FILED: KINGS COUNTY CLERK 06/13/2018 06:42 PM
`FILED: KINGS COUNTY CLERK 06312018 06:42 PM
`
`NYSCEF DOC. NO. 174
`NYSCEF DOC. NO. 174
`
`INDEX NO. 503943/2013
`INDEX NO~ 503943/2013
`
`
`
`
`
`RnCnIVnD VYSCEF: 06/13/2018
`RECEIVED NYSCEF: 06/13/2018
`
`
`
`EXHIBIT E
`
`

`

`FILED: KINGS COUNTY CLERK 06/13/2018 06:42 PM
`NYSCEF DOC. NO. 174
`
`INDEX NO. 503943/2013
`
`RECEIVED NYSCEF: 06/13/2018
`
`SUPREME
`COUNTY
`
`OF THE STATE
`
`COURT
`OF KINGS
`-----------------
`
`OF NEW YORK
`
`ROSSELIN
`
`minor,
`by
`RODRIGUEZ,
`
`RODRIGUEZ;
`and
`her mother
`
`AMU9FPG99155555
`natural
`
`guardian,
`
`ROSSELIN
`
`Plaintiffs,
`
`-against-
`
`TRACY
`
`BOYLAND
`
`AND MANUEL
`
`RAMIREZ,
`
`____---------
`
`Defendants.
`
`------------------------X
`
`-X
`a
`
`-
`
`X
`
`Index
`
`No:
`
`503943/2013
`
`AFFIRMATION
`
`I, Placido
`
`A. Menezes,
`
`M.D.,
`
`P.C.,
`
`F.A.C.S.,
`
`duly
`
`licensed
`
`to practice
`
`medicine
`
`in the state
`
`of New York,
`
`pursuant
`
`to CPLR §2106,
`
`hereby
`
`affirm
`
`under
`
`penalties
`
`ofperjury
`
`that
`
`the foregoing
`
`is true
`
`and accurate
`
`to the
`
`best
`
`of my knowledge:
`
`L
`
`I am a Diplomate
`
`of
`
`the American
`
`Board
`
`of Orthopedic
`
`Surgesy
`
`and maintain
`
`an
`
`office
`
`at 543
`
`2nd
`
`Street,
`
`Brooklyn,
`
`NY 11215,
`
`history.
`
`2.
`
`3.
`
`On January
`
`26,
`
`2013,
`
`I examined
`
`plaintiff'plaintif'
`
`plaintiff
`
`Rosselin
`
`Rodriguez
`
`after
`
`taking
`
`a full
`
`On April
`
`Ms.
`
`Rodriguez
`
`was
`
`passenger
`
`20,
`
`2011,
`
`a backseat
`
`wearing
`
`a sestbelt
`
`when
`
`the
`
`car
`
`that
`
`she was
`
`a passenger
`
`in was
`
`involved
`
`in a motor
`
`vehicle
`
`accident.
`
`The
`
`car
`
`in
`
`which
`
`she was
`
`a passenger
`
`was
`
`struck
`
`in the
`
`front
`
`and,
`
`she sustained
`
`injuries
`
`to her
`
`left
`
`shoulder,
`
`cervical
`
`spine
`
`and
`
`lumbar
`
`spine.
`
`4.
`
`Following
`
`the
`
`accident,
`
`she was
`
`taken
`
`to Brookdale
`
`Medical
`
`Center's
`
`Emergency
`
`Room where
`
`she was
`
`treated
`
`and
`
`released.
`
`5.
`
`As
`
`she continued
`
`to experience
`
`pain
`
`in her
`
`left
`
`shoulder,
`
`cervical
`
`spine,
`
`and lumber
`
`spine,
`
`patient
`
`came
`
`under
`
`the
`
`care
`
`of Dr.
`
`Davis
`
`and Graham
`
`Wellness
`
`Medical
`
`PC where
`
`she
`
`
`
`receivedreceived
`
`
`
`physicalphysical
`
`therapy,
`therapy,
`
`bracing,
`bracing,
`
`
`
`andand medicationmedication
`
`forfor
`
`
`
`pain.pain.
`
`

`

`FILED: KINGS COUNTY CLERK 06/13/2018 06:42 PM
`NYSCEF DOC. NO. 174
`
`INDEX NO. 503943/2013
`
`RECEIVED NYSCEF: 06/13/2018
`
`6.
`
`MRIs
`
`that
`
`were
`
`performed
`
`on
`
`ber
`
`lumbosacral
`
`spine,
`
`left
`
`shoulder,
`
`and
`
`cervical
`
`spine
`
`revealed
`
`a left
`
`foraminal
`
`disc
`
`herniation
`
`at L4-L5
`
`and
`
`a bulging
`
`disc
`
`at L5-S1
`
`in her
`
`lumbar
`
`spine,
`
`posterior
`
`disc
`
`herniations
`
`at C3-4
`
`and C5-6
`
`with
`
`bulging
`
`discs
`
`at C6-7
`
`and C7-T1
`
`in her
`
`cervical
`
`spine,
`
`and
`
`a partial
`
`tear
`
`of
`
`the
`
`anterior
`
`aspect
`
`of
`
`the
`
`supraspinatus
`
`tendon
`
`in
`
`her
`
`left
`
`shoulder.
`
`7.
`
`EMO Nerve
`
`Conduction
`
`studies
`
`of patient's
`
`upper
`
`and
`
`lower
`
`extremities
`
`revealed
`
`right
`
`carpal
`
`tunnel
`
`syndrome
`
`and
`
`showed
`
`left C6-7,
`
`L4-5,
`
`and
`
`L5-S1
`
`radiculopathies.
`
`8.
`
`As
`
`a result
`
`of
`
`the
`
`injuries
`
`that
`
`she
`
`sustained
`
`in the Apri)
`
`20,
`
`2011 motor
`
`vehicle
`
`accident,
`
`Ms. Rodriguez
`
`was
`
`unable
`
`to return
`
`to work
`
`for
`
`approximately
`
`six months.
`
`During
`
`that
`
`time,
`
`she received
`
`physical
`
`therapy,
`
`bracing,
`
`and assorted
`
`anti-inflammatory
`
`and pain medications.
`
`9.
`
`The
`
`patient
`
`remains
`
`symptomatic
`
`to the
`
`present
`
`time
`
`and
`
`has
`
`pain
`
`in her
`
`cervical
`
`with
`
`radiation
`
`to her
`
`left
`
`arm accompanied
`
`paresthesia.
`
`She
`
`also
`
`has pain
`
`in her
`
`lower
`
`spine
`
`by
`
`lumbar
`
`area with
`
`radiation
`
`of
`
`pain
`
`to the
`
`left
`
`leg with
`
`paranesthesia
`
`and weakness.
`
`She
`
`also
`
`experiences
`
`pain
`
`in the
`
`left
`
`shoulder
`
`when
`
`she moves
`
`her hand
`
`above
`
`the shoulder
`
`level
`
`and
`
`she is
`
`unable
`
`to lift
`
`or carry
`
`any
`
`heavy
`
`objects
`
`in her
`
`left
`
`hand.
`
`10.
`
`Ms.
`
`Rodriguez,
`
`who
`
`continues
`
`to take
`
`over
`
`the
`
`counter
`
`pain medications
`
`such
`
`as
`
`Tylenol
`
`and Ibuprofen,
`
`for
`
`pain
`
`control,
`
`is unable
`
`to perform
`
`household
`
`cleaning
`
`or go to the gym
`
`a weight
`
`gain
`
`of approximately
`
`twenty
`
`pounds.
`
`Furthermore,
`
`the pain
`
`to her
`
`lower
`
`back
`
`causing
`
`is aggravated
`
`after
`
`prolonged
`
`standing
`
`and walking.
`
`When
`
`the pain
`
`is exacerbated,
`
`she uses a soft
`
`cervical
`
`collar
`
`and
`
`elastic
`
`lumbar
`
`support.
`
`11.
`
`Examination
`
`of
`
`the
`
`patient's
`
`cervical
`
`spine
`
`showed
`
`tenderness
`
`and
`
`paravertebral
`
`muscle
`
`spasm of a moderate
`
`degree,
`
`especially
`
`on the
`
`left
`
`side,
`
`with
`
`limitation
`
`of movements
`
`of
`
`the
`
`cervical
`
`spine
`
`on
`
`flexion,
`
`to
`
`30
`
`degrees
`
`(normal
`
`60
`
`degrees),
`
`on
`
`extension,
`
`to
`
`00 degrees
`
`(normal
`
`50 degrees),
`
`on left
`
`lateral
`
`flexion,
`
`to 10 degrees
`
`(nonnal
`
`40 degrees),
`
`and on right
`
`lateral
`
`flexion,
`
`to 30 degrees
`
`(normal
`
`40 desrees).
`
`

`

`FILED: KINGS COUNTY CLERK 06/13/2018 06:42 PM
`NYSCEF DOC. NO. 174
`
`INDEX NO. 503943/2013
`
`RECEIVED NYSCEF: 06/13/2018
`
`12.
`
`Neumlogical
`
`examination
`
`showed
`
`weakness
`
`of
`
`the
`
`triceps
`
`muscle,
`
`with
`
`decreased
`
`.
`
`triceps
`
`tendon
`
`reflex,
`
`05 the
`
`left
`
`side.
`
`13.
`
`Examination
`
`of
`
`the
`
`left
`
`shoulder
`
`shows
`
`atrophy
`
`of
`
`the
`
`deltoid
`
`muscle,
`
`tenderness
`
`over
`
`the greater
`
`tuberosity,
`
`and range
`
`ofmotion
`
`of
`
`the
`
`shoulder
`
`is limited,
`
`especially
`
`in abduction,
`
`to 90 degrees
`
`(normal
`
`150
`
`degrees)
`
`and
`
`on internal
`
`rotation,
`
`to 20 degrees
`
`(normal
`
`40 degrees).
`
`Ms. Rodriguez
`
`was
`
`unable
`
`to abduct
`
`the shoulder
`
`under
`
`resistance
`
`due
`
`to pain
`
`and
`
`and weakness,
`
`there was
`
`atrophy
`
`of
`
`the
`
`left
`
`supraspinatus
`
`muscle.
`
`14.
`
`Examination
`
`of
`
`the
`
`lumbar
`
`spine
`
`revealed
`
`on
`
`flexion,
`
`to 40
`
`degrees
`
`(normal
`
`90
`
`degrees),
`
`on extension,
`
`to
`
`00 degrees
`
`(normal
`
`50 degrees),
`
`and
`
`on
`
`lateral
`
`flexion,
`
`to 20 degrees
`
`(normal
`
`40 degrees).
`
`Straight
`
`leg raise
`
`is 40 degrees
`
`on the
`
`left,
`
`and
`
`60 degrees
`
`on the right
`
`The
`
`patient
`
`had difficulty
`
`in walking
`
`on her heel
`
`on the left
`
`side,
`
`and her
`
`left
`
`ankle
`
`reflex
`
`was depressed.
`
`She also
`
`of
`
`the
`
`left
`
`which
`
`a quarter
`
`of an inch
`
`smaller
`
`than
`
`the
`
`has atrophy
`
`calf muscle,
`
`measured,
`
`right
`
`side.
`
`15.
`
`In addition
`
`to my
`
`examination
`
`of Rosselin
`
`Rodriguez,
`
`I have
`
`reviewed
`
`the ACR
`
`Report
`
`of April
`
`20,
`
`2011,
`
`the Brookdale
`
`Hospital
`
`Emergency
`
`Room records
`
`of April
`
`20,
`
`2011,
`
`Graham
`
`Wellness
`
`Medical,
`
`P.C.
`
`records,
`
`Gordon
`
`C. Davis Medical,
`
`P.C.,
`
`records,
`
`the MRI
`
`reports
`
`of Dr.
`
`Harold
`
`Augenstein
`
`dated
`
`June
`
`20,
`
`2011
`
`of
`
`the
`
`results
`
`of'
`of
`
`the
`
`patient's
`
`MRIs
`
`of
`
`the
`
`left
`
`shoulder,
`
`cervical
`
`spine
`
`and,
`
`lumbar
`
`spine,
`
`Dr. Chi's
`
`NCV
`
`and EMG reports
`
`dated
`
`July
`
`19, 2011,
`
`and,
`
`the IME
`
`report
`
`of Dr.
`
`Edward
`
`A. Toriello.
`
`16.
`
`Based
`
`on my
`
`examination
`
`of Rosselin
`
`Rodriguez,
`
`and
`
`review
`
`of
`
`her medical
`
`records,
`
`it
`
`is my opinion,
`
`to a reasonable
`
`degree
`
`of medical
`
`certainty,
`
`that
`
`she sustained,
`
`as a result
`
`of
`
`the April
`
`20,
`
`2011
`
`motor
`
`vehicle
`
`accident,
`
`herniated
`
`cervical
`
`discs
`
`at C3-C4
`
`and C5-C6,
`
`with
`
`radiculopathy,
`
`herniated
`
`lumber
`
`disc
`
`at L4-L5
`
`with
`
`radiculopathy,
`
`bulging
`
`lumbar
`
`disc
`
`at L5-S1,
`
`withwith
`
`radiculopathy,
`radiculopathy,
`
`
`
`and,and,
`
`
`
`partialpartial
`
`rotator
`rotator
`
`
`
`tearcu6'tear
`cuff
`
`ofaf
`
`thethe
`
`
`
`
`
`shoulder.leftleA shoulder.
`
`

`

`FILED: KINGS COUNTY CLERK 06/13/2018 06:42 PM
`NYSCEF DOC. NO. 174
`
`INDEX NO. 503943/2013
`
`RECEIVED NYSCEF: 06/13/2018
`
`17.
`
`1 disagree
`
`with
`
`the
`
`fadings
`
`made
`
`by Dr. Edward
`
`Toriello
`
`in his
`
`IME report.
`
`In my
`
`opinion,
`
`with
`
`a reasonable
`
`degree
`
`of medical
`
`certainty,
`
`the injuries,
`
`ending,
`
`treatment,
`
`complaints
`
`and limitations
`
`as outlined
`
`in my report,
`
`which
`
`is annexed,
`
`are a direct
`
`result
`
`of
`
`the April
`
`20, 2011
`
`motor
`
`vehicle
`
`accident
`
`18.
`
`The
`
`herniated
`
`discs
`
`in Ms.
`
`Rodriguez's
`
`cervical
`
`and
`
`lumbar
`
`spines
`
`have
`
`caused
`
`malalignment
`
`of
`
`the
`
`vertebral
`
`bodies,
`
`which
`
`are
`
`permanent
`
`in
`
`nature,
`
`and may
`
`cause
`
`further
`
`deterioration
`
`of
`
`the facet
`
`joints
`
`and further
`
`deterioration
`
`of
`
`of
`
`The
`
`the flexibility
`
`the discs.
`
`irguries
`
`to the
`
`cervical
`
`spine
`
`and
`
`lumber
`
`spine
`
`art
`
`permanent
`
`in nature
`
`and
`
`likely
`
`to progress
`
`and
`
`cause
`
`patient
`
`increasing
`
`pain
`
`in the cervical
`
`and
`
`lumbar
`
`spines
`
`and
`
`necessitate
`
`treatment
`
`such
`
`as bracing,
`
`anti-inflammatory
`
`medications,
`
`pain medications,
`
`and physical
`
`therapy.
`
`19.
`
`I believe
`
`that
`
`if
`
`conservative
`
`treatment
`
`fails,
`
`Ms. Rodriguez
`
`will
`
`require
`
`surgical
`
`intervention
`
`in
`
`the
`
`cervical
`
`spine
`
`and
`
`lumbar
`
`spine.
`
`Her
`
`left
`
`shoulder
`
`also
`
`continues
`
`to
`
`be
`
`with
`
`around
`
`her
`
`shoulder
`
`muscles
`
`and
`
`decreased
`
`range
`
`of motion.
`
`The
`
`symptomatic,
`
`atrophy
`
`injury
`
`to
`
`the
`
`left
`
`shoulder
`
`is
`
`permanent
`
`in
`
`nature
`
`and
`
`likely
`
`to
`
`progress
`
`to
`
`requiring
`
`anti-
`
`inflammatory
`
`medications,
`
`physical
`
`therapy,
`
`local
`
`steroid
`
`injections,
`
`and
`
`if
`
`this
`
`conservative
`
`treatment
`
`fails,
`
`she will
`
`require
`
`an arthroscopic
`
`surgery.
`
`It
`
`is my opinion,
`
`to a reasonable
`
`degree
`
`of medical
`
`certainty,
`
`that
`
`the patient
`
`requires
`
`prolonged
`
`orthopedic
`
`and
`
`neurosurgical
`
`follow
`
`up.
`
`20.
`
`Since
`
`the
`
`accident
`
`of April
`
`20,
`
`2011,
`
`Ms.
`
`Rodriguez
`
`has
`
`experienced
`
`constant
`
`and weakness
`
`to her
`
`left
`
`cervical
`
`and
`
`lumbar
`
`spine
`
`that
`
`disabling
`
`pain
`
`shoulder,
`
`spine,
`
`has
`
`limited
`
`her normal
`
`daily
`
`routines
`
`on a continual
`
`basis.
`
`I believe
`
`that
`
`these
`
`conditions
`
`are chronic,
`
`disabling
`
`in nature
`
`and
`
`have
`
`rendered
`
`her and will
`
`continue
`
`to render
`
`her permanently
`
`partially
`
`disabled.
`
`21.
`
`Based
`
`on objective
`
`medical
`
`testing,
`
`it can
`
`be concluded,
`
`to a reasonable
`
`degree
`
`of
`
`medical
`
`certainty,
`
`that
`
`in the years
`
`to come,
`
`Rosselin
`
`Rodriguez
`
`will
`
`suffer
`
`from residual
`
`changes
`
`
`
`Qotnfrotn
`
`thethe
`
`
`
`injuriesinjuries
`
`
`
`thatthat
`
`shcshe
`
`
`
`sustainedsustained
`
`inin thethe
`
`accident
`accident
`
`ofof AprilApril
`
`20,20,
`
`
`
`2011.2011.
`
`AsAs
`
`aa result,
`result,
`
`thethe
`
`
`
`rangerange
`
`ofof
`
`

`

`FILED: KINGS COUNTY CLERK 06/13/2018 06:42 PM
`NYSCEF DOC. NO. 174
`
`INDEX NO. 503943/2013
`
`RECEIVED NYSCEF: 06/13/2018
`
`motion
`
`in her
`
`cervical
`
`spine,
`
`left
`
`shoulder,
`
`and
`
`lumbar
`
`spine
`
`will
`
`continue
`
`to gradually
`
`decrease
`
`and
`
`become
`
`more
`
`painful,
`
`and
`
`she wit!
`
`suffer
`
`from a compromised
`
`future
`
`quality
`
`of
`
`life.
`
`21
`
`I affirm
`
`that
`
`the
`
`information
`
`contained
`
`in this
`
`affirmation
`
`and my annexed
`
`report
`
`are true
`
`and accurate,
`
`to a reasonable
`
`degree
`
`of medical
`
`certainty.
`
`23.
`
`It
`
`is my opinion,
`
`to a reasonable
`
`degree
`
`of medical
`
`certainty,
`
`that
`
`patient's
`
`injuries
`
`and
`
`limitations
`
`that
`
`I have
`
`described
`
`here
`
`and
`
`the
`
`resulting
`
`symptoms
`
`and
`
`in my
`
`report,
`
`are
`
`permanent
`
`in nature
`
`and
`
`are
`
`directly
`
`and
`
`causally
`
`related
`
`to
`
`the
`
`April
`
`20,
`
`2011
`
`motor
`
`vehicle
`
`accident.
`
`24.
`
`It
`
`is also my
`
`opinion,
`
`to
`
`a reasonable
`
`degree
`
`of medical
`
`certainty,
`
`that
`
`Rosselin
`
`Rodriguez
`
`has
`
`been
`
`and
`
`continues
`
`to be permanently
`
`partially
`
`disabled
`
`as a result
`
`of
`
`the injuries
`
`that
`
`she sustained
`
`in the April
`
`20,
`
`2011
`
`accident.
`
`Dated:
`
`Brooklyn,
`
`NY
`
`June
`
`[|
`
`, 2018
`
`A.CS
`
`

`

`FILED: KINGS COUNTY CLERK 06/13/2018 06:42 PM
`NYSCEF DOC. NO. 174
`
`INDEX NO. 503943/2013
`
`RECEIVED NYSCEF: 06/13/2018
`
`TEL, #718 788-7600
`FAX #718 788-9868
`
`Pl'.;J.A
`
`N2).,PC.,
`PA...:,
`DIPLOMATE ORTHOPEDIC SURGERY
`543 - 2ND STREET
`NEW YORK 1 1215
`BROOKLYN,
`
`BM.CS.
`
`KB
`
`O
`
`CO
`
`23 6
`
`FEBRUARY
`
`1, 2018
`
`THE BERKMAN
`LIVINGSTON
`111
`SUITE
`
`1928
`
`LAW OFFICE,
`STREET
`
`L.L.C
`
`BROOKLYN,
`
`NEW YORK
`
`11201
`
`DEAR MS. BERKMAN:
`
`RE: ROSSELIN
`MEDICAL
`LEGAL
`D/A:
`4/20/2011
`
`RODRIGUEZ
`REPORT
`
`THE ABOVE
`
`PATIENT
`
`WAS EVALUATED
`
`AT THIS
`
`OFFICE
`
`IN 1/26/2018
`
`FOR
`
`MOTOR
`
`VEHICLE
`
`ACCIDENT
`
`INJURIES
`
`DATED
`
`4/20/2011,
`
`THE PATIENT
`
`WAS INVOLVED
`
`IN A MOTOR
`
`VEHICLE
`
`ACCIDENT
`
`ON 4/20/2011
`
`THE PATIENT
`
`WAS A BACKSEAT
`
`PASSENGER
`
`WEARING
`
`A SEATBELT
`
`WHEN SHE WAS INVOLVED
`
`IN A MOTOR
`
`VEHICLE
`
`ACCIDENT.
`
`THE CAR WAS STRUCK
`
`IN FRONT
`
`AND SHE
`
`SUSTAINED
`
`INJURIES
`
`TO HER
`
`CERVICAL
`
`SPINE
`
`SPINE.
`
`THE PATIENT
`
`LEFT
`
`SHOULDER,
`
`AND LUMBAR
`
`WAS TAKEN
`
`TO
`
`BROOKDALE
`
`MEDICAL
`
`CENTER WHERE
`
`SHE WAS TREATED
`
`AND RELEASED.
`
`AS THE
`
`PATIENT
`
`CONTINUED
`
`TO HAVE
`
`PAIN
`
`IN HER LEFT
`
`SHOULDER,
`
`CERVICAL
`
`SPINE
`
`AND
`
`LUMBAR
`
`SPINE
`
`THE PATIENT
`
`SUBSEQUENTLY
`
`WAS UNDER
`
`CARE
`
`OF DOCTOR
`
`DAVIS
`
`AS
`
`WELL
`
`AS GRAHAM
`
`WELLNESS
`
`MEDICAL
`
`P.C WHERE
`
`SHE RECEIVED
`
`PHYSICAL
`
`THERAPY,
`
`BRACING
`
`AND MEDICATION
`
`FOR PAIN.
`
`DUE TO PERSISTENT
`
`SYMPTOMS
`
`IN HER
`
`LUMBAR
`
`SPINE,
`
`CERVICAL
`
`SPINE
`
`AND LEFT
`
`SHOULDER
`
`SHE UNDERWENT
`
`MRI
`
`OF THE
`
`LUMBOSACRAL
`
`SPINE
`
`ON 6/20/2011,
`
`WHICH
`
`SHOWED
`
`A LEFT
`
`FORAMINAL
`
`DISC
`
`1
`
`

`

`FILED: KINGS COUNTY CLERK 06/13/2018 06:42 PM
`NYSCEF DOC. NO. 174
`
`INDEX NO. 503943/2013
`
`RECEIVED NYSCEF: 06/13/2018
`
`FEBRUARY
`
`1, 2018
`
`THE BERKMAN
`111
`LIVINGSTON
`SUITE
`1928
`
`LAW OFFICE,
`STREET
`
`L.L.C
`
`BROOKLYN,
`
`NEW YORK
`
`11201
`
`RE: ROSSELIN
`MEDICAL
`LEGAL
`D/A:
`4/20/2011
`
`RODRIGUEZ
`REPORT
`
`HERNIATION
`
`AT L4/L5
`
`AND BULGING
`
`DISC AT L5/S1.
`
`THE PATIENT
`
`ALSO UNDERWENT
`
`MRI
`
`OF THE CERVICAL
`
`SPINE
`
`ON 6/20/2011,
`
`WHICH
`
`REVEALED
`
`POSTERIOR
`
`DISC
`
`HERNIATION
`
`AT C3/4
`
`AND C5/6
`
`AND BULGING
`
`DISCS
`
`AT C6/C7
`
`AND C7/T1.
`
`MRI
`
`OF THE
`
`LEFT
`
`SHOULDER
`
`SHOWED
`
`PARTIAL
`
`TEAR OF THE ANTERIOR
`
`ASPECT
`
`OF THE
`
`SUPRASPINATUS
`
`TENDON.
`
`THE PATIENT
`
`ALSO HAD EMG NERVE
`
`CONDUCTION
`
`STUDIES
`
`DONE
`
`OF THE UPPER
`
`AND LOWER
`
`EXTREMITIES
`
`ON 7/19/2011,
`
`WHICH
`
`REVEALED
`
`L4/L5
`
`RIGHT
`
`CARPAL
`
`TUNNEL
`
`SYNDROME
`
`AND SHOWED
`
`LEFT
`
`C6/C7
`
`AND L5/S1
`
`RADICULOPATHIES.
`
`DUE TO THE ABOVE
`
`INJURIES
`
`THE PATIENT
`
`WAS UNABLE
`
`TO
`
`RETURN
`
`TO WORK FOR APPROXIMATELY
`
`6 MONTHS
`
`WHERE
`
`SHE RECEIVED
`
`PHYSICAL
`
`THERAPY,
`
`BRACING,
`
`ANTI-INFLAMMATORY
`
`MEDICATIONS
`
`AS WELL
`
`AS PAIN
`
`MEDICATIONS.
`
`THE PATIENT
`
`REMAINS
`
`SYMPTOMATIC
`
`AT THIS
`
`TIME
`
`SHE HAS PAIN
`
`IN
`
`THE CERVICAL
`
`SPINE WITH
`
`RADIATION
`
`OF PAIN
`
`TO THE LEFT
`
`ARM ACCOMPANIED
`
`BY
`
`PARESTHESIAS
`
`SHE HAS PAIN
`
`IN THE LOWER
`
`LUMBAR
`
`AREA WITH
`
`RADIATION
`
`OF PAIN
`
`TOTO THETHE LEFT
`LEFT
`
`LEGLEG WITHWITH
`
`
`
`PARESTHESIASPARESTHESIAS
`
`
`
`ANDAND WEAKNESSWEAKNESS
`
`ANDAND PAINPAIN
`
`ININ THETHE LEFT
`LEFT
`
`77
`
`

`

`FILED: KINGS COUNTY CLERK 06/13/2018 06:42 PM
`NYSCEF DOC. NO. 174
`
`INDEX NO. 503943/2013
`
`RECEIVED NYSCEF: 06/13/2018
`
`FEBRUARY
`
`1, 2018
`
`THE BERKMAN
`LIVINGSTON
`111
`1928
`SUITE
`
`LAW OFFICE,
`STREET
`
`L.L.C
`
`BROOKLYN,
`
`NEW YORK
`
`11201
`
`RE: ROSSELIN
`MEDICAL
`LEGAL
`D/A:
`4/20/2011
`
`RODRIGUEZ
`REPORT
`
`SHOULDER
`
`WHEN SHE MOVES
`
`HER HAND
`
`ABOVE
`
`THE SHOULDER
`
`LEVEL
`
`SHE
`
`IS UNABLE
`
`TO LIFT
`
`OR CARRY
`
`ANY HEAVY
`
`OBJECTS
`
`IN THE LEFT
`
`HAND.
`
`THE PATIENT
`
`CONTINUES
`
`TO TAKE
`
`IBUPROFEN
`
`AND TYLENOL
`
`FOR PAIN
`
`CONTROL.
`
`THE PATIENT
`
`IS UNABLE
`
`TO
`
`PERFORM
`
`HOUSE
`
`CLEANING
`
`SHE UNABLE
`
`TO GO TO THE GYM FOR ACTIVITIES
`
`AND DUE
`
`TO THAT
`
`SHE HAS PUT ON 20 POUNDS
`
`OF WEIGHT.
`
`THE PATIENT'S
`
`SYMPTOMS
`
`ALSO
`
`GETS
`
`EXACERBATED
`
`DURING
`
`HUMID WEATHER.
`
`THE PAIN
`
`IS
`
`AGGRAVATED
`
`AFTER
`
`PROLONGED
`
`STANDING
`
`AND WALKING.
`
`WHEN THE PAIN
`
`IS
`
`EXACERBATED
`
`THE PATIENT
`
`HAS TO RESORT
`
`TO A SOFT
`
`CERVICAL
`
`COLLAR
`
`AS WELL
`
`AS
`
`IN THE LOWER
`
`BACK ALSO
`
`ELASTIC
`
`LUMBAR
`
`SUPPORT.
`
`ON PHYSICAL
`
`EXAMINATION
`
`OF THE CERVICAL
`
`SPINE
`
`SHOWS
`
`TENDERNESS
`
`AND
`
`PARAVERTEBRAL
`
`MUSCLE
`
`SPASM OF A MODERATE
`
`DEGREE
`
`ESPECIALLY
`
`ON THE LEFT
`
`SIDE WITH
`
`LIMITATION
`
`OF MOVEMENTS
`
`OF THE CERVICAL
`
`SPINE
`
`FLEXION
`
`TO 30
`
`DEGREES,
`
`EXTENSION
`
`00 DEGREES,
`
`LEFT
`
`LATERAL
`
`FLEXION
`
`10 DEGREES
`
`AND RIGHT
`
`LATERAL
`
`FLEXION
`
`30 DEGREES.
`
`NEUROLOGICAL
`
`EXAMINATION
`
`SHOWS WEAKNESS
`
`OF
`
`

`

`FILED: KINGS COUNTY CLERK 06/13/2018 06:42 PM
`NYSCEF DOC. NO. 174
`
`INDEX NO. 503943/2013
`
`RECEIVED NYSCEF: 06/13/2018
`
`FEBRUARY
`
`1, 2018
`
`THE BERKMAN
`LIVINGSTON
`111
`1928
`SUITE
`
`BROOKLYN,
`
`LAW OFFICE,
`STREET
`
`L.L.C
`
`NEW YORK
`
`11201
`
`RE: ROSSELIN
`MEDICAL
`LEGAL
`D/A:
`4/20/2011
`
`RODRIGUEZ
`REPORT
`
`THE TRICEPS
`
`MUSCLE WITH
`
`DECREASED
`
`TRICEPS
`
`TENDON
`
`REFLEX
`
`ON THE LEFT
`
`SIDE.
`
`EXAMINATION
`
`OF THE LEFT
`
`SHOULDER
`
`SHOWS
`
`ATROPHY
`
`OF THE DELTOID
`
`MUSCLE
`
`THERE
`
`IS TENDERNESS
`
`OVER THE GREATER
`
`TUBEROSITY
`
`RANGE
`
`OF MOTION
`
`OF THE
`
`SHOULDER
`
`IS LIMITED
`
`ESPECIALLY
`
`IN ABDUCTION
`
`TO 90 DEGREES
`
`AND INTERNAL
`
`ROTATION
`
`TO 20 DEGREES.
`
`THE PATIENT
`
`IS UNABLE
`
`TO ABDUCT
`
`THE SHOULDER
`
`UNDER
`
`RESISTANCE
`
`DUE TO PAIN
`
`AND WEAKNESS.
`
`THERE
`
`IS ATROPHY
`
`OF THE LEFT
`
`SUPRASPINATUS
`
`MUSCLE.
`
`EXAMINATION
`
`OF THE LUMBAR
`
`SPINE
`
`SHOWS
`
`LOSS OF
`
`LUMBAR
`
`LORDOSIS
`
`WITH
`
`MODERATE
`
`DEGREE
`
`OF PARAVERTEBRAL
`
`MUSCLE
`
`SPAM.
`
`LIMITATION
`
`OF MOVEMENTS
`
`OF THE LUMBAR
`
`SPINE
`
`FLEXION
`
`TO 40 DEGREES,
`
`EXTENSION
`
`00 DEGREES
`
`AND LATERAL
`
`FLEXION
`
`20 DEGREES.
`
`STRAIGHT
`
`LEG RAISE
`
`ON
`
`THE LEFT
`
`SIDE
`
`IS 40 DEGREES
`
`AND ON THE RIGHT
`
`SIDE
`
`IS 60 DEGREES.
`
`THE PATIENT
`
`HAS DIFFICULTY
`
`IN WALKING
`
`ON HER HEEL ON THE LEFT
`
`SIDE
`
`AND THE LEFT
`
`ANKLE
`
`REFLEX
`
`IS DEPRESSED.
`
`THE PATIENT
`
`ALSO HAS ATROPHY
`
`OF THE LEFT
`
`CALF
`
`MUSCLE,
`
`

`

`FILED: KINGS COUNTY CLERK 06/13/2018 06:42 PM
`NYSCEF DOC. NO. 174
`
`INDEX NO. 503943/2013
`
`RECEIVED NYSCEF: 06/13/2018
`
`FEBRUARY
`
`1, 2018
`
`THE BERKMAN
`LIVINGSTON
`111
`SUITE
`1928
`BROOKLYN,
`
`LAW OFFICE,
`STREET
`
`L.L.C
`
`NEW YORK
`
`11201
`
`RE: ROSSELIN
`MEDICAL
`LEGAL
`D/A:
`4/20/2011
`
`RODRIGUEZ
`REPORT
`
`WHICH
`
`MEASURES
`
`A QUARTER
`
`OF AN INCH
`
`SMALLER
`
`AS COMPARED
`
`TO THE RIGHT
`
`SIDE.
`
`FINAL
`
`DIAGNOSIS
`
`AS A RESULT
`
`OF MOTOR VEHICLE
`
`ACCIDENT
`
`DATED
`
`4/20/2011:
`
`1.
`
`HERNIATED
`
`CERVICAL
`
`DISC AT C3/4
`
`AND C5 C6 WITH
`
`RADICULOPATHY.
`
`2.
`
`3.
`
`HERNIATED
`
`LUMBAR
`
`DISC AT L4/L5
`
`WITH
`
`RADICULOPATHY.
`
`ROTATOR
`
`PARTIAL
`
`TEAR OF THE LEFT
`
`SHOULDER.
`
`PROGNOSIS:
`
`I HAVE
`
`REVIEWED
`
`THE I.M.E.
`
`REPORT
`
`OF DOCTOR
`
`EDWARD
`
`TORRIELLO
`
`DATED
`
`7/6/2016
`
`AND I TOTALLY
`
`DISAGREE
`
`WITH
`
`HIS
`
`FINDINGS.
`
`IT IS MY OPINION
`
`WITH
`
`A REASONABLE
`
`DEGREE
`
`OF CERTAINTY
`
`THAT
`
`THE INJURIES,
`
`FINDINGS,
`
`TREATMENT,
`
`COMPLAINTS
`
`AND LIMITATIONS
`
`AS OUTLINED
`
`IN THE THIS
`
`REPORT
`
`ARE A
`
`DIRECT
`
`RESULT
`
`OF MOTOR VEHICLE
`
`ACCIDENT
`
`INJURY
`
`DATED
`
`4/20/2011.
`
`THE
`
`HERNIATION
`
`OF THE DISCS
`
`THAT
`
`ARE REPORTED
`
`IN THE CERVICAL
`
`SPINE
`
`AND LUMBAR
`
`

`

`FILED: KINGS COUNTY CLERK 06/13/2018 06:42 PM
`NYSCEF DOC. NO. 174
`
`INDEX NO. 503943/2013
`
`RECEIVED NYSCEF: 06/13/2018
`
`FEBRUARY
`
`1, 2018
`
`THE BERKMAN
`LIVINGSTON
`111
`SUITE
`1928
`
`LAW OFFICE,
`STREET
`
`L.L.C
`
`BROOKLYN,
`
`NEW YORK
`
`11201
`
`RE: ROSSELIN
`MEDICAL
`LEGAL
`D/A:
`4/20/2011
`
`RODRIGUEZ
`REPORT
`
`SPINE
`
`HAS CAUSED MALALIGNMENT
`
`OF THE VERTEBRAL
`
`BODIES,
`
`WHICH
`
`ARE
`
`PERMANENT
`
`IN NATURE
`
`CAUSING
`
`FURTHER
`
`DETERIORATION
`
`OF THE FACET
`
`JOINTS
`
`AS
`
`WELL
`
`AS FLEXIBILITY
`
`OF THE DISCS.
`
`THE INJURIES
`
`TO THE CERVICAL
`
`SPINE
`
`ABDUCTION
`
`LUMBAR
`
`SPINE
`
`ARE PERMANENT
`
`IN NATURE
`
`AND LIKELY
`
`TO PROGRESS
`
`CAUSING,
`
`INCREASING
`
`PAIN
`
`IN THE CERVICAL
`
`SPINE
`
`AND LUMBAR
`
`SPINE
`
`NECESSITATING
`
`TREATMENT
`
`SUCH AS BRACING,
`
`ANTI-INFLAMMATORY
`
`MEDICATIONS
`
`AND PHYSICAL
`
`THERAPY.
`
`AND PAIN MEDICATION
`
`IF CONSERVATIVE
`
`TREATMENT
`
`FAILS
`
`SHE WILL
`
`REQUIRE
`
`SURGICAL
`
`INTERVENTION
`
`IN THE CERVICAL
`
`SPINE
`
`AS WELL
`
`LUMBAR
`
`SPINE.
`
`REGARDING
`
`INJURY
`
`TO HER LEFT
`
`SHOULDER
`
`THE PATIENT
`
`CONTINUES
`
`TO BE SYMPTOMATIC
`
`WITH
`
`ATROPHY
`
`AROUND
`
`HER SHOULDER
`
`MUSCLES
`
`AS WELL
`
`AS
`
`LIMITATION
`
`OF MOVEMENTS
`
`THE INJURY
`
`TO THE SHOULDER
`
`IS PERMANENT
`
`IN
`
`NATURE
`
`AND LIKELY
`
`TO PROGRESS
`
`REQUIRING
`
`ANTI-INFLAMMATORY
`
`MEDICATIONS,
`
`PHYSICAL
`
`THERAPY,
`
`LOCAL
`
`STEROID
`
`INJECTIONS
`
`AND IF THIS
`
`CONSERVATIVE
`
`TREATMENT
`
`FAILS
`
`THE PATIENT
`
`WILL
`
`REQUIRE
`
`ARTHROSCOPIC
`
`PROCEDURE
`
`IN THE
`
`

`

`FILED: KINGS COUNTY CLERK 06/13/2018 06:42 PM
`NYSCEF DOC. NO. 174
`
`INDEX NO. 503943/2013
`
`RECEIVED NYSCEF: 06/13/2018
`
`FEBRUARY
`
`1, 2018
`
`THE BERKMAN
`LIVINGSTON
`111
`1928
`SUITE
`
`LAW OFFICE,
`STREET
`
`L.L.C
`
`BROOKLYN,
`
`NEW YORK
`
`11201
`
`RE: ROSSELIN
`MEDICAL
`LEGAL
`D/A:
`4/20/2011
`
`RODRIGUEZ
`REPORT
`
`FUTURE.
`
`THE PATIENT
`
`REQUIRES
`
`A PROLONGED
`
`ORTHOPEDIC
`
`AS WELL
`
`AS
`
`NEUROSURGICAL
`
`FOLLOW
`
`UP.
`
`YOURS
`
`TRULY,
`
`PLACIDO
`
`MENEZES,
`
`M.D.
`
`7
`
`