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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
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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
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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
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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".
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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.
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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,
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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).
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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,
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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
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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.
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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".
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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".
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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.
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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
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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