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Medical report on the pedestrian Russ Whitney hit by John T. Reed Copyright 2002, 2003 by John T. Reed Last update 12/31/02 As part of the lawsuit against Russ Whitney for hitting a pedestrian with his truck, the medical report was entered into evidence. Here it is. I have added some translations of medical terminology in [brackets in red letters]. I have left out the name of the physicians because it is not necessary and may violate their privacy. 1. I am a physician duly licensed to practice my profession in the State of New York, and maintain an office at _____ Street, Schenectady, NY. 2. On November 15, 1980, the plaintiff, Bob Deering [not his real name], was brought to the Ellis Hospital emergency room in a comatose, nonreactive state with some form of decerebrate posturing [extending the arms and pushing the wrists backward with get force]. He was volume resuscitated [received blood and/or saline solution through multiple intravenous tubes and possibly a large tube connected to a large vein] for shock from blood loss. 3. On admission to the emergency room, he had only minimal reaction of either pupil [based on prying the eyelid open and shining a bright light into the eye], no spontaneous eye opening and there was just minimal withdrawal of his extremities to painful stimulation [little reaction to being stuck in the hands and feet with a pin]. His respirations [breathing] were adequate and spontaneous with an endotracheal [down the throat] tube in place. He was found to have Babinski phenomena bilaterally. [Doctors run a pencil or similar object on the bottom of the feet. Normal response is to curl the toes down. The Babinski phenomena response is for the toes to curl up. Deering' toes curled up on both feet indicating severe brain damage.] 4. After the volume resuscitation for shock, a CT scan was performed which showed no localized mass, but it was felt that there was a great amount of edema [swelling of the brain"”a potentially fatal condition and one that can cause permanent brain damage]. He was also noted to have a comminuted [crushed] fracture of the left patella [kneecap], with a complete avulsion [ripped open] of the lateral tibial plateau [flat

end of the shin bone just under the knee joint]. 5. In the emergency room, Dr. _____ performed a closed reduction of a left anterior fx of alveolar process of the maxilla and also repairs of mucosal lacerations. [His face was smashed with bones sticking out. The doctor performed surgery to push everything back into place as best he could.] 6. The plaintiff, Bob Deering, was then taken from the emergency room to the operating room where I placed an epidural sensor for monitoring cranial pressure [put a probe into his brain to see if it was swelling]. He was then transferred to the Intensive Care Unit for observation and care. 7. In the Intensive Care Unit, he continued to have posturing, both decerebration [involuntary extending the arms and pushing the wrists backward very hard] and decortication [involuntary bicep flexing], with occasional appropriate [normal] movements. He had no spontaneous eye opening and was maintained on a respirator [artificial breathing machine] for hyperventilation. His intracranial [pressure in the brain] remained borderline, high normal. 8. He showed slow progression in the Intensive Care Unit, and developed spontaneous eye opening with some spontaneous movements of his extremities, although he did continue to have some decerbrate posturing. 9. On December 4, 1980, physical therapy was started at bedside. 10. On December 8, 1980, he was transferred from the Intensive Care Unit to the B-3 floor of Ellis Hospital. A second CT scan from November 21, 1980 had shown essentially a negative study. On December 8, 1980 a consultation with Dr. _____ was obtained for eventual transfer of the patient to Sunnyview Hospital. 11. While on the B-3 floor, the patient has continued progression of recovery, although he did reach plateaus [stopped getting better] at periodic intervals. 12. On December 16, 1980, the patient was able to swallow food, but was unable to follow commands. He did have spontaneous eye opening and some purposeful movements. 13. On December 20, 1980, the patient underwent surgery by Dr. _____, which consisted of right knee arthrotomy with open reduction and internal fixation of the lateral tibial plateau using pins [partial knee joint replacement]. The patient was placed in a cast postoperatively, which he maintained until transfer to Sunnyview Hospital. 14. On January 10, 1981, the patient began to emit some vocal sounds which were not able to be comprehended. 15. Due to the severe spasticity [twitching] of his extremities, the patient was tried on Dantrium, initially at 25 mg once a day, and slowly increased to 25 mg three times a day. This seemed to help some of his spasticity, although he continued to have a tight contracture of the left elbow. He has good range of motion of the other arm. 16. It was not until January 24, 1981 that the patient started developing monosyllable verbalization. 17. Upon discharge from the Ellis Hospital on February 12, 1981, the patient was following commands, and was able to verbalize only minimally with short phrases, consisting of two to three words, although they seem appropriate to conversation. He has no spontaneous conversation. 18. At least up to and including January 24, 1981, Bob Deering was unable to communicate to any rational extent and was mentally and physically disabled to the extent that he was unable to protect his legal rights. 19. On February 12, 1981, the patient was transferred to Sunnyview Hospital for further rehabilitation. 4/16/85 signed and notarized. 6/26/85 filed with the clerk of Schenectady County John T. Reed, a.k.a. John Reed, Jack Reed, 342 Bryan Drive, Alamo, CA 94507, Voice: 925-820-7262, Fax: 925-820-1259, www.johntreed.com

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