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HomeMy WebLinkAbout95-03722 " I, -I I' I ~ I , I' ~ ,I I' J , , II , " " " III (1 CO C"- rY) ,il r:IIJI}OrF!r.c: cr- 1 hi' I i r1(III'1~I'iflm 96 n/;'f': 'Q Iii I 91 fie CUMi !,'f., ':(1 I,', 11111' 01.1' '''''''1' "1'1" n. .j"H ,1,1 .., IiI;\ f.::l ~'I '_ ~ ~'-J ,. ~ .>t:. ~T , ~, -..l::::- ....., tl'> ~ ~- 0, c::>: d 'f) " , l)'f , " ! hj " " ','I " , , ." ,I , , , I I " "' " I- I',) . 1~\'"LY \I~"I)H' ~E (~.,~r' ,; ~ 0/ Olll./Iuru AUIIUlt 21, 199& IViQ UBI I? CIiCIQ OlllilJIIIU I'A 110lQ 717/4326430 Richard A. 6adloOI\ 4503 H. Front street Harrisburg, P^ 17110-1708 R~l H^RIO H^RCHI Our Hr. 6adlock I Thill ill in re..ponse to your rIPquellt regarding Ill". Mario l1archi, I have seen III". "archi on only tvo occaaionll in referenC~ to two separate motor vehicle accidentll. The firat wall November 19, 1993 for a follow. up vimit after being aeen at Harrillburg HOllpita1. Reviev hill chart, the patient atated that he had mild but perllilltent left upper back dillcomfort after hill accident. On examination at that time he complained of dillcomfort in the left paravertebral area and at the level of the scapula, He stated at that time that there vas discomfort vith rotation of t.he r,eck. III". l1archi'lI exsminatioll at that t.lme vall easent.ially normal. Pin prick, muscle IItrength and deep tendon reflexes vere normal, also. The rest of the examination af lungs, heart and abdomen vaEl negative. Impression for that original vlsit of November 1993 vas that of ~eft upper back strDin and dillcomfort status post I1V^. l1anagement prescribing Lodine 400 mg 1 b,i.d., Skelaxin 400 mg and precautions vith additive effects vit.h Transderm-Scop, whlch patle"t vould be taking for upcoming Caribbean cruise. The next notat.ion on the chart is an on-cell stlcker vit.h illeglble signat.ure regarding call from I1rs. l1archi reporting a mot.or vehlcle eccident on January 22, 1994, The patient vas seen by Or. David Long on January 22, 1994 for this. Furt.her entries by Dr. Vernon Preston are recorded on F'ebruary 3rd, l1arch 28th, ^pril 11t.h, ^prll 18th and July 11t.h, 811 in 1994. "y only encounter vith Ill". l1arch in regard to the second motor vehicle accident in question vas February 14, 1995. Please see copy of that particular encounter, vhich is submitted. The diagnollis for February 14, 199& VRS hiatory of cervical and trapezius st.rain vith symptoms persisting by patient's account, ~xcept for slightly decreased strength in left upper arm, there VRa an essentiallY normal examinat.ion that that date. A v" Qu~"'Y ~NVI[,(' olltw\, CAPITAL HEAlTH ~YSTE"" - " '". ',' . 'I ~ , . "~ , 'to.p.,.;, . " I" I.,'. ~\ \. ~,~,,, \'" "\/, 'I"" " ')'..\ .: .t." 'jJl "I I .hl, :,. 'I ,r" I r,. . : ,I I I ~ ~ .. I I " .. .. 'Ink'" ":,".",.' , , I~ , _DAL alNlW" ' '/' 'I,',; " '-:-~.':,;'r.l' ."~' r'" ',' :ir':.;','."I.... '1,1,'. ',.' ,/1,,',,1. . ',' 'I'." ," ",> , . , If.,' "". r' I' ,.~. ",.~. ,1\ ',,' . /.< ',,~ J.j'~ 'It'~,i', ','\ ..I.~~".~..I";'t',j~,\.' ,I , I. t',~ !'..ll'....~:/. r.,:';~.'~~.\t,.i,/}'I,~ ,,'1 ,I, .....' ;" ' .'. \'.., :-,",:,. '.'. " ,',,' ',::: 'i:J '.. j I' ;' j' [.. :.~ " I,.., 'r" ,,,,:", " ':, ":', " , t, , .'. 'I ./ ",. F~rull')' 16, .1996 ," ",' . ", ' Robert Slque/lu, M,O. ' , Flmlly Medi~al Center ofDUl5burg 2A Barlo Circle OUl5burg, 11a 17019-1621 ,..:... ,",-" ,,' " ", ',' I." ,'.". \ ' . 't-'." . ) ., I' r."" . ; '. ,. 1.,.,/ , . . ~ . . 'l. I:".""""'~' , '~".t\I.' y" ,/, 'i,!."~"'.,\r:~,',:,,pr~'~'I!.1i 1.\I:..r,"',.r. 'ri,";~lr'V " "~I ,'. " "I" , , ' '.( f' \ I';' .' ,',,' 't,' .I."......'r'I~II,...~.'" t I "1' l.",r' ~ ~'~r ~ ! j,' ,,..' Ii. , 'n ' (I. ': ,',,. ~l t .,r, . .'/' . \ ," , 'jl . .'f,'~" ' ; \ i. ,',I',', ',.'.,-""'~' ,. I" .. . 'I ~ '1(" ' ' " , . " ", , , I , ' , ." ,', RE: Mario Marchi 5SII: \69-44-3541 DaB: 10,3-53 DIAGNOSIS: MV A In Janllary 22, 1994 whh re5ultantleft 5houlderlbacklneck paln INITIAL EV ALUATIONt BlST.ORYt Mr, Marchi has an Involved medical hl510ry ofovCl' two years following an MVA on 1-22-94, He wa5 dlagn05ed with left C-6 radlculopathy. The patient has been treated at 5evel'al phY51cal therapy 51le5, The patient wa5 at Harrl5burg H05pltalln 1994 and at Capital Recovery for three rnonth5. The patient did complete a traditional phY51callherapy program and al50 he had multiple trigger point injections. The patient has had multiple te5ting for hl5 dlagno515, The patient reported , that hl5 neurologist told him he would have to live with hl5 pain, He a150 told him that he would have tlareup5 every three month5 and that he would need P,T, JU61to keep him 5tabillzed, PAST MEDICAL HISTORY!. Remarkable for his accident as written above. PERSONAL/A VOCATIONAL HlSTORYt , Th~ patient 5t,ate5 he 15 able to do m05t hou~ehold task~ with hl5 right upper extremity, He would like 10 return 10 his nonna1 activitie,5 of "manuailabor" such as painting, wallpapering, and gardening, , .,' " " ': .. ,.' .' . ~ ,.' , VOCA110NAL HISTORY,.., , ,'f, ;"'_ " " -', . . "~,," ,,' ,'. :". :' " ",' .' The patient Own5, B Home Health AgenCy, ' The majority of hi5 time Is spent behind B " computer, He has made several adaptAtion5 to the cOmputer board and he a150 has an orthopedic 'chair. ' , '" ," , 1'\; " :': ' I ~ '''~'~'' '. " .;' :', ",' .. '..',' ,;' '... , " ' " ~" " ".. ""~,,("\' . v"~~''t'I,,~r,.,l',,'\.., \",.rl:'(~.'t. ','""~",~"",,,\, ,.'~'I.."', .,' ' ..., t ',--- ~"..,' . ',,', . I,' " .' t ..'" I l ",' .f' ..- c"'. .....1".... ,1,1 .J..." ,,",~.,': '.,,(" ~\. \ ',. ;'. ,~ " r J,' , ) , I.. . . ' , ,'''' , , , , f, t II, ',',',. ,..~.".. .,.' ~ , ,..: :',',:; ;': .::.'.\,:': ".' 'Pol~~lh"le PJi)'lileol The~o'py' : :Y,. ;,;.:,,,'" ~;";;, "I:~;"':':-:'< ; :;" , 'I" " I .... , , .' . " . ," ," 't ~, ';";\.' ;. '"',,.:...., . ' .," . " . .... o ': ':. -,,> J.... 'r:,I.l..-,,..1 ~ .(1, .', " _, . , , DII~bur\l Shopp.lng Center ,"'.', ' . ,: \>.,.. ;:! :'U.tA:, ~ '; ,: ;", .:", . :.'.. . ", \, , . 860 N, Us 15 ' ","... "', ~,""...r~'.",\l''i ~~".' ~('.~ ,~~,.../.r.r:'( , '. ',. ..' , ' : " DII~bl!fg, PA17019,.. .', I' ' rE~ ,;,..,~~:,,' " '. ,.' ~ ,:. ,.'.. (717) 432.7719 ,. , , , ' ' .. , . , ,,". .,1 ',1 "'.. .' f , :\ ': ,~.. I. ....., " . ," ;"'1' ~!,r\r",1,'~"': "'j'" ~'., \ , '. II )....' ", ., ~ 101'1:, " ,'t j. "'",, It ',", ~" ,. \'1", I . ..., I,t), ...~I .~. '.\,' . .,''',' " ',t' ,l ~~'i"t '~, ,.' . "I, I.' II' ,; :,1, ~ I ~ 1':, " . ~ ;, . ,~ I I: " ~"', ',.' : ' I , ' -, ;,' ~ 'l t j' " ,.1, It~ I ':,' , ..t,'I,I."J""",I:':'..,."I",. ., ',,',,'/. .,f " ~,~,;' '"::';,, : ,:,.,,: , , ,,~' , : t ,... . ",'.- ." , ' .' 'r , ' , , .,)., 't', ", ~ ' : t , ,', INITIAL EVALUATION RE: MARIO MARCHI FEBRUARY 19, 1996 PAGE" '.. " , , " Dlllsburg for aquatics onc to two times per wcek, I feel lhat,lIl aquatics prosr.m would beneOt Mr, Marchi and that he could adsptthls program 10 home use, A tentative treatment plan would include: \. Aquallcs, 2, A home 5trclchlng program and conditioning program, If you have any funher questions or recommendations regarding this patient, please feel tTee 10 contact me at the above number, Thank you Cor this reCerral. Sincerely, ~~~~r.-0 Barllara Balas, p,r, BBlsf v' " , . .' ,..' '" , . , . " . . , " . , . , , . " , , , " ,,; . . " , " " , ,,0 ',f , . .. t.. ,'. ,""'"" " " ',I, 1-,.' . " 'J' ~' , l" t.II'l!~Ili'"~I~''''''' " '" \,'''t'- '0'/" "JI' tT""" ".""'~ '..', ,\:V'~ "~'':ilf :~'(./,'I ;,";':1' '.,;' J;~. ft,\\, .,~,~;}\!~.-.-\~,.tr'~::r:"~:"':' ~,'t:"",~;;.:'t"'I' !' 'J:'~' j ~ l,"~~ ~}.7.~'W~,,;j/~~,i';'i'~ j. ~ ',; " ;".r, , "','.~t"'I",:,.r' \/'. ,.'t'-"", ""t't,\:t~", ,.,.-~:'...~.,.' : ',' .,t,"'.,".'"I,';" ,,"',.~~:. . '-' '110' I"\"~!': .'oIt"",,', . ....t.,.., 'lo;.'t,~tt\.;'.._'":,,, ",.:t/"',~' "",>,,":,'I:,~.'>: ""I~"'\'":''' ".' ','",,' "',!.~-.:' :~'" ,I:'. ,',,' ".....,: . ;":;:'/.:"':f,,~"':"" ',.',""-.: : ~ ,,,:;",\:,,,"::,',!~(~:,,;,,,:"'.,\,, :',",'. , . ,.'.', . ,J, , ' ,. , . '.I',I'.:I'ui-\ ". '....., ", . . . ,','. . "I.,. ~. I '.. ... I l' ":';,' I' ".'t.....l~'..II.. ,'~.,...~."..,. t"II""I~'t~I~~~\>"'~"" '~l"( '", '''''''' """'I"~~"'" .-;.,.....,""',r',.I.4.: ." '.,' ," ';'" ~" I" ,. j'" ,. ", . " \" ',I'',. ,'" ' ': " .: __:" :', ';.' ,',",' " " ~ .,' _ ..' ~ .. ,:' : ',:', t',; , " . ",., ",'... ... Llf / / I I ,....'.11H1I1(717) UlIM33 ~ . ~~ ,- T:':"+~:"":"'" -. - . - - .-........- ."01171 n 73U,rlllllll MOUTON I.. lUJUlN, M.n., F.A,C.S. - . OrlhlllHll'llh~ SIll'IoII~ry & "Ilorl>> Mmlll!lull l>ucellll>e~ ~, 19911 Vernon Proflton, M.ll. Z narlo Circle Pi~lBbur81 PA 17019 \lEt liario NI.\~chi \)cor Vernont I hod thl.', pleasure of seeinu ~lnr io Marchi in the office on Pccembor 7, 1994. lie is a 41-year-old gent1el11l1n who in Jonuory of this year wos involved in an auto occident on Houle 01. lIis jeep WIlS hll by II troctor trllilor and he states he snw thia cOlll1ng IInu atorted to drive to get away and was still hit. lie is right handed and hml no prior problel11s with his neck or arm. l\is left arm WIlS bruisl!d and he did hove II seatbelt on and his seat was throWll fOn/ard ond bockword. lIiB mojoI.' comp111int is pnin in his neck, botween his scopula ond intermittent, pain in hill left ann with numbneas in the thumb, index',and long finUer, lie hOIl increased pain with coughing and he hns difficulty with sleepinu IInl\ nl1eus to Bel up and change pOll it ions and walk. lie has hnd trigger point injectionll with only l11inil1l111 relief. lie hns hod phyaical therllpy with l11inil11111 re!ld. Examination reveals full extenalon uf hla neck ond rotation with pllin when he rotates to the left and right, lie is tender in the left trapezius and he ill tender alonB the l1Iedin 1 \xJrllc,: of hill scopula. lIill ROM in his left Bhoulder is limited to about 100 den roes due to pain, He hss no deformities of his upper extremities, however on examination he has weakneBs of his biceps and triceps. lie hos decreosed sensation over the index, long and ring finBer, lie has re(lexel> however they are hard to eXBm but appeal: to be +1 tlu:oughout. X-rays were revealed ond revenl minimol degenerative joint disease and his MIll wus reviewed. Because of hia prolonged BymptolllB, 1 huve ordered another MIll and E1J:l/NCS and I will see him after theBe, 'lllank you, S(!i~~ r Morton L. Rubin, M.P, HIB/nyh 211711""H" ^WIIIII' 0 SIIIII' wr. o CUUlIIIIIII,I'^ 1701\ IIJIIIAB MEDIONI! ASSOClA1'E.S, p,c, Sp<,~U,1nt j~ I'IIYSICIJ. /tIF.D1cINF. 1oN/J /II, IIUr14110N ,AYI tlllJ.MIJ IIONtI~ PA"~,MII n1U~51J ('AIHl5!J,IJU IIIJIII'"I''' I. lltl;lll, M I) Q sl~H!. Tllndll f1 Medw1lceburv, P"170'U (7171196.79.\3 Q II/Q N SlII/.lh SIIMI, 5vn. '02, eh.mb.ubl/IV, P"1720' (7'71i1e7.773S Plllent: 1'1,11 1" Moll 1'111 Olle: """1111" I I, 1'1'/01 ELECTROMYOGRAPH Type or N..dl~: H 111"1' il, II Musclu Insurllollul Alnusl Acllvily , ~f.liciH Ilruv i ;..N!J})'uL., .....liLlmll___._____ ....lI!2.lJlnL_ ..l!.J II ,iI'/; ntil"HI',1 cfj,tol.OHHl!UUU N'"I1.') 1 SllulIl NUIIIIII I'\lll I TliiXl'1,,---- ""-......_~,....._---".....,,.. --- --- ~-_._.- - -' '.-... d)Wi LJ IIlIII'.!.!!... ..)'Iu!'!I.,l --1iL1(!11t. NUllI.il 1'\111 - . ~ J lexol~ ,.._-1 [;li"hllv 'V II ~ ~ 'l~iJ.' . 1/- Filw. - 1>"lv~li. - ' , flloxor )~g't I , ~i!ll/:~ Ie in Ii ~; ......liillJ!J'll_ ,~\'lll .It.t!.1I. 11 1-\111 J . h~1l601- ..._.1_.._ .J;u .. arpi 1:,),liill i, . 1- ViII,;, "OIlYi'll, ~; llgllll Y . - ([) II ie<>pH ,-,...._~.._--, .' /.. l:lIlIi, ",ilYI'II, :i IJqllll Y Ij!II .-- ~-----_._, - (1)'I'IHc<,pr, NUlllli,l Si l<'1l1 N'"11111 nlll ,. ---- --- CG)~ltoId ,.J__ 1/' FIll,;, 1'"IYJlIi, Sliqlilly ~ II ., - ,.........-.....- ,-- - -- - .." -.-..-..-..,,-...- ~ Abbr: NI Normal Fib, FlbI1l1allon polyph Potyphaslca t : Increased 0 Posijlvo Wave G.W, Giant Wave ~ Oecreesed Fa5C. Fa5Clculallon , I I Inte'P'elallon: S('" helnll/. Impression: 'I'h" allOv" O>1(j/NCS l<'BI of (jJ lIppe/' f'XIIT'lJlily '''Vllill''I<Jj)CC, E!lj..':-':IlopaUIY. ) t:~ ~,~, / 1_ JJC/clw ,I,IY ,J, hi.., M,Il. 10GRESS REPORT _.~ Hli/", /ft{ l<, r fl." CJt,. X' b l.~/kh,' (II L I] !.I) f. d.'" 'I G . ',.., ."'," \-,~l-(~ttJ(j;){L"'-,'. (h,(i Ii,) \ ,~"(j l"'O 'JI~ (LJ"C/ ___''_ _ ... l/t.AJJc.,~ 'n~..Nq, ,I "'/1.' I I' (. IU~,')" I 1,'1 C) 'f( Li (I) _ ___ 'c:j,,,930"'Y'J.'e.,-,( r(}u,~ {Jliq""I~. ,.~.4 d\J/"o/)) __.".. \":,_, "", ,.D\.., VA",~.u.l/J iJFi,'/, '()' ,u~,...111 1\ ,'.' , '!> (liJ I,d, __,,,,, n'_ {cc.t 1J:.l~:l~,() N~I,.I"\"" '/!i' >J.' ~,l' 1li ) fJr ___. ,_ U.\Uu d\ u.' ~,Ui.t.I"k -d) / )(1 I'..V '. (I (Iv t rJ (A !fll. ___,_. ,.,_,,_ L.L'I4-.~~~Ll..~L,{J ~_Y' '-l.fl fJ It. .I'I.Jc 'J ,\" '.' ( ~f' 1/ ,. ~J I '\; , , ...-..-.. }L&n"L\LJ!1l,"!l(l- ~_/~' c..(I'l: I.!J (,)!J) 4 ;j./fV.I,{I,..'1 , _____....__.Ll~)'_O,~~l ') ju:.t.:.1' i ;,h.. " It.\ L,/.l!J 'I./" '1~/,It(.) ___ __".__ _Ll;)_J,JfA'~'J .., _ . ),~'..1"", -I,.'.,.,. I), ,1, ','u' C/ I) I (, ,/;,'1"(/ I) l. V. (II \ ~ -.-.- ..-,--, __loL./...JJJ.LJ_ LbuJ.J:....Jil "....L. ...:.JJ · /'. ~ l'~,\~' t:~ '1'';: t' I , __n_'__ o/l-""---J.~L3.J,!.I^^'t-W' n\t;~(ll: v''''1J1V(1~' /) /.1'IL'/J'1 '___h..':jll,~i:~\.._9:._LX1~.fI 0,fJ, /1-4 f.t, . v~ ../If IJ".rj. (.' ,t /I (,.\:.,.~, 4 ~ J V'''l''f on cr. D'.;(l, ~1+ ,,(.. /1 t'.'(/'...I)(' .., ".".. ___ '_Le",.__.../-::,.., u v.c::..,AL'.'.!I"'t /. \J,/.Jo,; I} , , i~&~:"=q"ic.~;;(J.1 .)'1;. Ll.\ Jb '.M" ('JII.cl ('~:,\ ~'l'~' i<;' (! , ..___ 'P,.c-\.{j;._&.....t<J..UL~"-'/,;1I. ,', lil},';[. /Jh)IV. /')... Ol..{k.(~/ IC) --,,-, -Q'.J~':'/,[-J'~''''='/.'' n . 1 . ~, ,-, '-"!:k'''Ji{~,~,_il(~;::r;;/:::: t I, (f):j .j'l ,,' )>, /~{, t-J. " - ") ':1~#~lI4~.0ft:\~}..~J \':'M~I.~<lO\~t ':'~;C.b'L:JJ\{ iCl::t4 <!-J::^'V<.ZL.J'.!ii2, 2..j}~?..-ilJ',)2_j, ..._..:.~~.2b.K. ~I\w- ..-(c M..~t..~~(}1..~_l-'" ~_dlla~.l{.rf:.._ "~-ibti/1n",.J-5.L.xJ. . ,!,.,~i-}L_ , lJ2t. o/f/u d, L~ k..L....,-----:- la.{tI.'1J9-fZ~~ ) '..) I ~<~ .. ".(9-- / ---Vi'-- ----- ,- -- .---.-..-..-.......--...--.--..- ---- --... .....-...- ..---- PEN NSTATE ;U Colleae ofM'edlclne University Hospital- Children's HOlplull The Millon S, Hershey Medical Cenler Ptplrtm.nl 0' Su.....!") PI'III"ll of NlurolutHl1') I' 0 Q"k K~O ll'l\r.~, P.nnl~I'1I11. 17033 17111 HI.KIlO7 FUll 1717) HI,~K~8 Mon"D L. Ilcubcn, M,D. 207 HllIllh "'w. CampbllJ, P/\ 17011 o-lIIbcr 14, 111114 PJ!: Marlo Man:bI MSHMC ilI65156] Ow Dr. \tcUbeD: Mr. Martlll wu ICen In DCIII'llIUI'lcry clinic on Dcamber 11, 1994. /\1)'011 tmow be 11141 year old nlhl handed l.nllcuWl who 111h. owner 0' I home hcallh care IICIX)', here on "",",ll'or neck and arm pain, PILI.nl DOles b. lw upper Ihoraclc paln whlcb IIdIaICl InlD hb CIIrvlcaJ rlllOD IJId IDIO hll left upper .xtnmJly, H. nolca!hallh. left arm II more 0' I WClknCIIlhan paln, H'lbo lw DumbllCll trom Ihc wnlllnlO Ih. Ihumb IJId n/1llWO nnlm, He lw InlelllC paln and beal bc1WCCD bolh IhouIder bladCl. On January 22, 1994 be wu Involved lD I moIDr velllcle accldcn~ IJId lhal cvclun. IlOIcd ner;k paln wllh bllUT'Cld vI.ioD, He D~IClIhat be coDLlnued to haw Ihoooc, ocrvlcalll1d 1.lIlboulder peln Iincc Ihc IlXidcDI bul!hal III. nOl U InlelllC U II wu Ihcn. He und.rwenl ph~IIc:aIIh.rap~ wblcb lnchldcd manUIIlnll:l.lon, He IlOlCd !hal the pb)'llc:allhcllpy did nol belp hlll)'mplonu bUllhe manuall/1ClloD did provide relic' 0' paln. He bu Iho IIlIteD trilPr polDllnJectJollJ .1 !he lell, IClpWI and arm wbleb provided relletror IpproldJllJlely I 1/2 10 2 da)'l. Put medlc:aI and aurlic:allllllOry llnepllw. The peLlentllu 110 knowD I1lerJif:l, CUrrcDl medlc:aLlolIIlI'C Lorillb, pm whlcb be IIIUIIly \aka In lbe cvcnlnl. Norfl~ pm and Flexcrll, pm. hlleDI POICI thaI he only takCllbe Flex&ri1 wbcIIlbe palD IIICI/'CI'C IiDce II maka bIm "wry IJ'OUY". On pb)'llc:al ""'Mh"llon I.oday wben lbe pllJcntlllllbulalea be Iw IlOrmallllllOC and arm nnaa; he II able 10 oml.,I.,. on becIa, toea and WIdcm pit wlthouI dI1ftcully, Touc:b lC1IIIlIon II eqUI.IlD lbe IIppCI cxuemltica blIItcralJy, He baa doc:rcued plD 1IClIIIII0D In the lint two ftnpn, On IDIllOf IIU'CIlIlh telllnl DOCe doc:rcued left del101c1, blClCpl, trIClCp1, and wrla cx1&nIor. Vibl'lllon ICIIIC II do;rcuod lD lbe left CiOmpued 10 lbe riaht. bowcvu poaItiOD ICIIIlIIIIDIlICt bUIlCrally, Deep lCndoD rcIlellCllI'C 1+ lD tbc , bicepe, IricIqlI, and bnlchlondlallJ. X-nya were reviewed I.oday In whlcb we /IOC.C m:aol~ w1denln. betweeD tbc IIpI.Dll pl'OClClllI et..7 011 plaDe Xof'I)'I, HIJ MIU, whlcb \Il'II done I"ooembcr 9, 19941bow1 m11d bulp II C5-6 and et..7, AI thIJ lime we do 110I red IlIfICI)' would be ofbclldlllO lbe pIlIftIL We recollllDClld bome cmic:alllKtioD 10 help dccreuc bl. paiD Ilnoe DlIDU&I trlf;tJOD duriD,lbcrapy bclpeclliplllCllllly In rcUcloflhc pain. We a1Jo recommend IhIl be wear 110ft Ci011&r durin.1bc day and II nllhl 1111 II CiOmfortlble, The pllJCDI \Il'II aiveIIl boa 1l1lcII0D lCtoilp and 10 IItIJt II 5 pcIIIIldI ror 15 .]0 MI....."". ] tlmCII day, He may Incrcuc lhIJ 10 7 poundI. The pIIleDtlVU InIuucted on how 10 IIIC lbe b'IC:tioa An E<j.w Oppor1lllliry Unl,mllY The "'.., Capitol r~ecovery Center I 'n"n~,,'I"~.hh)lH BI~i"'I't 1115 r ollowllold '~oCJd (Off 3700 I1lnek frlndlo r~ood) Camp lUll, PA 17lJll..119l16 (717) 731..01\00 (lox) 13 t.OOll l'IIYA I eM, 1'IIIlJlAPV IWM,lIM'PIN NAMI':t Milrlo Mil,.nhl 1l^,,'EJ 6-28-94 MIll 40 IlIJt1'1I Iwn:l Ill-.i-53 A/':XI mill" OCClJ"^,,'rONI Vi.~.! P,....1I..nnt, IlPYRI.<lJIl' IIr',lll.h Pllln III MlNmil A I myofllnellll polin nynd,.om.., .!..rvi"'ll I,bol'll.:I'1 Rtrol!n PAMI!.''' PIIYf1IC1^NI V",.non "n'Rton, M.ll. JI":l"':IlIl^" BOUlier,:, fil!l f rl!f'!I'rlll suhj'WtiVl!1 ~lr. M.lr<'hi Rtatl!R th.ll on 1-22-94 h" W,lR involvp.rl in 01 mntnr v"hi('l" ol.",,,1rl..nt wh"I''' hiR v,'hi,'I" W,lR RII'I1I1k f,.om b"hin,l by ;1 t.l'il"'l)l' t"iill"r. Ilia I"fl: olnll At.I'II<'!k bill dl'lV"r'R doo,. ,1nd W,lR v"I'Y bnliH"d at thn timp, 11" alllo nl.lt."n I.holl lh" b,lCI< of hiR drivt'r'A Rt'"I: "am" fOI'W.ll'd An,l Rt'l'IWk hit! h,l('k v"I'Y fn.."ibly. II" Croll'. iIIH""diah' polin 1111" I.he int."nnity nf p;\ill h;1R r1"cl'rHIR"d ROI"t'wh,lt Hill"t' nnR..t. II" h",l phYRi,-.ll I:h"I',lI'Y "hnl't Iy followin'l hi" a('('i"'>1I1 ;11 lI,lI'l'lAIIlIl'q IInnpil,.lJ. 11,' W,IA A....II thl"'" lim..n 01 w..r"< for olppl'nxilll'll...ly fOlll' wl!"kn and I'",'"ivr',! m,li,,1 h",lt, .111r1 t.l'ltrl.ion with Anf11" 1,,'li,.f. 1111 ,11RO ,'r>r,,,iv,,,! .1n ~lIlJ 1111r1 I'''AIIII:A nf thaI. tp.Atin'J 011''' 1101 I<nown .11' thiA tim", T,"J.1Y h.. l'at"ll IdA polin at. II l..v,'1 (, nn a n('ill.. fl'on. 0 to 10, ^'- b"AI it iR ,1 (" ill. Wn,.At. it. IA 01 Ill, II.. iR ,'i\Iht. h"nrl dOI"inilnt.. II" I'''POI'IR polin 10c"I",1 in Ih,' upp"" bo1l'k .HId """1< I'..ginn ,1n<l ,V'I'OAA hift R""l'lIlo1A. Polin RYl11ptnnlR wnl'Rt'1I "R th" d,lY W",lI'A on. If" "xpl'I'i"II""fI .1 bUl'nin<], o1nnnyinq R..nnilt'inn o1"nllnrl Ul'! RC,ll"II".. <11111 ""ct< ""\llon. lie alflo h,lR t In\J1 inq olnd numbn"RR illto hlfl t.hllmh, inl!r.x, 0111,11111,1,11.. fil1\'''I', .lnrl the ro1dio1l fOI'l!.l,.111 of hia I.>ft 011'111. fI.. illAo 1'''1'0..1 A w.."kn"RfI in hiR I,'fl: .1..m. ,.",1 ivitleA t.l1<lt milk" lilR paill WOI'fll1 illclu,l" .1 lon<] wo..k dolY o1ne! At,l'..nUOIlR exel'ciA", s,'lf 11I'Ip t f',dlrliqllf'fI 111('111<1" tI", UR" of ....At: o1n<l lyln\J on the flool' on hiR b.1Ck. ~1f'r1I"ation UAo1"" in('III<I"R I,Ol'lo1h ol/500, I'I"xoril, o1n,l NOl'fl..x. II.. .10"R not takl! Flexoril 0" NOl'fll1x on a re<]1l101r bo1Rin, nt,l1:ing tho1t lh"y C,ll1R" too much rlrowflin(!AR. fI" o1lRO UAeA l\c1vil 1'.1'.11. "e h.1R diffif1l1lt:y AI..eping at night And rlo"R 1,,"11 to wak.' with polin ,throllghout. Uw night. "" cIln't g.'t ('om(ol'I:"bl.. ,1ne! ,1IAO stal',"A that h,. iR IInable to I ie on hiR left n irln. "" R 1",,,pF1 on t.he floor in I.hl! folmily room ,1 f"w niqhtR ,1 w",'k. 1111 iA "l11ploy..d olR a vic!' P..nRid"nt, with t<"YRt.on" If"ollth PIM). lIiR job duti"R entail pl'olon\Jerl aitting At m"l1tingn t.hrollghout th" e!ilY. If" g..nt"'illly wOl'kR a 10 1/2 hour dAY, II" took four d,lYR nff of wOl'k t.o rl!Rt anrl IHlP l11p.dicolt.ion and Rt.lt."R th.1t, hiA polin Ipvr'IR did dl!CreaRP aomnwhat dllring hlR t.im" off. With olctivitl"R of do1ily living hl! aL1I"R t.hnt. h" iA un.lhl.. to p"..fo.'m t.hingR Ru"h aR p.lint.in9 or othn.. tYPl!R of work around thl! hOUR". PolR! m..r1if1al hiRtory iR unremo1l'ko1hl". cnnt. i nu",,1 /I.'l".>loI\ o"H",""II..C).'.AI'II^11II MIII',.',!lH ""<""<.""'" ",..",.-, . .... .---~,., .... ~.'..,......_..._..._-' 1'i111" M), ~1,H,,"Ii, ~1"I"\n 1\-211-'14 Oh,)r",l.Ivr'l I~II h I"H1IlIl"ld 1II1A"IIAII>",II, ~11'. ~1.1I'"liI hilA il f"l'w.II',1 111'11<1 I"Hdlllln. 1111> IIh"1I1d"1"1I /ll"n h..l<I III .1 lI"lIll'ill ,,1""'111 1'011 p"'FII 1'1 IIn, how"""'1', 11,,1 h IIhllll I<\''1'A I\I"! ""'"1,1",\ f,>rW.ll'11. (,,'1....I,.ill 1I11r1 l,h"'l"iWI" '.111".....11 <11'1' '1'II,IIill hili ,hili 1111111>111' "111''''' I~ fl.lll.'lIl',I, Wil:h "",'vl",,1 l"iln~F' nf' '"011"11 II'HI,ln\f III rn,'will"\ r1,'dllll h" hilH itpp,.o)/iI1\i,l,-ly ~~ dP(.P''''")B or IllnV"rnnlll, \~"h pxt"'nH'111l h(l II,H\ In ,If"l'lr',,,IH nf 11\11V"llIflt\l, \11'\'h rn1,1lilillln Ih" It',flJl liP "JI,^-, ",") Il,lql'P"~(' I'IIUlllnn 10 I h" I,.rt 4rl d"\II'''''H. Wit h lilt ""ill f 1,'xl'"1 t n l h" 1'1\lhl hI' 11IIH 20 rI"'JI"'''A, wilh Intr'l',11 fl,.xl'>!1 In th" I"rl 2'l,j"'.lI"""R. II" "Xl"'l'I"llI'''A 1"1111 ;11 l.h" "11.1 l'illl\I" nf ,ill nr I h,.",,' II>n'.""''''1I1 A hili pllrl.lclllilrly In "xt."nAinn. c"rvl,,,1I II>M"Io" 11111 A' I" At....II'!lh 1""I,In..1 r"v"III".1 ALI"'nlll h "''''1Hllr",1 ill 5/"0 In ill I '''IIH.~It. ,!I,.JlIl''''' It I' nxpnl'l"n""A .1 1'111111111 Anllllill.lnn wIlh I'''AIAI",I tl",'k 1II"V"'''''I1I. Rhnlll""1' 1'.11111" of ",,,lion WilA wllhlll 11"1'1".11 11,"ilA 111 hlR I'I'lhl Ahnlll,h.1' hilI. WIIR "I"'I"'illll',1 in IdA l"rL fihnll!"nl' wll h I'.lill 111'111"\ III 1(>1) ,l'''.II'''I'A III fl,'xlnn Iln" 140 '!"III'''''A 111 III>'!II'" 1'111. ~Iilllllill fllIIA' I,. AI'I'''IIIlI,h tr'At.1nq of hlH 111'1'''1' "xl'''''IIIIII''A I'"v"., 1",1 AI l'''n'.I1 h III""AIII'".I .11 "/fl III .tll 11111f\l' I,. IJI""II'H III hlA """lIld,'1' wllh 1,.lill Ilnl",1 nil l'<'Alllllv" IlInV"lll,,"1 <lr rl"x\nn ,11\11 IIh,llId \nll III hiH I"rt Rhollld(lr. In ill,.. t'fll1l.1ind(Q" of hiA \It'Ppr ('xt.rr"nil If'H, f." I'ftllqlh WltR 111".1 All 1',,<1 i'l. "/5 "x""pl: fnl' I:hp. foll"wlllql I,.fl WI'IA! rJ"xl,," 4-, nppoRIl:inll of Ih" IhllPlh wllh I,h" RI"'nll,1 ,11l,1 Ihi,',l rlll\I"I'A <lr I:h" l"rt' hiln'! WIIA 1111'111'1111'",1 ,11' 1. 'In I hI' Inn. WII h ",>1".11 I,,". ~lI', ~llll',~hl PI'''A''lllly h.1A ,I",' 1'''" H"'! Illy"r.l",,'I,,1 Ill"I>iIII)'. Bi'.lllirl".lnl mll.wl" lillhtn"AA, ,1t,,1 .,rliv.ll'",) I'I'III'.!"" I'nllllA in I"" f.>il"winll mIlK,'}el (Jro\lp~ bi 1;11 '-'.'IlIIYI AcalpllPA, AI pl'nnf'l,...idn,ll,'lKI nld, Ill'p,.t", mi,I.)I", .1nrl lowI'1' l'I'.11"'71I1A, Rllpr.1RplnIlIIlH, Illfl'il~"IIl.,IIIR, 1111"1'11: l'r)r'('pH, and dlla'Hal (nrp,lnn (l)(lpnAOt'H. MIAp.ARmp.ntr MI'. Mal'r.hl AIIRt.lln",j .1 ""I'Vi"ill, thnI'M'i" AII',1ill wilh I'''RlIltln\l my"fIIAe!al [lllin Ay"',!I'Olll" w""n h" WIIA lllvnlv"rl In .1 11>,)1:01' v"hir.ln ar.r.I<I"nl: on 1-22-94, iliA pl'''Hnnl (lhYRI".,1 fin.lin'JA a 1''' "n II RiA I:" n I 101 i I h h I A rI" II (' I' i P t Ion 0 f 111 1''' h ani A'" "l' i n Jill' y. ^,', I: h '" [l1'''A"nt I 1m" h,' h,'R rl""I'P.1A"A in mynf,'Ari" I I'lOhl) i ty wi th .1"l. iv", t:I'IIIIl"1' [lointA in tll<' Ilhov., Ill,.nl'lon",1 "'IIR"'" 'JI'olll"" "" alRn h,'A ,1I''''''',lA,.A In ""I'vi"al o11l,1 l:hor,lci" Aplll" ranq" of mntion. "" h,'A c1nr.r,.,lA"A in f),'dhilll,y in I:h" I'IIIhl: Rhnlllrl,'I'. "" hilfl d""rpaA"R In Al:r.!nlll:h In I,'ft WdAI: fl"xlon ,1nrl han,1 oPl'oRltlon. II" alAo haR pORI:IIl'al aAymml"t,rir>A I,hrollgholll. I'h,. IIPP"I' Irllnk. GoalRI 1.) Imp..ovl' pOAI:III',,1 AYl'"""t,,,y thl'OIl\Ihnlll t h" II[,P"I' trllnk, 2.) Imrrov" ",yofaR"I,ll mnhl I il,y .111,1 ,1""1'".1"" t:..II1Ilr>r polnl:, ,1cl: IV,ll: Ion Ih"Ollllhollt HI" ahov" m,'nl inn".1 mIlA,.I" 111'0111"1. 3.) Inrr"aAp. joint ",1nll" of motion In ""I'vi"al Apin" And right Rhaul,I".,. 4.) Imp..nv" Rt:I'"nllth in I'h" I,'ft 111'1'''1' "xtr"mity, 5.1 InRI:"Il"I' in nrpr'opt'lal.n AI'lf h"lp 1.."hnlryll"R 10 imrl'ovP pAin mallaq"m"nt: RkilIA. "onl I nilI'd , The (,.') Capital I~ecovery Center 11lOI'f,I';1l1lI'lCK IW/H,U/I'rlOI'l ",Ii r allow'''Jld flood (Oil 3/110 Illod( hlndlo r~ootJ) Camp 11111, "^ llCllll1'm6 all) /.\l01\00 (ro~) W -0071 I"" Inf<~IIA"" I 'l< ~~ .d~)Y' \1", lwrII':N'!'J P/lTEI M,l dQ Mil rch i 1-10-94 sub'lcoll va Mal'io W,lS rcfflrl'e,1 fnl' ,1\ blofu"db,lCI< ,.'vlllu.1tlon lo "xllJuinp. Chlll',lct,'dsticR of hiR pORI:IIl'" in l'fJlat:ionRhip to') hiR p;lln. II... iR pl'es"ntly wOl'king full liJne and haR not miRRnd wOl'k du" to hiR injul'y, II,! waR injul'cd in 01 "10tol' vnhicl" llccidnnt laAt, wint"r Mid has becn plo1gued by UPP"I' bo1P.k, neck, MI,J Hhould"l' pain. iliA worRt sid,~ is his left and ;Iny activity fOl' extr:>nrled p"rioda of UIII" wi 11 a\jgl'llvo1t.r:> hill p,lin. M', the til1l" of th" ,'valuation hn 1'1l1.,!,J hil1lRelf at an 0 or 9 out of 10. oh,I,!ctivfl ~!...J___~_ 'fh" \joal of the ev,11u,1t.ion was to dr:>trHrnilw how hia 11l1lACulat.Ul'fl o')r hiR spine iR re,lcting to hia pain all,J injury. lliH l'oAI,III',11 ch;lract.edstics Wel'n ex,ll1lin,!d along wit.h pOflAibl,' coll1lp"nRlllol'Y 'JffecI.A. Rymmet.ry <111,1 balance .11'''' alAo impol'to1nt ch,ll'acl.eriRt.icA lo ev,lluate. 'fhe PII'l'IlWIW II monilol' W.1A ut.ili7.ed wil.h dU,11 "hann..1 scanne"A, Eleven Sit"A W"l'e Rcannnd beginnin\j at Ul<' ""I'vi,'al arr:>1\ and ending o1t the low back. The teAl wnR cOlnpl"t"d in I.h" Ato1l1din\1 and sitling neutral pOAitions for compnrison, /lRRnRllment In looking at the valueR tho'lt. Wel'e I'"clll"!led in t.he Rtanrling posit.ion on hath Aid"A, lh" Area mOAt significnntly dnvjnnt waR Al the T-2, T-3, and '1'-4 RiteR. Thn Rtandlll'd deviationR wel'e excessIve indicating increased fine motor muscle act.ivily anrl were concurrent with his report of paill, lie al80 indicated a pattern of mURcle compenRation with the dual chnnnel summary Rhawing that he had a right sided asymmetry. In IlnalY7.ing the valueB recorded in t.he Rittin\j position, hiR numbers were not that bad, however, he had incl'eased Rt.1nrlal"d deviations at the c-4 and L-5 areaR. The places that were deviant from the norm were all concurrent with hiB reportll of pain. lie continues to compenRate when Bitting aB he ill right Bided BBymmetrical, continued ~ ., ,I' " I" ,,' "1"1 III '1''1 ,'_11'1 The €L."l! Capital i Recovery Center , .,.'. ,', I(.\loll!' '" i. 415 FoIIO\'III,~I(j RCO<;l (Olf "700 a10ck Tnnr.llo ';Qod) Camp Hill, PA I ?011~,19Gc (71 'I) 7~ 1~f!,100 (Fo)) 1:J l.a8'1 I MlmrCM, ~:VM,l)M'lON VM'll-:N't'l M.ill'io Milrclhi OM'I-: I R'l(ltf!mtWl' 2, 1994 Tho piltiont was involvud in a motor vehicle accident on 1-22-94 whcn he was hit from tho rcar by A truck, ~ctually the tru~k hit the back of hill Ch,l.ll', pushed him ff>l'w,ud, the chail' was caught by thc truck, pullcd b,lck, and then rdoasl!d and hit tho patient, status post tho injury he h,ld BOllin sl ight achr!s but not severe. 1I0wever, 4-5 hours latel' in t.h.! day the p,lin increased, hel went to SUldle First Care and was evaluiltnd and truiltud with medications for a necll st.l'ain, The pains HI his uppor back and n,'ell incl'cased such that he had upper bilcll paIn, headolC:hns, and pain with a tingling sensation radiating down his left radial Bidf! of his arm into the thumb, index, and middlo finger. Original x-rays showed ,1 possibi I ity of a haid ino fracUll'e at C-3, 4 but after further f1valuat.iflll no fracture was found, 'I'he pal1ent then underwent physical therapy at lIarnsbul'\l Hospital f,)r fivf! to SIX weoks, stopped physical therapy thrf!l! to four weeka, re-started physical therapy without significant 11<.'lp. lie took off five d,lYS of wOl'k to seD if taking his medication", Nortab and l:l'lXOI'll, l'egularly, since they cilused significant fatigue, which lwlped with only slight benefit. He self refer rod himself to The Capital Recovery Center for which he received four wnoks of therapy wit.h some slight help, took off some time due to work and other reasons, and is now coming for physical therapy again and trigger points. The patient complains of upper back pain whlch radlates up to the mid neck area and loft posterior lateral shoulder discomfort with occallional radiation of discomfort and tingl ing s<:nsation as previously dascribed, The diacolnforts are increased by activity or increased use of his extremities and help(!d by physical therapy, 8tretchin or after sleeping, Both Plexoril and Nortabs cause the patient significant fatigue such that he can only take them when he is not going to be working. overall the character and nature of the pain has not changed Significantly since it deveioped in 2/94. Personal I married, two children alive and well, no smoking, occasional alcohol use, works for Keystone, has not had more than five days off since the onset of this diBcomfort except for possibly at the initial evaluation. continu'.!d I'll. ,. II '", ., " ~'" ' I!." t 't'! I "1 ~,II \\ l'lIllft .2, N"rchi, NlII'lo 9-2-94 Pllst Mmileil I llifltot'Y I AI 1'll'\Ji"H I non" known, Opftrlltionfll nnnu/ IIosriliilizlllionHI 1,-4,5 lIiHe p"ohl"tll, nd,"it.tud app'I'oKi,",'lldy 20 ya.:;I'f1 a\lo fo\' 0 10 10 lIilYf! f'1\' LI'llction; h.lll .lone w,dl ~HnCl' withollt rl'llIl'n ()f pt'nidr'I1Hi, Heview of HYHU'llIfll "EEN'!' I oceilniolJ,lI on .,nd off headachf!fl which COllies up frol1l lh.! pOHt.nl'ior n'!l~I, ,lrell when hill pain If! Ilev,!r" causin\J ,1 conlllllnt <I 1 <<comforl, gl'nl)rillly only occu.' when hiH pain is inCl'lhlllud, olhlH'wilH' wlt.hout. ch..ngr'll or prohlt,,"s, Ilno1l'l "nd r,unll!lt f!Yl1lplo,"1l checkndl lJrin,lrYI Hympto'"H chncl,ed, Extr"lllllinAI complains of deereoHrd 1lt.l'ength in hiH left hand and occlIHionally dropping object.s ond if hn nlnvat.eH his left arl1l for a long period of til1le increasing pilinl A~jol1l"nt HYl1lpt.OI1lH checked. Pl1Y!! i cill fOl!i!n.UB,},pon Genel'alr white mode in no aeule ,l1l1treHHI "EEN'1'1 check"d, r-;",:k, tendarnuss lit the lnfel'lOl' p06tnrlor lal,'ral n.!ck l1Iu6cl(>s. no midline t,!n"lcrnesA, rMI'J" of ,"otlon decreased in all direcllonll with fl.!xion/ext.enSllln to appt'oxllllately 45 d,'grel!s and laler.ll bellding 25 degl'ees a! I incrl!ase hill penn and all done quite slowly, Upper backt nOlltender midline but many tender points medial to the scapular ed\Jes bilaterally, the lIwst specific ones were the upper and mid upper trapezius muscles bi lat<!rlllly at least at this palpation time; Low bllCkl nontender midline, range of motion not checkedl Extremities I nontendel', Htren'Jth within normal limitA except. decreased of the halld muscles on the left both extension/flexion of finger and grip. approximately 4-5/5 on the left and 5/5 on the right, ne'Jal1ve Tinel sign and negat.ivf! provocation test fOl' carpal tunn'!!; Neurologicl alert and onented x3, cranial nerves 2 through 12 intact, snnsory intact to !loft, touch and pin pdck, deep tendon reflex.!s bi\.lteral e'l'hll and present. Trigger point injections were explained to the patient, both the advantages and disadvantages and side effects, consent form was read, all questions were answered, and he signed it voluntarily. The bilateral uppel' tl'apezius muscle area6 and bilateral mid to upper trape:z ius muscle areas as previous Iy stated had tender trig\Jer point like areas, cleaned with Betadine x3, wiped with alcohol, injected with 2 cc of Duranest 1% with reproduction of the local pain without significant radiation of weakness, numbness, tingling. The areas were cleaned with alcohol and bandalled. The patient tolerated the trigger point injections well. continued I I - ..1#,- , I , I . ~ 1'\ ,f \ oJ . , . I \' ',I " I " J 1 I , " , , ~J , ., SIGNATUREI ~.....:5 10 1~.1'!..~overy Center (717) 131~~OO. 3~1~ Tnnelll Road. C:omp Hili, PA 17011 , DATE I .?J!:yJr'1" ,.....If""...". _ Pall,nl Name: V;l..p~/v(...a- hUt. \.. ~t':...'- Social S,curlly .: BODY HAP ~ " )".~ I'~ "q . - . . .. , j~~> ~_... Ill, ..:..."\. , K) ~ . . f\ I \ -' ., . ,. I \' 1./ I " J " -~ ,.._ )1\ f1< ), 1 ~/~ , tt:Y/1 '- --/ ~ ---- \,. ,e::J ~\9 S IGNATUIlE I /1 A S.~ 1"1 trqplt~~~~~ery Center ^ QUlm, ~...ICI ."hl CC^P1T^L Hf^LTH ~Y5TEM .,& ,"nown"ld 1I.ldlcn 3700 Block Tnndllll..d) Comp HM, P^ 170\1....110. . (7171731--..00 DATEI \0 -~ _eN "....lftnl'allClt\ Patlont Namo:_f(lc:u0 0 Social Socu'lIy': ~ BODY MAP . .'-~,_...- .. ._~- . ...._._.. , , . . 1'\ ,I \ oJ . " I " \ \' ',I , , I " J '. ,.. H ~,~) I . \ '1\ . I , ~ ;?'~ I I \ 1;; I \r- " -, \,. ".. J ..:::: ~ (/1.14 X? , , .. SlGNATUREt DATE I \0, 2\,C\.l\ rr;1The " lQJ~n~tB~Yery Center ,.... .,..........,.,. PBlllnt Noml'_ \\\, , \\'\().)\U'"1I' , (717) 731-tlOO . 3~ll Tnndl. Rood. Clmp HIli, PA 17011 , Social s.curlly ", . ' , . . . ~, 1'\ I \ oJ ~ ,0 . . I " \' ',I { , , 1 ~ " " . II ~ ,10:- ,,~ I I 1 I , I -\r- " "-- ---' , I.. /' J 7'17'/',; ~ ><1 " .. SIGNATURE I DATE I b. t: fOlThe ,', ~~n~!B~9Yery Center (717) 731~.OO. 3~1. Tnnelle Rood. Comp HIli, PA 170 II , ,.... ............,.., Pollenl Nome: A~/t:? ~,#,(~ / Social Securlly .: -'1>1 l T _.___fi'_.' .,...... ?_ .....,. T',""~r;'f,""-;rlr7""":'''rI'''('r-'' ._.~\.,..,.,.T".'l.. ro'l' ~1"";P...-tJl.l;T.J""."'\"" ,~'~. ,'., . :.', ' ".'."",,!P.". ~.;.,~" ~..:,;'il:'" .',1,1t~,.I:l;',',~,,~_.~, ' I .r"".";I""'~""""'~ 1,""'.'[;: '!i:'""';,',,,":,\,, ('" ,I'" . C0 ' ',' c;.. "\ 1""k~\J' I " 'I; ,).,-. ,\ .'1 I' "" ,nuny 22. 1994J :' ' llf'l ,I "I"" , ,', ,: ,)", I Sl Mario' com.is' in today for rl!\'-~'M"tlf~n. h"~'~~l!dp~ll.I:IY~O l'he .patient wna driving I 'jup.'" Ihit:\/ii.F'h!t\n~om buhind by .n 1'6 wli.ehr'truck, I'nthnt ltat'sr,h1~: u.at",;I'i~,' Ictually,JJT..,!lq./IQd.;:am.JJp,Gk .nd hit the bas. of, h~s,hood, ,Th. pathtH h~11,oDlu"f.ini,mal _",_ l",ad~cho,':'jI~.Jh~.....timo,;..J\\~ ll)s~ of, cons~:ouuno~f\p"d ',h',: \IllS , f~I.lY,'f,unctionh,''':,,[hist-.-;:-.::::7' Icdd..nL..!-I.~.<;''!Ji,~,4~A.I;_JI.~U,).t 2 p.m. 'Tho ,'l'nl1unt cl1110d;mu ut al'prollimat~ly AIOO p,m, r- Itating that ho \IDa dovdoping incroaaing 'hul1dudl~ ,i'nd "ho h. \1'0' hoving HOI,'. bluH,'d :---,....... I La I on 'wll1 10 '''Vorking -nt-his -colllrut.n'-.r-'~lw.l'a t iunt",'llla .,,:cncerne,\"so ~h. -c.llld -Ill' .-.lIu,', lAD hai1,Tp-o numlmuKO 'o~, wuokneaa, lIa' ,coull,~p.~a~,r. swallow alld hear without allY"" liffic'Jlty~ II. 41.\ lIot have all~' \Jlllrry viailJ\I "t"thtJI tilllll. ' : t," ' h", 0 c-llJ,;Eti'l'-ulI/llnino t iOIl-ruvaa Is "1'08 te ri"r""a co 1\'...,11 -BllqU is itely..tu lido r .--tio -hama t0lJ18 l~_"~,~!: _~.!!!p 1'tl~J..E~,'J,...!I)l'o.~~. ilnd ar!a illcl.l!.?:.1I1!! fUI~dt.2!..".....'l"'.:.EJ~!:.: tiack allows, l.creDlted ronKeff motion, ,\Join,~ abr. to flex "111y aboi:i'FlO', ex~ulla e60u1:15' ;'roi:'ilt'u, ,UaU 'tIlly -about .'tlO "-,-11. -had -ullqu is it e -unda rnesa -of...t ho -10 ra ul-ouperior ..ce rv ical I :ii.a.P'ft,!a m_U!.r;!.~lr__.~.!.JIJl..L!l.'J, ,~,rlle -!!~rodud.\Jl.!_~".!!.Uendornos_e in }.he c.l~er of his Ipine, eTIiier cervical or thoroclc, 1Iil'hn;J a lot of'''tiln'd;,r'ii'eiiB snu-ijlatim' oC"tho- ,U.ta~al.ehoul,ln .trapuiue Uluuclos, - The -chnt ,was ..claar. ",.II.art, ,woa r.glllar, "Abdomen loft. 1'horax was 1I01l.t~lIder, Extrumit1ea uhowad a lot of tendarl1ass of the di"tal lateral luft I!pper arlll, lIa had norai"il 'pula'es iIi- thcUI.piir".iild lower extumitius, lIiu IBurologicol ellomilllltioll'reveoled cranial "nerves,-motor 'and,sollsory 'exams all illtact. lis RombuR. r,rollat?r drift Ilnd fillga~ ,to nos. were 011 normal. "I eervicd neck strdll, stotus lHlllt HVA, ' , -- PI Diagnostically - Cervical lIrays, ,left hum~rus llrOY tonight. '1'herape"tically - - ~ vill be placing him 011 Norflex one 1',0, b,1.d, alld 1l1so will givo him oomo Lortabs \/500 mg, tablets, olloq,1.d, p,r,n, 'se"Vo'ri! paill;...'lIu.'is-also to use 'Advil or Tylellol :wo q,1.d,. II. 11 to usa some ico tonight 'ltith sOIJl. mild -stretching. lie was cautiolled -- .hllt his symptoms will worsan in tho next I,B hours and then slowly should improve. \Iso, ho h to follow up with Dr, l'restoll in the lIallt tllO to three days, sooner if he _8 worso, lie was instructed ill ragnrds to heud injury symptolJls, If the haada.he should let wora., or if he should have somo vomiting, or ,if his vision should deterio ate, or ,f his pupils should become unoqual he is to contoct the office immediately, ADDEtiDUHI Vital signs ravaaled P 96. R 20, T 37,2. BP 152/96, ~vid A, Long, H.D,/rjg R & Tl L-25 , February 3, 1994 MARCHI, MARIO 51 The patient presente today for recheo~. He states that he was involved in a car acoident as noted by Dr. Long. He has continued to have pain in hie nec~ to the point where he cannot lift his head up for any length of time. He states that he has ta~en Advi1 with~ut significant relief, He has a160 not used the Lortabs, He haB used ~he Norflex at nighttime, ' i d 01 Vital sign. are stable, BP repeated ~aB 130/6&, W1. is norease 11 pounds. Th.re i. mar~ed tendernesB of the entire ~ervical spine. There is paraspinous muscle tenderness 1n the cervical Bpine. Tl-2 is tender and appro~imatelY T5-& is tender also. Patien~)J~ a,b18 to flell to appro~imatelY 10 degre.., e~tend 5 degren, rotation to "fll,t;;r;.\,~t and left 10. AI Moderate to severe cervioal strain. ~" PI Continue on Lortabe as needed for pain. PT to start at Harrisburg ,Ho~pltal three time. ~ee~ly for three wee~B. Re~P?~"i~ the office in two weeK., I thin~ I may have provided him with an a~~~~~~~~ammatory but 1 am . not 100' .ure, He .tate. he has done better on F1e~<e.r l,l 'in the past. RX _ was provided for that 10 mg. t.i.d. withAajWropriatlt","f(l'ecautions given, _ Vernon H. Pr..ton, M.O./1Jo RI 2-7 Tt 2-)111' '\'.';, --..-------- -.. ...--------------------- --., " . ---. - - I NARRATIVE PROGRESS NOTES _ PAGE.---41J- PATIENT IDENTIFICATION , - I'lbrch ,0, 1994 11M,CHI, MARIO , ; f h t I ,~I I t 1" r l..: I II I ,: I.' d d' .. I.' , -.:. '. I,. " I. I t ~lll 1,1.,. I. r, n l t I,.;, lJ t F I ~I r ,I' l:\,,'t~j l1 I' I'I',....!. t,~.: 1.',:1 Y."r~\",lf'" ~'I" ;/.~ ~.~i",.dld~JI1, I.J.)I',i J/i.l"...H:.' LIII~j '1: 1'1 d )Il~ 11.1".1 :"" ':I<,v./l I'll \.:.-tt lllll., ~ tb'~l 11'11{' r ",lIlt hrl'l 11'.lt. , t 1'1-:1, ",,':11,1 IIPII fl," .fj.' (11,1 ~q~,t:.;l"'"jt; )t I'~I~"'~~ 1f,';'l.l.li- 1I.!i.>'HI'~ ~t . ~tl' 11111" l,*.~ ':'IJ~" <If 'lll't 1.':,1;'11 II":' l( .:.. 'f'~" )'.1'\ i"I',I. 1,~,11. )tl ll~e .:stili bnu tl~t ",,,_1<, Hl' 1'l"'-'" h," I'.~" (1r"fII.",(1 '''II''+lld 11,11..,,61<(,11I hl;- l..tt Ioblld II', 'lll~ 1~,II':"l. .f 1110{" ~"Ht lh,....t'~I,. ~,'~1"..t :d) fit': (111. \1'" 1,1 11j~L 'P":IPI1 )t ""1..,1., "III'; ,dll'~, t~IU Iq': 1..'11,1 1I1'~.,j.'.{lil,ll, bill;! 't\I'J t,', L'Ld,,:,Iatv& 11~.hQd t(, Illr" ,'.lll,~l')'_hh t'~l I_',oh~nt IllQ 1 ~v)'1'11 r",'IIII wl')LI, ~bl1 \/lUr" 1tlJltratll'lg: 'fur Ij~m, Illz':'LJt: J~ "tt1~11 ,:,1 L,,--,,"I.JL tl,..llb) .;,ll~l ~vlltL rlt:r,.:zwbl -fl.,' FJ.:.t~r~ll Ij~ 1..!Ie. I 'td lIlt. (-f-- -=1'd;I~';'IJ \11"1 IlUII1(-r",lllt. \,"::IJc.~':lle U....br 'I.to- IJfI!t -:.(\l!:-rql w(ntl,~, ~';od~'hl\i ....( ~I'I~ 'JIM~t"lia,.L ~l~\'ot.. I'~*"', p' 111':- ~I)... t\' }HU (hl'l,:I,,="I le. "..;nc;.l(,rn..:.-..:! bLp,:,ut.'lu;'1 ,.'''~'fc!'lll'':' -=-",; l\~-.L.~l.11 I~t:tl,: ~lltrl'; ~~. t,:l'lu(rrll~llE. c:.tortll,'1 .!-.t tl,,:, , " \ I /'. . I.. ,. 1 I . ' ~ I ':1', . 'f1.f' ,. ",' I' I. . ~ t I .:, 11, ~ ~ ....:-'vlt"rli I,'';'i'''' i-,j','-.S tl,,=ll t<:Qhll\;:t.. 11~11I 11,t;IL:' DlliJtul\.... l(bl.Jlr;;.;~LIi. ~1:..E....vI1l1\Htt 't,\i;"i Ii: ...:....I."....i~d ,....t~..;,,:~. ,II ~_.,~J..I.dltrbu),':llc., (-,...I~.":I'i.:d &:trtll'l't'1"I', 11~,t':d ,I j':;1 t ,,\, ,,j ~,.: ,...~\....d".,l t, f j'lll. II~' l), I,d t ~ ,.ii1() ~.a~1 d t t !f;t:: )(11'1, 1.\.: I- r '.' 1.1 ~ t. ll\: a: t/;. I " l f, tl i L1 1 e., a;. d l & lit 0 Eo E: .. E, 1 ~, \ u E. ~...... t. t 1'1" J.... , F; ~~lJ IIH,I,t,.- ~rt~;r<II~.n,-:.tltE h:.-r 1.1f..l ;.i ,Ill,; 110-:..:1" \In)! L(-~: f.JlJt~~r,l II ",~ "ff)(,;,. .:.ft..1' 11tH';" 1...~uI1( ~I... ~\"lll>lol,;,.,"'lll It<d(j off vi. PT, R,,",,~,,-(j L(.r'tlJt, f..rld Fl.;.}O.(.rll, ~oll'lJlt:t!, wEirE: ~ru,.ld(,;d vi (tJrdL;:&III, luU 111<1, 1v ~~I,\;..I'c.: .I~ll r ;..:.r Lf, E.11~Iu~l, ptvvllJ..:-d fvl thfti.... ,-"t:(.I.L, ~:11i I'e..:.h.:-(l. )1'1 ~llrV ..:,ffl'~':" ~tl thai ~I,ot. .:'( 1~ll1ol., (,.j}l If f~lI'th(1 I;,r,;...b)llll(" ,(->rrll:'" H, J-..r(-Eta:,rll l'''u,/.l~w fd ,J,<1U.94 T: .$/':;1...,4 A~; il-ii~~-i-99-4i-: .:----.:----..-.: --~E-Li~~-oNE- CONVER ~A T i ON - WiT H -, MARCH 1 , MARIO Reviewad with Mario that MRl showed no significant problemG. although there were Del/eral Gubtlc abnormalities. I have suggested I"est and continuation of medications, He it on an anti-inflammatory. Flex.ril, and Lortsb. As this is help, he will continue with it. We will recheck pat hnt next Monday. /KIJ Vernon H. Prnton, M.O,/jawQf/l RI 4/12194 TI 4/13/94 I ,_____...~....~=_":_....:_-.':":..~.=~."":'u_.,. April 18. 1994 MARCIlI, HARlO SI The patient presents today for rochock of noel, end nol'''' root entrol'ment and lower cervical spino. Continue 0(( of work ss much es possible. Continue present RJt'Il, Recheck in the oHice in two wooks. !love advised him he can DC his BP medication to see if hiB pres6ut~ remains down, H it does h. csn remain off of it, If it bounces up sgain w. will ne.d to restart it, \ Vernon H. Preston. M.D./ljo Rl 4-22 Tl 4-24 -------......---... ...-'- -~.~.. '-~"-" . PATIENT IDENTIFICATION I NARRATIVE PROGRESS NOTES PAGE FILE ~, [i-1W.:i~[l;'~~j;1l\ih;,U~;~I;.j]rA'E~:-(~,c];l';.i7.t':.JIf~e~1~li~~~~T}E)~9-~1t---~ DA T AIJ<JUI ",1~'1II1 JJ~l(fdJ'Lj)J.dl:LI~-..,-....,--- ,A~. T""I'~....__ ~~l~~'~.(?I-----'--'-' ^ddtl'U l'tuoll Call U~(k ___ hn~':'Ala:, 11- ' t.. f') j' II 1Zl 'd 'HM.iSI'I'ION:-- -- - -::::- -;~-~, r~::j!~j;~;=;~-:~ -/:-~- --~-;~~~I- ------- -,- ~(d~cijj};;t~U~:;/:~;J+- ~ I JJ;Q~~~~--'-= =--- ~-------1--.JU; fC--") _~L.11J::..J..'JL_," ..t.L'.A.U1f...L"L_p= "1;;~Et1r' lll"'db~1 C~ ., .t: _ ___n__"_~__'_~___ l~trdlnllllll I Allrtll~ Chart 0 l'h.rt , ---------- lI.ndlrol 1l)1 "ly 11, 1994 MARCHI, MARIO ~ S: The f.la\lllnt pre6lJIlt6 todllY for ,ecl'<icll of chrorolL cllrvlcbl and 'lorac lC 6traln, He stlltes that over thl'! pa6t two monthE then. haE be",n some mprovement but he Is' no where near ba~k to normal, He 6tat~6 for the pa6t Ive months th<l 0111y place he can sleep comfortably for more tiler' an hour Is n the cement floor In his 'fal1111y 1'00111, He cannot tnm hedges because he oe~ not hllve the stren8th In t,15 arms to hold the Instrument up for more . han 6hort perlod6 of tIme, When he Is wrltln8 at work, he IS unable to ~mplete ta6M6 as he had previously beC~U6e he must get up and move hlu arm round, He st ill experiences numbness trevl!llng down his left arm when in fI tatlonary pOliitlon for more than 5-10 minute6, He feals notes that he annot move hla head as well, feeling very frustrated, He was evaluated by ~pital Recovery and they have qald thflt they would be In contact with me on ;;garda for treatment plun and, unfortunately, I have not received thl6, He s wandering whether he should have e second opinion from an Orthopedist for 1116 problem, 0: Vital 6igns are stable, WT, Is decreased three pound6, BP ia ecorded, Thoracic splne6 becomes tender at apprOXimately T4-6, e7, CG an C5 re exqUisitely tender, There is pain on the trapezius muscle6 bilaterally, eft ereater than rl8ht, The patient can extend 10 degrees, flex 10 degrees, otation to the right five and to the left 20. Reflexe6 are decrea~ed but hY61010gic In both upper extremities, stren8th i6 noted to be decrea6ed in he left hand greater than right, AI Persistent cervical and thoracic 6traln with nerve Impingement, PI Await Cepltal Recovery Report and I will 6ugge6t following through Ith that program if It appears to be reasonllte. ernon H, Preston, M,Q,lljo Ri 7-12 TI 7-12 ---------------------------- I') Form 1009 - rllHlO;;.I"Oll 11\' H\\, 11'/ P,\I 1I11l1,' l'1I11 111.lJ 1:1" r.lr (,(111.. H II. L tam f'U L'LJM 1,:I;I~, HM,f( I bLILJJirJ m,rAlI. l'. II II " I' 'II ,';i !IIrl~ll) 1',Il1 I F(\ I" 11l'~"I, /., UAt.1I1rtl~.J. oil. 'H~11,1I.:..'" t'"". I' lr I 1"1'1"" "'I"-I....tll"'f",.."r~I'I"lr.:.1'" PI, II ". '111 T' 1I1~'~ H I!'"T'l:lil 111'1.11:1'1 tl't.l.M" ,," .lllt"u,l:' II ",'flfI.1r:t'f r'r'~U'." ..,,' I:'nll~l~ll ~/'-II;I:'~ 1,!",.-"ll lJ I LI..fJlllJtll> ",".' n."."." _,_" ".". ,,,.. ,.., .,..,... 110' .""v. . pH ",.H.' 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Thorllp"llllc"lly - -A 1 will h. 1,lllclns hllft on Norflox onll p,l1, h,l..1. ,11111 .11'111 will KiVU him nl1mo I.nrtnhll ,.., 5/500 mil. tllhloto. ono~, loll. p,r.n, ""v"," 1'"111, 110 In IILII" to linn ^,lvll or TyLonnl twn '1,1..1. 110 Ie tl1 "". n.,1110 Ico tlllllKht wi th ,lIlmo nil. 1,1 otrotchlnK, 1111 wlln rnlltlollud th"t hili nYl11ptolnll will wornl1l1 III tho noxt 1,8 hOllr" nn.1 tholl "lowly nh,,"l,l lnlpr"vo, ALII". ho In to roLlow "I' with Ilr, Pro.t,,1I In thu noxt two to thrn" "nyn, 'PII1I11lr II ho ls woroo, 110 wno lll"trllde" In rOllnl'ltn to h0I1.1 In,l"ry nymptol11l1. If tho hOI1.I/II:ho ohnlll.t gft worno. or If he "hollld hnvo nomo vomltlllll. Ill' If hi" vl"loll !I hll II 1.1 .Iotorlornto, or If hlll pllpllll oholll.1 hocolno 'JI1O'lllnL ho III to I'llntnct tho orrlro Immo"lntoly,/' MlIlF.NlllIHI Vltnl nlKne rovonlo,l I' 96, II 20, T 37 ,2. Ill' 151./96, .,,--'(7 Illlvl.1 ^, 1.01111. tt.Il./r,IK II h TI 1-25 . - - --..... , , " tf I VERNON N. MlerON, "',0, '~"'Lr "'1llC~L Cflll," Ill' DiLUIUIlQ -......!:.....IIl0cll'cu IlCIIIIIlO, ,~ Ilolt m', 'IH'iIG '(lA,' j ~ -I$t,~7i!ii. ~~ .~_ ~f" __~R~ III VOID" 1;0, WITY 0"1111 _ollClUHQ . . , , IJ ~ Ut(J7t"J 5lhof-4.. 5jJrJrtM. ~ Ite'tJ t{(S- $:?,(C!A~ ~ On1, fl(UlbuY, ~ ~)' ~d:t~k(ti.t Rfflll__ ""U5 ) o lA8EL / 6IJ"mUrlOH PERlII5518ll ~~P~!lf,~.w~.~~em~;,UWilFt " ~Wllo VrolCXUv NrOfllAll "I " II ,tl I i't '. o - ~au " , ' 'I I " , . " " ,\ ",:...... , ,~ t ~ "i ,'~" H ", ~',~ j,' Ii;, ld'! ", 'I \ , .. I \ I , - '.;o..;.\tlc..::.....e..,.. ..."':"._...... ,.1- ',0 _..~":-_.~ ". MARIO E, KARCHI and GAYLB MARC"I, hi. wite, Plaintirr. Defendants I IN THB COURT OF COMMON PLEAB I CUMBERLAND COUNTY, PENNSYLVANIA I I CIVIL ACTION - LAW I I I NO, 96-3722 civil Term I I I I I JURY TRIAL DEMANDED v. CAROL A, RABINOWIVZ, ALLEN DALE HALL, and B, GREEN & COMPANY, INC, , PLAIITI"S' NOTION TO OOMPeL DISCOVERY or DEFINDANT CAROL A, RABINOWITI Plaintiffs, by and through their attorneys, Angina & RQvner, P,C" respeotfully move this Honorable Court to oompel Detendant Carol A, Rabinowitz to tile full and complete answers to Plaintiffs' disoovery requests for the following reasons I 1, The instant aotion was commenoed by the filing of a Complaint on July 12, 1995. 2, On August 31, 1995, counsel for Defendant Carol A, Rabinowitz filed an Entry of Appearance, 3, On September 7, 1995, Plaintiffs forwarded to Detendant Carol A, Rabinowitz Interrogatories and Requests for Produotion of Dooument.. copies of these discovery requests are attaohed hereto e. Exhibits A and B, 4, On september 11, 1995, Defendant Carol A. Rabinowitz tiled an Answer with New Matter. 82917/CLN . . 15, on September 12, 19915, Defendant Carol A. Rabinowitll forwarded to Plaintith Interrogatorie. And Requests for Production of Document., 6, On September 14, 1995, Plaintiffs replied to Defendant Carol A. Rabinowitz'. New Hatter, 7, On September 27, 1995, Plaintiffs responded to Defendant Carol A, Rabinowitz's Request for Produotion of Doouments, and on Ootober 27, 1995, Plaintiffs filed Answ~rs to Defendant Carol A. Rabirowitz's Interrogatories. 8, To date, Defendant carol A. Rabinowitz has not responded to Plaintiffs' Interrogatories and Request for Produotion of Doouments and said responses are overdue, 9, By letter dated November 6, 1995, Plaintiffs' counsel wrote to counsal for Def.endant Carol A, Rabinowitz and requested responses to the Interrogatories and Request for Produotion of Documents, A copy of this letter is attached her.eto as Exhibit C, 10, Defendant Carol A, Rabinowitz has failed to comply with all the discovery requests as required by Pa.R,C,P 4005 and 4006, 11, All of the dieoovery sought by Plaintiffs through their Interrogatorie. and Reque.t for Production of Documents i. relevant to the instant action, 2 " . 12, Detendant Carol A. Rabinowitm ha. had more than ample tillle to re.pond to Plaintitfs' Interrogatorie. and Reque.t tor Production ot Doouments, 13. Our Rule. ot civil Prooedure provide tor the liberal granting ot disoovery, 14. Pa,R,C,p. 4019 provides that upon motion ot a party, the Court oan make an appropriate order when a party "tails to make disoovery." Pa,R,C,p 4019(a) (viii), 15, Plaintitts, therefore, believe that answering all ot Plaintitts' discovery requeots would not burden or opp~e.. Detendant Carol A. Rabinowitz, 16, Plaintitts are represented by Richard A, Badlook, EsqUire, ot the firm ot Angino & ROl/ner, p,C" 4503 North Front street, HarriSburg, PA 17110, (717) 238-6791, 17, Detendant Carol A. Rabinowitz is repreBanted by Jame. G, Nealon, III, Esquire, ot the tirm Caldwell & Kearns, p,C" 3631 North Front street, HarriSburg, PA 17110-1533. (717) 232-7661, WHEREFORE, Plaintiffs respeotfully request that thl& Honorable Court order Detendant Carol A, RabinOWitz, to r~Bpond to Plaintitt.' Interrogatories and Request tor Production ot Documents, Plaintitfs further request that should Defendant Carol A, Rabinowitz tail to comply with the Court Order, then .aid Detendant ehould be prohibited trom pre..nting any testimony at the 3 Plaintiffs, through their uttornoy, huruby propound thu following Intcrrogatorius to dufundanta purauant to Pllnnsylvanis Rulu of Civil Procllduru 4006 to hl! ,1llswured within thirty (30) days from slIrvice thereof. 'i'husu Tntr!l:ro'latorius shal.l be deull1ed to bu continuing IlltllrrO'latorioB. T f, I,JUtW"'!l1 tho Hmo of your anawor to said Inturrogatorius an,j tho till1f! of thl! trial of this casu you, or anyono acting on your boh.11 f, IUiHns thu ident i ty and wheruabouts of any othllr witnuBslla not idulltified in your said answurs, or if you obtllin or Iweoll1l1 aW,lre of IIdditional rllCjuustod lnforl11l1tion not suppLiud in your anHwllrs, you shull promptly furnish thu same to plaintiffll' attorney by a supplemental answur. For the purposus of those Tnterrogator.J.l'S, "you or "your" rufurs to thll dllfundants alld thllir f i Ius and all othor persons, !:!.j/unt~ or reprosentativlls of tho dofolldants llnd their fUlls. You shall furthor includll all pUr/lOns on whoao bllhalf dufundants prollecuted this IIction IInd all IJI'rtwnB who will bonefit or be legally bound by thL, rUBul tll 0 f th i s action. Your answer to the Intorrogatorills shall ruflllct ilnd contain tho knowledge of all of the above persons. RuferencolI to plaintiff and/or dufundnnt shall be interpretod as aingular or plural, dllpunding upon the particular circumstances of oach case. Thu term "description" or "describo" as used hOl'<!in shall mean that the defendants shall S(~t forth the namo and address of the author or originator, datos, title or Aubjoct matter. the present custodians of the original and of any copios IInd the last known address of each custodian. "Document" shall mean any written, printed, typed or othnr graphic matter of any kind, whether handwritten, typed or printed, whether distributed or undistributed, It shall includll without limitation letters, memoranda, articles. studil1s, notebooks, diaries and notes, as well as all mechanical and elnctronic sound recordings or transcripts thereof J.n the POss(!ssion or control of the defendants or known by them to exist. It shall also mean all copies of documents by whatever moans made, Answer each Interrogatory in the space following the Interrogatory, Supplemental sheets may be l\ t tached for answers which require additional space, Please take notice that you are required' to serve upon thu undersigned your anHworll in writing within thirty (30) days pursuant to thll Pennsylvania Rules of Civil Procedure, These Interrogatorills aro deemed continuing and supplemental answers should seasonably be provided, I I I I' II I I I I :1 il 20, Are you or anyone lIotinq on your behalf in pOSSIlBsion ot or know of till' aXiR toncl! of /Sny pllotoqraphB, hJ uapr ints, BketchaB, drawings, diograms or plans of till! instrumontalities, locality, llquipmant, tools or Bny othor thing or mattur involved in tho incidont in Buit? If BO, statuI (al tha natul:'O of tho docu/llunt, thl! nllmo (5) Ilnd ,lddr05B (asl of the purson (1:1) pruparinq lluch document, Ilnd tho date of its pruparationr (h) tho nama (5) o1nd Ilddn~'H; (<'H) of tho perRon (51 presontly haVing POHRUHHion or custody of uuch such doeu/llontr (e) (d) (e) tho spllcific 5ubjllct Olll t tI!r of tho docul11ontr thu d,lto it WilD /lladu or takenr and what tho document purports to show, illustrate or rllprU511nt, l\NSWER I . JlLEASE TAKE NOTICE that pursuant to Jla.~,C,Jl, NaB, 4003,4 and 4009 and/or F, R,C, 1'. No, 34, please furnish at our expense, at our office, on or before thirty (301 days of service hereof, a photostatic copy or like reproduction of tho materials concerning this action or its subject matter which are in your possession, custody or control and which are not protected by the attorney/client privilege, or, in the alternative, produce the said nlatter at said time to permit inspection and copying thereof, 1, TIny and all documents referred to, relating to, or pertaining to any answer to any Interrogatory, 2, Any and all documents containing information relating to any answer to any Interrogatory, 3, Any and all statements concerning this action or its subject matter obtained by you or anyone acting on your behalf, 4, Any and all investigation reports, except those protected from discovery, prepared by you or by anyone on your behalf in regard to the evaluation and litigation of the instant action, 5, Any and all curriculum vitae for each and every perlon whom you explct to call as an expert witness at trial, 6, Any and all expert reports from each person whom you expect to cell al an expert witneaa at trial, 7, Any and all writings, memoranda, reports, ltatements and recordl, etc" which you, your company and/or client possesl concern- ing the case, investigation or review of the plaintitt and his cale. 8, Copias of sll statements, memoranda, summaries of othor writing., documents, diagramB and pictures obtainAd from your inven- tigation, your insurance company's investigation or your attorney' B investigation into the incident involved, You need not supply any sttorney's "work product" or other material which is specificaJ.ly excepted as privileged by the above rule, 9, 1\11 documents in your posses don , custody or control pre- pared in anticipation of litigation or trial of this case, except those documents which disclose the mentnl impressions of your attorney or your attorney I scone lusions, opinions, memoranda, notes or sum- maries, legal research or legal theories, and except thoBe documents prepared in anticipation of litigation by your representatives to the extent that they would diBcloso the representatives' mental impres- sion, conclullions, or opinions reflpecting the value or merit of the claim or defense, 10, To the extent that you have not already provided the same in response to previous requeflts herein, all statements obtained from any witnesses or memoranda of conversations with witnesses or recor.dings of witnesses I statementn made or obtained during thfl course of the investigation or metters reJ,ating to this law suit, and all such statements, memoranda, or records made by parties to this law suit or their representatives, 11, To the extent not already provided in response to preVious requests herein, all statements made by any pllrty to this action, including written statements, signed or otherwiae adopted or approved by the penon making it, or stenographio, mechanical, electrical or other recording or tranltcription thereof, which is a substantially verbatim recital of an oral statement and contemporaneously recorded, IlS allowed by Pa,R,C.P, 4003,5 and/or F.R,C.P, No, 34, 12, To the extent that you have not already provided the same, copies of all records, documents and memoranda which have any bearing upon the mattf'rB alleged against the requesting party or upon the responsibility of the requesting party tor the matt~rs alleged against the requesting party, 13, To the extent not already provided, copieB of all experts' reports made or secured by you in connection with your investigation of the matters relating to this law suit. 14, To the extent not already provided, copies of all exhibits which you intend to offer into evidence at the trial of this matter, 15, To the extent not already provided, all photographs, motion pj,ctures, diagrams, maps, surveys, plnns and models of the site of the incident and of the vehicles in question that are in your possession, 16, Copies of Declaration sheets for each and every policy insuring you against the claims made in the instant action, 17, Any and all documents which evidence any facts on the basi. of which you will assert a defense against the cause of action stated in the Complaint, Q I ( " , ~ ... ''I .... "I-- ,-/; I" In ~ ji: e!.'~ , I I~:C , " 11::\ jl., I ~ ~I~I , .:j \'.J , I" , I " (\ '1" , 1,.'1 ; ,'(' f , ' .,,; , . I',. I', , - i ,) t.' , , " ) '1, '~ ,-- J' ...; w ..... ;;! "" . ~ ...; </1 o~ ;'J -J :> ,. z::: lU IU .J ". <= "- .J >- .., Wi' I1J :>: U ! 0 0._ III -J ..., -J_ 't:J 'OJ ~ ~ >- c: ;;!O c: u Do: i::: ;z 2 ~: -< ',- U <lJ i ~ 0 u.' '" f...~ 'Q ,- C ~ ~ "- IL' ~ , ~, 'v I- ~ ~ .( i?! 1- Cl n U- N C1 ;.- ~ 0 3 ILl ~ 1-'" ~n: I '" u I- 0<3: _JO .r , ,..... G., OltJ ~ _J~~ OJ JeW .....'" IL ~! >-< I-< Ij_ 00< I- Q ~ N Cl ::::> I -:J: ::r.: ',- ;z'r;..!) au ~ ell ~ I I~ 0 ul.u U " ..... ~: v} I- (....l~ Cl I): en , ..... 0 0 @ ,- a' aN .r 'A .-( 0.1 - hi ~ ~ ':: ::J C) 1- ('J .-J :>: ,- '" III ~ '" 0 ~ I.-r.....-( J:: ,-' 1,_ IX U .q: Ll e.,......... , C lL. ~ '" ...J-< I ':1: lU .r '" ..... " J: lU r.l-; In 1- ..... , ~,- :1: I.!.J _J O~ o:r. '" -J . "" t- O') ..... >- .....u O....J , >. 2:: > ,O~ 0: 0.: "';;;!'-' -< .., =:l-O:.J 00(00( 00( Z -J ..... uu;c:n :>::>: UX.... 0., " , , "'.... ~' 'II' '. ,'" ,II ,;.,.. -.. .. , , , Defendants I IN THE COURT OF COMMON PLEAS I CUMBJ!:RLAND COUNTY, PENNSYLVANIA I I CIVIL ACTION - LAW t I I NO. 95-3722 civil Term t t I I I JURY TRIAL DEMANDED MARIO E, MARCHI and GAYLJ!: MARCHI, hi. wite, plaintitfs v, CAROL A, RABINOWITZ, ALLEN DALE HALL, and B, GREEN' COMPANY, INC. , 'LAINTxrrs' MOTIOH TO COMPIL DISCOVIRY or DlrlHDAKTS ALLeN DALe HALL AND 8, GReeH , COMPANY, INC. Plaintifts, by and through their attorneys. Angino , RQvner, p,C" respeottully move this Honorable Court to oompel Detendants Allen Dale Hall and B, Groen , company to tile full and oomplete responses to PlaintiffS' discovery requasts for the fOllowing reasons I 1. The instant action was commenoed by the tiling of a Complaint on July 12, 1995, 2, On September 12, 1995, oounsel for Detendants Allen Dale Hall and B, Green' company filed an Entry of Appearanoe, 3, On September 7, 1995, Plaintiffs forwarded to Defendant Allen Dale Hall Interrogatories, as well as a Request for produotion of Documents direoted to Defendants Allen Dale Hall and B, Green' Company, Ino, Copies of these disoovery requests are attached hereto ae Exhibits A and B, 8292!i/CLN , 4, On october 2, 199&, Defendant. Allen Dale Hall and B. Green . Co~pany responded to Plaintif~s' Request for production of Docu~ent. dated september 7, 199&, &, On september 12, 199a, Dofendant Allen Dale Hall and B. Green' Company filed an Answer with New Matter and cross-Claim. 6, on ootober 4, 199a, plaintl,ftB replied to Defendant. Allen Dale Hall and B. Green' company's New Matter. 7, on september la, 1995, Defendants Allen Dale Hall and B. Green . company forwardod to Plaintiffs Interrogatories and Requests for Production of Documents, 8. On September 27, 1995, PlaintiffS r.esponded to Defendants Allen Dale Hall and B, Green' company's Request for production of Documents, and on october 27, 1995, plaintiffs tiled Answers to Defendants Allen Dale lIall and B, Green . company's Interroqatories. 9, On september 27, 1995, plaintiffS forwarded to Defendant B. Green' company Interrogatori.es and a Request for production of Documents, Copies of these discovory requosts are attached a. Exhibit. c and 0, 10, To date, Defendant Allen Dale Hall has not responded to PlaintiffS' Interrogatories dated septsmber 7, 1995, and Defendant B, Green' company has not responded to PlaintiffS' Interrogatori" 2 and Reque.t for production of Dccuments dated september 27, 199~, and .aid re.pon.e. are overdue, 11. on october 19, 1995, counsel for Defendanta Allen Dale Hall and B, Green' company filed a Motion to compel Discovery of plaintitta, 12. By letter dated October 31, 1995, plaintitts' coun..l wrote to '{our lIonorabl.. court explaining the inaccuracies in Defendants' Motion and requested an Order oompolling Defendanta Allen Dale Holl and B. Green' company to respond to Plaintitfa' outatanding Interrogatories and Roqllest for Production of Doouments, A copy of this letter is attached hereto as Exhibit E, 13, Defendants Allen Dale Hall and B. Green' company have failed to comply with all the discovery requests as required by pa.R,C.P 4005 and 4006. 14, All of the discovery sought by plaintiffs through their Interrogatories and Requests for Production of Documents are relevant to the instant action. 1~, Defendants Allen Dale Hall and B. Green' company have had more than ample time to respond to Plaintiffs' Interrogatories, aa well aa PlaintiffS' Request for production of Doouments directed to Defendant B, Green' company dated september 27, 1995, 16, Our Rule. of civil procedure provide for the liberal granting of diacovery, 3 17, Pa.R.C,P, 4019 provides that upon motion of a party, the Court can make sn appropriate order when a party "faUs to lDake discovery," Pa,R,C,P 4019(a) (viii). 18, Plaintirfs, thersfon, believe that anllwerinq all of Plaintiffs' discovery requests would not burden or oppreDe Detendallts Allen Dale Hall and 8, Green & Company. 19, Plaintiffs are ropresented by Richard A, Sadlock, Esquire, of the firm of Anqino & Rovnor, P.c., 4503 North Front street, Harrisburq, PA 17110, (717) 23S-6791. 20. Defendants Allon Dale Hall and B. Grson & Company are repreeented by Thomas A. Whelihan, Esquire, of the firm Rohdo, Daly and CalDpbell, suite 620 - South Lobby, Walnut street at 7th street, Philadelphia, PA 19106, (215) 920-4556. WHEREFORE, Plaintiffs respectfully request that this Honorable Court order Defendants Allen Dale Hall and B. Green & Company to respond to Plaintiffs' 1nterroqatories and Plaintiffs' Request for Production of Documents Directed solely to B, Green & Company, 1nc, Plaintiffs further requost that should Defendants Allen Dale Hall and 8, Groen' Company fail to comply with the Court Order, then said Defendants should be prohibited from presentinq any testimony at the trial of this matter, precluded from enterinq defenses to .. plaintiffs, through thoir atlornoy, heroby propound the following InterroqatorieB to defundantn purlluant to l'ennsylvanill nule of Civil l'rocllduru 4006 to be Llnllwured within thirty (30) days from service thereof. 'rhullu Inturro'JlltoriuB ahall be duumlJd to be continuin'l Inturroyatoriull. If, bUtWlllJll thu timu of your IInawur to Illlid Inturrogntoriull nnd tho limu of thu trial of this callu you, or anyone actin~J on your behal f, IUiHl11l thu iduntity and whuruaboutll of any other wit.nuflllus 110t identifiud in your said answur/" or if you obtal.n or becolIlH ilWnrl! of ndditionnl ruquestud lnformation not supplied in your nnBwurll, you flhall promptly furnish thu flame to plnintiffll' attornuy by n supplumuntnl anllwer. For the purposus of thUBll Inturro'latnt'iua, "you or "your" rufurB to thu defend.!nts and their fUus IJnd 1111 othur perllons, ~~nt~ or repr-usentatives of thu du fundilnts and thuir filus. ou shall further includu all purBons nn whose buhalf defundants prosecuted this nction and all purs()tJs who will bllnut'it or be legally bound by thu rUllulta of this action. Your anSWllr to the Interroqatorioll shilll rufluct and conlnill thu knowludgll of all of the abovu persons. Referencell to plaintiff LInd/or du[undnnt shall bu interprutud aa l'Iingular or plural, dupl!nding UpOIl thu pllrticulnr circumstances of each case. The term "description" or "deBcrHHl" ,113 used hetllin shall melln that the defundants shall set forth the name and address of t.he author or originator, dates, title or subject matter, the present custodians of the original /lnd of any copies and the last known address of each custodian. "Document" shall mean any written, printed, typed or othur graphic m.lttur of any kind, whether handwritten, typed or printed, whuther distributud or undiatributed. It shall includu without limitation letters, memoranda, articles, stUdies, notebooks, diaries and notus, as well as all mechanical and electronic sound recordings or transcripts thereof in the posselHlion or control of the defendants or knmm by them to exist. It shall also mean all COpiell of documents by whatever means made. Answer each Interrogatory in the space following the Interrogatory. Supplemental sheets may be attached for answen; which require additional space. please take notice that you are required' to serve upon the undersigned your answers in writing within thirty (30) days pursuant to the Pennsylvania Rules of Civil procedure. These Interrogatoriel'l are deemud continuing and supplemental answers should seasonably be provided. i a:I PLEASE 'l'ME NOnCE that pursuant to PII.~.C.P. NOli. 4003.4 and 4009 and/or F.R.C.P. No. 34, plell/le furnish at our ellpensll, st our office, on or before thirty (30t days of service hereof, a photostatic copy or like reproduction of tho materials concerning thia action or its subject:. matter which are in your posseuion, custody or control and which are not protected by the attorney/client privilege, or, in the alternative, produce the said matter at said time to permit inspection and copying thereof. 1. Any and all documents referred tOt relating to, or pertaining to any answer to any Interrogatory. 2. Any aud all documents containing informat.ion relating to any answer to any Interrogatory. 3. Any and a 11 statements concerning this action or its subject matter obtained by you or anyone acting on your behalf. 4. Any IInd all investigation reports, ellcept those protected from diacovery, prepared by you or by anyone on your behalf in regard to the evaluation and litigation of tr.e instant action. 5. Any and all curriculum vitse for each and every person whom you expect to call as an expert witness at trial. 6. Any and all expert reports from each person whom you expect to call as an expert witness at trial. 7. Any and all writings, memoranda / reports, statements and recol'ds, etc., which you, your company and/or client possess concern- ing the case, investigation or review of the plaintitt and his case. B. copiu of all .tatements, memoranda, .ummaries of other writinqs, document., diaqrams and pictures obtained from your invu- tiqation, your insuranoe company's investiqation or your attorney's investigation into the incident involved. You need not supply any attorney'lI "work product" or other material which is IIpecHicaBy excepted as privileged by the above rule. 9. 1\11 documents in your possession, custody or control pre- pared in anticipation of litigation or trial of this CllSe, except those documents which disclose the mental imprellsions of your attorney or your attorney's conclusions, opinions, memorllnda, notes or sum- maries, legal research or legal theories, and except those documents prepared in anticipation of litigation by your representatives to the extent that they would disclose the representatives' mental impres- lion, conclusions, or opinions respecting the value or merit of the claim or defense. 10. To the extent that you have not already provided the same in response to previous requests herein, all stalements obtained from any witnesses or memoranda of conversations with witnesses or recordings of witnessu' statements made or obtained during the course of the investigation or matters relating to this law suit, and all such IItatements, memoranda, or records made by parties to this law suit or their reprellentatives. 11. To the extent not already provided in response to previous requcntl herein, all statements made by any party to this action, including written statements, signed or otherwise adopted or approved by the penon making it, or lItenoguphic, mechanical, eleotrical or other reoording or transoription thereof, which iI s lubstantially verbatim recital of an oral statement and contemporaneously recorded, as allowed by Pa.n.c.p. 4003.5 and/or F.R.C.P. No. 34. 12. To the extent that you have not already provided the same, copies of all records, documents and memoranda which have any bearing upon the matters alleged against the requesting party or upon the responsibility of the requesting party for the matters alleged against the requesting party. 13. To the extent not already provided, copies of all experts' reports made or secured by you in connection with your investigation of the matters relating to this law suit. 14. To the extent not already provided, copies of all exhibits whieh you int~nd to offer into evidence at the trial of this matter. 15. To the extent not already provided, all photographs, motion picturef, diagrams, maps, surveys, plans and models of the site of the incident and of the vehicles in question that are in your possession. 16. Copies of Declaration Sheets for each and every policy inauring you against the claims made in the instant action. 17. Any and all documents which evidence any facts on the basis of which you will assert a defense against the CBuee of action stated in the Complaint. Plaintiffs, throuqh their attorney, hereby propound the followin9 Interro'iJatories to defendants pursuant to Pennsylvania Rule of civil Procedure 4006 to be answered within thirty (30) days from service thereof. These Interroqatories shall be deemed to be conUnuinq Interroqator ies. If, between th", time of your answer to .aid I~terroqatories and the time or the trial of this case you, or anyone acting on your behalf, learns the identity and whereabouts of any other witnesses not identified in your said answers, or if you obtain or become aware of additional requested information not supplied in your answers, you shall promptly furnish the same to plaintiffs' attorney by a supplemental answer. For the purposes of these Interroqatories, "yOU or "vour" reters ~o the defendants and the ir f ilea and A.ll .Sl..th.g~ ~ons. soenta or relJresentatives of the defendants and their fUn. "You" shall further include all persons on whose behalt defendants prosecuted this action and all persons who will bene tit or be legally bound by the results of this action. Your answer to the Interroqatories shnll retlect and contain the knowledqe of all of the above persons. Referenoe to plaintiff and/or detendant shall be interpreted as sinqular or plural, dependinq upon the particular circumstances of each case. The term "description" or "descr ibe" an used herein shall mean that the detendants shall set torth the name and address ot the author or oriqinator, dates, title or subject matter, the present custodians ot the original and ot any copies and the last known address of each custodian. "Document" shall mean any written, printed, typed or other graphic matter of any kind, whether handwritten, typed or printed, whether distributed or undistributed. It shall include without limitation letters, memoranda, articles, studies, notebooks, diaries and notes, as well as all mechanical and electronic sound recordings or transcripts thereof in the possession or control of the defendants or known by them to exist. It shall also mean all copies of document by whatever means made. Answer each Interrogatory in the space fOllowing the Interrogatory. Supplemantsl sheets may be attached for answers which require additional space. Please take notice that you are required to serve upon the undersigned your answers in writing within thirty (30) days pureuant to the Pennsylvania Rules ot civil Procedure. These Interrogatories are deemed continuing and supplemental answers should seasonably be provided. 3, Lht the namell and eddreU811 or pereons known or believed by you, or any peraon aoting on your behelr, to have been within eight or hearing distance or the accident l:'81'ierred to in the complaint, and with regard to each person, statel (a) his or her exact location at the time ot the accident, (b) his or her activity at the time or the accident! and (0) whether he or she witnessed the accident. AlilnR " , i I :/. 9, Have you ever previoully be...n involVed in a laWluit arilinq out ot a lDotor vehich accident involvin'iJ one ot your 8lDployus7 It so, statel (a) the date and locatioll ot the actionl (b) the nature of the action, (c) the nalDe(s) and address(ee) ot the party(ies)1 (d) the disposition or the action, and (e) the nlllDe and address ot the attorney who repn..nted YOUI AIfI]J.IB , ..,.,.- 13. Are you or anyone acting on your b.half in possession of or know of the existlnce ot any photographs, blueprints, skltohes, drawings, diagrams, or plans of the instrumentalities, locality, equipment, tools or any other thing or matter involved in the incident in suit? If so statel (a) the nature of the documents, the name(s) and address(es) of the person(s) preparing SUch document, and the date ot its preparation! the name(s) and addreso(es) of the person(s) presently having possession or custody of each sUch document! the speoifio subject matter ot the document! the date it was made or taken! and (b) (0) (d) (e) what the dooument purports to show, illustrate or represent. ANSWER , , I /. ~ c:: HARIO E. HARCHI and GAYLE HARCHI, hi. wire, Plaintittls Defendants I In THE COURT OF COMMO~ PLEAS I cUMBERLANO COUNTY, PENNSYLVANIA I I CIVIL ACTION ~ LAW I I I NO. 95~3722 civil Te~ t I I I I JURY TRIAL DEMANDED v. CAROL A. RABINOWITZ, ALLEN DALE HALL, and ~. GREEN' COMPANY, INC. , PLAINTIrrS' REQUEST rOR PRODUCTION or DOCUMENTS DIRECTED TO DEPENDANT 8. GREEN' COMPANY. INC. PLEASE TAKE NOTICE that pursuant to Pa.R.c.p. Nos. 4003.4 and 4009, please furnish at our expense, at our office, on or before thirty (30) days of service hereof, a photostatic copy or like reproduction or the materials concerning this action or its subject matter which are in your possession, custody or control and which are not protected by the attorney/client priVilege, or, in the alternative, produce the said matter at said time to permit inspection and copying thereof. 1. Copies of all pay stubs for Allen Dale Hall from January 22, 1992 until January 22, 1994. 2. Copies of all letters, J,nter-otfice memoranda, etc., regarding the use of vehicles before, during, or after work hour. prepared by Defendant B. Green' Company, Inc., for the periOd January 22, 1992 until January 22/ 1994. 7719S/CLN 3. A copy ot the entire employment tile pertaLnLnq to Allen DIle Hill. 4. A copy ot any ard all tLme cards tor Allen Dale Hall tor the week ot the ac~ident January 16, 1994 through January 22, 1994. IS. A copy ot any and ell accident reports compJ.eted by Defendant Allen Dale Hall tor the aCQident referred to in Plaintiffa' Complaint. 6. A copy ot any and all accLdent reports completed by Defendant B. Green & Company, Inc., after the acoident referred to in Plaintiffs' Complaint. 7. For the period January 16, 1994 until January 22, 1994, please produce all vouchers or other records evidencing payment to Defendant Allen Dale Hall from Oefendant B. Green & Company Inc., as reimbursement for gasoline, tolls, vehicle repairs, parking, etc. 8. A copy of any and all log books, records, maintenance reports, eto. prepared by Allen Dale Hall for the period of January 16, 1994 to-~anvary 22, 1994. 9. Any and all copies of company manuals and/or brochures regarding when an employee is considered within the scope of employment. 10. A copy of any and all company regulations regarding hours of service, limits of hours per shift, and shift limitations. 11. A copy ot any and all company raqulations regarding satety regulations conoerninq the operation ot a vehicle betore, durinq or atter hours, and specifically atter an extended period of service. 12, Any and all documents referred to, relating to, or pertaininq to any answer to any Interrogatory. 13. Any and all documents containing information relatinq to any answer to any Interrogatory. 14. Any and all statements Cloncerninq this action or its subject matter obtained by .~u or anyone actinq on your behBlt. 15. Any and nil investigation reports, except those protected from discovery, prepared by you or by anyone on your behal t in regard to the evaluation and litigation ot the instant action. 16. Any and all curriculum vitae tor each and every person whom you expect to call as an expert witness at trial. 17. Any and all expert reports from each person whom you expect to call as an expert witneas at trial. 18. Any and all writings, memoranda, reports, statements and records, etc., which you, your company and/or client possess conoerninq the case, investigation or review ot the Plaintift and his case. 19. Copies ot all statements, memoranda, summaries of other writings, documents, diagrams and pictures obtained from your investigation, your insurance company's investigation or your I. , attornaY'1 investiqation into the inoident involved. You need not supply any attorney's "work produot" or other Material whioh is speoifically a~cepted as B privileged by the above rule. 20. All docUlllents in your possession, custody or control prepared in anticipation of litigation or trial ot this case, except those docUlllents which disclose the mental impressions ot your attorney or your attorney's conclusions, opinions, memoranda, notes or summaries, legal research or legal theories, and except those documents prepared in anticipation ot litigation by your representatives to the extent that they would disclose the representatives' mental impression, conclusions, or opinions respeoting the value or merit of the claim or defense. 21. '1'0 the extent that you have not already provided the same in response to previous requests her.ein, all stntements obtained trom any witnesses or memoranda of conversations with witnesses or recordings ot witnesses' statements made or obtained during the course of the investigation or matters relating to this law suit, and all such statements, memoranda, or records made by parties to this law suit or their representatives. 22. To the extent not already provided, oopies ot all experts' reports made or secured by you in connection with your investigation ot the matters relating to this law suit. I m IOUi'll M. MIlJU.O !1>> V 1 H'l'MAIl OAVID~Wrz MICI\AIl.' KOIIK ,oIMJU o. IHIIMAIl CAl1WU/IJ M MAlWlNMml 1IlC1lAAD" 1/'oIll.oclt OAVID I. .....I/UKl ANGlNO & ROVNER, p, C, UITlllIII mE 8F.ST LAWYERS -111- ,l.M]:lJCA IIlClWJl C oV'OIl/O IIlIL I. .0Yl/lA ootober 31, 1995 IIUOI.I C 01.1011 MltlWI. I IIAymKv .01111 I MAn.w.A '-">>IIICI'. SAlOIII OAWH l. /JI/IIlI/OI 11VHIJj ,. ~IJIj IOLOMOII ~ IWYIKV 1011ll'H M llOWI The Honorable Revin A. Hess Cumbarland county courthouse Ona courthouse square carlisle, PA 17013 REI Marchi v. Carol A. Rabinowitz, Allen Dale Hall and B. Green & Comoanv. No. 95-3722 Civil Term Dear Judqe HeSSI Recentlf' counsel for Defendants B. Green & company and Allen Dale Hall f led a Motion to compel discovery responses in the above-captioned action. On October 23, 1995 you issued an Order giving Plaintiffs 30 days to provide answers to Defendants' discov~ry. Please be advised counsel inaccurately reported that Plaintiffs had not responded to his Request for Production. Plaintiffs filed a response to Defendants' Request for Production on September 27, 1995. Additionally, in compliance with your order, PlaintiHs provided Mr. Whel1han with Answ8l:s to Defendants' Interrogatories on october 27, 1995. In the Motion to compel, Mr. Whelihan also failed to report that he had not yet answered W sets of PlaintiHs' Interrogatories. Interrogatories addressed to Defendant Hall were served on septelllber 7, 1995 and Interrogatories addressed to B. Green & compa~y were served on September 27, 1995. PlaintiHs respectfully request an Order compelling Defendants to answer all outstanding Interrogatories. Thank you for your attention to this matter. Ver RAS/mlm ~ CCI James G. Nealon, III, Esquire Thomas A. Whelihan, Esquire 0&03 NO~TH FRONT ST~EET. HA~~ISBU~G. PA ",,0..70S (717) US.S71' ,? FAA (7'7)2310&1'0 ~,' ''ll ' ~:... ." !>o ,11 . 'i;J- 1'1; If'} ,..; ......... k' l~~~ ~. ~ I . ... ~~'I~ I.,)l I ,:} t"; I..:, , ILl! Ii. I i hi. , I ' l~" I 1(,:1 l'J' .J j'l I LI.I'I I"~ '4 I ~ ' , f/" I, 'r! '1 / '\ ~, '" ( J ~ ~... . ...... .. is I., ...... ;;i! .. 0: , :.1~ <( V) o~ V) r;:j :r. It t? ~;>:! '" ...... ~~ .. ~ Ulo "-~ -J [- ffi >- "" dl; ;z~ ::r. ... ...... .ot::u 1"- L'5 (1' :'i a ."" 1- ~ 8 ,:Jrl-GJ P o. I::!"" 0 >- II 7. ;?-~ ~""-J~ <( ......'" a~ --J...... :Jr'!) ~. . "-~ ~ ...... 00: 1-0 o I...... ::c W!c.D au ~"il o <.., u ". :Eo</) I- U ;z Cl 0: m . ...... ~ ~~8~;;i! ;; <(al . 0 t 0: VI o 1-" . ,~ 1-1- L.) -.( U rY}..... .", ,~ I ~. ~o!""I),r= "'''- """" ~ ...... ~ .. J: "'-J'" 0:>< . -J , ~...... >- ,~ ::- O-J . ~ -> , , '" V) o:~u <( "" ......og ;;:;: <5 e; -, -UU;;eM "- , I" .. . "'.' .. . ". ., '~" ~. ." n.,', ," fI". ,1,"",-, " ,',t",-. -,':,1IU,. 11_ -~ (0 : ilL ~ Dofendants I IN THE COURT OF COMMON PLEAS I CUMBERLAND COUN'l'Y, PENNSYLVANIA I I 1 I I 1 1 I I 1 CIVIL ACTION - LAW HARIa E. MARCHI and GAYLE MARCHI, his wife, plaintiffS v. NO. 'l'i J,.)) e....,. I..... CAROL A. RABINOWITZ, ALLEN DALE HALL, and B. onEEN & COMPANY, INC. , JURY TRIAL DEMANDED !:.ONPLAIlL'l 1. Plaintiffs Mario E. Marchi and Gayle Marchi are husband and wife, adult individuals, who roside at 109 south 2nd street Dillsburg, York county, Pennsylvania. 2. Defendant Carol A. nabinowiti/: is an adult individual, who resides at 1007 Annapolis Road, P.O. Box 127, Gambrills, Maryland 21054. 3. Defendant Allen Dale Hall is an adult individual, who resides at 7968 Kavanagh Road, Baltimore, Maryland 21222. 4. Defendant B. Green & company, Inc. is a Maryland corporation licensed to do business in the Commonwealth of Pennsylvania. Defendant B. Groen & company, Ino. maintains a business address of 10075 Red Run Road, suite 575, owings MillS, Maryland 21117. 5. The facts and occurrenoes hereinafter related took place on or about January 22, 1994, at approximately 1140 p.m., on SR 83 northbound, Lower Allen Township, Cumberland County, Pennsylvania. 69335/CLN 6. At that time and place, Plaintiff H~rio E. Harohi wa. operatin9 a 1992 Chevrolet Tracker and was travelling north in tho right lane of BR 83, Lower Allen 'l'ownship, Cumberland county, Pennsy I van ill . 7. At that time and plllce, Defendant Carol A. Rabinowitz was operating a 1987 Niesan PUlsar and was travellil1g north in the right lane of IlR 83, Lower Allen 'rownship, Cumberland county, Pennsylvania. 8. At that time and place, Defendant Carol A. nabinowitz was operating her vehicle in traffic bohind the vehicle being operated by Plaintiff Mario E. Marchi. 9. At that time and place, Defendant Allen Dale Hall was operating a 1986 Hack truck owned by Defendant B. Green & Company, Inc., and was travelling north in the left lane of SR 83, Lower Allen Township, Cumber.land County, Pennsylvania. 10. At that time and place, Defendant Allen Dale Hall operated the 1986 Hack truck in the course and scope of his employment with Defendant B. Green & Company, Inc. 11. At that time and place, Defendant Carol A. Rabinowitz operated her vehicle at a high rate of speed and suddenly pulled into the left lane of northbound SR 83, directly in the path of Defendant Allen Dale Hall. 2 12. T\t that time and plaoe, a violent collision oocurred between Detendant nabinowitz's vehiole and the 1986 Maok truok being operated by Defendant Allen Dale Hall, in the course and scope of his employment with Defendant B. Green & company, Ino. 13. Because of the violent impact, the vehiclos being driven by Defendant carol A. Rabinowitz and Defendant Allen Dale Hall spun and traveled out of control. 14. At that time and place, the front portion of Defendant Hall's vehicle strUck the left side of Plaintiff Mario E. Marchi's vehiole. OOUNT I Mario E. ~rohi and Gavle Marchi v. Carol A. Rabinowitz 15. Paragraphs 1 through 14 of Plaintiffs' Complaint are inoorporated herein by reference. 16. The aforementioned accident and all of the injuries and damages set forth hereinafter sustained by Plaintiffs Mario E. Marchi and Gayle Marchi are the direct and proximate result of the negligent, careless, wanton, and reckless manner in which Defendant Carol A. Rabinowitz operated her motor vehicle as follows! (a) failure to have her motor vehicle under such control as to be able to stop within the assured cle~r distance ahead; (b) failure to apply her brakes in sufficient time to avoid the accident; 3 (a) (d) (e) (f) (II) (h) failure to keep a proper watoh for traffio on the hillhwaYI failure to drive her vehiole with due re'ilard for the highway and tratfio conditions whioh were existing and of which she was or should have been aware I failure to keep proper and adequate oontrol over her vehiclel failure to keep alert and maintain a proper watoh for the presence ot other motor vehicles on the highwaYI failure to stay within her lane ot travell ohanging lanes without making reasonably sura it was safe to do SOl (i) failure to use proper signalling when changinq lanes of travell and (j) driving her vehiole upon the highway in a manner endangering persons and property and in a reckless manner with careless disregard to the rights and safety of others and in violation of the Motor Vehicle Code or the Commonwealth of Pennsylvania. COUNT II Mario E. Marohi and Gayle Marohi v. Allen Dale Hall 17. Paragraphs 1 through 18 of Plaintiffs' complaint are incorporated herein by reference. 18. The aforementioned accident and all of the injuri~s and damages set forth hereinafter sustained by Plaintiffs Mario E. Marchi and Gayle Marchi are the direct and proximate result of the nellligent, careless, wanton, and reckless manner in which Defendant 4 20. The aforementioned aooident and all of the injurie. and damaqe. .et forth hereinafter l!Iushined by Plaintiffs Mario E. Marohi and Gayle Maroh! are the direot and proximate rel!lult of tho neqligent, oareless, wanton, lInd reoklesl!I manner in whioh Defendant B. Green & company employed Defendant Allen Dale Hall and e~trusted Defendant Hall with the 1986 Mack truok as followsr (a) "ing and retaining a driver whom it was aware or ~...)uld have been aware was not competent and qualified to operate a tractor~trailer on the publio highways and who did not exercise the inoreased care and precautions necessary with a traotor-trailer, (b) failing to properly train and instruct its driver in the proper manner of operating ita traotor- trailer, (0) permitting Defendant Hall to operate its truck although he knew or I!Ihould have known that Mr. Hall did not have any training, experience and jUdgment to adequately control and operate it, (d) hiring, instructing and retaining its operator and maintaining ita truck in a manner which endangera persona and property without due regard for the righta and safety of others on the highway and in violation of the Pennsylvania Motor Vehiole Code, (e) permitting Defendant Hall to operate the tractor- trailer although it knew or should have known that he was careless or reckless in the operation of trucks or other motor vehiclea, and (f) failing to properly teat, train and supervise the operation of ita vehicle in accordance with the duty a oommeroial vehicle owes to the safety of other motorista on the highway. Ii eL1IN I Mario E. Marohi v. Carol A. Rabinowitz, ~llen Dale HalA-and B. Green & como~ny. Ino. 21. Paragraphs 1 though 20 of Plaintiffs' complaint are inoorporated herein by reference. 22. Plaintiff Hario E. Marchi sustained painful and severe injuries which include but are not limited to cervical strain, a bulging diso at C6-7 with radiculopathy. 23. By reason of the atoresaid injuries sustained by Plaintiff Mario E. Marchi he was forced to incur liability for medical treatment, medications, hospitalizations and similar miscellaneous expenses in an effort to restore himself to health, and claim is made therefor. 24. Because of the nature of his injuries, Plaintiff Mario E. Marchi has been advised and, therefore, avers that he may be forced to incur similar expenses in the future, and claim is made therefor. 25. As a result of the aforementioned injuries, Plaintiff Mario E. Marohi has undorgone and in the future will undergo great physical and mental pain and SUffering, great inconvenience in carrying out his daily activities, loss of life'S pleasures and enjoyment, and claim is made therefor. 7 26. All a result ot ehe atorementioned injuries, plaintiff Mario E. Marchi has sustained work loss, loss ot opportunity, and a permanent diminution of his earning power and capacity, and claim i. made therefor. 27. As a result of the afcresaid injuries, Plaintiff Mario E. Marchi has sustained uncompensated work loss, and claim is made therefor. 28. As a result of the aforesaid injuries, Plaintiff Mario E. Marchi has been and in the future will be subject to great humiliation and embarrassment, and claim is made therefor. 29. plaintiff Mario E. MArchi con+:.inues to be plagued by persistent pain and limitation and, therefore, avers that his injuries may be of a permanent nature, causing residual problems for the remainder of his lifetime, and claim is made therefor. CLAIM II Gayle Marchi v. Carol A. Rabinowitz Allen Dale Hall and B. Green & com~anv. Inc. 30. Paragraphs 1 through 29 of Plaintiffs' Complaint are incorporated herein by reference. 31. As a result of the aforementioned injuries sustained by her husband, plaintiff Mario E. Marchi, Plaintiff Gayle Marchi has been and may in the future be deprived of the care, companionship, 8 I N THE COlmTll"r-Cffiillil1lff1TIAS CUMCERLAND COUNTY. PENNSYLVANIA CIVIL ACTION - LAW NO. JURY TRIAL DEMANDED ( (1 MARIO E. MARCltl AND GAYLE MAIlCllI, HIS WIFE, JUl 12 2 30 ra '95 'I Plaint! ffs '1111:1 1'''' 1\1.) lilY ,i_ ,\ ,i.' v. Defendants 1 " " fll f . th"l,Ll 1- d_ U (j. ....- L/,j Sly , ;1 CAROL A. IlADINOWITZ, ALLEN DALE HALL, and D. GREEN & COMPANY, INC. I ),1'1 'J I I I CO~'PLA I NT (Il fl { f'.cl' ( J; ) /.'.J I{)~ ). 7 ~-t(r;. I' J' (t H " f ?)~ I II, 1 1 i-,J:Ll ,'i' lir'i 1\' I"! ,I " 1 ; ;j ,; i' I, '1'1 LAW OFFICES AN GINO .. ROVNER. P.C, 4503 NORTH FRONT STREET IIARRISBURG, PENNA, 11110 '\J I, , , 17171238.6781 I' Li , I I .. I "" i , I .' I I 0', ,1_ '~ '" I , ,/ " , : I , " ""I' " \ " t(., "I I ',' ,I, '1: 1"';'1 ,I " ,..1 'I' " '1" I, " I' NEALO.... IS. GOVER A ~"Ii'U'ION"L COl'lfl'O".,nON ATTORNEYS AT LAW 'l', 30 I M.....KIET .'M&ET - I)TH ,~oo.. ",0, .0)( 8811 H.......I..U..O, "&HN.Y~VANI" 171011-01186 " I '.1 1.1." , ',' " ;\r II - CAL.DWEL.L. 6. KEARNS A "ftOH."ONA,L CQ"",OftUIO,.. ATTORNI:YS AT LAW -- 31531 NORHi ,RONT EiTREET HARRISBURG. PINNSYLVANIA 17110 ,lUG ,/ ') ~/j rn '95 '" '/j,1 , 1://1 ". , 1'1; , , , . 1:1 " 'Ii I I , " " ;f ','I " '! , I;' , I 'I' " 01 taW.MATTEB...PU~5UA~T TO PA.B&",P. 2~5alcjl Ql.BECTED TO DEFENDANTS. ALLEN DAI&J:IAJJ. ~JiOMPANY. 'N~, 20, The factual averments contained In the Plaintiffs Complaint are Incorporated herein by reference as If fully set forth at length without admission or adoption solely for the purposes of this cross-claim. 21, The liability on the part of Defendant Rabinowitz 15 specifically denied, 22, If the averments contained In the Plaintiffs Complaint are established, said averments being specifically denied as they relate to Defendant Rabinowitz, then the Injuries and damagos complained of were caused In whole, or In part, by Defendants, Allen Dale Hall and 8, Green & Company, Inc, 23, This cross-claim Is filed to protect the right of Defendant Rabinowitz to contribution and/or Indemnity In the event that It Is Judicially determined that Defendant Rabinowitz Is Jointly or severally liable to Plaintiff, the axlstence of any liability on the part of Defendant Rabinowitz Is expressly denied, WHEREFORE, Defendant, Carol A Rabinowitz, respectfully requests this Honorable Court to dismiss Plaintiffs Complaint and enter Judgment In her favor, In the alternative, If It Is dptermlned that Plaintiff Is entitled to recover against Dafendant Rabinowitz, then said Defendant demands a judgment therefor be entered against Defendants Hall and B, Green & Company, In the further alternative, If It Is determined that Plaintiff Is entitled to recover against D6fendant Rabinowitz, which Is specifically denied, then said Defendant requests that judgment ba entered against Defendants, Hall tA . ..~ ti.: "I ,- 'I ''''-' '- Jh 0 III E z , ,- 0( ~ ... IX . it ... i ~ . 0( . ~ . oJ I- 0 ~ x: . l- I- . 0( . 0 LC5 u EI 0 , . ~ ..J . " , l ..J 0 z . ~ ,;, Il . ci . 0 0 " Il 9 " ~ I :J 0 [ 0( " III '" l'J ~. ... Il Il 0( J: 1;1 104.101 "".. JOUhl' ',nll"'" t,u. DIrt","" OO~'IoWn1 ~"'a'll.n~ a b.U.f as to the truth of the avermenh contllined in thi. Paragraph of the Complaint, which are therefore denied. 2. Denied. The allegations of thill Paragraph of the COil' "...aint are not directed to Anllwer 11,'1 Defendants, which are therefore advJ.sed that no Answer is required under the psnnsylvania RUles of civil Prccedure. 3 - 4. Admitted. 5. Denied. The answer to Paragraph 1 is incorporated by reference. 6. Penied. I:eforence. 7. Denied. reference. S. Denied. reference. The anawer to Paragraph 1 i. incorporated by 'rhe answer to Paragraph 2 is inoorporated by The answer to Paraqraph 2 i. incorporated by 9- 10. Admitted. 11. Denied. The answer to Paragraph 2 i. incorporated by referenoe. 12 - 14. Denied. The answers to paragraphs 1 and 2 are incorporated by reference. COt1H'l' I KARIO I. MARCHI-&ND OAYLI MAROHI V. CAROL A. RADIHOWITZ 15. Answering Defendants hereby incorporate by reference all of their answers to the prior Paragraph... of the Plaintltta' Complaint as though said answers were Bet forth fully hers at length. - 2 - 16. Denied. The answer to Paragraph :l ill incorporated by reference. 01.1'0.1, Answering Defendants, Allen Dala Hsll and B. Green , Company, Inc., demand judqment in their favor. gQVJILll 17. Answering Defendants hereby incorporate by reference all of their answers to the prior Paragraphs of the plaintiffs' complaint all thou'ilh said anllwers were eet forth fully here at lenqth. lB. Denied, Tha allegations of this Paragraph of the complaint assert conclusions of law which are denied without further answe~ under the Pennsylvania Rules of civil Procedure. By way of further response, to the extent one may be deemed necessary, aV. allegations of negligenoe, carelessness, wantollrless and/or reckl~..nes. of Answering Defendante are epecifically denied. on the contrary, Answerinq Defendants, at all pertinent times, acted with due care and it is specifically denied that any causal relationship exists between any conduct by or for which Answering Defendants are responsible and the incident, injuries and/or damages alleqed by the Plaintiffs. DlalrORI, Answoring Defendants, Allen Dale Hall and B. Green & Company, Inc., dema~d judgment in their favor. COONT III MARIO I. MARCHI AND GAYLI MARCHI V. B. GRIIN , cOMPANY. INC. 19. Answering Dofendants hereby incorporate by reference ell of their answers to thF prior Paragraphs of the plaintiff.' - 3 - COlllplaint as though said answerll were set torth fully here at length. 20. Denied. 'I'he allegations of this Paragraph of the complaint assert conclusionB of law which are denied without further answer under the Pennsylvania Rules of civil procedure. BY way of further response, to the extent one may be deemlld necessary, all allegations of negl igence, carelessness, wantonness and/or recklessness of AnswQring Defendants are specifically denied. on the contrary, Answer.ing Detendants, at all pertinent time., acted with due care and it is specifically denied that any causal re~ 1It.i.onship exists between Ilny conduot by or for which Answering Defendants are responsible and the incident, injuries and/or damages allQgod by the plaintiffs. WBIIBrOR!, Answering Dofendants, Allen Dale Hall and B. Green , company, Inc., demand judgment in their favor. CLroIK I 21. Answering Defendants hereby incorporate by referenc~ all of eheir answers to the prior paragraphs of the plaintiffS' complaint as though said answers were set forth fully here at length. 22 _ 29. Denied. The answer to paragraph 1 is incorporated by referenoe. WHIRlrORl, Answering Defendants, Allen Dale Hall and B. Green , company, Inc., demand judgment in thair favor. CLroIK 11 OroYL. Kr.RCHI V. CAROL ro. RABINOWITZ roLLI" D~I HALL AND B. ORIIN , COKP~ INC. - 4 - 30. Answerinq Defendants hereby incorporate by reference all of their answsrs to the pr ior Paraqraphs of the Plaintiff. I complaint as though said answera were set forth fully here at lenqth. 31. Denied. The answer to Paragraph 1 is incorporated by referenCe. WHIRIJ'ORI, Answering Defendants, Allen Dale lIall and B. Green , company, Inc., demand judgment in their favor. itS MATTIR Answering Defendants, Allen Dale lIall and B. Green' company, Inc., assert the following as New Matter against the Plaintiffs, Mar~o E. Marchi and Gayle MarGhi. 32. The Plaintiffs may have failed to state a cause of action upon which relief can be granted. 33. The applicable statute of Limitations may have ftxpired prior to the institution of this action. 34. Answering Defendants were not negligent. 35. Any acts or omissions of Answering Defendanes alleged to constitute negligence were not substantial causes or factors of the subject incident and/or did not result in the injuries and/or losses alleged by the Plaintiffs. 36. Answering Defendants neither owed nor breached any duty owed to the Plaintiffs. 37. The incident ond/or damages described in Plaintiffs I complaint may have been caused or contributed to by the plaintiffs. 38. The negligent acts or omissions of other individuals and/or entities may have constituted intervening, super..ding - 5 - cause. of tho damages and/or injuries alleged to have been .u.tained by the plaintiffs. 39. The plaintiffs may have assumed the risk. 40. The plaintiffs may have heen contributorily negligent. 41. The incident, injuries and/or damages alleged to have been sustained by the Plaintiffs were not proximately caused by Answering Defendants. 42. plaintiffs' claims are barred by the doctdne of RIA Judicata and/or. Collateral Estoppel. 43. plaintiffs may have entered into a release with other persons and/or entities which precludes their claims against Answering Defendants in the instant matter. 44. The negligence of the Plaintl,ffs exceeded the alleged negligonce of Answering Defllndantfl and plaintiffs are therefore barred from recovery pursuant to the Pennsylvania comparative Negligence Act. 45. Pennsylvania Rule of civil Procedure 238 is unconstitutional on its face and as applied in this case. 46. PlaintiffS' claims are barred and/or limited by the applicable provisions of the pennsylvania Motor Vehicle Financial Responsibility Law. 47. Answering Defendants hereby give notice that they intend to rely upon such other and further affirmative defenses as amy be oome available or apparent during dlScovery proceedings in this action and further asserts and/or reeerves the right to assert such affirmative defenses as well as any affirmative defenses that have - 6 - besn or may be asserted by any cO-defendants to thi. aotion which are or may be incorporated by reference. WHIRI'ORI, Answering Defendants, Allen Dale Hall and B. ar..n , Company, Inc., demand judgment l.n their favor. HIW MATTIR CROB80LAIM AGAIN8T DI'INDANT, OAROL A. RADIHOWITI, PURBUANT TO 'a.R.civ.p. aasa CD) JURY TRIAL DIHAIDJD Defendants, Allen Dale Hall and B. Green & Company, Inc. (hereinafter refer rod to as "Defendants"), bring the followin9 New Matter in the nature of a Crossclaim against Defendant, Carol A. Rabinowitz (hereinafter referred to as "Rabinowitz"), pursuant to Pa.R.civ.p. 2252 (d), and Defendants aver upon information and belief in support of same as follcwsl 48. Defendants incorporate by reference herein all of the juriSdictional averments contained in the Plaintiffs' Complaint as said averments relate to the Rabinowitz and Defendants re-allege said averments as if the same were completely set forth herein at length. 49. If the averments contained in the Plaintiffs' Complaint are established, said averments being specifically denied in the t irst instance as they relate to Defendants, then the alleged damages/ injuries and/or claims of the Plaintiffs were caused in whole, or in part, by the careless, negligence, breach of obligation and/or liability-producing conduct of Rabinowitz, her agents, servants, employees and/or representatives acting in the course and scope at their employment with or for Rabinowitz and such conduct included, but was not limited to, those matters set - 7 - torth end stated by the Plaintiffs in Paragraph 16 of the Plaintifts' Complaint. 50. on or before January 22, 1994, Rabinowitz knew or should have kn.:lwn of the existence of the condit,ions and/or potential hazarde which eKisted at the location referred to in the Plaintiffs' complaint and knew or should have known of the proper and safe manner for avoiding ouch conditions and/or potential hazards. 51. If the averments contained in the Plaintiffs' complaint as Dame may relate to Defendants are established, said averment. being specificallY denied in the first instance, then the incident referred to in the Plaintiffs' complaint and the alleged injuries and/or damages to the Plaintiffs were caused, in whole or in part, by the carelessness, negligence, recklessness, and/or acts or omissions of Rabinowitz, her agents, servants, employees and/or representatives acting in the course and scope of their employment with or for Rabinowitz. 52. A~ a result of the carelessness, negligence, recklessness, and/or other acts or omissions on the part of Rabinowitz, she is Bolely liable for the injuries and/or damages alleged in the Plaintiffs' complaint, or, if Defendants are found liable at the trial of this matter, said liability being eKpressly denied in the first instance, then Rabinowitz is jointly liable with Def~ndants for any said liability and/or Rabinowitz should be held liable over to Defendants on the basis of contr.ibution and/or indemnification. - 8 - WHIRBrORI, Defendants, Allen Dale Hall and B. Green. company, Inc., demand judgment in their favor and against Rabinowitl on the basis that ehe is solely liable for all of the claims, demands, and/or injuries involved in this matter, or, in the event that D.fendant. are held liable for any olaim. in this matter that Rabinowitz be held jointly and severally liable with Defendants, the existenoe of any liability on the part of Defendants beinq specifically denied in the first instance, or, it Defendants are oeld liable for any claims in thJ,s matter, that Rabinowitrz be liable over to Defendants on the basis of contribution and/or indemnification with regard to any and all such liability, and Defendant. further demand judgment in their favor and against Rabinowitz for all reasonable costs, expenses, and counsel fees involved in the investigation and defense of this matter as well as such other relief aa this Honorable Court deems just and proper under the circumstancos. lORDI, DALY , cl\KPBILL BYe .."'. iLl\/L TH MAS A. WHELIHAN, ESQUIRE Attorney for Defendants, B. Oreen , company, Inc., and Allen Dale HaU DATEe September 12, 1995 1IW'f~MloI_hl,.. - 91 - ~ ...... ',J - '" ~ ," if I '-",) " ! ~ ~ i' ~ " Defendants I IN THE COURT OF COMMON PLEAS I CUMIUlRLAND COUNTY, PENNSYLVANIA I I CIVIL ACTION - LAW I I I NO. 95-3722 civil Term I r I I I JURY TRIAL DEMANDED KARIO E. MARCHI and GAYLE KARCHI, hi. wif., plaintiffs v. CAROL A. RABINOWITZ, ALLEN DALE I~LL, and B. GREEN' COMPANY, INC. , PLAINTIl'B' RIPLY TO NeW MATTIR 0' DlrlNDANTS ALLeN DALI HALL AND D. GRIBN , COMPANY AND NOW come the Plaintiffs, by and through their attorney., An9ino , Rovner, P.C., and hereby enter the following Reply to the New Matter of Defendants Allen Dale Hall and B. Green & company as follows I 32. Answerin9 Defendants' averment is a conclusion of law to which no responsive pleading is required. To the extent the averment may be deemed factual, it is hereby specifically denied. By way of amplification, Plaintiffs' Complaint does state a cause of action upon which relief may be granted. 33. Answering Defendants' averment is a conclusion of law to which no responsive pleading is required. To the extent the averment may be deemed factual, it is hereby specifically denied. By way of amplification, Plaintiffs' Complaint was tiled w811 within the applicable statute of limitations. 76445/KLM 34. ~nswerin9 Oetendants' averment is a conolusion at law to wnicn no responsive pleading is required. To the elCtent the aver=ent =ay be deemed tactual, it is horeby specifioally denied. By way of amplification, the instant Defendants, as well all Defendant Carol A. Rabinowitz were negligent, careless, reckless, and wanton in causing the accident referred to in Plaintiffs' complaint. Plaintiffs incorporate their Complaint herein by roterence. 35. Answering Defenda,.~. ' averment is a conclusion at law to which no responsive pleading is required. To the extent the aver=ent =ay be deemed factual, it is hereby specitically denied. By way of amplification, the acts and omissions of the instant Detendants were negligent, careless, reckless, and wanton and were substantial causes and factors of the accident referred to in Plaintiffs' Complaint and did result in injuries and losses sUDtained by ~hQ Plaintiffs. 36. Answering Defendants' averment is a conclusion of law to which no responsive pleading is required. To the extent the aver=ent =ay be deemed factual, it is hereby specifically denied. By way ot amplification, tho instant Defendants owed and breached their duty to the Plaintiffs. Plaintiffs incorporate their complaint herein by reterence. 2 37. An.werin~ Defendants' averment i. a conclusion ot law to which no responsive pleading is required. To the extent the averment may be deemed factual, it is hereby specifically denied. By way of amplification, Plaintiffs were not negligent in any way. Theretore, Plaintiffs did not cause or contribute to the incident cr their injuries. Further, all of Plaintiffs' injuries and damages are recoverable in the instant action and are in no way reduced. 38. Answering Defendants' averment is a conclusion of law to which no responsive pleading is required. To the extent the averment may be deemed factual, it is hereby specifically denied. By way of amplification, Defendants' averment lacks the speciticity required by the Pennsylvania Rules of civil Procedure. Further, all of Plaintiffe' injuries and damages were caused solely and directly as a result of the negligence, carelessness, wantonness and recklessness of the Defendants herein. 39. Answering Defendants' averment is a conclusion of law to which no responsive pleading is required. To the extent the aver~ent may be deemed factual, it is hereby specifically denied. By way of amplification, plaintiff Mario E. Marchi did not assume the risk of his injuries. Further, as previously stated herein, Plaintiffs were not negligent or careless. All of Plaintiffs' injuries and damages are recoverable in the instant action. 3 40. Anlwerinq OerendantB' averment il a ccnclusion ot law to which no responsive pleadinq is required. To the extent the averment may be deemed factual, it is hereby specifically denied. By way of amplification, Plaintiffs were not negligent in any way. Therefore, Plaintiffs did not cause or contribute to the incident or their injuries. Further, all of Plaintiffs' injuries and damaqes are recoverable in the instant action and are in no way reduced. 41. Answering Defendants' averment is a conclusion of law to which no respcnsive plellding is required. To the extent the averment may be deemed factual, it is hereby specifically denied. By way of amplification, the incident, injuries, and damaqes sustained by the Plaintiffs were proximately caused by the instant Defendants, as well as Defendant Carol A. Rabinowitz. Plaintiffs incorporate their complaint herein by reference. 42. Answering Defendants' averment is a conclusion of law to which no responsive pleading is required. To the extent the averment may be deemed factual, it is hereby specifically denied. By way of amplification, the Doctrines of Res Judicat.a and/or Collateral Estoppel do not apply in any way to the instant aotion. 43. Answerinq Defendants' averment is a conclusion ot law to which no responsive pleading is required. To the extent the aver~ent may be deemed factual, it is hereby specifically denied. 4 By way ot amplification, Plaintiffs have not entered into eny release with allY other person and/or entity. All of Plaintiffs' damages are recoverable in the instant action. 44. Answering Defendants' averment is a conclusion of law to which no responsive pleading is required. '1'0 the extent tho averment may be deemed factual, it is hereby specifically denied. By way of amplification, as previously indicated herein, Plaintiffs were not negligent in any way. Therefore, the Pennsylvania comparative Negligence Act does not apply to the instant action. Further, all of Plaintiffs' injuries and damages are recoverable in the instant action and are in no way reduced. 45. Answering Defendants' averment is a conclusion of law to which no responrlive pleading is required. To the extent the averment may be deemed factual, it is hereby specifically denied. By way of amplification, Pennsylvania Rule of Civil Procedure 238 is constitutional on its face and as applied in this case. 46. Answering Defendants' averment is a conclusion ot law to which no responsive pleading is required. To the extent the averment may be deemed factual, it is hereby specifically denied. By way of amplification, all of Plaintiffo' injuries and damages are recoverable in the instant action. The Pennsylvania Motor Vehicle Financial Responsibility Law in no way limits the damages Plaintiffs may recover herein. 5 .. Pefondants I IN THE COURT OF COMMON PLEAS I CUHBEIlLAND COUNTY, PENNSYLVl\NII' I I CIVIL ACTION - LAW I I I NO. 95-3722 civil Term I I I I I JURY TRIAL DEMANDED MARIO E. MARCIII and GAYLE MARCHI, his wife, plaintiffs v. CAROL A. RABINOWITZ, ALLEN DALE HALL, and B. GREEN & COMPANY, INc. , P R ~ B Q I..L.I TO THE PROTHONOTARY I please substitute the attached Verification for the Attorney Affidavit originally filed with Plaintiffs' Reply to New Matter of Defendants Allon Dale Hall and B. Green & company, Inc. Rospectfully submitted, ANGI~~ ~ROVN~_~ ~'- .---/--:.,.- / ' /' ,,/ ",,/"'--- /' .~._.,.--. ...---.---- /' /" c A. Sa / 1.0 No. 47281 45 3 North Fxon street Ha ~,iabur~-'PA 17110 (717) 238-6791 counsel for plaintiffs re Datel October 11, 1995 59447/MLH i!p;t'~riJ,-i. 1<'\)1/\1':\'; ;~"_ i lr,i..,.;i;....,.'.'.' " ,,},I' c'" ,I,' f;':-'.If! r'ii' , iLt:.I':" ,.I.J'III ;~-_i,il-_IJr,! 'l~lli'UI ~II" " 'U'i~;I:'h) I ~r;I~I;J\I\r 'ii < I'd! .1 - "i\i;/"I{rl J ;1 %!;'I:jt1~I:;I;"':''-''i ,j -?i\lr"l.ft>t,';f,:J,,(I,,;- tl\:;: '<,I',.',. " 'K;-\',', ' 10', ") I'- , h.'!!:i' 'T.t",1 I' iJi\-':ii!'i. '-, I'II;/. I," d ;,""/',', ',.-,":,'rd ."J;..,." 'IIJ .," 1,1' i.'..:.}',i,;) ,,- ',',111 t.,'-). 'j I i '1'1 l. " ,I I. , Ii, " " I ", I 1,/ i,1. , '! " . \1 , . , ,II' , \1, " " , " :1'. " " L ,I, 'lilLi,", IhU " I 'I , " I'); ", " f', UIN 0lIl'1CIIe ~ ' I !I , ~QIHO "/IOVNIIl, ~C. " '1~!' ! ~ \1, t 4101 NQlm!I'IlCIHT .TW1 , "NII"--' ~, 1~IID " ; , I :f , I' .' .' .It " , , , . ", I,,! " , ,I' , , , . iI il " , ',' ," ,I 'i", ,! , 'I ;1 Ii 'I 'I" :1 . " 'I , " if, 'I,: ~ I' p...... I, " ,I , 'I , ' .." " 6. On September 14, 1996, Plaintiffs replied to Defendant Carol A, Rabinowitz's New Matter, 7, On Septenwer 27, 1995, Plaintiffs responded to Defendant Carol A. Rabinowitz's Request far Production of Documents, and on October 27, 1995, Plaintiffs filed Answers to Defendant Carol A. Rabinowitz'a Interro~atories. B, By letter dated November 6, 1995, Plaintiffs' counsel wrote to couns~l for Defendant Carol A. Rabinowitz and requested responses to the Interrogatories and Request for Production of Documents, 9. On January 3, 1996, Plaintiffs' filed a Motion to Compel Discovery for the outstanding Interrogatories and Request for Production of Documents of Defendant Rabinowitz. 10. On January 4, 1996, a Court Order mandated that Defendant Carol A, Rabinowitz provide the Answers and requested documents within 20 days. A copy of the Order is attached hereto as Exhibit A. 11. On January lB, 1996, Plaintiffs received Defendant's Response to Plaintiffs' Request for Production of Documents. 12. To date, Plaintiffs have not received Defendant Rabinowitz's Answers to Interrogatories, 13. Nearly a year has passed since the Court Order, and Defendant Rabinowitz has not yet answered Plaintiffs' Interrogatories. ~1 -/I "~ f ~:I't -,' " -, ~lI:, I ii;rJ !If I I ! I ~IJ 1/\" I'~ ) "{~l H"lf Sj( ,,,, ,'. "~I ~ ' , ~',' '~ .1 ' ~ I V. ~ ''', Il:! , , , ~m ~ !?t 'E,- ';:1 ;J I '~I w!,. N ~~( I ~ ' ~ <. ';,} 1 ~\ I ~ ~ /, ~q /:" ~ ". 0'\ I' " MARION ~:, MAltClIl end (IAYL~: MARCIIl, Pleint,i ftll ) ) ) ) ) CAr,OI, A. RAllINlMl'I';1" AI.l.I':N IlAl.I': IIA1A..) and a. GIU:BN 6 COMPANY, INC. l I/UJ:lJnlrJr,ntB In The CO~lrt cf Conmon Plul of CUlllhu'll.lld COllnty, Penn.y l'/ln1l ~o~'/n C 1 V 11, 'n:tlM ~9 95 Y. QA:lI Ila do .olllllll11y ,wear (or ,Hir1ll) that "'e the Conatitution of tha ~nitad State. ~aalth and that wa ~ill dilcharie che -1.)." I. 'Jl\' ( .,W APJ) 'lIa, the und.rsigned arbitrators, hll"ing been duly appointed ,md ,worn (or etfirmad), maka tha following awardl (Notal If damagu for d.~ay C,rq awarded, they Ihall be separately . tatad.) In feyor at the plaintiffll against the detendantB in the amount of $17,000.00. Arbitrator, dissents. (Insert name Ii ~ata ot Award: 3 ). y- 1/ I Ii 1/'.1.1'.' ,/ ,#. V )'/ ' 1 ,'.' , 11.,,-) o1ppl1c:abh. ) Daca of Hear~ng~ :lonc::: OF EmRY OF AWARD llow, the",,)t/>"11ay of 7.','au.:1.. . 19 ,/,":> , at ~, f..a.. the abo"e award wn entered upon the docket and notice :heraof gi'ren by Ill&:!.l to the putia. or thd: sttorne"ll, '\ !y: I _~,v,. f' /(,,1!/J{, Prochonocarv '- "Vil 'j . .K"~''''(('rI:i' ::Jeput:' ) Ar~itratorll' c:o~ensation :0 be paid upon appeal: $ ,.:)'I{) CJO /5/,;;0)<< il(: 11"( - I I . I (') 1 I ." ,I III . , 1':'1 f II< ,I'i) , ,I,; .. I , :(,'l 'I i"1 ".', : I :,11 " I , J~ :.'t 1.1 ".,