HomeMy WebLinkAbout95-04348
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6. At that time and place, Defendant Gwenda L. Shank struck
the rear of Plaintiff'S vehicle as it remained stopped for the red
traff 1c light.
7. The foregoing accident and all of the injuries and
damage. set forth hereinafter sustained by Plaintiff David R. Mohr
are the direct and proximate result of the negligent, careleu,
wanton and reckless manner in which Defendant Gwenda L. Shank
operated her motor vehicle as follows:
(a) failure to have her vehicle under such control as
to be able to etop within the assured clear
distance ahead;
(b) failure to keep alert and maintain a proper watch
for the presence of other motor vehicles on the
highway;
(c) failure to apply her brakes in sufficient time to
avoid striking the rear of Plaintiff's vehicle;
(d) failure to travel at a safe speed;
(e) failure to yield the right-of-way to Plaintiff's
vehicle;
(f) failure to keep a proper watch for traffic on the
highway;
(9) failure to drive her vehicle with due regard tor
the highway and traffic conditions which were
existing and of which she was or should have been
aware;
(h) failure to keep proper and adequate control over
her vehicle; and
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(i) driving her vehicle upon the highway in a manner
endanq~ring persons and property and in a rack less
manner with careless disregard to the rights and
safety of others and in violation ot the Motor
Vehicle Code of the Commonwealth of Pennsylvania.
8. Plaintiff David R. Mohr sustained painful and severe
injurie. which include, but are not limited to, cervical and
thoracic sprain.
9. Because of the nature of his injuries, Plaintiff David R.
Mohr has been advieed and, therefore, avers that he may be forced
to incur similar expenses for medical treatment, medication.,
ho.pitalizations, and similar expenses in the future in an effort
to restore him.elf to health, and claim is made therefor.
10. As a result of the aforcamentioned injuries, Plaintiff
David R. Mohr has undergone and in the future will undergo great
physical and mental suffering, great inconvenience in carrying out
hi. daily activitie., lose of life'. pleaBures and enjoyment, and
claim is made therefor.
11. As a result of tho aforementioned injurie., Plaintiff
David R. Mohr has sustained work lo.s, loss of opportunity and a
diminution of his earning power and capacity, and claim is made
therefor.
12. A. a result of the aforesaid injuries, Plaintiff David R.
Mohr has sustained uncompensated work los., and claim is .ad.
thsrefor.
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13. Plaintiff David R. Mohr continue. to be plagued by
per.btent pain and limitation and, therefore, aver. that hb
injuries may be of a permanent nature, causing residual problem.
for the remainder of his lifetime, and claim is made therefor.
WHEREFORE, Plaintiff David R. Mohr demands judgment against
Defendant Gwenda L. Shank in an amount in excess of Twenty-Five
Thousand Dollars ($25,000.00), exclusive of interest and costs and
in excess of any jurisdictional amount requiring compulsory
arbi tration.
ANGIN~' ROVNE~!, ..,,}.
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~ wre ce r. Barone,
'.0. o. 68921
4503 North Front street
HarriSburg, PA 17110-1799
(717) 238-6791
Counsel for Plaintiff
Date: August 21, 1995
CIR~I.ICA~I 0' .IRVICI
,.
I, M.rcy L. Moyer, .n employee of the law firm of Anqino ,
Rovn.r, P.C., do her.by certify that I am this day serving a true
and correct copy of .LAIIITU.'. COM.LAIII'l' on the following via
po.t.ge pr.paid, first cIa.. United state., reque.ted .ddr....d a.
follow. :
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CDUI'I1D HAIL
..TURM RICII.T RIOUISTID
Mr. D.vid A. Mohr
188 Mountainview Road
Nt. Holly Sprin9., PA ],7065
(/JcO/lt-/~ Y!( r1J 'f<- A
M. oy L. oyer
D.t., August 22, 1995
PI81ntlff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY. PENNSYLVANIA
CIVIL ACTION. LAW
NO, 96.4348
DAVID R. MOHR,
v.
GWENDA L. SHANK,
D8fendant
JURY TRIAL DEMANDED
'-,
PLAINTIFFS' POINTUOR CHARGE
Plaintiffs respectfully request the court to read the following Points for Charge to the Jury.
ANGINO & ROVNER. P.C,
~
James DeClnll, Esquire
I.D, No. 77421
4603 N, Front Street
Herrlsburg, PA 17110
(717) 238.6791
Counsel for Plaintiffs
138297MIJ
1. In this case. the Dehmdsnt Gwenda Sh8nk hes stipulated that she negllgentlv
oparated her motor vehicle, end struck the rear and of the vehicle In which David Mohr was
driving,
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2, You will rec\lll that Dr, Linda Henninger, a chiropractor, and Dr. George Branscum,
a family doctor, were called In this case on behalf of Plaintiff, and testified as to their qualifications
es 8xperts In their re8pectlve fields, A witness who has special knowledge, skill, experience.
training or education In a particular sclenca, profession or occupation may give his opinion as an
expert as to any mOiler In which he Is skilled, In datarmlnlng tha weight to ba given to his opinion,
you should consider the qualifications and reliability of the expert and tha raasons given for his
opinion. You are not bound by an expert's opinion merely bacause ha Is an expert; you may
accept or reject It, as In the cas a of other witnesses, Give It the weight. It any, to which you deam
It entitled.
Pa, 551 (Clv,1 !5,30.
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6. Oavld Mohr Is entitled to be fairly and adequetely compeneated for such physical
pain, mental anguish. discomfort, Inconvenience. end dlstrees as you find he has endured from the
time of the accldont untlltodey.
Pa. SSJI fClv.l 16.01 E . Past pain end suffering.
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8, valuating the amount to be awarded for pain and suffering, you should consider
aln means taking Irom a person whet Is his own to possess and retain ..
namely, health and well. ng .. and that the law allows for compensation of this 1055 to the extent
that that 1055 may be catcul d in monetary damages. In errlvlng at any award lor pain and
eufferitlg which Devld Mohr hes un one. you must also consider the extent to which his Injurlee
have resulted In e 1055 or lessening 01 his a "ty to enjoy 1I1e and lile's pleasures end the ability to
engage In various other activities which he enjo
DiChiacchlo v, Rockcralt Stone Products Co.. 424 Pa, 77, ~~25 A.2d 913 (1967); Corcoran
v, McNeel. 400 Pa. 14. 26, 161 A.2d 367 (1960); and Carminatl v, Philadelohi/LI!.@DsD. Co., 405
Pa, 500, 176 A,2d 440 (1962),
,
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9. Th'l broad term "pain end sulfarlng" Includas e wide rang a of not only physical, but
elso emotional reactions to tha Injuries and their consequances. In calculetlng damages for pain
and eufferlng, you may consider the following:
1. Mental Pain and Distress;
2. Fear;
3. Emotional Suffering;
4. Anxiety;
5.' Frustretlon;
6. Loss of the Feeling of Well-Being; and
7. Limitation of Activities,
Nelderman v, Brodskv. 436 Pa, 401.261 A,2d 84 (1970).
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Fear tor on' tuture em~~~o~~,.~SICBI well-being Is enotl)Qt7ent at pain
'Ja at tha 51Jl<l110nal re~n In the past, as, well es wC/lfY. apprehension
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11. David Mohr Is entitled to be fairly and adaquately compensated for such
embarrasement and humiliation as you believe he has endured . .11. Gum" ,~U ._ ...(1... _ ... .. ill
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fWtl'.- ....~ul' 01 "IVn 1..J_..8....
Pe. SSJI IClv.1 !6.01G.
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12, David Mohr Ie entltlad to be fairly and adequately compensetlld for the pest, ~
present. If . .
- loss of his eblllty to enjoy any of the pleasures of life as a result of his Injuries.
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Pa. SSJI lelv.l 16,011.
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13. If you Ilnd that David Mohr's Injurlas will continue btlyond today, you must
determine their IIle expectency. According to statistics complied by the United States Department
01 Health, Educetlon, and Welfare, the averagellle expectancy 01 all persone 01 David Mohr's age
at the time olthe accident, sex, and race was 74.9 yeers, Thus. Mr. Mohr'eluture Ille expectancy
Ie 41.9 years. This Ilgure IS offered to you only as a guide. and you are not bound to accept It if
you believe that David Mohr would have lived longer or less than the averege Individual In their
catagory. In reaching this decision, you are to consider health prior to the accident, manner of
living, personal habits and other lects that may have affected the duration 01 his life.
Pa. SSJI IClv,) ~6.21; Rosche v. McCov. 397 pa. 615. 156 A.2d 307 119591; ~, Life
Expectancy. Vital Statistics of the United States, (1990) Life Tables,
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DAVID R. MOHR,
Plaintiff
Y.
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
: CIVIL ACTION. LAW
: NO. 95-4348
GWENDA L. SHANK,
Defendant
Respectfully submitted,
~
NEALON & GO
By: ~ -=-
James G. Nealon, III, Esquire
Atty. 1.0. #46457
301 Markel Slreet - 9th Floor
P.O. Box 865
Harrisburg, PA 17108-0865
(717) 232.9900
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01. You are not permitted to determine your verdict ba.ed on gue.. work,
epec:ulation, conjecture or .ympathy for a party.
Engle v.. Spino, 425 Pa. 254, 228 A.2d 745 (1967).
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02. The Plaintiff claims that he was Injured and sustained damage es a
result of the negligent conduct of the Defendant. The Pleintiff has the burden of proving
his claims.
The Defendant admits that she was negligent but denies that such
negligence was a substantial factor In bringing about the Plaintiffs Injuries.
Based upon the evidence presented at this Trial, the only issues for you to
decide In accordance with the law as I shall give It to you, are:
First: Was the Defendant's Conduct a Substantial Factor In bring
about harm to the Plaintiff?
Second: If, and only If. the negligence of the Defendant was a substantial
factor In bringing about harm to the Plaintiff, then you are to decide the
amount of compensation, If any, to be awarded to the Plaintiff
Pa. SSJI (Civ.) 3.00
(
V.
23 Hoffer
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 95-4348 CIVIL
DAVID R. MOHR,
Plaintiff
GWENDA L. SHANK,
Defendant
IN TRESPASS (M.V.)
IN REI PRETRIAL CONFERENCE
A pretrial conference was held before the Honorable
George E. Hoffer, President Judge, on Wednesday, August 26,
1998.
In this the automobile accident case, Michael E.
Kosik, Esquire, represents the plaintiff, and James G. Nealon,
III, Esquire, represents the defendant.
It is a rear-end collision at a stoplight, and basic
negligence is admitted. The question for the jury will be
substantial factor and extent of the damages.
Neither party raises an objection about any witness or
exhibit contained in the other party's pretrial brief. The case
appears to be a routine charge to the jury by the Court, and
appears the case be tried in one to one and a half days with
four challenges each.
Mr. Kosik relates that James DeCinti, Esquire, will be
trying the case on behalf of the plaintiff.
By the Court,
G
Michael E. Kosik, Esquire
4503 North Front Street
HarriSburg, Pa. 17110
Jame. G. Nealon, III, Esquire
P.O. Box 865
HarriSburg, Pa. 17108-0865
for the Defendant
P.J.
Court Administrator
Prothonotary
:rntf
7/24/95
To Whom it may concern:
I,
I have received a total of $825.00 from David Mohr
for the mowing of his lawn. He has two acres of grass to
cut each week. I charged him a total of $55.00 per week
to cover the three hour jOb.
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DAVID R. MOHR,
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiff
CIVIL ACTION - LAW
v.
NO. 95-4348
GWENDA L.. SHANK,
Defendent
JURY TRIAL DEMANDED
PLAINTIFF'S MOTION IN LIMINE
REGARDING FIRST PARTY BENEFITS
Plaintiff, by and through his allornays Anglno & Rovnar, P.C., hareby moves, In limine,
to preclude any testimony regarding Plaintiff's First Party Benefits, and evers as follows:
1. The Pennsylvania Motor Vehicle Financi~1 Responsibility Law In relevant part,
states:
In any action for damages against a tortfeasor. or in any
uninsured or underinsurad motorist proceeding, arising out of the
maintenance or use of a motor vehicle. a person who is eligible
to receiva benefits under the coverages set forth in this
subchapter, or workers' compensation, or any program, group
contract or other arrangement for payment of benefits as defined
in section 1719 (relating to coordination of benefits) shall bll
precluded from recovering the emount of benefits paid or payable
under this subchapter, or workers' compensation, or any
program, group contract or other arrangement for payment of
benefits as dafined in section 1719,
75 Pa.C.S,A ! 1722.
2. The effect of this section is that a Plaintiff may not plead, prove or recover
medicel billR that are paid or payable by another source.
3. A plaintiff cannot even use these medical bills as avidence of pain and suffering.
Carlson v. Bubash, 432 Pa, Super. 514, 639 A.2d 458 (1994).
4. The deposition of Linda Henninger, D.C. was taken for URe at trial, and the
relevant portion is attached as EXHIBIT A.
138745/LRJ
ORIGINAL
VIDEO DEPOSITION OF: LINDA HENNINGER, D.C.
TAKEN BY: PLAINTIFF
BEFORE: CHRISTINE F. HAAG, RPR
NOTARY PUBLIC
DATE: SEPTEr1BER 2, 1998, 10:10 A.M.
PLACE: MOUNT HOLLY SPRINGS CHIROPRACTIC
CLINIC
133 WEST PINE STREET
MOUNT HOLLY SPRINGS, PENNSYLVANIA
APPEARANCES,
ANGINO & ROVNER, P.C.
BY, JAMES DeCINTI, ESQUIRE
FOR - PLAINTIFF
NEALON & GOVER, P.C.
BY: JAMES G. NEALON III, ESQUIRE
FOR - DEFENDANT
2000 linglwown Road 0 Suite 302 0 Harri$burg, PA 17110
717.540,02200 Fax 717.540.0ZZl olanca$tcr717.393.5101
28
1 a cervical strain for an automobile accident?
2 MR. DeCINTI: Objection. This automobile accident
3 or in general?
4 MR. NEALON: In general.
5 THE WITNESS: Six to eight months.
6 BY MR. NEALON:
7 0 Is that what you expected when you first saw
8 Mr. Mohr?
9 A Yes. And him being heal thy.
10 0 There was nothing out of. the ordinary during your
11 initial exam that would indicate other than this being a
12 garden variety of acute cervical strain?
13 A Yes.
14 Q How many times did you treat Mr. Mohr?
15 A I've never added up the times. I have _ _ I
16 could. Generally, I would see him I would say on the average
17 of one time weekly, so ...
18 0 About a hundred times?
19 A Yes.
20 0 What's your average office visit charge?
21 A Twenty-five dollars.
22 MR. NEALON: That's all I have. Thank you.
23 MR. DeCINTI: That's all I have as well.
24 VIDEOGRAPHER: This concludes the deposition. The
25 time is 10:44 a.m.
CERTIFICATE OF SERVICE
I, Lenlna Jeckson. en employee of the law firm of Angina & Rovner, P.C" do hereby
"
certify that I am this day serving a true and correct copy of PLAINTIFF'S MOTION IN LIMINE
REGARDING EXPERT TESTIMONY on the following via po stege prepaid, first class United
States, requested addressed as follows:
James G. Nealon, III. Esquire
Caldwell & Kearns
3631 North Front Street
Harrisburg, PA 17110
Date: ~0~/i /tfC)f/
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Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
CIVil. ACTION. LAW
DAVID R, MOHR,
v,
NO, 95.434B
GWENDA L. SHANK,
Defendent
JURY TRIAL DEMANDED
PLAINTIFF'S MOTION IN I.lMINE
REGARDING EXPERT TESTIMONY
Plaintiff, by and through his attorneys Angino & Rovner, P,C" hereby moves, in limine,
to exclude the testimony of Craig A, Depken, Ph,D., P,E. and/or any reference to the "Impact
Analysis" prepared by Mr. Depken, and in support, avers as follows:
1. This case involves a rear-end motor vehicle collision wherein the front of
Dafendant Gwenda L. Shank's vehicle struck the rear of Plain~iff David Mohr's vehicle.
2. Defendant Shank has admitted liability, that is she negligently collided with
Plaintiff's vehicle.
3. Plaintiff David Mohr will testify, either on direct examination or cross
examination, as to the force of the impact of the collision,
4. It is anticipated that Defendant Gwenda Shank will testify as to the force of the
impact of the collision.
5. Plaintiff does not dispute that there was little damage to the vehicles in this
collision.
6, It is anticipated that photographs of the Shank vehicle will be used at trial by
Defendant to show the nature of the impact.
7. In her Pre-Trial MerT'orandum, Defendant has listed Craig Depken. Ph.D. as a
witness,
138738/lRJ
16. To the extent that this Court excludes the Depken report, It should also strike
those portions of the Cunningham report that rely on the Depken report.
1 7, Plaintiff has file a Memorandum which further supports his position.
WHEREFORE, Plaintiff respectfully requests that this Honorable Court preclUde
Dafendant from presenting the testimony of Craig Depken, Ph.D., P.E. and/or making any
references to the "Impact Analysis," as well as those portions of Dr. Cunningham's testimony
that relies on the Oepken report.
Raspectfully submitted,
ANGINO & ROVNER, P,C.
DATED: t:l/''''/~~
,rv--
James DeCinti, Esquire
I.D. No. 77421
4503 N, Front Street
Harrisburg, PA 17110
(717) 238-6791
Counsel for Plaintiff
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A';'9-21-IIB 16:00
JlmCI G, Nfllon. m
Imolcl AnalYSis
Puc-3-
This vehicle was cquipped with an energy absorbing
bumper system. The seating system was equipped
with seat belts and head rests. This is a front.wheel-
drive vehicle
The deposition testimony describe
only cosmetic damage to the rear hum per of the 1994
Volkswagen Jella
Mr. David Mohr, the driver, is making claim ofinjury
as a result of this incident.
YIhWc.1:
For the purpose of this repon, the 19118 Hyundai
ElIeel, driven by Ms Gwenda Shank, will be
designated as Vehicle 2 Ms Shank was un-
accompanied in her vehicle at the time of the incident
This vehicle was equipped with a manual
transmission, power steering and power brakes. This
vehicle was not equipped with an air ball system for
the driver position. This model 1988 Hyundai Excel
was not equipped with an ABS braking system
This vehicle is classified as a Compact-size vehicle
and has an approximate curb weight of 2127 pounds.
This vehicle was equipped with an energy absorbing
bumper system, The sealing system was equipped
with seat belts and head reslS Thi, is a front-wheel-
drive vehicle.
The deposition testimony of Gwenda Shank describes
cosmetic damage to the front bumper cover of the
1988 Hyundai Elleel
IltG" A..oeIA'II, INC.
"A"AlOOU, TuN.....
P.04
.Aug-21-IIB 16:01
P.OB
Jim.. G. Nello". 11/
Impae! Anllysls
P.,e -7.
.
.
Empirical tests hsve been performed wherein volunteer Icst .ubjects have
been asked to perform specific common tasks While the tasks were being performed,
Iceelerltion measurements were made at e.ch lest subjeet's held, Specifically, the
Icceleration was meuured in the fronl-lo-rear direetion, The results have been
tlbulated so that comparisons can be made between those accelerations experienced
in the common tasks and the accelerations ellperienced by vehicle occupants in
lutomotive collisions
For example, an individual who suddenly stands upright from a kitehen chair
has aeeomplished what is referred to as a "Stand Up" luk. A "Sland Up"
movement such as this will produce measurable head aceelerations, Tests have been
performed to document the "Stand Up" task by having a volunteer test subjecl
suddenly stand upright from a rigid kitchen-type chair and recording the accelerations
crealed at the subject's head, in a fronHo-rcar direction.
Head accelerations were measured when a number of test subjects
accomplished this type of common movement. The results indicatc thaI upper body
(head) aeeelcrations were found 10 rangc from 0.4 g to 1.5 g, with a mean value of
0.8g.
Therefore, the magnified range of acceleration experienccd by Mr, David
Mohr, the driver, as I result oflhis collision was less than Ihe rlnge of aceeleralion
aclually experienced by the individuals who performed an unellaggerated .. Stand
Up",
IIOelA,.., lie.
Aug-24-IIB 14:31
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P.03
Pro'""onll M1n1lement Servlc". SE, PA
2111 L MirKle Slrtp PlIrk" m~
Ft Wallon Bueh, ~1. lH~8.(,6()1
PIIONE: 1"11~24l.'22^
tAX: Orl Rcq....'IIt
AII&\I" 19. 19~R
Mr, Jalllc:l O. Nealon III
NoaJon a 00\'"
3tH Market Street - 9th Floor
PO Bo.. 16~
Hlrrisbura. PA 11108
RE: Mohn. ShlInk
PMS Flle~: AT98191
/
/
/'......
Dear Mr. Nealon:
I rec:eh'ed your ~uCSl 0( Jllly 30. 1998 10 perform a records miew. Thc records wpplied inc:lude'
I. Police Repel"
2. ImpIc:t analysll rrom Dcs1an Associales, Inc.
3. Recorded lIalcmenll or 0Ivkt Mohr and CM1:nda ShlInk
4 Dcposilions 0' na>ld Mohr Ind Gwenda Shunk
5. Medical records from Cllli!1c Hospital
6. Medkal recorda from Rlcbard Bool. MD
7 Mcdic:al records 'rom Ocorac Branscum. ir MD
I. MtdiClI records flom Linda HennlnlCr. D.C.
9. Medic:allCCOrdl flom -'lcunder Sprinl Rehab
I hlI\'C some concerns wilh lhe rccorda Illbmi1lCcl The records or Dr. Bransclln' do no JO back berOlC t99~. y~
lhere II a ehernilll)' proIIlc In the nlCOIdI or Carlisle HOlpilal indicalinl Dr. Branscum ordered lhe lest In 1992
ThialllJlflIl quile IlronalY thallhil poIlient bad trClII~ with Dr, Branscum prior 10 199~. I would IIIIJC" thai
Dr, BrIIIIC1Im be requelled 10 IIIbmit copies of all hi. records prior.o 199~.
TbulIS also a ~ in Culille HOIpiIaI recordlllba...nOC\5 a CT scaD of.he head was perrormcd in 9/93 .. 1110
requat or Dr, J.C. JurICnlCn ror evalUIIlon or headaches. Since hcadac:hcllJ'C one or 1111 main c:on,plltin'lthat
he DOW' relalCllO lhe \'ehicullll collision or April 10. 199~. I would recommend ,Ilal Dr Jllracnsen be n:quesIed 10
sutJmi' c:opics or his records of Imtmcn. ror IIus palicnt.
In Ills dtpoIitlon, thta pIIrielll denies Iny prior n<<k or back il\iury yCl a (orm completod In Ihc ollke or Dr Linda
Hennlnpr on 61519' entilled "Revised o.wtWlr) Chrome Low BlICk Pain Diubilil) Queslionnaire" is modillcd
I01l1llhe """ "Back Pain- and "Low Jlack Pain" SlNCk throuJ/l..illllhc word "Neck" a"'tilu!cd. Tllc
quelllon poled il"How' Ion. have you had low neck plin"" and lhe re5pol1l8ll 2 monlhl. Thil i. 'ollowed "ilh
I'" ","ion "lIl11la)'Oll' rim cpilOclc or Neck Pain"" and lhe rctpOnse il "No-. indlca'i",..... he lias pmiOlllll)
complained wilh neck plIin Vel I find no complain.. 01 neck Il81n in the medical ncordA JIfO\iclcd. Pcrllapl Dr
Jurp1llln or some other pnclillontr may Ilava lruled prior to thisacclclcnl ror _k pIIin
T1Iis pII'i.nl is Ill\'Olvtd in an e..romel) minor collision 01 AprlIIO, 199' The record! reflec..",,, he is Slopped
II an lrua.clion and Ms, SIlanlr pulls up bftJnd hil vehicl. Ind 1I0'pI She appllrent~v 1Iu a lunch In a bI.
which conI8insl drink tIla"Urlll OVIr Ind a'" bnda O\cr 10 _'er the daink rollowin, which her \ehic:/c mU.c1
oonl8l:\ willltllc rill 0( Ihll prnienl's vehicle. She isl\Ol c:cnain "hethtr she wu Ilruck bul has no ..lItr
nplanallon a.1O ...... she IllII) lIan made contacl willi'''' rear o( Iliavchicle. No dlmqe WU done 10
AUIl-24-ue 14131
P,04
Pap 2, Mohr \', Shank
AU'1I1119, 1998
MI, SlIank'S\'ehicle and the damaac done 10 Mr Mohr'l vehicle tonli''c401''rfllCltln," his fronlanl! (which
"rudL nolhlnll and pulhln& OUI hi, rear bumper and bull1n. il. for which no cwac lias made. Mr MOM
lIIalel lhal he de\'elopcd It headache about 2 hOUR poItllCCidl:R1 A19: 17 PM he presented 10 Carlisle 1I0lpilal
In-lthe nunln,llImmcnl reflects Ihal he complained of pain lithe base of Ihe skull Aplin dolln the neck
a ri&hllhoulder \lith no nwnbneu The physician IIS5lsllIntlhal e'llmined him 1III1c4 he denied numbncll.
Iln.ltna. blurred villon or he.1c1ache. The one an only /indin. on nomllUltion "'11 10m<: parl5p1nouslendllr.
naslO the cervical muscles X.rllys of the CftVlcaJ spine were neaath'e reflectln. only a mild o:rvical scolio-
Iii (nol relatc4lo Ihe accidl:nl) with 5tralahlCnin, of the lordotic curv'ature "which 11\3) renect muscle IplISm",
It .tlO may reflca poor positionln, or a pnl1xlstin,l condition lISSOCiatcd wllh tbe mild scoliolis The cum.
Iftlr cIId noll'Cporl In~ muscle IpIsm He WIS assessed as sn acute tel'\icl! strllin, luMscd 10 lake Ibuprofen
100110 IppI)' heal and rcleaae4
On Aprli II. 199' IttlOO hn he telephoned Dr, Branscum complalnln, ofnec:k stift'nus, ocx:lpllol' headache
Ind now "lendcrneu radUtlnl dawn 10 Ihelumbllr spine". Laler Ihll Illme day he was Iten ~ Dr Branscum
&ncIthe only' linclinp of Dr. BranlClll1\ WlI5lhat he WIS lender poIIerior cervical spine. modemlc lplI.m.
DTR's equal and he u asSCSIeCI au ceMealsprlln and li\'en modicallon. Eilhl claYllller he returned apin
complaininl only "ilh neck tompllinlS 5l8Iinl he can turn head left 10 ri&hl but painful and hean "pappin."
AIIO when yallninl his shouldl:rs jump (shake)". Once alliin, Dr Branscum repons moderale spum 0:1'\';-
cat spine IlICI 0 d1I&/1Oi1ls of ccrvical sprain.
From this point he C\'8nIUllII) il seen by A1exanck:r Sprln, Rehab where he is lreated exlensi\ely IhIou&h Jul~'
10. t99', II seen by Dr. Ricllard Boal. 8n OrlhopedJc suracon on May 19, 199' through June 11. 199'. contin-
ues ..ith Dr. BrallKum Ihrou&h December 8, 199', on June ,. 199' consults Linda Henninger, 0 ChiroprllClOr
lrealinl wllb her throu'" Dcccmlx:r I~, 199' and C\'enluall) expands his complaints to nOI only Ihe ncc:k bul
Ihe mid back Ind lower back.
I am 8181010110IS 10 baCin 10 undi:1'SllInd lhese grossly excessive complaints, the: prolon~ 1r"'lImenl. moll of
which he claims docs no! help and In faclSlates he is geninl worse III as 0 result of this minor impact. The
compbinls of lower back pain are lotall~ inconsislenl \\ilh a rear end collision, espx:lall)' onechislnlllor,
In addilion. In lmplCl analysis from Ocsi&JI Associllcs. rnc renCClS IlIat the ma"imum "s" force 10 which
thil PlIticnt WII expoced was ~.. Wilh ma&ni&'llllon thIS may have been as hlah as I ~ I. This In'clllf
fotc:e il compared 10 the (orce people Irc ..posed to in lhe performance of common doily aCli\ilies The lCli\'.
Ity 1l1iI17,ed by Desi&JI Associlles is a task known as I "SIllDd up" !ask. This is performed ~. ha"lnI8 human
~_ . with Ippnlpriale instturnenllUon Inached. suddenly stand up l'I'om a kitchen chair. ThillClivity
wW poduce lbe ume rear cIlnclod I force thatlhil pallent W81 e:<poSed 10 in Ihis Incident The S force In
this aclivlty ranps from a low 01 ,4'10 I hip 011 " . with I mean avera.. of .1.. Another activll) which
closely "umbles the fO....lhll pllienl 90'11 exposed 10 15 in a Iellin. proc~ known 15 a "head bob" IaU.
This II when 1 volunteer limply allows his head 10 fall backwlrd pl5II\ely lISthou&h falli.. asleep Tbll po-
~I Sforce oCfrom .9 S 101.9. wlIh I mean 8verage 0114.. This 1C\'c1 offoree \Sslmply inadequate to
cau.. the injuri.. claimed by Ibis Indl\idual.
niccs by Dr. Hennlnaer Inc:lany servlcc oIhcr than his inilial \illllG the elftlr.
relalCd U J can be of futther IlIilllnee, please advise.
it
PRAlCIPE FOR UST~C C.o\SE FOR TRI.o\L
(~lusl be ryp."'rlllfn ~nd lubmlllfll In dllpIiClI')
TO THE PROTMONOT.O\RV,Of CL':'>IBERL"'''O COI.':"ln'
P!UII ~l :1\. (oU~wln. ~:u"
I.C~eck on,) X) for Jl:llY tMaI U the nc~l ttlm ~i ::_U .Oll/:,
( ) (or lrial wilholll I jllry,
-
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C.o\ITlON OF CAS!
(,nllf; cap non mllll be IUlld Ln MI)
(ch.ck on.)
( ) Allllmp'"
( ) TrtlFIU
(X) TruFIU (~lo'o' V,hld.)
DAVID R. MOHR
( )
(olllt.)
(PIIUllil'!)
't.
The trial lilt will be callee on
Auaust 18
anci
.
Trial. commence on
SeotpmhAr 14 .
GWENI:lI'I L. SHANK
Pntriall will be held on AUQUSt 26
(Brief. are due , days beferl pre-
trials. )
.
(The party 11s:inl this case for trial
.hall provicie forthwith a copy ~f the
p,raecipe to all counsel, p\:rsuan: to
local ~ule 214-1.)
(Dei,nd.lIl)
_L
:-10. 95-4348
Ci-II
19~
11l4l&11t Ill. aIlO.Il.Y "..ho YriU II)' ~'" ro. .h. i"r:y ..h~ :11.' this ,.a,cIF':
JlITlllS DeCinti. Esauire
IlIl1lcac. vial COlI"'" (0/ OIMr ,ucla. if Ic/Iown:
Jarres G. Nealon. III. ~~A.ml1"'A
ThiI YII iI ready rOt .rial.
SII".d: ~
':t,n :-':1:'1\': .JmMlA nnr i nt- I
o.tt: Julv 1]. 1998
AI:or.,f)' tor: PlAint iff
YOU ARE IN DEFAULT BECAUSE YOU HAVE FAILED TO TAKE AC'l'ION
REQUIRED OF YOU IN THIS CASE. UNLESS YOU ACT WITHIN TEN (10) DAYS
FROM THE DATE OF THIS NOTICE, A JUDGMENT MAY BE ENTERED AGAINST YOU
WITHOUT A HEARING AND YOU MAY LOSE YOUR PROPERTY OR OTHER IMPORTANT
RIGHTS. YOU SHOULD TAKE THIS NOTICE TO A LAWYER AT ONCE. IF YOU
DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE
FOLLOWING OFFICE TO FIND OUT WHERE YOU CAN GET HELP.
Central penn.ylvania Leqal Service.
118 North Eiqhth Street
Lebanon, PA 17042
(717) 274-2834
--
-
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E.qu re
Date I aepteaber 11, 1995
76U3/1W1
MOTICIA IMPORTANT.
TO: Detendant Gwenda L. Shank
DATE OF NOTICE: September 18, 1995
USTED HA NO COMPLIDO CON EL AVISO ANTERIOR PORQUE HA FALTADO
EN TOMAR MEDIDAS REQUERIDAS RESPECTO A ESTE CASO. SI USTED NO
ACTUA DENTRO DE DIEZ (10) DIAS DESDE LA rECHA DE ESTA NOTICIA, IS
POSBILE QUE UN FALLa SERIA REGISTRADO CONTRA USTED SIN UNA
AUDIENCIA Y USTED PODRIA PERDER SU PROPIEDI\D 0 OTROS DERECHOS
IMPORTANTES. USTED DEBE LLEVAR ESTA NOTICIA A SU ABOGADO EN
SEGUIDA. 51 USTED NO TIENE ABOGADO 0 NO TIENE CON QUE PAGAR LOS
SERVICIOS DE UN ABOGADO, VAYA 0 LLAME A LA OFICINA ESCRITA ABAJO
PARA AVERIGUAR A DONDE USTED PUEDE OSTENER LA AYUDA LEGAL.
Central Pennsylvania Leqal Services
118 North Eiqhth street
Lebanon, PA 17042
(717) 274-2834
PT .
Datel .epteaber 18, 1995
La re
I . No. 68921
4503 North Front street
Harrisburq, PA 17110
(717) 238-6791
Counsel tor Plaintiff
e..~x.xeAT. O. ...VIe.
I, Morey L. Moyer, an employee of the law firm of Anqino ,
Rovner, P.C., do hereby certify that I am this day .erving a true
and correct copy of 10-DAY .OTIC. or DlraULT on the following via
po.tage prepaid, firat clas8 United state., reque.ted addre...d a.
follow.:
CERTIFIED MAIL
RETURN RECEIPT REOUESTED
Gwenda L. Shank
Lot 2226, SME
Shippen.burg, PA 17257
't!l0iJ fI~ to. Y}?fJYA_
Mar y L. oyer
Date: September 18, 1995
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DA VID R. MOHR,
PlalntllY
VS.
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
: CIVIL ACTION - LAW
: NO. 9S-4348
GWENDA L. SHANK,
Derendant
: JURY TRIAL DEMANDED
PRAECIPE
TO THE PROTHONOTARY:
Please enter my appearance on behalf of Defendant. Gwenda L, Shank, only, in the
above-captioned matter,
Respectfully submitted.
CALDWELL & KEARNS
,
/ AI .'
By: (c "-"'c., L~' . Iv':C'tO).\
Ja' s G, Nealon. III. Esquire
Ally, 1.0, #46457
3631 North Front Street
Harrisburg. PA 17110
(717) 232-7661
Attomey for Defendant
Dated: September 21, 1995
58266-1
CERTIFICATE OF SERVICE
AND NOW. this 21 st day of September, 1995, 1 hereby certifY that I have served
the foregoing Entry of Appearance on the toUowing by depositing a true and correct copy of same
in the United States mails. postage prepaid, addressed to:
Lawrence F, Barone. Esquire
Angino & Rovner. P,C.
4503 North Front Street
Harrisburg. PA 17110-1799
(i.'~>\.l--,) 6, tl,[t.f',,,
Ja s G. Nealon, III, Esquire
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DA VID R, MOHR,
PI.lnlltT
VS.
: IN TilE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
:
: CIVIL ACTION. LAW
: NO. 9S.4348
GWENDA L. SIIANK,
Defendlnl
: JURY TRIAL DEMANDED
ANSWER OF DEFENDANT. GWENDA L. SIIANK
1-13, Paragraph 2 is admitted; it is funher admitted that on April 10. 1995. at
approximately 5:00 p.m" Defendant, Gwenda L Shank, was operating a 1988 Hyundai
automobile on Walnut Bottom Road (Route 174), Cumberland County, Pennsylvania; the
remaining averments contained in the Plaintiff's Complaint are denied pursuant to Pa, R,C.P,
1029(e),
CALDWELL & KEARNS
,)4-
Oaled: September,11; 1995
58274-1
~. 'I,
By: " (( , '_" , ('. )..;\',(;{ r , \-
J es G. Nealon, III, Fsquire
Atty, /.D. #46457
3631 Nonh Front Street
Harrisburg, PA 17110
(717) 232-7661
Allorney for Defendanl
'"
CERTIFICATE OF SERVICE
fl. .
AND NOW. this "11' day of ~ 1995. I hereby certit}r that I have
served Ihe foregoing Answer on the following by depositing a true and correct copy of same in
the United States mails. postage prepaid. addressed to,
Lawrence F, Barone, Esquire
Angino & Rovner. p,c.
4503 North Front Street
Harrisburg, P A 17110-1799
;;'. #.t.~-J.
O. Nealon, IJI, Esquire
J
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CERTIFICATE OF SERVICE
AND NOW, this 9th day of May, 1996, I hereby certify that I have served the
foregoing Praecipe on the following by depositing a true and correct copy of same In the
United States malls, postage prepaid, addressed to:
Lawrence F. Barone, Esq,
Angina & Rovner
4503 N. Front Street
Harrisburg, PA 17110
James G. Nealon, III, Esquire
Dated: May 9,1996
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110. 95-4348 .
19
GWENDA L. SHANK
V. do 101..1, IVU~ (o~ of Un) that WI will .lIpPOl't. ob.y aDd 'ofn'
&Il. CoIlocituUoa of tll. VDic.. lLet.. ud ell. Couucutl... of cilia c:o.n.
..alch OD' Chat VI will 'ilcha~I' Cb. 'Ilt1.. of 0Il~ off1c, with f1..11ty.
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(01' ,'afli.....). uk. tbl folloviq avId:
(lIot.: If ._'11 fo~ .Ilay a... avardld. tb.y lhall b.
..,al'.c.ly Icaced.)
Andrew Sheely, Esq
AVAJUl
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ROTIC! OF INTllY OF AVAlD
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DAVID R. MOHR,
Plaintiff
v.
I IN THE COURT OF COMMON PLEAS
t CUMBERLAND COUNTY, PENNSYLVANIA
I
t CIVIL ACTION - LAW
t
NO. 95-4348
GWENDA L. SHANK,
Defendant
.
.
JURY TRIAL DEMANDED
".IDAVI~ o. aBRVIC.
Thi. ia to certify that on the 15th day of Auguat, 1995, a
true and correct copy of IIOTIC. O. APPUL, Civil Action No. 95-4348
wa. .ailed to the Defendant and District Justice via certified
.ail, return receipt reque.ted aa follows:
D.J. Donald W. Daihl
81 Walnut Bottom Road
P.O. Box 361
Shippensburg, fA 17257-0361
(Z 070 025 942)
A copy of the certified mail receipts are attached hereto.
Gwenda L. Shank
Lot 2226, SME
Shippenaburg, fA 17257
(Z 070 025 944)
'fY; (lJ]( /11. -rYl0-1AU1-
Marcy L. Moyer (f-
ACC.PTAMC. O. I.RVIC.
Thi. is to certify that a true and cOl'rect copy of the
above-noted IOTIC. O. AnUL Was aerved upon the Defendant and
Di.trict Juatice via certified mail, return receipt requested at
the above-noted addres. on the following:
Gwenda L. Shank: Auguat 18, 1995
Diatrict Justice Donald W. Oaihl: August 17, 1995
A copy of the aigned receipta are attached hereto.
'--Ill Ci~Clf ~1I1 '-/J2iJ.'I~A-_/
Marcy L. 'Moyer
Sworn to and
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MS. PATRICIA A. HOFFMAN
ALLSTATE INS. CO,
6345 FloANK DRIVE
SUITE 1000
HARRISBURG, PA 17112
Date
RE
CLAIM *
IHC *
03/3~97
DAVI MO
1S519 35tBMI
01-00 8749
Dear MS. HOFFMAN I
On Jan 27 1997, we received the above referenced consultation
request for Impact Analyais. This evaluation is based on the
documentation provided to us and general principles of accident
reconstruction and physics. The medical assessment is additionally
based on the general standards of care in the profession, and if the
provider wishes us to consider additional information concerning the
clinical status of the patient, he should submit copies of those
pertinent documents to be forwarded to us for evaluation during the
appeal period. The engineering portion of this analysia is performed
through an alliance with CH & A Corporation.
MATERIALS PROVIDED
Pennsylvania Police Accident Report
Photographs of Vehicle * 2
Incident Description:
The sub1ect incident occurred on April 10, 1995 in Shippenburg, PA,
The claimant (Vehicle * 21 was at rest. The insured (Vehicle' 11'
facing in the same direct on as V2, failed to stop and struck V2 n
the rear.
The driver of Vehicle * 1 was Gwenda Shank.
The driver of Vehicle * 2 waa David Mohr.
File Observations I
Vehicle * 11
Vehicle * 1 will be designated as the 1988 Hyundai, driven by Ms.
Shank.
This vehicle is classified as a compact size vehicle and has an
approximate weight of 2145 pounds.
The soating system is equipped with seat belts and head rests. This
is a front wheel drive vehicle. The evidence indicates that there was
minor damage to the vehicle.
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(770) Ylft.'K'61
(~lJ) Y42.22.17
(71.7) 9K,I.I667
(KI7) 42K.J,120
Date
RE
CLAIM
IHC
1 03/31/97
1 DAVID MOHR
* : 1S519435808MI
* 1 01-0048749
Vehicle * 21
Vehicle * 2 will be designated as the 1994 Volkswagen Jetta, driven by
Mr. Mohr.
This vehicle is classified as a compact size vehicle and has an
approximate weight of 2735 pounds. The evidence indicates that there
was minor damage to the vehicle. The driver of this vehicle is making
a claim of injury as a result of this accident.
Enqineerinq Impact Analysis:
For purposes of carrying out an engineering impact analysis, it is
necessary to make use of several specific, vehicle related,
characteristics. In the analysis of this collision the primary
vehicle information necessary is the weight of the vehicles.
a.) The Vehicle * 1 has a weight of 2145 pounds.
b.) The Vehicle * 2 has a weight of 2735 pounds.
The most direct method of analyzing this collision is to carry out a
Impact-Momentum calculation. In order to do this, one (1) additional
assumption is necessary.
c.) The Vehicle * 2 is assumed to be at r.est at the time of the
collision.
A collision such as this will occur in a short period of time. This
collision will be completed in about 150 milliseconds ( 0.150 sec. ).
The result of the collision will be a Change in Momentum of both
vehicles. The Vehicle * 1 will be decelerated, as a result of the
colliSion, from its speed just prior to the collision. As a result of
the collision, the Vehicle * 2 will be accelerated from its speed just
prior to the collision. Although each vehicles' Change in Momentum,
(d)mV, will be the same, their individual changes in velocity and
consequently the accelerations experienced by each vehicle will not be
identical.
The Change in Momentum is represented by the symbol (d)mV and has
units of measure of pounds of force multiplied by time, measured in
2
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Date
RE
CLAIM
IHC
: 03/31/97
: DAVID MOHR
* I IS51943580BMI
* : 01-0048749
seconds (i,e. Ib see). The change in velocity is represented by (d)V
and has the units of measure feet per second (ft/sec) or miles per
hour (mph).
The acceleration (or deceleration) is represented by Accel and has
units of measure of feet per second per second (ft/sec/sec).
Acceleration can alsQ be represented by the unit of measure of g which
refers to the normal acceleration of gravity. One g represents an
acceleration of 32.2 ft/sec/sec.
The damage to Vehicle * 2 is representative of a force not greater
than 1377 pounds. This force is a collision force which may cause
notable damage to the body of either vehicle.
Therefore, the Change in Momentum for the Vehicle * 2 is the result of
a 1377 pound impulse having a duration of 0.150 seconds. This yields
a (dlmv for each vehicle of 206 Ib-sec. Using this information it is
poss ble to quantify the collision by the calculations:
Vehicle * 1:
(d)mV
(d)V
Accel
= 206 lb-sec
= 3.1 ft/sec =
= 36.9 ft/sec/sec
2 . 1 mph
= 1.2g
Vehicle * 2:
(d)mV = 206 lb-sec
(d)V = 2.4 ft/sec = 1.7 mph
Accel = 16.2 ft/sec/sec = 0.5 9
This analysis indicates that Vehicle * 1 was traveling at 3,8 mph at
the time of the collision.
Collision Analysis:
The impact analyais indicates that, as a result of the collision, the
Vehicle * 2 experienced an acceleration of 0.5 g.
Whenever a vehicle is subjected to a level of acceleration (or
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(7711) Ylh.IKlhZ
(~l.') Y4222.17
(717) YK.\.IM7
(K 17) 42K.1.1211
Date
RE
CLAIM *
IHC *
03131/97
DAVID MOHR
lS5l943580BMI
01-0048749
deceleration) the occu~ants are likewise similarly accelerated. This
is categorically truetf the occupants are securely ".ttached to the
vehicle. For this reason, seats are designed with seat backs,
headrests and seat belts.
For example, the driver of Vehicle 2, sitting firmly in the drivers
seat, will have a lower body acceleration no greater than that
experienced by the vehicle itself. Therefore, in this collision the
seat (and the driver) will experience 0.5 g acceleration in the
forward direction. That is, the seat will move the occupant forward
with respect to the position of the vehicle just prior to the instant
of collision.
The extent to which the vehicle occupant is able to move with the
vehicle, while the vehicle itself is changing speed, determines the
amount of time the occupant's body has to adjust or accelerate to the
new speed of the vehicle. As this time is reduced the induced
acceleration of the occupant is magnified.
If the change in speed of the vehicle is a result of a colliaion, the
time for speed change by the vehic le is very short and that of the
occupant may even be shorter. It has been found, that in a collision,
the upper portion (i.e. head) of a seated vehicle occu~ant may
experience a magnified acceleration over that of the vehicle ~tself.
Empirical testing indicates that at low collision speeds, typical
magnif~cation factors for the head of a seated occupant is about 3.5 I
1. There is no such magnification factor for the supported body of a
seated occupant.
Therefore, in the current case, when the vehicle is being accelerated
by 0.5 g, it may be possible for the occupant to experience 0.5 g to
1.8 g acceleration, in terms of head motion. This level of head
acceleration is commonly experienced by individuals in normal life as
well as by occupants/passengers of vehicles.
Empirical tests have been performed wherein volunteer test subjects
have been asked to perform specific common tasks. While the tasks
were being performed, acceleration measurements were being made at
each te~t subjects head. Specifically, the acceleration was measured
in the front to rear direction. The results have been tabulated so
that comparisons can be made between those accelerations experienced
in the r.ommon tasks and the accelerations experienced by vehicle
occupants in automotive collisions.
4
'1#ILlI\DAr.uIL"",IC'\AU.TJW MlJHIaitI
c,.....: CWOMSOJ:4044
DAVID R. MOHR,
Plainti IT
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY . PENNSYLVANIA
NO. 95-4348
CIVIL ACTION - LAW
vs.
GWENDA L. SHANK,
Defendant
TO: James DeCinti, Esquire
ANGINO & ROVNER
4503 N. Front Street
Harrisburg, PA 17110
James G. Nealon, III, Esquire
NEALON AND GOVER
30 I Markel Street, 9th Floor
P.O. Box 865
Harrisburg, P A 17108-0865
NOTICE OF HEARING
YOU ARE HEREBY NOTIFIED that the undersigned ariblrators IIppointed by the Court in
the above captioned maller will meet for the purpose of their appointmenl Tuesday, December 9,
1997 beginning at 1:30 p,m. in the Second Floor Hearing Room of the Old Cumberland County
Courthouse, Carlisle, Pennsylvania, at which time and place you may appear and be heard, together
with your witnesses and counsel, if you so desire.
DATED: October 14, 1997
Lj iv~ ....~
Thomas J. IlIiams, Esquire - Chairman
George Vaughn, Esquire
Andrew Sheely, Esquire
cc:
Court Administrator's Office
Cumberland County Courthouse
Carlisle, P A 17013
t)
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State Farm Insurance Companies
."" .....
cAt
INIU'."'Cf.
July 16, 1996
H."I,burO S"vlc. Cenltl
116 Llmoklln Rood
P.O, Box 267
Now Cumbo,'ond, PA 17070-0267
Belvedere Medical Center
850 Walnut Bottom Rd
Carlisle, PA 17013-3698
RE: Claim Number:
Date of Loss:
Our Insured:
38-7111-443
April 10, 1995
David Mohr
Dear Dr. Branscum:
We are writing in reference to your patient, David Mohr.
As you are aware, State Farm Insurance Company recently submitted
this file to Interpose Group, Inc., a Peer Review organization
approved by the Insurance Department of Pennsylvania, for review
of the medical records for the purpose of confirming that such
treatment, products, services ~r accommodations conform to the
professional standards of performance and are medically necessary
as a result of the accident of April 10, 1995. This procedure is
in compliance with Section 1797(b) of Act 6 of 1990. A copy of
this review is enclosed.
The following determinations were made by the PRO:
The treatment by Dr. Kosenske and Dr. Branscum were considered
reasonable and necessary. The initial consult by Orthopaedic
Institute was also reasonable and necessary.
Based on the PRO's review: State Farm will pay for treatment by
Dr. Branscum, and any other bills referenced by this PRO that are
now considered reasonable and necessary by this reconsiderat ion.
Section 1797(b) of Act 6 of 1990 states:
"It it is determined by a PRO or court that a provider has
provided un~ecessary medical treatment or rehabilitative
services Or mer.chandise or that future provision ot such
treatment,. or both, the provider IT'ay not collect payment tor
the meq,f,c::allY unnecessary treatment, services or merchandise." In
accord.l:ic::e with Section 1797 (b) of Act 6 of the Pennsylvania
Motor v_tlicle Responsibility Act, "an insurer, provider .or
insured.l\Iay request a reconsideration by the PRO ot the PRO'.
initial,de~erminlltion. Such a request tor reconsideration must
be made within 30 days ot the PRO's initial determination."
I
HOM! OFFIC!S: BLOOMINGTOn ILLINO'S ~1710.0001
IlJlJfPlt M Mf.III.1ll
.t1!MMY . IIYMAN
llAVllll IlITl
MIt'IIAF.I.E.llllSIIl
PAMEI.A () ./lUMAN
MIt'/lAMll A ilAIH.IK'1l
Angino
BRovner
I)AVII) S, WISNI'_"ikl
NIJO'.F" (' ol.sON
Mll'IIAIH.1 NAVfTSKY
Jl)sEP/l M. IXlMIA
IlUANE S. BAMRll'1l
IAMf.5o.l'INTI
l.I~nUIN
11IE BEST LAWYERS
-.--.IN--...--
AMERICA
IU('tIARU C, ANUINt)
Nf.n. J. ROVNER
March 18, 1998
Thomas J. Williams, Esquire
10 East High Street
Carllale, PA 17013
George Vaughn, III, Esquire
3904 Trindle Road
Camp HIli, PA 17011
Andrew Sheely, Esquire
P.O. Box 95
Mechanicsburg, PA 17055
RE: Mohr Y. Shank Arbitration
Gentlemen:
Enclosed please find the Plaintiff's Arbitration Memorandum In the ebove case. As you
can see from the Certificate of Service, a copy of this has been provided to defense counsel,
James Neelon.
Should you have any questions, please do not hesitate to contact me. Otherwise, I
look forward to seeing you on Monday, March 23, 1998.
Very truly yours,
,~
James DeClntl
JD/lrJ
Enclosure
1 3geee/LRJ
4503 NO"TIot '''OIllT ST"UT, I'lA""ISlU"Q, fA 11110-110'
1111) 2:J1oe111
'All (111)2311011I10
NEALON &: GOVER
AlTORNEYS AT LAw
:lO t MARKET ~IRF.ET . 9'" FLOOR
P,Q. BOX 86~
IIARRJSBURG, PENNSYLVANIA 17108
717-232.9'JOO
717-241-62~3
FAX: 717-236-9119
December 16, 1997
Thomas J, Williams, Esquire
10 E, High Street
Clrtlsle, PA 17013
George Vaughn, III, Esquire
3904 Trlndle Road
Camp Hili, PA 17011
Andrew Sheely, Esquire
P.O, Box 95
Mechanlcsburg, PA 17055
James DeClnti, Esquire
Angino & Rovner
4503 N, Front Street
Harrisburg, PA 17110
RE: Mohr v, Shank
Docket No, 95-4348
Gentlemen:
This will confirm the rescheduling of the above-captioned Arbitration Hearing for March 23,
1996 beginning at10 a.m, In the Cumberland County Courthouse, 2nd Floor Heartng Room, Old
Courthouse, In the meantime. if you should have any questions or comments, please do not
helltate to call,
Thank you for your attention to this matter.
Very trul
cf'
.-
<~\
James G, Nealon, III
NEALON & GOVER
JGN/.lm
]AM1lS G. NEALON III . MATJ'HEW R, GOV1!R . BRIAN W. PI!RJlY
A PRll'IL"~lnN"I. CllltPClRATION
InlRfnalloRalllelalthcafR Consultant.,. Inc.
, [I H C)
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P.o nll~ 42726, ('I1\1:l11l1all, 011 .n:!..:! U7:!h
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(~1.1) 942.22.17
(717) 98.\,1667
(KI7) 42K.l,120
MS. PATRICIA A. HOFFMAN
ALLSTATE INS. CO.
6345 FLANK DRIVE
SUITE 1000
HARRISBURG, PA 17112
Date
RE
CLAIM
IHC
I 03/31/97
I DAVID MOHR
_ I lS51943580BMI
_ I 01-0048749
Dear MS. HOFFMAN :
On Jan 27 1997, we received the a~ove refe~enced cons~ltation
request. Our evaluation is based upon the documentation which has
been supplier! to us and the g'3neral Iltandards of care in the
profession. If the provider wishes us to consideL additional
information concerning the clinical status of the patient, he should
submit copies of those pertinent documents to be forwarded to us for
evaluation during the appeal period.
The following documents were reviewed to support the necessity,
appropriateness, and relatedness of all treatment by the above
claimant for injuries alleged from an MVA 4/10/95. The first document
is a Commonwealth of pennsrlvania Police Accident Report submitted
4/10/95, 10:10 p.m.; Carlis e Hospital ER record, 4710/95; office
notes of George T. Branscum, M.D., Carlisle, PA, from 4/11/95 to
7/12/95; office notes cf Richard J. Boal, orthopedic surgeon, Camp
Hill, PA, from 5/19/95 to 6/13/95; office notes of Theodore Berk,
M.D., enterologist, Carlisle, PA, 9/5/95 to 9/19/95; office notes of
Dr. Linda J. Henninger, chiropractor of Mt. Holly Springs, PA, from
6/5/95 to 1/2/96; physical therapy notes from Alexander Spring Rehab,
Carlisle, PA, from 4/21/95 to 7/12/95; notes from the Carliste
Hospital Pain Clinic, Ted Daniel Kosenske, M.D., from 10/4/95 to
12/4/95; insurance report submitted 4/17/95 by David R. Mohr; letters
submitted by James Nealon, III, attorney of Harrisburg, PA, to Ms.
Patricia Hoffman, Allstate Insurance, Harrisburg, 7/28/95, 11/28/95,
1/23/96, 2/27/96, 6/27/96, and 7/1/96; deposition report, 6/26/96, of
David R. Mohr; phone interview of Wanda Shank, 4/19/95, by Pat Hickey;
phona interview of Oavid R. Mohr, 4/18/95, by Pat Hickey; a deposition
of Wanda Shank, 1/6197; interrogatories submitted 9/26795 by attorney
James Nealon, III; an engineering impact analysis submitted 2/17/97 by
J. Ronald Salling, P.E. Consultant Engineer; copies of bills which
need reviewing; Alexander Spring Rehab, 4/21 to 7/21/95; office
invoices of George Branscum, M.D., from 4/12/95 to 12/8/95; invoices
for treatment from Dr. Linda Henninger, from 6/5/95 to 11/29/95;
office notes of Richard J. Boal, M.D., 5/19/95 to 6/13/95; invoices
from 10/19/95 to 11/13/95 from Blue Mountain Anesthesia, Pittsburgh,
PAl a 3 by 3 color photograph of the rear bumper of a 1988 Hyundai
sedan; Carlisle Hospital records, the one most relevant was that of a
MVA on 5/28/84, in which the claimant sustained injuries to both knees
and left hand and seven subsequent admissions for treatment of the
right knee ending up with a para1ectomy.
On 4/11)/95,
restrained
5 p.m., the above claimant, a 31-year-old male, was the
driver of a '94 VW Jetta, stopped for a traffic light on
t>"2-~
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'ow
,rJl\. ~
1
l,nlernaUonllllealthure Consultants, Inc.
(I H C)
1'.0, 00. 7019, M<lrl.tta, GA JIH)65.I019
P.O. no. 42726, l'IndnllaU. 011 4,\242.0726
P.O. Bo. 312. Middletown. PA 17057
I' ,0 Do. 482~O, F. W'>rth. TX 76L48-0250
(770) 916.0062
(~13) 942,7.237
(717) 98.\,1667
(817) 428-3320
Date
RE
CLAIM *
IHC *
03/31/97
DAVID MOHR
1S51943580BMI
01-0048749
walnut Bottom Rd. at the entrance to a K-Mart parking lot, when his
vehicle was rear-ended by a 1988 Hyundai sedan. Minimal damage was
done to either vehicle. The police report was submitted at about 10
p.m., the initial treatment was at 8:30 p.m" 4/10/95, at the Carliste
Hospital's ER, The complaints were neck pain and headache. The
examination of the neck is described as "supple", and the
cervical/thoracic spine was nontender. The neurological examination
was negative.
X-ray of the cervical spine showed no bony abnormalities. The
diagnosis waa acute cervical strain for which ibuprofen was
prescribed. He was given a neck injury sheet and instructed to apply
heat 15 minutes, q.i,d. He was to return to ER p.r.n. and discharge
was at 9:50 p.m.
On the following day, 4/11/95, he began treating with his family
physician, George Branscum, Jr., M.D. His chief complaint at this
time was neck stiffness with tenderness radiating down to the lumbar
spine. Mr. Mohr went to work for two hours following the MVA and left
early. The physical examination revealed the claimant to be 5 feet 10
inches and 220 pounds. The diagnosis was cervical sprain for which
Naprosyn and Norflex were prescribed. He was seen in follow-up on
4/19/95 and was referred at this time to the Alexander Spring Rehab
Center in Carlisle for physical therapy beginning 4/21 and continuing
to 7/12/95. He had no treatment from 6/12/95 to 7/5/95 because
"claimant was on vacation." He was advised at this time to take a
temporary leave of absence at his job with the Cumberland County
Office of Aging and a part-time job at Outreach, Inc. in Shippensburg.
He continued to be seen at weekly intervals with no significant
improvement. On 5/17/95, he was referred to Richard Boal, M.D.,
orthopedic surgeon, of Camp Hill, PA,
The exam by Dr. Boal, on 5/19/95, notes tenderness in the cervical and
lumbar spine and that Mr. Mohr h~lds his neck in a rigid position.
The neurological examination was negative. X-rays of the lumbar spine
were normal. In the office notes of Dr. Boal, on this visit, we see
three days work time lost (two jobs), following the MVA.
The impression was 80ft tissue strain and that it would take a month
or two until his symptoms abated. He was seen in follow-up on 5/26 by
Dr. Boal, who noted "slow progress." He was going to Germany in 2-1/2
weeks, and was last seen by Dr. Boal on 6/13/95, noting that he saw
the chiropractor who he, Mr. Mohr, thought was helping him
significantly.
2
InlernaUunal Heallh~Dre Consllllallls, In~.
, [I H C)
P,O. Box 70ZY, Morlolta, IlA JU065.IOZY
P.O no. 42726. Cindllll.lI. 011 45242.0726
P.O.Oo. 312, MiddloloWII. PA 17057
P.O. no. 48250, Fl. Worth. TX 76148.0250
(770) 9Z~.I)06Z
(513) 942.2237
(717) 985,1~67
(8\1) 428.)31O
Date
RE
CLAIM
IHC
: 03/31/97
I DAVID MOHR
It : lS5l943580BMI
It I 01-0048749
On 6/5/95, Mr, Mohr began treating with Dr. Linda Henninger, a
chiropractor of Mt. Holly Springs, PA, going three times a week until
1/2/96. The diagnosis was acute, 11'.0derate/severe cervical
hyperextension/ flexion injury, acute moderate/severe cervical
sprain/strain and paravertebral myofascitis. Treatrr.ent continued
until 1/2/96. At the end of this time, her notes indicate "various
slow progress and minimal change with corticoid injections and muscle
relaxants." He continued care before being released.
He was seen again by Dr. Branscum, on 7/12/95, and was released at
this time to RTW to his part-time job three nights a week. His care
at Alexander Spring was discontinued on this date, also again noting
minimal response.
He continued to be seen every two weeks by Dr. Branscum.
On 9/5195 he
in Carlisle,
10/30/95, he
the Carliste
tumor, which
to the MVA.
began treating with Theodore Berk, M.D., an enterologist
for persistent diarrhea beginning in April 1995. On
underwent an esoghagogastroduodenoscopy by Dr. Berk at
Hospital. Biopsies revealed a submucosal carcinoid
is considered a low grade malignancy, and is not related
In the meantime, he also continued treating with Dr. Branscum. On
9/21/95, he was referred to the Carlisle Hospital Pain Control Clinic
under Ted Kosenske, M.D.
The evaluation by Dr. Kosenske was on 10/4/95.
described slight tenderness in the cervicothoracic
no trigger points. The neurologic examination
cervical spine was normal.
The impression was, "his pain is secondary to muscle spasm." He
started him on a trial of a TENS unit, and if there was no response,
would consider doing posterior division nerve blocks. The patient was
working full time at the Department of Aging.
He was seen in follow-up on 10/19/95, by Dr. Rosenske, following
bilater:al C4 and C6 posterior division nerve blocks and a right-.ide
L1 block. He was seen on 10/23 by Dr. Branscum noting temporary
benefit from the nerve blocks. He was diagnosed at this time a.
having chronic pain syndrome. Another series of nerve block. W8.
performed on 11713/95 and the last on 12/4/95. He was .een 8g8in by
At this time
lumbar regions
was negative,
he
with
the
3
Inltrn.tllllllll II,.llh,'." ('IlnNUllllnlIl, Inc.
[I H C)
1',0. Bu. 7019, Murl.lla, GA 30065.1019
.. 0 n... 42726, Cincinnati, Oil 45242.0726
1'.0. n". 312. Mlddletuwn, I'A 17057
1'.0 n...4K250. Ft. W..rth, TX 70l48.0250
(770) 916.0061
(513) 942.2237
(717) 985.1667
(817) 428.3320
Date
RE
CLAIM
IHC
1 03/31/97
I DAVID MOHR
. I IS51943580BMl
. I 01-0048749
Dr, Branscum on 11/17/95, again diagnosing chronic pain syndrome,
slow~resolvinq. In his last office note, 12/8/95, Dr. Branscum
indicates the patient has a hard time sleeping "from working both
jobs, has more paln, taking Darvocet p.r,n." He was rescheduled for
anotner serles of nerve blocks at the pain clinic on 12/22.
A
"'On 2/17/97, an engineering Impact Analysis was submitted by J. Ronald
Sall1ng whlch concluded that the ranqe of possible acceleration
experienced by Mr. Mohr in the VW Jetta was less than the range of
acceleration experienced by an individual who received an
unexaggerated "slap on the back" and would be comparable to someone
who sUddenlr stands up from a chair. This level of acceleration is
within leve s normally experienced by individuals in daily life. This
wouid not result in any physical injury.
Addressing the causal relationship, I would point out that this was an
extremelr low impact collision resulting in extremely low g forces,
as descr bed in the impact analysis, and would not result in any
significant physical injury. In the phone interview conducted by Pat
Hickey, on 4/18/95, page 2, Mr. Mohr states, "the back bumper had a
cre8le and scuff marks and the front grill of the car did pop out. "
There was no damage to the front end of the impacting vehicle which
may have been rear-ended itself.
It is interesting to note that the impacting vehicle sustains a
greater colllsion force, in this case 1.2 g, than the car which as
been rear-ended (0.5 g). The bottom line in this entire scenario is
that the occupant of the impacted vehicle would not, in my opinion,
sustain significant force allowing any physical injury.
\\ Likewile, during subsequent exams, beginning 4/10/95, the neck, for
example, is described as supple and nontendar to palpation. X-rays
were negative. This is at most acute cervical strain, a soft tissue
condition amenable to spontaneous recovery in the time frame of a few
weeks at the very most.
'-
Commenting on preexisting proble . is oted in tho records that
Mr, Mohr has been involved in ~ prior MVAs none of which were his
fault. A review of the note of ay J. C , M.D., Rehab Medicine
ASloci~tes, Mechanicsbur.g, PA, of h ment of tho claimant from
4/25/85 to 5/29/~0, describes a scenario of treating subjective
symptoms wlth minimal objective findings. It is worthwhile noting,
that while going to PT at Alexander Spring Rehab four times a week, he
was able to miss from 6/12 to 7/5/95 for a vacation trip to Germany.
4
Inlern.tlun.llIealth~are Cunsultants, In~.
(I H C)
1',1), n... 7019, Marietta, (;^ J006S-1019
P.O. no. 42726, Clndnn.t1. 011 4~242-0726
P.O. no. 312, Mi~~l<town, P^ 170~7
PO. 80. 482~0, Fl. Worth, TX 76148.02~0
(770) 916.oU61
(~13) 942.2237
(717) 98H667
(817) 428-3320
Date
RE
CLAIM
IHC
: 03/31/97
: DAVID MOHR
t 1S51943580BMI
t : 0J.-0048749
Also relevant and insightful into the claims of the claimant for
phrsical injury was the MVA of 1984, a head-on collision on Wolf
Br dge Road with injuries to both the knees and left hand. The only
x-rays taken, however, were of the skull and cervical spine, both
normal. He was essentially diagnosed on 6/2/84 as having TMJ syndrome
on the right. On 7/12/84, he underwent arthroscopic surgery on the
right knee. Which was performed by Frank S. Bryan, M.D., orthopedic
surgeon of Carlisle, making a diagnosis of post-traumatic injury,
right knee, with continued discomfort with non-localizing findings.
Review of the OR note reveals the anatomical structure withIn the knee
was completely normal. Subsequent to this finding of a normal knee,
this claiment underwent extensive physical therapy and multiple
operative procedure culminating in a right paralectomy.
Despite this, the claimant eventually underwent surgical procedures
including a Marquet procedure (osteotomy proximal tibia with elevation
of the patella) and finally a paralectomy.
Ten years later, on 8/25/94, David M. Joyner, M.D., orthopedic
surgeon associated with Dr. Boal at Camp Hill, saw Mr. Mohr. Despite
the right paralectomy, Mr. Mohr was still, "having anterior pain in
the right knee over the past several months."
Are duration, frequency and mOdalities appropriate? Again, not to be
repetitious, I would more than likely say that Mr. Mohr did not
sustain significant physical injuries in the MVA of 4/10/95. In this
context, in my opinion, the initial ER visit of 4/10, the first two or
three office visits to Dr. Branscum and the consultation by Dr. Boal,
were perhaps reasonable. It would be my o~inion there was no
indication for physical therapy at Alexander Spr~ng Rehab. Likewise,
there was absolutely no indication for the chiropractic treatment
rendered by Dr. Henninger from 6/5/95 to 1/2/96. There would be no
indication for the treatments from the Pain Clinic of Carlisle
Hospital from 10/4 to 12/4/95. There is certainly no relationship
between the MVA and the treatment for diarrhea. The fluoroscopic
findings of polyp which was diagnosed as a submucosal carcinoid
tumor, which is a low-grade malignancy, was a serendipitous finding.
Addressing the question,
returned to his pre-MVA
not sooner.
at what point in time would Mr. Mohr have
status, that would have been on 4/13/95, if
5
IMPACT ANALVSIS
ror
Mllllhew Gover. Esa.
This report summarizes an Impact Analysis of a collision incident occurring
on August 12, 1995 involving Ms, Kathy Hunter. The analysis is based upon
information and data gathered from the provided materials as well as information
commonly used in the analysis of vehicular collisions, If additional information
beeomes available. it may be possible to refine the numerical results diseussed.
Materials Provided:
o Commonwealth of Pennsylvania Police Accident Report, Hamplon
Township Police Department, 8/12/95,
o Deposition. Ms, Kathy Hunter, 12/13/97.
o Deposition, Mr, Terry Hunter, 12/13/97.
o Deposition. Ms, Nikki Parvus, 12/13/97.
o Deposition, Ms, Sheila Parvus, 12/13/97.
o Statement, Mr, Larry Lint, 8/24195.
Cl PhotographJ, 12, 1984 Buick Regal.
Incident Description:
This incident oceurred on Saturday, August 12, 1995 in Hampton Township,
Pennsylvania at II :25 A,M, on Carlisle Pike near its intersection with Sporting Hill
Road.
The driver of a 1984 Buick Regal was Westbound, and stopped for a traffle signal
on Carlisle Pike. A 1984 Buick Skyhawk approached the rear of the 1984 Buiek
Pt..AIH1W,I,
I ImQ ..." .
-.k'-
DillON ASSOC'4UI, INC.
CH""".OOO
Matthew Gover. Ela..
Imn.c. Analvlis
Plge -3-
M$, Kathy Hunter, the driver, is making claim of
injury as a result of this incident.
~:
For the purpose of this report, the 1984 Buick
Skyhawk, driven by Ms. Nikki Parvus, will be
designated as Vehicle 2. Ms. Parvus was
unaccompanied in her vehicle at the time of the
incident.
This vehicle was equipped with an automatic
transmission, power steering, and power brakes. This
vehicle was not equipped with an air bag system for
the driver position. This model 1984 Buiek Sky hawk
was not equipped with an ABS braking system.
This vehicle is classified as a Compact-size vehicle
and has an approximate gross weight of2575 pounds,
This vehicle was equipped with an energy-absorbing
bumper system. The seating system was equipped
with seat belts and head rests, This is a front-wheel-
drive vehicle,
No damage to the 1984 Buick Skyhawk is described.
~DeeriDa Impact AOI]In!!:
, ,.;
For purposes of carrying out an engineering impact analysis, it is necessary
'.
DII'OIl AnOCIA''', 'IIC.
IIATTAlOG.., .......e
Matthew Gover. [sa"
Impact Analvsis
Page -4-
to make use of several specific vehicle-related characteristics, In the analysis of this
eollision, the primary vehicle information necessary is the gross weight of each
vehicle.
a) Including the weight of the vehicle occupants, the 1984 Buick Regal had
an approximate gross weight of 3545 pounds,
b) Including the weight of the vehicle occupants. the 1984 Buick Skyhawk
had an approximate gross weight of2575 pounds.
The most direct method of analyzing this collision is to carry out an Impaet.
Momentum calculation, In order to do this, one additional assumption is necessary:
c) The 1984 Buick Regal is assumed to be at a standstill, that is, at a
zero (0 mph) speed at the time of the collision,
A collision such as this will oecur in a short period of time, This eollision
will be completer! in about 120 milliseconds (0,120 sec.),
The result of the collision was a Change in Momentum of the 1984 Buick
Regal. The 1984 Buick Regal was accelerated, as a result of the collision, from its
speed just prior to collision. As a result of the collision, the 1984 Buick Skyhawk
was decelerated from its speed just prior to the collision, Although each vehicle's
Change in Momentum (~mV) was the same, their individual changes in velocity and,
consequently, the acceleration experienced by eaeh vehicle will Dot be identical.
The Change in Momentum is represented by the symbol "~mV" and has units
of force, measured in pounds, multiplied by time, measured in seconds, (Le., "Ib-
see"). The change in velocity is represented by "~V" and has the units of measure
offeet per second (ft/see) or miles per hour (mph), The aceeleration (or deceleration)
is represented by "Accel" and has the units of measure of feet per second per second
(ft/sec/sec), Acceleration can also be represented by the unit of measure of "I" which
DII'Q. AIIOC'A'II, I.c.
CHA"ANooaA, ,........
Mllthew Gover. [sa..
Imllacl Analnls
Plge -6-
Collision Ana1nH:
The impact analysis indicates that, as a result of the collision, the 1984 Buick
Regal experienced an acceleration of 0.6 g, This levd of acceleration is within the
range of accelerations experienced by individuals ill daily life.
Whenever a vehicle is subjected to a level of aeeeleration (or deceleration),
the occupants are, likewise, similarly accelerated. This is categorically true if the
occupants are securely "attached" to the vehicle, For this reason, seats are designed
with seat backs, head rests, and seat belts,
For example, the driver of the 1984 Buick Regal, silting finnly in her seat,
will have a lower body acceleration no grcater than that experienced by the vehicle
itself. Therefore, in this collision, the seat will experience a 0.6 g acceleration
forward, That is, the driver will move forward with respect to the position of the
vehicle just prior to the instant of collision.
The extent to which a vehicle occupant is able to move with the vehicle.
while the vehicle itself is ehaJlging speed, detennines the amount of time the
occupant's body has to adjust to or accelerate to the new speed of the vehicle, As
this time is reduced, the induced acceleration of the oecupant may be magnified,
If the change in speed of the vehicle is the result of a collision, the time for
speed change by the vehicle is very short and that of the passenger(s) may be even
shorter. It has been found that, in a collision, the upper portion (i.e.. head) of a seated
vehicle occupant may experience a magnified acceleration greater than that of the
vehicle itself,
Empirical testing indicates thaI, at low collision speeds, typical magnifieation
factors for the head of a seatcd occupant are less than 3.5 : I. There is no such
magnification for the supported body of a seated occupant.
"10. A..oc'...., I.c.
CMAnA.OOOA, Tu......
Malthew Gover. Esq"
'mOltt An.lvlls
Pile -8-
Summary:
In summary. the 1984 Buick Regal suffered a rear.end collision which
produced a vehicle acceleration of approllimately 0,6 g. As a result, it was possible
for the driver of the 1984 Buick Regal, Ms. Kathy Hunter, to have ellperienced an
upper body, forward inenial effect within the range of 0.6 g to 2.0 g. This inertial
effect would have been resisted by the individual's body structure as well as the seat
of the vehicle. This range of accelerations is within the levels normally ellperienced
by individuals in daily life.
~,'>-~~ ~X-:e
Craig A, Depke h.O, P.E, -
Consulting Engineer 1),-/' /? 7
DallOM A"OCIA'", IMC.
CHAnAHOOOA, TIMMIII..
"
, ,
CRAIG A, DEPKEN, PH,D" P.E,
REGISTERED PROFESSIONAL ENGINEER
DESIGN ASSOCIATES, INC,
4195 CROMWELL ROAD, SUITE 604
CHATTANOOGA, TENNESSEE 37411
PHONE: 413/954-3040
FAX: 413/954-9838
~:
Purdue UniversitY
School of Mechanical Engineering
West Lafayette,lndiana
Bachelor of Science in Meehanical Engineering with Honors
(B.S.M.E. with Honors) 1964
Member: Pi Tau Sigma
Tau Beta Pi
(Engineering Honorary Societies)
Georgia Institute of Tecbnology
School of Mechanical Engineering
22S North Avenue. N.W.
Atlanta, Georgia 30332
Master of Science in Mechanical Engineering
(M.S.M.E.)
Doctor of Philosophy granted by School of Meehanical Engineering
(Ph.D. in Mechanical Engineering) 1972
Member: Sigma Xi (Scientific Honorary Soeiety)
DII'o" IlnOCI.'II, INC.
Craig A. Depken, Ph.D., P.E.
CurrlculumNUae
Page 2
CO~TIj\lUl~G PROFESSIONAL EDUCATION:
. Symposium on Vehicle Crash Worthiness Including Impad Biomecbanics
The Winter Annual Meeting
American Society of Mechanical Engineers
Anaheim. California
Deeember 8-10. 1986
. Symposium on Simulalion and Control of Ground Vehicles
and Trlnsportalion Systems
The Winter Annual Meeting
American Society of Mechanical Engineers
Anaheim, California
December 12-13, 1986
Spoosored By:
American Society of Mechanical Engineers
United Engineering Center
345 East 47th Street
New York. New York 10017
. The Mechlnlcs of Heavy-Duty Trucks and Truck Combinations
Chrysler Center for Continuing Education
University of Miehigan
Ann Arbor. Miehigan
July II-IS, 1988
Sponsored By: University of Miehigan Traffic Researeh Institute
The 'Jniversity of Miehigan
College of Engineering
Ann Arbor. Miehigan 48109
D",o_ A"oCI"''', I_c. CH"n,,_ooo., TI.......
.
.- '.
Craig A, Depken, Ph.D., P,E.
Currh:ulumlVltae
Page 3
~ONTJNUlNG e~OFESSIONAL EDUCATION:
(Cont'd.)
. Elemenls of Braking Performance, Design, Ind Safety
Dr. Rudolf Limpert
Troy. Michigan
July. 1995
Sponsored By:
Society of Automotive Engineers
400 Commonwealth Drive
Warrendale. Pennsylvania 15096
. Data Acquisition Using Personal Computers and Standllone Systems
Atlanta, Georgia
May 30-3 I. 1996
Sponsored By:
Instrument - Data. Communications (/DC)
7101 Highway 71. Suite 200
Austin, Texas 78735
. Low Speed Cellision, TOPTEC
Delta Pacific Resort and Conference Centre
Richmond (Vaneouver), British Columbia. Canada
August 19-20. 1996
Sponsored By: Society of Automotive Engineers
Continuing Professional Development Group
400 Commonwealth Drive
Warrendale. Pennsylvania 15096
DUION ASlOCIA'U, INC. CNAtTANOOGA. ........
Craig A. Depken, Ph,D" P.E.
CurrlculumlVltae
Page 4
fB.QlESSIOJ'llt\L ASSOCIATION~:
Proresslonll Engineer:
Registered Professional Engineer (P.E.)
State of Georgia
1972 to Present
Member:
American Society of Mechanical Engineers (ASME)
United Engineering Center
345 East 47th Street
New York, New York 10017
Society of Automotive Engineers (SAE)
Continuing Professional Development Group
400 Commonwealth Drive
Warrendale. Pennsylvania 15096
National Fire Proteetion Association
I Ballerymatch Park
Post Office Box 9101
Quincy, Massaehusetts 02269
National Society of Professional Engineers
1420 King Street
Alexandra, Virginia 22314-2794
Georgia Society of Professional Engineers
Northwest Georgia Chapter
Rome, Georgia
,
"..
, ,
DII'ON ""OC'Anl, INC.
"..".........
Craig A, Depken, Ph,D., P.E.
Currh:ulumNltae
Page 6
~:
(Conl'd..)
State Patrol on large truck aceident investigation.
(A) Course materials on "how" to reeord
and document accident scene data.
(B) Test data on skid mark analysis of
tractor-trailer trucks,
Development, analysis, reconstruction, and film
documentation of re-enactment of fatal accident.
Miscellaneous papers for corporate clients, including all
development of data, test procedures, analysis, reports and
presentations.
DillON A"OOIA'", INO.
CNAnANOOGA, T.NN.....
Craig A. Depken, Ph,D., P.E,
CurrlculumlVltae
I)age 10
(Cont'd.)
Developed and presented an analysis of Federal E.P.A. and O.S.H.A. regulations along
with regulations promulgated by state agencies and their impact on industrial decision
making.
Sponsored By:
V,S. Postal Service
Atlanta Bulk Mail Center
Atlanta, Georgia. 1978
Wrote. developed. and presented a 16-hour video re,orded seminar instructing post
office personnel in Basic Vibration Analysis. Theory and Practice Techniques as
applied to Air Handling Systems installed in the Atlanta Bulk Mail Center.
Sponsored By:
Crane Inspection & Certific3tion Bureau (CICB)
Airport Business Center
Orlando, Florida
Developed. wrote, and presented a half-day presentation to the 10th Annual CICB
Crane Conference, Las Vegas, Nevada, November 9-11, 1988. Presentation was
entitled "Liability and Responsibility After an Accident Occurs." Participated in
various panel discussions on daily topic presented for balance of conference.
01110_ AnGcl..n, I_c.
.."""000., ,.........
Craig A. Depken, Ph,D" P.E.
CurrlculumlVltae
Page 11
INGIISEERING ANALYSIS:
From 1965 to the present, engineering analysis has been performed to provided a
technical basis and understanding for maners in litigation or in anticipation of
litigation. On many occasions,the results of such work have been presented in the form
of testimony by deposition or at trial or both. Since 1965, expert opinion testimony has
been given for maners in litigation in both State and Federal jurisdictions in no fewer
than 30 states.
O..,ON Alloeo.,.., I.c.
CH.1Y..OOO., T........
DAVID R. MOHR,
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNA.
CIVIL ACTION - LAW
v,
NO. 95-4348
GWENDA L. SHANK,
Defendant
JURY TRIAL DEMANDED
PLAINTIFF'S ARBITRATION MEMORANDUM
I. FACTS & LIABILITY
On April 10, 1995, David Mohr was travelling North on Walnut Bottom Road In
Shlppensburg. It was approximately 5:00 p,m., and Mr. Mohr had just left his job at the
Cumberlend County Office of Aging on his way to his part-time job at Outreach, Inc. It was
daylight and the weatht>r and roadways were dry.
Mr. Mohr was stopped at the red light at the K.Mart entrance. At that time, the
Defendant, Gwenda Shank, was also travelling on Walnut Bottom Road approaching the red
light at the K-Mart. At that time and place,the front of Ms. Shank's vehicle struck Mr. Mohr's
vehicle In the rearend. liability Is clear. The police report is attached as Exhibit "A."
II. DAMAQE~
A. Medical
1. Carlisle Hosoital Emeroencv Room
At the scene of the accident, Mr. Mohr felt pain in his neck and felt dizzy. Later In the
evening of the accident, Mr. Mohr's pain increased and he felt stiffness throughout his neck
and mid-back. Mr. Mohr presented to the Carlisle Hospital Emergency Room.
128801/LRJ
There an x-ray was taken as well as e physical examination. Mr. Mohr was diagnosed
with acute cervical strain as a result of the motor vehicle accldant. He was prescribed pain
medication and told to see his family physician, The Carlisle Hospital Emergency Room
records ere ettached as Exhibit "B."
2. Georae p, Branscum. Jr.. M,O,
On April 11, 1995, the day after the accident, Mr. Mohr presented to his family
physician, Dr. Branscum. Allached as Exhibit "C" are the May 26, 1997 and February 22,
1996 reports of Dr. Branscum. Dr. Branscum diagnosed Mr. Mohr as having a cervical sprain
and chronic pain syndrome as a result of the April 10, 1995 accident, Dr. Branscum notes
that Mr. Mohr's present condition is directly related to the accident. Dr. Branscum treated Mr.
Mohr for this aceldent from April 11, 1995 to April 29, 1997, and those records are attached
as Exhibit "D."
3. Alexander Sorlna Rehabilitation
Between April 21, 1995 and July 12, 1995, Mr. Mohr participated In physical therapy
at Alexander Spring Rehab, Inc. Mr. Mohr's physical therapy records are attached as Exhibit
"E." Physieal Therapist, Marsha Diller reports that while Mr. Mohr's flexibility and mobility
Improved, his pain continued In his neck and back.
4. Orthooedlc Institute of PA
Mr. Mohr treated with Dr. Boal of the Orthopedic Institute of Pennsyll/ania In May and
June of 1995. (~, records atteched as Exhibit "F.") On axaminatlon, Mr. Mohr was found
to be tender in the cervical and lumbar spine, and was diagnosed with strains In these areas.
6. Linda Henninaer. D.C.
Mr. Mohr began traatlng with Dr. Linda Hanningel, a chiropractor, in June 1995, end
has continued treatment with Dr. Henninger to this date. Dr. Hannlnger's July 2,1997, report
2
:.
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COMMONWEAL TH OF PENNSYL ~ANIA
POLICE ACCIDENT REPORT
REPORTABLE [}';jJ NON, REPORTABLE L."J
~EFEA TO OVERLAV S~IEETS
POLICE INFORMATION
.
· INCIOENT A,., ",- I 'l
NUMBER n 1.1 - j" _
2. AOENCVhJ 1 .-- .
NAME (.',Mo",I,,,, (;'..J.4-L:':"-~' I 1t,1,<, .),"
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PRECINCT lONE
5 INVESTiGATOR ,1.. BAOOE .....
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. e APPROVEO BV BAOGE
NUMBER
7 t:iESTIOATlON '1.110 /9.r" I e ~,~R~VAl ;l;!. 10 J, ~," ~ '
ACCIDENT INFORMATION
9. ACCIOENT " ',_ I' ~ 10. OAV OF WEEK j I
OATE 'f / /0 'f.r" 't ik_ ~ ,~ I
II. TIME OF ,,,,, '2. NUMBER A I
OAV . /00 ^,,~,< OF UNITS :1
13. "1(ILLfO /14 " INJURED 15. PAIV PROP 0 ,...,
,1 I I ACCIOENT Y N I Xl
14 010 VEHICLE HAVE TO Be FlEMOVED 17. VEHICLE DAMAGE
FROM THE SCENE? 0 . NONE UNIT 1
UNIT 1 . UNIT 2 , . LIGHT
2 . MCOERA TE
3, SEVERE
I.
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, S. HAZAAOOUS
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PAGE. -L
74 GVWPl
n. R~~ fl'l. "H~ n I
'NVISTIGATING AUSNC"
.1 .
Mohr, David
MRI 223589
04/10/95
EUalW'n't'lll 'lhis is a 29 year old \<oh1te male M'lo presents to the emIl1'lJ8llCY
depart:ment today CCI1plainirq of neck pain. '1t1e patient was involved in a
~ vehicle IIccident. He states that he was parked lit II red light anS was
struck fra1Il:leh.in1. He was waring his II8IIt belt at the time. He denies
injury to the steer~ Weel or to the win1shield. He states ha was IIl:lle to
9llt ~ an1 walk aroJJ'd after the accident ClClOIX't'Eld. He denies 1'I\lIl\I:Iwaa or
t~l1ng into his \JRil8I' extrendt1es. 'lbere ill no blurred villion or h~che.
'1,Mr8 were no other injuries or other CCI1plaints today.
PAST KlDICAL JIIBla\YI unremarkable.
CUIIIUNl' MmICATICHlI None.
ALLIllGImI Penicillin, he descr1l:les a rash.
CIIJEm'lVEI Vl'1'J\L SIG/S: within normal limits. GENmllL: 'Ibis is a 29 year
old \>/hite 1Mle in no acute distress, eml:W.llting in the emergency deparbnent.
HEENl': Head ill ~l1c, atraumatic. PERL/B:HI. nmcll were unremark-
IIl:lle bilaterally. ma: Callais are clellI" bilat:.er"lly. 'l)!1rpan1c membranes
are intact. NOSE' 'llIRJAT: Normal. NEO:: SUpple, there was tenderness
noted to the paraspinoos region. 'lbe cervical spine was nontender to palpa-
tion. 'ItIe thoracic spine was nonten:ler. QIES'l': Lungs are clear to au'lCUlta-
tion, no chest wall ten:iemesS. SPINE: Nonterder to tist palpation. HEl\Rl':
Regular in rate and rhythm, no Jl1I.Il'llUr or gallops. 1\!lIXMEN: Nornal. 00llEMI-
TIES: AtraUl1'atic and tull range of motion. NE1JroLOGIC: 'ItIe patient ill alort
anS oriented times three and cranial nerves II-XII are grossly intact. Deep
temon reflexes were 5/5 in the uwer and l~ extremities. 'lhere is qood
grip strength. Gait was unremarkable.
DtIlIlGIXlY IlCCH OOIRSEI An x-ray was obtained ot the cervical spine. 'lh1s was
read by Dr. Coyle and myself as negative for an acute tracture. 'lbe patient
was instructed to use IbJproten 200 ng 3-4 tablets 3 times n day with tood, to
IlRlly heat 15 minutes 4 times a day. He was given II neck injury instxuc:tion
sheet, to return to the emergency department as needed. 'Ibis case was dis-
o'--ed with Dr. coyle.
DDoGtDJISI Acute cervical strain.
!ot:ltor vehicle accident.
DAS/mrt D - 04/10/95 - 2215
T - 04/15/95
WANE A. 9mXlP, PA-C
CARLI8LE HOSPITAL
EMBRQENCY ROOM RECORD
PATIENT
HISTORY
OF
CONDITION
VISITS
X.RAY
DRUGS
OTHER IMPAIRMENTS
(NOT,."",oI
11ll'_1I
DIAGNOSIS
COeICf1be n.turI
and ..1"" or inJury
Commonlon "".....
_lIonloool"Y
mull oI"',lCddentl
NATURE OF
TREATMENT
PROGNOSIS
(InClUde ..llml,e 0' problbl.
.............. ,...11I, H .nyl
:t is b -le.JnpOfll.f.~
.S~~ JX1rHlI1\ljcb
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ablA 10 (tnl,
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MIDICAL BILL
~
MEDICAL REPORT
CLAIM NO. 1551943580 R2,~_,_
INS D'S NAME F. Shank
Name.
David Mohr
..... ___. .____ Age __ Married? ____
Address
Dale 01 Accident. 'JJQ.. C\.:> .. 19 __ Dale 01 your Ii'slt'ealmenl_~- IL~_.... 19.9.5....
Hlslory as described by pallenl-Pl ~r{(j-l~6'-frox - e~
Old pallent's InJurlll~~~cur In course olemPIOyme;t~-lClo
Hospllallzad? -Nt! Name 01 Hospital ./ Duration of Stays
Complain Is. Signs. symPloms_(\eJ~K poJ (I ~ ~A I
Has thera been prior lraalment by you 0' any other doclor!s) lor the same or similar complalnl?
II so. spaclly:
A/O
Where taken
";'.. ,.-.--
~~ln - ~
~Ii'''~ nU pttff,n
From L/ K) Q ~ _ Through U n,J, J-.t dllftn(
--10.- 6'iY -w:--' "lfo:" Day)l;,
\ -)r"\r\~\".,,",~....\N-<'\ .__
MO:" oa;y,.
" pallent was "ot employed, Indlcale eSllmaled (or actual) number:
Totalqlsablllly: _~weeks, Ended ()I~ 19
Partial disability: nl~ weeks. Ended 19
DOCTOR: PLEASE ATTACH A COPY 01' YOUR ITEMI ILL FOR SERVICES RENDERI~ -_.~
My fI!III blllts S 0' (II treetmentl ncomplete estlma" 01 flnal bill Is * ~ __
DOCTOR'S N TURE :g
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If sllll disabled. when can paUent relurn to wllrk?
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"0 WAI.NUT 10"0" ROAD
CA"LIIL.E. ,... 170'1
OIOROI ,.. IRAN'CU". JR.. M. D.
,....,ILY ""ACTIO.
TIU......N. .......,
July 12, 1995
To Whom it May Concern I
David Mohr has been under my care for injuries lubetained in a motor
vehicle accident on April 10, 1995,
I first eaw David in my office April 11, 1995 and my laet vi.it with
David wae July 12, 1995,
David is etill under my care for back sprain, and will a1eo be eeeing
a chiropractor of hie choice.
If you have any further queetiono, please feel free to call my office.
Sincerely,
~8"""\",,, '---...
Dr. George p, Branscum M.D.
cc. patiente chart
.. .....
REtl! lYE I) AUG 0 1 1995
Alexander Spring Rehab, Inc.
July 27, 1995
a.o~g. B~an.cum, M.D.
B.lv.d.~. M.dlcal C.nt.r
ISO Walnut Bottom Ro.d
Ca~11.1., 'A 17013
R.. D.vld Mohr
D.a~ Dr. Br.n.cum.
Your patl.nt, Davld Mohr, we. .een for ther.py betw.en 04/21/95 and 07/12/95
wlth a two week hlatu. whl1. p.tlent w.. on v.catlon. Davld wae lnltlally
~.f.~~.d due to n.ck, mld .nd low back pain following a moto~ vehicl. accident.
'10
Du~lng D.vid'. the~.py ....ion. he h.. made lmp~ovement. ln c.~vlcal ReM and
tho~aclc lumb.~ mobility. C.rvic.l flexlon at hle la.t vl.lt wa. 7eo, ext.n-
elon wa. 400, L ~otatlon wa. 550, R rotation wa. 600, R eldeb.ndlng wa. 400 and
L .1debendlng w.. 3eo. Tho~.columb.~ mobillty - flexlon wa. 70', bl1at.~.1
.1deb.ndlng w.. approxim.t.ly 80\. H. h.d inc~ea.ed tho~aclc lumb.~ cu~v. wlth
hl. .1~.b.ndlng mov.ment. end wa. notlng imp~ov.ment. R ~otatlon wee 4e' end L
~otatlon wa. app~oxim.t~ly 70\. He had d.c~..81ng tone ln the thoraclo .un~a~
pa~a.plnal.. He continu.d to ~em.ln t.nd.r ove~ the T12 to L5 lev.l.. ~~ l..t
vl.lt th.~. wa. no palp.b1. lumbar ~ot.tion.. He h.d mlnlm.1 tende~ne.. tc
pa1p.tlon of the c.~vical p.r..pinal. .nd the upp.r back. 'aln r.po~t. ln ~h.
n.ck contlnued on an lnt.rmlttent ba.i. to be 3/10 on the paln .c.l.. Th.
pat lent volced maybe on. to two h.adache. . w..k. Back pain ~.m.ln.d a 6-7/10
and had not .ubald.d o~ ch.ng.d ln the dur.tlon of hl. the~.py ....10n..
Ove~ the cou~.. of Davld'. th.rapy h. dld lmp~ov. ln the f1.xlblllty and
mobl1lty of hl. n.ck .nd back but tha pain ~epo~t. contlnued. D.vld 1. to
contlnue a home .x.~cl.. p~og~am of anterior and po.t.rlor tl1t., uppe~ t~a-
peall .t~.tch.., chln ~et~action exe~cl..., .omatlc exe~cl... of .ld.1ylng
thoraclc and rlb mobl1lty. Al.o .om.tlc. .xercl.. 12 of neck and arm mov.ment
lnto f1.xlon. He wa. .1.0 In.tructed ln .uplne p.lvlc .tabl1laatlon of the
apln. marchlng ln place. He wa. al.o to contlnue w.lklng .nd blking at home.
11nc. beginnlng th.r.py O.vld h.. .lgniflcant1y inc~...ed hl. c.~vloa1 and
thoraclc ROM. Howeve~, peln complalnt. r.m.ln con.t.nt ln the mld low b.ck.
'hy.lc.l The~.py h.e m.d. minim.l ch.nge ln the la.t two week.. In dl.cu..lon,
pati.nt h.. agr.ed th.t lt 1. .pproprl.t. to .top 'hy.lcal Th.~.py at thi.
point to~ a pe~iod of tlme. Therefore, I am di.cha~glng pat lent at thi. tlme.
Thank you very much for your refer~al,
11ncere1y,
ma~! I( rIJJ..~f.t<.." A
Me~.h. R. Dl11er, '.T.
27 Brookwood Avenue
Carli5le, Pennsylvania 17013
(717) 245-2341
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ALEXANDr.R SPRING REHAB, INC,
carlisle, pennsylvania 1701.
(7l7) 245-2341
THIS INFORMATION IS FOR YOUR RECORDS. THANK YOU FOR YOUR REFER~L
EVALUATION..
David Mohr
DIAGNeSIS, Cervical sprain" thoracic sprain
following HVA
DATE PT INITIATED, 04/21/95
PATIENT 10/, 564516
BIRTH DATE'
PHYSICIAN,
e4/.S/65
George Branacum, H.D.
.., Pt. ia a 29 yr. old male raferred to ASR " seen for an initial evaluation on 04/21/95 with
a diagnoail of cervical sprain" thoracic sprain following HVA on 04/10/95. Pt. reports he
Itopped at a red light" waa rear ended. He said his head flew forward" then backwards,
Since then he haa been extremely dizzy, He was wearing a aeat belt during the accident. Two
hra. after the incident he started to get a headache " tension in the back" was unable to
drive" had to have a family member do so, lie thon went to the hospital, had x-rays taken
~hich revealed only mild cervical scoliosis right near the lordotic curvature of the spine that
may have caused the mu~cl. spasms. Pt. is having constant pain that varies in intensity in the
cervical neck, the suboccipital muscles, increased pain around the C4-'Tl area, pain radiating
down to the TS-Ll area. He is reporting pain is extremely painful with sitting. He is unable
to ait for any length or period of time. He can not drive because he can not turn his head
without significant pain. Walking for greater than 5 min, increases pain. He is unable to put
~il shoes on. Heat temporarily relieves his pain, He reports he can sleep for maybe 15-20
min. " then he is up for the rest of the night. He gets up 4-5 times a night" tosses" turns.
Pt. reporta that riaing in the morning he is worse, Pt, reports he feels worse in the A.H.
than later in tha day. He is voicing a 5-6/10 pain scale. His medications are Voltaren "
Soma, Paat medical hx ia of being "n a HVA some 11 yrs. ago, He had multiple surgeries to his
lags at that time. Pt.'a job requires him to do a great deal of sitting or driving - he is
.mable to do both right now so he is doing a lot of standing at his job.
0' Cervical ReH, Flexion is 400, R sidebending
100 " L rotation i. 320. Pt, has pain with all
tha ahoulder hlades. Pt.'. unresisted UE tests
taating did cause back pain.
4tPalDation, Pt, had a L C3 rotation, R Tl " 2 rotation" TS-Ll was rotated L. Pt, had in-
creaaed tone" awelling in the T8 - L3 area, L > R. He had increaaed tons in the suboccipital
muacles. all joint region, cervical paraspinal across the upper traps" the rhomboid..
iea 200,
of these
were WNL
L sidebending is 120, R
movements in the central
& reflexes were intact.
rotation j s
neck & acrOSB
UE resistance
Treatment, Pt. received hot pack with 6 e-stim pads, 2 to the cervical "pine" 4 criaa crosaad
in the mid thoracic, lumbar spine with a hot pack in sidelying 120 pulses per aec, for 20 min..
4tPt, waa instr\lcted in chin retraction" gentle corner stretch.
AI Pt. haa cervical" thoracic sprains following HVA on 04/10/95,
SHORT TmRM GOALS
1. To aleeD 4 hours a nioht onlv awake 1-2
timel a nioht.
-19 drive with Ability to
3, To sit 20 minutes before
LONG TERM GOALS
1. To have 2/10 oain in 8 weeka,
turll head. 2. To drive with full cervical ReH,
increased evmctom~ 3. TO sleee throuahout niaht without
due to cain.
awake
Plan, To see the pt, 3-4x per wk. for 6-8 wks. for increasing cervical mobility, d~creaaing
"pain' return to daily activity,
SIGNATURE'~ t .jJ~ It-
Mar aha R. Diller, P,T., PT-007704-L
Date, 04/21/95
Dictated but not read.
27 Brookwood Av.nu.
ALUAHllIlR .PRINO RIlRAB, IN,
Carll.l., P.nn.ylv.nla 17013
(717) 245-2341
THIS INFORMATION IS FOR YOUR RECORDS.
'! '" .. INITIAL IiVALUATION"
THANX YOU FOR YOUR REfERRAL
04,128/65
o.org. Bran.oum,
M.D.
DIAGNOSIS. C.rvlc.l .praln ,
followlng MVA
DATE PT INITIATED. 04/21/95
PATIENT 101. 564516
thoraclc .praln
i PATIENT.
i
i BIRTH DATI.
i PHYSICIAN.
I~
I
, S. Pt. 11 . 29 yr. old ,mal. ref.rred to ASR (0 ...n for an lnlthl evaluatlon on 04/21/95 wlth
a dlagno.l. of c.rvical .prain (0 thoraclc .praln following KVA on 04/10/95. Pt. r.port. h.
I .topped at, a red Hght (0 waa rear .nd.d. H. .dd hl. h.ad n.w forward (0 th.n backward..
I Unce th.n h. h.. b..n .xtremely dlzzy. H. wa. wearlng a ..at belt during the accld.nt. Two
, hr.. aft.r the incident h. .tartad to g.t a headache (0 tendon ln the back (0 wa. unable to
1-. drive (0 had to have a family m.mb.r do '0. He th.n w.nt to the ho.pltal, had x-ray. tak.n
which r.v.al.d only mlld cervical .oollo.i. right near the lordotlc ourvatur. of the .pln. that
may have cau.ed the mu.cle .palm.. Pt. 1. havlng conltant plln that varle. ln int.n.lty ln the
I cervical neck, the .ubocclpltal mu.ol.., lncr....d p.ln .round the C4-T1 .1'.., paln r.dl.tlng
! down to the T8-L1 area. He i. reporting paln 11 extrem.ly painful wlth dtting. He 11 unable
I to .it for any Itmgth or p.riod of tim.. H. can not drive b.o.u.. h. can not turn hie h..d
1-' wlthout dgnlfic.nt pain, W.lking for great. I' th.n 5 min. inor..... p.in. H. i. un.bl. to put
, hl. .ho.. on. Heat temporarily r.llev.. hie p.ln. H. report. he can .l..p for mayb. 15-20
min. (0 th.n he i. up for the re.t of the night. H. get. up 4-5 tlm.. a night (0 to.... , turn..
Pt. report. that rl.ing ln the mornlng h. i. wor... Pt. r.port. he f.el. wor.. ln the A,H.
than 1.t.r ln the day. He i. volcing a 5-6/10 paln .c.le. Hl. medicatlon. .1'. Voltar.n (0
80m.. pa.t m.dlcal hx i. of being in a HVA .om. 11 yr.. ago, H. had multlple .urg.ri.. to hi.
I. 1.'1' at that tim.. Pt. '. job r.qulre. hlm to do a great d.al of .itting or driving - h. i.
unable to do both rlght now eo he ls doing a lot of Itanding at hl. job.
D.vid Hohr
O. c.rvlcal ROM. Flexion i. 4eo, R .idabendlng
4eo (0 L rot.tion i. 320. Pt. has pain with all
the .hould.r blad... Pt, '. unre.i.t.d UE t..t.
t..ting dld cau.. back pain.
Palcation. Pt. h.d a L C3 rotatlon, R T1 (0 2 rot.tion (0 T8-Ll wa. rot.ted L. Pt. had In-
cr....d ton. (0 .welling in the T8 - L3 ar.., L > R. He had incr....d ton. ln the .uboccipital
mu.cle.. 'eA joint r.gion, cervical para.pinal acro.. the ullp.r trap. (0 the rhombold..
i. 200.
of th..e
were WNL
L .ideb.nding i. 120. R
movem.nt. ln the c.ntral
(0 r.flex.. w.r. int.ct.
rot.tion i.
nsck (0 .cro..
UIi r.ll.t.nce
Tr.atm.nt. Pt. r.c.iv.d hot pack with 5 e-.tim pad., 2 to the cervical .pin. (0 4 crl.. cro..ed
ln the mid thoracic, lumbar .pin. with a hot pack in .idelying 120 pul.e. p.r .ec. for 20 min..
Pt. wa. In.truct.d in chin retraction' g.ntle corn.r .tr.tch.
A. Pt. h.. cervical (0 thoracic .prain. following MVA on 04/10/95.
8HORT TIIIIl OOALS LONO TIlM OOALS
1. _To d..c 4 hour. . nioht onlv awake 1-2 1. To have 2110 cain in 8 w..k..
~im.lI a nlaht..
2. To driv, with ability to turn head. 2. To drive with full cervical ROM.
3. To .it 20 minute. before increased .vmD~om. 3. To al..o throuahout niaht wi~hout awake
due t.o a.in.
plan. To ..e the pt. 3-4x per wk. for 6-8 wk.. for increa.ing cervical mobility, decre..ing
pain (0 return to d.ily aotivity.
SIGNATURE. ~ t ,/J~ !.t:-
M.r.h. R. Di11.r, P.T., PT-007704-L
D.te. 04/21/91
Dict.ted but not re.d.
27 Brookwood Avenue
ALEXANDER SPRINO REHAB, IN~
Carlisle, Pennsylvania 1701
(717) 245-2341
PLBASE REVIEW, SIGN AND RETURN. THANR YOU FOR YOUR REFERRAL.
t.PLAN 0' TRI:ATMIlNT*.
~
NAME David Mohr
10 I
564516
Op.TE INITIp.TED
04/21/95
Op.TE er BIRTH
e4/28/65
PERIOD COVERED
04/21/95 - 06/21/95
I
I
i PHYSICIAN Georoe Branecum, M,O,
~
OIp.ONeSIS
Cervical/thoracic etrain,
PERTINENT MEDICAL INFORMATION
OATil or eNSET
04/1e/95
REHp.B peTENTIAL
Goad
SERVICE
Physical TheraDv
\ THANK YOU FOR REFERRING THIS PATIENT TO OUR SERVICES.
I-
I MAJOR FINDINGS IDENTIFIED DURING
1. Headanhe daily,
. 2. 6/10 pain ecale.
I 3. Inability to eit/etand/lie for any greater than 10 minutee,
I 4. Cervical ROM, flexion, 400, R sidebend 200, L sidebend 120, R rotation, 400,
I_ L rotation. 320.
I
5. Reflex intact, upper extremity etrength, within normal limite but pulll in neck,
6. Moderately increaeed tone In 01'. junction, cervical paraepinal mUlcle, upper trap, rhomboide
and mid thoracio - upper lumbar mUlclee.
; 7. Tl-2 rotation R, TB - Ll rotation L.
i ASSESSMENT.
I "Multiple eite of increaeed tone/apaema in
, PLAN er TREATMENT, FREQUENCY'
! ANTICIPATED DURATION:
I
I TREATMENT. 1. Hot aacke,
I
1_
:
i
I
I
FORMAL INITIAL EVALUATION WILL FeLLOW.
€mp.J-
I
INTERIM
VISIT INCLUDE,
cervical and thoracic area following MVA
1 2 (J)C4) 5 x/week .
1 2 3 4 5 ~Q) weeke
04/1e/95,
4. Manual theraDv.
2.
Electrical etimulation,
5. Ha8saae.
3.
Ultra.ound.
6.
SHORT TERM GOALS
"1. To _leeD 4 hour_ a niaht on Lv awake 1-2
time. a nlahti
2. To drive with abilitv to turn head,
L,ONG TERM Gop.LS
1, To have 2/10 aain in 8 weeke,
2, To drive with full cervical ROM.
3. To eit 20 minutee before increaeed evmatoms 3. \0 eleeD throuohout nioht without awake
due to 'Cain.
.
SIGNATURE' - rt.O\,\,.~ f<.. r>illi~ 0-.
Maraha R. OilIer, P.T., PT-007704-L
PHYSICIAN COMMllIl'rS I
Date: 04/21/95
Dictated but not read.
.
I certify that I have examined the patient and rehab services are neceelary and will
ed while the patient ie under my care. The plan ot treatment will be reviewed every
ae patient'e condition warrante, I eetimete that theee services will be needed tor
about Thi(lpatisnt does not require a locial neede aueeement,
~ .PHYSICIAN 'J"'v-........... __ Dp.n
be provid-
60 daye or
ASR 12/94
e7 Brookwood Avenue
ALExnrlOEH SPRING REHAD, INC.
Carlls1~, Pennsylvania 17013
(717) 245-231.1
PLEASE REVIEW, SIGN AND RETUlm. THANK YOU FOR YOUR REFERRAL.
"PLAN OF TREATMENT..
10.. 564:)16
David Mohr
DATE INITIATED 04/21/95
DATE OF BIRTH
04/2B/65
PERIOD COVERED
06/21/95 - OB/02/95
iHYSICIAN Georoe Brant;cum, M.D,
DIAGNOSIS
Low back pain,
~ERTINENT MEDICAL INFORMATION
JATE OF ONSET
04/10/95
REHAB POTENTIAL
Fair
SERVICE
Phvslcal Therae.
THANK YOU FOR REFERRING THIS PATIENT TO OUR SERVICES. FORMAL INITIAL EVALUATION WILL FOLLOW.
_AJOR FINDINGS IDENTIFIED DURING INITIAL IGfl:lTF"Rri1:)
I. Cervical ROMI flexion: 640
sldebend: R 300, L 540
rotationl R 100. L 540
2, Headache now 3x/wk, not dally,
Cervical pain minimal; back pain 7-8/10,
TIe - L1 rotation R tender TlO-L 1.
V I S IT INCLUDE:
ASSESSMENT:
Patient continues to Increase cervical
"atlents therapeutic exercise. Patient
Patient returning July 5th,
If LAN OF TREATMENT:
ROM decrease headaches; back pain don't try to Increase
leaving on vacation for 2 weeks wll I s"e when returns.
I ,(D@ 4 5 x/week
I 2 3 G) 5 (5) 7 8 weeks
4,
5,
6,
FREQUENCY:
ANTICIPATED DURATION:
TREATMENT: I, Therapeutic exercise,
2. Manual theraev.
3.
SHORT TERM GOALS
I, To sle"e 4 + hours a nloht.
LONG TERM GOALS
1. To set ue on home exercise oroaram.
To decrease pain to 3-4/10 In 3-4 weeks.
2. To have headache everv 2 weeks,
3. To decrea.e headache to I-ex/week,
3. To have 1-2110 back eain.
.IGNATURE: /Y'iI/:1k;.I\.,t2( (r J ,/:0:
Marsha R. DIII"r; P.T" PT-007704-L
PHYSICIAN COHHENTSI
Datel 06/21/95
Dictated but not read.
. certify that I have examined the patient and rehab services are necessary and will be provid-
.d whll. the patient i. under m) care. The plan of treatment will be revie",ed every 60 days or
a~ patient's condition warrants. I estimate that these services ",ill be needed for
aboLlt Rlent doe5 not r~quire a social neE!::T:ss~ss~7~
ASR 12/'14
I~
I
"
I
\
~.
"
MOHR, David ChartO 38593
~..-<: 10
.._ I
Ii ~ -::JY7TP-
? A ,j, 3:;.,.., p..- t G::.r.u..(
.SJ2 fQ"" .J.dl- Ii>-
:..!./v..
I .
,+-
I';} '--
f,l{:l
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C".."l wt 1 I.,.." - <T
Orthopc
als Po die In'tlt
CA.M:~R CN/J~fI Of PA
~LL, PA. eN Ro
170n '
,). 0 P-' 3-~ <'1<:
.
...,. eli~u
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VN-v v...{ ~,/ .2),)1
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....zf /,,11/: / l. i /1.- /--)!.
.""" R'corrJ, If'
tit"," 'UlhOrtu;Ol 10 b, ",,,,,_
C4"~d'""",~~ Fltirll/ _ .:!'-
oI\IIl"",~_
7>7.
-");/-.
j'vv-r
.
.
May 19, 1995
POPLAR CHURCH
.
Mr. Mohr is a 30-year-old gentleman generally in good health
who was invelved in an automobile accident en April 10, 1995.
He was riding in his Volkswagen Jetta when he was hit from
the rear while he was stopped, He states the back bumper of
his car was dented and the grill, which was a pop in-pop eut-
type grill, was popped and had te be reset. He had his seatbelt
en. He states he had ne pain initially but within a c01Jple
of hours developed a headache. He was seen at Carlisle Hospital.
A few days later he developed some low back pain and he has
had this since the time ef the injury. He underwent physical
therapy at Carlisle. He was going te physical therapy fer
abeut one menth and it has been helping him, He takes Vel taren,
Serna and Elavil as his medications,
.
.
J have examined this gentleman teday and he does have seme
tenderness te beth the right and left of the midline in the
cervical spine area. He also has seme tenderness in his lumbar
area. He helds his neck in somewhat of a rigid pesition and
deesn't like te turn it well te the left and right.
.
He has ne increased pain with vertex compression. He is entirely
intact neurologically in both the upper and lower extremities.
New x-rays were taken of his lumbar spine and they are essentially
within nermal limits.
J think this gentleman did just suffer a soft tissue strain.
J have teld him that it ceuld take another month lOr two unti 1
his symptoms abate. He is to continue with the therapy,
MOHR. David
1138593
OrthopCd' J...
'~'~~>>,,;:d",tc of PI')
CAMp HIll CHURCH RO
. PA 7'011 '
I have effered him a soft cervical cellar which he can wear
as he needs it, He is going to ret~rn te see me in a week
te two weeks for a recheck.
May 19. 1995
CONT'D
RJB/nsm
cc: Auto Ins,
Trindle Road effice
May 26. 1995
POPLAR CHURCH
Mr. Mohr returned and he is making slow progress. He is geing
to therapy four times a week at Alexander Spring Rehab and
this is helping, He does not take any medicine at the present
time. I have asked him to ge t back en the Voltaren, He
is not sure that the prednisone helped him significantly.
He is geing te Germany in about two and half weeks and I
want te see him just before he goes to see how he is getting
aleng. He may need medicine when he gees and we certainly
can give him this.
RJB/nsm
cc: Aute Ins.
Trindle Road Office
lb,Sf RICard, If, not
/ft1l11n 'lI/hOt1I1t1011, ~: "'''''''Id "'1ttoIJf
eonnwnllllify.. 11/ *'~r 'lilt
1IlIy'PPOc
JU:~ ~ ~ ,-
June 13. 1995--Poplar Church Road
Mr, Mohr returned and he has actually gone to a chiropractor which he thinks is hslpin.
him significantly, r'm going to have him take soma ~ylenol with Codeine along with him
to Germany and he will return to see me only if he's not improving and ths chiropractor
is not helping,
RJ8/mee
cc: Auto
Trindle Road Office
~
JUL Y 2, 1 '19'7
STATE FA~1 INSU~ANCE COMPANY
1690 KENN~rH ROAD
Ym~~~, PA
ArfENTIONI DEBRORAH ~~YDER
r~F: CLMI'! NlI~mER
38-'7.l ! 1.-/lI}:!.
D,().,{), (I4/10/9::i
I N~,IJf~ED I DiW I D I"!'JHI;
DEAR MS, SNYDER:
MR. DAVID MOHR HAS BEEN UNDER REHABILITIVE CARE AT THiS
OFFIC~ FOR HIS NECK AND SHOULD~R INJURY DUE TU AN AUTDMUBI~l
ACCIPE::NT APf;:IL 1'), 19'.n:" fl F,'E-EW)LUiHlljl\l FUH'! IiJ(\b F'Ef;:F()~:"'lf.l'
J\.JI~E: ;,4 TO EW1LUATE HI S HEAL. HI S r.HUS (INI) l:.I.:'I"Ii:C T! 'H::NESS OF
THE:: pr.:!::'; I QI-lSI_ Y AI'W Pf,:Escr.' I EiFl1TRE(,TI'U:I'I'1 r':~:.b 11'11;:,
I"IF:. 1'10HF:'- 5 SUBJECTI';t:: CiJl'1PLAINTS APE: ~!I::LJ I'AIN OFTEN
Assar.: I ATED IiJ I T H ....EADACHES> ur I L I 1. ING r:, ,; I ~iU()l_ (.)I'hll_lib SC(\U:
0-10, WITH 0 BEING THAT A PERSON IS PAIN FRE~ AND CAN
FUNCTION QUITE ~ELL, AND 10 BEING THAT A PERSON IS IN
EXCRUCIATING PAIN ALL THE TIME, HE HAS RAfED HIMSELF A 2-~
PAIN. HE. STATED THAT HE FEELS II'1PfWVED (IND DUE", NUl HI\Vl~ ..~.
~~CH PAIN COMPARED TO WHEN HE FIRST CAME IN. A
RE-PERFOF~ANCE OF THE. PREVIOUS ORTHROPEDIC AND NEUROLOGIC
EXAMINATION REVEALED A DECREASE IN FINDINGS.
Mr;., ~10HF hAS H()WEVEf': BLEN VERi SL.OW J N F:E~,F"IJNfH Nt.:'. TO
CARE AND HIS RECOVERY HAS BEEN MA~~ED BY FREQUENT
O..CEF:E!(llICJNS, HIS SYMPTOMATOl..CIC'iY INDICAH. l'lYUf':'!l.IRALGIA
POSSIBLY INDUCED BY THE TRAUMATIC INJURY, HE REPORTS
FF:E(')LJEI~T BOUlS OF I NSOMr.J I fl I NTEf':RlIF"1 El! bLEt:P F'(:llrT:f;:N~" 1,'1\ ii',
AND STIFFNESS THF:OUl,HOUI" HIS SF'II~E I\ND LClWEF<: "X"ff;:EMITY. 11',
DOING MYOF'ASCIAL THEr.:..F'Y WITH 1"'11:;:. l'IUHf,' IT IE, NcnED
CONSISTENrLY A HYPERrONIA OF THE THORACIC AND CERVICAL
fi:EG I ON F'Afn I CUu;'F:L. y THE LOWEF: P{-\f':ACEI,V I Ci)l. (", ~o[l..l. ,\U TI"IE
DEEP SUPERFICIAL ERCTUR SPINAL MUSCLE GROUPS.
MR. MOHR REPORTS PAIN AND T~ND[RNE8S Ar MANY rRIGGt~
F'D I NTS CONSI STEN l' WITH MYOf-' [8W)L.G I () '3YNDRDi'1c:" 1'lIl, MiJHR
Srr\TE'.D l"HA"i HE:. IS SrIl.l_ i::XF'Ef::lI::I\Ii:I:NG SYI'IF"ICiI"IU 11'1 HIS NECf'.
AND THORACIC SPINE Bur SYMPTONS HAVE IMPRov~n URAMArlCALL.
IrI THE ..'AS;'I I> IiJEF.I<~" H J;3 '.JlSl!Al.. ANilLUb SU.)L..~. H(\S GCOf;:ED ;;'-.:'
AS OPPOSED 1'0 A CONSISTENI ~-6 PREVIOUSL.Y" MR. MD~~
eOl',IT I NLlEG 1 U 11~f:f:' I'IL.P 1 un ] ON f"fd:m::f>:I BED !:i,' fJF:, E'lf;:AI'ISCLII'I 1'0
IC,:EDUU,: MIJ~,L:U: :~F'()::i11 (\I'm HIS ll~ r L:::r:;:Ii<:lwn:D :'1u:,':F' F'(\'!' rEFo:!~~" HE
riA", (')l..~;Ci f;iFI",r<i'.! '1';' U"E .., H.I Gf i F'UTUIC'y ~lUI. r i....'J .:'IIWI [1'1 CUI'1F'L.:c x
f.~f>F:'F:~Uf::)r'I{'; l'L Eo:'( 6 ~\j~.LJ (lfiCI"
L1f"DATED l.J16\GNlISISI
CHI':ni'lIC t'IClDE:Fi:ATE CErN ICi\l. (,;5/6 SLlBL.LJX!H H.IN C:OI'IF'I.LX.
CI,u<rJNIC ~ltlDIi':Fi:ATE CEf':'JICi~L.. I"ARi\VI:::RrEfJRi~1.. ~IYI)Fi\~ict 1 IS 1'1ND
'CHRONIC MOD~RATE C~RVICAL sprn~UVLOSIS.
HIS CONO If 101'1 IS i'l1J'r 11,,1:) ICi\U. Y S l{\T WN!:lPVrI;'LATt'ltc:NT
WILL BE REDUCED TO 2-3 TIMES MUNTHY FUR LIGHT WEEKS.
,ESTIMATE LENGTH OF FURTHER CURATIVE TREATMENT IS B WEEKS.
IF' leAN BE Of' ANY ASS I 81 ANCE ..'r:: (;('\f,:() lI'~G 11..:. 1'1 l1H I:;: ~:'l.r::f\m:
C~~TACT ME PERSUNALLY AT MY OFFICE.
SII~~:ftl,9~
DR. LINDA HENNINGER :,C.
eel JAME'DECIN11
Tt'~1r1t.lnentbft
WIl(':nt~V('~H' lh,'II"Il! i.).., tlllJc..tl1d;il..\d'lJIt)!:Jlllt;.-' III il JI;)j(11 J,t J'!',
,);:':!(Jct~'\t;',Hj WLt:tl pl~1.II, IIlUViCLv;~ tlfhHifll dlltl r,l)nj~'-il\ L),\:Hl l,II'ld,
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CCt'~'vlr.:.ot.rIOI"i:,U::,j(,: r,~plnf.'. 1 1'\,Ll\':' 1~IL,n n'"'l)I,I"-dIJod l"lt. l"lutn' t.o
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[)t. L, I nd"j thmn \ nqr.lI"
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6/30/95
To Whem it may concernl
I have cleaned my brethers hcIne every other week since the week
of 4/17/95. I have charged $40.00 for each cleauing, ilIpproxial1lllt1ey,
$80.00 a month. 'n1e tetal bill was $240.00 and my last Cleaning was
the week of 6/26/95.
Michele. Mehr
--ft/~~ ,Id-
i~~ t9 ,,/~ ll~
James G, Nealen, III, Esquire
NEALON & GOVER
301 Market Street, 9th Floer,
P.O. Bex 865
Harrisburll, PA 17108-0865
CERTIFICATE OF SERVICE
I, lenlna R, Jecksen, en empleyae of the law firm of Anglno & Revner, P,C., do heraby
certify that I am this day serving e true and cerrect cepy of PLAINTIFF'S ARBITRATION
MEMORANDUM en the fellewlng via postage prepaid, first class United States, requested
addressed as fellews:
DATED: ?n-C.A.L.A 1'7. JtJ'] 'is"
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ORIGINAL
.
.
.Aug-21-8B 16,00
P.OS
Jim,s G. Nealon. III
ImD.~1 An.lvlll
P.lle .._
Fer purposes of carrying out an engineering impact anllysis, il is necessary
to mike use eheveral specific vehicle.related characleristics. In Ihe analysis of this
collisien. Ihe primary vehide information necessary is the gross weight of each
vehicle.
a) Including the weight eflhe vehide occupant, the 1994 Volkswagen Jella
had an approximate gross weight of24S0 pounds.
b) Including the weight of the vehide occupant, the 1988 Hyundai EKcel
had an Ipproximate gross weight of 2277 peunds.
c) The speed oflhe 1994 Volkswagen Jella is ISsumed 10 be zero (0) at the
instlnt of collision
The mosl direct melhed of analyzing lhis cellisien is te carry out an Impacl'
Memenlum caltulation.
The result of the eollisien was a Change in Mementum of the 1994
Volkswasen Jetta and 1988 Hyundai EKce!. The 1994 Volkswagen Jella was
accelerated from ilS speed prior to the collision, as a result ef the collision. The resull
efthe collision on the 1988 Hyundai EKcel was a slowing, er deceleration, from its
.speed just prior 10 the collisien A1lheugh each vehitle's Chlnge in Momenlum
(AmV) was lhe lame, their individual chanaes in velocity and, consequenlly, the
acceleralion eKperienced by each vehide will nOI be identical.
The Chanse in Momentum is represenled by the symbel"AmV" and has units
of ferce, measured in pounds, multiplied by time, measured in seconds, (i.e., "lb.
sec"). The chlnSe in vehx:ity iJ represented by "AV"and has the units of measure of
feel per second (ft/SIlC) or miles per hour (mph).
The acceleralion (or deeelerllion) is represenled by "Accel" 8IId has the unilt
of measure of feel per second per second (ftIsec1). Acceleration can also be
represented by lhe unit efmeasure of "g" which reflls to the normal accelerllion
of aravily. One g represenls an aceeleralion of 32 2 ftlsec1
OIl'ON A..OCIA..., INo.
"'trA~'. T........
.A~9-21-g8 HIlOl
P.07
Jlmn G, Ntllon. III
Ill.1pacl Analvals
Plllt.6.
.
.
The implct analysis indicates that, as a result ef the cellision, the 1994
Volkswasen Jella experienced an acceleratien ef 0,4 g. This level ef Icceleratien
is within the rlllie of accelerations experienced by individuals in daily life.
Whenever a vehicle is subjected 10 a level of acceleratien (er deceleratien),
the occupanls are, likewise, limilarly accelerated This is calegorically INe if the
occupanll are securely "attached" to Ihe vehicle Fer this reasen, seals are designed
with selt backs, head resll, and leal belts.
For example, the driver of the 1994 Velkswagen Jeua, sitting firmly in his
seal, will have a lower body Icceleralion no grealer Ihan thaI experienced by the
vehicle itself Therefere, in this cel/ision, the sell will experience I 0.4 g
acceleration 10 the forward. That is, the driver will be moved ferward with respect
to the position oflhe vehicle just prier 10 Ihe inSlant efcollisien.
The eXlenlto which a vehicle occupanl is able Ie move with the vehicle,
while Ihe vehicle itself is changing speed, determines the ameunt of time the
occupanl's body hIS to adjust to or accelerate to the new speed of the vehicle As
Ihis lime is reduced. the induced acceleration of the eccupant may be magnified.
If the change in speed efthe vehicle is the result ofa collisien, the time for
speed change by Ihe vehicle is very shen and Ihal of Ihe passenger(s) mlY be even
shener. It has been found that, in a cellision, the upper ponien (i.e., head) nfa sealed
vehicle occupanl may e1Cperience a magnified acceleration greater than that of the
vehicle ilself.
Empiric:altesting indicates Ihal, allow coUisien speeds, typical magnification
factors fer the head or a seated occupant are less than 3. S : I. As such. Ihe
acceleralions on the driver of the 1994 Velkswasen Jetta will be within the lanse of
0,4, to 1.4 g.
DI.... ""OCI.'II, I.c.
.Aug-21..1l8 16:01
P.08
Jam.. G, Nelllon, III
Impllel Analvsls
Pllve .7.
.
.
Empirical tests hive been performed wherein volunteer test subjecls hive
been uked to perform specific common tasks While the tasks were being perfermed,
leuleratien measurements were made at each leSI subject's head. Specifically, lhe
Icceleratien was measured in lhe frenHe.rear direclion. The results have been
tlbullted se thlt complrisons can be made between these accderltiens experienced
in the common tasks and lhe accelerations experienced by vehicle occupants in
lutemetive collisions.
For eKlmple, In individual who suddenly slands upright from a kitchen chair
has accemplished what is referred to as a "SlAnd Up" task A "Stand Up"
mevement such as this will preduce measurable head acceteratiens. Tests have been
performed to documenlthe "Stand Up" task by having a volunteer test subject
suddenly stand upright from a rigid kitchen.type chair and recordinglhe accelerations
created at the subject's head, in a front-to-rear direclion.
Head sccelerations were measured when a number ef test subjcm
accomplished this type of common movement The results indicate that upper body
(head) accelerations wer~ feund te range from 0.4 g to 1.5,. with a mean value ef
O.S,
Therefore, the magnified range ef acceleratien experienced by Mr. David
Mohr, the driver. as a result oflhis cellisien was less than the range ef acceleration
actuaUy eKperienced by the individuals whe performed an unexasserated "Stlnd
Up",
IIOC""II, lie.
".."........, ........
Aug-21-ilB 16:01
. .
P.09
.r.m~. G. Nulon.11I
ImpaCI AnllYlIJ
Pall .1.
Summary:
In .ummary, Ihe 1994 Volkswagen Jella suffered a rear end collisien which
produced I vehicle acceleration ofapproximalely 0,4 g. As a result of the collision,
lhe driver eflhe 1994 Volkswlgen Jetla, Mr, David R. Mobr, eKperienced an upper
body, inenial effect wilhin the range of 0,4 g 10 1.4 g. Tbi. inenial effect would
have been resisted by the individual's bedy structure as well as the sell eflhe vehicle.
This range of acceleralien is within the levels nermally experienced by individuals
in dlily life.
c ;;
:r-"~ T-- ~Y ~
Craig A Depken, ... P.E. / -
Censuhing Engineer d/ ~?r
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.
Aug-24-8e 14,31
[iij
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---- r~]
P.03
Profclllonl' Mlna.cmtnl Scrvlen. SEt PA
218 L Mlraclc Strtp PlIrk\l~)
fl Wlhoo Beach. FL lHn-<<m
PIIONE: 1"11~24M22~
I AX. 011 R"IUl.'11
AU1II1I19. 1998
M,. Jana O. Nealon III
Nealon" 00\'"
3111 Markel Street. 9th Floor
FO 80., 165
Harrllbu,.. PA 17108
RE. Mohn. Shllnk
PMS File ~ AT98191
p
.,
Our Mr. Ne.lon:
I recel,'ed your request 01 July 30. 199810 perform I records miew. The records IIIlppIled Il\(lude.
I. Police Rcport
2. IIllpICI.nal)sl. rrom Des/an AsSOC...'es. Inc.
3. R<<orded IIllemenl. orDavld Moh,.nd Gwcnda Shank
4 OepotiUO/ll or OI>ld MoIlt Ind Owcnclil Shank
5. Medical AllIOrds from Carlisle HOSpitAl
6. Medical AllIOrds from RIchard Bool. MI)
7 Medicll ,ceords rrom Oeorce BrIllSC1llll. Jr. MD
. Medicalroconll from Linds Hennlnpl. 0 C.
9. Medicalrocords rrom AJe~lncler Sprins Rehab
I han IOI\1C concern. wllh lhe records lubmlllCd. The ,ccords or 0,. BranscUftl do no l\ll back before 1m. Yel
lhen: 1.1 CheOllllry proIIlc In Ihe:'CWl'ds or Clrlllle HospitAl indiC8linIOr. Branacum ordered Ihc ICS! in 1992
ThiIIUIPSlI quite sttonaJy IllIllhil palicnlllad trC8led with Dr. Branscum prior 10 I \l9~. I "wid SUIICSI thaI
Dr. BI'IIlICWIl be requelled lO submil copies oIlU hilrocords prior 10 199~.
1'berc is 1110 I record ill Carlillc HOIpitA' reconlllhat ..nccII I CT ICID oIlhe: head WiD pedonncd in 9193 Illhe
~ or Dr. J.C. JwplIJCn for CYlIUllion or headaches. Sincc headachel," one 0' IIisl1lllin conlplainlSlhat
he 110,.. relalCllO IIIe ,.cllicular collision or April 10. 1995. I \lould recommend thai Or JUlpnscn be requested 10
submll copel of IIil rcconll or IRlllmenl rOl1lu1 palien..
In bis dIpoIillon. 11I11 palleN c1enles Iny prior n<<k or bIo;k injury yell rorm compleWd in IIlc ollkc 0' Dr Linda
Henninltr on 61519' enlilled -Revised 01"1"1) Chrome lern' Back Pain D1sabibl) Qutalionnailc" is modiflCd
wltllllle IiOIIII"Badl Pain- Ind "Low SKk Pain" S1NCk throualllllilllllle word "Neck" suIlItitulc<1 The
quelllon poud il "How 10n.lI8ve you had low neck pain"" Ind IIIe IClponse Is 1 months. ThIs IS followed lIll11
tile lpIIion "Is this your lint tpllIOdII or Neck Pain?" Ind IIIe '"110_ i. "No". indic:lllin,lballlc lias pmiOlllll)
COlIIIJ\ained wilh neck JlIIln Yell find no complainls of neck Jl8in in IIIe medial ftcordl pIIl\ided. ~'hapl Dr
Ju,pnMrI or some OIlier ....lilloner may IIaVllrelled prior 10 Ibis _idenl ro, neck s-ln
Ns S-Ii.nt Is ilMllwd in In exlremel) minor collision 01 A,lril 10, 199' Tile recorda l1fIccl tIw lie is S101l1*1
II an IlIICrsection and Ms. Shank pulls up bcblad hll \'Ihicle .nd IIopa. SII4 'JlSlllftnlly 1Ia.1 luncll In I 11I1
whicll ~ I drillk thelluml O\'lIlnd aht binds O\ct 10 _cr lhe: drillk foI'-inl whicb ller ,clliclc ItlIln
COllIICl"illl tbc NIl oIlhis palicnl's vcllic:le. SlIels nOl cerlaln ..""tiler WI _lIrucll bull1a. no Olber
.......Iioa 1110 ...... she may ha," III8de contacl witll lhe ICII or llil ..hie I.. No.mqe ""I done 10
/
/
Aug-24-lIe 14131
P.04
"''' 2, Mohr I', Shank
AUlUs119. 19~8
MI, Shank'lvchlcle .nd thc cIamIp done 10 Mr Mohr's vehJcle conllllcd of "relCnlnl" hil 'ronl Brill (which
Ilruck 1IOlhlna) and PUlhJnl OUI hllltll bumper and buIIIn, iL fo, whJch no cbup 1001 made M, Mohr
SlIIclllIII he dcvelopccl a headache aboul 2 hOUR !XlII lIC(idenl AI 9: 17 PM he pmcnlCd to Cllhll. 'toapllal
Ind Ihe nUllin, UICI&DICnl renCClllhal he complained 0' pain IIlhc base of lhe IInIII cl plln down lhe neck
a ri.lulllouldCI \\ilh no aumbneu, The p/lylic...n Wllllnllhal e""mlned him 1lI1cc1 h. c1cnlrcl numbncll.
IInalln&. blurred viuon or hc.1dache, The one an onl) findln, on namhllllion ..as some paralpnoullender.
IlCIIIO lbe cervical multi" X.rl)'1 of thc CC1'\'lcaJ tpine wcre ncpth'c renectla. only II mUd ccl\'lcallCOllo-
iii (not relaled 10 lIle IICClclenl) wllh IlIol&htenln. 0' the lorclollc CUl\'alure "which may r.Oect.."",. IpllIm",
.. als.o may rrllcct poor poaillonlnl or a prc-c~istln8 condition woclllrcl wllh the mild scoliolll, Tbc cum.
Inrr did 1\01 rrpon Iny musclc lpIlm He WIS ISlClsed al an acute ccl\;calllllin, adlised 10 Llkc Ibuprofen
Ind 10 Ipply heal lNi released.
On April II. 199~ II 1100 Ills he IClephoned Dr, Branscum complaininl of IIllCk lIifrncu. OCCIpital headache
Ind now "lCnclrrllClll r8di.allnl down 10 \he Iwnbllr Iplne", Laler 111I1 sanlO day he wauccn II) Dr Bllnscum
and lhe only' find/nil of Dr, BIIRlC\Im WIlS 11Io1 he 11''' lender poIIerior ccl\'lcallpine. mocIcrllc IpIsm.
DTR'I equal.nd he .slIseued al a cervical sprsln and pl'en medical Ion. Ei&hl days Ilt.r he rrlU'nccI .pin
complainln. only "ilh _It complainlS SIalin, he can rurn head leR 10 ria/II bulpllinful and hears "poppinl"
Also when )'II"nln, hilshoulders jump (shake"', Once .pin. Dr Bral\lCum rcpons mocIcIDle 1p8S1f1 ccl\'i.
cat spine Ind a d1'1/1OI11 of cervical sprain,
From Ihla pIlnl he C\'Cnlually ISlICCn by AI.xander Sprinl Rehab where he iSlreated ..l.nsi\e1> Ihrou&h July
10. 199~, IlIeenby Dr, Richard Boll. an onhopedlc lu,gcon on May 19. 199~ Ihrou&h June 11. 1~9'. contin-
lift ".1Il Dr BliNCllm thtoup Dcc:cmbcr 8. 199', on June ~. 199' conaulls Linda Henninpr, . ChuoprllClor
IreaUn, with her throuah Dm:mbc, I~, 199' and c:I'enluall) c'\puuds hi. complalnlS.o nOI onlYlhe _It bul
Ihe mid b8c:k .nd lower back.
I am al I 101:I1101110 beain to undenlllnd lhese &fOW" c.\Cessil'C complaints. the prolo"llCd IrCllnICal. moll o(
which he cl81mldoes noI help and In (aclStates he 15 &CIlin, "ORC III asa IaUII orlhls minor impact. The
compIlinu o(Jawer ba~k plln ale totally Inoonsislcnl \lith a rear .nd collision, .1plC1.l1y one thil mInor.
In addiUon, In Impact I...lylis from Desip NsocillCS. Inc rrnccts lhal the m..lmum '"I" 'orce 10 \\lIlch
Ihla plIlienl wu."JlOMd was ~.. With maanlllcation lhis may have been as hi&h as I ~, ThIIICl'c1 of
foR:c II compand 10 Ihc: force people Ire "JlOsed 10 In Ihe /l4rformance of common lbily QctiliUn The lICIiv.
ily ullllud by Desip Auoci.tCi is I task known II' "SIand up" task, This is performed by hal'in," human
~,. w1lh_.....I..IIIII_lon lltached. suddenly stand up rrom aldlchen chair. Thil Klivlry
lOW produce lbe lime rear ducclocl, to," IMllhis plllenl "as.:<pDICd 10 in Ihls incklcnt. The. folCC In
Ihla ICIlvily ran... flOm I low of ,.'10 I hJp of U. '>llh 1_lvera" of ,I a AnoIher activity wlllch
clollly resembles lhe force thll p111i.nlwlI.xpoICd 10 15 in alCllinl poc.......1tnown as a "heaclbob" laall,
TllIlls when. I'Olunteer umpl)' lllowl his head 10 fall bacltwl1llplllli\cly IIlhoup Calli... asleep. Thil ~
cialn I' feme of from ,9 C to 1.9, wilh I mean avera&C of I ~ I Tills lCl'C1 offorce i. simply' inaclcquall to
cauIClhe llliuriCl claimed by Ihlslndl\icblal
/\ion by Dr, Henninacr .nd any service oIher IIIan hil inllial vlslllO the alllt'.
related U I ClIlI be or further a..lllance, p1_ advise,
It
CERTIFICATE OF SERVICE
I, Lenlna Jacksen, an empleyee ef the lew firm ef Anglno & Rovner, P.C., do hereby
certify that I am this day serving a trua and correct cepy ef PLAINTIFF'S MOTION IN LIMINE
REGARDING EXPERT TESTIMONY en the follewlng via pestage prapald, first class United
States, requested addressed as follews:
James G. Nealen, III, Esquire
Caldwell & Kearns
3631 North Frent Street
Harrisburg, PA 17110
Date: .Jept~'t Nj Iqq~
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ORIGINAL
c.iIO
0.: ::
illi ,I
~.~I ~
IiI
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..
5. During cress examlnatlen, the fellewlng exchange teok piece:
By Mr. Nealon:
a How many times did Yeu treat Mr. Mohr?
A I've never added up the times. I have - - I could. Generally, I weuld see
him I would say on an average of ene time weekly, se . . .
a Abeut a hundred times?
A Yes.
a What' 5 your average office visit charge?
A Twenty-five dollars.
Exhibit A, Henninger Deposition, p. 28.
6. All of Mr. Mohr's chiropractic visits were paid by Mr. Mehr's first-party
insurance and as such are subject to ~ 1722.
7. Plaintiff David Mohr Is precluded by ~ 1722 from presenting evidence to the jury
regarding his first party medical benefits.
8. Because Plaintiff is precluded from presenting evidence regarding first party
medical benefits, se too sheuld Defendant be precluded from referring, in any way, te
Plaintiff's first party medical benefits.
9. As such, the questions asked by defense counsel regarding the number of visits
and ameunt of each visit should be stricken as vielative of ~ 1 722 ef the Financial
Responsibility law.
2
WHEREFORE, Plaintiff respectfully requests that this Honorable Ceurt preclude
Defendant from presenting testimony regarding the amounts ef Mr. Mehr' s first party benefits.
Respectfullly submitted,
DATED: q I"+W
ANGINO & ROVNER, P.C.
~J DC'~E'
ames e inti, squire
1.0. No. 77421
4503 N. Frent Street
Harrisburg, PA 17110
(717) 238-6791
Ceunsel fer Plaintiff
"
,
3
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
28
a cervical strain for an automobile accident?
MR, DeCINTI , Objection, This automobile accident
or in general?
MR. NEALON: In general,
THE WITNESS: Six to eight months.
BY MR. NEALON:
Q Is that what you expected when you first saw
Mr, Mohr?
A Yes, And him being healthy,
Q There was nothing out of the ordinary during your
initial exam that would indicate other than this being a
garden variety of acute cervical strain?
A Yes.
Q How many times did you treat Mr, Mohr?
A I've never added up the times, I have __ I
could. Generally, I would see him I would say on the average
of one time weekly, so '"
Q About a hundred times?
A Yes,
Q What's your average office visit charge?
A Twenty-five dollars.
MR, NEALON: That's all I have. Thank you,
MR, DeCINTI: That's all I have as well.
VIDEOGRAPHER: This concludes the deposition. The
time is 10:44 a.m.
CERTIFICATE OF SE8Y.Jg
I, Lenlne Jackson. an empleyee of the law firm ef Anglne & Rovner, P.C., de hereby
certify thet I am this day serving a true and cerrect cepy of PLAINTIFF'S MOTION IN LIMINE
REGARDING EXPERT TESTIMONY en thEl fellewing via pestage prepaid. first class United
States. requested addressed as fellows:
James G. Nealon, III. Esquire
Caldwell & Kearns
3631 North Front Street
Harrisburg, PA 17110
Date: ~0am.ht'l/i 11q Y'" .
.,-----'
Plelntlff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY. PENNSYLVANIA
CIVIL ACTION. LAW
DAVID R. MOHR.
v.
NO. 95.4348
GWENDA L. SHANK.
Defendent
JURY TRIAL DEMANDED
PLAINTIFFS' POINTS FOR CHARGE
Plaintiffs respectfully raquest the court to read tha following Points for Charge te the Jury.
ANGINO & ROVNER. P.C.
~-
James DeCintl. Esquire
1.0. No. 77421
4503 N. Front Street
Harrisburg, PA 17110
(717) 238-6791
Counsel for Plaintiffs
138297/lPlJ
1. In this esse. the Defendant Gwenda Shank has stipulated that she negligently
operated her metor vehicle, and struck the raar end ef the vehicle In which David Mohr wes
driving.
I.
3. In generel. the opinion of en expert has value only when you eccept the fects upon
which It Is besed. This Is t,ue whether the fects sre assumed hypethetlcelly by the e.~pert. ceme
from his personel knewledge. frem seme other proper seurce or from some comblnlltlon of these.
PII. SSIIClv.1 lIi.3! . Expllrt Testlmeny . Bllsls for Qplnlen Generslly.
4
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6. Devld Mehr is entitled to be fairly and adequately compensated for such physical
pain, mental anguish, discemfort, Inconvenience, and dlstreaa as you find he has endured frem the
time of the accldant until today.
Pa. SSJIIClv.1 .6.01 E - Past peln and Buffering.
II
7
9. The bread lerm "pain and aufferlng" Includes a wide range of not only physical, but
also emotional reactions 10 the InJu,les and Ihelr consequences. In calculating damages fo, peln
and suffering, Yeu may consider the following:
1. Mentel Pain and Distress;
2. Feer;
3. Emotlenel Suffering;
4. Anxiety;
6. Frustration;
6. Loss ef Ihe Feeling of Well-Being; end
7. Limitation of Activities.
lUlderman v. Brodskv, 436 Pa. 401, 261 A.2d 84 (1970).
10
12. David Mohr Is entitled to be fairly and adequately compel1sated for the past,
present, and future loss of his ability to enjoy any of the pleasures of life as a result of his injuries.
Pa. SSJI (Clv.1 !6.011.
, .
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13
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13. If you find that David Mohr's Injuries will continue beyond today, you must
determine their life expectancy, According to statistics compiled by the United States Department
of Health, Education, and Welfare, the average life expectancy of all persons of David Mohr's age
at the time of the accident, sex, and race was 74,9 years. Thus, Mr, Mohr's future life expectancy
Is 41.9 years. This figure Is offered to you only as a guide, and you are not bound to accept II If
you believe that David Mohr would have lived longer or less than the average individual In their
category, In reaching this decision, you are to consider health prior to the accident, manner of
living, personal habits and other facts that may have affected the duration of his life.
Pa. SSJI (Civ.) !6.21; flosche v, McCov, 397 pa 615, 156 A.2d 307 (1959); ~, Life
Expectancy, Yltal Statistics of the United States, (1990) Life Tables.
,14
14, The law provides that If a person goes through life with a reasonable degree of
happiness and without pain and Is Involved In a motor vehicle accident where her pre-existing
condition Is aggravated and/or exacerbated, the accident victim may bring a claim for the
aggravation and/or exacerbation of a pre-existing condition.
Meyers, Pennsvlvanle Vehicular Neallaence, !2816. Pre-existing condition or susceptibility.
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Y.
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
: CIVIL ACTION. LAW
: NO. 815-4348
DAVID R. MOHR,
Plllntltr
GWENDA L. SHANK,
Defendlnt
VERDICT SLIP
1. Was the negligence of the Defendant, Gwenda L. Shank, I
substantial factor In bringing about the Plaintiff's harm?
Yes NoL
(IF YOU ANSWER QUESTION NUMBER 1 'No', THE PLAINTIFF CANNOT RECOVER. YOU SHOULD NOT ANSWER
QUESTION 2 AND YOU SHOULD RETURN TO THE COURTROOM.)
2. State the amount of damages, if any, sustained by the Plaintiff,
David R. Mohr, a8 a result of the accident.
$
-
9. /ta. 9&
(~)
~~dP.L.O
F ERSON
':\fIUI'DATAJILI\MIISC'\Nar. TJW,Mott\kIt
~: O~S~:~:~
DAVID R. MOHR,
Plsintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
vs.
GWENDA L. SHANK,
Defendant
NO. 95-4348
CIVIL ACfION . LAW
TO: James DeCinti, Esquire
ANGINO & ROVNER
4503 N. Front Street
Harrisburg, P A 1711 0
James G. Nealon, III, Esquire
NEALON AND GOVER
301 Market Street, 9th Floor
P.O. Box 865
Harrisburg, PA 17108-0865
NOTICE OF RESCHEDULED HEARING
The arbitration previously scheduled for Tuesday, December 9, 1997, beginning at 1 ;30 p.m.
is canceled at the request of James G. Nealon, III, Esquire, attorney for Defendant, due to a
scheduling conflict and with the concurrence of James DeCinti, Esquire, attorney for Plaintiff.
Mr. Nealon will now have the responsibility of rescheduling the arbitration for a time that is clear
on the schedules of all attorneys and arbitrators and in an arbitration room in the Cumberland County
Courthouse that is available.
,f>A TED: December 4, 1997
L...'} 1N.i.t A",~
Thomas J. Williams, Esquire. Chainnan
George Vaughn, Esquire
Andrew Sheely, Esquire
cc: Court Administrator's Office
Cumberland County Courthouse
Carlisle, PA 17013
n
( )
"
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NEALON & GOVER
ATIORNEYS AT LAw
301 MARKET STREET . 9"' fLOOR
P,O, BOX 8M
HARRISBURG, PENNSYLVANI.' 17108
717-232-9900
717-241-6253
fAX, 717-236-9119
November 24,1997
Thomas J. WIlliams, Esquire
10 E. High Street
Carlisle, PA 17013
RE: Mohr v Shank
#95-4348
Dear Tom:
You are the Chairman of an Arbitration Panel concerning the above-captioned matter.
A hearing has been scheduled for Tuesday, December 9, 1997, at 1 :30 p.rn,
I have recently received word from Lancaster County that I am attached for December 9
and 10 before Judge Stengel. At this point I see no prospects of settlement of that
case.
Under the circumstances, I would request a continuance of the hearing. I have spoken
with Mr. DeCinti and he does not object to this request. Please advise if the hearing
can be continued. Thank you for your anticipated cODperation,
QT~
James . Nealon, III <
NEALON & GOVER
JGN/Jab
Enclosure
cc: George DeCinti, Esquire
George Vaughn, Esquire
Andrew Sheely, Esquire
Patricia Hoffman
./AMES G, NEAWN III . MATnIEW R, GOVJ\R . BRIAN W. PERRY
A PROl'I.'i!HONAL cnll'OlA'ITON