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  • State Farm Mutual Automobile Insurance Company, State Farm Fire And Casualty Company v. Perloff Physical Therapy, P.C.Other Matters - Contract - Other document preview
  • State Farm Mutual Automobile Insurance Company, State Farm Fire And Casualty Company v. Perloff Physical Therapy, P.C.Other Matters - Contract - Other document preview
  • State Farm Mutual Automobile Insurance Company, State Farm Fire And Casualty Company v. Perloff Physical Therapy, P.C.Other Matters - Contract - Other document preview
  • State Farm Mutual Automobile Insurance Company, State Farm Fire And Casualty Company v. Perloff Physical Therapy, P.C.Other Matters - Contract - Other document preview
  • State Farm Mutual Automobile Insurance Company, State Farm Fire And Casualty Company v. Perloff Physical Therapy, P.C.Other Matters - Contract - Other document preview
  • State Farm Mutual Automobile Insurance Company, State Farm Fire And Casualty Company v. Perloff Physical Therapy, P.C.Other Matters - Contract - Other document preview
  • State Farm Mutual Automobile Insurance Company, State Farm Fire And Casualty Company v. Perloff Physical Therapy, P.C.Other Matters - Contract - Other document preview
  • State Farm Mutual Automobile Insurance Company, State Farm Fire And Casualty Company v. Perloff Physical Therapy, P.C.Other Matters - Contract - Other document preview
						
                                

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FILED: KINGS COUNTY CLERK 07/25/2022 04:37 PM INDEX NO. 509187/2020 NYSCEF DOC. NO. 28 RECEIVED NYSCEF: 07/25/2022 SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF KINGS ______________________________________________________Ç TAREEK J. FORDE, Plaintiff, AFFIRMATION IN OPPOSITION -against- Index No.: 509187/20 Return Date: 08/11/22 MOHAMMED R. AMIN and SAJJAD HOSSAIN, Defendants. _______________________________________________Ç Karine Bogoraz, an attorney duly admitted to practice law before the Courts of the State of New York hereby affirms the following under penalty of perjury: 1. I am associated with BOGORAZ LAW GROUP, P.C., the attorneys for the plaintiff, TAREEK J. FORDE, and as such I am fully familiar with all of the facts and circumstances herein based on the file maintained by my office. defendants' 2. This affirmation is submitted in Opposition to motion for an order pursuant to CPLR 3212 seeking dismissal of plaintiff's case for failure to sustain a injury" "serious as defined by the New York State Insurance Law. 3. The above noted defendant seeks summary judgment and alleges that the injuries" plaintiff has not suffered "serious as required by Insurance Law§5102 and §5104. 4. It ishereby respectfully requested, that defendants have failed to meet their defendants' burden, and as will be shown below, motion should be denied. 5. This affirmation is submitted together with Dr. Affirmation of Dr. Leon Reyfman, annexed hereto as Exhibit"A", Certified/affirmed rehabilitation and medical records: Initial Examination Report, dated May 18, 2017, Re-evaluation reports, dated June 1 of 42 FILED: KINGS COUNTY CLERK 07/25/2022 04:37 PM INDEX NO. 509187/2020 NYSCEF DOC. NO. 28 RECEIVED NYSCEF: 07/25/2022 22, 2017, July 21, 2017, August 8, 2017 and September 21, 2017, annexed hereto as Exhibit "B", Neurological Consultation Report, dated July 25, 2017 prepared by Dr. Omar Ahmed, annexed hereto as Exhibit "C", Range of Motion Exams, dated June 16, 2017 and 25, July 2017 performed by Dr. Omar Ahmed, annexed hereto as Exhibit "D", Physical Capacity Evaluations, dated July 15, 2017 and September 9, 2017, annexed hereto as Exhibit "E", Outcome Assessment Report, dated September 21, 2017, annexed hereto as Exhibit "F", Acupuncture Initial Evaluation Report, dated May 12, 2017; Acupuncture Re-Evaluation Report, dated September 19, 2017 and Acupuncture Progress Notes, dated May 12, 2017 through November 15,2017, annexed hereto as Exhibit "G", Physical Therapy Progress Notes, dated May 18, 2017 through November 15, 2017 and Treatment Attendance Record, dated May 18, 2017 through November 15, 2017, annexed hereto as Exhibit "H", Disability Letter which was filled out and signed by Dr. Omar Ahmed, covering the period from May 18, 2017 to August 21, 2017, annexed hereto as Exhibit "I",MRI reports of lumbar and cervical spines, which were performed by Dr. William A. Weiner, together with the radiologist's affirmation, annexed hereto as Exhibit "J",Affidavit of Plaintiff, annexed hereto as Exhibit "K", in Opposition to defendants motion seeking dismissal of plaintiffs injury" case for failure to sustain a "serious as defined by the New York State Insurance Law. FACTS 6. This action arises from a motor vehicle accident that occurred on 6, May 2017. At the time of the accident plaintiff was a bicyclist, when he was struck by a motor vehicle. The impact was heavy. As a result of that impact he fell to the ground and injured his back and neck. Plaintiff was taken via ambulance to the Kings County Hospital 2 of 42 FILED: KINGS COUNTY CLERK 07/25/2022 04:37 PM INDEX NO. 509187/2020 NYSCEF DOC. NO. 28 RECEIVED NYSCEF: 07/25/2022 Emergenc y Department where he was evaluated and treated for his injuries. See Plaintiffs Affidavit, Exhibit "K"and Plaintiffs EBT testimony, pages 27, 38-41 and 50-52, Annexed to Defendants' the Motion as Exhibit "E". 7. On May 12, 2017, plaintiff began his medical rehabilitation treatment under supervision of Dr. Omar Ahmed. During the initial examinations plaintiff complained of having persistent pain and stiffness to his neck and back as well as headaches and dizziness. His pain was exacerbated by prolonged sitting, standing, bending down at the waist, turning his head, lifting heavy objects, doing household chores and exercising. See the Initial Examination Report, Exhibit "B", Neurological Report, Exhibit "C", and Plaintiffs Affidavit, Exhibit "K". 8. In 2001, Mr. Forde was involved in a prior motor vehicle accident. As a result of that prior accident he sustained injuries to his back and neck. However, his previous complaints, regarding his back and neck injuries, resolved and were asymptomatic when the May 6, 2017 motor vehicle accident occurred. Mr. Forde was not undergoing any medical treatment for his back or neck at the time when the May 6, 2017 auto accident occurred. Affirmation of Dr. Leon Reyfman, Exhibit "A", Initial Examination Report, Exhibit "B", Neurological Report, Exhibit "C", Plaintiffs Affidavit, Exhibit "K"and Plaintiffs EBT testimony, page 72, Exhibit "F". 9. Dr. Reyfman stated the following regarding the lumbar and cervical spines sustained by plaintiff in connection with the May 6, 2017 accident, "Based on my examination of the patient's lumbar and cervical spines, as well as the results of the MRI exams, the patient was diagnosed in addition to his originally diagnosed injuries with activation/aggravation of pre-existing asymptomatic condition of the 3 of 42 FILED: KINGS COUNTY CLERK 07/25/2022 04:37 PM INDEX NO. 509187/2020 NYSCEF DOC. NO. 28 RECEIVED NYSCEF: 07/25/2022 lumbar and cervical spines that created susceptibility to injury and/or made his injuries more serious than they otherwise would have been. Accordingly, I now state the following as my diagnosis of injuries caused by the May 6, 2017 auto accident: Activation/aggravation of pre-existing asymptomatic lumbar and cervical spines condition that created susceptibility to injury and/or made his lumbar and cervical been." spines injuries more serious than they otherwise would have See Affirmation of Dr. Leon Reyfman, Exhibit "A". 10. During his rehabilitation treatment under supervision of Dr. Ahmed, Mr. Forde received multiple physical therapy and acupuncture treatments on a three-to-four times per week basis. See Affirmation of Dr. Leon Reyfman, Exhibit "A", Neurological Consultation Report, dated July 25, 2017 prepared by Dr. Omar Ahmed, annexed hereto as Exhibit "C", Range of Motion Exams, dated June 16, 2017 and July 25, 2017 performed by Dr. Omar Ahmed, annexed hereto as Exhibit "D", Physical Capacity Evaluations, dated July 15, 2017 and September 9, 2017, annexed hereto as Exhibit "E", Outcome Assessment Report, dated September 21, 2017, annexed hereto as Exhibit "F", Acupuncture Initial Evaluation Report, dated May 12, 2017; Acupuncture Re-Evaluation Report, dated September 19, 2017 and Acupuncture Progress Notes, dated May 12, 2017 through November 15,2017, annexed hereto as Exhibit "G", Physical Therapy Progress Notes, dated May 18, 2017 through November 15, 2017 and Treatment Attendance Record, dated May 18, 2017 through November 15, 2017, annexed hereto as Exhibit "H", 11. The initial computerized objective range of motion testing of the patient's cervical spine and lumbar spine was performed, on June 16, 2017, which revealed significant decrease and limitations. See Range of Motion Exams, dated June 16, 2017 and July 25, 2017 performed by Dr. Omar Ahmed, annexed hereto as Exhibit "D". 4 of 42 FILED: KINGS COUNTY CLERK 07/25/2022 04:37 PM INDEX NO. 509187/2020 NYSCEF DOC. NO. 28 RECEIVED NYSCEF: 07/25/2022 12. On June 16, 2017, the range of motion of the lumbar spine was restricted due to pain and stiffness. The range of motion of lumbar spine measured by a dual inclinometer revealed as follows: Flexion was restricted at 20 degrees with pain (normal is 60 degrees) and Extension was restricted at 9 degrees with pain (normal is 25 degrees). See Exhibit "D". 13. On June 16, 2017, the range of motion of the cervical spine was restricted due to pain and stiffness. The range of motion of cervical spine measured by a dual inclinometer revealed as follows: Flexion was restricted at 44 degrees with pain (normal is 50 degrees) and Extension was restricted at 28 degrees with pain (normal is 60 degrees). See Exhibit "D". 14. As a result of the subject accident, the plaintiff sustained serious and permanent injuries as defined in 5102 (d) of the New York State Insurance Law from which plaintiff has not fully recovered to date. 15. As a result of the accident of the May 6, 2017, the plaintiff sustained the following injuries: CERVICAL SPINE " C7-T1 central disc herniation on the CSF impressing column; " Cervicalgia; " Cephalgia; " Vertigo; " Radiculopathy; " Cervicogenic Headaches. 5 of 42 FILED: KINGS COUNTY CLERK 07/25/2022 04:37 PM INDEX NO. 509187/2020 NYSCEF DOC. NO. 28 RECEIVED NYSCEF: 07/25/2022 LUMBAR SPINE " L4-L5 central disc herniation on the CSF column and impressing abutting the thecal sac; " L5-S1 central disc herniation on the thecal sac with its impressing associated nerve roots; " Radiculopathy. 20. The plaintiff's injuries are serious and permanent and are causally related to the accident as established by Dr. Leon Reyfman, M.D., in his accompanying Affirmation. As defendants' will be demonstrated below, the moving papers are insufficient to refute these facts and a triable issue of fact still exists for a jury to decide at the time of trial. DEFENDANT'S MOTION FOR SUMMARYJUDGMENT SHOULD BE DENIED IN ITS ENTIRETY BECAUSE THERE REMAINS TRIABLE ISSUES OF FACT "threshold" 21. In a motion, the court is called upon to decide two issues: 1) whether the defendant has presented sufficient proof establishing the lack of a "serious injury" thus shifting the burden to plaintiff to prove serious injury and 2) Ifthe burden is shifted to plaintiff, whether the plaintiff then presents sufficient proof to demonstrate that an issue of fact exists on serious injury. Gaddy vs. Eyler, 79 NY2d 955, 582 N.Y.S.2d 990 (1992). 22. The initial burden is on the defendant to present evidence in competent form showing that plaintiff has not set forth a prima facie case of "serious injury". Unless defendant meets that initial burden, plaintiff need not come forward with proof that he/she has sustained a "serious injury". See Rodriguez v. Goldstein, 182 A.D.2d 396, 582 N.Y.S.2d 395 (1st Dept. Akujuo v. USA 641 N.Y.S.2d 894 (2d Dept. 1996). 1992); Truck, 6 of 42 FILED: KINGS COUNTY CLERK 07/25/2022 04:37 PM INDEX NO. 509187/2020 NYSCEF DOC. NO. 28 RECEIVED NYSCEF: 07/25/2022 23. The issue is not whether the plaintiff herein can ultimately establish that he injury" sustained a "serious but whether there exists a substantial issue of fact in the case on such an issue. Winegrad, supra, citing Zuckerman v. City of New York, 49 N.Y.2d 557, 562, 427 N.Y.S.2d 595, 404 N.E.2d 718, Sillman, supra. 24. The general principles which govern the determination of summary judgment motions require that any contrary assertions themselves constitute an issue of fact requiring that the relief sought be denied. Summary judgment is a drastic remedy which should not be granted where there is any doubt as to the existence of a triable issue of fact, or where the existence of an issue is arguable. Stukas, supra: Leighton v Leighton, (1st defendants' 46 A.D.3d 264, 847 N.Y.S.2d 64 Dept. 2007). In opposition to motion and cross-motion for summary judgment, the plaintiff has submitted his Affidavit, as well as the Affirmation of Dr. Leon Reyfman. This evidence is contradictory to the allegations of the movant, creating issues of fact for a jury to determine. Sisino v. Island Motocross of New York, Inc., 41 A.D.3d 462, 841 N.Y.S.2d 308 (2d Dept. 2007). As an issue of fact with injury" respect to at least one aspect of the statutory definition of the term "serious has been raised, it isclear that summary judgment in favor of the movant in this case is improper. Cesar v. Felix, 181 A.D.2d 852, 581 N.Y.S.2d 411 (2d Dept. 1992). 25. In deciding defendant's motion for summary judgment, the Court must not only assume that the allegations of the complaint are true and treat all inferences favorable to the plaintiff, but must further assume that the Affirmations in Opposition to the motion are true. Abrama v. Richmond County, 125 Misc.2d 530, 470 N.Y.S.2d 624 (1984); Patrolmen's Benevolent Association of the City of New York v. City of New York, 27 N.Y.2d 410, 31 N.Y.S.2d 477, 267 N.E.2d 259 (1971). 7 of 42 FILED: KINGS COUNTY CLERK 07/25/2022 04:37 PM INDEX NO. 509187/2020 NYSCEF DOC. NO. 28 RECEIVED NYSCEF: 07/25/2022 26. The Court's role herein is not to determine any material factual issue raised in the summary judgment motion, but rather upon recognition of itsexistence, to deny the motion. In short, the Court's function on a Summary Judgment motion is "issue finding, determination." rather than issue Matter of Halpern. 76 A.D.3d 429, 906 N.Y.S.2d 253, (1st Dept. Esteve v. 271 A.D.2d 68 N.Y.S.2d 322 (1st Dept. 1947). See also, 2010); Abad, 725, Sillman v. Twentieth Century Fox Films Corp., 3 N.Y.2d 395, 404, 165 N.Y.S.2d 418, 144 N.E.2d 387 (1957). 27. The initial burden is on the movant to present evidence in competent form injury." showing that the plaintiff has not set forth a prima facie case of "serious Unless the defendants meet that initial burden, the plaintiff need not come forward with proof that injury." he/she has sustained a "serious Kasper v. N &.J Taxi, Inc., 60 A.D.3d 910, 876 N.Y.S.2d 120 (2d Dept. 2009). 28. The general principles which govern the determination of summary judgment motions require that any contrary assertions themselves constitute an issue of fact requiring that the relief sought be denied. Winegrad v. N.Y.U. Medical Center. 64 N.Y.2d 316, 476 N.E.2d 642 (1985); Robuta Extruders v. Ceppos, 46 N.Y.2d 223, 385 N.E.2d 1068 (1979). 29. It isrespectfully submitted that in the present case, defendant has failed to meet the initial burden to present evidence in competent form. In the first instance, defendant's motion should be denied because the defendant has failed to attach sufficient reports in support of this motion against plaintiff. 30. In the case at bar, Dr. Howard A. Kiernan, the medical expert hired by the defendants, performed his orthopedic examination of plaintiff on December 30, 2021, 8 of 42 FILED: KINGS COUNTY CLERK 07/25/2022 04:37 PM INDEX NO. 509187/2020 NYSCEF DOC. NO. 28 RECEIVED NYSCEF: 07/25/2022 which was approximately fifty-five months after the subject accident. The report of the defendants' based on a physical examination taken forty- expert, liability approximately nine months after the expiration of the 180 days statutory period is useless in determining whether the plaintiff has satisfied the 90/180 category of Insurance Law section 5102 (d). Dr. Kiernan only addressed plaintiff's condition as of the time of his examination and this is defendants' insufficient to sustain the burden of proof to establish prima facie that plaintiff had not sustained a serious injury within the meaning of the 90/180 category. See Defendants' Exhibit"D". 31. In Webb v. lohnson. 786 N.Y.S.2d 22 (2004) the Appellate Court reversed the lower Court's granting of summary judgment where the examination was held two (2) years after the accident. In so doing, the Court in Webb held that "the report cannot be considered as probative on the issue of whether plaintiff suffered a medically determined injury that prevented plaintiff from performing substantially all of the material acts which constituted his usual and customary daily activities for the period of not less than 90 days during the 180 days period immediately following the accident because the examination was conducted two years after the accident". 32. Likewise, the Second Department in Connors v. Center City, Inc., 291 A.D.2d 738 N.Y.S.2d 219 (2nd Dep't upheld the denial of judgment on the 476, 2002), summary issue of threshold where the defense examination did not take place until 18 months post- accident. The Court held that the defendant "Submitted the affirmed medical evaluations of his physicians, which were based on examinations performed more than 1 1/2 years after the accident. However, this proof was insufficient to establish that the injured plaintiff did not sustain a medically determined injury or impairment of a non-permanent nature which 9 of 42 FILED: KINGS COUNTY CLERK 07/25/2022 04:37 PM INDEX NO. 509187/2020 NYSCEF DOC. NO. 28 RECEIVED NYSCEF: 07/25/2022 prevented her from performing substantially all of the material acts which constituted her usual and customary daily activities for a period of not less than 90 days during the 180 days period immediately following the accident". The Court further opined that itwas not sufficient to merely prove, over two (2) years after the accident, that the plaintiff had a normal medical examination. 33. Dr. William A. Weiner, the plaintiffs radiologist, reviewed the MRI films of the plaintiffs lumbar and cervical spines and found injuries, with no mention of degenerative changes. MRI reports of lumbar and cervical spines, which were performed by Dr. William A. Weiner, together with the radiologist's affirmation, annexed hereto as Exhibit "J". 34. Dr. Leon Reyfman has documented plaintiffs injuries. In Cummings v. liayan 42 A.D.3d 839 N.Y.S.2d 663 (4th Dep't the Court found that the threshold is S.4, 920, 2007) satisfied by evidence that plaintiffs physicians placed restrictions on his or her activities. A question of fact regarding this particular prong of the No-Fault law has been raised and defendants' should lead the court to reject motion to dismiss plaintiffs claim. defendants' 35. Ifthe defendants meet their initial burden, then to defeat motion, plaintiff needs merely to show that there is a genuine issue of material fact regarding injury" whether he has suffered a "serious as a result of the accident. Plaintiff need not prove that he has suffered a "serious injury". See CPLR §3212(b). Again, as discussed above, in the present case, it issubmitted that defendants have failed to meet their burden. In any event, based upon Dr. Reyfman's affirmation, plaintiffs affidavit and the medical records together with allthe exhibits attached hereto, itis clear that plaintiff has indeed sustained a serious injury and that said injury is causally related to the accident at issue. 10 of 42 FILED: KINGS COUNTY CLERK 07/25/2022 04:37 PM INDEX NO. 509187/2020 NYSCEF DOC. NO. 28 RECEIVED NYSCEF: 07/25/2022 AGGRAVATION OF AN ASYMPTOMATIC PRE-EXISTING CONDITION INJURY" CONSTITUTES A "SERIOUS UNDER THE INSURANCE LAW. 36. In 2001, Mr. Forde was involved in a prior motor vehicle accident. As a result of that prior accident he sustained injuries to his back and neck. However, his previous complaints, regarding his back and neck injuries, resolved and were asymptomatic when the May 6, 2017 motor vehicle accident occurred. Mr. Forde was not undergoing any medical treatment for his back or neck at the time when the May 6, 2017 auto accident occurred. Affirmation of Dr. Leon Reyfman, Exhibit "A", Initial Examination Report, Exhibit "B", Neurological Report, Exhibit "C", Plaintiffs Affidavit, Exhibit "K"and Plaintiffs EBT testimony, page 72, Exhibit "F". 37. Dr. Reyfman stated the following regarding the lumbar and cervical spines sustained by plaintiff in connection with the May 6, 2017 accident, "Based on my examination of the patient's lumbar and cervical spines, as well as the results of the MRI exams, the patient was diagnosed in addition to his originally diagnosed injuries with activation/aggravation of pre-existing asymptomatic condition of the lumbar and cervical spines that created susceptibility to injury and/or made his injuries more serious than they otherwise would have been. Accordingly, I now state the following as my diagnosis of injuries caused by the May 6, 2017 auto accident: Activation/aggravation of pre-existing asymptomatic lumbar and cervical spines condition that created susceptibility to injury and/or made his lumbar and cervical been." spines injuries more serious than they otherwise would have See Affirmation of Dr. Leon Reyfman, Exhibit "A". 11 of 42 FILED: KINGS COUNTY CLERK 07/25/2022 04:37 PM INDEX NO. 509187/2020 NYSCEF DOC. NO. 28 RECEIVED NYSCEF: 07/25/2022 37. Dr. Reyfman's findings were consistent with the Jumbar spine and cervical spine injuries plaintiff originally claimed in his Verified Bill of Particulars. In particular, plaintiff injuries." specifically pled "exacerbation, acceleration of previous See plaintiff's Verified defendants' Bill of Particulars §10, Exhibit "C". 38. The aggravation of plaintiff's pre-existing lumbar and cervical spines condition constitutes a "serious injury". See Gentile v. Snook II, 20 A.D. 3d 389, 799 N.Y.S. 2d 230 (2005); Trunk v. Spross, 306 A.D. 2d 463, 761 N.Y.S. 2d 322 (2003). 39. Furthermore, Dr. Reyfman, on July 20, 2022, conducted ranges of motion exam, more than five years post-accident, and found ranges of motion of plaintiff's lumbar and cervical spines to be significantly less than normal. Dr. Reyfman in his affirmation stated that he found evidence of permanency regarding the plaintiff's lumbar spine and cervical spine injuries. Also, Dr. Reyfman concluded that there is a causal relationship between the accident and the aggravation of the plaintiff's lumbar and cervical spines injuries. See Affirmation of Dr. Leon Reyfman §7, Exhibit "A". 40. The range of motion of lumbar spine measured by a goniometer revealed as follows: Flexion was restricted at 40 degrees with pain (normal is 60 degrees); Extension was restricted at 15 degrees with pain (normal is 25 degrees); Right Lateral Flexion was restricted at 10 degrees with pain (normal is 25 degrees); Left Lateral Flexion was restricted at 10 degrees with pain (normal is 25 degrees); Left Rotation was restricted at 20 degrees with pain (normal is 30 degrees) and Right Rotation was restricted at 20 degrees with pain (normal is 30 degrees). The Laseque's Test was positive on the right at 45 degrees and on the left at 40 degrees. The Millgram's Test was positive. See Dr. Reyfman's Affirmation §21, Exhibit "A". 12 of 42 FILED: KINGS COUNTY CLERK 07/25/2022 04:37 PM INDEX NO. 509187/2020 NYSCEF DOC. NO. 28 RECEIVED NYSCEF: 07/25/2022 41. The range of motion of cervical spine measured by a goniometer revealed as follows: Flexion was restricted at 30 degrees with pain (normal is 65 degrees); Extension was restricted at 40 degrees with pain (normal is 55 degrees); Right Lateral Flexion was restricted at 25 degrees with pain (normal is 45 degrees); Left Lateral Flexion was restricted at 25 degrees with pain (normal is 45 degrees); Right Rotation was restricted at 40 degrees with pain {normal is 80 degrees) and Left Rotation was restricted at 40 degrees with pain (normal is 80 degrees). The Cervical Distraction Test was positive. The Shoulder Depression Test was positive bilaterally. See Dr. Reyfman's Affirmation §22, Exhibit "A". 42. Based on the findings of Dr. Reyfman, the lumbar and cervical spines range of motion losses are permanent in based on the passage of more than five years post- nature, time, accident. Aggravation of Pre-existing Condition. 43. According to PJI 2:282 Damages-Personal Injury-Aggravation of pre-existing injury, plaintiff is entitled to recover for any difficulty or pain resulting from the aggravation of his pre-existing condition. In the instant case, Dr. Reyfman opined that plaintiff aggravated a pre-existing asymptomatic lumbar and cervical spines condition. 44. According to PJI 2:283 Damages-Personal Injury-Increased Susceptibility to Injury, the fact that plaintiff may have a physical or mental condition that makes her more susceptible to injury than a normal healthy person does not relieve the defendant of liability for all injuries sustained as a result of her negligence. The defendant is liable even though those injuries are greater than those that would have been sustained by a normal healthy person under the same circumstances. 13 of 42 FILED: KINGS COUNTY CLERK 07/25/2022 04:37 PM INDEX NO. 509187/2020 NYSCEF DOC. NO. 28 RECEIVED NYSCEF: 07/25/2022 45. Therefore, defendant are not relieved from liability. Since Dr. Reyfman claimed that plaintiff had an asymptomatic pre-existing lumbar and cervical spines condition, then there can be littleor no doubt that plaintiff had an increased susceptibility to injury. 46. A wrongdoer is chargeable for allthe harm and suffering that his or her negligent act causes the plaintiff, even though the plaintiff's injuries are increased by a predisposition of weakness. Owen v. Rochester-Penfield Bus Co., 304 N.Y. 457, 108 N.E. 2d 606 (1952). 47. For the purposes of the instant motion, itdoes not matter whether the plaintiff's lumbar and cervical spines injuries were acute or an exacerbation of an asymptomatic pre- existing condition. The reason why itdoes not matter is because both diagnoses satisfy the serious injury threshold requirement. 48. Plaintiff was unable to perform substantially allof the material acts which constituted his daily activities for at least 90 days after the happening of this accident. Plaintiff was not physically able to perform many of his normal daily activities for much more than 90 days after the accident. For instance, plaintiff in his affidavit and his during deposition stated that due to the injuries he sustained, his ability to perform his regular daily activities were dramatically affected. Since the accident and presently plaintiff continues to experience great difficulty performing his regular daily activities. See Plaintiffs Affidavit, Exhibit "K", and Plaintiffs EBT Testimony, Defendant's Exhibit "E", page 69. 49. Plaintiff experiences continued difficulty with daily activities such as lifting heavy items, walking, sitting and standing for a prolonged period of time, sleeping on his back, exercising, bending at the waist, turning his head, exercising and performing his household chores. These activities cause severe and intense pain to his neck and back. See 14 of 42 FILED: KINGS COUNTY CLERK 07/25/2022 04:37 PM INDEX NO. 509187/2020 NYSCEF DOC. NO. 28 RECEIVED NYSCEF: 07/25/2022 Plaintiffs Affidavit §10, Exhibit "K"and Plaintiff's EBT Testimony Defendant's Exhibit "E", page 69. 50. Furthermore, due to the injuries sustained in the May 6, 2017 accident, plaintiff continues to refrain from performing any physical and strenuous activities. During the initial eight months after his accident plaintiff was confined to his home, except when doctors' attending his physical therapy and appointments. At the time of the accident plaintiff was employed full time by the Dollar Tree Store as a stock worker. After the accident, due to experiencing severe pain and upon recommendation of his treating physician Dr. Omar Ahmed, plaintiff was unable to return to work. Initially, he received a disability letter from Dr. Ahmed, excusing him from performing any work-related physical activities, from May 18, 2017 to August 21, 2017. However, even after August 21, 2017, based on the Physical Capacity Evaluations, which showed that the plaintiffs lifting capacity was below 25 percent of comparative norms and significant limitations in the spine's ranges of motion, Dr. Ahmed continued to determine that the plaintiff should remain to be temporarily unemployable. Dr. Ahmed found that the plaintiffs injuries have not been resolved. Plaintiff continued to attend his scheduled medical appointments, take prescribed medications and comply with the prescribed physical therapy and acupuncture treatments. Presently, plaintiff continues to experience pain and limited ranges of motion in his back and neck. Physical Capacity Evaluations, dated July 15, 2017 and