Preview
FILED: QUEENS COUNTY CLERK 01/28/2020 04:48 PM INDEX NO. 703456/2018
NYSCEF DOC. NO. 44 RECEIVED NYSCEF: 01/28/2020
FILED: QUEENS COUNTY CLERK 01/28/2020 04:48 PM INDEX NO. 703456/2018
NYSCEF DOC. NO. 44 RECEIVED NYSCEF: 01/28/2020
Willie E. Thompson, M.D.
Diplomate American Board of Orthopaedic Surgery
86 -11 Lefferts
SIvd, L L Level.
Richmond NY
Hill, 11418
06/27/2019
RE: Frire Clavljo, Joan Esnavely
DOA: 12/29/2017
Claim#: 1015637
To Whom ItMay Concern:
I am a Board Certified Orthopedic Surgeon and have been asked to perform an
orthopedic examination on 06/27/2019 regarding Ms. Frire Clavijo at the Richmond Hill,
New York office. The claimant's valid photo Identification was checked and verified. A
chaperone was present during this examination.
ACCIDENT HISTORY:
The history was obtained from Ms. Frire Clavijo who reports that she was involved in a
motor vehicle accident on 12/29/2017. The claimant reports that she was a restraiñêd
rear-seat passenger when the vehicle was allegedly struck on the front.
Ms. Frire Clavijo denies any loss of cõñsciousness fal!cwiñg the accident.
Ms. Frire Clavijo reports that she was transported via ambulance to the Elmhurst
Hõspital Center that same day for evaluation. She raparts that she was then admitted to
the hospital for one day for further observation. She was re!eased.
Ms. Frire Clavijo reports that she did not sustain any fractures or lacerations,
Following the accident, Ms. Frire Clavijo came under the care of various physicians,
She was Initiated on a course of conservative management which included physical
thêrapy, chiropractic care, acupuncture treatmênt, massage therapy, heat treatment, and
ice treatment. The treatment began at a frequency of three to four times a week. She
reports that the treatment received has not been helpful. She reports that she does not
continue to receive treatment at the present time. She reports that she had MRI of the
neck and back.
Ms. Frire Clavijo reports that she required the use of crutches as a resultof the sccident.
She underwent right knee surgery on 04/30/2018.
CURRENT COMPLAINTS.
Ms. Frire Clavijo reports that she has complaints of pain in her neck, mid back, right hip,
and right knee.
FILED: QUEENS COUNTY CLERK 01/28/2020 04:48 PM INDEX NO. 703456/2018
NYSCEF DOC. NO. 44 RECEIVED NYSCEF: 01/28/2020
RE: Joan Esnavely Frire Clavljo
DOA-
t 2/20/2017
Claim#: 1015637
DOS: 06/27/2019
Page 2 of 4
PRIOR MEDICAUSURGlCAL HISTORY:
Ms. Frire Clavijo did not d½c!êss any details regarding her past medical history.
Ms. Frire Clavljo denies any prior or subsequent accidents or sustainiñg any injuries.
TREATMENT HISTORY:
Ms. Frire Ciavljo does not report undergoing any surgeries in the past.
CURRENT MEDICATIONS:
Ms. Frire Clavijo is currently taking Naproxen, and Tylenoi and Advil.
Ms. Frire Clavijo denies taking any medications today prior to thisexamination.
EMPLOYMENT HISTORY:
Ms. Frire Clavljo reports that she was empicyed on a full-time basis as a waitress at the
time of the accident. She reports that currently she is not working.
REVlEW OF SUBMITTED MEDICAL RECORDS:
The following medical records were available for my review:
1. Supp!êmental verified billof particulars, index no: 703456/2018.
2. Police accident report dated 12/29/2017.
PHYSICAL EXAMINATION:
Ms. Frire Clavljo is a 30-year-old right-handed female. Her reported height is 5 feet tall
and her reported weight is 165 pounds. She has brown hair and brown eyes.
RANGE OF MOTION MEASUREMENTS:
The values of allthe measuremêñts were compared to the normal active range of motion
values according to the publication, "Guidelines to the Evaluation of Parmanent
impairment", 5th edition published by the American Medicâi Association. The range of
motion of the examined body parts were performed by the claimant. This is a subjective
maneuver on the part of the claimant. Measurements of the ranges of motion were
perfcrmed by the examiner using a hand-held goniometer. The measurement itself is,
therefore, an objêctiva measurement of the claimant's subjective efforts.
ORTHOPEDIC EXAMINATION:
Cervical Spine: There is no muscle spasm upon palpatian over the paracervical
muscles. There is no complaint of tendemess upon palpaticñ over the paracervical
musdes. Range of motion reveals flexion at 50 degrees (50 degrees normal), extension
FILED: QUEENS COUNTY CLERK 01/28/2020 04:48 PM INDEX NO. 703456/2018
NYSCEF DOC. NO. 44 RECEIVED NYSCEF: 01/28/2020
RE: Joan Esnavely FrireClavijo
DOA: 12/29/2017
ClaIrn#: 1015637
DOS: 06/27/2019
Page 3 of 4
at 60 degrees (60 degrees norma|), right lateral flexion at 45 degrees (45 degrees
normal), left lateral flexion at 45 degrees (45 degrees normal), right rotation at 80
degrees (80 degrees normal), and leftrotation at 80 degrees (80 degrees normal).
• Distraction - negative.
• Compression - negative.
• Jackson's - negative.
• Soto-Hall - negative.
Neurological examinaticñ of the bilateral upper extremities shows as follows: There Is no
aticphy. Muscle strength is at 5/5. Deep tendon reflexes are at 2+. Sensation to light
touch is intact.
Thoracic Spine: There is no muscle spasm upon palpation over the parathcracic
muscles. There is no complaint of tenderness upon palpation over the parathoracic
muscles. Range of motion reveals flexion at 45 degrees (45 degrees normal), extension
at 0 degrees (O degrees normal), rightlateral flexion at 45 degrees (45 degrees normat),
leftlateral flexion at 45 degrees (45 degrees normal), rightrotation at 30 degrees (30
degrees normal), and teftrotation at 30 degrees (30 degrees normal).
Right Hip: There is no heat, swsiting, or redness appreciated. There Is no complaint of
tenderness upon pa!pet!on. Range of motion reveals flexion at 100 degrees (100
degrees nõrma'), extension at 30 degrees (30 degrees ñórmal), abducticñ at40 degrees
(40 degrees normal), addLdon at 20 degrees (20 degrees normal), exterña: rotation at
50 degrees (50 degrees normal), and intemal rotation at 40 degrees (40 degrees
normal).
• - negative.
Trendelenburg
Right Knee: Examination reveals surgical scar. There is no heat, swelling, effusion,
erythsma, or crepitus appreciated. There Is no complaint of tenderness upon pa!petion.
Range of motion reveals flexion at 150 dsgrses (150 degrees normal), and extension at
0 degrees (O degrees normal).
• Lachmari's - negative.
• - negative.
Apley
• Patella - negative.
Tracking
• Stable-Varus/Valgus - yes.
• - negative.
McMurray
IMPRESSION:
1. Cervical spine sprain/strain - resolved.
2. Right sprain - resolved.
hip
3. Status post rightknee surgery on 04/30/2018 -resolved.
FILED: QUEENS COUNTY CLERK 01/28/2020 04:48 PM INDEX NO. 703456/2018
NYSCEF DOC. NO. 44 RECEIVED NYSCEF: 01/28/2020
RE: Joan Esnavely FrireClavijo
DOA: 12/20/2017
Claim#: 1016037
DOS: 06/27/2019
Page 4 of 4
OPINION:
The examinee presents with a normal orthapsdic examination on allobjactive testing.
The orthopedic examination is objectively ñormal and indicates no findings which would
result in orthopedic limitations in use of the body parts examirisd. The examinee is
-spaMe of functicñal use of the examined body parts for normal activities of daily IIving
as well as usual daily activities Including regular work duties.
Upon completion of the examination, Ms. Joan Esnavely Frire Clavljo offers no
complaints as a result of this examinaticñ and left the examining area stable and
unchanged.
Ifyou have any further quasticñs regarding Ms. Joan Esnavely Frire Clavijo, please do
not hesitate to contact me.
ATTESTATION:
AII opinions exprésséd are based upon a réã500âbis degree of medical certainty.
I, WillieE. Thompson, M.D., being a Diplomate of the Américâñ Board of Orthopaedic
Surgery, being a doctor duly licensed to practice medicine In the State of New York
hereby affirm under péüä|ties of perjury pursuant to CPLR Section 2106 that the
statements contained herein are true and accurate.
Itls, thérûf0ré, understood that no doctcripät|à ñt relationships exists or is implied by this
examiñãtioñ. She was examined with mf6mñce to the speciño comp|äiñt smâñãtiñg
imm the original injury. Any other medical conditions, which were either unrépüited or
feltto be unrelated to the origiñä|lnjury, are coñsidered to be beyond thisexäm|ñât|0n.
Sincerely,
Willie E. Thompson, M.D.
Board Certified Orthopedic Surgeon
License No: 288000-1
WT/OKS
FILED: QUEENS COUNTY CLERK 01/28/2020 04:48 PM INDEX NO. 703456/2018
NYSCEF DOC. NO. 44 RECEIVED NYSCEF: 01/28/2020
p 0
CURRICULUM VITAE
WILLIE E. THOMPSON M.D.
EDUCATION: Jersey City State College, 1973-1976
MEDICAL SCHOOl,: Howard University College of Medicine
M.D. 1980
INTERNSHIP; University ofMedicine and Dentistry of
New Jersey, Rutgers University, Amliated
hospitals July 1980-june 1981
RESIDENCY TRAINING: Howard University Orthopedic Residency
Training Programs, July 1981-June 1985
PGY-2
Howard University Hospital
1981 - December 31, 1981
July 1,
Providence Hospital
1982 - lune 30, 1982
January 1,
PGY-3
D.C. General Hospital
1, 1982 - December 31, 1982
July
Children's Hospital National Medica
1, 1983 - June 30, 1983
fanuary
Northwestern University
Prosthetics- Orthotics Course
April 18 - April 22, 1983
PGY -4
D.C. General Hospital
1, 1983 - December 31, 1983
July
Southeast Community Hospital
1984 - March 31, 1984
lanuary 1,
Veteran Administration Hospital
April 1, 1984 -- June 30, 1984
FILED: QUEENS COUNTY CLERK 01/28/2020 04:48 PM INDEX NO. 703456/2018
NYSCEF DOC. NO. 44 RECEIVED NYSCEF: 01/28/2020
-2.
CURRICULUM VITAE
W1LLIE E. THOMPSON M.D.
RESIDENCY TRAINING: PGY-5
D.C. General Hospital
1984 - September 1984
July 1, 30,
Providence Hospital
October 1. 1984 - March 31.1985
Howard University Hospital
April 1,1 985 - June 1985
30,
EELLOWSHIP: Combined George Washington University
Washington Hospital Center/Children's
Hospital
Musculoskeletal Oncology Fellowship
1985 - June 30, 1986
July 1,
BOARD CERTlFICATION EXAMS: PART I - -1987
July
PART It- July- 1988
Recertified - 2008
Recertified -March 2009
PROFESSIONAL ORGANIZATIONS: American Academy of Orthopedic
Surgeons
Elected to - February 1990
Fellowship
STATE MEDICAL LICENSES: District of Columbia - 15132
Maryland - 34040
Commonwealth of Virginia - 0101055691
Delaware - C1-0006664
Pepnsylvania - MDJ23157
{ , EW chi ')-ff'00 C, -
/
f
Medical Advisor
APPOINTMENTS: District
U.S. Department of Labor
Office of Worker's Compensation
1993 - 20 J2
HONORS: Alpha Omega Alpha Honor Medical
- Gamma Chapter
Society
Who's Who in Black America -1991
Who's Who Among Outstanding
Americans - 1995
FILED: QUEENS COUNTY CLERK 01/28/2020 04:48 PM INDEX NO. 703456/2018
NYSCEF DOC. NO. 44 RECEIVED NYSCEF: 01/28/2020
P 11
-3-
CURRICULUM VITAE
WILLIE E. THOMPSON M.D.
PUBLICATION Malawer, M.M. Buch, R.G. Thompson, W.E. and
Sugarbaker, P.H. (1991). Major amputations
done with palliative intent in the treatment of
local bony complications associated with
advanced cancer. Journal of Surgical Oncology,
47:121-130.doi: 10.1002/Jso2930470212
Passed Part I American Board of Orthopaedics, Certifying
Exam - 1987 - Part I
July
Passed Part II Arnerican Board of Orthopaedics, Certifying
Exam - 1988 -Part 11
July
Recertification 1998
Recertification 2009
Preview
FILED: QUEENS COUNTY CLERK 01/28/2020 04:48 PM INDEX NO. 703456/2018 NYSCEF DOC. NO. 44 RECEIVED NYSCEF: 01/28/2020 FILED: QUEENS COUNTY CLERK 01/28/2020 04:48 PM INDEX NO. 703456/2018 NYSCEF DOC. NO. 44 RECEIVED NYSCEF: 01/28/2020 Willie E. Thompson, M.D. Diplomate American Board of Orthopaedic Surgery 86 -11 Lefferts SIvd, L L Level. Richmond NY Hill, 11418 06/27/2019 RE: Frire Clavljo, Joan Esnavely DOA: 12/29/2017 Claim#: 1015637 To Whom ItMay Concern: I am a Board Certified Orthopedic Surgeon and have been asked to perform an orthopedic examination on 06/27/2019 regarding Ms. Frire Clavijo at the Richmond Hill, New York office. The claimant's valid photo Identification was checked and verified. A chaperone was present during this examination. ACCIDENT HISTORY: The history was obtained from Ms. Frire Clavijo who reports that she was involved in a motor vehicle accident on 12/29/2017. The claimant reports that she was a restraiñêd rear-seat passenger when the vehicle was allegedly struck on the front. Ms. Frire Clavijo denies any loss of cõñsciousness fal!cwiñg the accident. Ms. Frire Clavijo reports that she was transported via ambulance to the Elmhurst Hõspital Center that same day for evaluation. She raparts that she was then admitted to the hospital for one day for further observation. She was re!eased. Ms. Frire Clavijo reports that she did not sustain any fractures or lacerations, Following the accident, Ms. Frire Clavijo came under the care of various physicians, She was Initiated on a course of conservative management which included physical thêrapy, chiropractic care, acupuncture treatmênt, massage therapy, heat treatment, and ice treatment. The treatment began at a frequency of three to four times a week. She reports that the treatment received has not been helpful. She reports that she does not continue to receive treatment at the present time. She reports that she had MRI of the neck and back. Ms. Frire Clavijo reports that she required the use of crutches as a resultof the sccident. She underwent right knee surgery on 04/30/2018. CURRENT COMPLAINTS. Ms. Frire Clavijo reports that she has complaints of pain in her neck, mid back, right hip, and right knee. FILED: QUEENS COUNTY CLERK 01/28/2020 04:48 PM INDEX NO. 703456/2018 NYSCEF DOC. NO. 44 RECEIVED NYSCEF: 01/28/2020 RE: Joan Esnavely Frire Clavljo DOA- t 2/20/2017 Claim#: 1015637 DOS: 06/27/2019 Page 2 of 4 PRIOR MEDICAUSURGlCAL HISTORY: Ms. Frire Clavijo did not d½c!êss any details regarding her past medical history. Ms. Frire Clavljo denies any prior or subsequent accidents or sustainiñg any injuries. TREATMENT HISTORY: Ms. Frire Ciavljo does not report undergoing any surgeries in the past. CURRENT MEDICATIONS: Ms. Frire Clavijo is currently taking Naproxen, and Tylenoi and Advil. Ms. Frire Clavijo denies taking any medications today prior to thisexamination. EMPLOYMENT HISTORY: Ms. Frire Clavljo reports that she was empicyed on a full-time basis as a waitress at the time of the accident. She reports that currently she is not working. REVlEW OF SUBMITTED MEDICAL RECORDS: The following medical records were available for my review: 1. Supp!êmental verified billof particulars, index no: 703456/2018. 2. Police accident report dated 12/29/2017. PHYSICAL EXAMINATION: Ms. Frire Clavljo is a 30-year-old right-handed female. Her reported height is 5 feet tall and her reported weight is 165 pounds. She has brown hair and brown eyes. RANGE OF MOTION MEASUREMENTS: The values of allthe measuremêñts were compared to the normal active range of motion values according to the publication, "Guidelines to the Evaluation of Parmanent impairment", 5th edition published by the American Medicâi Association. The range of motion of the examined body parts were performed by the claimant. This is a subjective maneuver on the part of the claimant. Measurements of the ranges of motion were perfcrmed by the examiner using a hand-held goniometer. The measurement itself is, therefore, an objêctiva measurement of the claimant's subjective efforts. ORTHOPEDIC EXAMINATION: Cervical Spine: There is no muscle spasm upon palpatian over the paracervical muscles. There is no complaint of tendemess upon palpaticñ over the paracervical musdes. Range of motion reveals flexion at 50 degrees (50 degrees normal), extension FILED: QUEENS COUNTY CLERK 01/28/2020 04:48 PM INDEX NO. 703456/2018 NYSCEF DOC. NO. 44 RECEIVED NYSCEF: 01/28/2020 RE: Joan Esnavely FrireClavijo DOA: 12/29/2017 ClaIrn#: 1015637 DOS: 06/27/2019 Page 3 of 4 at 60 degrees (60 degrees norma|), right lateral flexion at 45 degrees (45 degrees normal), left lateral flexion at 45 degrees (45 degrees normal), right rotation at 80 degrees (80 degrees normal), and leftrotation at 80 degrees (80 degrees normal). • Distraction - negative. • Compression - negative. • Jackson's - negative. • Soto-Hall - negative. Neurological examinaticñ of the bilateral upper extremities shows as follows: There Is no aticphy. Muscle strength is at 5/5. Deep tendon reflexes are at 2+. Sensation to light touch is intact. Thoracic Spine: There is no muscle spasm upon palpation over the parathcracic muscles. There is no complaint of tenderness upon palpation over the parathoracic muscles. Range of motion reveals flexion at 45 degrees (45 degrees normal), extension at 0 degrees (O degrees normal), rightlateral flexion at 45 degrees (45 degrees normat), leftlateral flexion at 45 degrees (45 degrees normal), rightrotation at 30 degrees (30 degrees normal), and teftrotation at 30 degrees (30 degrees normal). Right Hip: There is no heat, swsiting, or redness appreciated. There Is no complaint of tenderness upon pa!pet!on. Range of motion reveals flexion at 100 degrees (100 degrees nõrma'), extension at 30 degrees (30 degrees ñórmal), abducticñ at40 degrees (40 degrees normal), addLdon at 20 degrees (20 degrees normal), exterña: rotation at 50 degrees (50 degrees normal), and intemal rotation at 40 degrees (40 degrees normal). • - negative. Trendelenburg Right Knee: Examination reveals surgical scar. There is no heat, swelling, effusion, erythsma, or crepitus appreciated. There Is no complaint of tenderness upon pa!petion. Range of motion reveals flexion at 150 dsgrses (150 degrees normal), and extension at 0 degrees (O degrees normal). • Lachmari's - negative. • - negative. Apley • Patella - negative. Tracking • Stable-Varus/Valgus - yes. • - negative. McMurray IMPRESSION: 1. Cervical spine sprain/strain - resolved. 2. Right sprain - resolved. hip 3. Status post rightknee surgery on 04/30/2018 -resolved. FILED: QUEENS COUNTY CLERK 01/28/2020 04:48 PM INDEX NO. 703456/2018 NYSCEF DOC. NO. 44 RECEIVED NYSCEF: 01/28/2020 RE: Joan Esnavely FrireClavijo DOA: 12/20/2017 Claim#: 1016037 DOS: 06/27/2019 Page 4 of 4 OPINION: The examinee presents with a normal orthapsdic examination on allobjactive testing. The orthopedic examination is objectively ñormal and indicates no findings which would result in orthopedic limitations in use of the body parts examirisd. The examinee is -spaMe of functicñal use of the examined body parts for normal activities of daily IIving as well as usual daily activities Including regular work duties. Upon completion of the examination, Ms. Joan Esnavely Frire Clavljo offers no complaints as a result of this examinaticñ and left the examining area stable and unchanged. Ifyou have any further quasticñs regarding Ms. Joan Esnavely Frire Clavijo, please do not hesitate to contact me. ATTESTATION: AII opinions exprésséd are based upon a réã500âbis degree of medical certainty. I, WillieE. Thompson, M.D., being a Diplomate of the Américâñ Board of Orthopaedic Surgery, being a doctor duly licensed to practice medicine In the State of New York hereby affirm under péüä|ties of perjury pursuant to CPLR Section 2106 that the statements contained herein are true and accurate. Itls, thérûf0ré, understood that no doctcripät|à ñt relationships exists or is implied by this examiñãtioñ. She was examined with mf6mñce to the speciño comp|äiñt smâñãtiñg imm the original injury. Any other medical conditions, which were either unrépüited or feltto be unrelated to the origiñä|lnjury, are coñsidered to be beyond thisexäm|ñât|0n. Sincerely, Willie E. Thompson, M.D. Board Certified Orthopedic Surgeon License No: 288000-1 WT/OKS FILED: QUEENS COUNTY CLERK 01/28/2020 04:48 PM INDEX NO. 703456/2018 NYSCEF DOC. NO. 44 RECEIVED NYSCEF: 01/28/2020 p 0 CURRICULUM VITAE WILLIE E. THOMPSON M.D. EDUCATION: Jersey City State College, 1973-1976 MEDICAL SCHOOl,: Howard University College of Medicine M.D. 1980 INTERNSHIP; University ofMedicine and Dentistry of New Jersey, Rutgers University, Amliated hospitals July 1980-june 1981 RESIDENCY TRAINING: Howard University Orthopedic Residency Training Programs, July 1981-June 1985 PGY-2 Howard University Hospital 1981 - December 31, 1981 July 1, Providence Hospital 1982 - lune 30, 1982 January 1, PGY-3 D.C. General Hospital 1, 1982 - December 31, 1982 July Children's Hospital National Medica 1, 1983 - June 30, 1983 fanuary Northwestern University Prosthetics- Orthotics Course April 18 - April 22, 1983 PGY -4 D.C. General Hospital 1, 1983 - December 31, 1983 July Southeast Community Hospital 1984 - March 31, 1984 lanuary 1, Veteran Administration Hospital April 1, 1984 -- June 30, 1984 FILED: QUEENS COUNTY CLERK 01/28/2020 04:48 PM INDEX NO. 703456/2018 NYSCEF DOC. NO. 44 RECEIVED NYSCEF: 01/28/2020 -2. CURRICULUM VITAE W1LLIE E. THOMPSON M.D. RESIDENCY TRAINING: PGY-5 D.C. General Hospital 1984 - September 1984 July 1, 30, Providence Hospital October 1. 1984 - March 31.1985 Howard University Hospital April 1,1 985 - June 1985 30, EELLOWSHIP: Combined George Washington University Washington Hospital Center/Children's Hospital Musculoskeletal Oncology Fellowship 1985 - June 30, 1986 July 1, BOARD CERTlFICATION EXAMS: PART I - -1987 July PART It- July- 1988 Recertified - 2008 Recertified -March 2009 PROFESSIONAL ORGANIZATIONS: American Academy of Orthopedic Surgeons Elected to - February 1990 Fellowship STATE MEDICAL LICENSES: District of Columbia - 15132 Maryland - 34040 Commonwealth of Virginia - 0101055691 Delaware - C1-0006664 Pepnsylvania - MDJ23157 { , EW chi ')-ff'00 C, - / f Medical Advisor APPOINTMENTS: District U.S. Department of Labor Office of Worker's Compensation 1993 - 20 J2 HONORS: Alpha Omega Alpha Honor Medical - Gamma Chapter Society Who's Who in Black America -1991 Who's Who Among Outstanding Americans - 1995 FILED: QUEENS COUNTY CLERK 01/28/2020 04:48 PM INDEX NO. 703456/2018 NYSCEF DOC. NO. 44 RECEIVED NYSCEF: 01/28/2020 P 11 -3- CURRICULUM VITAE WILLIE E. THOMPSON M.D. PUBLICATION Malawer, M.M. Buch, R.G. Thompson, W.E. and Sugarbaker, P.H. (1991). Major amputations done with palliative intent in the treatment of local bony complications associated with advanced cancer. Journal of Surgical Oncology, 47:121-130.doi: 10.1002/Jso2930470212 Passed Part I American Board of Orthopaedics, Certifying Exam - 1987 - Part I July Passed Part II Arnerican Board of Orthopaedics, Certifying Exam - 1988 -Part 11 July Recertification 1998 Recertification 2009