Preview
FILED: KINGS COUNTY CLERK 08/02/2022 03:58 PM INDEX NO. 527680/2019
NYSCEF DOC. NO. 127 RECEIVED NYSCEF: 08/02/2022
SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF KINGS
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JOSE GOMEZ,
Plaintiff,
Index No. 527680/2019
-against-
C.P.L.R. § 3101(d)
91-93 FRANKLIN LLC, Y.N.H. CONSTRUCTION EXPERT WITNESS
INC., and ALPINE READY MIX INC, DISCLOSURE
Defendants.
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91-93 FRANKLIN LLC, Y.N.H. CONSTRUCTION
INC.,
Third-Party Plaintiff,
-against-
CAPITAL CONCRETE NY INC.
Third-Party Defendant.
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PLEASE TAKE NOTICE, that Defendant, ALPINE READY MIX, INC., by and
through their attorneys, BRAND, GLICK & BRAND, P.C., respectfully sets forth as follows,
pursuant to C.P.L.R. § 3101(d):
1. Defendants reserve the right to call Michael T. Goldstein, M.D., J.D., as an expert
witness upon the trial of this matter to give testimony regarding the injuries claimed to have been
suffered by the Plaintiff as a result of the subject accident on September 18, 2019.
2. Dr. Goldstein maintains an office at 115 East 61st Street, 3rd Floor, New York, NY
10065.
3. Dr. Goldstein is a board-certified ophthalmologist licensed in the State of New
York.
4. Dr. Goldstein will testify consistent with his March 30, 2022 report, annexed
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hereto, as to the Plaintiff, JOSE GOMEZ.
5. Dr. Goldstein will testify as to the Plaintiff’s medical records reviewed and his
examination of the Plaintiff.
6. Dr. Goldstein will offer testimony regarding the general ophthalmologic practice,
procedures and principals involved in the diagnosis, treatment and evaluation of the Plaintiff’s
claimed injuries, diagnosis and prognosis. Dr. Goldstein may also be called to offer rebuttal
testimony.
7. The basis of Dr. Goldstein’s testimony will include his education, professional
experience and physical examination of the Plaintiff, as well as, his review of various medical
records and deposition transcript.
PLEASE TAKE FURTHER NOTICE that, Defendant, ALPINE READY MIX INC.,
reserves their right to amend and/or supplement this response up to and including the time of
trial.
Dated: East Meadow, New York
August 2, 2022
Yours etc.,
BRAND, GLICK & BRAND, P.C.
By: Robert S. Mazzuchin /s/
ROBERT S. MAZZUCHIN
Attorneys for Defendant
ALPINE READY MIX, INC.
90 Merrick Avenue, Suite 203
East Meadow, New York 11554
(516) 746-3500
File No. 02-14320 RSM
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TO: MORGAN LEVIN DOLAN, P.C.
Attorneys for Plaintiff
18 East 41st Street, 6th Floor
New York, New York 10017
(212) 785-5115
RYAN & CONLIN LLP
Attorneys for Defendant/
Third-Party Plaintiffs
91-93 FRANKLIN LLC and
Y.N.H. CONSTRUCTION INC.
2 Wall Street, Suite 710
New York, New York 10005
(212) 509-6009
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FILED: KINGS COUNTY CLERK 0 4 / 13 /2022 03 : 59 PM
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MICHAEL T. GOLDSTEIN, M.D.“D.
115 East 61a 3rd Floor
Street,
New York, New York10065
Tel: 212.371.6209
Fax: 212.758.9361
March 30, 2022
Re: Jose Gomez,
DOB:
CIalm # : NCS072
D/A: DOA 9/18/2019
To Whom it may concem :
Jose Gomez Isa 56-year old male who was referred for evaluation of IME, Joey Betancourt DL NY
854676024 paralegal for claimant, accompanied him.
In addition to the medical history supplied by the claimant I reviewed the following records.
1. 2EBTs
2. Verified billof particulars
3. Medical records of New York Eye and Ear Infirmary of Mount Sinai(NYEE), 9/19/2019, 9/23/2019
4. Medical records Dr Joseph Sturm, 10/24/2019, 10/29/2019, 11/21/2019. 1/6/2020, 1/13/2020,
1/20/2020, 1/27/2020, 2/3/2020, 2/17/2020, 3/9/2020, 3/16/2020, 4/2/2020, 5/8/2020, 5/25/2020
(video), 6/8/2020, 6/12/2020 (video), 6/18/2020 (video), 6/24/2020 (video), 7/2/2020, 7/9/2020,
9/14/2020.
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March 30, 2022
Re: Jose Gomez
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According to the claimant he works with concrete in construction at a non union construction site. , While
they were pouring concrete from chute the concrete chute was raised and concrete went into his face and
intothe lefteye. In hisdeposition he described the concrete as splashing into hisface. He flushed out
with water but it all
didn'tcome out. \According to the claimant he has not worked since the injury but he is
doing much better.He still
uses drops and ointment but did not specify what medication he is using.
In thedeposition he mentioned that he wanted an ambulance to take him tothe hospital. However he was
not taken to the hospital immediately following the injury. The circumstances and reasons why he didn't
receive emergency care ins beyond the scope of thisreport.
He was sent home and was told that they would take him to a doctor inthe moming, The next morning a
company driver picked him up and took him toan urgent care center in Williamsburg Brooklyn and they
refused to see him. Instead they referred him to NYEE emergency.
The claimant presented to the NYEE on 9/19/2019. Prior to being examined by the physician the claimant
was irrigatedwith 1 liter
of saline. According to the claimant he was irrigatedwith a 5 gallon jug of water.
Uncorrected visual aculty was 20/25-1 in the righteye and 20/20-2 in the lefteye. Intraocular pressure
was 15mm in boththe rightand lefteye. Slitlamp examination of the righteye was normal and significant
findings included 2+ conjunctival injectionand inferiorconjunctival staining,there was a 360 epithelial
defect inthe comes of the lefteye. He was prescribed vigamox and pred forte4 times daily, erythromycin
ointment, and Systane ultraevery 2 hours to the lefteye and 2gm of vitamin C twice daily. His diagnosis
was Alkaline burn leftcornea. He was scheduled to return the next day forfollow up evaluation.
He returned on 9/23/2019 for follow up evaluation. Uncorrected visual acuitywas 20/20 in theright eye
and 20/80-2 inthe lefteye. Intraocular pressure was 14 mm inthe righteye and 15 mm in the lefteye.Slit
lamp exam of theright eye was normal. Some black particulateforeign body was noted and the eye was
irrigatedtwice with 1 liter
of normal saline. the conjunctiva had chemosis, 2+ injection and a whitish area
of de-epithelialization,there was a 360 area of corneal de-epithelialization. It appears that for economic
reasons the claimant did not obtain allhis medication.
On 10/24/2019 the claimant became a patient of Dr. Joseph Sturm. The claimant complained of "severe
discomfort and buming in hislefteye with severe photophobia in the lefteye, and severe reduced vision
eye"
of the left however the claimant had noticed some mild improvement . Visualacuity was 20/20 in the
righteye and counting fingers at distance and 20/200 at near inthe lefteye. Other findings in the left
eye
included 3+ conjunctival injectionand "diffuse epithelialopathy of the lefteye with some comeal edema,
3+spk"
of the leftcornea. His recommendation was to continue lacrilube ointment, Systane tidod(?),
celluvisc qid and oral vitamin C. One week follow up was suggested.
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March 30, 2022
Re: Jose Gomez
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He returned on 10/28/2019 with some mild symptomatic improvement. Visual aculty of the lefteye was
unchanged at counting fingers at distance and 20/200 at near. The conjunctiva of the lefteye had 2+
injectionand the comea had "mild improvement indiffuse epitheliopathy of the lefteye with some corneal
edema 2+ spk". The medication was continued and acular was added bid. Follow up 3 days
He retumed to Dr.Sturm on 11/21/2019 with no improvement in hissymptoms. Visual aculty inthe Ift
eye
was unchanged at counting fingers at distance and 20/200 at near. Findings in thelefteye included 2+
conjunctival injection,the epitheliopathy remained and therewas some mild comeal edema temporally,
2+spk and a mild pannus. In addition to the previous medication a three day of
trial maxitrol qd was
added.
He returned to Dr. Sturm on 1/6/2020 with subjective improvement and he was able to keep his eye open.
Uncorrected visual aculty inthe lefteye improved to 20/200. Findings in the lefteye included 1+
conjunctival injection,The corneal findings of epitheliopathy and cornea edema were improving and there
was peripheral mild pannus. in addition to the current medication he was considering adding
acetylcysteine. Psychological counseling was advised.
He returned on 1/13/2020 to Dr. Sturm. Symptoms were mildly improved since last Visual
visit. aculty of
the lefteye was unchanged at 20/200. Findings of the lefteye include 1+ conjunctival injection,corneal
findings included eptheliopathy , slowing improving corneal edema temporally, reduced spk and a
peripheral mild pannus. The medications were unchanged.
The claimant retumed in 1/20/2020 with no new symptoms. Uncorrected visual acuity of the lefteye
remained unchanged at 20/200. Findings of the lefteye include 1+ conjunctival injection,comeal findings
included eptheliopathy , slowing improving corneal edema temporally, reduced spk early tear filmbreakup
and a peripheral mild pannus. The treatment regimen was unchanged.
The claimant returned on 1/27/2020 with no new symptoms. Uncorrected visual acuty was 20/200.
Findings of the lefteye include 1+ conjunctival injection,corneal findings included eptheliopathy , slowing
improving corneal edema temporally, reduced spk early tearfilm breakup and a peripheral mild pannus.
The treatment regimen was unchanged.
He returned on 2/3/2020 with no new symptoms. Uncorrected visual acuty was 20/200. Findings of the
lefteye include 1+ conjunctival injection,comeal findings included eptheliopathy , slowing improving
corneal edema temporally, reduced spk early tear film breakup and a peripheral mild pannus. The
treatment regimen was unchanged.
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March 30, 2022
Re: Jose Gomez
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He retumed on 2/17/2020 Uncorrected visual acuty was 20/200. Findings of thelefteye include 1+
conjunctival injection,.corneal findings included eptheliopathy , slowing improving corneal edema
temporally, reduced spk early tear filmbreakup and a peripheral mild pannus. The treatment regimen was
unchanged.
He returned on 3/9/2020. Uncorrected visual acuty was 20/200. Findings of the lefteye include 1+
conjunctival injection,corneal findings included eptheliopathy , slowing improving corneal edema
temporally,some spk inferiorlyearly tear film breakup and a peripheral mild pannus. The treatment
regimen was unchanged.
He retumed on 3/16/2020. Uncorrected visual acuty was 20/200. Findings of the lefteye include 1+
conjunctival injection,corneal findings included eptheliopathy , slowing improving comeal edema
temporally,some spk inferiorly
early tear film breakup and a peripheral mild pannus. The treatment
regimen was unchanged.
He had a video exam on 4/2/2020. Uncorrected visual acuty was 20/200. Findings of the lefteye include
1+ conjunctival injection,corneal findings include no gross edema, some inferiorpannus . The treatment
regimen was unchanged
He had a video exam on 5/8/2020. Uncorrected visual acuty was 20/200. Findings of the lefteye include
1+ conjunctival injection,corneal findings include no gross edema, some inferiorpannus . The treatment
regimen was unchanged.
He had a video exam on 5/25/2020. There was some improvement in hissympttoms Uncorrected visual
acuty was 20/200. Findings of the lefteye include 1+ conjunctival injection,comeal findings include no
gross edema, some inferiorpannus . The treatment regimen was unchanged.
He returned for examination on 6/8/2020. There was no change inhis symptoms Uncorrected visual
acuty was 20/200. A visual fieldfound a significant paracentral scotoma. There was leftmacula
thickening on OCT. Findings of thelefteye include 1+ conjunctival injection,comeal findings include no
gross edema, some inferiorpannus . The treatment regimen was unchanged.
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Re: Jose Gomez
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He had a video examination on 6/12/2020. There was no change in hissymptoms Uncorrected visual
acuty was 20/200. Findings of the lefteye include 1+ conjunctival injection,corneal findings include no
gross edema, some inferiorpannus . The treatment regirnen was unchanged.
He had a video examination on 6/18/2020. There was no change in hissymptoms Uncorrected visual
acuty was 20/200. Findings of the lefteye include 1+ conjunctival injection,corneal findings include no
gross edema, some inferiorpannus . The treatment regimen was unchanged.
He had a video examination on 6/24/2020. There was no change in hissymptoms Uncorrected visual
acuty was 20/200. Findings of the lefteye include 1+ conjunctival injection,comeal findings include no
gross edema, some inferiorpannus . The treatment regimen was unchanged.
He returned for examination on 7/2/2020. There was no change in hissymptoms Uncorrected visual
acuty was 20/200. Findings of the lefteye include trace conjunctival injection,comeal findings include
central superficial punctate keratopathy, some inferiorpannus . The treatment regimen was unchanged.
He returned for examination on 7/9/2020. There was no change in hissymptoms Uncorrected visual
acuty was 20/200. Findings of the lefteye include trace conjunctival injection,corneal findings include
central subepithelial mottling,some inferiorpannus . The treatment regimen was unchanged.
He retumed for examination on 9/14/2020. There was no change in hissymptoms Uncorrected visual
acuty was 20/200. Findings of the lefteye include 2+ conjunctival injection, comeal findings include
si!nificant central spk, central subepithelial mottling, some inferiorpannus . The treatment regimen was
unchanged.
No additional ophthalmic records were supplied.
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Re: Jose Gomez
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Examination:
Uncorrected Visual Acuity: OD: 20/30 +2
OS: 20/60
Near
OD: 20/40 -1
OS: 20/50 -2
Autorefraction: OD: +0.50 -1.00 x 95
OS: +0.50 -0.75 x 50
Manifest Refraction: +0.50 -0.50 x 100 = 20/20 +2.25 add = 20/20 near
OD;
OD: +0.50 -0.50 x 45 = 20/25-1 +2.50 add = 20/25-1
Autokeratometry: OD: 44.25/44.75 x 23
OD: 44.00/45.00 x 151
Intraocular Pressure: OD: 15 mm Hg
OS: 14 mm Hg
OD: OS:
Pupils: unremarkable Pupils: unremarkable
Ext unremarkable Ext unremarkable
EOM: unremarkable EOM: unremarkable
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Re: Jose Gomez
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Anterior Segment:
OS:
Lids/Lac: unremarkable
Conj/Sclera: white and clear
Comea: OS Comes:conjunctivarizationOS
Comea:comeal opacity
AC: deep and clear
Iris: normal
Lens: clear
Posterior Segment:
OD: OS:
Vitreous: normal Vitreous: normal
Optic Nerve: plnk, normal cupping Optic Nerve: pink,normal cupping
BV/Ret/Mac: normal, no tears BV/Ret/Mac: normal, no tears
Impressions: OS comeal opacity
OS conjunctivalization
OS Nonspecific corneal findings
Analysis: The claimant had an alkall bum to his leftcornea as a resultof cement entering and remaining
in hislefteye. The nearly 24 hour delay in seeking medical attention caused the cement that remained in
his eye despite jobsite irrigationto a significantdegree of medical certainty to cause a more severe alkali
Burn to the leftcomea and a slower recovery.
Since Dr. Sturm's lastvisiton 9/14/2020 and the date of my examination his visual aculty
improved.
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Re: Jose Gomez
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He currently has mild corneal clouding with reduced best corrected visualaculty of 20/25-1 in the
lefteye The decreased visual acuity is secondary to the alkaliburn to his cornea.
Conclusion: The claimant had an alkali bum to the leftcornea with some residual mild comeal haze and
an inferiorpannus. Since that lastvisitwith Dr. Sturm there has been sufficienthealing of his leftcornea
that although he does have some visual impairment he is not disabled.
The almost 24 hour delay inseeking medical care for his alkaliburn to the cornea and the failure of
jobsite irrigationto remove allthe cement were to a reasonable degree of medical certainty significant
contributory factors to the severity of the alkaliburn to his leftcornea and also prolonged his recovery.
Overall visual acuity isnow good has improved from the Counting Fingers Found at NYEE and later
20/200 levelfound by Dr. Sturm.
Thank you forthiskind referral.
Should you have any questions regarding Mr. Gomez's care please feel freeto contact me.
Sincerely,
Michael T. Goldstein, M.D., J.D.
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Index No.527680/2019
SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF KINGS
JOSE GOMEZ,
Plaintiff,
-against-
F91-93 FRANKLIN LLC, Y.N.H. CONSTRUCTION INC., and ALPINE READY MIX INC,
Defendants.
EXPERT WITNESS DISCLOSURE
BRAND, GLICK & BRAND, P.C.
Attorneys for Defendant, Alpine Ready Mix Inc.
90 Merrick Avenue, Suite 203
East Meadow, New York 11554
(516) 746-3500
BGB FILE NO.: 02-14320 RSM
TO: MORGAN LEVIN DOLAN, P.C.
Attorneys for Plaintiff
18 East 41st Street, 6th Floor
New York, New York 10017
(212) 785-5115
RYAN & CONLIN LLP
Attorneys for Defendants
91-93 FRANKLIN LLC and
Y.N.H. CONSTRUCTION INC.
2 Wall Street, Suite 710
New York, New York 10005
(212) 509-6009
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