o;,,,, ~'~'l.J-'--(f,2..F c>-e.t-L~ /i~ II !-2 'I/'l-:J~ 19-1-/ (J I L. :~:> ~ A c. t:.., c.~-3 :.' \...-' L - t '--C~~-\:. j~+-Cl.'~ L. \\~ ~ ' I~(~ C c..6-~,t-Lc..... '(.,//./.-/'1~' ISL '.- j': ).z.,..1-c-& /I..Lrl./../"":" '.L-\E)o,e , ,. " " '-P~ () '7~~L. " f~1 .' ,,/0 I (ll.,"-0-C....yLoL....'-;-1 . 0') I'-l... ~e'L ~L ( _~ .'.....''-ll" I ./~ t~..e... '.. \, ~ "-- , ().? J...c'.'.::~....(j.~~....L-c....( )' c'-<-~ \ . A I 5", r.?c........:-.. ~:. __ 0cZ.c-;.-e-t?_..-c.Y/-. (~_ I ~ -?tf j . ..~:r.' A," C'''-r;;r' If')( (L't-. ,~'-,~-c - ~ I' ,., . C" ? ('.3-~) ....., ,0>'c '~ - c..':'t:V - J ? h /7 ,,- {1- >< {L1,- ~ ~:f !I-e-., ~ r:?.......~ ~J..-~'\o~ . ,I U ~L--ll ,-' J I ...>(, ,-:-': .~-/~\.... (1)-(-"' '([- ~d' G z:. Iy.s.-: IL~"..p p (_ ~ 5:' C.::, 19/ ?-(2:5 {e;,..:::,. tr'><"'(/.hdf'\ ", (') ,/ . . r~ rJ --. c:. sc.r:-_ L..5iFi. 1,-/-",8 r <],,- r<7'" "'-1' A-~f" R ;~ 81f'1'.FI- J., -p ,c, <:: S 7/1 . /9,.i- . 2 .' ';:""/~' <lLP, ~t.."~'-G-lJ,- ~f<- .-ri..Ci..f!P tCvvvY/ y ~c~. /'1-x.: L. 7J fL.+; L... ~ V D, i!)-ec: PI _ It ~ClL..t-;-~ 7 /; ~ 19 ~- AS \ }-~/!~ ~ I J-t-ci-~ ~ L~~~'~ ~ ~-?'t ,A-~PR ~ c..y ~_, ~PI ?/2f I 'i .J, ~....,#P / - .4-Xf'R ~ (l? c. ~. ;1 ~ ~ . C ., r--C~(/0(. 7/31/f5 . ,/-.'5 '\Y~ 2. /~r) )-~(7~ ~~ /!.~.::.-4-..:.:e',::-<';?-(" c:: ~(' ~ (J, X P f\ S _ r<I ~ /2l ___ ;\- l.{.-f/ V I ;:5/7 (}r [ji'.1! P ( :Z.d; &c-..'p? 0 c ~~ C _5 C J(jv (\ Q. r"l", .;1 '-' _ ' DR PAUL 0 MILLER CHlnO""ACTon 224 W "1AIN STREET W....yNl!!:SUono. ,.11. l1ZaQ ./\/ t;-J'LCJ~~e !".)r;:.LC-., r< 9p~ II.:.~/o/-,. ) ..:. 'J.'I. . 'c:.-<..-> '-LfJ.....:::t.JA.::..llc-....j tv ~ ('tv- ' ./ 'tLOO'L_(02.A.A'::.. . (f :.t::Je .. f...~ {,:V~~ ON-- ~ . .~ '} - Ay..-t~l P (_. ..AI c.. ~ 1./11/9? (.--;-v'" 0-'-<:. (j'"~, ~~ \.j'.r-t:..\ (~)(v5T' t-'vLe..~ l)t-t gr:7 ( ~~I (\ (<1--X dtr. c.. ~ c. '-f-c..:;s fl- ~ ~ b /2 (; /?,6 L~:-t fI / -~ ro ';.1'/ rz..... f<) X(l~, C S- c.<,L-c ~ ....d-lT1-~ :t; l:>-).r-.r-- G a-e-&.., (? ~Yt.- ) , ~~ fJ c.. ~ C:~-c..f ? (..$ (~ rp c7)~ ~l..tJ-~.- Lk~"~: ~1 (]7a..~' l h.-<..c...'- \Of:? 7 ~ 01-- ~ ?a"-itt.{'?:>3-~ ~ ~C2( ~...~ /}p",.. . I .... '- T-tX:t.. , {f"-""", <--(....~c~~;}. )...;-Lc.-e!r::.{/ p~ t) ~ / . ~ ~~~~ \ t', ...... ..... ~.. . ,j ,I) \ I ;..."'.l...." t..\. ,..... ,. l.../ ~ . .. , t (U. I). Itl'it., V-C-L~ 1"'"\ ..) ...; /.:. '." . . c-u t-V-i!.-Lt!V ~~J;'7i' . ( I I'f")' " \"VL.'c---i--' ~ t1.~. ,.y P. Aft- I :;2. L' 't(- . L- . ~ r{;'<.-Nt./-' (.......1' f...-Y/tC. ,-".j~f!_~H-}vV>'-~~. ~ I-"i~ ~ re-. . .. .CAA:'-':'- l~ /J. <,J-,:~e--"";' ,,t,J'f' ,,,,,- '-tV<>-~1 ....0 (V(:-:(.'-~V / _ <-jJ, A-~( /- / I~~ h-yy~ ;:j;..t-.-!!.I-,I ~((L}~:--c.....:> C-~ .J )'UJ-z;..-t{ _.,~ ?~, ~ ~1 ~f- I.. " ' t?'1 \". !), _ (j c..S--C.t...........l-<.., , v'/.-p c>e:.:..---t/7 C!:..-~ J ? ' /', I/' ./ /.. I r /1' t // 'U)-~ <:_/21 ~ C-t <Li~'-l '!/'(..(..-~'-"~......7 -Q...ot,.I~.c...c_J J E .,~., ?~ l~c-C'.".,..J-,..t:.-:-...:de Cl/,1.(a:-t:4'<...;:. ~ GPA.A.....' ~<.""- "t:.-f"l- --;:"'>7:1 fil/....<7'.- ~e-c-<--.!..;:c-:;t' I~'<--"'l tfJ-Lf; C''-V\, ~ Q I . ^o. ~ !' L,",", r( /t'.\:.. ,[..t', - c:: >Ct./;' C '3 __, t'V'V'-t PI tf-cr.> ~ I . r' /~ .I:2e-<.-,-,-~ ~((""? t-J Lf ~ 2,c..(f(, :.!...t../ro.t..-<......,,~.v;%-<-- 1/-," ~./ . ) J).''-CA.'.c "/~M'...r- "~e'..2.J~.) }-t-e:-c.-C<-. ~e.,e ,-p . // . );. J.-' t.t...::::r:-' .c,-/~4_"~~1 1.9-&'f. P l- r> m (\.. ... ~ x. rz-r-, c....sc. 'I- c ~ , /(c.c'_ ~ - 7/1 ? / tJ,C .:(--: ,.J, ~U~A ~:.. , O~ \ h..~c..f(., If ~k&./~~....y-. 3 7'-"l-'~ ((fCL~'t' r~~ /.J--(..fJ p / -~ tP WI q,;Q-x: r~ c ,i.-c.. (f c .:s. (~c>) I) ,0 () (' \....... rJ:.::.,~. J ~ , . /..... . r7 .../,. ;:, / / '1 V? J .' \ " a...... -':::> ~ 9-r:.." " :~""-"''--(.''~ll:.)......,d?(.'-''''''--' CL .-. - -'l--"~ v --......... q -' , , -cL.:I; L((,/..-rX ('-.. ) -".LV-- / :s- ...-J.L<--I....~'.~~ 7. (, .,-, , rl- ...- -,. ...)..-, . . I ~nC(-" .':) /:;(.I;:';,!/.<-. I~.':"--.. J....- if i I)) r:: tH:vn--<(~ !(_~ ~ DR. PAUL B. MILLER CHIROPRACTOR 224 w. MAIN BT. WAYNESBORO, PA 17260-1893 ~ ,-.., DR PAUL 8. MIl-LER cu.nOPIIAClon 2.24 W "'''IN &TrU::t.T W"vNEfluono. ,." 17.UIU ,.'tn....t: 7"2;.301.1 December 18, 1995 Timothy A, Shollenberger, Esq. P. O. Box 60545 Harrisburg, PA 17106-0545 RE: Donald Dale D/A February 18, 1994 DOB October 5, 1948. Dear Mr. Shollenberger I In reply to your letter of December 4, enclosed are copies of patient's file. The abbreviations in the notes refer to my procedures. Parient originally complained of neck discomfort with a "cracking" when he rotated head. He also complained of low back. He discontinued treatment after visit of September 5. His low back was better and there was no progress with his neck complaint. (the cracking sound) He returned on November 8 because of recurrance of low back problem. Yours truly, " . /(;-t/;(;? /J-;/??z --( ;'--;'f:~ Diagnosis: 847.00 Cervical Strain/Sprain /' 847.3 Sacroiliac Strain/Sprain , ..".. " ',' 'a, ,.',: .' : ,.' " " - .-', . -- ;, . ~.' J . . .' . ' ' . . , . .'. --- I~ -- f\ . , ... OR. PAUL. B. MILLttR CHlnopnACTon all.. W MAIN STnEE.T WAYNE.aono. r" 17anQ'IDY3 . " PilON. 7aa'3D13 February 26, 1996 " i' Ms. Tammy Snyder USF&G Co p, O. DO'll 188 lIarrisburg, PA \H08 REI Donald Dale 2600-AL-263957-01_1 D/A 2/18/94. 'I Denr Ms. Snyder I Enclosed arb copies of office notes and statements' for December througb February for above. Patient still experiences mild pain in tbe left hip nrea once or twice a week for brief periods. lie still ellperiences "clicking" in the neck at times, Yours truly, ~ . ,7 Jl ,. 7.1, V,/' ,j /"'r (0. / /~c.~'e:-.:.... / ~ .' /.. ,". ~ r-. "- ~"\':I::' . . , '. , -", ' on. PAUL D. Mll..Ll!n ctllnor-nACTon 224 W MAIN OTnl:l!.T WAVNEDDono. rA, 11280 . rIlO,..,. 70Z.3013 July 21, 1995 Ms. 'rammy Snyder United States Fidelity Ii. 'Guaran ty Co P. 0, Box 18B Harrisburg, PA 17108 RE: Donald Dale D/A 2/19/94 li2600A126,3957011 Dear Ms. Snyder: Mr. Dale came to this office June 12, 1995. He complain ed constant neck pain which increased with rotation. Lateral flexion as well as flexion Ii. extension were tight Ii. Limited. lie complained of low back pain since the accident. I reviewed the Cervical X-Rays from the Waynesboro Hospital. There is flattening of neck from C2 to C5. The Lumbar X-Rays show a double sacroiliac subluxation. On June 12, 16, 21, 23, 28 patient was adjusted in the cervical Ii. pelvis areas. At chis point the neck is symptomatically the same but there is improvement in the pelvis. , Treatment is A2000, ManipUlation. Diagnosis is 847.00 Cervical Strain/Sprain 847.3 Sacroiliac strain/Sprain. It is my opinion, based on previous cases that there shOUld be recovery in a reasonable time. I rfi,/;3 J/tt#<-fi Vc - '. '.\ ' I~ . '"I . -- ,........ , i l' ,:t' . , .' .' 0". ..AUL. n. MILl.l'!." f;:~lInof'""QfO" ail" W M^IN GTnl:ltT WN"NEUUOIlO, rA. 17iJ:dlJ . PIIONI: 71\2-3'513 .~g.I" . , . ' September 11, 1995 Ms. Tammy Snyder ,U. S. F. & G., Co P. O. Box 1BB Harrisburg, PA 1710B , REI Donald Dale D/A 2/1B/94 #2600A1263957011 Deilr Ms. Snyder: I I can report that Hr. Dil1e'D low back problem is at least 75% improved. There is little change in the cervical spine, he feels discomfort & clicking when he rotates the neck. From my psst experience I should continaethe adjustments.' Yours,truly, i)' ~ . J~~'~/;;;e . .. " 'it ,':;, . ~~ ,J .., ',.' ".,--_._-~::::"'_- -- ("\ . , -' ~ on. PAUL. B. MILLl!n c.llno"nAcfo" ait.. W MAIN n1 m:.r. T WMNltDIJOflO. "^ 172nll PflONK 702'3":113 December 15, 1995 ks. 'l'ammy Snyder USF&G Co P. O. Box 108 Harrisburg, PA 17100 RE: Donald Dale 2600-AL-263957-01-1 D/A 2/18/94, I Dear Ms. Snyder: Enclosed are my office notes of the above. Some I had sent you on October 25. The abbreviations refer to my treatment procedures. Cervical X-Rays were from the Waynesboro Hospital and show flattening of the cervical spine f~om C2 to C5. You can get a copy of the cervical report from the Waynesboro Hospital. Enclosed is copy of lumbO-pelvic X-Rays.which were taken in my office. Patient had little change in neck "cracking" and his low back was much better so he dis- continued treatments September 5. On Nov. 8, patient returned with spastic low back pain. At this time the *ow back problem is imp- oved. Enclosed is statement for November. no other.unpaid claims outstanding, There are Yours truly, ~11/3, hv~ to C' - . I -, , i ) . , . ~ T\ . . Oil. PAUL B. MILl.l!fl c..1110,.n^clon aa04 IN MAIN BT"EI.T WAVNElIlJuno, rA 17anO'IDIU '. rllll,..1: 7n2'315131 July 5, 1996 fls, 'I'nrnmy Snyder 'USF&G Co . 1'. O. DOll 188 IInrrisbuql, I'^ 17107 REI Donn1d Dole 2600-^L-263957-01-1 D/^ 2/18/91, Deor Ms, Snyder I I I Enc10scd nro copies of office notes to dote. In recent weeks ho hns ellperienced more ncute lumbo- sncrol pnin nnd hna required more adjustments. On his lost visit there wns considerable improvement & I will check him again in three weeks. I'leose note change of address I Donald Dnle 1134 Ridge ^ve Wnynesboro, I'^ 17268 Yours truly I / \ (j-~~.tL;; /8 /1-Lv~c.-'-1 ~ ~ ,"'-"'" on. PAUL. U, MIl..LCn CtllJ10,'nAC10" O!O!" W MAIN ntllU:r WAyNl:GUCIIO, "'" 11:!fltl "111I'" 11l0!-:l!'lU Donald Dale, X-Ray Report. June 20, 1995 X-Rays were taken of lumbo-pelvis (72100) Anteroposterior & lateral, with the patient erect. AP View: , There is a slight left scoliosis from L2 to L5. Femur heads are even, indicating no short leg. Hip joints are clear and well spaced. The are exostoses on inferior & superior aspects of the lumbar bodies. Subluxation of R. & L. Ilia in relation to sacrum. Lateral view: Lumbar curve is in the normal range. Disc spaces narrowed a6 L4/L5 & L5/Sl. // 1t3'.IU#~1 P C: r7 p"'tA{ cl..:? ..?E~NSTATE 8 Cull~ge ul ~Iedi~ Uni,e"i1y Ih"pil.I' Child,. .",pil.1 The Millun S.lkr,h~y M~dk.1 Cenler Of"", ~l t 39 SSSO ~HE, t~",ALC f \ ';,/O"J/I q41l ~ C h ( HISTORY AND PHYSICAL EXAMINATION __ ___ 0" -.\,\\.". .'\~ ,. ::;"". '-;lULl l ~:t..Ll \h~ I,'(fl, ,....]' \'A" ~ ~ 11OfO~~ lI\i - 1I ll'.G \-\"L.. "':\{p (t 1)\9 n, - 11,\:;...., J ~3/LLr-- (j I . ~...-.-_....... c~ <:.'- ~~/d~ @ ~~ ---. ;,';:>/ ' '.... r -;;'" ,N ,r" '.- ,.;,'rd, oS. /" --- t/~ <-'///;,/<;1/ r:/ro _....;._~4~__4V--" ~.-..:.-.. u~l-..Y ,_ A..,:~_z:.~ ~ 48 ~..,....../'-d.,--: --0..../ _-<L'-~.~ ,_- ~ ---,.c.- ::: &:;J ~A ..,........... .~,a..d ~."~ /~e.- '.~,d ~.....u...<.J / ---.,.~._..t~ ___...",,~......' .nI// ~....L__'J"" If? / - - .-" /~..r ~ ~.""~ ~.......:. -" .( ~,ur- --, .-? ,/rvt.<//..-1..-/~' ----/....... // . :::.;,'- ~7:.~;~_~-Z?;;;i ,~~ ~ ~A4~ ~. .-__-:?.-r / .#~S --~. ~... ~ -4-- q . . .-/...... 1./. G/./ I ~/ '''7 - .....-_---4..-/. ".-:,A~/ (, A/.P , 1'17 ",;v# ~. ':"'" --7'7d': -...u.... ,,--;,:<1:..,. ~ - ;;;';;/~::r. ~?::_::.?' A'~ ~::.-.:r_/ ~ -T .-4-'...... ~, ~// ~d- /.-/~/4 ~p/ .->""...""../ Y 77~' /~~.. // /~ ~~. ,./ l '1'1 E. Mark Hekler, M. D. 500 University Drive Hershey, PA 17033 MR9 9111 \ Tilll \ {lId I (1.11-1 II"'n II 111'1~'II':1 '.'EHSE I r H.IE ^ M PM rORY AND PHYSICAL EXAMINATION '" .... " PENNSTATE --- JJL~ College or Medicine . Universily lIospilal'Children's Ilospilal The Millon S. Hershey Medical Center p.o. BOX 850 HERSHEY, PENNSYLVANIA 17033 f~! Rellnen lIess. :~o 1964 Buchanan Trail East P.O. 90x 04 Shady Grove, PA 17256 ,Julv 12. IO~~ Dear Dr, Hess: RE: DALE, ')onald 'ISH~IC 11627139 -} , Thank you for allo\~ino us to see Donald Dale in consultati"n i'1 l'efereOl;el.to his Intermittent riant shoulder oain. As VOII krow, fIr. !l"l~ :i5 ,1 " ,r . 45-vear-old, ~1hite mal~ 1'1110 sustJineo a motor v'lhicl!! accblent on FebrUary 18, 1994. He was not hosoitalizec .1t tnat time ann oio nllt lose consciousness or sustain anv ooen traumas, He MS been co.,olai~ino of intermitteot cervical as ~1.~1l as occloltal oain since th<lt ti~e. T~e cain radiates to tM dont snoulder and subsides soont.aneollst., witn 'i!st. He also has exoerienced several colsodes of riaht retroilllricul'lr nvop.r~sr.n'lsias. There is no evidence of nU"lbness, oarcstoesias, headacl1es, Hea~ness, blurred vision, douol~ ~ision, or vertioo. , On neuroloqical examination, Mental status eXJmi"~..ioo, Hlemor\'. soeeco, and calculation were ~lithin nonnul liMitS. Cranial n'lrve eltamination "IdS essentlallv intact, l'otor and deeD tenoon refl~xes wer!! ..;0 tllrollcnout, Strenath was 5/5 throuQhout.. On cerebellar 'lxaminar.1on, finoer/fInaer ann /..,.heel/shin/knee 'nanellvers '.~""'l \'Iitnin nO~lal limits. Tar:M'11 qalt lias normal. Sensory examination t~as intact. In summary, 1'1', DOrlJld Dale is a 45-'1ear-old, 'llea;ant centlNI.,n >Iho slJstainE'd iJ Illotor vp.hicle ~ccHent in F?hrU1rV af 19~4 .1no hijS ~een comolalnino of rioht shoulder oain since tnat tiMe, On n.!I,rolooical eltarnination. thP.r~ \~as no Ilvidenr.e of nnuroloaical imoai""llnt .1t this time. Ci!rvlcal soine films obtainlld th~ day aft!!r the "cc1dent. \/er'e unrenarkable. tlo further neurolooiCJl evaluation is I~arranted at this tir.'fl, ... I. '., .. Recommendations ~re oatillnt s~ould he fo11o'oed c1inicallv ijno if s'(l"otoms oersl st, I'IC will ~e Ol.if\ to re-ev<1luate nl-l .,t tn.lt t il~e, Sholll d vou have any further Questions 1'':''1<1rl1iOl] Ill', i)ale, 1111'.~se fet!l frill'! to cont.act us, Si !lcer'llv, ~ -~ ... . ,/ r /'-/... .t......... 1, .../ t" ....",..~.r .... --/-"'."'- ,~-1 '). Emilian lle~ler, '~D EH:RAR 0; 07/12/01 T: 01/1J/~a l!l: 2g7~III~En u JUL 221994 EQUAL QPPOIIlU'j,ty,.HUlI.IAIlVt: ACIIOll ft.lPLOWEq ~ r"\ RYAN PHYSICAL THERAPY ASSOCIATES 127 CUMBERLAND VALLEV AVENUE WAVNESBORO, PENNSYLVANIA 17266 TECEPHONE 17171 762.771 I I, STEPHEN 0, RYAN. M,P,T, MASTER OF PHYSICAL THERAPY ROBIN MORRIS.SWOPE. P,T. PHVSICAL THERAPIST I,: Donald Dale Referring physician: Dr. Louis Coda 03/24/94. Diagnosis: Cervical and Lumbar strain. S: Patient is a 45 year old white male who reports he was involved in a motor vehicle accident on February 18, 1994 when a car rear ended his car on Route 81 North. Patient reports his car was rear ended by another which pushed his car into a tractor and trailer truck. Patient reports that he was wearing a seat belt although he sustained injuries to his neck and low back region, Patient reports pain in the posterior cervical spine region with irradiations of pain into the left upper trapezius and shoulder and occasional pain radiating into the right upper trapezius and right shoulder region, Patient reports also a infrequent of radiations of pain into the interscapular region as well. Patient reports pain across the low back region from L-3 to S-l spine, Patient rates his pain in his cervical spine to be an 8 on a scale of 0 to 10 and his low back pain to be a 6 on a scale of 0 to 10, Patient's occupation is working at Regency in the engraving department. Patient reports frequent headaches since his accident in February of 1994, Patient reports that this pain is limiting his life style and interfers with his activites at work. 0: X-rays not available. Neurovascular status is intact. Patient displays a forward head posture, kyphotic back, protracted shoulders and a head tilt to the left with patient in slight left side bending of the cervical spine with patient sitting. Cervical range of motion displays marked limitations with all motions including forward and backward bending, right and left side bending and right and left rotation with patient reporting increased pain symptomology with all motions. Patient is left hand dominate. Right and left upper extremity range of motion is equal and within normal limits. Trunk range of motion displays a moderate amount of movement with patient reporting increased pain symptomology in the low back with left side bending. Right and left lower extremity range of motion is within normal limits. Selective manual muscle testing of the bilateral upper and lower extremities are equal and wi thin norma 1 1 imi ts . Deep tendon ref 1 exes are equa I in the bilateral lower extremities for knee jerk and equal in the bi lateral upper extremities for elbow jerk. Patient is point tender to palpation in the bilateral upper trapezii musculature, posterior cervical spine, and rhomboid region as well as the bilateral scalenes. ~ (""\ RYAN PHYSICAL THERAPY ASSOCIATES 127 CUMBERLAND VA~~EV AVENUE WAVNESBORO. PENNSV~VANIA 1726B TELEPHONE 17171 762.771 I STEPHEN D. RYAN. M.P,T. ROBIN MORRIS'SWOPE. P.T. MASTER OF' PHVSICA~ THERAPY PHVSICAI. THERAPIST Donald Dale (Continued) A: Cervical and lumbar strain, P: Hoist heat, ultrasound, neuromuscular reeducation, and therapeutic exercise as patient tolerates, GOAL: Decrease pain symptomology in the cervical spine and lumbar spine and increase function for activities of daily living and work tasks, ~~-~ Robin Horris-Swope, PT Copy to Dr, Coda .. . ,... _ d.,_. ..', ....... .-~.. ; . ~ '.' ... -. ~ 7"-'''- '" '. --" ' . ,,' ~.._-."....,..-.j ,~~~" ". .' . '. ", . " .. ,..... RYAN PHYSICAL THERAPY ASSOCIATES 12.7 CUMBERLAND VALLEY AVENUE WAVNESBORO. PENNSYLVANIA 172.68 TELEPHONE 17171 762.771 I STEPHEN D. RVAN. M.P.T. MASTER OF PHVS1CAL THERAPV ROBIN MORRIS'SWOPE. P.T. PHYSICAL THERAPIST Donald Dale 03/28/94, Progress Note. Patient seen for moist heat for 20 minutes to the cervical and low back region with patient supine followed by ul trasound for ~ minutes to the pos terior cervica 1 region and bil a tera 1 1 umbar paraspinals, Patient received connective tissue mobilization with muscle energy to the bilateral lumbar paraspinals, thoraco lumbar paraspinals, septum, bilateral posterior cervical spine, bilateral lateral cervical spine, and submandibular region, Patient received cranial base release and active rhythmic stretching with cervical rotation bilaterally. Patient reported some relief post treatment session, 03/30/94, Progress Note, Patient seen for moist heat for 20 minutes to the low back region and cervical spine with patient supine followed by ultrasound for 5 minutes to the bilateral posterior cervical spine and bilateral 1 umbar paraspina 1 region, Pa tient recei ved connective tissue mobilization with muscle energy to bilateral lumbar paraspinals, thoraco lumbar paraspinals, septum, bilateral deep hip rotators, bilateral posterior cervical spine, bilateral lateral cervical spine, and submandibular region. Patient also received cranial base release, transcranial release, sphenoid lift, and active rhythmic stretching with cervical rotation bilaterally. Patient reported some of his headache symptomology to be decreased slightly post treatment session. 03/31/94. Progress Note. Patient seen for moist heat for 20 minutes to the cervical region, right shoulder and low back region with patient supine followed by ultrasound for 5 minutes to the upper cervical spine and bilateral lumbar paraspinals. Patient received connective tissue mobilization with muscle energy to bilateral lumbar paraspinals, thoraco lumbar paraspinals, septum, bilateral deep hip rotators. Patient also received connective tissue mobilization with muscle energy to the bilateral posterior cervical spine, bilateral lateral cervical spine, submandibular region, and right deltoid and upper arm regions. Patient performed therapeutic exercise to incl ude scapular PNF D1 and D2 with patient in sidelying with cervical stretching bilaterally. Patient received cranial base release, transcranial release, sphenoid lift, manual cervical traction and active rhythmic stretching with cervical rotation bilaterally, .. 1"'''', RYAN PHYSICAL THERAPY ASSOCIATES 127 CUMBERLANO VALLEY AVENUE WAYNES80RO. PENNSVLVANIA 17268 TECEPHONE17171762.771 I STEPHEN 0, RYAN. M.P.T, MASTER OF PHYSICAL THERAPV RODIN MORRIS,SWOPE. P.T. PHVSICAL THERAPIST Donald Dale 04/04/)4. Progress Note. Patient seen for moist heat for 20 minutes to the cervical and low back regions with patient supine followed by ultrasound for 5 minutes to the bilateral lumbar paraspinals and bilateral posterior cervical and upper trapezii musculature. Patient received connective tissue mobilization with muscle energy to the bilateral lumbar paraspinals, thoraco lumbar paraspinals, septum, bilateral deep hip rotators, bilateral posterior cervical spine, bilateral lateral cervical spine, and submandibular region. Patient performed therapeutic exercise to include scapular PNF D1 and D2 with patient in sidelying with cervical stretching bilaterally, Patient received cranial base release, active rhythmic stretching, and transcranial release. Patient reports that his back and neck pain is subsiding slowly although his pain still exists and interfers with his daily living. 04/07/94. Progress Note. Patient seen for moist heat for 20 minutes to the cervical and low back region with patient supine followed by ultrasound for 5 minutes to the bilateral lumbar paraspinals and posterior cervical musculature. Patient received connective tissue mobilization with muscle energy throughout the bilateral lumbar paraspinals, thoraco lumbar paraspinals, septum, bilateral deep hip rotators, bilateral posterior cervical spine, bilateral lateral cervical spine, and submandibular region, Patient performed therapeutic exercise to include scapular PNF D1 and D2 with patient in sidelying with cervical stretching. patient received cranial base release and act i ve rhythmic st retching with cervica 1 rota tion bil a tera 11 y. Patient reports that he does feel some decrease in pain symptomology although his pain remains constant. TECEPHONEI7171762."11 ROBIN MORRIS.SWOPE. P,T, PHVSICAL THERAPIST ~ t"'"'\ RYAN PHYSICAL THERAPY ASSOCIATES 127 CUMBERLANO VALLEV AVENUE WAYNESBORO, PENNSVLVANIA 17266 STEPHEN 0, RVAN, M.P.T. MASTER OF PHVSICAL THERAPY Donald Dale 04/13/94, Progress Note. Patient seen for moist heat for 20 minutes to the cervical and lumbar regions with patient supine followed by ultrasound for 5 minutes to the bilateral lumbar paraspinals and bilateral posterior cervical musculature as well as the bilateral upper trapezius region. Patient received connective tissue mobilization with muscle energy to the bilateral lumbar paraspinals, thoraco lumbar paraspinals, septum, bilateral posterior cervical spine, bilateral lateral cervical spine and submandibular region. Patient performed therapeutic exercise to incl ude scapul ar PNF 01 and 02 wi th cervical stretching bilaterallY, Patient received cranial base release and active rhythmic stretching bilaterally. 04/14/94, Progress Note. patient seen for moist heat for 20 minutes to the cervical and lumbar regions with patient supine followed by ultrasound for 5 minutes to the bilateral lumbar paraspinals and posterior cervical region and upper trapezii musculature. Patient received connective tissue mobil i za tion with muscl e 'energy to the bil ateral lumbar paraspnials, thoraco lumbar paraspinals, septum, bilateral deep hip rotators, bilateral posterior cervical spine, bilateral lateral cervical spine, and submandibular region. patient received therapeutic exercise to include scapular PNF 01 and 02 with patient in . sidelying with cervical stretching bilaterally. Patient received cranial base release and active rhythmic stretching with cervical rotation bilaterally, 04/1B/94. Progress Note. Patient seen for moist heat for 20 minutes to the cervical and low back region with patient supine followed by ultrasound for 5 minutes to the bilateral lumbar paraspinals and posterior cervical region and bilateral upper trapezii musculature. patient received connective tissue mobilization with muscle energy to the bilateral lumbar paraspinals, thoraco lumbar paraspinals, septum, bilateral posterior cervical spine, bilateral lateral cervical spine, and submandibular region. Patient performed therapeutic exercise to include scapular PNF 01 and 02 with patient in sidelying with cervical stretching. patient also received active rhythmic stretching with cervical rotation bilaterally. ~ 1'*""'.. RYAN PHYSICAL THERAPY ASSOCIATES 127 CUMBERLANC VALLEY AVENUE WAYNESBORO. PENNSVLVANIA 17268 TELEPHONE t7171 762.771 I STEPHEN C. RYAN. M.P.T. MASTER OF PHVSICAL THERAPY ROBIN MORRIS.SWOPE. P.T. PHYSICAL THERAPIST " \ Donald Dale 04/20/94, Progress Note, Patient seen for moist heat for 20 minutes to the low back and cervical region with patient supine followed by ultrasound for 5 minutes to the bilateral lumbar paraspinals, and bilateral posterior cervical and upper trapezii musculature, Patient received connective tissue mobilization with muscle energy to the bilateral lumbar paraspinals, thoraco lumbar paraspinals, septum, bilateral posterior cervical spine, bilateral lateral cervical spine and submandibular region. Patient performed therapeutic exercise to include scapular PNF 01 and 02 with patient in sidelying with cervical stretching. Patient received cranial base release, quadrant stretching of the upper and lower quadrants and active rhythmic stretching with cervical rotation bilaterally. Patient reports that his low back pain is decreasing slowly although his cervical pain is persistant, 04/21/94, Progress Note, Patient seen for moist heat for 20 minutes to the lumbar and cervical regions with patient supine followed by ultrasound for 5 minutes to the bilateral lumbar paraspinals and bilateral posterior and upper trapezii musculatur~. Patient received connective tissue mobil i zation wi th muscl e energy to the bil atera I 1 umbar paraspinals, thoraco lumbar paraspinals, septum, bilateral posterior cervical spine, bilateral lateral cervical spine, and submandibular regions. Patient performed therapeutic exercise to include scapular PNF 01 and 02 with patient in sidelying with cervical stretching. Patient received cranial base release, quadrant stretching of the upper and lower quadrants and active rhythmic stretching with cervical rotation bilaterally. patient reported relief post treatment session, 04/26/94. Progress Note. Hot packs and ul trasound to the cervical and lumbar regions. Patient states that his back is feeling better this date. He is still having problems in the neck. Connective tissue mobilization muscle energy exercise to the lumbar paraspinals, septum and thorical lumbar junction bilaterally, scapular PNF with cervical stretching in sidelying to the cervical region followed by quadrant stretching upper and lower quadrants bilaterally. SOP, -- ,......, RYAN PHYSICAL THERAPY ASSOCIATES 12.7 CUMBERL.ANC VALLEV AVENUE WAVNESBORO. PENNSVLVANIA 172.66 TECEPHONEI7171 762..771 I STEPHEN C. RYAN. M.P.T. MASTER OF PHVSICAL THERAPV ROBIN MORRIS,SWOPE. P.T. PHYSICAL THERAPIST Donald Dale 05/02/94. Progress Note. Patient seen for moist heat for 20 minutes to the cervical and low back regions with patient supine followed by ul trasound for 5 minutes to each area, Patient received connective tissue mobilization with muscle energy to the bilateral lumbar paraspinals, thoraco lumbar paraspinals, septum, bilateral posterior cervical spine, bilateral lateral cervical spine and submandibular region, Patient performed therapeutic exercise to include scapular PNF 01 and 02 with patient in sidelying with cervical stretching. Patient received cranial base release, quadrant stretching, and active rhythmic stretching with cervical rotation bilaterally. 05/04/94, Progress Note. Patient seen for moist heat for 20 minutes to the low back and cervical regions with patient supine followed by ultrasound for 5 minutes to each area, Patient received connective tissue mobilization with muscle energy to the bilateral lumbar paraspinals, thoraco lumbar paraspinals, septum, bilateral deep hip rotators, and bilateral iliopsoas musculature. Patient also received connective tissue mobilization with muscle energy to the bilateral posterior cervical spine, and 1.\pper thoracic back regions, Patient received cranial base release, quadrant stretching, and active rhythmic stretching with cervical rotation. 05/05/94. Progress Note. Patient seen for moist heat for 20 minutes to the low back region and cervical region with patient supine followed by ultrasound for 5 minutes to each region. Patient received connective tissue mobilization with muscle energy to the bilateral lumbar paraspinals, thoraco lumbar paraspinals, septum, and bilateral deep hip rotators, and bilateral iliopsoas musculature. Patient also received connective tissue mobilization with muscle energy to the bilateral posterior cervical spine, bilateral lateral cervical spine, and submandibular region, Patient received cranial base release, quadrant stretching of the upper and lower quadrants as well as active rhythmic stretching and cranial base. Patient reported relief post treatment session. f"'"'. ... RYAN PHYSICAL THERAPY ASSOCIATES 127 CUMDERLANO VALLEV AVENUE WAVNESBORO. PENNSVLVANIA 17268 TELEPHONE 17171 762.771 1 ROBIN MORRIS,SWOPE. PT. . PHYSICAL THERAPIST STEPHEN O. RVAN. M,P.T. MASTER OF PHYSICAL THERAPY Donald Dale 05/09/94. Progress Note. Patient seen for moist heat for 20 minutes to the cervical and low back region with patient supine followed by ul trasound for 5 minutes to each region. Patient received connective tissue mobilization with muscle energy to the bilateral lumbar paraspinals, thoraco lumbar paraspinals, septum, bilateral deep hip rotators, bilateral posterior cervical spine, bilateral upper trapezii musculature, and upper thoracic spine, Patient received connecti ve tissue mobil i zation to the bil ateral iliopsoas muscul ature, pa tient received cranial base release, quadrant stretching of the upper and low~r quadrants and active rhythmic stretching with cervical rotation bilaterallY. 05/11/94, Progress Note. Patient seen for moist heat for 20 minutes to the low back and cervical regions with patient supine followed by ultrasound for 5 minutes to the bilateral lumbar paraspinals and posterior cervical region, Patient received connective tissue mobilization with muscle energy to the bilateral lumbar paraspinals, thoracO lumbar paraspinals, septum, bilateral posterior cervical spine, upper thoracic spine and right scapular region. patient received cranial base release, quadrant stretching of the upper and lower quadrants and active rhythmic stretching with cervical rotation bilaterallY. 05/12/94, Progress Note. Patient seen for moist heat for 20 minutes to the low back and cervical region with patient supine followed by ultrasound for 5 minutes to each area. Patient received connective tissue mobilization with muscle en~rgy to bilateral lumbar paraspinals, thoraco lumbar paraspinals, septum, bilateral deep hip rotators, bilateral iliopsoas musculature, bilateral posterior cervical spine, and bilateral thoraco lumbar paraspinals, Patient received cranial base release, quadrant stretching, and active rhythmic stretching with cervical rotation, .... 1""'\ RYAN PHYSICAL THERAPY ASSOCIATES 127 CUMBERLANO VALLEY AVENUE WnNESBORO. PENNSVLVANIA 17266 TELEPHONE 17171 762,771 I STEPHEN O. RYAN. M.P.T. MASTER OF PHYSICAL THERf,PY ROBIN MORRIS,SWOPE. P,T. PHYSICAL THERAPIST Donald Dale 05/16/94, Progress Note. Patient seen for moist heat for 20 minutes to the cervical region and low back region with patient supine followed by ultrasound for 5 minutes to each area. Patient received connective tissue mobilization with muscle energy to the bilateral lumbar paraspinals, thoraco lumbar paraspinals, septum, bilateral posterior cervical spine, and bilateral iliopsoas musculature, Patient received quadrant stretching of upper and lower quadrants, cranial base release, and active rhythmic stretching with cervical rotation bilaterally, 05/18/94, Progress Note. Patient seen for moist heat for 20 minutes to the low back and cervical regions with patient supine followed by ultrasound for 5 minutes to the bilateral posterior cervical region and bilateral lumbar paraspinals, Patient received connective tissue mobilization with muscle energy to the bilateral lumbar paraspinals, thoraco lumbar paraspinals, deep hip rotators, bilateral posterior cervical spine, bilateral upper trapezii musculature, cranial base release, quadrant stretching, and active rhythmic stretching with cervical rotation, Patient reported some relief post treatment session. 05/19/94, Progress Note, Patient seen for moist heat for 20 minutes to the bilateral lumbar paraspinal region and cervical region with patient supine followed by ul trasound for 5 minutes to each area. Patient received connective tissue mobilization with muscle energy to the bilateral lumbar paraspinals, thoraco lumbar paraspinals, septum, bilateral deep hip rotators, bilateral posterior hamstrings, bilateral iliopsoas musculature, and bilateral posterior cervical spine. Patient received cranial base release, quadrant stretching, and active rhythmic stretching with cervical rotation bilaterally, Patient reports that his back pain symptomology has decreased by approximately 75% with his headache and neck symptomology decreased by 50%. -t.IUIll.L-.._......-, . ..., ,. .. . ~ uu-~U\nUN/-.11~ 1~ll1~HUtl "~. r-. .' RYAN PHYSICAL lHERAPV A6S0CIATES 127 CUMBERLANO VALLEY AVENUE WAVNESBORO, PENNSYLVANIA 17288 T.L.."ON. (717)702,.771 1 IlTILPflEN O. RYAN. M,P,T. MA'TE" 01' I'Hy"eAL THE"AI'Y RODIN MOIlIIllS.!IWOPE. P,T. PHYSICAL THERAPI5T ,Opnald Dale OS/23/94. Progrc~~ Note. Patient seen for moist heat for 20 minutes to the cervical and low back region with pat-lellt supine followed by ultrasound for 5 minult!s tu ~acll area, Plltient reoei ved connecti va tissue mobilization with musole energy to the bilateral lumbar paraspinals, thoraco lumbar paraspinals, septum, and bilateral deep hip rotators, Patient received conneotive tissue mobilization throuyhuut lht! bllatt!ral posterior cervical spine region, bilateral upper trapezii musculature, and upper thoraoio back regions, Patient received cranial baae release, quadrant stretching, and active rhythmic stretching with cervical rotation bilaterally. OS/25/94, Progress Note. Pat.ient stated that he was feeling good, but his right shoulder was sore. Patient received moist heat for 20 minutes to the posterior cervical region and lumbar paraspinal region with the patient in supine, followed by ultrasound at 1,5 watts per centimeter squar~d for 5 minutes to the same areas with patient in supine, Patient received connective tiasue mobilization with muscle energy to the bilateral thoraco lumbar 1.araspinals, bilateral lumbar paraspinals, bilateral septum, bilateral deep hip rotators, bilateral posterior hamstrings, bilateral iliopsoas, and bilateral posterior cervical region, Patient received active rhythmic stretching with cervical stretching, Patient received quadrant stretching and cranial base release, Patient feels relief after each treatment session, Continue per PT plan. \010 OS/26/94. Progress Note" Patient seen for moist heat for 20 minutes to the posterior cervical spine and lumbar region with patient supine followed by ultrasound for 5 min~tes to each area. Patient received connective tissue mobilization with muscle energy to bilateral lumbar paraspinals, thoraco lumbar paraspinals, septum, bilateral deep hip rotators, hilateral posterior hamstr.ings, and bilateral posterior cervica 1 spine region, Patient received cranial base reI ease, quadrant stretching, and active rhythmic stretching with cervical rotation bilaterally, -.N PHYSICAL. THERAPY ASSOC (<;S " 1 27 CUMIl~rn.ANO VALL~Y AVI!NUI! WAYNC:!IBORO,I'C:NNSYLVANIA 17:!6Il TIlLE.HONE (717) 702'7711 llTltPHI!;N 0 RYAN. M I':r MAIST!!:n 01" PHV15'CAL TH"RAPY 1l01llN MOnnl!l.ISWOPE. P.T. PHYSICAL TH!!:RAPIST Donald Dale 06/02/9~. Progrellll Hate. .PlJtient lSeen for moist hlllat for 20 minute. to the oervioal and I umbar spine wi th patient. supine foll owed bI ul trasound for 5 minutes to each area. 'ationt received connective tissue mobilization with mUlScle energy to the bilatenl lumbar paralSpinah, thoraoo lumbar parallpinals, septum, bilateral deep hip rotator:!, bilateral postol:ior corvical spine, right upper trapeziulS, cranial base r~~ease, ~uadrant stretohing, and active. rhythmio stretohing wit~o~vioal rotation bilaterally. Patient reports that hill baok symptomology continues to decrealSe although he oontinues with pain and dillcomfort in the oervioal spine and right Ilhoulder region. Patient also I:eported that his physioian lIi15hGS him to continuG phisioal therapy services two times per week. 06/06/9~. Progress Hote. Patient seen for moist heat for 20 minutes to the oervical and low back region with patient lIupine followed by ultrasound for 5 minutes to eaoh &rea. Patient reoeived oonneotive tissue mobilization with muscle energy to bilateral lumbar paraspinals, thoraco lumbar paraspinala, septum, and bilateral deep hip rotators as well as the bilateral iliopsoas lIIWIculature. Patient .1:10 received connective tissue mobilization to the bilateral posterior oervical spine, quadrant .tr.tcbing, cranial balle relealle, and active rhythmic stretching wIth cervical rotation. 06/09/94. Progress Note. Patient seen for moilSt heat for 20 minutes to the oervical and lumbar region with patient supine followed by ultrasound for 5 minutes to eaoh area. Patient reoeived oonnective tillsue mobilintion with mwsch energy to the bilateral lumbar paraspinllls, thoraoo lumbar parllspinala, septum, bilateral deep hip rotators, bilateral posterior oervioal mwsoulature, and upper trapezius region. patient' received cranial baae r.lease, transcranial release. quadrant stretching of the upper and lower quadrants and active, rhythmic .tretching with oervical rotation bilaterally. -'-,-~-- .......--. .--. -.... .-. _.. .M'_' ...___. ~ 1""'.. RYAN PHYSICAL THERAPY ASSOCIATES ':l7 CUMDERLAND VALLEY AVENUE WAVNIE880RO, PENNllVLVANIA 17:l1lO TEL.PHONE (717) 711:l.771I BT&pHI:N D. RVAN, M.p,T, M.0.5TER 01' PHVSICAL THERAPV ROBIN MORRIB'SWOPE. P.T. PHVBICAL THERAPIST Donald Dale . 06/13/94, Progress Note. Patient stated that his right lateral cervioal and right shoulder region was sore, Patient received moist heat for 20 minutes to the posterior cervical nnd low baok regions with patient supine followed by ultrasound at 1.5 watts per centimeter squared for 5 minutu to both areas -with patient prone. Patient received connective tissue mobilization with muscle energy to the bilateral posterior cervical, bilateral thoracic lumbar paraspinal s, bilateral lumbar paraspinals, septum, bilateral deep hip rotators, and bilateral iliopsoas musculature. Patient received cranial base release. Patient continues to feel relief after each treatment session. Continue per PT plnn. \010 06/16/94, Progress Ncte. Patient seen for moist heat for 20 minutes to the cervical and low back regions with patient supine followed by ultrasound for 5 minutes tc each area.. Patient received oonnecti ve tissue mobilization with muscle energy to bilateral lumbar paraspinals, thoraco lumbar paraspinals, septum, bilateral deep hip rotators, and bilateral posterior oervical spine, Patient received cranial base release, active rhythmic stretching with cervical rotation and quadrant stretching. Patient reported relief post treatment session. 06/20/94. Progress Note, Patient seen for moist heat for 20 minutes to the cervical and low back region with patient supine followed by ul trasound for 5 minutes to the posterior aspect of the cervical spine. Patient received connective tissue mobilization with muscle energy to the bilateral lumbar paraspinals, thoracD lumbar paraspinals, septum, bilateral deep hip rot:at6r~. Patient received connective tissue mobilization to the' bilateral posterior oervical spine, right lateral cervical spine, and submandibular region, Patient performed therapeutic exercise to include scapular PNF 01 and D2 with patient in sidelyinq with cervical stretching. Patient received cranial base release and active rhythmic stretching with cervical rotation bilaterally.. Patient reports that his back pain symptomolo9Y is 75-80\ better although he continues to have pain and discomfort in the right side of his neck and shoulder region, ...... . .' I~ .... ,', ',' " ", "'", .,~:~-, .....".. '"., '.'-,'~ . . .'.> PI..r....' . :-- '. '. . __ r-'" RYAN PHYSICAL. THERAPY ASSOCIATES '27 CUMBERLAND VALLEY AVI:NUe: WAYNESBORO. PENNSYLVANIA 172.68 nLEPHON~ (7171782,7711 STEPHEN D. RYAN, M.P.T. MASTER 01" PHYlllCAL THERAPY ROBIN MORRlS.SWOpe:, P.T. PHYSICAL THERAPI8T Donald Dale 06/23/94. Progress Note. Patient seen tor moist"heat for 20 minutes to the oervical and low back regions with patient supine followed by ultrasound for 5 minutes to the posterior cervical and right scapular region. Patient received connect~e tissue mobilization with muscle energy to the bilateral lumbar paraspinals, thornco lumbar paraspinals, septum, bilateral deep hip rotators, bilateral posterior cervical spine, right 1 a teral cerviaal llpine, and Bubmandibul ar region, Patient performed therapeutio exercise to inalude scapular PNF 01 and 02 with patient in sidelying with cervical stretching. Patient received cranial base release and active rhythmic stretching with cervical rotation bilaterally. Patient reports some relief post treatment session, 06/27/94. Prcgress Note, Patient seen for moist h$at for 20 minutes to the low back and cervical region with patient aupine followed by ultrasound tor 5 minutes to the posterior aspeot of the cervical spine and right shoulder regions. Patient received connective tissue mobilization with muscle energy to the bilateral lumbar paraspinals, thoraco lumbar paraspinals, septum, bilateral posterior cervical spine, right lateral cervical spine and submandibular regicn. Patient performed therapeutic eNercise to include scapular PNF 01 and 02 with cervical stretching with patient in :sidelying. Patient received cranial base release and active rhythmic stretching with cervical rotation bilaterlllly. Patient reports he continues to feel this "funny feeling that makes my head itch." ::c .. ~._. RYAN PHYSICAL THERAPY ASSOCIATES 127 CUMIlERLANC VAU-EY AVENUE WAYNESBORO, PENNDYLVAN'A 17268 TELIPHONE <71717112.7711 STEPHEN D. RYAN, M.P.T. MASTER 01' PHVSICAL THERAPY ROBIN MORRlS'SWO,.E, P.T. PHYSICAL THERAPIST . . nOM 1 rI nil! ~ 06/29/'14. Progross Not.e, Patient. arrivell to therapy today reporting t.hat. his back pain symvtomology cont.inues to subside alt.hough this "funny feeling in my head" continuos t.o_ worsen, Patient reports hiD pain symrtomology is mostly looated in the right scapular region but irradiating rain into the posterior aspect of the cervical spine. Patient seen for moist heat for 20 minutes to the cervical and low back regions with patient supine followed by ultrasound for 5 minutl's to t.h... poslerior cervical and right scapular region, patient rl:cdved connective tissue mobilization with muscle energy to the bilat.tlt'<ll lumbar paraspinals, thoraeo lumbar paraspinals, septum. bilateral posterior cervical spine, right lateral cervical !\pinH and submandibular region, patient performed therapeutic exercise t.o include sl~/lpular PNF D1 and D2 with patient in sid~lyin9 with cervical stretching, Patient rec~iv~~ cranial bas~ release, ,!uadrant. strf,ltchlng of upper and lowfJt llllach:ants, 311<1 activH rhythmic stretching with cervical rotat.ion bilat.erally, 07/07/94. Progress Note, Patient reports having difficulty sitting in church on Sunday evening when he had stabbing pain in the right posterior cervical region and right sc~pula which lasted approximately for,a day and th~n subsid~u on its own, Patient report.ed increased pain symptomology in his low baok region today secondary to working a "roject for Dill hours leaning over a table at work. Patient Beell for moi$t heat for 20 minutes to the cervical and low back regions with patient supin~ fall owed by ultrasound for 5 minutes to the posterior cervical and dght scapulilr region. Patient. r~ceive~l connectiv~ tissue mobilization with muscle energy to the bilateral lumbar paraspinllls, thoraco lumbar paraspinals, septum, bilateral deep hip rCltator'I, bila~",rill posterior cervical region, l:l.ght lateral cervical region, and submundibular region, patient performed therapeutic exercise to include scapular PNF PI and D2 with patient in sidelying with cervical stretching, Patient received cranial base release and active rhythmic str~tching with cervical rotation bilaterally. .~' ., " ... ...." '.~ ..... ' 1 ,,-~_.~~,~:~~,.,w.-. ~.'+ ,.. . ("'I RYAN PHYSICAL THERAPY ASSOCIATES 127 CUMII~ftLANO VALLEY AV~NUe: WAYNESBORO, PENNSYLVANIA 17200 TlL(PHOH(17171 702.771 I STEPHEN O. RYAN, "'.P.T. MASTER OF PHYSICAL THERAPY ROBIN MORRIS.SWOPE. P.T. PHYSICAL THERAPIST Donald Dale 07/28/94. Progress Note/Discharge Note, Patient was seen for moist heat for 20 minutes to the cervical and low back region with patient supine followed by ultrasound for 5 minutes to the right tlhoulder and scapular region and right posterior cervical muscul aturo, Patient received connective tissue mobiliution with musc.lA energy to the bilateral lumbar paraspinals, thoraco lumbar paraspinale, septum, deep hip rotators, bilateral posterior cervical spine, right lateral cervical spine, and submandibular region. Patient performed therapeutic exercise to include scapular PNr D1 and D2 with patient in sidelying with cervical stretching, Patient received cranial base release, Patient instructed in a home exercise program to include rotator cuff exercises with patient prone as well as corner wall stretches. Pstient reports at the end of this treatment session that his back is 80-85\ better with his cervical and right shoulder region being 60-65\ better as he was initially being seen per his evaluation, " .' ~ r'I MEDICAL RECORDS COP' - WAYNESBORO HOSPITAL DBIE 2/1~/94 E!_e~~Il 4476800 QY!EaI!~UI_B~GQBQ !1~E 10.36 antllIIEQ_DY BKF r 8~E 45Y QQg 10/05/48 8Qtl_QB CODA, LOUIS n DALE. DONALD E IE~ M IIU 180-38-9711 MED REel 0000858 T 222 RINGGOLD ST tlll M lib (717) 762-9510 ~~~D~-C~DORER I WnYNESBORO, rA EblD!BI~ WAYNESBORO, PA EOtl_RB HESS MEDICA E 17268 EBE~_UetlE N/A E N ~GQ_OQQBEII EBY_~IeI 9/15/93 M _!._ __ _._ _..__..___..._ _ _ ,'. _ _ _ _ _'_ _ ______ _ __ _ ____ _ _ B Eb_ _E _ _ ----- -- -- --':: --- -- - ..-- -.- --- --- r~ Dt~LE. CIIEr~YL D SAME E . SAME 17268 .b_BEb8!!QUS~!E-H!E!:----------------------------------_______IE~_iL171_1~6=2~lQ_. G DALE. DONt~l)) E E r,EGENCY r lJ 222 RINGGOLD ST M CLAYTON AVE N A WAYNESBORO: PA 17268 P WAYNESDORO, FA 17268 S r, TEL (717) 762-'1510 l. TEL (000) 00000 'i------------------------------i------------------------i---------------------- N SELF PAY N N S S S 1 2 3 . EOI!~~I~G QEeb0. :iHi--XRAY / --i.~-- S~'INE :-L- SHOULDER - - -- -- --- -- -- - -- ---- --- -- - .------ --- DX. MVA ,_______________________________________________~AYN~ii5~6-~5i~ii~[------------- " -------------------------.-------------------------------------------------------- ., .. ~ WAYNESBORO liOSPITAL DIAGNOSTIC IMAGING D.Il", Ilonald E. 2/19/94 Patlon!,s'Namo Dale 10/5/1,8 Room OJ Itl 18 OPIl PI's Idenlilicatlon No, Blrlhdale Goda Roforrlng Physician Dr. CERVICAl. SPINE INDICA'l'[QN: HVA. Tbe vertebral bodies have a normal hoight and alignment. Tbere is narrowing o( C6-7 and milder narrowing o( C5-fl illlll C7-1'1. Anterior spurs al'e I'resont at C5 cbrough C7. 1'h"ro iHe a Iso post"rio,' spurs on the rigbt at C5-6 and C6-7. which impinge slightly on tho neur.,l [0 ram'''' at that level. Small posterior spurs iJrp. on I:hn l,~rl: ;11: r.5-6. Th.!l'f! is SOlnP. 5tl'iliAhtl1ning of thl! cel'vico11 lordosis consist~nt witl, spasm. IHPIlESS!ON: TIH.!rt! is 110 f~vit!I!I1Cf! for acut~ injury. l'hl1rn nrl! degenor.ltiv', chilng" with straightening o[ the Cl~l'vicn 1 lordosis. - \ ~ LEn' SIiOULDER IND I CA nON: MVA. No fCilctllre or dislocation is seen. 1'hel'e is 50(t tissu'! c,tlcHieation adjacent to the greater tuberosity on the internal rotation view. This is probably calcification in the teres minor or in[raspinatous tendon. HlPIlESS ION I No evidence (or (ractuce or dislocation. 11:50 AM G/ j 1': 2/21/94 FEB 2 1 1994 .- Glen A. 'll, H.Il. ~ --- n '. Physical Therapy Associates of Chambersburg 810 Wayne Avenue Chambersburg, PA 17201 FED.I.D.' 23'1484169 THE EASTER SEAL SOCIETY OF FRANKLIN AND ADAMS COUNTIES, INC. 34 ROADSIDE AVENUE . WAVNESBORO. PA 17268 717-762,5315 Pl'etcrfpllon lor Physical Th.rapy PlII.' Camp!gl. Enllr. Top Secllon Nomo ~ ..L./ {J.J._ Addro.o '71" 'l. ., q ~ 0 DIAGNOSIS ~,.....<....~I S~... Dolo of Onse1 or Injury :J I ~,: 'i if X'ray nndlng. e - ~ ~ t,.,." .,;, HI.lory at. DlaOOI..' ti Cardlll'pulmonory O1hor pertlnonl fact. Soda! SeNlce Rorona! _Yo. _No Dalo :3 - r. 9..../ Ago 10 I ~"'~ . I Phono , J...~.u ~~ S:-n-...-- Ll'lAt.........,.:.. . Epllop.y _ EVALUATIONS & TESTING MODAUTlES - BRIEF --I.,.L' 97700' BRIEFEVALUATlON N....,/~ 'i1 I.}....,l.-. ~ 97010' HOT/COLD PACKS _ 97701 . EXTENDED EVALUATION _ 97012, mACTlON. MECHANICAl. _ 95900. NERVE CONDUCTION TESTING _ 97014. ELECTRICAL STlM.IUNAlTENDEDI _ 95858' ELECTROMYOGRAPHY _ 97010' PARAfIN BATH _ 97020' ULTRAVlOLEr _ 97022' WHIRLPOOl _ 97039' UNUSTED MODALITY THERAPY SERVICE _ 97500' ORTHOTICS TRAINING _ 97501 . EACH ADDITIONAL 15 MIN. _ 97520' PROSTHETIC TRAINING _ 97521.EACHADDITIONAL 15 MIN. _ 97530: KINETIC ACTMTlES _ 97531.EACHADDITIONAL 15MIN. PROCEDURES-EXTENDED _ 97016. VASOPNEUMATlC DEVICES _ 97110' THEnAPEUTlC EXERCISE _ 97112' NEUROMUSCULAR RHO _ 971" . FUNCTIONAL ACTMTlES _ 97116.GAlTTnAlNING _ 97110' ELECTRICAL STlM.IAlTENDEDI ~ 97122.TRACTIO~.MANUAL _ 97124. MASSAGE _ 97126.CONTRAsrBATHS ~''''- ~~'-'<-- >< '3- L(.....~ ~ CnL- /'??? M.D. 7 n fj of 7 'YO I Telophono PROCEDURES-EXTENDED ---<<1120' ULTRASOUND _ 97139' UNU51ED PROCEDURE _ 07'45.EACHADDITIONAL IS MIN. -,-, ~( R8lu"adoslred ;!::: !::!~_ Precaution. r:' ~ . F.oquonooy ond Dumtlon ... V / (".,..u...~' , AA~d- ------ -- f""', ?hyaical Therapy Aoaoc<u,ea of Chamberoburg - Initiol EValbntion and Plan of Care ?aHent'o Name Don Qf. cL n n .Q p J rJ1 0. n:, h I 7 Date Dingnoa1n1 !!.-Chl' I t'.. ILt I..A~, h '/Yil ~/U r ?roblem: Thia patient reports that be hnd immediate left cervical discomfort following a motor vehicle accident on 2-18-94. The next morning he aloo ellperienced some low back pnin. lie nlso had x-rays the next morning which have ahowa some 1000 of lordoois in tbe cervicnl spine, At thio point pntient reports feeling relatively improved in the morning upon awakening, lie gets hendaches in the occipital nren in tbe top of bio hcad which lasta approllimately 5 minutes nnd occur npproximately twice n day, lIis low back pain is leos constant and oeeuring only occasionally, lie reports he hols bold some left nrm weakness since the incident, ?hyaician'o Orderal Medical Hiotory: Patient has a colon problem which necessitates treatments one to two timeR a week in Carlisle, Otherwise 00 medical problems, Evaluation ?osture/Ilbaervationo- 0 S~iOl,-C(U"- c:lP\H't'.'.,'cl, S,,(.0 !,..unci (}2) p"-ch'Hdll'1C\ clblc mt)\., (I fl.U (JVU'(~ Llfnhn" I hOI'('r~c.. c,;p 1I1C~.. mOtl. '\l;l"\,l} (lJI(O '("flct. . J, ROM., (,.. n \ 1:; \ Go C '3 h v)J.,hl\.~ J.ll"ctn'/...o..Q) t, ~"~n.L Sp;n,r..... ~_ Strength ~ /.111 hucq".,trl ~hl'ld(l.r,1\.. \11r:I.'lIt \ (1IIuQ.C 'f!\.!,'!.. ~ \ TiunJt rr: '-=:7 fl cd ~ VlC.\'(l(l(l, c;,plt\.l.-- C.Q1IA.'IC,ldJt \ ~Jl.l.dr.:"5 '. Joint Mobility/Stability Flexibility G~l'\.ly(lte..t\ fh't) C,~;','(LH(\ -\.~l~.f . {. - \ " Llf p.l' If' ~Ll{L~tlU I Sensory Gait Palpation Tenderneaa - 0 \,-l ,- c.. 2. C. L\ Tz. Tlf ":;P' nOl.''';, fP~'"t.~('~~~.t~ Spaam ,,' Trigger pointa ~ ~ , ,. rnysical Therapy Associates of Chambersburg, Inc. 810 Wayne Avenue Chambersbur8, PA 17201 (717) 263-5147 FAX (717) 263-3454 Bruce A, Hitchens, P,T. John B, Hostetler, P,T, Marsha A, Lacy, P,T, April 11, 1994 PIIYSICAL TIIERAPY DISCIIARGE SUMMARY TO: Louis Coda, M,D, RE: Donald Dale Problem: Low Back Strain Treatment Dnte: March 17, 1994 Dear Dr, Coda: We evaluatcd your patient. Donald Dale, in Mnrch, He cancelled any subsequent treatments due to feeling it waa too far to t~avel to o~r clinic for trentments, DurinR our evaluation, this pntient reported he hnd been involved in n motor vehicle aC:cident on 2-18-94, lie ellperlenced some low bnck pain the nellt morning and cervical pain, His complaints at the time of our evaluation were cervical pain and headaches in occipital aren nnd on the top of hia hesd, .. Our evnluntion revenled n left shoulder depression snd aide bendinR to the left. His shoulder flexion wns limited bllnternlly to 150. and his eervienl spine ranRe of motion was limited by discomfort in nll nreas by approximntely 50.. lIis trunk forwnrd fledon was mnrked by n flnttening of tbe thorneic spin/!. lie showed an overall myofascial tiRhtness in the upper quarter. There was tenderness over C2, C4, T2, and T4 spinous processes. We proceeded with treatments including moist hent, ultrasound. nnd massnge, We also instructed him in some gentle rnnge of motion exercises for tbe eervicnl spine. Thank you for the chance to evnluate this pntlent, If We .nn be of nny furtber assiatance, please let us know, Sincerely, ~~ f2tl.lttf..lj Marsha A, Lney, PT MAL:jag ,. ~ r-. HAS AN APPOINTMENT WITH P. T, Associates of Cbambersburg, Inc. .10 Wayne Avenue Cl'1ambet,burg, PA 17201 717-263.5147 Mon. A'_ Tun. A'_ Thurs. 3-.;J.tj A'_ AI lc ! 30 w.~. FIt A'_ 511. Al_ II unable to liMp .ppolntmenl. kIndly glvI 24 hour. noUn. LAURALEE B, BAKER-STARR, ESQUIRE Pa, Supreme Court 1.0, No. 59814 REYNOLDS & IIAVI\3 A Proteo.iona1 Corporation 101 Pine Street P.O. Ball 932 Harri.burg, Penn.y1vania 17108-0932 Te1ephon' : FAX: [717} 236-3200 [717] 236-6863 Attorney tor Defendant: CINDY SAXON DONALD E. DALE and CHERYL DALE, his wife, Plaintiffs IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNA. : CIVIL ACTION LAW NO 95-804 Civil Term v. CINDY SAXON, Defendant JURY TRIAL DEMANDED ARBITRATION MEMORANDUM OF DEFENDANT. CINDY SAXON I. Facts This personal injury action arises out of a motor vehicle accident which occurred between Plaintiff, Donald Dale ("Plaintiff"), and Defendant, cindy Saxon ("Ms. Saxon") on February 18, 1994. At the time of the accident, both Plaintiff and Defendant were traveling northbound on Route 81 near carlisle, Pennsylvania. At the time, Route 81 lias under construction and the northbound route encompassed only a single lane of travel, Immediately prior to the accident, Ms. Saxon, who was driving a 1994 Jeep Cherokee, went over a knoll in the road and encountered a stop in traffic. She immediately applied her brakes and attempted to avoid impact with Plaintiff's vehicle by swerving to the right. Plaintiff, who saw her approaching in his rearview mirror, applied his brakes rather than pulling his vehicle forward. Unfortunately, the left front of Ms. Saxon's vehicle impacted the right rear bumper of Plaintiff's vehicle. Both vehicles were able to be driven from the scene. As a result of the motor vehicle accident, Plaintiff contends he sustained cervical and lumbar injury as well as occipital headaches. Plaintiff's credibility will be at issue concerning these alleged damages. ]I. DISCUSSION A. PRECLUSION FROM RECOVERING MEDICAL EXPENSES AND WAGE LOSS. It is believed that Plaintiff will endeavor to introduce into evidence the amount of medical and wage loss expenses allegedly incurred as a result of the motor vehicle accident. Pursuant to section 1722 of the Pennsylvania Motor Vehicle Financial Responsibility Law, the Act of February 12, 1984, P.L. 26, No. 11, 75 Pa. Cons. Stat. section 1722, as amended, (the "Act"), Plaintiff is precluded from recovering benefits provided by any source covered within the ambit of Sections 1719 and 1722. Section 1722 of the Act provides: section 1722. Preclusion of recovering required benefits. In any action for damages against a tortfeasor, or in any uninsured or under insured motorist proceeding arising out of the maintenance or use of a motor vehicle, a person who is eligible to receive benefits under the coveraaes set forth in this subchapter, or workers' compensation, or any 2 program, group contract or other arrangement for payment of benefits as defined in section 1719 (relating to coordination of benefits) shall be precluded from recoverin9 the amount of benefits paid or payable under this subchapter. or workers' compensation, or any . pro9ram, group contract or other arrangement for payment of benefits as defined in section 1719. (Emphasis added). section 1719 of the Act provides: section 1719. Coordination of benefits. (a) General rule. - Except for workers' compensation, a policy of insurance issued or delivered pursuant to this subchapter shall be primary. Any program, group contract or other arrangement for payment of benefits such as described in section 1711 (relatin9 to required benefit(s) 1712(1) and (2) (relatin9 to availability of benefits) or 1715 (relating to availability of adequate limits) shall be construed to contain a provision that all benefits provided therein shall be in excess of and not in duplication of anv valid and collectible first party benefits provided in section 1711. 1712 or 1715 of workers' compensation. (b) Definition. - As used in this section the term "program, group contract or other arrangement" includes, but is not limited to, benefits payable by a hospital plan, corporation or a professional health service corporation subject to 40 Pa. C,S. Ch. 61 (relating to hospital plan corporations) or 63 (relating to professional health services plan corporations). (Emphasis added). Obviously, Plaintiff brings this action against Ms. Saxon for injuries allegedly arising out of a motor vehicle accident. Accordingly, section 1722 of the Act applies and Plaintiff may not recover lost wages or medical benefits paid and/or payable under his first party benefits. 3 B. MEDICAL BILLS INCURRED BY PLAINTIFF ARE INADMISSIBLE AS EVIDENCE TO MEASURE PAIN AND SUFFERING The medical bills in this personal injury action are not admissible as they are not probative of the degree and extent of Mr. Dale's pain and suffering. In the case of Martin v. Soblotney, ___ Pa. , 466 A,2d 1022 (1983), the court was faced with the issue as to whether medical bills were admissible to prove pain and suffering in the plaintiff's action to recover for non-economic damages under the Pennsylvania No-Fault Motor Vehicle Insurance Act. The court held that there is "no logical or experimental correlation between the monetary value of medical services required to treat a given injury and the quantum of pain and suffering endured as a result of that injury." IQ. , 466 A.2d at 1025. The court reached this conclusion for several reasons. First, it noted that the mere monetary amount assigned to medical services masks the difference in severity between various types of injuries--a very painful injury may be untreatable, while a less painful injury may require more costly treatment. Second, even with identical injuries, the method or extent of treatment provided by a physician may vary from patient to patient and from physician to physician. Third, the reasonable value of treatment may vary depending upon the medical facility and community. Finally, even if it were possible to have an incident where there were identical injuries, treatment and costs, pain is subjective and varies from individual to individual. Based on this reasoning, the court held that the 4 cost of medical servioes is irrelevant and held the medical bills to be inadmissable for these reasons. ~, alaQ, Greenwood v. Hildabrand, ___ Pa. Super. ___, 515 A.2d 963 (1986) (under Pennsylvania case law, the dollar amount of medical services provided is not probative of the degree and extent of pain and sUffering experienced by the victim and thus the medical bills incurred by that victim are irrelevant and inadmissible as evidence to measure pain and suffering.) In light of the foregoing case law, in the event that Mr. Dale attempts to introduce medical bills as a measure of pain and suffering, these bills are irrelevant and inadmissible as evidence. Respectfully submitted, REYNOLDS & HAVAS A Professional Corporation May 28, 1997 B. Baker-Starr, Esqu re I.D. No. 58874 101 Pine Street P.O. Box 932 Harrisburg, PA 17108-0932 (717) 236-3200 Attorneys for Defendant, Cindy Saxon 5 CERTIFICATE OF SERVICE I hereby certify that I have served a true and correct copy of the foregoing document on all counsel of record by placing the same in the united States Mail at Harrisburg, pennsylvania, first-class postage prepaid, on the 28th day of May, 1997, addressed as follows: Timothy A. Shollenberger, Law Offices of Timothy A. 1B20 Linglestown Road Post Office Box 60545 Harrisburg, Pennsylvania (Plaintiffs' counsel) Esquire Shollenberger 17108 REYNOLDS & HAVAS A professional Corporation (l /1 ~ ) !\.:~)!Y.l (/3 ' I~' Rosa B, ~ulp, Secret y Patient'a Name~ ~ Date ..3 -/7-'9'1' · " /1 /1 -::-; ." Problem: ~ -'fAL>U--""" .-i'..-u.1 ~ ~ 1. How and when did your problem begin? \ .;1.-pr-9'1" I ~~ 2. Indicate on drawing where problem is 3. What physical limitationa do you have aa a rasult of this problem? ~ 4. Do you have discomfort in areas other thsn the painful area? ~ .- 5. Rate pain on scale of 0 - 10 . C' 1 f o' no pain (, - ~ 10 worse possible pain 6. Does the pain vary? ~. 7~ What makes it worse? ~~~ 8. Does it vary by time of day? ~ e;r;;t, ~ What has been done 00 far for this problem? . ~ Are you on medications? ~ If so, what ~ype?~ #t~ - ~()"'j Do your medications help? ~ What type of work do you do? ~-t tI &d C!~ For how long? ...;::l7 ~ When was the laat time you were painfree? .;2 - (? - ?f 9. 10. 11. 12. Patient' s Signature~ ~# N~~"""" P~yaical Therapy Aasoc~Htes of Chamberaburg - Initial EVuLuation and Plan of Core Patient'a Name .0011 a.ltL [)a1p, Dste -1JJ 0.. 1((1 h I 7 D1aRnoa1al ~ I Co ctL ( GB (; 1Y1I ~ Problem I This patient reports that he had immediate left cervical diocomfort fOllowing a motor vehicle accident on 2-18-94, The next morning he alao ey.perienced aome low bock pnin. He aloo hod x~rnys the next morning which hove shown some loos of lordosis in the cervical spine, At this point patient reports feeHng relatively improved in the morning upon awakening. He gats headaches in the occipital area in the top of hia head which lasts approximately 5 minutes and occur approximl1tely twice a day. lIis low back pain 10 less constant and occuring only occasionally. He reports he has had oome left arm weaknesa since the incident, Physician'e Ordere: Medicel Hietoryl Patient hss a colon problem which necessitates treatmento one to two times a wesk in Carliole, Otherwioe no medical problems, Evaluation Posture/lbservations- 6) sh<n&4.\. c:la-p-v-e(,.~t I SIelL. b.e-nd @ p\'Z)h-ud.!.n~ oJcdO"l"T\.Vl\.. I .(21 a.tl.erUd- I u.rn.bc\ r · + hOl'Ctcic.. s.p I n c... mod. ~o.ha. ~ I RO~VLo-xUtM ~~ to .~ (50. ~"~aL spi n..t.... Strength . A II ~L Sh~ h10bDlV~ (! (ULQ.Q... 'fCUI\- Ii-u-n...lt.. rF :=) PI (l.J +VtOVltClQ... 'bPln.-,- ~' eJ.~1 ~ WWIU~J .. Joint Mobility/Stability Flexibility q~ nua-D~W~_~ -\tr\..t In L-lfp-ev- 11..1~ Sensory Gait Palpation Tendemua - o~ G 2. C Y Tz. TY. SP' nOl.lS lpvt:,ces.<;c.s Spaam .' Trigger Pointa ,0_' I Girth Special Tute .' Other Patient'e Proble~e 1. TnP,CA.mmo';/";on c.a..-vl~~j-, 2. PObhv-~. fttu...J1;b ; n.du.d.in') ha:tu.I'UJ. 1~(V'c..... +-hoY"(l.~c.. 3. died {2.0.tU. ~\c..c~ 4. ~I e-a..R..- C'.M.flrrl1~ fI. ~ 5. Treat~ent Goala - ahort term 1. N.orm~ l!Q.M.I1~d 2. v~cL r n {!f fJ.Arvrn a:/1 on 12.0.'<<. . 3. ',. Lons term . 1. .tu;l. (JAif~ 2. 3. 4. Treat~ent Plan 1. ~ '-Pw.:t 2. U.~. ~: ~ fM~ Recommended frequency of P. T. treatment T I. W .=3> 13. I. uJ . Anticipated reaulte " Therapist .-li.JJ,;,,-i/IJ 9f;<4 ()f m5 r Da t. ,tf flAAlh, / 9l, /99/ , 71'hysical Therapy Associates of Chambers burg, Inc. 810 Wayne Avenue Chambersburs, PA 17201 (717) 263-5147 FAX (717) 263-3454 Bruce A, Hitchens, P,T, John B, Hostetler, P,T. MarshaA. Lacy, P,T, April 11, 1994 PHYSICAL THERAPY DISCHARGE SUMMARY TO: Louis Coda, H,D. RE: Donald Dale Problem: Low Back Strain Treatment Date: Harch 17, 1994 Dear Dr. Coda: We evaluated your treatments due to , patient; Donald Dale, in Harch. feelihg it waa too far to travel He cancelled any aubsequent to our clinic for treatments. During our svaluation, this patient reported he had been involved in a motor vehicle accident on 2-18-94. He experienced aome low back pain the next morning and cervical pain. Hia complainta at the tima of our evaluation were cervical pain and headaches in occipital area and on the top of his head, . Our evaluation revealed a left ahoulder depresaion and side bending to the left, Hie shoblder flexion was limited bilaterally to ISO. and hia cervical apine range of motion was limited by discomfort in all areaa by approximately 50.. His trunk forward flexion waa marked by a flattening of the thoracic apine. He ahowed an overall myofascial tightneaa in the upper quarter. There was tendernesa over C2, C4, T2, and T4 apinoua processea, We proceeded with treatments including moist heat, ultrasound, and masaage, We alao inatructed him in eome gentle range of motion exercises for the cervical apine, Thank you for the chance to evaluate this patient. If we' .an be of any further aaaistance, pleaae let UI know. Sincerely, ~o.. R? clMIf Harsha A. Lacy, PT HAL:jag .. ,onw.o,) IIESS KlIDlCAL CLINIC NAME DALE, DATE' .' PROGRESS NOTES B.D. - 9 ., -9 5 cont. A, Patient with problem of sleeping, He denies any known apnea or snorin. b~: 1 Celt it is probably best to go abead '''ith a sleep stuuy, I didn't chan;.~ anything else right at this time. 10-3-95 T, I called Hanover 1I0spital and get a sleep study lined up Cor Donald, I guess what '..e are looking Cor here is possible pseudo naricolepllepsy, (RDII:nh) 10-16-9 T. Rash is getting better. His fungal culture is positive. He's to continue the Lotrisone on his feet. (RDH:mab) 10/6/95 C. Larry L. Sollenberger, M,D.--see report, (bh) 11/14/95 T. A call from his wife. I called the other day and got a hold of Donald actuall~, He said that she'd called because he broke the remote control because he was . upset with her and ~he felt like that that he was provoked and that he won't work with them. When I called her her story is quite different. She seems to indicate she'd be willing to go for counseling but doesn't think he will. I left it that if he's interested in getting something set up that he should call back. I did suggest the Otterbein services which are free. The expense apparently has been a problem in the past. (RDH:bh) 1-2-96 T. His sleep study looked pretty good. No sleep apnea, 1 don't tbink we need to work that up further at tbis point. (RDH:nh) A. S, Donald comes for routine checkup and overall getting along pretty well. He has been shifted to a new Job at work and he feels he is under less pressure and be feels better with tbat. Still having a lot of struggle and strife at home but doesn't Ceel he is depressed and overall feels like be is doing fairly well. He says his wife won't go for counselling, 0, UP is 112/78. beart RRR. A, Hypertension now seems to be doing very well, minimal medicine, p, Decided to stop it altogether and see how it is in 3 months. (RDIl:nh) 2-12-96 T, Donald wanted to know wbat be could take Cor runny nose and cough, I told hi= Robitussin OM would be fine, It sounds like it is probably viral infection fro~ what he describes, If he gets worse, let us know. Sbould get over in a couple o ( ',Jccke. (RDH ; Ilia I 3-15-96 T, He was on my phone list. I got a message tbat he doesn't want to be ca 11ed, so 1 didn't call him. (RDIl:nh) i-14-96 A, S. 0, A, p, 1\, S. Patient presents with cough and just feeling somewhat run down with chills and sweats x2 weeks. Blood pressure is 130/100. Temperature is 98.90. erythematous but otherwise HEENT is unremarkable. bilaterally and heart is regular, Probable bronchitis. Amoxicillin. one t,i.d, Pharynx is minimally Lungs also are clear I i 1l-7-'Hl at bedtime, (TH:LC:c:: /1 to -i~ ,/.; .' f:;i "f Comee in '.rith pains in his back DC his head and neck, it has bee11' getti~g warGe. The biggcDt concern he han is l..Jhcn he is !)ittin~ around. sometimes '..Jhell he is dril/in!.;, sometimes ,,,hen he in at '..Jork. hiD head JUSt ~oe5 '10',';n he SillS. It just suddenLy (lop!}. 110 [eels like he is :.;oin~ out ,Inri :h'.!ll it ':ot::e!i rit.:ht hack. He ;..:cts his he.l(1 bac!: fhiLt is along with Phenergan for cough 'ORt.l.OU DATE N continue .. 0-28-95 A. 9-28-95 HESS MEDICAL CLINIC PROGRESS NOTES NAME B.D. DAI.E, Donald r.. 10-5-48 any diplopia looking anywhere else or any vision problems looking anywhere els He still has some of the discomfort in the back of his head or rather the funro sensation. He also, when asked about his vision, says he doesn't see the 8ibl well in church but when I explore this further what he is describing is that he is getting far sighted and he has to hold the book at a distance and that 11 been coming on for awhile, He did take his Prozac this morning and he took his Tenormin this morning, apparently decided to start it again. His blood pressure is 140/88 sitting, 144/94 standing, He is no distress. Pupils arc equal and reactive to light. Discs arc flat. Extraocular muscles intact, Ile has no diplopia here, Ile moves his neck well. Ile is able to fle~: forward without any pain. Ile can move all extremities well. Ilis patellar reflexe arc 2+. \. Patient with a very vague description of a transient sensation of difficulty ~ his vision. I just can't make a significant episode of diplopia out of this because he is only describing this feeling at one point looking in one area, I told Donald I could not put a specific diagnosis to this. It is difficulty know how hard to push it. I don't think that imaging studies arc warranted at this point. I strongly offered to have him see a neurologist and get thei: opinion on the matter and see if they think anything further should be done, the end after discussing it and thinking about it, Donald decided simply to We a little bit and see if he has further symptoms. I think this is a very reasonable approach because I don't see a red flag symptom here to make us lei into an extensive workup at this point and Donald seems to agree. He ia goini stay on his Tenormin one a day and give the Prozac some time to work as we he discussed before. (RDH:erm) A. S. Donald is back, Ile has no further spells. Still has the funny feeling in his occiput area, Says he always has that. He has been seeing a chiropractor late ly and not sure what I thought about that. Told my standar recommendation was not to allow his neck to be manipulated. l'don't usuall:' refer to chiropractors but I am not going to intervene, That will have to be his decision. Donald's main distress is tbings aren't going well at home He recounts a number of episodes, things bis wife has done. He feels that it is causing him problems at work and jeopardizing his job. he has a house standing empty that they were buying to move into anu she won't mOve so now he has 2 houses and quite a number of things. They have been in counselling before but he said she walked out and wouldn't continue and there is no use for him to go, I listened to him and not a lot more to offer. 5ugg~~L~Ll LJhlL 1a~ 1II1gllL ~ull:ilJt:;: cuunsioLliiiB himself but ha dca:;n'::, really feel that it would help, He is discouraged but denies being suicidal or severely depressed. He doesn't think the Prozac has made much difference for him. He really wants to stop both his medicines. I suggested he stop Prozac and stay on the Tenormin, 0, BP is 140/84, chest is clear, heart RRR, A. Hypertension control fairly good right now, p, Recommended we not make too many changes at once and suggested he sta:: on his Tenormin for the present. Gave him appointment back in ] months. (RDH:nh) S, Donald is here for a checkup. Overall seemS to be feeling well. His main complaint is that be had a couple o[ sore toes on his left foot and he has episodes at work where he just falls 0[[ co sleep. lie docs manual cuttinq. Said be Just finds himself do?inq of[, This has been Hoing on for about - I, months, He doesn't doze off '"hen he ls drivin~ or .1ny other t il,e. It Ls unclear exnctlj '..Ihat the significance of thi!i is. 0. UI' Ls 12()/~(), chest clear. Heart Him. Iii:; leCt toes sho'.; a lLttle -,L: H flexion '!cfor:nit:l. There is no open le~iuns ':here. :1",,11..... "n,- I .,. -, ".... "'" . ..-, ,-. .. .ony.on DATE # UESS MEDICAL CLINIC PROGRESS NOTES NAME DALE, Dona Id E, B.D. In_C;_'IR A, S. Donald comes for a check up on his blood pressure, his back and we went ove: a number of things, He's only taking his blood pressure pill every two to three days. Donald talked at length about bis frustration with his peri-rectal problems. He still has some leakage of stool and feels if anv- thing, things arc not quite as good as they were before his last operatio~, I He's thinking about persuing yet another opinion about it, I really don't know how best to advise him, but I thought he ought to follow-up with Dr, Sollenberger so he could keep track of it. He may ultimately be more content if he just tries to be content with it and accept it but we talked I about a number of things and he'll have to decide how he wants to persue this. Again, I advised him to see Dr. Sollenberger back. As I talked it ; became evident that Donald is somewhat depressed. He certainly denies bei~!1 suicidal but he feels tired, feels like "what's the use" and he's not been sleeping well since his last operation. lie has some early awakening. His neck, he says, is great. His lower back bothers him just when the weather changes. It is pretty good when the weather's okay. 0, BP's 124/86. CHest is clear, Heart RRR. Good reflexes in his legs. A, Patient with apparent resolving back and neck pain as described above. A. History of Hypertension. He's doing fairly well now off his blood pressure medicine. I'm not sure there1s any reason to persue that, A. Depression. p, I plan to put him on some Prozac to see if that won't help. We gave him a follow-up appointment. He's to let me know if he has problems with the medicine meantime. (RDH:mab) ./95 6-9-95 A. T. From his wife, she Was concerned about the bill in January that wasn't paid by the insurance explaining that it was mainly for hypertension and his other problems and I thought that was appropriate. If they don't feel that they can pay it, we will just write it off. She had some questions about his rectal problems and I told her I really didn't feel I could discuss it at this point, if she wanted to come along with him we could discuss it and she talked about going along up to see Dr. Sollenberger and that is certainly fine, (RDH:jad) Pofll'.{6 ~....ec...l <1f1Pr f'^'t/1M-'\.<Jkp f,-:!''7r-. D)<I/Ulrw~ -^'--'~ !J~ /!l,d~rl:. ]:>~~''''''...J \? T. Donald cancelled his appointment. I checked back with him, Thought the Prozae maybe helped him a litt Ie bit. lie wasn't sure. He dec ided that he would like to try it a little bit longer, I pue. OUt some samples Cor him, He said ehaL . he will make an appointment to get back With us, I am not sure exactly why be canee lied bis appointment. (ROil: nh) S. Donald comes with a "funny feeling in the back of his head". He says it stn the previous night. in some senae he calls it a headache and in another sens he just calls it a funny feeling and other times he is talking moatly about clicking in his neck which has been quite chronic. It is very difficult for to understand whether there is actual pain there or it is a vague sensation, Seems to be fairly much on the surface but again, it's difficult to understa what he ia describing. It started grndually and built up, It was not a sud onset to suggest a subarachnoid event. This morning he had it when he woke still, mien he went to work, as he was driving down the rood that was lined with cars on either side, he hod n sudden sensation of the cara converging, course they weren't and he was able to proceed, This woo apparently very transient, perhaps a minute perhaps less, lie just didn't feel very good. E went to work. which is a short distance away, sat in his car for a couple ~: minutes but as best I can understand he renlly didn't have any ~ther visual .. 1.1 'ORM.on 04TE /I DESS MEDICAL CLINIC PROGRESS NOTES NAME DALE , Donald E, B.D. 1 n-,-I.R J. 11-95 T r, Sollenberger, lie upd:lted mil on what he was doing with Donald. He said tha onald has an uninto'lctd sphincter and he has some seepage, lie had tried ta epair it once it came loase and he WIlS bllck to where he was to begin with, Ie hns told Dano'lld he could repair it again there is only a 50-50 chance and e wouldn't really encauarge him to da so, (RDH:rkt: .-19-95 t\, 5, Danald is here for a checkup, lIis main concern right now is the problems with his rectal leakage, lIis plo'ln it sounds like is to go bo'lck and see Dr, Sollenberger. 1 explaineu 0'1 little bit as t understaod it but he '''ill have to discuss that with Dr, Sollenberger and make hid choice as this Is something tho'lt isn't any abviaus definite goad chaice it sounds like, lie will have to weigh what it is all worth to b~n, Danald saunds very frustrated by the fact that he has to go ta the restraom frequently and be has Some continued small amaunts of staol leakage, lie says he has same pain at the base af his neck, He bas a single isalate~ Spot in his right upper acciput. It bathers him and where he has tald me in tbe past that if he JUSt tauches a hair there, that seems to settle it down at least for a time and he confirms that is the case naw. He also has same discomfart in his lower back, The pain is nanradiating into his legs or his arms, He has na numbness ar weakness, lie says they work well. He is able ta ga ta wark and da his job, lie has seen improvement as he nated in the past, He thinks maybe the impravement is nat continuing now, No ot~e: problems are turned up though he mentions he is having quite a bit of difficulty with his wife, their relatianship, His 8P is 120/88, chest and beart are unremarkable. His range af mation af neck is somewhat limited fram average but it is equal in all directions, Nat severely limited. He turns to abaut 50-60 degrees ratational1y and flexf and extends ta prabably about 45 degrees. lie can bend clear over withaut any seeming difficulty. He can walk an his heels and on his toes, He has 2+ patellar reflexes, 2-3+ achilles and intact upper arm reflexes as well thaugh the triceps are difficult to elicit. 1 palpated over the area where he has the discomfart in bis scalp and t dan't see any lumps there. t dane feel any lumps. t don't see any cbanges in the skin though he is able to tell me right when t am puttin~ my finger an it. Alsa he says that the reflux type problems are not a prablem naw. He has cut the Zantac to ance a day and it is getting along on that, He has alsa cut the Tenormin'to once a day. Hypertension, Cantrol is okay. 1-17-95 J. 7 -r;~' )-16-9~ C, Larry L, Sollenberger, M.D, Tf\,S IJAper!, -Plc.lo'(q). kL...\..u.....~\.......J Patient with same chranic neck and back discomfart, lie is fairly functional t told him as t have tald bim be fare that it is hard for me ta imagine wbat we wauld da ta improve on his situatian. 1 think it is reasanable far him to use Tylenal and things like beating pads, If it bathers him. t gave him same shaulder and neck exercises and alsa 1 shauld mention that he has a little discamfort alang the medial barder af bis left scapula, 1 wauld be glad far bim to see somebauy else if he wauld like ta, though 1 wauldn't really knaw exactly who ta send him to, He has seen the neurolagist at Hershey, 1 dan't see how mare physical therapy is gaing ta benefit him, Donald seems to be fully functianal at least in his jab right now, 1 think it is gaing ta be one of those things he simply has to wark with. (RDlllnh) (mab) ,\',11,..\ v.s ('1') 1l[():;<;/l\U.IU'lt --., - ._. ..._. H' J ,\, '_ C Dr. Sollenbergl'r. Sl'l! report. (ssb i ,enN.OU DATE' 9/?0/94 lO-l6-94 lO/l9/9 A, /I NAME B.O. DALE, Donald E, PROGRESS NOTES 1n/~1/,R CONT --has an appointment in October to set! mt! and if he problems before then he can make an appointment ER Probable Reflux Esophagitis, feels like he's having more to see us before then,(RDH:~~, (mab) i S. Donald comes for a follow up of ER visit when he had an episode of what he describes as a sharp pain that was hard and in his mid chest. He says durin. thnt pain it hurts to take a deep breath. He had about three episodes of thi and finally went to the ER where he was evaluated as having reflux esophagiti That seemed to be a recurrent factor that it did hurt to take a deep breath when he had it, He's on some Zantac now and hasn't had any bad spells and is interested in staying on the Zantac for the time. He does have a history of esophagitis and he has a history of some heart burn intermittently but no: a big problem, Patient says he still has pain in lower back, that it's not radiating tc his legs, and it occurs about two times a day and lasts 10-30 minutes but ne up to an hour. He has no weakness or numbness in his legs. Also he says his neck still clicks and he has a funny feeling in his occiput and he runs his hand lightly over the back of his hair and then it eases up. He says that that is not a pain. 0, He reasonable ROM of his neck, probably not completely full range as when he was young, no deformities are seen. No back deformities are noted and he has intact reflexes in his legs and good dorsiflexion of his feet. He has negative straight leg raising. His abdomen is soft, nontender. Heart RRR, BP 140/94. A. Hypertension, BP control is fair and I elected not to change his medication this time, but we'll check it back. 1.2A. Patient with chest pain some of which sounds like chest wall pains but certainly could be esophagitis. P. We're going to keep him on the Zantac now bid and see how he does. If he continues to have problems perhaps other avenues will have to be pursued, bu it certainly doesn't sound like cardiac pain and I think this is a safe way to approach it. T. A. Patient with residual complaints from his MVA, I tried to explain to him tha he probnbly is going to have some discomfort off and on and I can't say how long it will last but I think it's hard to imagine that anything we could do is going to improve the situation that he has now, He asked what an MRI was and I'm not quite sure why he brought that up, but he said he just heard Ahnllt it from a friend. I explained I~h!lt it is and told him that tn hi::;. ease I don't think there's any benefit because even if he had something like a protruding dia~with his symptoms as minimal and as intermittent as they are I certainly wouldn't recommend treatment invasively for that. Patient also asked about a flu shot and that was given. . (RDH: bh) I USF & G Ins. form requested copy of 10-14-94 Progress notes. Mailed to them Authorization on file. in chart. (c: I Donald continuing to have rectal drainage and problems, Wife very concerned I about this, Doesn't think Dr. Sollenberger is taking it seriously enough or i doing enough aggressive treatmenc for It. l recommended that she talk '.ith :1. Dr, Sollenberger herself, express her concerns, Sbe thinks something more needs .. to be don~ to have him refer them, (DBlIlnh) . ,ORN. on DATE N -91, 6-23-91, T, 7-12-9 COr. 7/27/94 8-12-94 9-6-94 9/20/94 T. OALE, Oonal;; NAME PROGRESS NOTES IC-;-. B.D. T. Patient called us back at 757. better, lIis neck still hurts tbough, lie is ge::~: physical therapy 3 times a week, lie denies any pain in his arm, I 5uggeHc, we cut his physical therapy to twice a '.eek, Try to "wean him off that", (ROII:nhi Appointment with Dr. Robert W, Brennan at lIershey on Tues, July 12, at 9:30. (r~:: Donald wanted to cbeck with me about who to see, We have an appointment arran;e for him with Dr. Brennan, I think that is a reasonable place to start, lie sa',,; his back pain is 75% better. lIis neck hurts sometimes but he feels a clickin: in there and a funny feeling in his head that bothers him. We couldn't get - Donald in with any of the neurosurgeons in this area because they won't take accident victims. (ROII:nh) Dr, Hekler~-No neurological problems were found, lie recommended him to be followed clinically. (ROH: r;~ A. S. Patient comes for a recheck of his back and a check up, He said he still ~c the clicking noise in his neck when he turns his head, He has an internal itching type feeling over his occiput and a little bit over his right par~e: area that if he just touch his hair that tends to settle it down. lie has ar occasional pain down his right trapezius area. This occurs a couple of ti=e a day and then goes away. He says his lower back is doing well and it's ao: 80%, 1101'S back at work and able to do his full work. Also he's had a col: and cough for the last three days. 0, His SP is 126/96. His neck has somewhat limited range of motion in all directions but not more so really one direction than the other. This is including flexion and extension. There's no palpable tenderness there, Thi no scalp abnormalities seen, His patellar reflexes are 2+ and his Achille', are symmetrical but not very marked on either side, Chest and heart are unremarkable and with his lungs being clear. A, Patient with hypertension, P. 1 put him on Tenormin bid now instead of q day, j 2A. Patient with history of neck pain, 1101'S been on physical therapy for quite a while and I recommended that he talk to the physical therapist about c;!~':!rcis':!s he can do at h"me. It s"l.lnd~ tn m~ l!ltp t'hineq hnvp imflrnvprl.~ntj he's probably at the point where it's better to just go on and accept what he had there and not focus on that discomfort. I'm not planning to renew h: physical therapy, He's seen the neurologist at Hershey and there's no evidence of neurologic findings, He's back at work and I think some of thi. may be chronic, To focus on it further is not going to assist it. (RH:bh) Copy of Office Notes for 7/27/94 sent to USF& G as requested. Authorization on Copy of office notes since 2/19/94, copy of lIekler notes of 7/12/94, and also copies of Ryan phys, therapy of 3/24/94 and letter to Annette Mellott. dated 7/1/94, These were sent to Timotby Shollenberger, see enclosed permission and note that WE ARE NOT TO DISCLOSE INFO~lATION TO ANY INSURANCE ADJUSTER OR OTHER PERSONS WITIIOUT WRITTEN AUTIIORITY FROH MR, DALE-EXCEPTION: FIRST PARTY INSURERS WHICII IS USF&G. (ac) See letter enclosed. II" said h"'s haVing a bit more pain in his back,and as I gath"r, was wond"ring about whl!thl!r he should go back for ml! physcial thl!rapy, I told him I fl!lt that's probably not thl! route to go at tbis point and he should do tho "Kerel. that he '.as ~ i':en by the"" wh ich he says he' '; do lng. II" sa ld he has '10",." ~ 'OAM.OI1 OATIi 3-23-94 3-31-94 4/5/94 3-24-94 C 4-11-94 C 4-L2-94 4-25-94 5-16-94 5-27-94 NAME DALE, Dona I: 10-:_ ~ PROGRESS NOTES B.D. T, Mr, Dale needed a request for physical therapy. He is unable to go to Easter Seals because of conflicts with work schedule. He wanted to know if he could go to the physical therapist association at Ryans over on Cumberland valle, and King Street, I told him that would be fine, He '''as given a prescription, (LC:nh) US FidelitV & Guaranty Co. request for records on injury of 2/18/94 to present sent to them along with copy of X-ray, & bills. Authorization on file, , 'J' a, 5, Donald is here for recheck of his neck and back pain, he also is complaini~i of a few days of sore throat and congestion, He reports that his neck pai~ has been decreasing and is getting some relief witb his physical therapy, 0, Temp. 98,90. HENT is unremarkable. Neck, he is able to flex forward 70 deS~1 extend backwards 10 degrees, lateral flexion to the right, 10 degrees int, the left, 20 degrees. Rotation, 45 degrees to the right and 40 degrees to the left. Lungs are clear, heart without murmur, A. Cervical strain. Mr. Dale continues to make slow ~mprovement. p, I recommended that he continue with his physical therapy an additional 4 weeks and followup at that time for re-evaluation. A. Viral respiratory infection. P. Supportive therapy only with Tylenol for the fever and cough syrup as neede: (LC:jad) Ryan Physical Therapy Assoc. See report. Physical Therapy Assoc. of Chamb, , Inc. Marsha A. Lacy, PT. (ssb) . See report. (ss: i Copy of progress notes of 4/5/94 & bill sent to USF & G as requested. Authorization on file. ~ I (-I . , I ; I I A. S, Patient comes with pain persisting in his neck, He describes it from the right occiput down into his neck and straight down into his lower back, He catergorically repeatedly denies any pains in his arms, any weakness or numbness in his arms, This does bother him at work, when he leans over and does some work there, O. BP is 112/84, His chest seems to be doing well, Denies any chest pains, His lungs and heart are unremarkable, lIis neck he can rotate about 45 degrees from straight ahead, both directions, It seems to be about equal and he can extend his neck only a little ways past vertical but can flex it with his ~hin dewn to his chest.. There ic ~ild ecndcrnc~~ cn'palpation'- of the trapezius but no deformity otherwise noted although he has some kyphosis. He has intact reflexes in his arms and intact sensation in his both arms including up to the deltoid area. His pensor grip seems to be equal in both hands, A, Patient with neck strain getting physical therapy. lie came because he had called me on Sunday and wanted to go abead with cervical collar which had been suggested. P. I fitted him in a large serpentine type collar. Recommended that be wear it during the day as much as possible and preferably at work although he doesn't think he is going to be able to do that, 1 reordereu some physical therapy for him for a month and then told him tbat probably would be as long as we could expect, benefit to occur, I tbink it will have to be an end point somewhere, lie is to let us kno'" If things get worse, He does ha':e a follow up appointment, (RDH:nhl Copy of progress notes & bill for 4-25-94 sent to U,S,F,& G, as requested, Appolntmpnt With Dr, Byrd, lIag"rstown [or Thurs.. Junl! 2 at 9:45am. X-ray. of 2-19-94 C-splnl! ~ L shoulder rpleased [or pattent to take (: # PROGRESS NOTES NAME B.D. Otll.E, Dona l; ,OFUI.Ot:l DATE lC-~- -94 cont, However abduction is limited to 90 degrees, There is no specific point tenderness but he has diffuse muscle tenderness over the trapezius muscle. A. Soft tissue inJury to the neck and shoulder. P. Patient was sent for cervical spine and left shoulder x-ray, He will be notified if these arc abnormal. lie is also put on some Lodine )00 mg, to take) times a day for 5 days, He is to followup in 5 days. [or re-examina:~ (LClnh) 2-22-9 1. S. Donald was in an automobile accident on Friday, Apparently he was rearended '~hile going to Harrisburg, Didn't go to the doctor immediatel::. Came down to see us. Or, Coda saw him and on examination had some cer~icl: spine tenderness, Ordered a C spine film, Don said his headacbes arc Je::~ worse and his neck is more stiff, Thought he ought to come in and be chec~ Had some pain going down into his left sboulder and his left arm, O. Patient has good range of motion of both arms. He has normal reflexes bilaterally, Good range of motion of the neck, Some shoulder girdle tence; ness. A, Shoulder girdle sprain, possible some cervical sprain note, C spine film shows old cervical spine disease. p, Increase Lodine to 4 a day, Put him on Norflex 4 times a day and reassure: him, Recommended lots of heat and range of motion exercises. (OBH:nhi 1/94 T, DALE, Donald 9655 The patient's arm is still bothering him, he has a followup appointment here and I recommended that he keep that, if it gets worse, let us know, He wanted to know about taking his hypertensive medicines with the pain medicine and that is fine. (RDH:ja.: , T. I spoke to Donald's wife who reported that he is having a lot of itching f and deep pain in his neck where he had the recent car accident, I told her r that if there was nothing that was seen on the skin that he just needs to. continue his medication for the muscle strain, If she docs see something on the skin, he can come in for evaluntion. (LC: jmr) I T, Donald is complaining of persistent neck and back pain. I recommended be call ; for a fo110wup appointment for further evaluation. (LC,nh) _: A. S. Donald is here for re-evaluation of his neck and back pain, He continues to complain of neck pain which is associated with a lot of diffuse itchin; of the scalp, o. There is no scalp les ion. His range of mot ion is limited in his ned:, He bas about 45 degrees rotation botb to the right and the left. 3D degrees lateral flexion to the left and 20 degrees lateral flexion to tbe right, 45 degrees anterior flexion and 20 degrees posterior extension, There is no tenderness over the spinous processes and no complaints of sbooting pai~ down tbe arm. lIis back there is no tenderness over the spinous processes. he has full range of motion of the back and no pain on'straight leg raise, Normal deep tendon reflexes, A. Cervical spine strnin and low back strain, p, Patient was sent to physical therapy (01' c\'.11uation and trentment, ln ,lddition he.,as told to continue his l.udlne but this was Chillll;cd to '.,10 .~". t'dice a da1" He is also to follu~1 lip in 2 'dccks, (U:'r,::' ,2-25-94 3-7-9/, 3-8-94 ,OAIoI.OU DATE 5/7/93 7-20-93 7-28-93 "15-9 12-7-93 1-31-94 2-19-94 M Week- end Visit A. ER PROGRESS NOTES NAME DALE. Donald E. B.D. 10/5/48 Says that his eye has been hurting him like crazy all day, His left eye hus a foreign body in it. and it's red, There's a small speck at about 6:00. This is removed with the algar brush afce anesthesizing it. Patch and ointment applied. (RII: td) T, Was having some chest discomCort. lt '~as right in the V oC his abdomen, It :e like indigestion coming oCC and on, lie took some Tylenol but hasn't hel;:e: lie is having no sweating, no radiation or shortness oC breath. lie had a ne:1C cath less than a year ago, It didn't sound omniocs at all on the phone.-l suggested he try Some Gaviscon Cor it, lC it doesn't help, to make an appoi~: and come up to let us see him. (RII:nhl Donald is here for routine checkup, He mentioned that he has alittle pain on his inner thigh ithurts to squat. It sounds more like strain and we didn't go into that , He is still chasing hemorrhoid/fistula problem, ne is now seeing DR, Sollenberger in Harrisburg, He also gets a dull ache in hia epigastrium typically when he eats and he gets some relief with rolaids It is similar to the pain that he had before though he has had relief for a good while. He blames starting back on the Questran, Donald also talked at length about some of the pressures he is on at home, Some of tha things he has gone throug: in terms of counselling to try to work things out with hia wife. But from his side things are often pretty difficult, It sounds like he has some people to talk to he has talked with his pastor and some support, He doesn't feel like there is a whole lot more he can do at this point, (RDH:rkl) Open fistula-anal. (jmh) A, 5, Patient has had a sore throat and a cough. lie has had the cough this past week. No URI, shortness of breath, or fever. He points to bis trachea area as where bis sore throat is. O. Temp. is 98,4. His throat is clear, His neck is without masses. His chesc is clear throughout. A. Viral respiratory infection with p, Gave Phenergan with Cod, for the process here. cough. cough, 1 uon't see any evidence of bacter (RDII:nh) A, S, Donald fell 2 days ago while at a Junkyard, bitting his head and becoming unconscious. Since tbat time he bas bad sor~ness on the leCt ~i~~_q.f_his n~ck and on the rigbt siue of his occiput, lie bas not had any double vision, vomiting or focal neurological deCicit, O. Exam is unremarkable, exception of a BP 130/100, A. 1. Post concussive headaches. p, Tylenol with Cod, pro 2. lIypertension. P. lie is to eontioue few months, his Tordo!. lie is to add IIcrz 2S mg. and followup in a (LC:nh) .\. s, Donald is here for evaluation of his sore on neck and leCt shoulder tbat began yesterday after a motor vehicle accident, The accident occurred up in the Carlisle area, lie was on interstate HI and was bit from behind bv a truck pulling a trniler, lie remembers hitting the side of hi" he'ld .Ig~in the steering wheel and then thro..Jlng It back a lot, Now he complains of pa along the cervical spine and also In the left shoulder. IJ. Thcl'e L5 some mild tenderness .110T1:.t r;!. ,ind .1150 alon~ the Do1r.1sp1tlHl . -,"' ,onu.ou DATE' M 11 ,n 10-09-9 1-30-93 ,-:4-'>1 4-27-93 D,\LE, Danai:: ,. PROGRESS NOTES NAME B.D, J lO-:_ j i pretty '~e:: I C.1rdi:e01 elevl1ted (RDII:nh) cant p, lI.1ve him see Dr, En,lm [or extensive Gl '~ork up. 1 think \ole have excluded coronary causes at this point. Plan to keep him on his because he seems to have some hypertension, We have hold several reauin~s and elected Just to keep him on Axid at the moment, Patient is scheduled to See Dr Enam on ThurSday, October 15 at 3:15 PM, A. S. Donald comes with fatigue and rectal pain, He has been getting treatment apparently for hemorrhoids at Dr, Enam. He has been having pus and blood frc: it recently. He was seen by Dr. Enam again and was told that he had hemorrh~~ opened somewhat. He has no abdominal pain and no fever. O. His temp is 97.9. His abdomen is soft and nontender, Rectal reveals alittle irregularlity inside the anal verge. On exam with the protoscope I can see a couple of areas that has been treated but nothing looks real worrisome. There looks like alittle bloody mucous there he has an external hemorrhoid that is pretty much deflated, A, Patient getting hemorrhoid treatments. I suspect that he is doing alright with this. Certainly no reason to think that he has perirectal abscess or anything like that. He wants to know if he should go on with the treatcer.: or not. He said that he has trouble understanding Dr, Enam so I said that I would call him next week. He also mentions that his chest pain has complete gone and be contributes this to Golden pride. For him I am glad that his chest pain is gone, (RDH:rkt: T. n'"\il."ltc; :bl( (uJ5~ f)nf"ol)(':~ :,,1\.!:t~~ ~..):~ tt"IJI';'!-:'; ,:.d.. t~l!lt. ':~:'Ctl':' .~.:,"t :1t'...... ':I~:"..: '1'':' '....:r.h h~~1 hr:;j~)I'I'hr.~d ~)pt:r,lt~t)n. !II.' \~;':1I~. ~... ',tH ~" '..... ',,'~tl lj/"lr;' ;l:~ ::' I;:~ .,Ol'il:.:": . (:UH' :::: T, Donald had a couple of BP's taken one day, the highest was 130/100 today, The highest was 120/88, I recommend no other intervention at this time, lie can Ie: some others checked if he wishes, (ROIl:nh) T, talked to Donald about his situation .lfter talking witb Dr. Enam. I recommendec that he follow up, Told bim if be didn't feel like his bemorrboids are a proble etc., he could just tell Dr, Enam tbat he didn't Want any more treatment' hilt ougbt to at least let him bave a look at how tbinHs are coming there. (RDIl:nh) S. Donald is back for recheck. Says his chest pain is gone. Was cured with Alo. lie has had a beau cold since Sunday and a little bit of headacbe. lie is off all of bis medicines but has had several elevated BP readings of diastolic high in the 90's to 100 elsewhere tban bere, lie is a little frustrated by bis rectal prohlems, Apparently has some mucous drainage intermittently, Seeing surgeons and feels like they arc not moving fast enougb, lie '~ants surgery dOlle, lie Is not having p.lln with It, O. BP Is 130/90, Chest Is clear, lIeart RRR. A, Patient with mild hypertension. P Decided to go ahead and put blm on Tenormin eye grounds and they arc okay, Wait and sce trcatmcnt of his Ill' as far as his hc.ld,lche. A. 50 mg. a day. Also checked his '~hat happens '~ith his cold and (ROIl:nhi 'DR".O'~ DATE' I 1/ PROGRESS NOTES NAME B.D. DALE. ~o"]:' DONALD DALE 9655 A. S: Donald comes with chest pain, recurring now that he has been off the Cardizem. It is happening more frequently. It lasts about two minutes at a time. He had a bad one on Friday. It is in his left chest. It hurts soce to take a breath. A question of shortness of breath but no diaphoresis or nausea. He had another episode Sunday at church and lasted l-2 minutes. It starts suddenly and stops suddenly and later he mentioned that it feels like his heart is racing when he has this and today he has had it off and on several times for just l-2 minutes at a time. 0: Temp. 98.3. Chest clear. Heart RRR. No chest wall tenderness. No tenderness with use of the pectoralis muscles. A: Chest discomfort, probably not ischemic. He has had a negative cath. and pretty unremarkable stress thalium. Those things are pretty reassuring frc: that standpoint but I wonder with his describing his heart racing feeling if he could be haVing PAT. P: I am putting him back on the Cardizem until we can get a monitor on him. We will try an event monitor. (RDH::s 6/l5/92 6-9-92 C. Dr. Haywood. Coronary arteriography, right dominant system. No identifiable obstructive disease. (RDH:nh T. Had a question about the system that we were going to have him use the event monitor. Recommended that he call the company for that. Said he only had one episode since he's been back on the r.ardizem. (RDH:td) 7-27-9 lu-7-9: A. S. Patient comes back for recheck. Still getting some chest discomfort and ~e has some rhythm strips here we did by tolemetry. Generally with the che.: discomfort his heart wasn't rapid. He had one episode of sinus tachycardia l30 beats per minute. Patient also has had two days of dull epigastric pa!. straight through to his back and he has had some episodes of belchln,. Th~. sound more like dyspepsia. O. BP 130/98, his heart RRR, no murmurs or gallops. Abdomen soft and minimal epigastric discomfort. A. Mild hypertension. Patient with palpitations. P. We arc going to put him back on Cardlzem. I think that has helped him in the past. A. Dyspeps la. P. Put him on Axld l50 b.l.d. A. S. His wife had called and she felt he needed something for his nerves, some:; to relax him. I asked him how he was doin~ otherwise and he said he is genera: doing pretty '.ell. he doesn't seem to feel that he has any problems '.Ith his nerves, except sometimes his wife upsets him. I didn't initiate any further conversation With him on this. :~e is not asking for anything or complaining, I don't think I shuuld push anything on him. (RDH:nhl \Q\l \~')\~, 5. Patient here [or routine checkup. Says he is still getting this chest pa!n. Points up In his left pectoralis area, kind o[ 0[[ and on as it had been I)cfore. Ills ~pi~n5t!c paill 15 mu~tl !)ctter. Ito aLso prcvlolJ5Ly I)UUll ~ctt!:~~ pains ill tile ba~k of Ills hend 110W, o~~il)llt JrC~1 I)llt 11c 11aR 11J!1 11011U for 2 rnol1th~; 'llld ':rc!.Hts the Cilrdi~Cfl for that. I, ,ORY.OU DATE' 4/4/92 1/ contd. 4/20/92 I. 4-25-9 5-28-9 J 6/2/92 T. 6-11-92 6-16-9 T A T. NAME DALE. Donald E. ,\ : P; PROGRESE NOTES probable chest wall syndrome. Put him on some Naprosyn. If he doesn't definitive workup on him. lO/5/48 B.D. get better may have to do furthe: (DBH:td' S; Donald comes in with a reduced number of times he's had chest pain howeve: he still has gotten them most recently this past Saturday. When he gets t~:l pain it last for about ten to fifteen minutes goes away and then usually I returns. This past Saturday this occurred for approximently four hours 0:: and on. Pain doesn't radiate anywhere. Pain is not associated with exerc:.s. or after eating. Does not have any palpitations, diaphoresis, or shortness breath with the pain. It was thought that this pain was just a chest wal: muscular pain and he's been taking Naprosyn for this. On exam his heart is regular without rubs, murmurs, or gallops. His lung fields arc also clear. His abdominal exam was soft and nontender with pos:.: bowel sounds. Mr. Dale's chest pain is still of some concern. We will recommend a stress thallium to further evalute this pain. Gave him some sublingual Nitroglycerin to check if the pain is cardiac in natU:i Advised him to deal with the stress and a refill of Naprosyn was given. He will return to the office in two weeks. (PS/DBH:td 0: A: P: Wants prescription for Naprosyn to send of[ in the mail. Prescription ls written and set out. (DBH: nh 5. Donald in [or followup of his stress thallium, no abnormality, suggest!~~ areas of Ischemia. We discussed this With he and his wife, agrecd to ca:: catheterization at Hagerstown and arrangements wcre made. Also had a long discussion between Donald and his '"iCe regarding their mar!: relationship. Discussion was quite stormy with both blaming the other for telling the untruth and being unfaith[ul,etc. Strongly suggested marital counselling and made some suggestions o[ how that could come about. (DBII : or. Talked should about. with Don's wife. She didn't know why Don was calling. Told her that he call back if he wants to still talk to me or what hc wanted to talk (D3" Don informed me that cath results apparently '.ere n.ormal. 5~op his mcdlcatlon and activity as tolerated. If continues to have symptoms, get Gl consult. (OBII:nh) Event recorder ordered today for Donald Dale. (ac) 'DA".Ot~ DArE A-29-91 10-7-91 ll-12-9 12-)-91 1-10-92 2-4-92 '\ , ."-":' 1/ ,\ . :~ \\~/ A. ( DALE, Donnld E. NAME B.D. to-OS-4R PROGRESS NOTES Hospital discharge please see discharge summary copy (ro) ~. DUII.lld is here [or ,1 recheck. SUll havin~ the chest di:lcnm[ort .Ibuut ",\,,,~' '} t1,tY:i, L1Ht!i 5-1U millute!i. it Cilll br. ,111\' time. lIis '.olor~t l~pir.ot.lc '<lll~ '.ollo(::' Iw W11!i lilyiltS4 Oil hi!i right slue, tw got !.OInC left ill1tC!rl()r ChP!it pilil1. 1.15: ahullt 10-15 mlnute~ and then went ,IWilY. lie hiw cut his Z,lIltac d.,wn to q.:,.! illld is ,ltlW .Jut of it. No difference notcd. O. 01' 1J2/<Jll, clll!:;t clear, hr.art Illlll. '.BTypical chest pnln, uncertain etlnloNY. P. I put him Oil roome Cllrdizem thinkinN more "[ ",SOph,INC.1I ropasm. (RDII:nhi A. 5. OOIl,lld called said he had some more chest pains last night. lIad about 5 dl:fi episodes, lnsted 5-l0 minutes a piece, some of them were while he w,'s Lavin. on his left side. lIad another episode this afternoon while he W.1S doln!! ~o",e lifting and it would hurt while he took a deep breath. It was reminiscent .:>f the pains he had last night. lie Is off the Cllrdizem now. O. LunNs are clear, hellrt RRR. No murmurs, rubs or gallops. BP Is okay. His EKG is unr:hanged. A. Atypical chest pain either chest wallar 1 thought In the past esophageal spasm. P. I decided to go ahead and put him back on Cardlazem. Will see him back In a few weeks and let us know if he gets worse. (RDII:nhi A. 5. Douald is here [or recheck. sore throat yesterdny and a well. O. 01' l20/90, chest Is clear, heart RRR, ears arc clear, no A. Atypical chest pnin. seems to be responding to Card~zem. esophageal spasm. I think will keep him on thllt [or now. he is having no further chest pains. lie hnd 1 bitemporal helldache today but otherwise doi~;: I i sinus tendernefis. r 1 still wonder . A. A. Probnbly onset of viral URI. If his :Iymptoms worsen, let us know. (RDII:nh, oC staph pneumonia S. Cough, headache, nasal congestion. Sister-in-law died recently. O. Patient doesn't P. Elected to give ill. Temp. 98.4. Ears, eyes, him SOme KeClex and Entex LA nose and throat negative. because of the circumstances. (DBII :nh) 5. Here Cor routine checkup. he has chest pnin a couple o[ times a week. It lnsts about 10 minutes at the most. It is right in the center, same sort of thing h~ hilS had b~Cor~, G~n~ra!ly It is really not bothorin; him ~CY. he has some headaches. Said he has had these for the 6 months or so. He describes frontal area. lie notices It just at work. He docs not have It o~ weekends. Also has some nasal drainage of[ and on. lie has occasional couct O. Temp. is 97.1. IIis ears and throat arc clear. lIis chest question o[ a lit: bit o[ prolonged expiration but no [rank wheezes. Heart RRR. A. Atypical chest pain. Patient has been dolnN well on Cardizem. 1 have decid to leave him on that. Treating potentially with esophageal spasm. A. Possible allergic rhinitis. Wonder about occupational type allergy. P. Going to try him on some lIismanol [or the rhinitis. He is to let me know If that helps him. (ROII:nhi (~r\ r:I'H rnpr..' ~ .. ~ t1 I.~. ro c:or l~~ or ""tor ~,c,,: r'n.~('>r~:1 ~n'1t,. A. S: Donald comes in with aching in his left arm. Chest pain spells comes and go last five to ten minutes. Same kind of spells he was admitted to the Hospit, for. Says he's had three to four a week over the past couple of weeks. 0: OP is [1.0/105. Cheat and cardiac exam normal. Has alot of chest wall tc::cc~' L 'DAM. 0" -- -- ...,., 1'- 'J-il'J 1/27/91 2-l1-91 2-l4-9l I . I I I I I I 2/27/91 I 9-l0-91 I I I NAM~ nur r'\"'_~'. lO-;-_' ~ PROGRESS NOTES t:I.LJ. T. Don,lld having p"rslstent drainilge from his recc,ll ,Ire.l. lias "'en Dr. reet',r and Carter. ~elth"r one has .Jon" ,lnythlng y"t. II,. 15 g"tting ,I little dl5Cour.lged that It is going .1n so long. II" h,15 ,Inotlwr ,lppointm"nt this """ and hopefully they will g"t at this and do sorn"thing. IDBH:~h ERT Contusion of left first HP joint. (DBII:td) T. Don has some pain going down hi~ left leg. it bothers him at night. It bo:~,i!r! him sitting In a car. Sounds iike It may be some kind of dIsk disease. Recommended that he come in .lnd let us evaluate him. (DBII:n~,: S. Donald has complained of pain In the back of hIs head'for several mon:~I. It Is right occipital headaches. They corne and go but sometimes last ~_: hours. Sometimes Tylenol relieves it, sometimes docs not. Seems like It :. always In the right occipital area. Docs not have associated nausea, vo=:: visual or auditory symptoms. O. Bp 160/110. Fundi arc normal with no evidence of papilloedema. No tenderness o[ the scalp. Fairly good tange of motion of the neck. A. Headache cause unclear. P. Recheck BP a couple of times In the next week. GoIng to recheck him here in a week and see what his BP Is. May need antihypertensives. Mother is hypertensive and It docs run In the family. A. A. S. Complaining of a painful left leg going from the hip to the knee, going on !: 2 weeks. Seems to bother him if he sits [or a long period of time. If he lies down in bcd, seems to get better. Docs not have any trouble sleeping except sometimes when he rolls over,it seems to aggravate it.lle has not hl any swelling or localized tenderness. O. Straight leg raising Is negative. Reflexes symmetrical and brisk. Back eXl is normal. Trochaneteric bursa nontender. No area of localized tenderness. A. Left thigh pain cause unclear. P Started Orudls 75 mg. 3 times a day. Going to see him back In he Is not better, workup of his back and leg may be in order. a week if (DBII:nh, A. 5. Donald's leg no better. Continues to have pain in his thIgh' and knee. Jus: can't seem to get settled down and get relie[ from this. O. Re[lexes again okay. Straight leg raising negative. A. Nnt sure what Is going on. ' P. nr(l~r~d v-rny n[ th~ hip, bn~k, kn~o. St~rtQd on TyLenol 93 [or pat;I. Switched from Orudis to one of the other nonsteroid"ls. I forget at this time exactly what I did put him on. Going to check him back again in a week. (DBII:nh, T Cholesterol elevated. He's so informed. X-rays subsided. Think this will gradually go away. A.I s. arc negative. Pain has pretty ~u: (OBII; td) Donald is back for a recheck. lie is getting along fairly well. Occasionly has little discomfort in his chest intermittently, but nothing like he had before. He is on the Zantac. His upper GI was unremarkable. O. His exam today i~ unremarkable. Chest is clear. Heart RRR. Abdomen is soft. A. Patient with atypical chest pain. P. We are going to get a Gallbladder Ultrasound on him. Contiue him on the Zanta: We will see him back in one month. (ROil: hh) 'OAM.O':I DATE 5-" Sl9 5-l6-89 5-31-89 8-3-89 '-89 8-10-89 8-23-89 NAME DALE, Donald E. ~ PROGRESS NOTES 10-5-48 B.D. A. I S. Left ring finger numb. Said that three fingers of that hand were numb. ~.:. he's been going to the chiropractor and he's been treating it and its nc~ :: ting better and he told him he should cane to his family doctor. Patien~ i reports having middle of the night numbness of the \"hole hand '.-lith sane a:;" in the hand and back of the foream. O. Neurological depth seems to be limited to the tip of the finger and of e:.:.-.: side of the finger. A. May have carpal tunnel plus some other kind of pressure neuropathy. P. Refer for nerve conduction studies. (C::." C. Easter Seal Society. Bilateral carpal tunnel syndrome. (DBII:nh T Informed Don that he bilateral carpel tunnel syndrome, referred to Doctor Carter for his evaluation. Send Doctor Carter a couple of the Carpel tunnel studies. (DBH:ac) A. s. Complains of bowel trouble. It hurts when he goes and he has had a litt:e bleeding on one occasion. Hurts to stt. O. Basically his rectal exam was not to remarkable except for a little tende:: His stool obtained with at the tip of the finger was negative for occult blood. The anoscopic exam reveals some hemorrhoids and some fissures an~ he docs have a dorsal fissure. He's been using a little Anusol but this doesn't seem to be helping. I recommended some Proctofoam HC to see if t~z will be helpful. (RH::: A. s. having a fair amount of pain In his rectum. Ventrally he does have some .: of edema, swelling and irritation. 1 wouldn't be too surprised if he is developing perirectal abscess. Thcre wasn't anything to incise and drain at this time. P. 1 recommended that he continue sitz baths and put ointment. We may have to open it if It gets worse lie is to get back to us. him on some Allersone in another couple of da~ (RH:nh) A. S. Donald said yesterday he had something brokc or busted in his rectum that drained a lot of yellow pus. he has done that about twice slncc. he had J lot of pain but now the pain Is all gone. O. Patient has a small opening In the perirectal area Just near the opening of the anus. It looks like it has spontaneoufily draining pcrirectal abscess ~. Encouraged bulk in the diet. Put him on some Tetracycline, hot sltz baths tu cUIILlnu~. ' . "(DBII:n'iii-' T Still having some rectal drainage but very little. Recommendcd another short course of Tetracycline and set the medication out. (DBH:rkl: DALE, Donald 9655 Continues to have drainage from his abscess. advised to come in and let me check it again. He has had a couple courses of antibiotics and doesn't seem to be resolving. Hay have to open this up. (DBll:ac) S. Continues with perirectal pain and bleeding and drainage. O. Patient has persistent peri-rectal abscess. P. Refer to surgical evaluation. (DBll:ac) 8-31-89 T 8-31-89 A 8- 31-8 Appointment with Doctor Teeter for perirectal ahscess on 9-8-89 at 11:30. (ac) 'aRM. au DATE .l5-85 2-,5-,% 2-11-36 1--96 7-11-88 A. 2-l8-89 T. 2-20-119 A. NAME :A:::, :'onnl:i _. ~ 10-5-~8 PROGRESS NOTES 8.0. A S. Rechec\{, strcos teot, hemorrhoid nl'oblem. HeI:lorrhoido o.rc :'eelinr.; much better, little dioco:'1fort \Jh':n oittinc; "or lonr; period at' :l:::e. Unc two cour:Ieo of Anunol HC 5Ur.r.o~itories ~Uld seeM:! to be c2en:,'~~. Cheat pain still exint3, mO:ltl:l er:ihn~tric no;{. Eothc:"~ hir.l 3o~e in the middle of the ni;;ht, tnklnr- anti-llcido to ;;et relief. O. BP is 140/90, streoo teot '.J! thin nor,::.l1 liI:li b. EpiRaotric tenderness to pnlpntion. Did not recheck he:::on'ho1do. Poosible peptic ulcer dioenoe. Te/Zwnet llunin 300 m"s. (q.i.d.) for ni:~ \Jeeko and check back i:' this io not relieved. Diarrhea, having nome blood in ntool. to drug store. If still having bloatl un know. A. P. T (...-.. , Preocription for Lomotil called'::: ao, in stoolo tOI:lorrow, to be sure to 1.e: ( "I": .~" ~'_....... 2 S. Rectal bleeding. Don has had bright red rectal bleeding ../ith every bowel movement for the past week to ten dayo. SOI:letimes his stools move and they are all blood. lIan nothinG cloe in them. O. Rectal exam unremarkable. Anoncopic shows a lot of internal and external hecorrhoids. !lone actively bleeding at this time. II. Probably he!:lorrhoidal disease. P. Ordered air contrant barium ene!:la. nnd flexible Sigmoid. and started on Perdiem one teanf.oon daily to continue Anusol HC sum:osl-;::" (D!;!i:o.c: S. Internal hemorrhoido. Don coneo in today for flexible sil':T.loid. He is continuin~ to have some occasionally bleedin~. Air contrast barium ene!:la was nomal. " O. In ieet lateral decubitus position, flexible oi~oidoocop~ ~as passed to 60 cms. and patient hns nome i01:e1'n,l1 heI:lorrhoids. Remainder of exwn is normal. P. Patient reassured, no other caUOl' for bleedin" in apparent. Uses Anuool and !.letwnucil until SymptOt:lS are "one. (DE!!::!,:' s. Injured his right leg on June 30. It still bothers him some. Don was apparently carrying a shelf filled with parts and started to tilt on him. In order to protect the tilting shelf, he stuck his knee out of the shelf. Since then he has had trouble with pain when he climbs steps, when he walks very much. It is a deep ilching lateral .Ispect of his right knee. o. patlent has tenderness over the lateral aspect 01 the right proximal t'lbia.' A. Tendonitis. P. cc of Celestone and cc of Xylocalne lnjected with Immediate relief. (DBH::: s Has been having ,I cold ,md cough. W.lnts somethlng for it. Said his phlegm ls thlck. I ordered some Tussi Organdln and Was called to People's drugstore. (RH:~ 5. Donald complains of a rash under his arm pits. also a cough. Cough going on for 2-) weeks. Not gettlng better. O. Ears, nose, throat chest neg,ltlve. Patlcnt has ,I typical fiery rcd conCluon: rilsh on both ,lxllL.le. ,\. YC;lst In[cction of thc ,Ixil!.",. Non';pc,:tfil; cough. P. Glvnn somu P}UHW,og.ll1 VC fo,' ~ollgh. 1.01 C{S0IW <:,'O.lm .Ind l!ncQuraged liquids. (DBII: c, { ...-" . -, ". " ' " ,~, ---.-- ..:......, . , . -- - , ' . -', , , , .~ . " 'ORM . au DATE 5- 7.84 6-19-84 1. 10/31/85 DALE, Dona:c _. NAME q PROGRESS NOTES 10-;-~e B.D. A. ~. Donald in for followup of his OI symptoms, feeling much better. ~is recer.: studies were all normal IllId told that accordingly. Still talt.s a :ot ace'.:: probler.'.:l 'Ji th \life. She apparently swears IllId cusses at him all the tl:::e. :~: unappreciative of everfthing that he docs ~or her and sounds like he is ::~: most e'lerfthing at hor.:e, at least to leal' his side of the star:,'. :rei"hco:s ~ complain of about her yellinF and swearing n lot and they thlnk that she :.~, probler.: as \lell. O. Don's studies arc all norr.:al. Stress test was ne~ative. A. Feel that this is a lot of these symptoms are due to stress and not due te significant organic disease. P. Put him on sor.:e Donnatal alonG lIith his other meds. Return in a :onth. Re::.e. him at that time. (DBR:n:. S. Donald in for followup of his nerves. Continues to have great problems IIi::' his wife. She continues to cuss, swear at him publicly and privately, yeI: a hollar. He Just said that he can hardl:r stand it anymore and doesn't knc'" ...:. ! to do. Said that he knows that this is the IIhole thing botherin~ his ne:~es doesn't know how to go about handling it. He also has a small ulcer in hls lower gums that he wants checked. O. Patient very distraught again tonight, recounted it in great detail. All :~ tongue lashing he has received from his \life IllId it sounds pretty awful. Has small lower Jaw ulcer. A. Aphthous ulcer plus marital discord. P. Made some practical suggestions how Donald can deal \lith this, basically :~ that he is to talk with his wife's family, inform them of the problem and suggested that if he also sit dOIl1l and talk with her in a verJ quiet fashl::: and tell her that if she continues this, he \lill leave temporarily, and tar.e son \lith him IllId as long as the behavior is tolerable that he lIill stay. Se what happens with this, not sure hO\l lIell that is going to \lork out for hi:::. Return in 3 months. (DEH::: A. S. Complaining of pain in his right chest occurring especially at night. He IIcr: at Regency and does a lot of thin~s involving use of his arms over his hea. has some pain with movement, no cough, cold or other symptoms. Feeling pre:' \lell gonerally. I o. Chest is clear, heart sounds are good. BP 140/90, has a tende: spot of ace'.:: fourth or fifth costal condylar Junction. I think that this is costal condylitis, the nature was explained to him. Treatment explained being that symptomatic therapy. (RH:r.: A S: Donald complaining of some blood in the stools, ~oing on 3-4 months. He sars that once or twice a wk after he haa a bO\lclmovemcnt he wipes blood on his toilet tisaue Ill1d hehaa SOl'll' mucoua associated iii th that. No chlU1lle in bo'.e: habita. He also deacribes some cheat discomfort, occurs IIhile he is at \lo:k. It is a heavy tillhtness across his chest, his boss at work is concerned that ma:, pass out or black out. Said he ought to be chcclted out for this. Don alse seems to think he haa probler.:a \lith chest ,lincr:m:'"ort Ilhen he exercises or "a:: vigorously. 0: BP: normnl at 155/90 Chent in clenr. r.nrdinc ,'xnr: normnl. Abdcr.:'Jn benilZr.. R',ctnl exl\I'l hna a lot intcrnlll, extf!l'lllll hf!'7:ol'rhoids confirmed b:, IUloscopl, ^: Ilcmorrhoi,ls, chest pllin, Ilndct.cmlilll!t! (:nllne. P: Orrlul"wl :1tren :::r:t.~, Anuncl lie: .-:llr.p. !"'~!:llrn ~n .; ~/b~ ~f)r :~ollo'.mr. 0n Mul't:.p1.': probler.:s. (DE!!:S;' ,aAM . an DATE 9 -83 10-8-83 A. NAME DALE, Dona.l.:i :. ~ PROGRESS NOTES 8.0. 10-;-:'3 , -. S. Donald has been having chest pain off and on for about a week anj ha:f. ?a~~ is rather sharp pain, goes across his chest. Doesn't seer.: to be brot:~:-.: =:: particular17 by exercise or activity. Had a little bit of ind~~es:ion ~l:~ been weak, ti:ed and run do..m and had sor.:e diarrhea yesterd!l.Y. re!l.l:~' ha':~~, quite a stru~ele with his wife at home. Apparent17 she cusses and 3~ea:3 ~ is totallyunrul:r, ha.s '..orked and ~orkeri ...ith her and said that he ls ~::s: a.bout worn out. O. Donald does look beat do.~. Ter.:pera.turc is norma.l a.t 98.4. BF 140/110. res: the examination ls re!l.lly unrema.rkable with nOIT.:al physical. :10r:::a1 c!l.::.l:;.: extUn. A. A lot of anxiety a.nd tension from the hor.:e situa.tion. P. Start Ativan 1 tid. Return back in 2 weeks to see how thin~s are goin~.::=~: S. Dona.ld in for recheck of chest problem. Sa.id tha.t he is feeling a lot ce::er since taking a mg of Ativan 3 times a da7. Still has some left ante:ior =hes' wall soreness but not having the sharp pains and the distressing feelin, :h:;.' had the last tir.:e. O. BP is 120/88. Cardiac eX!l..'Il again is normal. He has some pectoralis musc:e soreness and tenderness in the left side. A. Chest wall pa.in, no elevation in BP. BP elevation like17 related to p!l.tle:::': stress. P. COntinue the Atlvan. Prescription written. Return in 3 months for rechec%. (DBH:::h' 1. S: Donald in for regular cheCkup. Still has a lot of anxiety and a lot of fra.ustration and a lot of family problems. He and a couple of his bro:hers have been arrested because of some fiFhts with her sister and her huscD.'-:'. Wife is still ban;ffiing andlocking doors, Checking on tl\e heater md up al: hours of the night prowling around, yellinr and hOllarinF at him. Atl~a:: is more tolerable and he says that he feels better then he has in alcn~ tfme. 0: BP is 140/90, A: Anxiety and frustrations controlled ..ith Ativan, P: Patient certainly has a lot of problems, In the ~ture is headed for ~nor~: difficulty r am sure and we will try to roll with the punches as they ocr.:e a long. Return in 3 months and continue Ativan t. 1. d. (DEH jlH: l. S. Don comes in today with 0. lot of compluints, Mostly epigastric pain, going , through to the back, no necessarily related to meals. Sometir.:es it occurs 'i:-. [ he eats, sometimes it occurs in the middle of the night, has taken sor.:e i antacids, doesn't really think that he get:; much relief. Has a lot of belchl: I and after taste of foods, especially been bothersome recently. A couple cf '.leeks ago while driving the car for 1,lurtin:; Food 1.farkct, he suddenly de':el::: precordial ehest pain, bothered him to the point that he pulled off the eel' and slumped over the wheel for 0. little bit in order to get relief. Since ~h he has had it of~ and on a couple of tir.:es, not necessarily exercise :ele1:e~ left precordial in location. tlo associated diaphoresis, nausea or vomitln~. O. Don doesn't look ill, has some epigastric tenderness to palpation. BP is lL: chest is clear, cardiac exwn is nOr::lal. EKG is within normal limits. A. Chest pain, unde~ermined cause, may bc mus~uloskeletal, maybe cardiac, ~ayc; P. Plan stress EKG, gallbladder, Uppcr GI 'lcriur., started on Ta;;ur.:et and :,'::lur.~ J/u is to rcturn back in 2 '.lucks for followup. (DEJ/ :nh) ; .,..... ':.. " ~!ii' I ._. _ .~. : ~ I \' . . ,~,. ; 'f.. " D~(. IO..\lOallll,.,. 'z D.S. i :"" DR ~~"t5$ TI1_~~, . . ft.R.' 00-011-'8 ":,J691171 ' AD" f0I2J11091 " Coe B.ll. 10/0'/tl1A 'oj( 1.0. oAlE,OONAlo E . DATE 10/19/92 TINE 18140:30 PRIMARY I NORMAL VALUES - xiOA3 I HF 4.8-10.8 xlOAo 'N 4.7-0.1 F 4.2-5.4 g/dt. I N 14-18 F 12-10 J I N 42-52 F 'j]-47 , rL J N 80-94 F 81-99 " pg I I1F 27-31 g/dL J HF 32-36 X I HF 11.5-14.5 xlOA3 J NF 130-400 n. I I1F 7,4-ID.4 I I I I1F 43.0-65.0 J I1F 20.5-45.5 J I1F 5.5-11.7 , t'F 0.9-2.9 J NF 0.2-1.0 I t'F 2.2-4.8 'IF 1.3-2.9 I HF 0.3-0.8 I IF 0-0.2 I HF 0-0.1 , IISC RSC HGB HCT NCV NCH NCHe ROil PLT I1PV 7.1 4.98 15.0 41.9 84.0 30.1 35.8 12.7 186 9.9 NEX LVI , 1101 EDI BAX NEN LVI 110N EDH i' BAN 01.7 24.6 10.3 3.4 0.0 4.5 1.7 0.7 I I I X . X xlOA3 . xlOA3 xiOA3 xlOA3 x10A~ 0.2 0.0 o ROUTINE o PRE.OP , 0 COc W/O OIFFERE,mAL , ~coc WITH AUTOMATED or DIFFERENTIAL O COC WITH MANU'L OtFC o SLIDE REVIEVI MICROCYTES MACROCYTES ANISOCYTOSIS POIKILOCYTOSIS I HVPOCHROt,I,ASI'\ .-!-rAnGETS I SCHISTOCYTES ~~~~kf~u C DECREASED COMt.lE~4rs = ~ - c..c -J o STAT N CTI -<:I r.:~' c.....O I I ~)".,q.q" WAI"[I~ II' Ar:SUl TS r SEO RATE - F, O.20mm '.1 Q.1Qmm C RETICULOCYTE 1J5"5cD , ;:]MANUAL OIFF i NEJmOP"'II.S I B"'~jS I eCSj'lC~~ILS t B/'-:;':I"llS ; 1.~::".':':'(fE::; i LV','D"OC..rES I AT. PIC.'L L vr.~p,..~ :J '\CECU,-\TE = tr/CJ;E,J,SEO qE' .s~L TS CAl.LEO :O;'L(:ro~,nME ,T~" k- ~"k~"-- Jf?llt'3'Spm !. ----'.u_. '__u__. --.--. . .r'.'-~., r- ._" "'A-,'l(;.:lIlOnc "1~SPlj~L.,' '~'~:<~:.':.: '. -:';1 on ''':'!'~'. ~'C'~:"'...~'E. . ." -- __,CJ;foJ'lL\"c.Jr _ u. f1~ ?~ n~.!\ . Our. DD'lIL\f Iii' lZt R tIfOGOLa< ST IIArIlESnORO. PI. I 10/05/48 R 7~7-762-95Ia 0000858 BLOE caO$S , '\--- ~ ". -... - y)lcd--I\.I.k w~ I.D. DALE,OO'/ALD IIlOE P ~'tcIlI DATE 10/16/?4 TIlE 14112113 CPRllFR CODEI L1111TS-- 4.8 - 10.8 4.20 - 6.10 12.0 - 18.0 37.0 - 52.0 80.0 - 99.0 27.0 31.0 32.0 - 36.0 11.5 14.5 130 - 400 7.4 - 1M IIBC ABC fIlB HeT /tV IDI 1m: RDU PlT I1PV 7.0 5.18 15.5 45.0 86.S 30.0 34.5 12.7 159 10.0 10'3/ul 10A6Iul gld. r n. pg gld. r IOA3/ul n. lEI 65.7 H r 1J: 43.0 65.0 m 22.1 r Ie;; 20.5 45.5 IIlX 9.6 r , 5.5 11.7 Enr 2.3 r 'N 0.9 7.0 IlAJ 0.3 r I .... 0.0 3.0 IE. 4.0 JOA3/ul I .... 2.2 7.5 LV. 1.5 JOA3/uL. , ~.3- 3.5 Ill. 0.7 JOA3/ul 'n 0.0 '. 1.5 - En. 0.2 10'3/ul I ...~O.O - 0.7 BA. D.O IOA3/ul --.l- 0.3 \ I c;-,O.O , " N . ~. , N . en ::!? - - " c.o ~ ~OUTINE DATE CROUlfO "'R."O~'V. o PRE,OP Q STAT Qhd~ 0' o coc WIO OIFFEREllTI'L ~ rXJ COC WITH 'UTOI,/ATEO 0 SEO. RAT" . L OlrrEREi-tTiAL - F. G-20mm M. o.tOmm t O COC WITt<'....W.L 0 RETICULOCYTE OtFF O.5.t.'lb o SLIDE REVIEW OMANUAL OIFF MICROCYTES NEUTROPHILS MACnOCYTES 8M.OS ANISOCYTOSIs EOSlflOPHllS .\, POIKilOCYTOSIS BASCPHllS . r HVPOCHROP.fASJA MONCCYTES _. TARGETS LYMPHOCYTES SCHISTOCYTES ATYPICAllVMP LATELET Esm.IAT1ot~ 0 DECREASEO ;:] AOECUATE Clf4CREASEO CCMMEfHS ;' I ' i RESUL p)tllj/;ro'U.{./t(:--!(;:r;nrtr~ !C':::lL~n,-m.,,; ; rECH IRE', W TECll ; c.ce.. /(/Pl -~a WA'ff1EEDC..nr:: ~,C~O::P.;'l ."A'{~IE~8CPO ,.1,\ ':"::'3 tlE:-''':-' -L-:";';-CO'"Ao:,-;;" ...._"" ,"Cl,. _~."~__.. -. ----. .' I ~ I .... iii .1 t:fi o~ ! I .m 0111 :lIO , I ...' IUl, '<c III III I m \',.".' , I f. IHI, I , j.: I : ' , , i : I, I I ornw I I ,- ,..U"lF. ~''1. !.., , DALE. DONALD r lIG1ttN 4-Ui-SaORO..-U ;O/O~/48 ~ 717-762-9BIO O~00056 BLUE ~RO~S , I > a. o (J I- a: < :c (J: I I ,. t., , '('\.,',;.. 1"4; WAYNESBORO HOSPITAL WAYNESBORO. PENNA. 17266 DR. ELLEN DUGAN. DIRECTOR ROUTINE 0 PRE.OP 0 STAT en ." mm 0.- -0 "0 '-0 :lIm 21,. cz m;o; !!l ".JO . nZts .. f'iT"t. ;." ON I .' t'I5 l~~o OMEGA ( MEDICAL LABORATORIES 2001 BERN RD. WYOMISSING. PA 19610 FAX (2151 378-1399 (21S) 378-1900 "the blood test centenO P!CVUF --TE5i-- PATIENT DATA l5~1::-'JI:a OMEG~ HE~L7H C~RE 2~~ I 9ER~1 ~O~D WYOMISSING P~ 1961~ N~ME: D~L::, DO~ALJ ~GE,DD9: 43. :O/~/~S ID: REF: DOCTOR: D~TE: 09/14/9: . """C'L ':'''0 ...t7 7.LC'.4C'r:" DRAWN: J9/::/9: NO iI~E --RES!.!L7-- --UN lTS-- --R~~E~~SCE ~~~~~-- liE ot.l.!iS.CAH_RE!:.CRT -- (lJ:E..~lIL'i.Q~R.-~.HEAL,!HSCA!~JH10[LE,;J,_____ 1~4 ~ MG/DL 65-115 lFAS7:~,:: 14 \!:/ MG/DL 8-25 1.0 MG/DL 0.5-1.5 ____..'___.1.4________ 8-~4 6.0 MG/DL 3.7-8.5 i44 MED/L 135-!49 4.1 MEO/L 3.5-5.5 109 MEO/L 95-1!2 22 MEO/L 20-35 ____1.i'_________.._ e-"4 2!~ HI MG/DL l10-230 253 HI MG/DL 10-15~ 11.4 MG/DL 0.i-1.2 7~ U/L 3~-i40 22 U/L 5-45 U______,,____!JlL,__________ 5-6'; 164 U/L 110-2eO 7.4 G/DL 6.0-8.5 4.2 G/DL 3.5-5.5 3.2 G/DL 2.~-3.5 1.3 1.~-212 ______ _ _.____ _______Jl-' :t___ ___,,__._I1GIOL,,_____________e..S::l~.S.___ I.a LO MMDL/L l.9-2.3 2.9 MG/DL 2.5-5.~ 31 LO MG/DL 40-3J 6.9 HI RISI:-- Male RF',.nW AVERAGE: ~ :3 .___AYfRltGEL-_J..:.b ~80VE ~VER~GE: 6-10 HIGH RISK: > I~ MG/OL 60-130 1'101 DL 8-32 CH::M!S~RY F~OF:LE GLUCOSE URE~ ~ITROGEN CREATININE BUN/CREATININE RATIO URIC ACID SDDIUM POT~SSIUM CHLORIDE 9ICAR90N~TE (C02) __AlilIDUap, _ CHOLESTEROL TRIGLYCERIDES TOTAL 9ILIRUB IN ~LI:ALINE PH05PH~TASE SGOT/~ST ..GAMMA G1..._. LDH TOTAL PRDTEIN ALBUMIN GLOBULIN ~/G RAnD ~.lJ:1J!fj IDNIZEO C~LCIUM INORGANIC PHOSPHORUS HDL CHDLESTEROL CHDLE5TERDL/HDL RATID LDL CHOLESTEROL VLDL CHOLESTEROL Fen.!e -: :! 3.,:5 5-9 > 9 133 HI HI 51 -----~HL~~LI!Umlun!@jiLtf.O,L!..Q.W._J.~,U:.fiEr,:I;En,.I.~.SJ.~JJ.CIJ ON ..ONLY.!. "_,,.______._________ _.____ ( )- T~KE THESE RESULTS TD YOUR DDCTOR AT YOUR NEXT ROUTINE VISIT. ( 1- PLEASE SEE YOUR DOCTOR BECAUSE OF' YOUR LABORATORY TEST RESULTS! ttt FINAL REPORT t.t .----..--.~---_..~._.'. . ~ . . ."._ ~___" M _ . . .__._ _______..._ __ . . ..". p_,. _.. _. ..... . . __., '. ___.' _... ...._ _.__"'"... DALE,DONALD ::: ~INGGOLn ST WA1NE~2aRO FA 17:62 '!'!'1!' t l? . '( , t Wayne~boro Hosp~tal 501 East Main St~eet Wa,\II1esbar.o, p.:;;.. 1'72.::r: (717) 76::-3'+1,1:; LOC:e't LC.,'II L,~s '; Nillne I F, I'~ t ~L\IIIt;! 1 ,'" '.hd?te: ute r.:'I'" : 0:: OI~L;:': nCl,I,~l.I' 1 I:' /.).,: "tt~ D.:'. He:;" c: M '\~oSS" ':'a t; leI", t. rr..: 3.,.r.p 111 [I); 1 :I_::_~.,l C;,lle~t,lC'I': E';:~cq- t Di.\ t~: 1)2/20/91 .)~,l)\~ CS (12/22/91 tu :(.1.:. I: E~:=l! l3.3 r: .~rn~ 1 '.~ C':. nlfl~r' t : .---_____,____.._.__._____..~__.___.M_._._________________________________________________ TI/'.It; Noo'lnu r,t)'.!'-' I t F ~ ~'~E un it., Lc,~oJ Higt". -_.__.._----_.._.._--------,--_._--.----,~-------."'-------------------------------------'" I. [F lD f"1;~Il:L Cllt, I 1l'J b,. c,l 2'.3 H':: mg/o:_ 1,),) 2')(- Tr i 9 I yc:al" \Ch~ 1211,5 H mg/ol. 3') 2,:il) dGl. eh,. 1'~5 t"I"C' 1 3~' mg/d~ -- 96 ,:,,~ C.ll.:Lll ~l,,'d 'JLOl. C!1\:. I 4:3 mc;/dl (;.,I':L11., t,~tl l.01. Cllc. I 16:1 mg/dl ~ CI;o I/HDI_ R.'\: 10 1,.6 , . CHGLEaTE~OL RI~( LEVELS HDL-CHOl.E5TE?CL RIS~ LEVELS 1:":5II",1bl~ Level ;""'l"(J'~,'llne Hich Risk Level Hlql1 Rh=k Ls"~l '.: 20') me; Id I 2(1)-2''') mg / d I > 2't(l. mgld t OCH.:r.eC'.5~'j AVe\-age II,c\-uased Me, l,~ >4::: mg/dl 4::: ,ngl-Jl <..5 mg/dl Femdle >55 mg/cl 55 mg/dl <55 mg/cl < 13.) m<;/dl 1~')-i6':' mgo' ,n ':, 16<' m~ I'd "1 CHOLESTE::OL/HDL -C:1uL. ~k. il~ :3 .it Fi'tTILJ RISi' Ft-Jln.:\:e CAl.C. LDL al0l.ESTE~OL .')~I.Mill.llQ I_livel ~~"I~d'~I-lll~:.' Hiqri hl~l. L\~,..ol H I ,lit I:: l 'll LlI'.'I11 1/2 A....i?:-.:o.qe AI.'F?t"'.:\grc: AVl'?i"'::-.I]I',? I~\t 21M :tJ~' 8.4 2X 3X C'. .-J . ~.1 : . ": 4.~ i.l 11 . (1 r:11.~.- n, 11. n. NnHE: IlnLE I DONnLD nGE,DOB: ./ SEX: ~ ID: 0/.5"') REF: 7(j DOCTOR: DnTE: 09/24/90 lieN: Z025529 OMEGA[~ CLIENT INFORMATION . MEDICAL LADORA TORIES 150120-8999 OHEGII HEIILTH CnRE 2001 BERN ROnD WYOHISSING Pn 19610 'nil hee in PA '0) 222.4493 h... (215) 378-1399 2001 DERN RD. WYOMISSINC. PA 19610 (21S) 378-1900 "Ihe blood lesl cenlers" DRAWN: 09/22/90 --TEST-- --RESULT-- --UNITS-- PATIENT DATA ~. --REFERENCE RANGE-- ., HEnLTHSCAN REPORT-- (USE WITH YOUR 'HEnLTHSCIIN' BOOKLET) - ... _... ....,_4___ _ .._....._.._ _._~_. ._. _._.___..o" ._________._________.._.____.___ CHEMISTRY PROFILE GLUCOSE UREn NITROGEN CRErHININE __ ' BUN/CREnTININE RIITIO - -.----. "------------- URIC nCID SODIUM POTnSSIUH CHLORIDE BICnRBONnTE (C02) .__,___~,I:l,~!)!L!i.nP CHOLESTEROL TRIGLYCERIDES TOTIIL BILIRUBIN IILKALINE PHOSPHIITnSE SGOT _--.f!.IIMMA GT LDH TOTAL PROTEIN nLBUHIN GLOBULIN /\/G RIITIO CALCIUM --- '-1 ONTie:i:.-i:IILCI UM INORGIINIC PHOSPHORUS HDL CHOLESTEROL CHOLESTEROL/HDL RATIO 90 20 1.~ 17 8.1 142 4,1 109 29 @'HI 150 0.9 66 37 47 182 7.9 4,4 3.5 1.3 9.3 1 ;ir--- 3.2 35 LO 7.4 HI HG/IIL HG/DL HG/IIL tlG/I1L HEa/L HEO/L MEOIL MEClIL tlG/[IL tlG/DL HG/[IL U/L U/L U/L uK G/DL G/DL G/DL HG/DL tlHoL7C tlG/DL HG/DL RISK-- BELOW AVERAGE: AVER,~(j(: : IIBOVE IIVERIIGE: HIGH RISK: HG/[IL HII/DL LDL CHOLESTEROL VLDL CHOLESTEROL 193 HI 30 . PATIENT INSTRUCTIONS: (FOLLOW THE CHECKED INSTRUCTION ONLY) - -..." " '. ()6:"-TIIKCrHESERESiiL.i's'-ro-Yo(flf-DOtfoR-t\T-YllTfRN"E:ff-RlllJTINE VlsfT. ( )- PLEIISE SEE YOUR DOCTOR BECAUSE OF YOUR LIIBORATORY TEST RESULTS I *** FINIIL REPORT *** ~ "D~LE;-tiiifl^LII ---------, ,-,.... .,.--. ..-,.--. '---'.. --. '-'- . 222 RINGGDLII ST. WIIYNESBORO, PA 17268 65-115 8-25 0.5-1.5 8-24 3.7-8.5 135-149 3.5-5.5 95-112 20-35 8-24 110-200 10-175 0.1-1.2 30-140 5-45 5-65 110-280 6.0-8.5 3,5-5.5 2.0-3.5 1.0-2.2 8.5-10.5 1.9-2.3 2.5-5.0 40-80 HilLE < 3 3-6 6-10 > 10 60-130 8-32 FEMflLE <: 3 3-5 5-9 > 9 ~.. ~:'^\~-' JEROME I. "'ARCUS, '.4 D.. CIIf' CHEMISTRY l- f:': CD ~ CI) ..Il!l~o ct~u . = .W :l.<a: ~,' nz- a. .. ..:-") :>zC ~ CD rwz ; of. : ;)0.< a: r "0 a. j!" ;)0;:1 0 ca:c 0 5', nmz uUlW .. ... !:W..l m" ~a ' "z..l W :>w 1I);,t:.._ z g! "'~ .< . i= era 1_ ~:5 ~.... r: :J ut ;"> If' Q 2<) a: ".. .. 0 I!! i'! ~1'"J'1"'"'- ~\'I~'; . ..,""::' . ~ ~':':::: ; .... . t: .~, . 0') . Q ." lbi"t:::.; t:.::.-~: ~ .' .., W "'... CI$-:'/" . Q V) w:r.s'" ... ~"". - ooe.....m'..., ...... '?' .- ... 0" QX\.:" .CO~- .z ww . -' 0::<: "'!".a: -l ~..::x .C ......... """,ntJ fECIt.INIIIA1.S TEST ~ SOOT (TOTAl) BILIRUBIN . PROTEIN I 3, ACIQ ..." C. ~ ..,... ".,. ,..- ... .., c;. u. ~ .0... ,..' SOOIUM t<O-14o!1 MEOIl. I 3.6-5.0 MEan.. 01 98-108 MECIl TOTAL CO,21-3t MEOIl. PHO::iflHUIlUti '.s..&g AMYLASE ~115 UJL ~SPHArASE 0.0.8 Un. 35-232 CI( F 21.215 Un. CK,MB !HI UII. 0-2,200 SOPT >><;5 UII. 15 5 IL SOOT F 5-55 UII. OIREcT ---" 8lLJRUDlN 0.0.3 m~dl IU 1.8-2." m dl I I 30.200 m dl -1 I I T. F,TJ, .,.,.- .. ....-4,...:,.:. . ...~~. ..-. .-.......~.-: . SOlJ003lJ WOI03Vl rECl1. INITIALS TEST RE't,E',\ .J ~ CHEMISTRY l- f:': CD a: CJ) "'00 ;, <~... ~ C,"U \ .w :::' 0.< a: ,. UlZ- a. OZC ~ :l:WZ" 00.< a: II: "0 a. 00;:1 0 ma:c UlO . WIllZ s:;Ul W W..I Z..I W <>W Z ~a: i= '~ ."\ a: " ,.' .'.- 'iltl , .. , I I ......" ..,~fi') "'0 ... tile ...01)......., a.- C1Cl ,...., ...-,. ;I ...0011:..1 1JIf,-,>... IQ OQOG) Czm..,.CG -ell,,,, -a:LWII1CO ..... zoo ..."'>-......0 IOI(f\I~C')O g"':a-o " ,,\ ;. " ,\ ' . \10 .~ '\9 6-: \ \ . ';"1 '~.'~ m A'CP.. 12: ' OLUCOSE 70-110 mgldll BUN HZ mgldl ~SPHATASE so.'~UIl. SOOT ~ 3.8-5.0 '-'EOIl. sa-roo LEOIl. .~.. .... . TOTAL CO.21-:JI MEQ/I. t1HU5JlHUHUli 2s.4g dl ;0 - G<J,a UII. 22 CK ..... F 21.215 U/L CK,MB ~"GI...I 0-2,2\\ SOOT I BILlRUDIN :JlHl5UII. 1 I F 5-55 UIl. G<J.3mgldl g 1.8-2.4 m dl , 30.200 m dl ALBUMIN 3.4-5.0 g1dl u.~ THYRO:D PROFILE F.ii!~ , M,2~1" 8-1 . Ugldl ..... 5-12.1 u dl 1. 8'_ "'1.4..JS~ T.nu ,. ... T. F.H (: "-,.-... -.-. -"0 ~ -. - '. - -,,_ ".0-'1 \" . . .. 0 0/.. " .d :~b & Her .. .4451280... ,,,,- ..hl19Q'2 ... r---. .. DWBC CPLTSll. ~,,)'.' '3ApR 10 ?'!"'/A:'/ '8~ ~rl~ "f. o 4 / I 8/ 8 4 ~gT :;,. ,~:; 0 J NORU"l "fila,. 0. COOES , .. _ :a VALUES 'IIO'-o:w 5 4 woe, M 'I t,] . ... . .to' Wega -- . 7 5' ROC... ~ . I 0' -. 2 J .... , '8'.6 ..a;: I Ii'., 4 I ;~~ ~ ::~;: :::! & " C;' - \" "" '''''' _ I I I. ~, _ 4 '" '.1 : 5 ... .. n ~ ~CV ~"" ) .... . ri-- -!:J7._C .mo,,",,,. IT" -2 q. _0 ~ ~ 29 :1 ~ '" 3? 13 ~~.':" ~35" r~.!, t} ? _1_3. 0 R~W ~ 10:. n, 'I' I 7 I . ."~}, ~ '30-'00 ~ " - l(). 'I ~~~~1':15 SA '. DIFFERENTIAL .;)? """.0'"111 , ....os " .. \or. .J. JOIIIIO''''II . . 1A11I'1I/1I - , ~ 11I0110'''" ""'''oCUli "'~UI"W"I " ''''lOCu,. -. "'''''''Hoe''lI ..~~~~,~;~UI~I'U ,uUtUII .~~ .."..".."',." 0 I..ClOC"" IUClOC"1I S'~lJtlIC"1I ."'llICtIGlII ""'Oh 01 'N! RED Chi 'Stir DIStRIBut'ON. Vw'lnJ... ~ --F" , - - - - m ~ c;a.c;J 0 z I ~ S' ~; k'c ~ ~ ~ . -,.t!' ..... "- ~ ~ ~ ~ Jl o c: -l Z m o ~, >1' , l:~~, ;'~ml ::~tn . "'en CD "'IDa 00 8:D:zJ ~90 " ":r :}> 0 !l:::cn 0.. 'll -"'- ..,; )> r- - Z 'll Jl m , o 1J Q . ~ " m o en > -l '0'1110'.'11111 I:I.Q,II~~,~~~, "e "'''Uue, _ "~~;IHI "'01'111I' teU' SPECIAL t,101U ,. ~::~~I . . :~ ~'!1I1Uttfl' '411111' ~~,~~;:II ~"It\U~~~ "11I1 u,wCh ]01 '\ - =ifrt11:L ~~ Cr"j. , ~'hlc~ rF/N V HEMAT LOGY' -.-.----.--..---~-_4.._._. _...._ ___._ I I j '\ , M :g", ......0 <"0 1-- i: .W .."or(!:! OZQ :r Z . O"'Z "'< OO"g ""'Q ::Jg z Z"'''' )0 '" ... < Z ... ~)o ~ CC'" ~Q i . , 0' 0" .: CHEMISTRY ... <( ... VI 0 ... " .. "- .. 0 0 . W '" "- 0 W Z ;:: ::l 0 e '" ~ 0 ~ - ; 0 ~ ~.- ~'-: l'-.. ., ~ ~l ~t I~~ c::: In I~ '\' \ ~ "" tj~ .... ~ I>: .1\ ~ ;~ ~c % ( '" Q:' 0 ::: en to' " '- ...., .; -,' U ""'''''1:: Q -" '-' fD . - :~ ;j. II~ ~:;f 0... i' " c. . ,10 'lit"" '/' /7i:L' l' "'_c:#hr :ff#&Z _f' ClIfC. lOA I I ..v .r. '.'....., , "I W' U\016O, _,, Ctucou " uuuo. 1'0110., .'1/ "J tu. < u' UW)Hot '''... 'IU '''''''','''" 1='.....11. IUOltO I tolJ.60,lr~ (..I' 'GOI I 1.'Hl'Ol n"IUII to.. '01'1. , ""'lI] 1 lOOltOlIJI rOhl...u.... [/,.... UI\IO"n. 0 I S.,., ._.. fOhl "aI,,,,, I/., " "\1."" II'!J ..L$o"f.F..,. u.I(.(O....II/I'hl '~//I .....,,, ...~ "'L 11.01.... oil ~;;;- '.. ... "!:'l t=o52!2..! ~ (.,CfY.... Uto.'OI ("011""0. U\(JIOOO lODfY... "'1110' '01() 'U""t;I'I flOI.U"".... '''"110. III.It""t;I'l ''''O'101 U~110 t "'0.....'01 .. U"UI, 101.. co. U\O.'O, It lO....'O.1 (I"'"""", 1010'1, U"(l90 '. - '0, 10-.,,,, '''ov..o.V\ ""."" '""'''\I ''10160' UII~,I .(IQ'OOOV".'.\I U\Ilo'O 1 00'11./'1 1Ul., "......'.. ", U,106O 0 "uu, ''''It 'Vt I I I I Ie" UUtlO., Olll".llI.U.... U\(I.IO, 00 '.....'d' -c. UUl'll)), h.( u,.....,. "0~1O."''''1 1t1lj1'CI'lQlt u'BIO, J1''J11 " 'n..,., 10 lOO-~'(1Il AIIU....... I u'\O('...,. "50,,,, \.'!CIIAII' 0 UlJlro, 101..... ," 'HU.,OBAH 1'11.""'" I lit.. Oll.....',.J 1.111....'111 I , "tfOI'H~LL'~1 1010...,,,, I I """'>01:..-- ' r ._ C' .' .."" I · 1 14~ Ot ,r,.:-:;-'171\ WAYNESBORO HOSPITAL WAYNESBORO. PENNA. 1726B DR. ELLEN DUGAN, DIRECTOOR o ROUTINE 0 PRE.OP STAT . QIIIUII,O C.KARGt 7 ,,~:\ 'G~ s ,. ,'I I. ". 'J "",II, ""1 '. ~.. f " .. ....",..." .u",,..;,1 flU IIIUU....D ~~ 'a~ (3B-5151 '4Umcgr/100 m1 (4.B-10.71 rrIZlLI3.B-12.21 ," " ] ~...~;:,~~:l:.' ':,.,', ~l~"J' ... :\": WAYNESBORO HOSPITAL WAYNESBORO. PENNA. 17268 DR. ELLEN DUGAN. DIRECTOR D ROUTINE 0 PRE,OP D STAT '-11"'.",",",' " [lAlE. DONALD E ~~ EN~H/HESS " 11. on-06-58 A~, led Z 1/.',1,. ':t Z -I" lil/l'<''''c'", ".. ,11' ...., D.S. DATE ORDEREO Ie 'It;. C; ,,,,n"-t #... , ,., (I . II :. : :, . fr,. ...... v.1l.nEhd't ,: ..' ,p .... ..' " RN, RfJiJL',s..:.l,LlE "II ."t:' Tesl !:' If Prolime (See.1 INR Value e, APIT (See,) FIBRINOGEN I Bleeding Time RU..l1 I "Ofmal Range I SPCCIOII TeSls/Commcnls' //, 9 '1/, - i /.;),7 :.;J.f-,.{,013.C-- i 171-375 mg/d! 12,3,9,5 min, I 3: ~iii !DO O~ ~~ -IZ Om :lro -<c l/l 5t ~ I o o :I> Cl C ~ -l i5 z I ;. a .It! ' I ,. s' 1'a~ ... I .:Jft?1 ...! ., n' ~~~;I ~~I '; I I > -, '" 1 I I :- ~ . i .. I. .'. .' ",:. '" '~" . ~. .."""-~ . -. --~ -. ,~r-:. -: ____N_"..... ._..I...._.''-.~. ':'-'.._~.. ,- ...' , '. .' " ,..... """""I-'~.'''-''''''('''',' r"''''!'~~~''''''Prrl~~i:~~....."~,,l(,:'~S'~;'il~% " '~'::}~~!'~~". n~~~I'~t'~\,,: '1~'./~!~.2'.r~:':~":'~:'lt~'.~~l~1;1'1';'1~~'{!!'-c"~~;1~...lH'~~I^,,~~~~5:l~~~e;' ~ ~. .~;.~\;~tt~l:i~~l1t~" ''', .':~'/:., .~ >'/' '. :.: ',.0:--1" :". ", ,.:'J .r," [ J. '..:'~ WAYNESnORO 1I0SP.IT~"'~~' I :'l.o"'~;u.'i'5,,:'.\l.1r" n.','oj:"f';I~,.. '.. .. . -' .f;.... . " ' .'. 'II ......... r ,. -, ~ "'l'tf..;.\lt..\It.....,f. 4....-.f 1.~o'!'" .. -, :. ..:,...... 'I,. . " "' ':', i ','.! '..: . J-..""'!.~.~~,.\..",I~y..'ii.n _i b,..w......'H :r.f....~......I',t.... ,.......~f' ,','","', , .... .'...r, Ll . _,I ",:., ~t.,,,~ '::';',,";1'," .'"f..fo"'''':,I''~~'j''''''''':; .!.,I."..". ,; , ' , . DIAGNOSTIC IMACING '~ :i"',:'.,,;:':;.. ", . , I . .. ~.: I",':' J _, 1. ", "Co '. ..' I ,'.:~: ... J. .. ''''~55' Patient's Name Dall, Donald E. Pt's Identification No. 03 IB 18 . - Referring Physician Dr. D.S.Hen ~ . '; " LUHBOSACRAL BPINE , INDICATION 1 Pain. Date 2/23/91 Birthdate 10/5/48 Room OPD there is degenerative apurring in the mid lumbar .pine. '" Otherwise I the vertebral bodiu including the posterior llements ~ppear intlct. ,The disc spaces Ire maintained. The lacrum Ind S-I, Joint,' Ire unremlr~able. ". ,IMPRESSIONI .... ....... , Minimlll oBteodegenerative Ipurring atL2, 3 and 4. ,; . . ';';'i,y:.:'~/{:;r~>: :,'.."'. ... . '". ,':, .' " ",' , '. 'LEFT HIP INDICATIONI J' " The bone. Ind Ibnormality. Pain. t ',' '". :1 '", , ,"' .: :.,1 ;: :. .~,:' \ -;. ,", t witho~t 'Ivid~nc'~'o'f fracture or 'other Joint spacel Ire intact .', ,:....~.. " " ' '~"L!.: .. " .. " " ," LL t' , , ., , . IHPRESSIONI " ~ . I " . .: ~'; . '",:. . ...:, Normal left hip. :';'\';j,:>~~:~':" ';-"'; , .,' ::.... ."i'", .' . " , , ' ";~;>:}',::,.'i' :,:,:' " . , , '.' " ..1. ":. " 'I .... . ". .' ,. LEFT KNEE . .. .'.". -~ . .' INDICATIONi" '",;,',0 "', ,~.';:~:: <, '",\:/: :<:~,::\;g,;::,:'~',::' ,.l'......,.. . ',. """. .' ~':'. ~":'~~':i'~):. ..~:~ ":.::: " Pain. ,', ,( I _ The bonlll and abnormality. Joint spaces are intact witho\It Ividence of ~racture" or other " " ,', ",.-, .' " ", ' . IMPRESSION 1 Normal left knee. ';',' ',. . 0155 AM ,_. ',.... : : .: .: . , . .' 'r~. :.;, " '. ': ,:::(::;:,:-,; :,:{(". ::', :",>', . ":.',, ,:,>,:'~,:':,,"':~; ,,;", ' .,' , , ...,' . " .~ , " a/ J, TI 2/23/9l ',.r, " ., . "", ' ", . ',: . ',: :,...~. _. ... ..i..I" , . \: .:', '."; " , " > , '. ,,' " .,' :'''';':,'g . " . , , . . I' : \: ". , George A. Crawford. H.D. .' : ,~ , , , ',' ,'" '" '., :,1 ." ., I . --;': ~.: " ,\~.' . 'If;'t~ "" ,,, . " ....f ~':. " "'r .,' , ,. " \, , ~.l. 0, j ,". I I ~ " '.' . .,n,- "r ,"; I ' . L ., ~_.. ~.__. ...-1..,....,.~J'~~W~~..~ -. t;' ~:~<,.1;I''".:':";,.101I~''f';''...-"~.. . ~..'~~'m;;:.::~\~. ,,';f..'t:'~I~'l" ;It'f;';';~~~~;S;:ti.?'~i' .... :.,... :. '",',' Dal. "!OOn'ali ....i~lji:""..r'~';I~,i]~,' ""'~''''~'''''''~'\~' .'<1'.)1"10, 1'1'~ ..- . '. Q. ::" ..-J.::.t '-111:,', 1',";- \~"':.Dai:e"""'l\'9/16/91 ~;.ll~~.ft J:::.' ':'"1 ;: i"'-. ," .. I'r .... ':~. ? 'I;:' . BirthW;t~ '. 10/5i48 . Room OP .' ~ Patient "s', Namll" , P.t's Identification ~I ;,referring Physician No. 03 18 18 I "',':-::'".:',. .:. '. , '.', , '. " , . .'...:... .. .... .,.. :,.'~;;.. .....' .: 'r~':",~,.~ .,',';';nh'~ " ";~'~'. . . .:.::':' ~'. . ",I . ,I. ," '", : ".:,;'" ." ...;. I , .. "," .'~;~'I ;:" . . """",,', " t-:': . Reuben Hess Dr. #9655 :.. '- .~/.'.:,.:TI'.. . - ~ " , " '. 'i '.' . . ~. ':. " '; GALLBLADDER SONOGRAM INDlCATlON. Epigastric pain. The gallbladder is normal in size snd configuration. There is no thickening of it's wall. No calculi are present. IHPRESS ION. Norma 1 gallbladder sonogram. 7115AM J/m TI 9/16/91 .-" - .... .-----.. ---- - -.--..-.-7:.... ',-' " , ..'~.:-;. " Patient's Name " . ; . .... , " ."-'\, '..' , .' ., ' '8t:i1/9 i , 0'1' Room Dale I Donald E. I'~ Pt's Identification No. 03 18 18 Referring Physician Dr. Reuben Hus .' "i' UPPER GI SERIES "'~ " ' ," . , ' , .... ... ,',.' ':/. 'f ~'._<':. '., . I ;'_ ' -..' .. ~ ~ .. '. " . .'.,. ,....(.. 1lI0ICATION. ;' ',., Na'iise~i1~;i'vo'mi.ti.ng'" ,":. ',.' ('\~:; ":,',: ',',\;:,~;,,':'}. J' . .. :;,' .: "" '. ,.The plai.n fUm is unremarkable. Swallowing function and 'tbe '. esophagus' ara 'normal. The stcimach 'is normal i.n' she and configuration" imd the' D1Ucoaal . , pattern ill not unusual. The bariulll flows readily into a normal duodenal bulb ,', Without evidence of ulceration or, deformity" The duodenal C-loop ill unremarkable. '" ":',',"." ~. . .1, ' : ..' : IHPRESSION I Norlllal Upper G.I. Series. ..... . . ; ;.',., ,'" 9100AH .,:. .. .;,.,. .. '.'-. , -.:..... '" "I JIm ,TI 8/31/91". .._;_.. l'atient',5- Name Date 8/27/91 ER/212 Room ,,' '>, . .... ,..-.......... " ~ ." .., .-............. ........-...............~ .-.__.~. --.-.- . .- Dale I Donsld E. ,~ 03 18 18 10/5/48 Pt's Identification No. Birthdato Referring Physician Dr. Hathias/Hess . . ~, 0':'" :. . ~ PORTABLE CHEST AT 12.15 AM lNDICATION I Chest pain. k bl Both lungs are fully expanded and clear and The bony thorax i.s unremar a o. the heart s1:c is normal. -- I " ." .'. .... "'-"~I ..... ...I:....~., ".- . . .. \ ." J'O" .",,',0'" . ... '"",,"' ,,'II., '-~--""._---'"'. -~..... ..."..~.. " . .. .'.~',' .. ....:.,... "~I '0_' ",' .. ..... ',~":., .""...'.'.-' ::;-...';....."1 ....~~.r;..:Il\.,....f.-_~..,.-t'.... J "".'"." ........" "....'.I.~....;,..::i:...,'I::!'':'t....@' . o. '......... ,. . ...... '.. -<-"''''-q'' " " _/' ...... '.' "1 . "....~.,I.) ... '\" -. " ". .., .ti...'.. J":~'-. ..,.",1"'\.1......1'/.,....". ~"'1'" ..\..:,..... . ", .' ..', ~., '. "', '". . . . ; >~ ". . ;::.1''. "'~~ " ~ .\.-':;."II"J, ..I:':~ ,', ',;. ....' '.,1..'. .... ~-.....~').. ~zr..,. Patient's Name' . Dole. Oo"niildE. '. '" . ""., "Date "1/27/91 .,"";.; I, " Pt's Identification No. 03 18 18 Birthdate 10/~/48 Room ~R , . , , , , Referring Physician Dr. OUfendach/Hess I LEFT FOOT , " , . . ,INDICATION I '1 No acute Cracture o( the calcaneus. tje. Injury. Persistent pain and swalling. J , . or dislocation is seel1. There is a sl1lall lIpur on the bue There appears to be lome Iwelling in the area of the great RADIOLOGY REPORT PIlI.n,t's Nlml Dale, Donald E. Oltl 2/13/86 Address PIlI.nt's Id.ntlllClllon No. 03 18 18 Birth Oltl 10/5/48 OP~ Room Rlllrrlng Physlclln Dr. D.B.HESs #9655 \ " I . , , , " .. " AIR~CONTRAST BARIUM ENEMA I . ," ,., There is "'a moderate tboraco-lumbar acol1osh. The plain film h othervise unremark- able. Barium and air are introduced and flow in a normal retrograde manner fill1ng . and distending the colon adequately. ' The .igmoid colon is tortuous. Ir. H~! in ,the right lide of the bony pelvis. Small collectionl oC retained fecal material cauae .cattered lucent defecta. No other intrinsic or extrinaic abnormal1tiea ara identified. . . IMPRESSION I 1. Hoderate thoraco-Iumbar Icolioala. 2. Air contrast bariul1l enema within normal limits. . . J/j '2/18/86 --- . ----- .....~,._......... .,. ".0 ........... " ' p.lllnl's N.ml nde . Tlonsld 0.11 4-18-84 AddrlSS Birth 0.1. 10-5-48 p.lllnl'sld.nllllc.llon No. n"t_1Q_1A Roam nT' Rlr.rrlng Physlcl.n Dr. nil lle!lA '9655 . GALLBLADDER SERIES Tbe Rnllbladder concentrates tho controst material ~ell shawing it to be of normal size , and configuration. No calculi are seen. ': I I i r.'!PRESSION: ,I Normal gallbladder series. , , UPPER G.I. SERIES The plain film is unremarkable. S~sl1owing function and ~he esophagus are normal::The . stomach 18 normal in size end configuration snd the mucosal pattern is not unusual.'" The barium flows readily into a normal duodenal bulb without evidence of ulceration or de- formity. The duodenal C-loop is unremarkable. I nIPRESSION: Normal Upper G.I. Sories. '/ Gla 4-lB-84 , .':. "I, . I .. " t 'I' I~ " .1: .... ,.\ .....,'... I, . ". ,', \, .' .. ~ ,-. .' .' , " .' .: . ~ I . .~..2 "'~f';' M.D. R WH 056.10 81 . ~., Odlp., [Jolla hi :.. 9c"sJ' 2/1~/Q~ Dolo 10/5/43 Mil Patient's Name 1)',1 l~ 1.1 Blrthdoto Room Pt's Idontlllcotlon No. COOo1 Referring Physician Dr. l:ERV1C,\L SPWE .h-- HIO !C;'\ 1'1 n:l : :-tV,\. " Thl! ...'Hrp.bral bodi'ls h.wp. 01 norm.ll nnil\ht, .1nd .111r,llmnnt. l'hnrn is 1l.lrrcwiu\t ol C6-7 dlld mildp.r narrOWillll. ol C5-1l dnd r,7-Tl. .\lll,nr1or spurs .1rp. ?r~sp.nt .11 - ' C5 through C7. lh'lIN dIP. dLSO postdr~or spurs on thA right 011 C5-6 and Cb-~ which impillgp. slightly on the neural (oramen at that lp'v'll. Small posr,erior spurs arn on t,he lnft ar, c5-6. Thllln is somP. str.ligntnning or thn cnrvical lordosis consisrnnt with spasm. .' lHPI1EsS lml: Th.Hn is no 'l...idp.nce (or .1cur.p. inlnry. Thnrn .Irn dng.nnp.rati...'l ch.lngp. with straight'lning ol thn cnrvical lordosis. LEn SIlOULnEll I' 1IIOlC.\1't0:l: I1Vt\. i'lo Ir"ctllrA or dislocation ~s SNell. Th'HA is solI, tiSSlln c.l1cilicatioll .1l1l.1cnnt to thn grn.H,nr tubnrosit,\' on thn intnrnal rorar.ion vin'.. l'his is prob.lbly calcillC.lt ion in t.hn tnrnS minor or Inl r.lspilloltOuS tnndoll. UIPRESS tON I No p....idnllcn lor lractlltl! or dislocation. 1l:5n .\1-\ roll TI 2/21/'14 r-to 2 t m~ PEN NSTATE . ~ College of ivledicine 11m University Hospital'Children's Hospital ... The Millon S. Hershey Medical Center P.O. BOX 850 HERSHEY, PENNSYLVANIA 17033 Reuben Hess, MD 1964 Buchanan Trail East P.O. Box 04 Shady Grove, PA 17256 July 12, 1994 Dear Dr. Hess: 1 ~s:S"" MSHMC #627139 RE: DALE. Donald Thank you for allowing us to see Donald Dale in consultation in reference to his intermittent right shoulder pain. As you know, Mr. Dale is a 45-year-old, white male who sustained a motor vehicle accident on February 18, 1994. He was not hospitalized at that time and did not lose consciousness or sustain any open traumas. He has been complaining of intermittent cervical as well as occipital pain since that time. The pain radi ates to the right shoulder and subsides spontaneously with rest. He al so has experienced several episodes of right retroauricular hyperesthesias. There is no evidence of numbness, paresthesias, headaches, weakness, blurred vision, double vision, or vertigo. On neurological examination, mental status examination, memory, speech, and calculation were within normal limits. Cranial nerve examination was essentially intact. Motor and deep tendon reflexes were +2 throughout. Strength was 5/5 throughout. On cerebellar examination, finger/finger and heel/shin/knee maneuvers were within normal limits. Tandem gait was normal. Sensory examination was intact. In summary. Mr. Donald Dale is a 45-year-old, pleasant gentleman who sustained a motor vehicle accident in February of 1994 and has been complaining of right shoulder pain since that time. On neurological examination, there was no evidence of neurological impairment at this time. Cervical spine films obtained the day after the accident were unremarkable. No further neurol09ical evaluation is warranted at this time. Recommendations are patient should be followed clinically and if symptoms persi st, we wi 11 be gl ad to re-evaluate him at that time. Shoul d you have any further questions regarding Mr. Dale, please feel free to contact us. Si ncere ly, r -:::>?"?"~ ~~ .A-1 '). Emilian Hekler, MD EH: RAR D: 07/12/94 T: 07/13/94 ID: 2879( 1)~IED r, I \l I EQUAl cppon'UlU1V AFfIRMATIVe ACIICtl ,IAPlOf[R D. ROBERT HESS, JR., M.D. DOUGLAS B. HESS, M.D. REUBEN D. HESS. M,D. LOUIS E. CODA. M.D. 1964 Buchanan Trail Eaa~ P,O. BOI 04 Shady GroVl, Pannly'nnlal7255 Tallphona: 587.7131 July l, 1994 Annette M. D. Mellott, PIP Adjuster United States Fidelity and Guaranty Company 321i North Front St. Harrisburg, PA l7110 RE: Donald E. Dale Birthdate: lO-5-48 Claim H: 2600-AL-263957-01-l Dear Ms. Mellott: thank you for the opportunity to return your questions on Donald Dale. Mr. Dale has had persistent neck and back pain, after his accident in February, that has been exceedingly slow in resolving. After 1 saw him on April 20, 1994, 1 fitted him with a cervicle collar and recommended that he continue physical therapy for one further month. I felt to simply stop all interentions at this point would not be wise. Donald felt that he was improving and my hope has been that he is going to continue to see gradual improvement. At this point, Donald is now four month after his automobile accident and continues to have neck pain that is better, he has a clicking sensation in his neck and a funny feeling in his head that he is concerned about as well as some persistent back pain. It continues to be my hope that Donald is going to ultimately improve. I am uncertain as to why he hasn't made more improvement by this time and feel that we need an opinion of someone else and I have referred him to an neurologist. He will not be seeing Doctor Byrd, because he does not accept accident victims. He presently has an appointment with Doctor Brennan at Hershey Medical Center. :ilncerely, ~!JJ~ Reuben D. Hess, M.D. RDH:nh D. ROBERT HESS. JR~ M.D. DOUGLAS B. HESS. M.D. REUBEN D. HESS. M.D. LOUIS E. CODA, M.D. 1964 Buchanan Trill Eaal, P.O. Box 04 Shady arOYl, P."naylYanla 172SS Tellphone: 587.7131 June 23, 1994 Robert W. Brennan, M.D. Hershey Medical Center Hershey, PA 17033 RE: Donald E. Dale Birthdate: 10-5-48 Dear Doctor Brennan: Thank you for seeing Donald Dale in consult. This gentleman was in an accident in mid June and developed a sore neck and shoulder following that. He had x-rays at that time which were un- remarkable, but has continued to have pain which was felt to be due to a cervical sprain and shoulder girdle sprain. When I saw him in April, he described pain in the right occiput and down into his neck and straight down to his lower back. He denied any pain symptoms in his arm as well ~s any weakness or numb- ness. He has been on physical therapy for a fairly extended period of time and when I talked to him last, he said his back pain was a good deal better, but he still has neck pain at times. I have had him in a cervica I co llar, but I am not sure exact ly how much of the time he is wearing that. I would appreciate any recommendations you have on how to deal with his neck pain and whether any further work up is warranted at this point. Sincerely~ /(lD)~~ Reuben D. Hess, M.D. RDH:nh , . , , D. ROBERT HESS, JR., M.D. DOUGLAS B. HESS, M.D. REUBEN D. HESS. M.D. LOUIS E. CODA, M.D. 1964 Buchlnln TIIII Eu~ P.O. BOI 04 Shldy OIOVI, Plnn.y1vanII172.56 Tlllphono: 597.7131 June l. 1994 Edward B. Byrd, M.D. Robinwood, Medical Center 11110 Medical Campus Rd., Suite 104 Hagerstown, MD 21742 RE: Donald E. Dale Birthdate: 10-5-48 Dear Doctor Byrd: Thank you (or seeing Donald Dale in consult. This gentleman was in an accident in mid June and developed a sore neck and shoulder following that. He had x-rays at that time which were unremarkable but has continued to have psin which was felt to be due to a cervical sprain and shoulder girdle sprain. When 1 saw him in April. he described pain in the right occiput and down into his neck and straight down to his lower back. He denied any pain symptoms in his arm as well as any weakness or numbness. He has been on physical therapy for a fairly extended period of time and when 1 talked to him last, he said his back psin was a good deal better, but he still has neck pain at times. I have had him in a cervical collar, but I am not sure exactly how much of the time he is wearing that. I would appreciate any recommendations you have on how to deal with his neck pair. and whether any further work up Is warranted at this point. Sincerely, : ----x1r.> J1 _ . ~ {j~;; /0'- -- Reuben D. Hess, M.D. RDIi:nh l: nysical Therapy Associatt:s of Chambersburg, Inc. } (a-' 810 Wayne Avenue Chambersburg, PA 17201 (717) 263-5147 FAX (717) 263.3454. Bruce A. Hitchens, P. r, John B. Hosteller, p.r. Marsha A. Lacy, P.T. April 11, 19911 PHYSICAL THERAPY DISCHARGE SlJlofrlARY TO: Louis Coda, M.D. RE: Donald Dale Q14S", Problem: Low Back Strain Treatment Date: March 17, 1994 Dear Dr. Coda: We evaluated your patient, Donald Dale, in March. He cancelled any subsequent treatments due to feeling it was too far to travel to our clinic for treatments. During our evaluation, this patient reported he had been involved in a motor vehicle accident on 2-18-94. He experienced some low back pain the next morning and cervical pain. His complaints at the time of our evaluation were cervical pain and headaches in occipital area and on the top of his head. . Our evaluation revealed a left shoulder depression and side bending to the left. His shoulder flexion was limited bilaterally to 150. and his cervical spine range of motion was limited by discomfort in all areas by approximately 50.. His trunk forward flexion was marked by a flattening of the thoracic spine. He showed an overall myofascial tightness in the upper quarter. There was tenderness over C2, C4, T2, and T4 spinous processes. We proceeded with treatments including moist heat, ultrasound, and massage. We also instructed him in some gentle range of motion exercises for the cervical spine. Thank you for the chance to evaluate this patient. If we can be of any further assistance, please let us know. Sincerely, ~~ J2? rla.~ Marsha A. Lacy, PT MAL:jag RYAN PHYSICAL THERAPY ASSOCIATES 127 CUMBERLAND VALLEY AVEflUE WAYNE5BORO. PENNSYLVANIA 17268 TELEPHONE (717) 762-7711 ~-~ STEPHEN D. RYAN, M,P,T. MASTER OF PHYSICAL THERAPY ROBIN MORRIS.SWOPE, P.T, PHYSICAL THERAPIST 9~5S- Donald Dale Referring Physician: Dr. Louis Coda 03/24/94. Diagnosis: Cervical and Lumbar strain. 5: Patient is a 45 year old white male who reports he was involved in a motor vehicle accident on February la, 1994 when a car rear ended his car on Route a1 North. Patient reports his car was rear ended by another which pushed his car into a tractor and trailer truck. Patient reports that he was wearing a seat belt although he sustained injuries to his neck and low back region. Patient reports pain in the posterior cervical spine region with irradiations of pain into the left upper trapezius and shoulder and occasional pain radiating into the right upper trapezius and right shoulder region. Patient reports also a infrequent of radiations of pain into the interscapular region as well. Patient reports pain across the low back region from L-3 to 5-1 spine. Patient rates his pain in his cervical spine to be an a on a scale of 0 to lO and his low back pain to be a 6 on a scale of 0 to 10. Patient's occupation is working at Regency in the engraving department. Patient reports frequent headaches since his accident in February of 1994. Patient reports that this pain is limiting his life style and interfers with his activites at work. 0: X-rays not available. Neurovascular status is intact. Patient displays a forward head posture, kyphotic back, protracted shoulders and a head tilt to the left with patient in slight left side bending of the cervical spine with patient sitting. Cervical range of motion displays mark",r:l, limitations "lith At t ll1ntinnR inclUding forward and backward bending, right and left side b~nding and right and left rotation with patient reporting increased pain symptomology with all motions. Patient is left hand dominate. Right and left upper extremity range of motion is equal and within normal limits. Trunk range of motion displays a moderate amount of movement with patient reporting increased pain symptomology in the low back with left side bending. Right and left lower extremity range of motion is within normal limits. Selective manual muscle testing of the bilateral upper and lower extremities are equal and wi thin normal Umi ts. Deep tendon refl exes are equal in the bilateral lower extremities for knee jerk and equal in the bilateral upper extremities for elbow jerk. Patient is point tender to palpation in the bilateral upper trapezii musculature, posterior cervical spine, and rhomboid region as well as the bilateral scalenes. ( D. ROBERT HESS, JR., M.D. C" DOUGLAS B. HESS, M.D. REUBEN D. HESS, M.D, LOUIS E. CDDA. M.D. IRe Buchl".n Trail Eaa~ P.O. BOI 04 Shldy GroYI. PanMytYlnla 1729 Ttflphone: S87.7131 August 29, 1996 Stanton E. Sollenberger, D.O. 764 Lincoln Way East Chambersburg, PA 17201 RE: Donald E. Dale Birthdate: 10-5-48 Dear Stan: Mr. Dale comes in with the somewhat unusual complaint that his head suddenly drops down when he is sitting. He says that his head juSt flops. I could not really come up with an explanation for this. 1 wondered if he might be having some sort of arrhythmia so I did get a holter monitor, but that didn't show any significant changes with some of his symptoms. Dale is on no long term medications now as far as I knuw. He had a coronary arteriogram in 1992 for chest pain and his coronaries were normal. He has mild esophagitis and has had a colonoscopy. 1 would appreciate your evaluation. Sincerely, (}AIr ~ D. Robert !lelis, Jr., M.D. RH:nh 4' .1 .-. - .' ( (' Hanover tJENDlAI. HD!lPfTAL /' qf5~ Cardiopulmonary ~CI!!I DIAGND!lTTC:SLEEP UB I'DI. YlIDMNDGRAPHY R NAIJ~ UJnald Dale DAm 11-9-95 . OOCTO~~ube~ HesJ history O~~~~~l~ snoring or witnessed HII 70" WII 204# Ned:: 16 3/4~g,a: 47 WJ:: M ffiSTORV: Excessive sleepiness. Hyertension. No ~tIh ~tapl.:!',n~~. 10 (no rma 1 be 1 ow 8) AWAKCABa. Normal. SPIROlJmVI No obstructive; moderate dysfunction. restrictive OIArnlnSTIC sTtmv TOTAL R[CORDIIJQ 1l1J[: 6.5 hrs TOTAlAPIJ~ 22 (3/hr) !NPOPIJWI 9 D~TURA1l01J~ 22 UGffT SmP (m~ 1&;21: 47% OW SmP (c"~ g "4/: 41 % RDA SU;[P1 9% LEG MOVEMENTS: 14/hr (5/hr with arousals) RDI. 5 (Rupl:tflltq Dlmllhnet Indu. A/ahlu + HVI'OPlIIlIchll1 TOTAL~lf[p 1l1J[: 6.4 hrs LOW[ST SATc80% @0154 LDIJC[ST APIJtA: 13 seconds SIIORIIJG: light occasiona' H1QWlQWHI:i\RTRATt: 80/60 PARADOXIC BRt4TIlIIJG: occas ion a 1 IIICROAROllSAu:tHR: 5/hr , POlysomnography is neqative for obstructive sleep apnea. Ouring 6.4 hours of sleep, there were only 22 apneas and 9 hypopneas for a total of 5 events per hour which is within normal limits. Sleep architecture showed some reduced REM sleep and stage 4 sleep possibly due to first night effect in the Sleep Lab. Microarousal frequency was not increased. Leg movement frequency mildly increased. IMPRESSION: Normal polysomnography except for some reduction in REr1 sleep and increased leg movements. No evidence of sleep apnea. Awake spirometry revealed moderate restrictive and no obstructive dysfunction. Arterial blood 9as showed mild carboxyhemoglobinemia of uncertain etiology. ,a,"", H. Ad"!(J~:~/ ( SGllenberger ( Colon & Rectnl Surgery, Ltd. Larry L Sollcnb<l1lcr. ~I.D. Andre..]. Richard.. .\1.0. lall,~. fronl SI. 'lIam.hu... r,\ 1710'4 1717J lI.'lJMII07 fUl717\ II:ll4-lIl~~ March 16, 1995 Reuben Hess, M.D. Hess Medical Clinic Shady Grove, Pa. 17256 RE: Donald Dale Dear Dr. Hess: I just had the privilege of seeing Mr. Dale back in the office on 3-6-95. On 2-16-95 I did a repeat anal sphinctero- plasty for Mr. Dale. He tolerated that quite nicely. He did have some mild drainage afterward, however, overall things seem to be going well so far. ' Today in the office, the muscle repair still appears to be intact and the open perineal wound is healing nicely. He states that he seems to have pretty good continence at the present time, however, we will not be able to tell the final result until after everything heals. I will send you a report when this occurs. Thank you very much for allowing me to participate in this patient's care. Should you have any questions, please feel free to call. Sincerely, ~~ A.~/k"t.u '.J..u 1~/,-...'9 Larry"t. SOllenberger7 M.D. LLS/mh cc: J. Peter Hinterkopf, M.D. " Sollenberger ( , Colon & Rcctnl SurBcry, Ltd. Larry 1.. S..II.nh.r~cr. M.II. ,\ndr.,. J. RI.h.nh. .\1.11, 11\11 S. Fronl St. 'Unrlllhur..I'I\ 1710''' (7\7J ll,1:I-W17 rul7\7J "'III-HI~~ Janua~y 17, 1995 J. Pete~ Hinte~kopf, M.D. 45 Roadside Ave. Waynesbo~o, Pa. 17268 RE: Donald Dale 74J-S-- Dea~ D~. Hinte~kopf: This is just a note to ~einfo~ce what we have spoken about oVe~ the phone. M~. Dale has had no imp~ovement in his ~ectal soilage afte~ his p~evious sphincte~oplasty. He did have an infection following that and I suspect that is the cause I of the p~oblem o~ it may be that he has some int~insic neu~o- logic defect the~e that he will not have any imp~ovement afte~ any type of su~ge~y on the muscles. M~. Dale is fai~ly adamant about wanting anothe~ t~y at ~epai~ of the sphincte~ muscle. I had a long discussion with him conce~ning this and stating that I would give him no g~eate~ than a 50% chance that the~e would be any imp~ovement. F~om his desc~iption of this, he is mainly just having some soilage staining his unde~wea~, but he is able to cont~ol his bowel movements. I have discou~aged him f~om unde~going the su~ge~y: howeve~ I did tell him that if he definitely wants this unde~- standing that it may fail again, I would be willing to go ahead with it. He also lives the~e in Waynesbo~o and he exp~essed an inte~est in staying the~e to have su~ge~y done. As I explained to him, I have called you to go ove~ this and allow you and he to come to some so~t of conclusion about that. I would be glad to follow up as needed. Thank you ve~y much fo~ allowing me to pa~ticipate in this patient's ca~e. Should you have any questions, please feel f~ee to call. I, Since~ely, I ' ,).., ~~ 11,,-../)-Ltt'lI J 1/0;L/,8i '\ Clv.J'i- . ( \1 ' . . La~ry L. Sol'lenbe~ge~, M.D. LLS/mh cc: Reuben Hess, M. D. (. ( PEAR M. ENAM, M.D. Gastroenterologist 230 South Potomac Street, Suite B Waynesboro, Pennsylvania 1726B (717) 765.0550 October 19, 1992 Reuben Hess, M.D. PO OOX 0-4 Shady Grove, PA 17256 Re: Donald Dale 9lf~-.!:) OOB: 10-05-48 Dear Dr. Hess: Thank you very much for referring Mr. Donald Dale for consultation. I evaluated Mr. Dale on 10-15-92 for epigastric pain for the last 2 rronths which is gradually getting worse. He, also, canplained of pain in, the left side of the chest for which cardiac work-up was essentially negative. Physical examination revealed no sign of significant alimentary tract disease. My. initial impression about Mr. Dale's current GI problems are as follows: 1. Epigastric pain - rule PUD. 2. OIest pain (with negative cardiac work-up) - rule out GElID vs. rrotility disorder of the esophagus. I advised/recannended the following for further management of Mr. Dale's current GI problems: 1. EX;!) within the next few weeks to rule out PUn/GElID. 2. Depending on the findings of EGO, he may need a a:::K HIDA Scan to rule out gallbladder disease. 3. Esophageal mananetry and/or 24 hour pH study may need to be done in future depending on the results of the tests outlined above. I will keep you informed of any progress in this regard and any change in treatment plan we may need to consider. With best wishes. Sincerely yours, 'f.,. r1 c.J~ --' Pear M. Enam, M.D. ( (,I, D. ROBERT HESS. JR.. M.D. DOUGLAS B. HESS, M.D. REUBEN D. HESS, M.D. 1884 Buclllnln TntII &01, P.O. BoI D4 Shody GIOYO, Pono,"yt.."laI72S1 ToItphonl: 5i7.71:J1 October 12, 1992 Pear Enam, M.D. 230 S. Potomac St., Suite B Waynesboro, PA 17268 RE: Donald E. Dale Birthdate: 10-5-48 Dear Pear: Thank you for seeing Donald Dale in consult. This gentleman has had atypical chest pain for some time now; we have been seeing Donald for this since August of 1991, when he hsd hospitalization for what was ultimately felt to be noncardiac chest pain. lie has had stress test, stress thalUum, and ultimately had a catheterization in June of this year which showed a normal coronary angiogram. (There was a question of a small defect on thallium image which precipitated this.) He also has had some epigastric pain that has been relieved with Axid. Currently his medications are Cardizem CD l80 mg. a day as well as Axid 150. I have asked him now to take that qh.s. I put him on Cardizem, in case he has some esophagesl or coronary spasm, hoping that this would help. I think the adds of him having coronary spasm are pretty sUm from' what he describes and I am leaning towards GI source of this. I would appreciate your evaluation of him. Sincerely, ........VV'lj ../ IU/~ Reuben D. Hess, M.D. RDII:nh I IJ '1 } . , ( ( CARDIOLOGY CONSULTANTS 3a4 MILL srnEIrr HAGERSTOWN, MARYLANO 21740 JOHN H. HORNBAKER. JR.. M,D.. P,A. THOMAS B. HAYWOOD. M,D.. P,A. GARY C. PAPUCHIS. M.D. TlLEl"HONI797.7123 June 9, 1992 Dr. Douglas Hess Washington County Hospital Hagerstown, MD 21740 Dear Dr. Hess: Enclosed is the catheterization report on your patient, Mr. Donald Dale. Briefly, on 6/9/92, the patient underwent left heart catheterization, coronary arteriography, and left ventriculography which demonstrated normal coronary artery anatomy and normal left ventricular systolic function. From this, I would conclude, that the patient's symptoms are in all likelihood non-cardiac in origin, and that no further diagnostic evaluation is indicated with regard to the patient's cardiovasculur status at this time. Thank you very much for your referral of Mr. Donald Dale. If I can be of any further assistance at any time, please do not hesitate to contact me. Sincerely, C-4-,<J l~ Thomas B. Haywood, M.D.. F.A.C.C. TBH/pn Enclosure ( ( q08) REPORT DATE . 06-09-~ WASHINGTON COUNT 251 E. ANTIETAM S . HAGERSTOWN, MD. 21740 PATIENT NAME : DALE, DONALD PROCEDURE DATE I , I l 06/09/!! I t. AGE: 43 YR SEX: M HT.: IO.N: 331708 BIRTH DATE: PHYSICIAN : HAYWOOD 71 IN WT.: 194 LBS 10/05/1948 BSA: 2.0S SQ M CONCLOSIONS: In summary, the patient is a 43 year old caucasian male who gives a one year history of recurrent chest discomfort. This had required his admission to the Waynesboro community Hospital on at least one occasion in the past. MUltiple exercise treadmill studies have been done over the past several months. His most recent one was within the past two to three weeks at which time there was a new transient perfusion abnormality involving the lateral wall of the left ventricle which had not been identified on previous studies. Previously performed upper GI series and gall bladder studies have failed to demonstrate a non-car1iac I etiology to his symptoms, and for this reason and because of his new scintigraphic finding, the patient has been referred for coronary arteriography to definitively rule out coronary artery disease. The Seldinger Technique was used at the right groin to perform left heart catheterization, coronary'arteriography, and left ventriculography. Selective coronary arteriography demonstrated a right dominant system. There is no identifiable obstructive coronary artery disease anywhere within the coronary artery tree. Left ventriculography demonstrated normal left ventricular systolic function with a calculated left ventricular ejection fraction of 61%. There is trace to 1+ mitral inSUfficiency, but no mitral valve prolapse and no segmental wall motion abnormalities. The patient tolerated the procedure well and there were no complications. Following removal of the sheath from the right groin, hemostasis was achieved. The right groin was without hematoma or bruit, and the right pedis pulse was strong and unchanged. In summary, the patient is a 43 year old caucasian male who has presented with a year of intermittent episodes of chest discomfort. Coronary arteriography has demonstrated normal coronary artery anatomy with no identifiable obstructive coronary artery disease. From this, it is concluded that the patient's symptoms are non-cardiac in origin. 1 .' " l The Power7b Overcome - 'r May 16, 1989 ~ Dr. Douglas Hess ~ Hess Medical Clinic . ~ Shady Grove, PA 17256 Dear Dr. Hess: Suhject: EHG Report on Donald Dale Date of Test: 5/15/89 Referring Diagnosis: Rule Out Left Carpal Tunnel Syndrome ;I ~?} IHstorv This 40 year old male haR a complaint of left hand numbness and pain involving the second-fourth digits. His symptoms have been present for apprOXimately 2 months. Patient notes a "thUmping" of the left hand, His paresthesias Occur at work and also awaken him at night time. Patient is employed as a paper cutter at the Regency. He states that he has performed the same job for 22 years. He denies weakness of the left hand. He recalls having hand swelling that occurred with onaet of these symptoms. This swelling necessitated the removal of his ring from the fourth digit. He has no complaint of right hand or proximal upper extremity symptoms. Patient was seen by a chiropractor for neck adjustment and modality treatment of the left arm. Relief of symptoms did not occur with thene treatments. Patients past medical history is non-contributory. He denies surgery, ~ trauma, or medical disorders. Examination of Bllaterat"Upper Extremities: A. Muscle Test: Strength of the upper extremities is 5/5 to manual muscle testing. Patient is left hand dominant. B. Sensory Test: Pin prick and light touch testing were normal throughou t thp I'[l[l~r extremity. C. Range of Motion: Cervical spine range of motion was mildly decreased in all directions with the greatest loss being left rotation In side bending. Upper extremity joint range of motion was within normal limits and failed to reproduce his symptoms. D. Phalen's Test: Positive on the left for reproduction of the finger paresthesias. Waynelboro Center The EllIter Seal Society or Frnnlrlln and AdamI Coundel.lnc. 34 Roadside Avenue Wayncsbom. PA I 7268 (7171762-5315 EMG "Report on Donald Dale Page 2/3 E. Tinel Sign: Positive bilaterally to percussion over the median nerves at the wrist, left greater than right. This test was negative when applied to the ulnar nerve over the wrist and elbow. Palpation of the median nerve through the proximal forearm muscles was negative. F. Reflexes and Other Tests: The deep tendon reflexes of the upper extremities were 2+ and symmetrical. Thick callus was noted on the ulnar aspect of patients left hand, especially over the little finger. This callus is apparently the result of grasping a knife lever, There was no swelling at the wrist. G. Nerve Conduction Studies: Standard surface electrodes were used to evaluate bilateral median and ulnar motor and sensory nerves. The median and ulnar distal latencies are delayed, the greatest delays involve the median nerves. There is a milder delay of the left ulnar motor and sensory distal latency and the right ulnar latency is borderline abnormal. I The left median motor distal latency is 6.3 milliseconds at an amplitude ot 8.0 millivolts. The conduction velocity is 53 meters per second and the F wave conduction velocity was 60 meters per second. The leCt median sensory is recorded from the index and middle fingers was 4.3 milliseconds at an amplitude of 20 microvolts for conduction velocity of 30 meters per second. The sensory potential duration was increased to 2.0 milliseconds. ' The left ulnar motor diRtal latency was 3.5 milliseconds at an amplitude of 9.0 millivolts. The forearm conduction velocity was 53 meters per second, across the elbow is 59 meters per second, and the humeral segmental conduction velocity is 58 meters per second. The left ulnar F wave conduction velocity. was 59 meters per second. The left ulnar sensory iatency was mildly delayed at 3.1 milliseconds at an amplitude of 20 microvolts for conduction velocity of 42 meters per second. The right median motor distal latency was 6.2 milliseconds at an amplitude of 12.0 millivolts. The conduction velocity was 52 meters per second and the P wave r.nnrlll~t1r:lO I!elor:itl' was 59 meters per second. The right medLm sensory latency is recorded from the index finger was 4.5 milliseconds at an amplitude of 20 microvolts for conduction velocity of 29 meters per second. .. The right ulnar distal 1 atency was 3.1 milli seconds at an amplJ tude of 8.0 millivolts. The conduction velocity was 60 meters per second and the F wave conduction velocity was 58 meters per second. The right ulnar sensory latency is recorded from the little finger was 2.7 milliseconds at an amplitUde of 30 microvolts for conduction velocity of 48 meters per second. II. EMG: A disposable monopolar needle electrode was used to evaluate the follOWing muscles. The right first dorsal interosseous, the right flexor digiti minlml, the right abductor poll1c1s brev in. the right opponens polllcia. the right fl"xnr l",1rnl ".,nt-,II,. ",",1 Ih,. ...I"hl ~ Normal insertional activity with electrical silence at rest. The motor unita were of norma] confl. guratlon and a full Interferenc(! ...",.., .....,... ,..... ....L. . _J . .... , (. .. EMG Report on Donald Dale Page 3/3 Impression and Findings: Abnormal Stud'(' Bilateral delay of the median and ulnar distal latencies i~ uncovered. The greatest electrical abnormalities involve the median motor and sensory nerves. These median abnormalities are approximately equal left versus right, and are consistent with Carpal Tunnel Syndrome. An associated left ulnar wrist lesion is also present based on the motor and sensory conduction abnormalities. Clinically, the only sympathic lesion that appears is the left Carpal Tunnel Syndrome. There is no evidence of a more prOXimal neuropathic process but an occult polyneuropathy cannot be ruled out. Further coorelatlon of these findings to patients clinical condition is necessary, .... ~o.." (D\"\\~~ Thomas Glumac, PT ~IL TG/hbf - ~losS DALE, DONALD E. 3746328 Operation I WAYREBBORO DOSPI~ DB 11/20/92 HR 034 81 Surgeon I Dr. Enam. Procedure Performed I Colonoscopy. @ Preoperative Diagnosial History of rectal bleeding and fistuls. The patient also has internal hemorrhoids. Need to rule out any colonic neoplasm/polyp versua any inflammatory bowel diaesse/microacopic colitis. Medicationl Premedication - Versed, 2 mg. deep IH. During the procedure, the patient was given Versed, 8 mg, and Demerol, 75 mg. slow I.V. push in incremental doses. Preparation Givenl Four liters of GoLytely. Postoperative Diagnosisl 1. Tortuous colon - in the sigmoid area, making colonoscopy somewhat difficult. 2. 0.5 em. polypoid lesion in the sigmoid colon at 25 ems. from the anus. Taken out with hot biopsy forceps. 3. Three moderate size internal hemorrhoids. 4. No evidence of fistula. 5. Otherwise negative study to proximal ascending colon. The scope could not be advanced beyond the proximal ascending colon becsuse of the tortuosity of the colon. We felt that it would be risky to try to push it because it may cause a colonic perforation. After premedication, the patient was put in the left lateral decubitus position. The endoscope was then introduced. The endoscope was advanced all the way up to the proximal ascending colon with some difficulty. The bowel prep was adequate, and visualization was good. The colon was very tortuous, especially in the sigmoid colon srea, and we had to manipulate and use brscing to go up to the proximal ascending colon. The scope could not U~ HUVWU~~U U~YUllU lh~ pruxiwal aucunding colon without using unusual force, and it was felt that it would not be wise to do.thst because it could cause a colonic perforation. The scope was then withdrawn. The polypoid lesion in the sigmoid colon wss tsken out and biopsies were taken. The scope was then withdrawn. The patient was dischsrged in good physical condition. Dictated bYI Dr. Pear Enam Transcribed bYI B. DeMartino eel Dr. Robert Bess . 11/20/92 11/21/92 l21l7 PM 11 AM OPERATIVE REPORT . '1 itS'S- DS 10/23/92 DALE, DONALD E. 3697471 Operationl RAYRESBORO HOSPItAL Surgeon 1 Dr. Enam. out GER peptic ulcer 81 Preoperative Diagnosisl Postoperative Diagnosesl (gastroesophsgeal disease. 1. ~!!sophagitis in the distal Dnr~ ~ 2. Stomach";;"'lWl4llea.., turward and retroflexed view - within normal limits. 3. Duodenum - bulb shows mild duodenitis and 0.3 em. polypoid lesions which were removed. 4. Rest of the G.I. tract essentially within normal limits. 5. Bile aspirated from the gallbladder after Kinevac to rule out cholesterol and calcium bilirubinate crystals. Medication Usedl Premedicstion - Versed, 1.5 mg. the patient was given Versed, 10 mg. and Demerol, incremental doses. , During the procedure, 75 mg. slow I.V. push in After premedication, the patient was put in the left lateral decubitus position. The endoscope was then introduced. The endoscope was advsnced under direct vision. The distal esophagus was examined and showed mild esophagitis. The stomach was then intubated and was examined in detail in forward and retroflexed view. There was no abnormality noted in the stomach. The duodenum was then intubated, and the bulb revealed mild duodenitis, and 0.3 em. polypoid lesions. The polypoid lesions were removed with biopsy forceps. Kinevac was subsequently injected, and bile aspirated after gallbladder contraction to rule out crystals, which may give us a clue as to the etiology of the abdominal pain/gallbladder disease. The scope was then withdrawn. The patient was discharged in good physical condition. These findings do not appear to explain the cause of the patient's abdominal and chest pain. We will proceed with CCK hepatobiliary scan. Dictated bYI Dr. Pear Enam Transcribed bYI B. DeMartino cc: Dr. Robert Hess 10/23/92 10/27/92 12132 PM 2125 PH OPERATIVE REPORT 4 i: ~5l xlii ~~ do; Ul ~E."Ul :D. ~ ~~ a:I: 5~ ~ a =:=" (.) - ft w en z 0 - t> IJ.! i .- W Q .- Z W III 0 > N W M 0 .-l (.) < < - .. Q II c: C3 ,~ 1,/\ ~ ~ ctS 0 cr 0 .- ~ 'E ..:l < ctS c 0 c .0 ..:l < .- z .1: 8 je ,- I~ ~ '"'' i,':' :::'. I ::::, :::: r~:::;::~"': I ; ; : ; I: ::,;:, ,.::: ~:::;:;; ;;; I : : : : . : ~ , : : :; :::;':" .... ::,! .........,.. "....".,,,,..... ,:::: ~ ::::!:: _ ::::: :::: H::: :::: ; :::: :"','.1::"'''''1:.' ;:::.::::::: ::::;:::;,:::::::" : jg ~! ~ ~ ~ ~., ::1 I :i1i;:ji~ i i~ ~ ~ i~:: ~ ': ~;: I::;: I::::; ~ '::~~n~i!;1;i:;:;: ::;!~~;:i 5 .. . :':::;:::.:::;' . .; ;ltiin'nn :;;: ;:~:!:~::;i~~:. :i I : : : i : ; ; : : : : : ~. :: : : , : . ~ : . " ; : I ::;. :'::' I:!:!i:!:~:, :i:,:::: '::" " ~ ,:,-,-'77;-:-- .........'":. .-- I::::':::: '::';::: .:;:,:::: .". ." .. .... .... -',' '" .,.... ... ". -, .... ',. ". ,. : :;1:;:::::: :::; ::,' '......,,,. . .............. .... "-,....,, ....." .. .. .... ...., .. .. .. . , .. .... . ...........-.... .. ';::::::::' .. .... ....." .:;.::::::.: :::: ::. :::. ;:: ; ;.' .. ..... ... . . .. ...' . .. ..,. . I ............d.... ..,. ::::::::: ::::;:H~ ::': "."... ".. .,.. ... " .............,... '::::':::: :::: :::. .... ". . .. .,., ..., . ::::!::::':::::::;;':::' '" ... .... . ... ............... ." .......... ,.." .... ".. .. ..,.,. ----- :i!!!:.:'!::" ':::. .. .... .. ..'. ....I:::::::: ::.:: l~~~~::~~~. ~:~: :;i;; I::::':;: I;:::';:;; :::;.::. 1:;:: :;:' ;:.:'::: . , . .. . .. ,... '." .. , , ,,,:::: '1::::,:::::::,,:::,:, ,";0" ,.." ...... ........ ."..... .........,,, ,,,... . . .. . . . " ..,. ....' I;:::':.:. . . . . . . . .. ..., .... . ........"....... ..." ........ .............. ......" ".. .". \-v<> :'~ ":':::: :. . C:i :: 1:::: i :: ~:::' .:::.:::. ".. . lli ... , -I.. I::::;': . . --,,, : ::::.::::'::::1:::: :.1 , : t:::: I :: ~ " : ' : ' : : ~ : I : : .....,.'..... , : : : : : ! : : : : i : : ~ : i :::::::':::: ::.:1::::1 . .. , : : : : .. : ; : ~ : : : : : : j : : :: : : : : : . .. . ! I:: ~ ~,~; ~; l:::: ji; I; ~~; I ~ ~; ~!:~; ~: ~ ~; ~,~ ~::: ~ ~ i:: ::::::::.,.... )~j~:!~~~~ ~;i:I~;L;~~~~I~~j; :!~!<Y:::' '!!i:!>:~:>,::><:;! 1""1""1""1 """I""''''''''''I""I",,j ::::.:::::::: ::::::'.::::1:::::::::,::::1::::; '!::! i:~ !i': ~': ::!i I:!!!:!:: ~!,:::::::: i':::: ~ H ::::::::mJJ:::'::::i:::::::':;::::::::::!:::: I ~ i \ ~ i;; i np ~: I ;l!li 1:~!::: ~ i; ~ i::;; ~ i!;: ~ ~: ~ ~ 1i. :::::~!~C ::::;!!~! :/:::::!::,,::~u :~:: :::::.:::. :::!:~:: :;;~~:;~:: ;~:~~ .~~~~ ;~~~~l """" ""I "I'" ,... "" "" ""'."'1 '....1....1.... .... .1"...':...,.... ""..,.. :::''::::1'::::::',::::,::::...''':::'::::'::::'1 i:;:::::::.::::1 ::::::::::::!:::::::::1::::::::: : ~~!!!! !!![~:,.,:! !!~~ I::!! !:,,: I:!!! '!!!!!, ~!: . : i ! i ! ! ! ! ~ " : , :' , :: I : ! ! ! I : ! : ! 1 " " ; : : ! ! : : : : : : : : ~ I ""J!:!!!::! i!t!::!::i:i::',,::<~.':' q;:~~jnnii:;. ;nl:n~i~;i:;::~~;~:j:'~~:: ::~~i ::::':';:::;'>~:::::::::::',::,'::::C,:;:! . . , . . .. . . . . . " . ." .... .. . ;;:: :::::;::; ;;;1::;:1::::::;::,:::: .. ':;~i:11n ~~: :np~;~~'~::: .:::; :: ::::1:::;.,'. .:::':::; ::::.: :::::::"'"i,I::::':' ..., :':',:::': ,~!;.;::,: . .:::i,:::::;:~:::~;;::': ..._. ~:i1~~;I:' ... .!i~::~::': .... "I , : . : i...jJ ..... ...... . . . . . . . . . . , . . . .. ... . , . . ~:i~~,,:::: ":: ... .............. '" ........ ...,.... .. .:::';:::':::; ......... .. o o CD ... .... ........ .... ... .. :::1:::;" . ";;::::i:::- I.......'. .... .." ..,. .... I::::;:::::: I::::;::: :: 1 ~ " : .1 c w Ii: ~ 15 ~ ffi ~i z ~ 5 0 00 0 0 ~ ~ ~ o 0 ~ ~ 0 a. Co " z~ ~ ~ ~> II IE ~ ~Ig , o 0 m i:s13 ,,; w II I l' lJ ~ GI .. w 0 ::I ;:: .-l . 0 tn a: a .. Iii w ... Ul lJ Z GI :< '" 111 III E-t .-l Ul ~ 0 :c a: u ll. c ..:l H ~ ..:l ..:l :;, C ~ C N ~ III M . o l5 g 01 . ~ 111 III "l' 0\ 0 ~ E-t III l"- I' ~ ~ ~ @ t<. t!l ~ Z H ~ ~ Ul ~ ~ == E-t H :3: < ~ :I: E-t >< ~ 0 N I' Ul 0 ::J Z H 1Il Ul E-t' ~ ~ i ::. . Ul ~ I ~ I~ I~ i~- !~ J ) - . - - J , . - ) - - ) . oJ " .. -- J :\ - ~ - J . J -< ;) t - - ::3~ ,. ~~ -.:..'"' .:s c::: I ]) 15 ) :> 12 :tI ) :.,) - - 3 - ... :J ~ ~ -~ . " , . "", <'" ,:'-:, .-:;......~ _. ...---......_,_.~.._ _......_......4~.....,. lI'l o N ..... o ... ,,:'::,~'::. -;i;;:,;,i;,;!;;:i':';~il:!li:i!!;!'!!!:..:::' """",I""I=....H""",,,,,',,"''',' :::::::::,::::' , ,:: :::: :::::,;;:: ::::'::::1 '"'''''' "':':::,1 "'1''''1''''",:,1.", ''':1 ::!::::::!!:::/::" :::::,,'::::'::::':::::;:, """,,,.,,,,,,,, 1\1'1""''''''''''1'''''''''' l!!;i!,!;!i;'j!!;!,i~~!il;iiiiii;i!!iii:!ii' """::'1::::1:::,'"", ,1::::,::::1...,,, ::::t:", "':':::':::::,: "'''''::'::::::::1 '''T::''::'I:'''I'''''''[!I::: ::"1"""'" ;:;;:!:::;::::::::::::::':;::i::::':::::::,:'::::: I"""'''I''':I::'~""I"",::::,,,,,,,,,,, - /::'::::I:::i;ii::::;; :iiiil:!;::~::I::::!d 1::::;::::I::ii'l:i:::ii:)!!!!!:::i::::i:"td :,,' """'" "" "". ,," "" ",,,,,,-~! 1""'''''1'''',,:<-1,:::1''''1''''1:::::::::1 !:::::::::i::::i::::,::,;m:iHi:i:i::!:::::::' 1""""1""1"'''' 1''''1'''''''',1"" ,,;;! ';;;;"'i[,i:i:i':'i,i;.~Jii:,i:"ii~;;~;!;:i; ''''''''''''1',,,,,-\1,,,., "" ",,' ::::::::::::::::::: ""'''''I''''I'...c:;:;""",,,,, "'" """,,' F\ :-".,. I ,,,',," '", '" o ':::::;::::~,!:',,::H:::::::H',:; in . :c'j"'"'''' ,,,,,,,,,, '" I::: ~..;ii':i!mi:;!!!:ii!;!!";,!:i"!'!,!i!i:!!!!, " """":':1" .", ",;" """,,::, I: : L,:::,: ;l~ ::::.: ... ".,..' i:'::':';;i:~;:,:; ,;", ;,::~ :;;:i;;~:::: 1::::1: JE, '''I~ - . ..,. ~ij~j~lng; ;:::I:::JJ;::I: '. ! :::;: , ~ < Q Q ..l < Z o Q ". "::i!::;::'=" ,.. ..!.. '" . ., ....... ." ;,:,i";:',:::;;;::I':,::::~%i:i ;..:.. :;::.:::::::::,::. .... ':.. ! ~ ~ ~ ~:!::: ~ ::~: !;~;~ ~~ ~;;:;~ ~:' .:::!:~;:,:: .;;:1 ""'''''I'::'I""I"~:.:.:i:::''",,, ",' :::::;:::!::!:ii!~!::::,,- ,:i::::::::d:' ,:! '::'::H;::'~:::'::::',':':::;'::::;:;;:i :::;'::::li:::i",:l::,/:i.:,:;,:;:::;;::::;; """""::;1''''1'''''''' :::,1""''''''':1 - :::::::::!H!:m!::::;::,!!:::i!::,:::':;:1 "" " ''''1'''''''':','1 ""',,, d . I I::: ::,:,::" ::,,':::: I:::;::;;;: :,. ,.~ ;;:::::::::::1::::,,051,1::':1,::'"'' ." : : : : ~ 1::::::::l::::I:::':~'":::I::,:",:::, !::::;::::'::::I::::!:II~;!:::ij:i:!:i,,::,; .'::: I"" "'''':::j::::I''''''!I::::I:::''d ""I .... ,. " I" . "",,'" .:\ ","" '.: ;,:,! :[,j::::::'ji"iii:::.:i:,,';';; ....: : f';;::;::<II:::;;::::'::~:::::::,,:; ~ :"''''''''',I''''I'''''''''':IJ,,, ." . I:::::::::!::::::::: ::::::::::::. :::: ... ":. . I""""""'::::;:::":"~::::::':::: ....,..:.I::::i....I.......~::"."...: "" " ,::::::::::!!::i:iii:>:~:::::::::::..;.~,:: : '''''d'':''I'''''''''':~:" ...._ i:::'::::::::;::i:i!:;,'~;Y::, ::,: ~ \"'''''''':::1::",,,,, '''II:::':",,,,,,,,:.. .". ::::l .' " :i;ii::;!;ii:i,~',;!!:i:1!!.: 'd::I'''''I''''I''~ '1'",1"" !'I::::" ":',, :: ::: '" 1 ',"-1""'''''1 "I,,,,, :;':.':::;:::':::: :;1:::" ': , :::1::::1,: ,1,,,,,, ,:," d' ''''1''':1:: :1::::1:\'1' ::!: ::::: I ::: l : : : : ! :: :,':: ~ . .: : ::;: :' .. ~ IS II) ~ o I B I""''':':' 8 <Xl 0- ~ ~ o ~~ ~I fil Ii: 15 ~ ffi ~~ z ~ i5 ~m o 0 0 ~'ffl', ~ ~ u u ~ ~ Do Do ~ ~ ~ it z ffi~5 Do 0 :ill! o 0 Q t-' w . () ffi OJ o::l OJ .... 0 '" ..... ~ . 0 od' '" '-. Ii=' :I: ~ U U l>: ~ ... CI Z .... ~ () > .. OJ Ul co ~ 0 . w 0 :I I;: :z: I-l .... UJ :x a: ~ a I-l l\-... ~ \ , ~ ~ =- . z .... ..: '" I-l Ul t>l :: u t>l ~ t>l '" 0 ~ :>:: ~ :I ~ .. ~ co ~ w S Ul :::> Z .... () Ul .. OJ ~ ~ ... . 0 0 z a: a. en (!J z Ci z u: '" ... .... o :E 0' ~ o I -~ ~ .~ ,L cl: ~~ t'k';::; '\,~ ~ (~ ~ 1\ ll! ~ !:I ~ 3 . : ~ i: ~~ :J:~ t~ ~ ;1., ~ :l E. ;; :II. ..;;.;..'" ~~ I :>~ i~~ -;:- w o - :> a: w :n z o ~ :J.I !-~ J.I ~ '- . Z :JJ > W C,,) I( < - - QL 0:: ~ B> ~~ .9 ~ "E ~ ~ I (,) Q ;.- Q . c: H ~ ~ - 8 "0 Q) ~L -,- 111 o N ,.., o .-l . ",,,), : ' " ,. .~ 'P' I I,','. . , ..-- .:: ~ "'" "" " . ~ , " , ", I," ., ii:..,:!':::" :.' ,,',," :1 J",,:::::::;:;';:iP,,:',:',,:::!'... I::::::";I:/::::;:'!!'I'.:,I,,!I:..,,.., 1"'1",1""',,.,"""...'....,,..1,,+ ,::::,::::,:;:;:":' .. ::::;:;;1:' _I::~;:;":'::"!:::' .!!:j;:::;::'i::;,: I n ~ ~: ~ ~ j ~ j:~ ~j:! ~:! ij ~ ~ i~~~ n 1 ~i 1 j j ~: I":: I:::: 1',ii,""I""'''''r., ,..""" ""I' ,,::','::' ::::j'::,,, ::::,:::.::,:: ,::J': p":I::::I::::P: ",::1::::1::::':::: ':;;;1;;;;,';;;1:;;;;.::: :::';:::':'::1::::":: .... n" ........."... :::1..::.:::: ::;;1:::' '::"1""1::::1:::::5::::1:::'1::::'::"1':': ':;;;';;;;';;;;1::::'''''':::'1':::''::::'::::::: ........,,,.,..,i.~'.."':..'I"..'"'' i~;/ii:;i;i:I!::,;:::. ,!!~!::;:;:ii;i::i~i;~:', 8 1"+..,1..",..",,, I ""'I"""" lD (::i:::::<;:::~,::\:;;'i:;;',:;;:;;':::'" 1;;;;I;;;ii;;;;,;;:;:' ':::":::1'::::'::::"':::' ,," .............. ....10.;; ::::1:::: :::: W!:!!:!:'!!!'!!!'!:!': :::::"':;,..q::':iGj !,,::I::::II""";':':: ;;;;,;;;;,:;::,::;:,;:::, 1;;;;1';:;;1;;;;:;::"'::";;:;1;;;:'::::1:::::::::' :::: :::: ::::I::::~~I:::: ::::,:::: ::::1:::: I i!:::i!::!'!!:!i!!!~-'ij:':7JI'::"'::I":'i:'::; I pl::P::II:::,!:::' ';;;";;;;';;::1;;::';:::' .............,.... ..::::::':::',:";''':'' 1 n::I,:I::I::::;:::: (::,::::,::::'::::,::::, l i iii~:;;;; !ii;;:; ~;';,;:; ;~~:~~ ~: I ~~ ~; I; ~ ~ ~ :~: ~ ~; I ,,,;;i~,,,,,,,, , 'e "'''''I'''',,,,,,,,,,,,,,,, 1;::'1::1'1::::1';:: ""::;;;;'::;;1':::;::'::1 . .... .... ,,,..... ;;;;.::::1:::: ::::1:::: 1'1::11::111:::1::::,:' ':::i::::I::::I::::I::::1 r;;;;I;;;;:;;;;:;:::": :::::::: ::::,::::1:::: 1'"''''''1'''''':''''' 1""1""""'1""'"'' .................:....r.-.;.:::; ::::':;::,::::1::::1 1""I"lll:,,'I::,":":::'::::'::::I::':;:'::1 ;:;:;,;;;;,.;;;:,;;: .- .1''':':::::::::;::::'::::. ':::: I::: ::::::::, 1:1 11';;;:11':::' '11:::,::1 !!i!I!!i'i!!!!I~:::...q::::I'::II'::q",,:.::: i!!!I:!!!I!!!:I:X:;;i;;;:I~:i;I:~;;i;i;;;;;i: :,:,1,,::1::::11,::. 'I::::I::::I:,::P'::"::'I ::'!II::'P::;P:;,; ;; ;;;;j;:::I;;::,;;:i:::; iiii Ii ~ ~il~;~i:i'i~:;: ::::1: ::: I:: ::,: :::: :;;:1 '::!I!'"::IIj::::'" "::::1:;;;1:;;;';;:;':;:; ;;;;I;;;;;;;;I;;;;;:I:::::';:::I::::I::::i'::: ::::,::::::: ::::"1,,1:::1::::,1::, 'II:::::: !!gl!!ii!!gj!!,Si'jll'Ij'::IP"'I"::!I::" - !!!!I!~!!l:g!l!;;5,,;;;;I;;;;I;;;;I;;:;:;;;; ':lil~:I'I"';III':II;'I;;;;I;;;;I;;;;'::;;;:;:' ;;;;I;;;;I;;;;';~::;;::;;'::::'::::;::::::::: ~ """",,,,,I::~,::I""'"'+''I''''''''' I::!I:::III::'I:",,,:;::I;;;:':;;:I;:;:;;::: o ;;;;I;;;;j;;;;,;;::;';;,;;;;I;;;:i::::I:::::::':1 < ;;;;1.;;;;,;;;:,;':1:;;;';;:;1':;';;:':1:::::::' W "" ",:1:",':,,,,,,,:::,:::::: :::,:: 'ill!:::' -l !H!!i!l!!!!',: '''1,,,;1:: :pr'lI:: !g! I!! !!I!!!! i:!:: : ;;; I;::; I;; ; I; ;i~ I;i ~, i: ii;' ::::I"::I,:::~::::I::::I:::I::::"':I"" "" .... ..::""-i.:..: ::::In:: :: '"'' "" '"'I''''' ,", ". ,I,,, '::H'::' ,,!!!!Ig!!I!!:' ."J,,'/' 1::'::'11,' '::'1::::"'.....' ""'" I ' :,ttj ""::::::::'C;;:",, '.~ I::,II::,'::::'~~I"':',,'::I::: - " . .,:: ,I""... .' . ;:., , ,,J',, . I : " ': .:' , : 11": ~ : : I: :::: : ' 1 I..,,:'::i,::,~~,'::.,,!:::,i I I' .'" 1':.:1 ::.":." ~ :::1:::: . ..,'''''1 ' : ~, ::: ::: : I : : . " : ... ...., (:;"::il:::,II,,,:~,:;i'II:Y'I:';::'I;;;.' - ,.,,,...........:'1..;::::::::::::::'::: i':.,'.'jtY5 ,,,ti:::I:'::!:':::':,, "I"::I::!'I""I:' '!::I!!.t,::I.::I!':! ::::::::'1::::1::::1:::: ':::'::::1::.:'::::1': :....::: :::: :::',......::: ::::::::.::::.::.. ,1::,d::!!!!!'I'7' "1",,j,:i!''i',I. :::1:::: ",,::!!I!,' ,,::,r::ul':: ,!!:I:I!!, ,:::r: ::,q::::i1.'q.::: ""!!'''';;'I:::h::1,'':;;;C:I::T;:; ::::1'::::::: Ii:: :",';';::,::::,':::'1::::1:::: ::::.:::: .... ::::,::'. .. ..:.:::: :::::::: ::::1'::' 11::11"1 "" ~:i!!:::I:::'I:;:'I":: ~;i~i;!;il!::!<! ,,' !!!'i:::iii::i::::i:::: '!!!!I!!J!!!.!!!Y<; "" !!!:I'!'r!!!Ii!~ I'!!:"'!!!!!!!!!:!i.,.. :::I::!:I::::::'!:I':!!. :!!!!'!!'l!!!!I!'!!I:'!, !!!I!:!!!!!:i!.!ql!! 1I!'jI::ijlliH'::II::J.:, ::: ::1'1::1'1::1'1':;' ,;:~:;;;:I;;;;I;;;;I;~:::: ;;;;1;;;;;:;;;';';: .. ............- .................. I!!::I!::'I"::II:" :::',lI:I'"Ij::"!I:::j,:,, !! ~!':'!~; li;~i 1 ii ii :::, :iil:;~;:;;i~!;; ~ii;: ~! 1:!!!'iI!!h:: :'''I'~:'::Pq::::i::::::I,' ::::::::::::l::,:ii!~;'~~::!i:i::;::;i;!ji:, :::':::'1:':;1:':: ", ::,::::,:::',,::;:..;;' "'\ :::':::I::::III::""I:;.::::il::"~:;) ':::I::::I::::I':::'~::::I:::'i;~{:::"" I::i:.::::i:::ill:::;::;: i.::':::~:;:;::lili:;;; !i!:::!!!!I!!!'I!!:!li!,'j ::!!!::;,I.!,!:!!:'!'! I"!:"!!! !!!H'I!!i':jl::I!!::i::"!!'!",,'! '::::;:::; :::Ij::::'I"~::::'I'::::::::':'::'::::1 .......,. .........:::l"l ,............::.:::: !I!!:!!!!!!::!!!::!H.,. :UI,!!!!:!!';!'!!,:'!' ::::,::::,':::1::::1::::\ ::1:::'i':::'::"I"" ::::ii::: ::::1:::: :2;/1::::1::;;:::::::::: I::::I:::::::'I:;,T:~:::I:'"!::':I.':::::::I _ .... .", _;..--.....;.. ,...: :.::1:::: !!'!I!!!! i!!!!!!IH!!::,:!!Iii!:::::'i!,::I:::: !:!!I!!!!I!::! :::11!:] :~i1!:::i!I;:!:!;ii~i ;:::i;!III::I::::i~:::'I"III,:::I::::i:l:: ".... "" .... .................. '::,i:::III::'I':::!:~-'~:::';':::I':::lo ;:;:I;;;i;;;I:;;;I:::", :;;;';;'1';:':;;;;1:::: .... ......... .... .... ...,......, ,......."... :'::::"1""1""1":" '"I''''''' "'''I' 0 :::it::II:::: ::;'1.:::11: ,:::1::',:1',' ,,. .. ':i::II(::;~:::q:::'::::':::',::::i . :::1: ;;1':;;;,;;::,,"::,::''',:':;:':' .. ,"," ''':1:'''1'''' "',"" ",.J,.::I: ::i::I:::':;~;';';' :i;I~>;:.:;::/j -: '" :, '1""1,,,. :::I::::,::.:,::'::.:C" :. , : ... . . I : I'" ::::!:::::::::.:::, ~ : : : : i ,Ii 'I I"''''~''::::'''''''''''':' I :!:: ::::;:::~~I:::::;:::i:::J:::: Ii 'I!i I",J,+::II:::' :"~::::::i :1 'I 1""1"" ""':::;;:;:;1::::::::1 . .." ... ..... .. . t .. . . 1. . : ~ I: ; ~ I '1 !I I! ,iL'. .".1'1; .,,,::: ! I ,,::,..: ;.c'.:;,:: : 'I",., - I::;~,,~:::,:::::';".:I I 1'1" "::::::::0::::'1 :.. ..::' '.:;;:';:::!:::' i 1:1'1" t!.:::!:.,., ~ o ~ zm r J ,.; ill -\ "\ . , ~ w :! ~ \ .. ~ .. - Iil Ii: !5 ~ Ili z ~ ~ 00 ~ ~ g! - J: ~ D. D. I ~. h o ~ ~~~ u ~ N ,.., Eo< Z I.:! H ~ Pol . o . ~. ~ .-l 0\ o Eo< .-l .... . u .. .. co o . o :E: o l:t; r.. t!l Z !:l ~ (/) II: a u .. .. III ~ ~ ~ H ~ I( H . :E:Q ~I.:! ><~ ~: I(Z 1Il~ 5B~ HQ Ill... ,.., .-l . . III 0 Z H II: I( Q. Pol Sl Eo< en III I.:! :r: u :5 Q rii ..., '" H (!l ~!i! z Ii: i5 !. ~ ~ - # _.... ..ll__.. (") ;i o I I ~ o ~ C"" ~ <<;) -:::> L ~ 11E ') <E !;4 L/' <r' f . )./:' ~ !:! '" ..... _. . r--; '" 0 '" '" 0; E- . ~ I tIl tIl la ::t: ~ U J - > t U f) ,. - :> - - J U i '=--- -I J - ,. - U > 1J i - - J.!!- 1: ... :> j) :]) :t3~ .)--0 ~ ~ - :tS , la t-1 .0: = Q = Q :2 ~ .... Z ::l 0 ~.~ Q :> '~ --_..._.~._..'-" . "" ". :i_1' " ." -?H.....~.. ", -, ~,' . "... ., n cc:~)::~:, """'.C2"". '--_ ij.i!i;.!~~":ii]\~::'::: .':i; ;f " :! ~ L ~ i:: ." ... . .. " . . .... ::;; . ::: "... , ,,,' '"""L ''-' --'-- _ ."" _iii:~t{::"c" III o N I"'l o ... .0: ,::,~.-" """':;''-- '~ ;i;';"j~,,':'..:;::.. ..~ .". ....., "" ',.. - :::::"=:'''::::,::".;:":,, '''.~F,,, '''''''''''--_ ::.:::U'::::",:,::..:::,:::::.:.:::: :i::':::: "::" ::::.:::: "::' .., ;:.. ..." ... .. ....... .. ~::;::::',' ';:' ;:::~';::~p ., 0::;::::" f-<:: ',; I':: ~ ~ ",!:::: ::.0,,,,, ..J ,,::::':... , . ':;:; '::'.:~" ':..;"",;,,; I: I: :::::" ::::::"....:..;.'... ,..: '"-' .:;,:; I': -===J'-.. _' ::1 ~.....,,;.........- ,. :,.:...... - ...: , "J::' , , '." 'l:' '" ,; ::. "::-\': .: :.~ '" l' : .. ,." - ',.:", " '" :: : --...: .:':: ":,:: ~ .. . :.. "', :;= . '.; '''': : """- "...;...:~ii.....,...,. j ;::::;""1:::::",,1., Ii"""",,::;, ,,:n l" - """" 1"""::.I""'''::I''i1 ~::::::::;:::~~;::i:::,,'H:'::'! t "" ""+;.,1."" ,.." ;:::':;:::::,:.::::::: ;::: :;;:1:;:: :::::':::1 r'::;;"::::::::I:::t::::!:::: ".. """""'1 ;::';":;';::':::;:::~;::::::::':::f:,,::':: I"':'"",,,,,,,,,,/,,,, """"I''': - :i',:i.:i..:;:,:.:..':.:.i"i:'::i"Bn I""'''''I:''''::::!::;",J,.~ "'.::"i',i:"':'~'::'::,'::~:~ ::::::;';':':::1:::;1:: 'i:2:": "1:.::..1 "::";:t~: .... "" ''''--. ......:l:".~ - III >- o I~ :zs ~~ ~~ ~u .. w 1"- & ~ - . 1:1 ~ ~ ;: - ~ - 5 ... - 8l ..J ~;1 ~ w Q W u:: 5 ~ ffi z ~ 5 o 0 z ~ ~ :!i u u 0 ~ ~ l1. l1. ~ g ~w ~ ::ll - z IE 0 II! o 0 Q ~"'f:- ~M t o u .. "'I ;! \D I"'l . . . 0 ~ ~ Po 13 !Xl rr- ~ '" 0 ~ Ei I"'l U CD .. ~ "' 0 CD p:; ~ 0 r.. - . 0 l.!l Z H tIJ ~ IX: (J ~ - ~'l la ~ u Cl> "' II: Ei H ~ ~ Ei ~ p: tIl C Z H tIlN o t-1r-- ~: 0'"::1 ZQ \D ... . o Z IX: H 11. .0: Po Ei Ul la ::t: CJ Q t-1 H :e en (.!) z Q z I , , I I j I - 11: I 'Ii : ~! I). ' ~ :J! ~ ;. t, ~ ( i I, WASHINGTON COUNTY HOSPITAL ASSOCIATION 251 E<1st Anlletam Street HAGERSTOWN. MARYLAND 21740.5771 Dale, Donald E. A:6/9/92 qlO,~1J 33-17-08 HISTORY: The patient is a 43 year old Caucasian male who presented to the Ambulatory Service area on the morning of 6/9/92 for the purpose of undergoing cardiac catheterization. For full details at the time of his admission, please refer to previously dictated history and physical examination. HOSP~TAL COURSE: On the morning of admission, the patient was taken to the cardiac catheterization laboratory where a left heart catheterization, coronary arteriography and left ventriculography were performed without difficUlty and without complications. For full details of the catheterization, please refer to catheterization report. Ip brief, selective coronary arteriography demonstrated normal coronary artery anatomy with no identifiable obstructive coronary artery disease. Left ventriculography demonstrated normal left ventricular systolIc function, no segmental wall motion abnormalities and no evidence of significant valvular disease involving the left heart. The patient tolerated the procedure well and there were no complications. He was subsequently transferred to the Ambulatory Services area where he remained at strict bed rest until 1400 hours. His right groin was without hematoma or bruits, his vital signs were stable and he was subsequently ambulated for t.he fOllowing one hour. He was again re-examined at 1500 hours. His vital signs were stable. His right groin was without hematoma or bruit, and his right dorsalis pedis pulse was strong. He was SUbsequently diSCharged to home with instructions regarding his activity restrictions for the remainder of the day. FINAL IMPRESSION: 1. CHEsr PAIN - NONCARDIAC. 2. NORMAL CORONARY ARTERY ANATOMY. The patient was instructed to contact his regular attending physician, Dr. Douglas Hess for ongoing follow-up. 0:6/9/92 T:6/l9/92 TBH:cas COPY: T. B. HAYlo100D, M.D. SmolMARY DR. DOUGLAS HESS C/O WAYNESBORO COMMUNITY HOSPITAL . - , , .' :: ::" ,": , 'I: " I,' Ii: . I h,,,,, " ," ,~! ,,' , "" '" "'/ I:: w . :,' ,I: ',' ',':, "C""':~ ',,' , ,,::' ,::i:',: I,: '" :, \ 0 u ffi ?(", . ',,,, ",,' ''''''''''''''1::: ': ,,::,' '. , :'''::., ", ',,, ~ Z Ii: 5 c~ " 'I::, "::::"'::::: "",....... ' , ' ,,,' " ,'" .....,,,. ""', ;: u: t:: 1 " "'"''T''' ,.#,"'" :, ".. , : '"''''''''''''''''l''''' ,: , 0 0 lil . ;:::::,::::::::,::::,'":,:::::::,:::,::,:,,,. "'" "".. ...".. z I ":'::::":::::::,,"" '::,::::,,': ," """'''' "" ,:'.. " 0 0 0 'II:: ,,::::::,,:::~::, ,::::,:,: '::: '" , ii5l - """I""":"" ""::: ,.::,:::: ,::, i::::."." '''''., ," :'" '" 8 ,.. I Ii::,:::::'::::'::,,::::::::::::: 'II::::::,'::', ,,,... ,. ".. co ' !":':':i::::::::::::: ::'i "~,:"~ ..; ,', ' , ." . .".. ' :. 0- 'I 1::':1::::::::,::: '''''ii, i:::" ;::":::::::i:_:"":::;:::,,: . . . . . , . .. ""'" , . .. ..... '. , !::::,',:!:':i:\':i!'" ::,",:::,:':' J ".. .. .. '.. i,::::" . ".. " i':":':;::~,:::,.':.,,,,,1 H,::::::::;:":i,::~..:,::: ,,,. ""'''''''''JI' 'I"~ 'I,: ":: :;ii":: ".:::,:;:,:::;,', ,,'.: ":::':'::::::::':::r::, I::::::: :".' " 1~::;'::~~lin;~~~~:;i;~L:~~~ ..:. .... : H~;;i~~~~Hj~:nj;i;~~~j!;::. ... ......... ::::: 1;:;::;:!:i:::~::i;:!J':' ::'!:::I I',::,::!:i,::t:::!'!!ti:: :,:::,:::;;:: ::::i ,::::::,,::::;::::1::::'.... .::::,,:: I::: ":::':::'!:::',::,,:::,:::,:.:::: ":' :::: I::::::::":::,,,,::,:::::,\,.: '" "" "" ,,, ,......... .::' ........... ,; ;,'" ',.., "'1":.-"':':" . "' "..."... ':,',i;:....::::~;j:;i1i:: .." - ......... :;;:1 ,':::!i::!i!::: ::';::::':::::'::..::"", ::'::I:>~''.'.::::::::i:",.: ::::i,::::'::,;:::::I!:!!;:::"",,,,,!!! i @ ::::n::::::}~:::~::::::::::::j:!'U~::<: - ::!,,!'!,i':i!!,:ri"!!:""~'!'::",i'::;ii'::!;; i~i;ii~;1i&iil~ndn;:;;;;i;~;~.. ...., " : ':,:!';::!:'i!:!!!:!:I'::!": !::::::;:,:,;:',:"I :~i;~H~~~:r:;ii!;i~~,:i~~:~!:: ., " " - "'"::'''1''''1''' ... ...., . .... I:::':::'::;;',':;!::::I" Iii::,:;,!,,!'::;:" :::::';':':';:':;::,;;', '::;'::::.::--,'-"..: I"" ""1""1""1'"'' ":lI::::,:::: ::::1 ' .. .... '" . .., .." : : :: ::::.::::.::::!:: : : ~ : ' : : :: ::::':.:; C::::I;::ii::j:i:i~i::~j~::;::I::::::::: :.;; ~...... . ',.." .. :;:::::: ':::1 I""'''' "" ""1""1 :f "" "" "" '.;.;c:. ':::'::;;:;; 'II':::: ,,,.' I::::'::::'.:::'::::'::::'::' "" """ . ';1 :;'::~P;;~;ti:g:iii::':::'::::':::: ,,: .: '~I t:::: ::::.~:::~:::: ::::.::: .... .". ".. ;..:i ,,,,,,.. ,,!'::"':::,:'::::::j::~~;;;;:::,"" '" ;::!I:;:: ;;.r::.': ,," '" '" "'" ,". iq~l~;iing1H;;W: ::;~:iW~~;~... """:!,:,J::!n!::,,,;; I',/::::::,::i ::::::;;! I':::! :::!I::i: i: Ni':':":; ",:::: :::;1:';;1;;;;1:::'1::::::" ::::1::::"" :::J, .", ........,.."".. ". ::,!;:;:I::::h:;l!!!J.,. ::';::;:"'::':::1 - ::::':::T::I::::j:::!i'!.l:';;':;;';:::':;;'! :::::::;:::::::;:;::::::::::;;:':::::::::,::1 i,i,:,i,:i,:,ii;,:,'!:iiii:ij:~~:::':;':";!:il '::;:':.';::,~:'::;::.,:"." "."." "" ':" -.' ',.:,!,!,i:,:,:,',:,',;,:,:,::,!,:,:,I,:,;,;,~', ',:::!:.:. t',',::':!,,", ':,:,,',":,'::':':' ... ::;:::::: ~ : : : : : ; : :: . : : : .1.;.: .: "." . .. .. . . -"'1""1""1"''1'' '''"'I",,,,,, ,,:) ::':""J'!"::!:'~:;;""'.""" :::::::::1::::1::::1:::;,':;';1;;;;:;;::::,' ::::;::;;l:;;q:::: :; ;::; ;::: ....I"..". .... ."... . ."""":::::,::::'t1,::"'" '" "" ". :,:,:,:".:,:;;'I;;::I:::;;:::;!.:..',' :",",',',',.:,,::,'::,',:, ,:,:, ;:;;:;;;~'~''''::::';:::' ~;I[; ',,;:,:,:,;,::::;,::::~::i!;:::' .... .". .~ :; ::::i::::i::::I/,::lili~!;;;;;;;;;j;;:;::U ::::I::::I::::I::::I!".!~I:';;';;;;I:;::;;:;;I ::,:,i,:,i,',:,!,',!::,:,:,i:',:,:i!':":!,,:,:":':"!..' ':,::,',',." ~ ::::,:":'1""1"::'::::;;:1 :::-1::::::::::::::1 1:;"""'1""\''''''''''''''''''':::''-''''':,,,:: N :::;,::;;:::::::; ::;::" :::: ::::t:::::::::' _ ~::::::::'::::::::'::::!:::::::::';~'", .; .....:.......'...... I, '. '. ::::I'::!!::;!!:::' "::;:,' ::::1'::':::::':: I: 'I:!!!:::::I:;:J!!:::!;::::' ,::"";; " "':~I ~ :::' :::: II:: :::: ::" ": ':;,;;;; :;:;::;:; ~ ::!; ''''j''''I''''I'''' 1'"::",,,,,1,,,,,,,,, _ . ""1""1"'1""1"" , . ::::1::::1::::1::::1;;;;1;; ;;;;I;;;:I;;;:j;;;; 0 w:;:i::!i::';:,C~ ;:;',,;', ::;;:T; '~:;::I:ii:i;1:ili:iil;.::~':::!I;:::I:!;;:H ~ ~ O:t::Ji2~:::I::::I::::I::::t'::"":'i::::I.; ::::i:::,I::::!:ii:::"'" ,::::1::::,:::: "" W i1i ,::::::u!i::::'::Jr:;;;::;:::;;:' ,,!;; - ::::1"::1::''1:::' ::,:!ti ::::1::::1::::::,;, ~ Ii; , ~ .Jr;,,:;i'j;'::i'~:::::::l"!;1 ~ :!:!!'!!!rji:'!!!! !!~;'!i1;::'i:,i!!:,:,::; ~ ~ ~ ::1::::1::::1:::'1:: ::_~ . '! '^ :::'1':::1.:::1:::: ::"I~.;,;,"'",: '.',',',1,",',',',",", '" ~ ~ '::::::1:::1:::::: 7":). .:.' , :: ::'1'::'1"1:::: ::'i:: il:l:;I,:':,:] ~ :l ~ 0 '<) 12 i5 - '1"':;":1:':::0:::';::::;:., Q ;;:I;:;q':::'::;;I:;;;';"(':[::':'j,'d ~ ;: z & ~ :0 C ,'::"~;' '":i!:"'<':i:' ,.; ~ ,::i:i:q:::,;:i!I;;;:I\J::i'i:::::':::jJ ~ Ii: 0 ~ I Q) '1/ 1:"1"" ~:::' ": '" ; 2!": !::::I"::':::15TT':; . L:, " ~ ~?; lJ! ' 0:::: '~ ' ::' : :::-i: ':' "" '--.: 6' "",:" , , LL ~ .. lS liS l. 1 ~ IUl ,... Ul =:2 ~ ;~ = ~I- ~ :J - > ~ w :n z o - . - t.> ~i r-'- I" l- Z W > W - ~ - . o~ ex: CS In ~ V) ~ ..9 caey () o .- "'0 ~ ca () :: :: '::: : ~ : " , : :: : : :, . :::" " : .... .",,,,,,. .. ::::.::::;::::'" '" o N .., o 02~: 0: ': ':.. ., ~:::~,:::1i~~~::~::~ ,,. ....: ,::.: ..; < o z ~ zffi Ii , zu o u . . - ~ w :I i= I- r-) ~ ~ o 0 g! ~ X :J: Do Do ~ g - z g: 0 o 0 . u :I: CD "" III IQ N .... ';,0\ o l:l ,Cl\ . ... ... C a :I:~ 00 ~:z: Cl Cl:Z: :Z:H HC :>0<1>: U I>: 0 CD < tJ III >:;l Ul o Wf,oo ... !-Oo C ~Ul Ul ~9 en H a: ;.: ~ a ~H !-O~ !;:~ I>:W Ulffi ~g U H:I: 5l Ul ~~ 0< :Z;"" ~ o ~'" p m~~ 1f ....- .J --c: L ~ ~ d ~ < ~ ":".""', ~(W~~~~'~~T~N COUNTY C\SPITAL ,(11'3 ,- 251 EAST' ANTIETAM STREET ...~ .J HAGERSTOWN, MARYLAND 21740.5771 90Ss . Dale, Donald E. A:06/09/92 33-17-08 HISTORY: The patient is a 43-year-old Caucasian male who is presenting on the morning of admission for the purpose of undergoing cardiac catheterization. The patient gives a one-year hiatory of intermittent episodes of left precordial chest discomfort. Tha symptoms have tended to occur with physical exertion, althoush there has been a variable associstion with exertion. He was admitted to the Waynesboro Community Hospital in August 1991 at which time he was shown not to have suffered an acute myocardial infarction. A subsequent exercise tresdmill atudy was reportedly normal. Ha continued having intarmittent episodes of chest discomfort. He was aubaequently subjected to an exercisa thsllium study within the past two to three weeks. According to a verbal report by his attending physician, the patient was exercisad on the standard Bruce protocol without experiencing chest psin and without exhibiting significant electrocardiographic chsnges. However, thallium scintigraphy apparently demonstrated evidence of reveraible ischemia involving the lsteral wall of the left ventricle. The pstient was subsequently placed on diltiazem and has noticed an improvement in his symptoms. , The patient sleeps on one pillow without paroxysmal nocturnal dyspnea or lower extremity edems, and he further denies any history of syncope. " ,0 RISK FACTORS FOR CORONARY DISEASE: The patient does not smoke and never has, , ,and denies any known history of hypertension nor diabetes mellitus. He does, however, hava a history of hypercholesterolemia as well as a strong family history of coronary artery disesse. ' Past medical history is significant only for a history of hypercholesterolemia. Current medications - Cardizem SR 60 mg. one tablet P.O. b.i.d., Naprosyn on a p.r.n. basis and sublingual nitroglycerin on a p.r.n. basis. Hedication allergies - None known. Further psst medical hiatory and systeme review is essentially noncontributory. PHYSICAL EXAMINATION: VITAL SIGNS: Temperatu~e 'is 98." Pulse io 80'and' regular. Respiratory rate is 16. Blood pressure is 130/90. GENERAL: The patient is a well-developed, well-nouriehed Caucasian male who is alert and oriented, and in no acute aistress. ,~~- HEENT: Unremarkable. ' , NECK: Supple without cervical or suprsclevicular lymphadenopathy or thyromegaly. There are no audible carotid bruits. '" .", LONGS: Resonant to percussion and clear to aillicultation without rales, rhonchi, wheezes or rubs. '", ,f~., CV: There is no pedal edema. No jugular'venoue dietention. The dorsalis pedis, femoral, carotid and radial pulsee are atrong and symmetric. The left lateral border of cardiac dullnesa 1s located in the midclavicular line in the fifth left interspace. Sl and S2 are normal. There are no audible murmura, clicks, ruba or gallops. . r ! I I i . --i '. ; I I \ , ; i , ..,. TSH COPY: HISTORY & PHYSICAL (CONTINUED) DR. D. HESS (Wsyneaboro Hospital) .. .... ""'. ...00::-. ... ,- " 6~~:'WA~HINGTbN COUNTY ijJ=)SPITAL \w"", , 251 EAST ANTIETAM STRL. , ""i"ii'P,; . .' HAGERSTOWN, MARYLAND 21740-5771 I I D~le, DO:lald E. A:06/09/92 33-17-08 I . '( ,; - . .' .) .', n'Jr...lrl bowel There is no orllanomegal,/. .,,' Soft with tende rnusr.. Def~rr,!d . Grollsly nonnHl. sounds. ABDOMEll: maaues or RECTAL: NEUROLOGIC: LABORATORY DATA BASE: The patient's 12-1esd electroc~rdioBram demonatrateH normal sinuR :hythm and io within nurmal limits. CBC is within normal limits. PT and PTT arc normnl. Chest x-ray was rend by the hospital staff radiologist as showing no acute disease. Glucose Ill. BOil 18. Creatinine 1.0. Electrol,/tes are no~l. Urinalysis was normnl by distick. 6 " IMPRESSIOlI: The patient is a 43-year-old Caucasian male ~ho presents with 'a one-,/ear history of intermittent episodcn of left precordial chest discomfort which has had a tendenc:-, to occur during periods of physical exertion and have bcen relieved by resting and/or nitrates and calcium block~rs. A recently perforoed exercise thallium study was reportedly positive with cardiographic evidence of iachemia. The reaaons for the catheteri:ution as we~l as the potential risks. complicationa and alternatives have been "dillcussed with the patient and his wife at some length. and they indicate ,th~t they understand and wish to proceed. '. " PLAN: The patient will present to the Ambulatory Services area on the morning of 6/9/92 for the purpose of undergoing left heart catheterization. coronary arteriography and left ventriculogrnphy which is anticipated to be performed on a same day discharge basis. -:,'. " D: 06/01/92 T. B. HAY1~OOD. M.D. T: 06/01/92 TBH:lmm HISTORY & PHYSICAL (PAGE 2) COPY: DR. D. !lESS (Wayneaboro 1I06pit~1) - ( . ( DALE, DONALD E. 9022914 212 ...--.., (:,,, n] WAYRESBORO BOSPItAL HR 034 81 Date of Admissionl 8/27/9l The patient is a 42-year-old white male who has been in reasonably good health and on no medications. The patient, while sitting at home watching television about 9100 or 9130 tonight, developed onset of substernal chest tightness, nonra~isting, but it made it difficult for him to breathe. Be felt dyspneic, diaphoretic and nauseated. The pain occurred off and on every 10 to 15 minutes and last 5 minutes at a time, but never any longer than 5 minutes. Be does not have pain in his back. Be says that he has gotten pain like this a few times over the last year or so. The last time was two weeks ago and he usually associates it with eating but has done nothing about that. Be denies exertional chest pain but says he gets easily dyspneic, although this has not changed recently. Be says occasionally wakes up at night a little short of breath, but when pressed this does not really pan out to be a paroxysmal nocturnal dyspnea. Be has no history of wheezing, tuberculosis; no significant cough, no hemoptysis. The patient is not a smokerl has no past history of diabetes. Be has had some elevated pressure reedings but never has been placed on treatment. Be had a cholesterol in Fsbruary of 243 with an BDL of 37. Be has a positive family history of myocardial infsrction. See below. Past Hedical Historyl l) 2) 3) 4) In June, 1989, had release of left carpal tunnel In July, 1989, had release of right csrpal tunnel Excision of fistula in ana, 12/27/89 Bilateral vasectomy, 1982 A/ No other hospitalizations or surgeriee. Family Historyl The patient's father died at 67 of a myocardial infarction. Bis mother is alive but has had several strokes. Be has two sisters and two brothers alive; none with heart disease. He says there is heart disease in his mother's siblings and family. He has an aunt on his mother's side with diabetes. He denies epilepsy, thyroid disease or cancer running in the family. Social Historyl The patient does not smoke or drink alcohol. Be has worked for 25 years at Regency as an engraver. He is married and has one child. REVIEW OF SYSTEMS In general, !lis appetite has been good. He has been feeling well lately. Bis weight has been steady. Be denies fevers. HEENTI He gets occasional headaches. Be hss had these for a good number of years. They have not changed recently. Thsy are occipital and typically they occur in the afternoon. When asked if they even wake him up at night he ssys that they do. No history of stroke, seizure or eyncope. No diplopia. He blames his headaches on hiB eyes and the work that he does. Ha may have some difficulty hearing, is not sure about this. No difficulty HISTORY ,- , ( ~YNESBORO HOSPITAL DALE, DONALD E. 9022914 212 HR 034 81 Date of Admissionl 8/27/9l At the time I saw him, his blood pressure was 120/80, heart rate around 100. He was in no acute distress. Temperature in the Emergency Room was 98.l. HEENTI Pupils equal, round, reactive to light. Extraocular muscles intact. Sclerae not injected, not icteric. Tympanic membranes clear. Mouth - has full artificial dentition above and below. No mucosal lesions are noted. Neck, No jugular venous distention. Carotids are 2+. No thyromegaly. Chestl Be hae a few crackles in the bases, largely Clearing with repeated inspiration. Heartl Cannot palpate PM!. No murmurs or gallops are noted. Abdomen I Soft and nontender. pulses are 2+. No hepatosplenomegaly or IDBBses. Pemoral . Genitalia I Normal uncircumcised male. Testes descended bilsterally without masses. Extremities I pulses. Are without edema. Good dorsalis pedis, posterior tibial Neurological I No pronator drift. Good finger-to-nose. Patellar and Achilles reflexes 2+. Negative Babinski on the left; withdrawal with slight upgoing toe on the right, not felt to be a positive Babineki. Good grip bilaterally in the hands. EKG shows no acute changes. CPK negative. ACA-10 shows a nonfasting glucose of l3l, essentially unremarkable otherwise. Chest x-ray shows no acute changes. Impression. 1) Patient with intermittent chest pain tonight with enough worri9olD,! f'!8tl.lfRR !-hllt I feR\., he needs to be admitted to evaluate for possible unstable angina. Plan. Put him on soms Lopressor, start out with fairly low dosel put him Nitro-Paste; bedrest tonight on the monitor I also check CPK and EKG in the morning. Dictated bYI Dr. Reuben Hess Transcribed bYI Marjorie Hess 8/27/91 8/27/91 1.36 A.M. 11150 P.M. PHYSICAL Daln, Donald E., 2121911 DS ~. Date of Operation: ~' ql15'5 WA Y(=S30RO HOSPITAL . .. COpy FOR: DR. DOUGLAS HESS (FAMILY PHYSICIAN) Preoperative Diagnosis: Fistula in ano Postoperative Diagnosis: Fistula In ano Operation: Excision of fistula in ana . Surgeon: Dr. Stephen Carter . Anesthesia: General Operation: Under satisfactory ~eneral anesthesia, the patient prope~ly prepped and draped and In the lithotomy position. The fistula was seen, visualized, and the probe placed within it. Pus was coming out of that tract and the probe could easily be passed up into the lower part of the rectum. It was fairly superficial in its passage and after placing that probe, the incision was made cutting right down onto that probe. This Qpened the area and freed-up that tract completely. There were no other pockets that were appreciated in that area. Some hypertrophic granulation tissue near the exit of that external point of that fistula was excised in continunity with the excision of that fistula: It should be noted that the anus was previously dilated and the area was instilled with 17. Xylocaine with Epinephrine around the anus prior to the dilatation. There was no untoward bleeding. . The patient tolerated the procedure well and left the Operating Room in satisfactory condition. Dlctat~d by:. Dr. Stephen Carter Transcribed by: Joanne Whitsel 12/27/89 12/29/89 ... .' ... .' TV'': 0" RI'ORT /, , ~IR \.Ill 034 81 OPERATIVE NOTE , , ., ( ( Dale, Donald E. 'ji5) WAYRESBORO HOSPItAL 9022914 212 MR 034 81 Date of Dischargel 8/29/91 Date of Admissionl 8/27/91 Brief History and Physicall This is a 42-year-old white male on no medications who developed an onset of chest pain the night of admission, which was substernal, nonradiating and made it difficult for him to breath. He felt dyspneic, diaphoretic and nauseated. The pain occurred off and on every ten to 15 minutes and lasted five minutes at a time, but never longer than that. He usually associates this pain with eating at other times. He denies exertional chest pain, but gets very easily dyspneic. He occasionally wakes up at night a little short of breath but not to any paroxysmal nocturnal dyspnea. He is not a smoker. No history of diabetes. He has had some elevated blood pressure readings, but is not on treatment. He has a family history of myocardial infarction. Por further details of psst medical history, see 'History and Physical'. On examination, his blood pressure is 120/80. Heart rate around 100. Tempersture 98.1. He is in no acute distress. BEENTI Unremarkable. Neckl No jugular venous distention. Chest has a few crackles in the base. I Heartl I cannot pslpate the point of maximum impulse. Abdomen is soft with no hepatosplenomegsly. Genitourinary I Normal male. Testes are descended. Extremities are without edema. Neurological I No focal deficit is noted. Labsl His white count is 7.9, hematocrit 43.4, platelets 175,000. ACA-10 showed an LDH of 204 which is not felt to be significantly elevated, a nonfasting glucose of 131. Normal CPK and a normal urinalysis. Serial CPKs were normal. Repeat LOH was normal. Another fasting glucose was 112, not felt to warrant intervention at this time. Arterisl blood gases on two liters showed pH of 7.39, PC02 41, P02 92. Repeat on room air showed a pH 7.40, PC02 40 and P02 of 72. EKG on admission showed a sinus tachycardia, nonspecific inferior T wave flattening. Serial EKG showed no evolving changes and x-ray showed normal chest. Hospital Course I Becsuse of the description of his pain and no other clear etiology, it was felt safest to keep this patient in the hospital for evaluation to rule out unstable angina and myocardial infarction was ruled out with serial CPKs and MBs. The patient had one brief episode of pain the night after admission, but that seemed to have a pleuritic component. He wss stable otherwise. His activity was increased. He did feel a bit dizzy at one point in the morning. It waR felt to be due, perhaps, to the sleepers he had the night before. His activity continued to be increased. He also had an episode of vomiting the day before discharge and some headache, but this resolved as well and by the day of discharge, he was feeling fairly well. He wss placed on graded exercise tolerance test. Be walked for nine minutes 11 seconds, stopping for fatigue and with difficulty keeping up with the faster rate. His peak heart rate was 161; 90% maximum predicted. His blood pressure response was normal. He had no significant ST or T wave changes. Because the test wss negative for ischemia, it was felt safe to send him home. A questions wes raieed of a gaetrointestinal problem and he is going to be scheduled for an upper gastrointestinal as an outpstient. He was discharged on Zantac. The patient was discharged to home on 8/29/91. DISCHARGE SUMMARY ( \ . " 21'@ MR 034 81 Dale, Donald E. WAYRESBORO HOSPItAL 9022914 Date of Admissionl 8/27/91 Date of Discharge I 8/29/91 Prognosis is good. Diet is regular. The patient was tried on A prudent diet here and he complained about it quite a bit so he was put back on a regular diet. Be is to be seen in one to two weeks in the office. Dictated bYI Dr. Reuben Bess Transcribed bYI Amy Kell/mh CCI ER/Dr. Mathiss 8/31/91 9/11/91 4144 p.m. 3102 p.m. DISCllARGE SUMMARY - Page 2 I ( WAYI\'~~RO HOSPITAL D,l:,', \)"nald . .,' DALE, DONALD E. 222 R1nii01d St. Waynoeboro, PA 172e8 H-33 lo-5-48..~~ T.ete1l/.$.JC/H/~ STU .",.., ,I.. ...- J. _.: . // q~b.9 S-82-616 SUI'.;...,:,: :\r.:-,:, :.'r J.n. Teetor, H.D. ;\n\...:;~,.t ..it: :Ir':. ~..:1.1..:'~..., '" ., ,. .J I" .30' lJ"" .\. \ ~ ..I...~ II, If- .. 1.- ?:""":'t1r,HI\'\: ni:or.os:s: :iur:nnJ ~.Idul~ r.lOJ~I' l""~u~.~ltjn:~ 'Hl..'lll~.~.J.r I,m Desires lIter1riZatl!oii'.N'HOie ot serotulll. 1'''''l'';','r"tlvl' ,)I<l~:IO~IH: Same Na:r.l' III Opt!raclon: :'~.:".II Vaseccc",i' E}:cis ~;:n 1:101" of IIcrotllm t:,HJ..r ~at Is Pieeii'ot':lef'tHID;r,r!ghtt'vali''d'ofr~: tlif,)le'of"iic:rot:m~on, th,. g,'nitaHa and lI11rrollntllns ar<!as are thorousnl~' pr"pp"d, sterH<! drap"!> arc appucd. The risht vas is grasp<!d with <In Allis cla~p. A I C"'. incision is made over the scrotum throuch skir. and :iubcutancous tissll<!s: th<l 'Jas ill C~pOH<ltl. It is freed up for a distancc of a~~ut I cm. .\ clamp is plac"tl on elth<!r end. Th.. intt'r'JConing vas is excilled, di'lidcd cnds :ire tied wltl, plain catsut. Skin .d~es arc c!cscd with interrupted sutures of 5-0 chromlc. The OppOll I t" Villi is trol.1tcd In a JJrnilar ",i1nnL'r, There is no bleedins. 1'1", i' ',; 'Ill L, s"l'n to hil\'" .1 mol,: at the l>a:;e of the scrotu", on th" ritht sitle, m<!asurlng i1b,'ul i I'm. In dlam<!t\Jr. ~:". an'a Jur~ic.111y has oc<!n prapp"d, the lE:~lon i3 a~cis(.d wiU, "lllptical incisionll, the sk!n ed~.s closed with interrupted sutures of 5-0 chrc~lc. Dry dr~sslnGROss~bEsCRIPTIOHI TilL' r.atlenclf .1...-at"R' ~"t)"r""~"l:' ','~l.1.agd 1..F~.c\'1l O[1C~~Hl'l~ir"OM in .,.'q'ar'~p" ' .. L. \ .. , i>pllC=llllB It It /.I, IaDlI.U.llll, ~Bpect VlIJ.Y, 11IgmGntll of'th. con.! 1 t ion. right and left vas dllferllllll, eonsilIt of up to 1 x 0.3 x 0.2 lItripll of lIhi tll tubulal' t!SBUll. ' 3. Specimen '3, lsbe1led IDOlll of SCl'Ot\II, coJilltll of a 1.8 x 1.0 x 0.5 CIIl. d ellipso of alcin with tan papillary 8U%'tacll. CIIl. HICROSCOPIC DIAGNOSIS: , 1 & 2. (R' L) Segments of the right and left vall deferllIlll. 3. Intradermal DlIVUS. Examined by I rJ tllen DugaD. H.D. Pathologist ED/sa 5-3-82 Ulctat"d by: Dr. Tolc~cr 4-30-8: T r an~crL:",d 'J'!: Judy Br icka 4- 30-Q: I , tl't c,r -"CPC"T rl~: ::.. :- .. \"!: 'II." "': ..Ie, Donald WA YJ\{'~_30'RO HOSPITAL 'I , . .., - STP 4- 30-82 Surgeon: Dr. Teeter Anesthetist: Mrs, Williams Anesthesia: General Preoperativc Diagnosis: Normal adult male requesting sterilization Hole of scrotum Po~to(l~rativc Diagnosis: Same Name of Operation: Vasectomy Excision mole of scrotum Under satisfactory anesthesia and the patient in the supine position, the genitalia and surrounding areas are thoroughly prepped, sterile drapes are applied. The right vas is grasped with an Allis clamp. A 1 em. incision is made OVer the scrotum through skin and ~ubcutaneous tissues: the vas is exposed. It is freed up for a distance of pbout 1 em. A clamp is placed on either end. The intervening vas is excised, divided ends are tied with plain catgut. Skin edges are closed with interrupted sutures of 5-0 chromic. The opposite vas is treated in a similar manner. There is no bleeding. 'fhe patient is seen to have a mole at the base of the scrotum on the right side, measuring about 1 em. in diameter. The area surgically has been prepped, the lesion is excised with elliptical inciSions, the skin edges closed with interrupted sutures of 5-0 chromic. Dry dressings applied. " The patient tolerated the procedure well and left the operating room in satisfactory condition. , \ Dictated by: Dr. Teetcr 4-30-82 Transcribed by: Judy Bricker 4-30-82 I TVPE 0" RIPOAT OPERATIVE NOTE . ()Ot')c.! c) t, /.Jo../ t: '1\.d CA l' r y I () '" 1<: J j-(;.\ .J, (c flel i.,di r-{J In The Court of Co~on Pleas of CI,,,- cA 7 L. .S; C\ I<;. D f\ J o t':~f e....at 0:. .1' ) ) } ) ) ) ) Cumberland County, ?enns~lvania No. C; r: - 8' (j II 1'9' OATH We do solemnly swear (or affirm) the Constitution of the United States ~ealth and that we will discharge the will support, obey and defend Constitution of this Common- . our_o~~ with fidelitv. / that we and the duties c- AWARD We, the undersigned arbitrators, having been duly appointed and sworn (or affirmed), make the following award: (Note: If damages for delay are awarded, they shall be separately stated.) (..J~ {;"d ;. 4",,(" c;,-(: Jk~ fln.;,,+!,q' c.,V< cu:sC"s:s dc.""o.,3<':s /:Aj'llSDO'Dc). {]e/(l( damcl';)p{ del\.c-rli applicsble. ) Date of Hearing: 'i"'1.;J;r 19 7 Date of Award: .5'I;)R/~) , (Insert name i: ~'''IJU- I d\.r'..... .{tt...,n( tA..(.. NOTICE OF ENTRY OF AWARD Mow, the dS~" day of I' \n,,-) award was entered upon the docket parties or thei= attorneys. , 19c1l , at 3'DI) , P .:t., the above and notice :hereof gIVen bY-mail to the \..,~/) \ ('" /,(\)j) It ,.I - Prothonotary ;) YV\1J11/i\(ln[1;h Deput:, Arbitrators' compensation to be paid upon appeal: $ fY90. CO --~\{ ), , '("r'/1(( By: ~..~ ')l.l~ ~ <,J c: ,. , III ~: , cv"; C);. ,', 1':: L ...... ::i <~: n~'t '.! C' l.:'jl. t,;...J , ",1 :-. ,; .] ll.. ~', . I ~:l.. " :::.: " r- ..; () cr, ) y6VnJ 9-0') )-1 '"'I\r~\A.J \"..;g'.J1\ c';~'\A.\\l\ <'10]" ,J ';] \"-"U'i:>"O ~ C(J DONALD E. DALE and CHERYL DALE, his wife, Plaintiffs IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 95-804 V. CINDY TURNER, Defendant CIVIL ACTION - LAW JURY TRIAL DEMANDED NOTICE OF APPEAL FROM AWARD OF BOARD OF ARBITRATORS TO THE PROTHONOTARY: Notice is given that Plaintiffs, DONALD E. DALE and CHERYL DALE, His Wife, Appeal the award of the arbitrators entered in this case on May 28, 1997. A jury trial is demanded. I hereby certify that the compensation of the arbitrators has been paid. ~~OekO~ Attorney for Appellants Attorney I.D. #78053 Date: June 26, 1997 I.A\\' lllllc:J:S O~ TIMllTIIY ^, SlIllI,UNIlUlGEII 111:0 L1NllLt~Tn\\'N IlOAl1 . 1'0. 1l0X h0~"~ . 1l^ltlU~llllHO. r'A 17INI,O~H 11171 m,IJ(\' . I'^X l1I1111HIIl Certificate of service AND NOW this 26TH day of June, 1997 I hereby certify that I have served Notice of Appeal from Award of Board of Arbitration on the following by depositing a true and correct copy of same in the United States mail, postage prepaid, addressed to: Lauralee B. Baker-Starr Reynolds & Havas 101 pine Street P. O. Box 932 Harrisburg, Pa. 17108-0932 Respectfully submitted, By: ~M~HY A. SHOLLENBERGER Eli abeth A. Ontko, Esq. Attorney I.D. #78053 Dated: June 26/ 1997 tAW lH Hers 01' TIMllTIIV ^. Slllll'\'\,NII~lIlJ1,1I l~lO Uf'.:IlI.l:!-ilOWN ItOAIJ . I~ll. BOX flOH5 . "^ItII1:;I\UIUJ. I'^ I1ICn.CH5 11I71l1Hl(\1 . '^X 11l1llH.slll r\ 0 '1l " <;) ~ f) dJ "0- ,.,. ." ~" b~ ....: \'" ,-.-. .. <:> (-, 11.1 ':r- 111 ;~ l'I . .' I:;i~ . l~;f ' ,-. .!I c. r,. tJ :,,,.1, " JiJ l.J~ .. , <.:3 .' ',1.. I'. r- ::j ~ '-' a' U lli ~ "' ~~~~I E61i~ ~ ~ ~. ~..: 2 ~ ~~ ~ ~ , - DONALD E. DALE and CHERYL DALE, his wife, Plaintiffs IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 95-804 V. CINDY TURNER, Defendant CIVIL ACTION - LAW JURY TRIAL DEMANDED ORDER AND now this day of Petitioner's Motion to Withdraw for Donald E. Dale and Cheryl Dale, and action is hereby granted. , 1998, counsel of Plaintiffs, the above entitled J. L-\\\'l'HICI:Sl1! TIMllTIII' A, SlIllIHNIII'llllnt IM!l' LlS(JLE~n)\l.S Ill):'.!) . I'll ''''''1.'\ ('l~'~H . IIAIIIU~IIl:IHj, 1',.\ 171('h~'~H liIjII14.17\\l . f..\XI711Jn41i!1: ~r C-'I"~ Fill' 1- ;,-r ,,:: ~ -:. -'. "'. "'T'J'" C.... .", ,. I':" '-, I.. 11 ;:- ::" . >..1 I. 0" ". "4 9a.!!.:1 b roi I~',.. I' -" CU'.., .' ."Id f 1 ~ ..:: \ '~', ',. \ c.;f. ~'1 <> -1 - " '1 4 IJ= -'. . '-.. - . "-." . DONALD E. DALE and CHERYL DALE, his wife, Plaintiffs IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 95-804 V. CINDY TURNER, Defendant CIVIL ACTION - LAW JURY TRIAL DEMANDED PETITION OF SHOLLENBERGER & JANUZZI, LLP. ATTORNEYS FOR THE PLAINTIFFS, TO WITHDRAW REPRESENTATION AND NOW, comes the Petitioner, SHOLLENBERGER & JANUZZI, LLP, and respectfully requests this Honorable Court grant it permission to withdraw as counsel for the Plaintiffs, Donald E. Dale and Cheryl Dale, his wife, and in support thereof respectfully represents the following: 1. On or about February 18, 1994, Plaintiff, Donald Dale, was involved in a motor vehicle collision in which he sustained personal injuries. 2. On March 22, 1994, Plaintiffs, Donald Dale and Cheryl Dale, signed a contingent fee agreement to retain the Law Offices of Timothy A. Shollenberger to negotiate a settlement or institute legal proceedings in connection with Plaintiffs' claims for damages sustained on the 18th of February, 1994 against the Defendant. A copy of the executed fee agreement is attached hereto as Exhibit "A". 3. On or about January 7, 1997, Plaintiffs' counsel, Elizabeth A. Ontko, Associate to Timothy A. Shollenberger, filed a petition for appointment of arbitrators in the Court of Common pleas in Cumberland County to hear the above action. A copy of the petition for appointment of arbitrators is attached hereto as Exhibit "B". 4. On May 27, 1997, the above entitled action was presented to the Board of Arbitrators of Cumberland County 1 I.AWtlllltlSlll. T1MOTIII' ^, SlIllI.lI'NIIUIlHiI' I~!O lINOUSTl1\1,'N Itl)AIl . 1'0. J!rI.l:-; ""H~ . IIAIUUSI\I.IJU1, 1',4, 17Il\fl-l'~H 171711H.liOO . fAX 1117) 114.11111 and $500.00 was awarded by the Board of Arbitrators. 5. After said $500.00 was awarded, Plaintiffs expressed dissatisfaction with the award of the arbitrators. 6. Counsel for Plaintiffs, Elizabeth A. Ontko, explained to Plaintiffs that they had two options: they could either accept the $500.00 award entered by the Board of Arbitrators, or they could appeal the award of the Board of Arbitrators and seek a jury trial. Furthermore, Counsel for Plaintiffs notified the Plaintiffs that they had 30 days from the entry of the award to appeal pursuant to the Pa.R.C.P 1308 (a) (1). 7. Plaintiffs' counsel, Elizabeth A. Ontko, had several telephone discussions with the Plaintiffs and explained to them that they have the option to appeal the award or to accept the award. However, Plaintiffs could not come to a meeting of the minds as to whether they wanted to accept the award or appeal the case. 8. On June 20, 1997, Plaintiffs' counsel sent a letter to Plaintiffs indicating that they needed co come to a meeting of minds as to how they wished to proceed with the above entitled action. Counsel further indicated that if the Plaintiffs could not come to a meeting of the minds, an appeal would be filed before June 28, 1997 on their behalf to preserve their rights. A copy of said letter is attached hereto as Exhibit "C". A copy of the return receipt for certified mail is attached hereto as Exhibit "0". 9. On or about June 23, 1997, Plaintiffs' counsel, Elizabeth A. Ontko, received a phone call from Plaintiffs indicating that they both agreed to accept the arbitrator's award. Counsel informed Plaintiff's that they would both need to sign a document entitled "Consent to Accept Arbitrator's Award." 10. On or about June 23, 1997, Plaintiffs' counsel prepared a Consent to Accept Arbitrator's Award to be signed and dated by both Plaintiffs. Counsel sent said document to 2 L-\W lllll(I,S 111 T1Mllnll' A. SIHJIUNIII'IlWIl 1":.'US(J1_i.~l\'\\'SIH'AI' . I'll 1\l,)X",.",,~ . 11."IIIU~I\L'It\I.l'," 11'll'''l'~H 171 il :1".17~\' . 1:\\ lil71 nt.,'I:': Plaintiffs via Federal Express on June 23, 1997. A copy of said letter is attached hereto as Exhibit "E". 11. Counsel did not receive the signed consent to accept the arbitrator's award from Plaintiffs, and on June 26, 1997, Plaintiffs' counsel prepared a Notice of Appeal from Award of Board of Arbitrators preserving the Plaintiffs' rights. A copy of said Notice of Appeal was attached hereto as Exhibit "F". 12. On July 7, 1997, Plaintiffs' counsel, Timothy A. Shollenberger, wrote a letter to Plaintiff indicating that an appeal had been filed at an additional cost of $290.00 since Plaintiffs did not return a signed consent to accept the arbitrator's award form before June 27, 1997. 13. In the July 7, 1997 letter, Plaintiffs' counsel once again enclosed a consent to accept the arbitrator's award requesting that it be signed. A copy of said letter is attached hereto as Exhibit "G". 14. Some time between July 7 and July 22, 1997, Plaintiffs' counsel had a telephone conversation with Plaintiff, Cheryl Dale, and she refused to sign the document consenting to accept arbitrator's award and did not wish to pursue the appeal. Counsel spoke to both Plaintiffs and indicated that they both needed to sign and date the consent to accept arbitrators award document before the appeal would be dismissed. 15. On or about July 22, 1997, Plaintiffs counsel, Elizabeth A. Ontko, received a phone call from State Farm Insurance Company extending $1,000.00 to settle the Plaintiffs' case. 16. On or about July 22, 1997, Plaintiffs' counsel wrote Plaintiffs a letter informing them of State Farm's offer and counsel enclosed a revised form for Plaintiffs to sign if they wished to accept the $1000.00 offer. A copy of said letter is attached hereto as Exhibit "H". 17. On September 19, 1997 and December 15, 1997, 3 lA\\' O~Hcb l~1' TIMUTIIl' A, SIIULLENIlEIIGEIl 1!'i!~ll.1~()I.EST('M'N IhV.11 . I'll 111..1:\ t>~'~H . Jl^IIIO~IlI:IUj. r.... Ijh'tH~H~ 17lil :l".I;l\' . I.",X lil71 !J.HIH! Plaintiffs' counsel received letter from State Farm confirming its $1000.00 offer to settle Plaintiffs' injury claim. Copies of said letters are attached hereto as Exhibits "I" and "J". 18. On or about December 18, 1997, Counsel wrote Plaintiffs' a letter indicating that she has not heard from them regarding State Farm's offer of settlement and requested that they contact her at once. A copy of said letter is attached hereto as Exhibit "K". 19. As of this date of filing the motion, Plaintiffs' counsel has not received the signed form consenting to settle the case for $1,000.00 or any indication that Plaintiffs wanted to pursue the appeal. 20. As of this juncture, a Notice of an Appeal from the award of Board of Arbitrators has been preserved. 21. Plaintiffs' counsel, Elizabeth A. Ontko and Shollenberger & Januzzi, wish to withdraw from this case, pursuant to Rule 1.16 (a) (5) the Rules of Professional Conduct, based upon Plaintiffs' failure to cooperate with counsel and making representation unreasonably difficult by said Plaintiffs. WHEREFORE, Plaintiffs' counsel, SHOLLENBERGER & JANUZZI, LLP, respectfully request that this Court grant the Motion to Withdraw from the above entitled action. Respectfully submitted, SHOLLENBERGER & JANUZZI, LLP By, Ctit,LfL (JU E za th A. On 0, Esquire Attorney 1.0. #78053 Dated: JANUARY 9, 1998 4 lAW OlflLl~ 01 TIMllTll\' A, SIIULLENIlEIlOf.1l 1~:.'lIStjllsn)'J,'S 1ll'..\Il . I'lll\l.lX tl.'H\ . 11."'1l1l1~f\t'lt(1, 1':\ lili.'h.'~"\ 17111 H...lj\\' . lAX lil1l1H 1'1211 DONALD E. DALE and CHERYL DALE, his wife, Plaintiffs IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 95-804 V. CINDY TURNER, Defendant CIVIL ACTION - LAW JURY TRIAL DEMANDED ORDER AND now this day of Petitioner's Motion to Withdraw for Donald E. Dale and Cheryl Dale, and action is hereby granted. , 1998, counsel of Plaintiffs, the above entitled J. 5 LA\\' l)HIC[~ L)f TIMIlTII\' A. SIIIlLLENIlEIlGEIl I:-;~~' lI~liLESTl)\\'N RI.JAIl . I'n 1\0:\ tl(ISH . IlAltltl~lIl1ItO, 1',.\ lil('fl,CSH 171jl !J...)j~\\ . f,~X lilj) npi!11 We agree to fully cooperate with our said attorneys in the prosecution of the claim that comprises the subject matter of this Agreement. This includes, but is not limited to, making ourselves available for legal proceedings and consultations with our said attorneys; keeping our said attorneys informed as to our current mailing address, phone number and the current status of our medical condition. We warrant that the information which we have supplied and will supply during the course of these legal proceedings is true and accurate, and has not been and will not be obtained through fraud or illegal activities. We agree to pay attorneys' fees from the total amount recovered from any source, except first party benefits (i. e., work loss and medical benefits), on account of our bodily injury claim, including our claim for uninsured or underinsured motorist benefits, on the following basis: Settlement of third party tort total claim prior to filing of legal. Settlement of third party tort claim on or after filing of legal action. 33 1/3% of total sum recovered 40% of total sum recovered Settlement of uninsured or total under insured motorist claims 33 1/3% of sum recovered I.A\I.'l)IHI:I:SlW TIMOTIIY A, S1lllLLENIlI;ltlll'll loj!l' lIS{il EST\1\\'N IH'AI} . 1'0 l\tlXt'~H\ . IIAHltlSf'lUIU1, I'.... 11Il'hl.'H\ lilil !1.Pjl~ . fAX 11171 !1.f.~!1! prior to selection of our arbitrator. Settlement of uninsured or or underinsured motorist claims after selection of our arbitrator. 40% of total sum recovered Costs: Costs are to be paid from our share of the total amount recovered and include, but are not limited to: photocopies; fax charges; postage; notaries; long distance telephone charges; mileage for attorneys and staff; investigation charges; photographs; court costs; LEXIS research charges; medical records costs; fee for police report; deposition costs; expert witness fees; stenographer costs; and, video deposition fees. In the event that no recovery is obtained on this claim, the attorneys will make no charges for their time or services. However, any costs or expenses which the attorneys may have advanced on behalf of the claim must be paid by us upon request by said attorneys. As one possible settlement option, we authorize the said attorneys to explore the possibility of a structured settlement through the use of deferred periodic payments. We agree that if our claim is settled through such structure, the attorneys' fees may be paid directly to said attorneys from the insurance company, either in one lump sum payment at 3 1.1I\\" l'IIIClS III TIMIllIl\' ^, sIlOlLlNIlUUJI'11 1"I~i.' IISliU;~f(l\l,'~ Rl1....11 . I'" IIlY't>\,"H'i ' 1f^ltlll~lIt'llti. 1'."" 111Ch ~'H'i 111H ~H,I;,\, . f."'X lilH ~u ~!I! settlement, or, at the sole option of said attorneys and/or insurance company, deferred into future payments. However, in any event, said attorneys' fees shall be calculated in the percentage as set forth above based upon the cost of the structured settlement or present value thereof in accordance with applicable law. All medical bills for which we are legally responsible incurred as a result of our injuries shall be chargeable to our share exclusively, unless otherwise paid by insurance. The Contingent Fee Agreement applies to all proceedings up to and including verdict or decision at trial or arbitration, except proceedings which are or may be required to collect first party benefits. If, in the discretion of the attorneys, post-trial proceedings, including appeals, are warranted, they will not be covered by this Contingent Fee Agreement and a new fee agreement will be required by said attorneys. This Contingent Fee Agreeme~t and Power of Attorney shall not apply to any right, claim or cause of action that we may have for collection of first party benefits, (i.e., work loss benefits and medical bills) . IN WITNESS WHEREOF, we have hereunto set our hands and seals this 22nd day of 11Brch 4 1.:\IJ.'l't1ILLS 1'1 TIMllTl\r A, SlllllUNIIEI\(,[It l!t:~' lISlj1.l5rll\\'~. Rl'.o\l) . 1'\ 1 f" '\ r":'H\ . tl.4,ItRI:'III'fHl, 1':\ 171~tl \'q\ 1i'\;1 :UI:.\' . ......:-; 171il:1-4 "!I! Donald E. & Cheryl Dale, his wife 434 Ridge Avenue Waynesboro, PA 17268 Plaintiffs IN THE COURT OF COflNON . CL"IBERL\~ID COUNTY, PENNS'itVAlaA NO. 95-804 CIVrt 19 Cindy L. Saxon 409 William Street Towanda, PA 18848 Defendant RUtE 1312-1. The Petitilln in the following form: for Appoin~~ent of Arbitrators shall be substantlally " PE7I'::!ON FO" A?PO IN7)I~17 OF ARB ITRATORS TO THE HONORABLE. THE JUDGES OF SAID COURT: Elizabeth A. Ontko , counsel for the pia inti::': in the .':bo\Te 1. action (or actions), respec~full~ represents that: The above-captioned acticn (or actions) is (are) at i~sue. The claim of the plaint:'.!: In the action is S less than $25,OOp The cOunte~cla.i.= c: C:,e defe:u.ianc in the &1cCicn is _______ ~ ~. The fo11oIJing attorneys a=e lnce=ested in the case(s) :IS counsel 0= nre othe=- vise disqualified to sit as arbitrators: Elizabeth A. Ontko Lauralee B. Baker-Starr ~~REFOR!, your petitione= p:ays your Hon~rable Cou=t to appoint th:ee (3) a:bit=a:c:s to who: the c~se shall be su=~:t:aJ. LAli OFFICES OF TINOTHY I'.. SHOLLENBERGER 1820 Linglestown Road, Box 60545 Harrisburg, PA 17106-0545 ORD::R OF COlJl;,:: ~s,pec::.:u.l.ty nsubpij.t,l:ed, L J."'-"J<.:U~ L( .11:..'-1<.: . Eli :tabp. th 1'.. On tko, Esg. , Attorney I.D. #78053 I AIm HOl;, , 19_, in conside="cior. of the forego ins petition, Esq. . Esq., llnd ,Esq., are appoincac a:bitrators in the above-ca?tioned actilln (or acti"ns) as pra::ed for. By the Court, P. J. , EXHIBIT C!. L.^\I,' olnn.s (~F TIMOTHY A. SHOLLENBERGER I P4:o l.Il',(jI.LsH1\\'N ~l,^O l'l'Il"lXflo.'~H TlMOTIlY A, SllOllENOEROER KARL J. JANUZZI ElIZAOETIl A, ONTKO HARRISBURG, PA, 17106.0545 (71711H,);.xl FAX l717l1H,e:il June 20, 1997 Donald & Cheryl Dale 434 Ridge Avenue Waynesboro, PA 17268 Airborne Express Dear Donald & Cheryl: Liz has brought to my nttelllion today the fnct thnt you nnd he arc m odds with regard to how to proceed with this case. It is my understanding that Cheryl wishes to proceed with an appeal and wishes Don to consult with an allorney in Philndelphia, Donald has advised Liz that he wishes to bring the cnse to nn end and not nppeal it, " Our office has advised you that we will be more thnn hnppy to appe:11 the cnse on your behalf or bring it to an end if tlmt is your mutunldecision. However, the fact that the two of you disagree puts us in an impossible ethical situation. If you continue to disagree, whnt we will do is tile an appe:llto preserve your rights and then petition ihe Court to withdraw as your counsel. You arc forcing us to do this because the two of you do not agree. Therefore. you arc going to be forced to get separate ., counsel. one lawyer to represent Cheryl with regard to her position that the case should continue and another lawyer to represent Don regarding his position that the case be discontinued. We could not represent Don because if he discontinues the action, then it would extinguish or end Cheryl's claim and we could not represent Cheryl because we would then be acting contrary to Don's wishes. Our hope is that the two of you can come to a me~ting of the minds on how you wish to proceed. We have given you our recommendation which was to bring this mntter to an end and lhnt we would not chnrge you for nny costs and that we would send you $250,00 amI keep $250.00 as partinl reimbursement of our costs. We have advised you repeatedly over the phone thatlhe appeal period ends on June 28, 1997. We nre agnin reminding you of this fact by copy of this letter. Unless we henr from by Monday, June 23, 1997 we will proceed to lite the appenl. We will then file a petition to withdraw ns counsel. TIMOTHY A. SHOLLENBERGER Cheryl & Donald Dale .2- June 20, 1997 If the two of you agree ihat you wish to appeal the case lInd use our oft1ce 10 do so, we will, of course, pursue ihe appeal based upon the same fee arrangements as in the written Contingent Fee Agreement you signed. We look forward to hearing from you with regard to your decision on the above. Very truly yours, (1almlt/~V~ tmothY A. ShOllnherger i.~ ((UL Elizabeth A. Ontko TAS:ce Copy Selll via Certified Mail No. 954 777 436 Retllrn Receipt Requested 1---------- _ , , . --- --- .ll IT1 RETlJfl'4 ReCEIPr SERVICE r-r;;l.l.iE --.........---- .... .... .... ~._,.,\ ,',\\'....'1' I ol~fH ',', ,'. ('l'(t,tri~ Alo!./ tL'r:'i~ IlL' r(lH I {ll 1ft . r.t 'l~'" f;['IPf ' II'foll.l'l)';!Al,lM'{)"fC, SENT TO: I j j ..... ~ Jrot 'OR."m~"'~I~Ii'l "'~Il C\of' ..", ... ,&-..~ ~ ... !J..,,... 11c.' /j" ,tJ~ ;~.. , . ".. .... 't..I_..~ , . -\"~J;;! .!\'l'~nu.J .l.7.1...1~H~')':~, Pi\ 1 - 'Ii" I.. ,J / POSTMARK OR DATE I? '" II, o -' "'''' ,,'" ::w ",a: ",0 00 ." 0:: t-a: " tit;j a: a: "'''' ~o !it- Iii'" Cl "'- ua: .,,,, a 0, lJ1 L- C. PS FORM 3/100 US Pasl.ll S,nvicI) Receipt for Certified Mail ",_.,- , .. . j 1!Jq ~ J ~ -lI I j~~n /T1 1i =r J! h ,~~ t C 'iij !l~ M 'il ~ I'- r- ~ ~ u W II> ll~RL~ u: '0: i ~ I ~ ~ -E I ~ U"~=r ~ .'" ~ I "J,~ a '0; 2'DD~iUJ", 0: -~"'oJ ~a- j )(0 .~;: . .9 ~ ,2 ~D. ~ ~~ H :j J:i 8 _ 8 Of to: oj EIj i ~ ~ : g: - ! i ~ - . ; j I ") -. ~ ':. - ., 'I - -1 E : f , ,.. - t'': " ~..j f 1I S ~ -. 'J .:i '. jl P t-f;. ...: : j ~ -, . .... . .... c. :> "] s : I r:;.:: , I q r II I 1I 9 " ) I' .... I; j!" --. .... JIB . f... l -, .~.J 'I"';~.' . . n- ... pi ;.., . I;h;.......}, -., ~~ 911 .- ~ .~: ;) . J..(r'~';n: ~ '.1 a!j i j ~ '. .0 .. .., :J .~ ,.~ . " OJ .- gjP~ P ~ 'I''' : J -', .... tJ" ; . ffi is Ii!i .. a: ..-. (I).. .. r1 ;, u; -.., : " , .....,EXljIBrr:..:~, '<~":'Ei' .,. :q:. , : <:---" LA\\' OFfiCES OF TIMOTHY A. SHOLLENBERGER 11Ila llNOlESTO\\'N RU^tl " O. IIOX n~H5 TIMOTIIY A, SHOLLENBERGER KARL ), JANUZZI ELIZABETH A, ONTKO HARRISBURG, PA, 17106.0545 (111) lH.l1t\l FAX (111) llHlll June 23, 1997 Mr. & Mrs. Donald Dale 434 Ridge Avenue Waynesboro, Pa. 17268 Dear Donald & Cheryl: Enclosed is a Consent to Accept Arbitrator's Award which I would ask each of you to sign, date and return to me in the enclosed, postage-paid, self-addressed envelope immediately. If you have any questions, please do not hesitate to contact me. Very truly yours, 1') ([jJ:L Elizabeth A. Ontko EAO:mm Enclosure , EXHIBIT F' r-., , " ~f.\ - , , DONALD E. DALE and CHERYL DALE, his wife, Plaintiffs IN THE COURT OF COMMON PLEAS " CUMBERLAND COUNTY, PENNSY'LVANIA ~ .: ; NO. 95-804 !/I V. :.., ,.,! CINDY TURNER, Defendant CIVIL ACTION - LAW JURY TRIAL DEMANDED NOTICE OF APPEAL FROM AWARD OF BOARD OF ARBITRATORS TO THE PROTHONOTARY: Notice is given that Plaintiffs, DONALD E. DALE and CHERYL DALE, His Wife, Appeal the award of the arbitrators entered in this case on May 28/ 1997. A jury trial is demanded. I hereby certify that the compensation of the arbitrators has been paid. ~l~MlogkO~ Attorney for Appellants Attorney I.D. >>78053 Date: June 26, 1997 L."W l 'I HU:~ UI: lIMUTlt)' A. ~IIOLU:NIII:HGUt I..~~' 1.ISCjt[srrro:s Ill',\fl . I',) 1\~1\ N.:'~.n . 1I:\lllU~1I1 'IUi, I'." l;h'tJ~~~"~ 171il !1"'7~\' . .....X t71iJ ~H 'l!!! Certificate of Service AND NOW this 26TH day of June, 1997 I hereby certify that I have served Notice of Appeal from Award of Board of Arbitration on the following by depositing a true and correct copy of same in the United States mail, postage prepaid, addressed to: Lauralee B. Baker-Starr Reynolds & Havas 101 pine Street P. O. Box 932 Harrisburg, Pa. 17108-0932 Respectfully submitted, LAW By: Eliz beth A. Ontko, Esq. Attorney I.D. #78053 Dated: June 26, 1997 1\\\'1'11111-"'111 JlMlIlll\' ^. !i1l1lU.tNIII:IHiUI 1-!.' 11~;I;II"ld\\'S lh':~P . 1',\ Il.'\ I,,'H\ . 11,\11In"ll\.'IiO, 1'..\ Iii,',. ,'q\ I7I71:U \:,\' . H:-'ll'Ii'I:H 'l'!I: EXHIBIT , (J- l^\l,' OlTlCES OF TIMOTHY A. SHOLLENBERGER ,M:":- lIt;OlEST\1\J.'N ROAn r. I,) IK:JX ~H\ TIMOTHY A, SHOLLENBERGER KARL J, )ANUZZI ELlZABE1l1 A, ONTKO HARRISBURG, PA, 17106.0545 (717)2H,J700 FAX (717) lJ4-Bm July 7, 1997 Donald & Cheryl Dale 434 Ridge Avenue Waynesboro. PA 17268 Dear Donald & Cheryl: Because you did not send back the paper telling us that you did not walll to appe:11 this case. we were forced to liIe an nppeal at an additionnl cost to our oflice of 5290.00. You nre now in a position that we can pursue an appeal or we don't have to if it is your desire that we not pursue it. We had selll you a paper asking you to return it to us and you have fail~d to do so, I am re-enclosing n copy of the written authorization to allow us to discolllinue the case, We enclose also a self-nddressed st:lmped envelope so that you can send it back to us without cost. If you do nothing. then I can only assume that you wish us to pursue the appeal and as promised, we will indeed do that. I will expect to have a response from you on or before Monday, July 16. 1997. TAS:ce Enclosures Ve,71ruly yo rs, J/I (/:"" EXHIBIT . , H LA'"'" OFFICES OF TIMOTHY A. SHOLLENBERGER tlllO L1NalE~TO\\'N ROAD r 0 OOXtl.JH' TIMOTHY A, SHOllENBERGER KARL J, JANUZZI ELIZABETH A, ONTKO HARRISBURG. PA. 17106.0545 (717) 23i-JiOO FAX (717) 23HZIZ July 22, 1997 Mr. & Mrs. Donald Dale 434 Ridge Avenue Waynesboro, Pa. 17268 Dear Don & Cheryl: I received a call from an adjuster at State Farm Insurance Co., and State Farm has extended a $1,000.00 offer to settle your case. Enclosed you will find a revised form consenting to settle your cases for $1,000.00. State Farm has indicated that this is their highest offer that they will make. In order for us to proceed, both of you need to sign and date the enclosed document and forward it to our offices in the enclosed, self-addressed, stamped office. If our offices do not hear from you, we will proceed with filing a Motion to Withdraw as counsel, and you will have to find other attorneys to represent each of you regarding the appeal that we have filed on your behalf. If you have any questions or concerns, please do not hesitate to contact me. Very truly yours, J ' [~tL EI~abeth A. Ontko EAO:mm Enclosure State Farm Insurance Companies 'EXHIBIT " < I: T I September 19, 1997 Chlll\lll:nhufM Service Ccnlcr 1134 Kennebec Drive PO Dox 6001 Chll1lbcnbur,. PA 17201.6001 i: i I ATTN ELIZABETH ONTKO LAW OFFICE OF TIMOTHY A SHOLLENBERGER PO BOX 60545 HARRISBURG PA 17106-0545 ::,\-,~ .; ~. . I ."'\ q ~,.,.") .. .. ,- RE: Claim #: Our Insured: Your Client: 38-7030-219 Shane Martin Donald Dale Dear Ms. ontko: This letter serves as a follow-up to our telephone conversation of September 12, 1997 and an earlier conversation, July 16, 1997. The purpose of this letter is to reiterate our offer of $1,000 as full and final settlement of your client's injury claim. Please let me know when you have heard from your client and can respond to our offer. sincerely, l~l(V~ffi-lCt\ q.,N.tf:.. Heidi Saller-Judy~ CPCU claim specialist state Farm Mutual Automobile Ins. Co. (717) 261-4805 HS/d/ch/012/0919003 HOI4E OffiCES: BLOOMINGtON, ILLINOIS 61710-0001 S~ate Farm Insurance Companies I :',',I;/EXHIBIT" f~,J, (r'';;,~,:\, December 15, 1997 Chambenburl!' Service! ClIlnlllr 1134 Kcnncbc.: Drivel PO Do. 6001 Ch.mb",hu'll. PA 17201.6001 ATTN ELIZABETH ONTKO LAW OFFICE OF TIMOTHY A SHOLLENBERGER PO BOX 60545 HARRISBURG PA 17106-0545 .... r- .... ,M .~... ..l'.r".: -.J/Jlt RE: Our Claim #: Our Insured: Your Client: 38-70:10-219 Shane Martin Donald Dale Dear Ms. Ontko: Please advise your client's position regarding our offer of $1,000 to settle his injury claim. When I last spoke with you in September, you indicated that you had relayed this offer to your client, but that he had not yet responded. I look forward to hearing from you soon. sincerely, '/. '_' i~ 1'1 r.(I('l1 -"(./-1:....1: " i .h.I,..l..,.)-o l"- (i Heidi Saller-Judy, CPCU Claim Specialist State Farm Mutual Automobile Ins. Co. (717) 261-4805 HS/ch/014/1215013 HOME OffiCES: BLOOMINGTON. IlliNOIS 61710'0001 ,.. " ,. lit! ~, , ,. /.,. I. . ,:'1; .) I' Iii. 1'1" . , it,l , " ( , (.,; l': " '" ". . , If] '.Jl ,l ffi C) ffi '^ ~ffi~ ~ ~gli~ o ffi ~. ~.( ~ ~ ~~ ! ~ DONALD E. DALE and CHERYL DALE, his wife, Plaintiffs IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 95-804 V. CINDY TURNER, Defendant CIVIL ACTION - LAW JURY TRIAL DEMANDED Certificate of Service AND NOW this 22nd day of January, 1998 I hereby certify that I have served by certified mail a copy of the Rule to show Cause on the following by depositing a true and correct copy of same in the United States mail, postage prepaid, addressed to: Lauralee B. Baker-Starr Reynolds & Havas 101 pine Street P. O. Box 932 Harrisburg, Pa. 17108-0932 Donald & Cheryl Dale 434 Ridge Avenue Waynesboro, Pa. 17268 Respectfully submitted, SHO , LitP Eliza eth A. Ontko, Esq. Attorney I.D. <<78053 By: Dated: January 22, 1998 SIIOlUNIIEllom I> J^NUZZI.lll' IH20 lINOI.I:!-t'TOWN ItO^ll . 1'l1lKJX ''''~.n . IMltlUl-iIlUIU1,I'A 171l'O-l'H5 17111 lH,l700 . F^X 1117111H1Il .. Cr) I" .' .. , .. I , " c.' . ~ :' . i '. " " 'li: (."ll -.~) , 1.1'- r',! ..,' ii.. I . . j - '.... ,.. I". ~ ... C., U ~ S J; ~~ ~ ....1 ~ - <(j ~ os l>: ~ 0 ~ g; f5~ ~ ~:l ~ ::l o :I: en .. , ), APR 1 3 1998 tP , DONALD E. DALE and CHERYL DALE, his ~Iife, Plaintiffs IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 95-804 V. CINDY TURNER, Defendant CIVIL ACTION - LAW JURY TRIAL DEMANDED J 1. '" ORDER AND now this ~ day of Petitioner's Motion to Make Rule counsel for Plaintiffs in the above granted. , 1998, lute and withdraw as matter is hereby . J. SlIllltf.NIIIJlllI'll t. JANlIllI, Itl' 1141\JUN(;I.t~n\1\\'Nnll^1l . I'tllll,lXt"'H\ . "^IUtJ~I\IJl{(I,I'^11IC(HH.n 1711I1IH7,\) . "AX 17111 lIH111 DONALD E. DALE and CHERYL DALE, his wife, Plaintiffs IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 95-804 V. CINDY TURNER, Defendant CIVIL ACTION - LAW JURY TRIAL DEMANDED PETITION TO MAKE RULE ABSOLUTE AND NOW comes the Petitioner, SHOLLENBERGER & JANUZZI, LLP, and respectfully requests this Honorable Court to make Rule Absolute, and in support thereof respectfully represents the following: 1. On or about January 9, 1998, Petitioner, SHOLLENBERGER & JANUZZI, LLP, filed a Petition to Withdraw as Counsel for Plaintiffs, Donald E. Dale and Cheryl Dale, his wife. 2. On or about January 16, 1998, this Honorable Court issued a Rule to Show Cause why counsel for Plaintiffs should not be entitled to withdraw in the above action. The Rule was returnable ten days from service. 3. On or about January 30, 1998, Petitioner received a handwritten letter from Plaintiff, Cheryl Dale. Enclosed please find a copy of said letter, marked and attached as Exhibit "A." 4. On or about February 6, 1998, Petitioner sent a letter to Donald and Cheryl Dale responding to points made in the letter. In said letter, Petitioner indicated it would hold off until Monday, March 2, 1998 to file a final Petition to withdraw as counsel and asked Plaintiffs to call with a decision as to proceed with their case. A copy of said letter is marked and attached hereto as Exhibit "B." 5. On or about March 17, 1998, Plaintiff, Cheryl Dale, called Petitioner's office and spoke to Timothy A. SlIll1HNIII'1l0m t. JANUlll, \JJ' I"ZIJUN(jl.[Sl(1\\'N IH1^!) . 1'(1.IK1Xt.o\4\ . II^HI\I~lIlJIHj, I'^ 17Il~I.(IH\ 1711Im,17l\l' "AXl1ll1IIHIIZ Shollenberger, Esquire, and Elizabeth A. Ontko, Esquire. 6. Plaintiff, Cheryl Dale, would not come to an agreement with counsel as to whether she and Plaintiff, Donald E. Dale, wanted to proceed. 7. Petitioner informed Cheryl Dale that a petition to Make Rule Absolute would be filed so that it could withdraw representation on their behalf. 8. Petitioner made one last effort to contact Plaintiff, Donald Dale, at his place of employment. Plaintiff was not available and a message was left. 9. As of this date, Petitioner has not heard from either Plaintiffs regarding their decision as to how to proceed with the case. WHEREFORE, Petitioner respectfully requests that this Honorable Court make a Rule Absolute and allow Petitioner to withdraw as counsel for Plaintiffs, Donald E. Dale and Cheryl Dale, in the above matter. Respectfully submitted, SHOLLENBERGER & JANUZZI, LLP By: [1 'L it fLtL. Eliz beth A. Ontko, Esquire Attorney I.D. #78053 Dated: April 1, 1998 SlIlllUNIII,llllEII t. JANUllI, lll' Itlll11.INtil.l:sit)\\'N Itl'''I) . 1'1..1 IlllX t.OH\ . IIAltltISIIUIH}, I'^ 171\1(,.(114\ 1711111Hll\) . "AXllIlIIH,'111 ~ " ~i f~', \I: (- Ill' c..'... ~. ....".Ii ~~ \ '~ ' '..- ,,' L~'t ~ (I (;, ~ ". , l~ .' i ~ I ... " ,~. . , l " t_) i1 F ~ ,..I S "' ~ ~ ~ ~'7 ....roo c<J ,. ~ - l>: i ~ OS w ~ 0 ffi . g; ~a ~ :J o ffi . . . . . . ttM"II"A.O~'IIO )JoI 'V~I""IIU~' .Jj"~ '~~'"0' d nUD (I,. "'.ell :,>,~.,,,.. _.__~"OItlo\l(U"'!lJ11J"'"'' FEe I 7 loun J ....'\ . \' DONALD E. DALE and CHERYL DALE, his wife, Plaintiffs IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNA. CIVIL ACTION LAW v. NO 95-804 Civil Term CINDY SAXON, Defendant JURY TRIAL DEMANDED ORDER AND NON, thlS _ day of , 2000, upon consideration of the Petition to Enforce Settlement Agreement and the responses thereto, IT IS HEREBY ORDERED that this case is dismissed in its entirety with prejudice. BY THE COURT: J. DONALD E. DALE and CHERYL DALE, his wife, Plaintiffs IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNA. FER I 7 ?OOp,\ , ,.',\ \ CIVIL ACTION LAW v. NO 95-804 Civil Term CINDY SAXON, Defendant JURY TRIAL DEMANDED RULE TO SHOW CAUSE AND NOW, this ____ day of , 2000, upon consideration of the Petition to Enforce Settlement Agreement of Defendants, Shane Martin and cindy Saxon-Turner, Plaintiffs are permitted __ days to indicate why the settlement agreement should not be enforced. BY THE COURT: J. \ FEll I '7 /11i1V-.\ '\ DONALD E. DALE and CHERYL DALE, his wife, Plaintiffs IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNA. CIVIL ACTION LAW v. NO 95-804 Civil Term CINDY SAXON, Defendant JURY TRIAL DEMANDED ORDER AND NO\'l, this _ day of , 2000, upon consideration of the Petition to Enforce Settlement Agreement and the responses thereto, IT IS HEREBY ORDERED that this case is dismissed in its entirety with prejudice. BY THE COURT: J. : " ,..t -= <.I...Z t'f'l-: c- : ':; G:i 0-= 0'" I.- 1_ ~U; ::g1 ..: GJ r:: -: ~C --: ,;:; tJ,J /"'1 c.<-: .....CIl.... -= c:ci:i0\ e/J= <.1063 :: .!:!OC!l-5;-: E: cG "E-= =><0..= ~ - . "T" : -J~::"_-= . z W I- (f) 3: ...l j 0= w ~ ~R 0 a:- ~~ W III 0 >- ~ ~ w (f) z IE r. ,- a: o . ...l 0 - . o ~ ~o (!)< D:: ...... <{ ~ ~ . ~ ," ! OJ -;; 0 ci .... -a C 1" .... OJ '.J .c '" , u c <( - "0 " p., ;.. c -< e " - lJ.i OJ 0 etJ ..c "0:::1 '" OJ - -;;0.: c c '1' ;... " 0", ::: 0'1' - z w l- ll) ~ ...Jj W o ~ w Ul >- lI) ~ ...J ~ o ~ C)"l: a:: <( ~ ~= 00 ll:~ ~~ o . ~ ~ /!:f. O. - . ~6 r .... ~ . .~."" z w l- ll) ~ ...Jj W... o <( Will >- W lI) z ...J ~ o ~ (!)<l: 0:: <( ~ ; " ("I -= OJ... ..~ ('OJ- "" 0.: '5 G:i 0-= O"f- ch: ~ CIl 0: ~uj r::-: ~O --: UJ ....- ~ r-I c..-'" : ~CIlM -= . - 0\ .- CO-l ~ :='-: OJ 0 0 :l : .s!t:lco"5l-: e l>: ci 'E ..: g ~ ..;:-: -l.<:c.....-= . 0= . 0 0,.. a:- ':l~ o . ~ ~ {! I o. ~~ J" .. ~. .. . -'. . -... DONALD E. DALE and : CHERL Y DALE, his wile, : Plaintiffs IN TIlE COURT OF COMMON PLEAS OF v. CIVIL ACTION - LA W CINDY SAXON, Defendant NO. 95-804 CIVIL TERM ORDER OF COURT AND NOW, this 12.J day of February, 2000, upon consideration of Defendant's Petition To Enforce Settlement Agreement, a Rule is hereby issued upon PlaintilTs to show cause why the relief requested should not be grunted. RULE RETURNABLE within 20 days of service. / Donald E. Dale Cheryl D. Dale 434 Ridge Avenue Waynesboro, PA 17267 Plainti rr.~, Pro Se Laurulee B. Baker, Esq. P.O. Box 932 Harrisburg, PA 17108-0932 Attorney for Delendant :rc DONALD E. DALE and CHERYL DALE, his wife, Plaintiffs FER I 7 !{)/J/I,} \i\ ' IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNA. CIVIL ACTION LA\~ v. NO 95-804 Civil Term CINDY SAXON, Defendant JURY TRIAL DEMANDED RULE TO SHOW CAUSE AND NOW, this _ day of , 2000, upon consideration of the Petition to Enforce Settlement Agreement of Defendants, Shane Martin and Cindy Saxon-Turner, Plaintiffs are permitted __ days to indicate why the settlement agreement should not be enforced. BY THE COURT: ..1. , , DONALD E. DALE and CHERYL DALE, his wife, Plaintiffs IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNA. CIVIL ACTION LAW v. NO 95-804 Civil Term CINDY SAXON, Defendant JURY TRIAL DEMANDED ORDER AND NON, this day of , 2000, upon consideration of the petition to Enforce Settlement Agreement and the responses thereto, IT IS HEREBY ORDERED that this case is dismissed in its entirety with prejudice. BY THE COURT: J. lAURAlEE D, DAKER, ESOUIRE Po. SUIIIUITlO COUlIID. No. 68874 MARGOLIS EDELSTEIN PO, Do. 032 tloUl$burg. Ponn5~lvDIll.1 1110/J.OUJ2 Tal.phon.: 11111075,0114 FAX: 17111075.0124 E.mall Ibbakor@oplx,nol AlIollloy lor O1l1tmdD1l1 : CINDY SAXOfHURNEIl DONALD E. DALE and CHERYL DALE, his wife, Plaint if f s IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNA. CIVIL ACTION LAW v. NO 95-804 civil Term CINDY SAXON, Defendant JURY TRIAL DEMANDED PETITION TO ENFORCE SETTLEMENT AGREEMENT AND NOW, comes Defendants, Shane Martin and Cindy Saxon- Turner, by and through their counsel, Margolis Edelstein, and petition the Court to enforce the Settlement Agreement and discontinue the action, and aver the following in support thereof: 1. This action arises out of a motor vehicle accident between Plaintiffs, Donald and Cheryl Dale ("Plaintiffs") and Defendant, Cindy Saxon-Turner, on February 18, 1994. 2. In accordance with the pleadings as set forth by Plaintiffs' counsel, the case was heard before an arbitration panel in Cumberland County on or about May 28, 1997. After hearing all the evidence concerning liability and damages, the arbitrators awarded Plaintiffs $500 in damages. -1- 3. Thereafter, within thirty (30) days, Plaintiffs appealed from the arbitration award. <I. Immediately following the appeal, Plaint if fs' counsel, Timothy Shollenberger, Esquire, petitioned the Court to withdraw as counsel which was ultilllately granted on or about April 14, 1996. 5. Thereafter, despite numerous requests to settle the action, Plaintiffs refused to do so. 6. Finally, in June, 1999, an offer of Six Thousand Five Hundred Dollars ($6,500) was made to settle this action. The offer was accepted by Plaintiffs. 7. A general release was signed by Plaintiffs in the amount of six Thousand Five Hundred Dollars ($6,500) on June 25, 1999. A copy of said release is attached hereto, incorporated herein by reference and labeled Exhibit "A." 8. In consideration for the aforesaid release, Plaintiffs were provided with a settlement check in the amount of six Thousand Five Hundred Dollars ($6,500), which was endorsed and cashed. A copy of the endorsed settlement draft is attached hereto, incorporated herein by reference and labeled Exhibit "B." 9. Following the settlement negotiations, State Farm Mutual Automobile Insurance Company requested Plaintiffs to sign a Praecipe to Discontinue the action. 10. Despite the terms of the release and the receipt of the .;2. settlement check, Plaintiffs have refused to endorse a Praecipe for Discontinuance. Accordingly, this case is still ongoing in Cumberland county, although it has been completely resolved on behalf of all parties. WHEREFORE, Defendants, Shane Martin and Cindy Saxon-Turner, respectfully request this Court to enforce the settlement agreement and order Plaintiffs to file a praecipe to Discontinue the Action and/or dismiss the action sua sponte; or, alternatively, order Plaintiffs to reimburse State Farm Mutual Automobile Insurance Company in the amount of Six Thousand Five Hundred Dollars ($6,500) and prepare for tr.ial. Respectfully submitted, MARGOLIS EDELSTEIN Date:~ ~ EE B. BAKER, ESQUIRE ttorney I.D. #58874 Attorneys for Defendants, SHANE MARTIN and CINDY SAXON-TURNER P. O. Box 932 Harrisburg, PA 17108-0932 (717) 975-8114 - 3- Exhibit A ---., r'\ , -"- ------------- ------.-------.----------.-----...--.--- _. --.--... ----.------.--.-.--- ( r (-r RELEASE For the 801, Conlld,,.tlon 01 Six thousand five hundred andn__nn____n_n____u___n__no/l00 ($6500.00) Dollars ":l . . the receipt and sulflclancy whereolls hereby eckno\,!ledged, the undersigned hereby releeses snd lorever discharges Shane Martin and Clndv Saxon Turner -1;h e I r heirs, executors, administrators, agents end assigns, and all other persons. firms or corporations liable or, who might be claimed to be liable, none of whom admit Dny liability to the underslllned but ell expressly deny any liability, from eny end all claims, demands, damages, aCtions, causes of action or suits of any kind or nature whatsoever, end particularly on account of all InJuries, known and unknown, both to person and property, which have resulted or may In the future develop from an accident which occurred on or about the 18th dayof February ,(yea'r) 1994 at or near Carlisle, PA Thla release expressly reselVes all rights of the parties released to pursue their legal remedies, If any, against the undersigned, their heirs, executors, agents and assigns. Undersigned hereby declares that the terms 01 this settlement have been completely read and are fully underetood and voluntarily accepted lor the purpose of making a full and final compromise adjustment and settlement of any and all claims, disputed or otherwise, on account of the Injuries and damages above mentioned, and lor the express purpose of precluding forever any lurther or additional claims arising out of the aforesaid accident. Undersigned hereby accepts draft or drafts as final payment of the consideration set forth above. ANY PERSON WHO KNOWINGLY ANO WITH INTENT TO INJURE OR OEFRAUD ANY INSURER FilES AN APPLICATION OR CLAIM CONTAINING ANY FALSE, INCOMPLETE OR MISLEADING INFORMATION SHAll. UPON CONVICTION. BE SUBJECT TO IMPRISONMENT FOR UP TO SEVEN YEARS AND PAYMENT OF A FINE OF UP TO $16,000. fn Wltn... Whereof, We have hereunto set our hand(s) and seal(s) this ;t..5 day of ~ ; (year) / j' "y In presence of: t?S Signed X oO~ 04/"-, Signed X eLd ~;;, ,/ w..... AdOrM' a 15 7PA.1 Printed In U,S.A. '. ExhIbit B " 3&71rl ~~ . '''''.i'' ....... ',.-:~!'.'~~. ."....... -- STATE FAR'fffl/TUAL AUTOMOBILE INSURANCE COHPANY , , A --Ii ""11I "'" "I.. ... Of~"""'" 'N2/J1l ~UI, 'A "ILJlIIKGlClII. DC -- \I.," U.. ~V :)"0 MARTlII.lHANE "U. K~030'21' " , ' UIloMlI " L.C'P' , _~....................._.........."..................~ 111 fllClJUlO rlW .....10 .-. 00"00 DClWI ':1,,"110 ...,~ ~ONn.t DONAlD DALE. CHfRYL~\'iliIbIVIDUAlLV At-ID AS HUSBAt-ID AND WIFE ' 222 RINGOLD Sf , WAYNESOORD PA 17207 "I 4_tf).~ .H \,. " t.~..., ir,it.\,.a,n, .1rJO O~ ~'527 11;'1."' ".~UU~~" ?'I" :1lJt.U 100 ~ ~ 51: ~O ?'I'I 500 ~f~ f4~t:.....,r1."'lIl.\"1Jrj~~~~11t .;~,t ~-i;f" ,~.... _.....~-iA "--'- -.....,.....-- ........~_ .M...__......_..., .'__.."9"~ -" .. r', .,:l.~ll ' ~~I. "<' " 'I&; ~' a~ >&\i :i'l f ~ 1 ~\\\\ ~~ w ~h' ~.-- '~:,)li \J~ '" ()'~ '''. ~ '-.:J . \~I.. ..........~.__'"'"- ~'... . , . l~ . -1 ~..,.,..., '-;l-;::'~'-'"'' .' ~.,t . /<.. : " ".~ .1 '-", .,.. ...- . " . 'o'~ ". .' .;, .'....' '. . ~:. ~. , . ....1 I , ., ",',:i:l\ to.',)" ~ t:af) -67. .f)l'j S9aQOOU~ J \":"''l.f) Ie'.) S9Q90000:' ~d::J~' If' I Htl-l]H.d :n.l J " ~I t .t __.._""..4. ". . .,~ ,.' . f' . ".:r. ,P)'~'J'l~iJ,~U ._...._..~_.......-..._-....>Mo~..M . ..-I.... .~ CERTIFICATE OF SERVICE I hereby certify that I have served a true and correct copy of the foregoing PETITION TO ENFORCE SETTLEMENT AGREEMENT on all interested parties by placing the same in the United States Mail at Camp Hill, Pennsylvania, first-class postage prepaid, on the _ fa day 0~/~7/.2000' addressed as follows: Donald E. and Cheryl D. Dale 434 Ridge Avenue Waynesboro, PA 17267 MARGOLIS EDELSTEIN /'7/' .p~ B)<.,-lA'(/._ C;; .h ~Jo Ann E. Nelson, Secretary , LAURALEE 0, OAKER, ESOUIRE Po. SUplUlna Coull 1.0. No. 58674 MARGOLIS EDELSTEIN 1',0. DOle 032 'iUfrl6bufg. Ponns)'lvllllllJ 17100.0032 Tolol'llonO; 17171 U15,Ul14 FAX: 11171 U15.6124 E-mail Ibbaker@eplx.nel AlIOIllOY for Dulondonl.: CINDY SAXON. TURNER DONALD E. DALE and CHERYL DALE, his wife, Plaintiffs IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNA. CIVIL ACTION LAW v. NO 95-804 Civil Term CINDY SAXON, Defendant JURY TRIAL DEMANDED P RAE C I P E TO THE PROTHONOTARY OF CUMBERLAND COUNTY, PENNSYLVANIA: Kindly file of record the attached Certificate of Service of the ORDER OF COURT re RULE TO SHOW CAUSE which was entered by the Prothonotary on February 23, 2000, and served on the date reflected in the attached Certificate of Service. Date:~ Respectfully submitt~d, MARGOLIS ED~IN ~ LAUR LEE B. BAKER, ESQUIRE ttorney I.D. #58874 Attorneys for Defendants, SHANE MARTIN and CINDY SAXON-TURNER B P. O. Box 932 Harrisburg, PA 17108-0932 (717) 975-8114 CERTIFICATE OF SERVICE I hereby certify that I have served a true and correct copy of the foregoing ORDER OF COURT re RULE TO SHOW CAUSE on all interested parties by placing the same in the United States Mail at Camp Hill, pennsylvania, first-class postage prepaid, on the - M day of ~, 2000, addressed as follows: Donald E. and Cheryl D. Dale 434 Ridge Avenue Waynesboro, PA 17267 ? CERTIFICATE OF SERVICE I hereby certify that I have served a true and correct copy of the foregoing PRAECIPE TO FILE OF RECORD THE CERTIFICATE OF SERVICE OF THE ORDER OF COURT re RULE 1'0 SHOW CAUSE on all interested parties by placing the same in the United States Mail at Camp Hill, Pennsylvania, first-class postage prepaid, on the -- W day of IJt M-</., 2000, addressed as follows: , Donald E. and Cheryl D. Dale 434 Ridge Avenue Waynesboro, PA 17267 r Nelson, Secretary >- (\1 [:; n-; II': Ii: -<:: ~ -..) LJJ!:,? i:.J~ (~~ir.; - (..)~ ;.. .,., - -" a.. o::S: ,lj/.7 ~:i. ~:-l ,t') N 1'.0 Gr' 1:t I :.~c:: rftl.! c.~ '5-' .1.. we Ulff! ,., ~ .':: ~ <::) a <::) MAR 24 2~ DONALD E. DALE and CHERYL DALE, his wife, Plaintiffs IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNA. CIVIL ACTION LAW v. NO 95-804 Civil Term CINDY SAXON, Defendant JURY TRIAL DEMANDED AND NOW, ORDER this ~day of ~ V c..l, , 2000, upon consideration of the Petition to Enforce Settlement Agreement, the Rule to Show Cause and the lack of response thereto, IT IS HEREBY ORDERED that this case is dismissed in its entirety with prejudice. BY THE COURT: c\" ~ ~# '\ '\ pO vv- " ,ryCl, /) "7 if'" " \.; ".r.'tJ'{ .\.1'\ C" " " 001'.:;\2.U I',i i'.:f.\ C "" : ' ",' r'Y U"I~'-.l ,.' ..: 1..,'..,..,11',\, Pti\~i~J.:\\f/ \.:';, LAURAlEE D, DAKER. ESaUIRE PlI. Sup'llme Court I,D. No, 5887.. MARGOLIS EDELSTEIN P,O, Do. 932 Harrisburg. Ponnsylvanhl 17108.0032 Telephone: 11171915.0114 FAX: 11171975.0124 E.mall Ibakor@margollsodolstoln.com Allomoy for Defendant:: CINDY SAXDN.TURNER DONALD E. DALE and CHERYL DALE, his wife, Plaintiffs IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNA. CIVIL ACTION LAW v. NO 95-804 civil Term CINDY SAXON, Defendant JURY TRIAL DEMANDED PETITION TO MAKE RULE ABSOLUTE AND ENFORCE SETTLEMENT AGREEMENT AND NOW, comes Defendant, Cindy Saxon-Turner, by and through her counsel, Margolis Edelstein, and petitions the Court to make the Rule absolute, enforce the Settlement Agreement and discontinue the action, and avers the following in support thereof: 1. This action arises out of a motor vehicle accident between Plaintiffs, Donald and Cheryl Dale ("Plaintiffs") and Defendant, Cindy Saxon-Turner, on February 18, 1994. 2. In accordance with t~e pleadings as set forth by Plaintiffs' counsel, the case was heard before an arbitration panel in Cumberland County on or about May 28, 1997. After hearing all the evidence concerning liability and damages, the arbitrators awarded Plaintiffs $500 in damages. - I . 3. Thereafter, within thirty (30) days, Plaintiffs appealed from the arbitration award, 4. Immediately following the appeal, Plaintiffs' counsel, Timothy Shollenberger, Esquire, petitioned the Court to withdraw as counsel, which Petition was ultimately granted on or about April 14, 1998. 5. Thereafter, despite numerous requests to settle the action, Plaintiffs refused to do so. 6. Finally, in June, 1999, an offer of Six Thousand Five Hundred Dollars ($6,500) was made to settle this action. The offer was accepted by Plaintiffs. 7. A general release was signed by Plaintiffs in the amount of Six Thousand Five Hundred Dollars ($6,500) on June 25, 1999. A copy of said release is attached hereto, incorporated herein by reference and labeled Exhibit "A." 8. In consideration for the aforesaid release, Plaintiffs were provided with a settlement check in the amount of six Thousand Five Hundred Dollars ($6,500) I which was endorsed and cashed. A copy of the endorsed settlement draft is attached hereto, incorporated herein by reference and labeled Exhibit liB," 9. Following the settlement negotiations on behalf of Ms. Saxon-Turner, State Farm Mutual Automobile Insurance Company requested Plaintiffs to sign a Praecipe to Discontinue the action. .2. 10. Despite the terms of the release and the receipt of the settlement check, Plaintiffs have refused to endorse a Praecipe for Discontinuance, Accordingly, this case is still ongoing in Cumberland County, although it has been completely resolved on behalf of all parties. 11. As the case remained ongoing despite its relative completion, a petition to Enforce the Settlement Agreement was filed with the Court on or about February 8, 2000. 12. After consideration of the aforementioned Petition, on February 22, 2000, the Honorable J. Wesley Oler, Jr., issued a Rule upon Plaintiffs to show cause why the relief requested in the forgoing Petition should not be granted. A copy of said Order is attached hereto, incorporated herein by reference and labeled Exhibit "C." 13. The foregoing Rule to Show Cause was served upon Plaintiffs on or about March 1, 2000. A copy of the Praecipe filing of record the Certificate of Service documenting same is attached hereto, incorporated herein by reference and labeled Exhibit "D." 14. More than twenty (20) days has expired since the foregoing Rule was served upon Plaintiffs. Accordingly, it is respectfully submitted that the relief requested should be granted and the case dismissed in its entirety with prejudice. WHEREFORE, Defendant, Cindy Saxon-Turner, respectfully - 3 - requests this Court to dismiss this case in its entirety and with prejudice. Respectfully submitted, MARGOLIS EDELSTEIN Date:~ Q:L LEE B. BAKER, ESQUIRE ttorney I.D. U58874 Attorneys for Defendant, CINDY SAXON-TURNER P. O. Box 932 Harrisburg, PA 17108-0932 (717) 975-8114 . .j - Exhibit A ; "~<\ \1;, . ( ----- "" (r RELEASE rr lor the 801. Conlld.rltlon 01 Six thousand five hundred and-u----------------u--_______no/l00 ($6500.00) Dollars '''':'I . f he receipt end sufficiency whereolls hereby acknoY(ledged, the undersigned hereby releases and lorever discharges Shane Martin and Clndv Saxon Turner .J;h e I r heirs, executors, administrators, agenu and assigns, and all other persons. firms or corporations liable or, .vho might be claimed to ba liable, none of whom admit any liability to the underslllned but all expressly deny any lability, from any and all claims, demands, damages, aCtions, causes of action or suits of any kind or nature whatsoever, md partiCUlarly on account of all Injuries, known and unknown, both to person and property, which have resulted or nay In the future develop from an accident which occurred on or about the 18th ~ayof February , (yea'r) 1994 atornear Carlisle, PA rhls release exprassly resarves all rights of the parties released to pursua thalr legal remadles, " any, against the mderslgned, their heirs, executors, agents and assigns. Jnderslgned hereby declares that the terms 01 this settlement hava been completely read and are IUlly understood and loluntarlly accepted for the purpose 01 making a lull and IInal compromise adjustment and selllement of any and all claims, llsputed or otherwise, on account 01 the Injuries and damages above mentioned, and for the express purpose 01 precluding 'orever any further or additional claims arising out of !he aforesaid accident. Jnderslgned hereby accepts drelt or drafts as IInai payment 01 the consldaratlon set forth above. ANY PERSON WHO KNOWINGLY AND WITH INTENT TO INJURE OR DEFRAUD ANY INSURER FILES AN APPLICATION OR CLAIM CONTAINING ANY FALSE. INCOMPLETE OR MISLEADING INFORMATION SHALL. UPON CONVICTION, BE SUBJECT TO IMPRISONMENT FOR UP TO SEVEN YEARS AND PAYMENT OF A FINE OF UP TO $15,000. In Wltn... Whereol, We have hereunto set our hand Is) and sealls) this Pl.5 day of ~ " (year) / ? ? .Y In presence 01; t?9 WttnltM ." Signed X oO~ oQ.~" Signed X eft! rJ4if -.. a e7P4.1 Prlnltd In U.S.A. I I I Exhibit B 3C7ti--1 . "~:'ii- ......... .' '0 '-;.~r,~.' ''''~':''t',' STATE ~RJfHuTUAL AUTOHOBILE INSURANCE COHPAIIY , NwIn.'A D"IIX , II" ...101 .... OI~UIUI ".zznn ~UI, PA VIUUIf"ca, Of . -_ !J'I" UOI ~\) .~..... MARTlN.lHANE "U. K~030'219 , ~.C..p. , ~~.........u 11 .n............_............_...~,.,. III IIICIJIAMO raY( """10 AID 001100 OClI,LJ.... ;''''''IN ...,~ ~ ON".f. DONAlD DALE & CHEl\YL~\,'ililbIVIDUALL Y AND AS HUSBAND AND WIFE ' 222 RlNOOLD ST , WAYNESDORD PA 17267 ' :"' \ .:t~I.,,..I,Itl\r')C\. 1r.'Q O~ 4'527 -,,,~~ "'I 1""---- \" \',tI2I/l.:, ;"; . ~"" 21111'.;' -"..!f.',' HJ.' : ." !:li. 1'1H ?3~,.. ?'II'~U 100 ~ ~ 51: lO 1'1'1500 ~'~M!;", ,:,_;;~,~ ta.~t4.i....~4~.ir'.t;rj.J&~';:.~~l .-;.?~ ~.;...,A-._._._.J'i;~ ,;1'" .. '," .... .'. ,,"', '--'- -........ .-.. .--...-.........-...--.... .._-.t""'~ . . 'f'o t~~\, iC' ., II. ~ !l;~ i'\\\i' ~~ ffi ~\hl ~~ ~'\l\ ~lr~ . ~ l~D :1 ._...."-'-..___ .... ,r . :.... ~. , . "',J : , . ., .~tq~f' .','1' " , ~~.. -.... ..,~., ", t. . . ''';'';:~ .-,"..' . 8l' .6h:m-. . ',", !...., : ".~ '. r.~ .1 "" .~. -- . ", ,;: ~'~! ';'J :....s ".',:i:)t . ",)., ~ .;(, "67. 0'7" S9aQOOllE: I !" :.. '\1') .." 'C'.) S9g900a~' :Jo:l:J~.II'IHt1-alio:l ~a.l " ~'t .t ',' o '" . ..~ 'j, __......_4 ' . . ,i_:p"~~,,il:~J}QI .-..---... .-..._.._~..,>-- , .;\ ''''1' d,.., ... p; .~. h ,. .......' t~) Ci- ExhIbit C 1,"'".( DONALD E. DALE and : CHERL Y DALE, his wife, : Plainti ffs IN THE COURT OF COMMON PLEAS OF v. CIVIL ACTION - LAW CINDY SAXON, Defendant NO. 95-804 CIVIL TERM ORDER OF COURT AND NOW, this 22.1 day of February, 2000, upon consideration of Defendant's Petition To Enforce Settlement Agreement, a Rule is hereby issued upon Plaintiffs to show cause why the relief requested should not be granted. RULE RETURNABLE within 20 days of service. BY THE COURT, 7 / Donald E. Dale Cheryl D. Dale 434 Ridge Avenue Waynesboro, PA 17267 Plaintiffs, Pro Se Laurnlee B. Baker,'Esq. ~,O;-Box 932 Harrisburg, P A 17108-0932 Attorney for Defendant :rc Tf.l:r: COpy FROM RECORD In kjl;;:-,'iny \\hcr"of, I here unto set my haOll and th9 seal of said (ourt rlisle, Pa. Th~.....J..~.~...... t1 ~,J prolhonotalY .It"."...,....o,/."'O' If" "H",II' @ exhibit 0 ""-;.', , ."""-.,,,,,,,,,"' ~I""'" . -', ' '. , I' , " , ".00 ... ~",'~' , .. . I CERTIFICATE OF SERVICE I hereby certify that I have served a true and correct copy of the foregoing ORDER OF COURT re RULE TO SHOW CAUSE on all " interested parties by placing the same in the United States Mail at Camp Hill, Pennsylvania, first-class postage prepaid, on the _ M day of ~, 2000, addressed as follows: Donald E. and Cheryl D. Dale 434 Ridge Avenue Waynesboro, PA 17267 EDELSTEIN ? . CERTIFICATE OF SERVICE I hereby certify that I have served a true and correct copy of the foregoing PRAECIPE TO FILE OF RECORD THE CERTIFICATE OF SERVICE OF THE ORDER OF COURT re RULE TO SHOW CAUSE on all interested parties by placing the same in the United States Mail " at Camp Hill, Pennsylvania, first-class postage prepaid, on the - ~day of ~~, 2000, addressed as follows: Donald E. and Cheryl D. Dale 434 Ridge Avenue Waynesboro, PA 17267 EDELSTEIN ( E. Nelson, Secretary > >- CI >- 0; c: I... .',' '~ .. 1-= .. :;3. ,.. r-., _'r ("I :', uJ... ( ',.,. t";>,~ ..1:( : . 'c 1'-" .,,- t : ::j f',. "or ,'" "~, '{i l;J, , N " ;;-; trl ~; ~ ,,~- '",J f" ..... I} ~ c.. .. - ...:: II. C, :'-:1 Q Cl (.J