Preview
FILED: NIAGARA COUNTY CLERK 11/15/2017 01:04 PM INDEX NO. E159518/2016
NYSCEF DOC. NO. 73 RECEIVED NYSCEF: 11/15/2017
FILED: NIAGARA COUNTY CLERK 11/15/2017 01:04 PM INDEX NO. E159518/2016
NYSCEF DOC. NO. 73 RECEIVED NYSCEF: 11/15/2017
~ CONNORS LLP
June 12, 2017
Att:orneys AtLaw Brian P. Fitzgerald, Esq.
Terrence M. Connors
Randall D. White* FITZGERALD & ROLLER, P.C.
JohnT.Loss 509 Liberty Building
Vmcent E. Doyle ill Buffalo, New York 14202
Michael J. Roach
Lawlor F. Quinlan ill
James W. Grable, Jr. Re: Kausner v. Clerk, M.D.
Joseph D. Morath, Jr.
Mollie C. McGorry
Paul A. ,-voodard
Dear Mr. Fitzgerald:
Nicholas A. Romano
Caitlin M. Higgins I am in receipt of your First Notice to Produce and respond on
Christina L. Saccocio
Christopher J . Larrabee
behalf of defendants Harnath Clerk, M.D. and Harnath Clerk, M.D., P.C.
Caiiliri E: O'Neil as follows :
Trevor N:White·
1. Demand for Copy of Medical Records: The
Paraleg~·· relevant care was hospital-based and upon information and
Curtis J . Ahrens, Jr. belief t he ·p laintiffs treatment records related to Dr. Clerk
John"P. Kromer ·
are contained_within that _h ospital record, Dr. C!erk
Sara E. Lyons
Christine A. Trojim, R.N. maintained a file containing his billing record and a:
Katherine M. Grossberg consultation record sent to him froni Eastern Niagar·a
Margaret Dickey; R.N. Hospital. A copy is enclosed: . ,' ... .- ,.
Julie Scott, L.P.N:
Lea Ann Wilczak, R.N.
2. Demand for Statements of Defendant Before a
•Also admitted in
I>istr.iet o(Columbi.a Medical Review Committee: Defendants object to this
demand as not properly directed to t h ese defendants.
Further, the defendants object pursuant to the Education
Law and t he P ublic Healt h Law to t h e extent that such
information may be confidential and immune from
discovery. Without waiving this objection , defendants do not
possess any responsive documents.
'." .
I•
3. Demand for Statement of Deficiency and
' j.'•· -.
Corrective Measures: Defendants object to this demand as
not properly directed to th ese defendants. Further, the
defendants object pursuant to the Education Law and t he
Public Health Law to t he' ~xtent that such inform?-tion may
be confidential and immune from discovery.: Witii'out
waiving this objection, defe'n dants do· not·posse'ss aiiy
responsive documents. · · : -· ' · ·
1000 Liber ty Building, Buffalo, New York 14202
P: 716-852-5533F: 716-852-5649· www.connorsllp.com
FILED: NIAGARA COUNTY CLERK 11/15/2017 01:04 PM INDEX NO. E159518/2016
NYSCEF DOC. NO. 73 RECEIVED NYSCEF: 11/15/2017
Re: Kausner v. Clerk
Page I 2
4. Demand for Telephone Records: Defendants
object to this demand as vague, unclear, overbroad, and
unduly burdensome.
5. Demand for Billing Records: See response #1.
6. Demand for All Other Documents: The
defendants object to this demand on the grounds that it is
overbroad, vague, and palpably improper. Without waiver
of, and subject to the foregoing objection, defendants are not
in possession of material re sponsive to this demand other
than that already disclosed above.
Very truly yours,
~d--~
Michael J. Roach
Lmk/enc.
cc: Josep h V. McCarthy, Esq.
Brian J. Weidner, Esq.
FILED: NIAGARA COUNTY CLERK 11/15/2017 01:04 PM INDEX NO. E159518/2016
NYSCEF DOC. NO. 73 RECEIVED NYSCEF: 11/15/2017
BAS~BRH NIA~llA B08P;TAL
5:11 •••~ Avenua
Loclc;port. 'll'l1~og,
CO!!IS'Ut,TATXOK 'IUIIPORT
PAT:CIDl'l' KAXB:1 KAOSNER,THOMAS JOSEPB
SlATB or SDV?CE1 09/01/l.5
CO~SULTIHG PllYsicx.iut, CLRR.X,HAJWATH B, MD
ATTl!lHDINO PBYSIC%JUf1 CAPPUCCIN0 , 1\N'DREW, MD
MmICAZ, UCOlU) #1 LM001161l7
AC!CT 11 t."2009752391
:ROOK #1 22E;7-1
Prea•t %llnaes: I was dalled to evaluate a patient who ia a 61 year old gentleman
who had cervical diec surgery by Dr, cappuccino and post operatively ehe patient had
uncontrolled hypertension ao I was called ~or management ot medication treatment for
this uncontrolled hypertension.
Pa•t X.cli.~al Kisto~: The patient has a history of hyperlipidemia, oateoarthritia, /}
depression , Hiet0ry of tonsillectomy and AC~ ~air in the past. The patient does not'
have a history of hypertension in the past .
~dioatio~•;
Aller!l.:l.ea1 NKDA
social History: Q~it smoking a while ag0, Uses alcohol sooia.lly
rA1D11y Hi•toz:y1 coronary artery dieeaae and hypertensive heart disease.
••view of Syatema: Weight is stable, appetite is poor.
HEBN'l'1 Complaining of & headache and neck pain, diz2ineee . Denies d.oul:)le vision
Cardio~eapiratory, Having nonproductive cough, no shortness ot breath, no cheat pain,
no palpitation,
GI: Denies nausea, vomiting, diarrhea, oonstipation.
G01 Having polyuria, n00tu~ia. Denies dysuria
Neuro: Ne~ative for lose of consci0ueneas.
PAP and Mammo : not applicable
Phy•i~al sxam1~at~o~: Alert and oriented X3, fai~ly built and nou~iahed gentleman in
mild to moderate diatress, BP 200/120, temperature 98, R: 2B. P1 108 re9Ular , oxygen
level on 2 l~ters 94\, HEENT: Head &traumatic, oonjunctivae and aolerae nonioteric .
oral mucosa ia dry. JVP is flat, Neck ia in the surgical dressing witn neck oollar.
'l'hyroid not palpable, Carotid ~ruite absent. Chest breasts unremarkable, Lungs:
bilateral minim~l wheezing. Heart is tachyc&rdic with S4 gallop. l?MI eixth
intercostal space, mid clavicular line. Abdomen soft, bowel sounds plus, nontende~,
no organomegaly , EXtremitiee : ~edal edema absent. Joirtt ~welling and clubbing and
peripheral oya.nosia absent. Rectal not done. Pelvic not applicable. Genital1 No:rmal,
CNS; There is no acute focal deficit.
z-~ay/Lal>o~a~ory: Reviewed
ASSBSIMD1'l't
l. Uncontrolled hypertenaion, new onset.
2. St•tua poat cervi0al diac diseaee surgery
J, Ryperlipidemia
Page 1 of 2
Xl:l.::l
.L3C'~3Sl:l1 dH 02:et sto2 20 das
FILED: NIAGARA COUNTY CLERK 11/15/2017 01:04 PM INDEX NO. E159518/2016
NYSCEF DOC. NO. 73 RECEIVED NYSCEF: 11/15/2017
BASTJIUt HXAtaUA ~OSP%TAL
521 Zaa~ Avenue
~oeleport, NY 1,094
COKSt1LTAT%0N UPO~T
PATn:art' KI\KJ!t KA.USNER,THOMAS JOSEPH
DATZ 0'1' IIIDVXCB 1 09/01/15
COHS~LTillra PKYStC~Allit CLERK, KARNATH S, Ml)
A'l"TBKJ)nta PKYatc:c»r, CAPPOCCIN0 1 1'NDREW, MO
ICZDXOAL uco:m i: LM00l16117
AC:C'l'tc LV20097S239l
llOOM #t 2267-1
4. chroniQ bronohitia from long te:rm amoking
S. Depression
6. Oateoartl:lritia
7, History of gastroesophageal
IUICOJOOIN0A'l'XOllSt
reflux diseaae
f
l, At this point the patient required lCO car~
2. Will put him on Nitro-Paste 1 inch q6h
3. Will use Cacapres ,l po q6h p,r.n. for aystolio BP over 160/90.
4. Will monitor CBC and BMP on a daily bQais.
s. Will continue pain madi0ation .
If he doea well then he can be disoharged tomorrow.
Thank ycu very muoh for the opportunity for me to $ee this patient in oonsultation,
CLEHA /Dm,:t.AS
DDz 09/02/15 11~3
PT : 09/02/15 1241
ac:: CAPPUCCINO,ANDRBW, MD
Pa.g~ 2 Of 2
Xl:I.:!.l3C~3Sl:17 dH 02:£1 s102 20 das
FILED: NIAGARA COUNTY CLERK 11/15/2017 01:04 PM INDEX NO. E159518/2016
NYSCEF DOC. NO. 73 RECEIVED NYSCEF: 11/15/2017
THCMAS KAOSNER HARNATH CLERX, M. D.PC .
DEER CREEK RD 2610 WILLIAM STREET
PORTVILLE, NY 14770 NEWFANE, NY 14108-1026
(716)-778-7237
LAST PER PD: $0.00 on
~T BIL: CURRENT 30 60 90 120+ YTD NCHG: $0.00 INS# 22 • BS OF WESTERN NEW YORK
TTL BAL: $0.00 0 . 00 0.00 0.00 0.00 0 .00 YTD PPAY : $0.00 Cov: (*None, !Some }
~IGN ' D $0.00 0 . 00 0.00 0.00 0.00 0 .00 YTD OPAY : $0.00 DR #-NAME I.D. #
:OLL (Z) : $0.00 0 . 00 0.00 0 .00 0.00 0 . 00 1-CLERK, HARNATH 16-1589372
~C/NF (W ) : $0 .00 0 . 00 0.00 0.00 0.0 0 0.00
?ERS (*): $ 0.00 0.00 0 . 00 0 .00 0 . 00 0.00
FEE DX DX PER CHG
tECORD# FROM/TO DATES PATIENT CPT/HCPCS DESC SCH #1 #2 L D I A CLAlM CHARGES RECEIPTS BALANCE
;~~~;~~~::~;;~~; ~~ :::: :: : ::
:~~~ :: : ~: ;;~~~ :~~~'.~~:::: ::
: ~ ~;~~;.;. :~~~~~~ : ~~~::: : : :~: ~:: :~~ =;:: : :: : :: : : : :$;~:~~ :: :::: :: : :: : :::::: ::
DX#3: E78. 0 DX#4 :MlS .O
l428632H 11/06/15 THOMAS BS OF WESTER (CK#96315657) PAYMENT 1 1 22 Y $88.67
l 42863 3Hll/06/15 THOMAS NOT COVERED ADJUSTMENT 1 1 22 Y $-6.33 $0.00
l 428628H 09 / 02/15 THOMAS HOSPITAL SOBSEOUEN 9 92 32
M50 . 00 IlO 1 1 22 y $85. 00
DX#3: E78 . 0 D X#4 :Ml 5. 0
L428629H 11/06/15 THOMAS BS OF WESTER(CK#96315657) PAYMENT l l 22 y $84.30
L428630H 11/06/15 THOMAS NOT COVERED ADJUSTMENT 1 1 22 y $ - 0.70 $0.00
L428625H 09 /03/ 15 THOMAS HOS PITAL SUBSEOOEN 99232 M50.00 IlO 1 l 22 y $85.00
DX#3: E7 8 .0 DX# 4: Ml5 .0
L428626H 11/06/15 THOMAS BS OF WESTER(CK# 96315657) PAYMENT 1 1 22 y $84.30
L428627H 11/06/15 THOMAS NOT COVERED ADJUSTMENT l 1 22 y $-0.70 $0.00
...... . ...... . -............ . -.. -... .. ....... --. . -. --... . . -.. -.. . ................. . .. GRoss. ciiAAGi:s; ... . .. -s26s :oo -. --. -..... · .. -.· ···
TorAL ADJUSTS: -7.73
TOI'AL BALANCE: $257 .27 257.27 0.00
ASSIGNED BALANCE: $0.00
COLLECT BALANCE: $0 .ooz
WCOMP/NF BALANCE: $0.00W
PERSONAL BALANCE: $0.00•
VISIT COUNT: 3
iIGNATURE:
>LEASE NOTE: FOLD AT " " MARKS FOR STANDARD #10 WINDOW ENVELOPE.
THE ABOVE-INFORMATION REFLECTS ONE ACCOUNT MEMBER ONLY, 'THCMAS
Preview
FILED: NIAGARA COUNTY CLERK 11/15/2017 01:04 PM INDEX NO. E159518/2016 NYSCEF DOC. NO. 73 RECEIVED NYSCEF: 11/15/2017 FILED: NIAGARA COUNTY CLERK 11/15/2017 01:04 PM INDEX NO. E159518/2016 NYSCEF DOC. NO. 73 RECEIVED NYSCEF: 11/15/2017 ~ CONNORS LLP June 12, 2017 Att:orneys AtLaw Brian P. Fitzgerald, Esq. Terrence M. Connors Randall D. White* FITZGERALD & ROLLER, P.C. JohnT.Loss 509 Liberty Building Vmcent E. Doyle ill Buffalo, New York 14202 Michael J. Roach Lawlor F. Quinlan ill James W. Grable, Jr. Re: Kausner v. Clerk, M.D. Joseph D. Morath, Jr. Mollie C. McGorry Paul A. ,-voodard Dear Mr. Fitzgerald: Nicholas A. Romano Caitlin M. Higgins I am in receipt of your First Notice to Produce and respond on Christina L. Saccocio Christopher J . Larrabee behalf of defendants Harnath Clerk, M.D. and Harnath Clerk, M.D., P.C. Caiiliri E: O'Neil as follows : Trevor N:White· 1. Demand for Copy of Medical Records: The Paraleg~·· relevant care was hospital-based and upon information and Curtis J . Ahrens, Jr. belief t he ·p laintiffs treatment records related to Dr. Clerk John"P. Kromer · are contained_within that _h ospital record, Dr. C!erk Sara E. Lyons Christine A. Trojim, R.N. maintained a file containing his billing record and a: Katherine M. Grossberg consultation record sent to him froni Eastern Niagar·a Margaret Dickey; R.N. Hospital. A copy is enclosed: . ,' ... .- ,. Julie Scott, L.P.N: Lea Ann Wilczak, R.N. 2. Demand for Statements of Defendant Before a •Also admitted in I>istr.iet o(Columbi.a Medical Review Committee: Defendants object to this demand as not properly directed to t h ese defendants. Further, the defendants object pursuant to the Education Law and t he P ublic Healt h Law to t h e extent that such information may be confidential and immune from discovery. Without waiving this objection , defendants do not possess any responsive documents. '." . I• 3. Demand for Statement of Deficiency and ' j.'•· -. Corrective Measures: Defendants object to this demand as not properly directed to th ese defendants. Further, the defendants object pursuant to the Education Law and t he Public Health Law to t he' ~xtent that such inform?-tion may be confidential and immune from discovery.: Witii'out waiving this objection, defe'n dants do· not·posse'ss aiiy responsive documents. · · : -· ' · · 1000 Liber ty Building, Buffalo, New York 14202 P: 716-852-5533F: 716-852-5649· www.connorsllp.com FILED: NIAGARA COUNTY CLERK 11/15/2017 01:04 PM INDEX NO. E159518/2016 NYSCEF DOC. NO. 73 RECEIVED NYSCEF: 11/15/2017 Re: Kausner v. Clerk Page I 2 4. Demand for Telephone Records: Defendants object to this demand as vague, unclear, overbroad, and unduly burdensome. 5. Demand for Billing Records: See response #1. 6. Demand for All Other Documents: The defendants object to this demand on the grounds that it is overbroad, vague, and palpably improper. Without waiver of, and subject to the foregoing objection, defendants are not in possession of material re sponsive to this demand other than that already disclosed above. Very truly yours, ~d--~ Michael J. Roach Lmk/enc. cc: Josep h V. McCarthy, Esq. Brian J. Weidner, Esq. FILED: NIAGARA COUNTY CLERK 11/15/2017 01:04 PM INDEX NO. E159518/2016 NYSCEF DOC. NO. 73 RECEIVED NYSCEF: 11/15/2017 BAS~BRH NIA~llA B08P;TAL 5:11 •••~ Avenua Loclc;port. 'll'l1~og, CO!!IS'Ut,TATXOK 'IUIIPORT PAT:CIDl'l' KAXB:1 KAOSNER,THOMAS JOSEPB SlATB or SDV?CE1 09/01/l.5 CO~SULTIHG PllYsicx.iut, CLRR.X,HAJWATH B, MD ATTl!lHDINO PBYSIC%JUf1 CAPPUCCIN0 , 1\N'DREW, MD MmICAZ, UCOlU) #1 LM001161l7 AC!CT 11 t."2009752391 :ROOK #1 22E;7-1 Prea•t %llnaes: I was dalled to evaluate a patient who ia a 61 year old gentleman who had cervical diec surgery by Dr, cappuccino and post operatively ehe patient had uncontrolled hypertension ao I was called ~or management ot medication treatment for this uncontrolled hypertension. Pa•t X.cli.~al Kisto~: The patient has a history of hyperlipidemia, oateoarthritia, /} depression , Hiet0ry of tonsillectomy and AC~ ~air in the past. The patient does not' have a history of hypertension in the past . ~dioatio~•; Aller!l.:l.ea1 NKDA social History: Q~it smoking a while ag0, Uses alcohol sooia.lly rA1D11y Hi•toz:y1 coronary artery dieeaae and hypertensive heart disease. ••view of Syatema: Weight is stable, appetite is poor. HEBN'l'1 Complaining of & headache and neck pain, diz2ineee . Denies d.oul:)le vision Cardio~eapiratory, Having nonproductive cough, no shortness ot breath, no cheat pain, no palpitation, GI: Denies nausea, vomiting, diarrhea, oonstipation. G01 Having polyuria, n00tu~ia. Denies dysuria Neuro: Ne~ative for lose of consci0ueneas. PAP and Mammo : not applicable Phy•i~al sxam1~at~o~: Alert and oriented X3, fai~ly built and nou~iahed gentleman in mild to moderate diatress, BP 200/120, temperature 98, R: 2B. P1 108 re9Ular , oxygen level on 2 l~ters 94\, HEENT: Head &traumatic, oonjunctivae and aolerae nonioteric . oral mucosa ia dry. JVP is flat, Neck ia in the surgical dressing witn neck oollar. 'l'hyroid not palpable, Carotid ~ruite absent. Chest breasts unremarkable, Lungs: bilateral minim~l wheezing. Heart is tachyc&rdic with S4 gallop. l?MI eixth intercostal space, mid clavicular line. Abdomen soft, bowel sounds plus, nontende~, no organomegaly , EXtremitiee : ~edal edema absent. Joirtt ~welling and clubbing and peripheral oya.nosia absent. Rectal not done. Pelvic not applicable. Genital1 No:rmal, CNS; There is no acute focal deficit. z-~ay/Lal>o~a~ory: Reviewed ASSBSIMD1'l't l. Uncontrolled hypertenaion, new onset. 2. St•tua poat cervi0al diac diseaee surgery J, Ryperlipidemia Page 1 of 2 Xl:l.::l .L3C'~3Sl:l1 dH 02:et sto2 20 das FILED: NIAGARA COUNTY CLERK 11/15/2017 01:04 PM INDEX NO. E159518/2016 NYSCEF DOC. NO. 73 RECEIVED NYSCEF: 11/15/2017 BASTJIUt HXAtaUA ~OSP%TAL 521 Zaa~ Avenue ~oeleport, NY 1,094 COKSt1LTAT%0N UPO~T PATn:art' KI\KJ!t KA.USNER,THOMAS JOSEPH DATZ 0'1' IIIDVXCB 1 09/01/15 COHS~LTillra PKYStC~Allit CLERK, KARNATH S, Ml) A'l"TBKJ)nta PKYatc:c»r, CAPPOCCIN0 1 1'NDREW, MO ICZDXOAL uco:m i: LM00l16117 AC:C'l'tc LV20097S239l llOOM #t 2267-1 4. chroniQ bronohitia from long te:rm amoking S. Depression 6. Oateoartl:lritia 7, History of gastroesophageal IUICOJOOIN0A'l'XOllSt reflux diseaae f l, At this point the patient required lCO car~ 2. Will put him on Nitro-Paste 1 inch q6h 3. Will use Cacapres ,l po q6h p,r.n. for aystolio BP over 160/90. 4. Will monitor CBC and BMP on a daily bQais. s. Will continue pain madi0ation . If he doea well then he can be disoharged tomorrow. Thank ycu very muoh for the opportunity for me to $ee this patient in oonsultation, CLEHA /Dm,:t.AS DDz 09/02/15 11~3 PT : 09/02/15 1241 ac:: CAPPUCCINO,ANDRBW, MD Pa.g~ 2 Of 2 Xl:I.:!.l3C~3Sl:17 dH 02:£1 s102 20 das FILED: NIAGARA COUNTY CLERK 11/15/2017 01:04 PM INDEX NO. E159518/2016 NYSCEF DOC. NO. 73 RECEIVED NYSCEF: 11/15/2017 THCMAS KAOSNER HARNATH CLERX, M. D.PC . DEER CREEK RD 2610 WILLIAM STREET PORTVILLE, NY 14770 NEWFANE, NY 14108-1026 (716)-778-7237 LAST PER PD: $0.00 on ~T BIL: CURRENT 30 60 90 120+ YTD NCHG: $0.00 INS# 22 • BS OF WESTERN NEW YORK TTL BAL: $0.00 0 . 00 0.00 0.00 0.00 0 .00 YTD PPAY : $0.00 Cov: (*None, !Some } ~IGN ' D $0.00 0 . 00 0.00 0.00 0.00 0 .00 YTD OPAY : $0.00 DR #-NAME I.D. # :OLL (Z) : $0.00 0 . 00 0.00 0 .00 0.00 0 . 00 1-CLERK, HARNATH 16-1589372 ~C/NF (W ) : $0 .00 0 . 00 0.00 0.00 0.0 0 0.00 ?ERS (*): $ 0.00 0.00 0 . 00 0 .00 0 . 00 0.00 FEE DX DX PER CHG tECORD# FROM/TO DATES PATIENT CPT/HCPCS DESC SCH #1 #2 L D I A CLAlM CHARGES RECEIPTS BALANCE ;~~~;~~~::~;;~~; ~~ :::: :: : :: :~~~ :: : ~: ;;~~~ :~~~'.~~:::: :: : ~ ~;~~;.;. :~~~~~~ : ~~~::: : : :~: ~:: :~~ =;:: : :: : :: : : : :$;~:~~ :: :::: :: : :: : :::::: :: DX#3: E78. 0 DX#4 :MlS .O l428632H 11/06/15 THOMAS BS OF WESTER (CK#96315657) PAYMENT 1 1 22 Y $88.67 l 42863 3Hll/06/15 THOMAS NOT COVERED ADJUSTMENT 1 1 22 Y $-6.33 $0.00 l 428628H 09 / 02/15 THOMAS HOSPITAL SOBSEOUEN 9 92 32 M50 . 00 IlO 1 1 22 y $85. 00 DX#3: E78 . 0 D X#4 :Ml 5. 0 L428629H 11/06/15 THOMAS BS OF WESTER(CK#96315657) PAYMENT l l 22 y $84.30 L428630H 11/06/15 THOMAS NOT COVERED ADJUSTMENT 1 1 22 y $ - 0.70 $0.00 L428625H 09 /03/ 15 THOMAS HOS PITAL SUBSEOOEN 99232 M50.00 IlO 1 l 22 y $85.00 DX#3: E7 8 .0 DX# 4: Ml5 .0 L428626H 11/06/15 THOMAS BS OF WESTER(CK# 96315657) PAYMENT 1 1 22 y $84.30 L428627H 11/06/15 THOMAS NOT COVERED ADJUSTMENT l 1 22 y $-0.70 $0.00 ...... . ...... . -............ . -.. -... .. ....... --. . -. --... . . -.. -.. . ................. . .. GRoss. ciiAAGi:s; ... . .. -s26s :oo -. --. -..... · .. -.· ··· TorAL ADJUSTS: -7.73 TOI'AL BALANCE: $257 .27 257.27 0.00 ASSIGNED BALANCE: $0.00 COLLECT BALANCE: $0 .ooz WCOMP/NF BALANCE: $0.00W PERSONAL BALANCE: $0.00• VISIT COUNT: 3 iIGNATURE: >LEASE NOTE: FOLD AT " " MARKS FOR STANDARD #10 WINDOW ENVELOPE. THE ABOVE-INFORMATION REFLECTS ONE ACCOUNT MEMBER ONLY, 'THCMAS