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  • Gannon Vs Breitinger Et AlAuto Negligence-Personal Injury (Non-Verbal Threshold) document preview
  • Gannon Vs Breitinger Et AlAuto Negligence-Personal Injury (Non-Verbal Threshold) document preview
  • Gannon Vs Breitinger Et AlAuto Negligence-Personal Injury (Non-Verbal Threshold) document preview
  • Gannon Vs Breitinger Et AlAuto Negligence-Personal Injury (Non-Verbal Threshold) document preview
  • Gannon Vs Breitinger Et AlAuto Negligence-Personal Injury (Non-Verbal Threshold) document preview
  • Gannon Vs Breitinger Et AlAuto Negligence-Personal Injury (Non-Verbal Threshold) document preview
  • Gannon Vs Breitinger Et AlAuto Negligence-Personal Injury (Non-Verbal Threshold) document preview
  • Gannon Vs Breitinger Et AlAuto Negligence-Personal Injury (Non-Verbal Threshold) document preview
						
                                

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CPM-L-000223-17 06/25/2019 2:51:23 PM Pg 1 of 2 Trans ID: LCV20191112889 Julio Navarro, Esq. (ID# 22322012) HOAGLAND, LONGO, MORAN, DUNST & DOUKAS, LLP 701 Wiltsey's Mill Road, Bldg. B, Suite 202 Hammonton, NJ 08037 (609) 561-2426 Attorneys for Defendant, New Jersey Manufacturers Insurance Company Plaintiff, SUPERIOR COURT OF NEW JERSEY CAPE MAY COUNTY SHERRY GANNON LAW DIVISION VS. DOCKET NO, CPM-L-000223-17 Defendant, CIVIL ACTION NEW JERSEY MANUFACTURERS NOTICE OF MOTION TO EDIT DE INSURANCE COMPANY, PAUL BENE ESSE TESTIMONY OF DR. BREITINGER, ET AL. GLASS TO: Richard J. Albuquerque, Esq. D'Arcy Johnson Day, P.C. 3120 Fire Road, Suite 100 Egg Harbor Township, NJ 08234 James Meissler, Esq. Law Offices of Pamela D. Hargrove Moorestown Corporate Center, 3rd Floor 224 Strawbridge Drive, Suite 350 Moorestown, NJ 08057 COUNSEL: PLEASE TAKE NOTICE that the undersigned will apply to the above-named Court at the Cape May County Courthouse, Cape May, New Jersey, on July 12, 2019, at 9:00 a.m., or as soon HOAGLAND, LONGO, thereafter as counsel may be heard, for an Order to edit the de bene esse testimony of Dr. Glass in MORAN, DUNST & DOUKAS, LLP 40 PATERSON STREET the within cause of action. Please be advised that we shall rely upon the attached Brief of] NEW BRUNSWICK, NJ 701 WILTSEY'S MILL ROAD counsel. BLDG. st HAMMONTON, NJ 08037 169 MAPLE AVENUE PROOF OF MAILING RED BANK, NJ 07701 CPM-L-000223-17 06/25/2019 2:51:23 PM Pg 2 of 2 Trans ID: LCV20191112889 In compliance with Rule 1:6, et seq., the original of the within Notice of Motion has been E-filed with the Motion's Clerk of Cape May County and copies have been served upon the following via the E-Filing system, regular mail, or facsimile, if counsel or party does not participate in E-Filing. Richard J. Albuquerque, Esq. James Meissler, Esq. D'Arcy Johnson Day, P.C. Law Offices of Pamela D. Hargrove 3120 Fire Road, Suite 100 Moorestown Corporate Center, 3rd Floor Egg Harbor Township, NJ 08234 224 Strawbridge Drive, Suite 350 Attormney(s) for Plaintiff Moorestown, NJ 08057 Ms. Sherry Gannon Attorney(s) for Defendant Mr. Paul Breitinger | hereby certify that the foregoing statements made by me are true. | am aware that if any of the foregoing statements made by me are willfully false, I am subject to punishment. Pursuant to R. 1:6-2(e), the undersigned: (_) waives oral argument and consents to disposition on the papers; (xx) does not request oral argument unless opposition is filed; ( } requests oral argument. There is presently a July 29, 2019 trial set for this matter. A proposed form of Order is annexed. HOAGLAND, LONGO, MORAN, DUNST & DOUKAS, LLP mo yeLL HOAGLAND, LONGO, MORAN, DUNST & Attorneys for Defendant, New Jersey Manufacturers BOUKAS, LLP Insurance Company 40 PATERSON STREET NEW BRUNEINICK, Nd 701 WILTSEY’S MILL ROAD BLDG. B, SUITE 202 HAMMONTON, NJ 08037 169 MAPLE AVENUE, JULI [(AVARRO La RED BANK, NU 07701 Dated: June 24, 2019 CPM-L-000223-17 06/25/2019 2:51:23 PM Pg 1 of 2 Trans ID: LCV20191112889 Julio Navarro, Esq. (ID# 22322012) HOAGLAND, LONGO, MORAN, DUNST & DOUKAS, LLP 701 Wiltsey's Mill Road, Bldg. B, Suite 202 Hammonton, NJ 08037 (609) 561-2426 Attorneys for Defendant, New Jersey Manufacturers Insurance Company Plaintiff, SUPERIOR COURT OF NEW JERSEY CAPE MAY COUNTY SHERRY GANNON LAW DIVISION vs. DOCKET NO. CPM-L-000223-17 Defendant, CIVIL ACTION NEW JERSEY MANUFACTURERS ORDER INSURANCE COMPANY, PAUL BREITINGER, ET AL. THIS MATTER having been brought before the Court on Motion of Hoagland, Longo, Moran, Dunst & Doukas, LLP, attorneys for Defendant, New Jersey Manufacturers Insurance Company, for an Order to edit the de bene esse testimony of Dr. Glass in the within cause of action, and the Court having reviewed the moving papers and for good cause shown; IT IS ON THIS day of , 2019, ORDERED that the following sections shall be removed from the video record of Dr. Andrew Glass' trial testimony: e All references to disc bulges in the lumbar spine; All references to treatment related to disc bulges in the lumbar spine; HOAGLAND, LONGO, All reference to treatment and injuries related to the cervical spine MORAN, DUNST & DOUKAS, LLP 40 PATERSON STREET 35:15-40:2, NEW BRUNSWICK, NJ 08901 701 WILTSEY'S MILL ROAD 44:24-45:1, BLDG. B, SUITE 202 HAMMONTON, NJ 08037 169 MAPLE AVENUE 46:19-21 RED BANK, NJ07701 CPM-L-000223-17 06/25/2019 2:51:23 PM Pg 2 of 2 Trans ID: LCV20191112889 e 50:15 (after the word AND)-19 e 52:11 (after the word HOWEVER) -53:6 e 61:8 (after the word AND)-11 IT IS FURTHER ORDERED that a copy of the within Order shall be served upon all counsel of record within seven (7) days of the date of service hereof. JS.C. Papers filed with the Court: (_) Answering Papers ( ) Reply Papers The within Notice of Motion was ( ) Opposed (_) Unopposed HOAGLAND, LONGO, MORAN, DUNST & DOUKAS, LLP 40 PATERSON STREET NEW BRUNSWICK, NJ 08901 701 WILTSEY'S MILL ROAD BLDG. B, SUITE 202 HAMMONTON, NJ 08037 169 MAPLE AVENUE RED BANK, NJ07701 CPM-L-000223-17 06/25/2019 2:51:23 PM Pg 1 of 8 Trans ID: LCV20191112889 SUPERIOR COURT OF NEW JERSEY CAPE MAY COUNTY LAW DIVISION DOCKET NO. CPM-L-000223-17 Plaintiff, SHERRY GANNON VS. Defendant, NEW JERSEY | MANUFACTURERS INSURANCE COMPANY, PAUL BREITINGER, ET AL. BRIEF IN SUPPORT OF DEFENDANT, NEW JERSEY MANUFACTURERS INSURANCE COMPANY'S MOTION FOR TO EDIT DE BENE ESSE TESTIMONY OF DR. GLASS HOAGLAND, LONGO, MORAN, DUNST & DOUKAS, LLP Attorneys for Defendant, New Jersey Manufacturers Insurance Company 701 Wiltsey's Mill Road, Bldg. B, Suite 202 Hammonton, NJ 08037 (609) 561-2426 JULIO NAVARRO, ESQ HOAGLAND, LONGO, On the Brief MORAN, DUNST & DOUKAS, LLP SOPATERSON STREET 8901 701 WILTSEY'S MILL ROAD BLDG. 202 HAMMONTON, NJ 06037 169 MAPLE AVENUE, RED BANK, NJ 07704 CPM-L-000223-17 06/25/2019 2:51:23 PM Pg 2 of 8 Trans ID: LCV20191112889 STATEMENT OF FACTS This matter arises out of a motor vehicle accident that took place on April 25, 2015. The de bene esse deposition of Dr. Glass was taken on May 21, 2019, See Exhibit A Dr. Glass issued a report dated January 17, 2018. See copy of report from Dr. Glass attached as Exhibit B. Dr. Glass treated plaintiff on 5 occasions - 8/3/16, 10/4/16, 11/29/16, 1/27/17, 5/17/17. See copy of treatment notes attached as Exhibit C. HOAGLAND, LONGO, MORAN, DUNST & DOUKAS, LLP 40 PATERSON STREET NEW BRUNSWICK, Nd 701 WILTSEY'S MILL ROAD BLDG. B, SUITE 202 HAMMONTON, NJ 08037 169 MAPLE AVENUE RED BANK, NJ07701 CPM-L-000223-17 06/25/2019 2:51:23 PM Pg 3 of 8 Trans ID: LCV20191112889 LEGAL ARGUMENT POINT I DR. GLASS’ TESTIMONY REGARDING DISC OSTEOPHYTES IN THE CERVICAL SPINE AND BULGE IN THE LUMBAR SPINE MUST BE BARRED WHERE HIS OPINION REGARDING THE CAUSE OF SAME WAS NOT OFFERED WITHIN A REASONABLE DEGREE OF MEDICAL PROBABILITY, As Dr. Glass can only speculate that the disc osteophytes and bulges were caused by the subject accident, the court must bar and edited out all mentions to injuries and treatment to the neck and bulges to the lower back. New Jersey Court have routinely emphasized that legal causation is a bedrock principle in tort law: One of the underlying principles of tort law is that “an actor's conduct must not only be tortious in character but it must also be a legal cause of the invasion of another's interest." It follows from that principle that the issue of a defendant's liability cannot be presented to the jury simply because there is some evidence of negligence. "There must be evidence or reasonable inferences therefrom showing a proximate causal relation between defendant's negligence, if found by the jury," and the resulting injury. Similarly, Prosser and Keeton on the Law of Torts states that [t]he plaintiff must introduce evidence which affords a reasonable basis for the conclusion that it is more likely than not that the conduct of the defendant was a cause in fact of the result. A mere possibility of such causation is not enough; and when the matter remains one of pure speculation or conjecture, or the probabilities are at best evenly balanced, it becomes the duty of the court to direct a verdict for the defendant. Davidson v. Slater, 189 N.J. 166, 185, 914 A.2d 282, 293 (2007) (Internal citations HOAGLAND, LONGO, omitted) MORAN, DUNST a 40 PATERSON STREET NEW BRUNSWICK,NU 98901 701 WILTSEY'S MILL ROAD In the unpublished case of Karpuzi the Appellate court found that Dr. Glass’ “testimony BLDG. 202 HAMMONTON, NJ 08037 169 MAPLE AVENUE that the injury ‘was either caused or rendered symptomatic by the accident” was “at best, RED BANK, NJ 07701 CPM-L-000223-17 06/25/2019 2:51:23 PM Pg 4 of 8 Trans ID: LCV20191112889 speculation.” Karpuzi v. Gallo, No, A-4281-14T3, 2017 N.J. Super. Unpub. LEXIS 590, at *23- 24 (Super. Ct. App. Div. Mar. 8, 2017). Dr. Glass has provided the same speculative opinion in this matter as it refers to the disc osteophytes and bulges. During his direct Dr. Glass found that plaintiff suffered the following injuries as a result of the subject accident: disc osteophytes at C3-4, C4-5, C5-6 and C6-7, along with herniations and bulges at L3-4, L4-5 and L5-S1. See Exhibit A at 30:17-22 AND 47:3-48:18. On cross-examination, the following exchange took place between Dr. Glass and the undersigned: Q: So can you say within a reasonable degree of medical probability that those disk osteophyte complexes were caused as a result of this accident A: They were either caused by or rendered symptomatic by the result of the trauma Later on he also provided the following testimony: Q: Now, you indicated that there were bulges at L3-4 — that there were some bulges on the films, correct A: True Q: --Lower back. Can you say within a reasonable degree of medical probability that those bulges were caused by the accident. A: They were either caused by or rendered symptomatic by the accident ExhibitA, at 57:12-17 AND 59:7-15 As is clear from the passage above, Dr. Glass could not offer any testimony within a reasonable degree of medical probability that Plaintiff sustained disc bulges and/or disc osteophytes as a result of the subject accident. Instead, he testified that they were “either caused HOAGLAND, LONGO, MORAN, DUNST & DOUKAS, LLP by or rendered symptomatic by” the subject accident. As noted above: 40 PATERSON STREET NEY BRUNSWICK, NI [t]he plaintiff must introduce evidence which affords a reasonable basis for the 701 WILTSEY'S MILL ROAD BLDG. B, SUITE 202 conclusion that it is more likely than not that the conduct of the defendant was a NJ 08037 cause in fact of the result. A mere possibility of such causation is not enough; 169 MAPLE AVENUE RED BANK, NJ07701 and when the matter remains one of pure speculation or conjecture, or the CPM-L-000223-17 06/25/2019 2:51:23 PM Pg 5 of 8 Trans ID: LCV20191112889 probabilities are at best evenly balanced, it becomes the duty of the court to direct a verdict for the defendant. [W. Page Keeton et. al., Prosser & Keeton on the Law of Torts, § 41, at 269 (Sth ed. 1984) (Prosser & Keeton)(emphasis added)] [id. at 284, 798 A.2d 67.]” Davidson vy. Slater, 189 N.J. 166, 185 (2007) Dr. Glass’ opinion indicates an “either or” theory of causation which cannot satisfy the basic element of proximate cause under New Jersey Tort Law. As such, all testimony referencing Plaintiff's disc bulges in the lower back and all testimony relating to the treatment of same must be stricken. Similarly, all testimony relating to the injuries or treatment of the cervical spine must be barred and edited out as disc osteophytes are the only injury in the cervical spine for which Dr. Glass conducted an objective test. To allow such speculative testimony from Dr. Glass would severely prejudice Defendant and would constitute reversible error according to the case law above. Relevant testimony: 15:15-24, 20:2-23:25, 25:19-30:24, 35:18, 38:10-11, 40:11-13, 41:8-20, 45:7-11, 47:4-17, 48:2-3, 56:21-57:22, 59:4-17, 60:5-10 HOAGLAND, LONGO, MORAN, DUNST & DOUKAS, LLP 40 PATERSON STREET NEW BRUNSWICK, NJ 8901 701 WILTSEY’S MILL ROAD. BLDG. 8, SUITE 202 HAMMONTON, NJ 08037 169 MAPLE AVENUE RED BANK, NJ 07701 CPM-L-000223-17 06/25/2019 2:51:23 PM Pg 6 of 8 Trans ID: LCV20191112889 POINT I THE DE BENE ESSE OF DR. GLASS SHOULD BE EDITED AS FOLLOWS: Relevant testimony: 35:15-40:2, 44:24-45:1, 46:19-21 Expert medical testimony with respect to future probable treatment is admissible if the expert's answers are within a reasonable degree of medical probability or certainty. Coll v. Sherry, 29 N.I. 166, 174-175 (N.J. 1959). It is also well settled that an expert's testimony at trial may be limited to opinions expressed within the expert's report provided as part of discovery. Conrad v. Robbi, 341 N.J. Super. 424, 440-41, 775 A.2d 562 (App. Div.), certif. denied, 170 N.J 210, 785 A.2d 438 (2001). In the matter at bar, Dr. Glass has indicated that Plaintiff was counseled on the possible need for future spinal intervention. Dr. Glass’ reports and treatment notes are attached hereto as Exhibit “B” and “C”, Importantly, nowhere in Dr. Glass’ reports or notes does he indicate within a reasonable degree of medical probability that surgery will be performed to the Plaintiff's neck or low back. Further, nowhere in his reports or notes does Dr. Glass provide any specificity with regard to what form the possible surgery might take. In the absence of testimony or opinion by Dr. Glass that Plaintiff will undergo surgery to the neck or low back within a reasonable degree of medical probability, it is respectfully submitted that this testimony must be stricken. HOAGLAND, LONGO, MORAN, DUNST & Relevant testimony: 50:15 (after the word AND)-19 40 PATERSON STREET NEW BRUNSWICK, NJ ‘98801 The doctor was asked a simple yes or no question. He answered the question first by 701 WILTSEY'S MILL ROAD BLDG. B, SUITE 202 HAMMONTON, NJ 08037 giving a YES. Then he proceeded to provide non-responsive information. If plaintiff's counsel 169 MAPLE AVENUE RED BANK, NJ07701 CPM-L-000223-17 06/25/2019 2:51:23 PM Pg 7 of 8 Trans ID: LCV20191112889 wanted to get this information out they could have asked it on re-direct. The doctor is attempting to add additional information by providing unresponsive answers to a simple yes or no question. A proper objection was placed on the record to provide plaintiff's counsel an opportunity to ask whatever questions they wanted on re-direct. Accordingly, the non-responsive portion of the doctor’s response should be edited out. Relevant testimony: 52:11 (after the word HOWEVER) -53:6 Again, the doctor was asked a simple question about the records from his office. He tries to provide unresponsive information to the question that was asked. Accordingly, the non-responsive portion of the doctor’s response should be edited out. Relevant testimony: 61:8 (after the word AND)-11 The doctor has sought to inject the issue that his fees are not in the high end for testifying experts. He has not laid a foundation to indicate that he has expertise in this area. There was no foundation on the record regarding how he arrived at this conclusion. Same should be barred. HOAGLAND, LONGO, MORAN, DUNST & DOUKAS, LLP 40 PATERSON STREET NEW BRUNSWICK, No 701 WILTSEY'S MILL ROAD BLDG. B, SUITE 202 HAMMONTON, NJ 08037 169 MAPLE AVENUE RED BANK, NJ 07701 CPM-L-000223-17 06/25/2019 2:51:23 PM Pg 8 of 8 Trans ID: LCV20191112889 CONCLUSION For all of the foregoing reasons, it is respectfully requested that Defendant, New Jersey Manufacturers Insurance Company's Motion for an order to edit the de bene esse of Dr. Glass be granted. Respectfully submitted, HOAGLAND, LONGO, MORAN, DUNST & DOUKAS, LLP Attorneys for Defendant, New Jersey Manufacturers Insurance Company B J iO NAVARRO nN Dated: June 24, 2019 HOAGLAND, LONGO, MORAN, DUNST& BOUKAS, LLP 49 PATERSON STREET NEW BRUNSWICK, NJ 988 701 WILTSEY'S MILL ROAD BLDG. B, SUITE 2 HAMMONTON, NU 08037 169 MAPLE AVENUE RED BANK, NJO7701 CPM-L-000223-17 06/25/2019 2:51:23 PM Pg 1 of 64 Trans ID: LCV20191112889 EXHIBIT A CPM-L-000223-17 06/25/2019 2:51:23 PM Pg 2 of 64 Trans ID: LCV20191112889 ANDREW S. GLASS, M.D. Page 1 T: Page 3 SUPERIOR COURT OF NEW JERSEY LAW DIVISION - CAPE MAY COUNTY INDEX WITNES: PAGE ANDREW S. GLASS, M.D. SHERRY GANNON : DOCKET NO, CPML-223-17 By Ms. Prinz 35, 60 Plaintiff By Mr, Navarro 49 PAUL BRED’ EXHIBITS ‘NEW JERSEY MANUFACTURERS NO. PAGE INSURANCE COMPANY, JOHN DOES, MARY 10 (NONE MARKED AT THIS TIME) ABC PARTNERSHIPS, and XYZ CORPORATIONS, juintiy,: a1 severally and inthe 12 13 Defendants 14 15 Videotaped deposition of ANDREW 8. 16 GLASS, MD., tmken pursuant to notice, at the Offices 17 18 of Coastal Physicians, 110 Harbor Lane, Somers Point, 19 20 New Jersey, om Tuesday, May 21, 2019, commeneing at 21 or abont $:42 p.n., before Patricia A. Lipski, RPR, 22 23 CCR, New Jersey, Notary Public. 24 25 Page 2 Page 4 1 DARCY JOHNSON DAY DEPOSITION SUPPORT INDEX BY: KELLI A. PRINZ, ESQUIRE ALBUQUERQUE, ESQUIRE 3120 Fire Road Direction to the Witness Not to Answer ‘Suite 100 PAGE Egg Harbor Township, Now Jersey NONE (c09)641.6200 Counsel for Plainsitt HOAGLAND LONGO Request for Production of Documents BY: JULIO NAVARRO, ESQUIRE PAGE LINE 1 Wiltsey’sMill Re ‘BuildingB, NONE New Jersey 08037 10 (09) 581-2424 10 lenge.com 11 Request for Question or Answer Marked (Counselfor Defendant, 12 PAGE LINE a ‘New Jersey Manufacturers insurance 13 NONE 12 14 LAW OFFICES of PAMELA D. HARGROVE 413 28: JOHNA, DINGLE, ESQUIRE 45 a4 ‘Moorestown, New jersey OB057 16 (B56) 642-2911 17 15 18 Conmet for 16 ‘Paul Breitinger 19 A VW 20 18 19 21 20 22 21 22 CX-AGREE~-22 23 24 2a 25 25 1 (Pages 1 to 4) ZANARAS REPORTING & VIDEO 1.877.G0.DEPOS CPM-L-000223-17 06/25/2019 2:51:23 PM Pg 3 of 64 Trans ID: LCV20191112889 ANDREW S. GLASS, M.D. Page 5 Page 7 VIDEO TECHNICIAN: Today is May 21, Medicine in New York. 2019. This is the videotape deposition of Dr. Andrew I graduated Alpha Omega Alpha which Glass. Going on the record, the time is 5:42 p.m, is the honor society to the top ten percent Appearance of counsel will be noted graduating medical school class, on the transcript. Jn 1987 1 completed a general ‘Would the court reporter please surgical internship, also at Mt. Sinai Medical swear in the doctor? Cente and then r, from 1987 through 1992 I completed 2 COURT REPORTER: Doctor, raise your neurosurgery residency training program at Mount right hand, please? Sinai Medical Center. 10 Do you swear the testimony you're 10 Q. Doctor, are you licensed to practice 11 about to give in this matter will be the truth, the 11 medicine in the State of New Jersey? 12 whole truth, and nothing but the truth? 12 A. Of course, yes. 13 THE WITNESS; Yes. 13 14 Q And how long have you been licensed? 14 A Since 1991. 15 ANDREW GLASS, M.D., having been duly 15 Q. Are you board certified? 16 Sworn, was examined and testified as follows: 16 A. Yes. 17 17 a Can you tell our jury what it means 18 VIDEO TECHNICIAN: Thank you. You 18 to be board certified? 13 may proceed. 19 A. So after you complete an accredited 20 BY MS. PRINZ: 20 residency training program and are licensed in a 2i Q. Good afternoon, Doctor. 21 22 particular state, you can practice in that state, A Hi. 22 23 There is, however, a voluntary honor Q. Wouid you please introduce yourself 23 that you can choose to pursue called board 24 to the ladies and gentlemen of the jury? 25 24 certification, A. Myname is Dr. Andrew Soott Glass. 25 And there's an organization called Page 6 Page 8 Q. And what kind of a doctor are you? the American Board of Neurological Surgeons. It A, Tim a neurosurgeon or neurological consists of professors and chairmans and they surgeon. evaluate doctors in practice. Q , Now, for those members of the jury ‘That evaiuationhas evolved over the that may not be familiar with what type of doctor years, My evaluation was very lengthy, and it took that is and what you do on a regular basis, could you multiple years to complete. It involved extensive share with the jury what it means to he a written examinations. I then had to fly across the neurosurgeon? country to do oral examinations, | then had to A. So neurosurgery or neurological submit an entire year's worth of surgical care and 10 surgery is a type of surgical subspecialty. We deal 10 surgical outcomes, and ] completed that process in 11 with disorders of the nervous system, which includes 11 1994, and since that time have been a diplomat of the 12 the brain, the spine, and the nerves of the body, and 12 American Board of Neurological Surgeons or board 13 in particular we deal with those types of disorders 13 certified, 14 that can at one time or another require surgery as 14 Q = Are you affiliated with or do you 15 Part of their care, 15 have any privileges with any hospitals? 16 My area of subspecialization is the 16 A. Yes, I'm currently an attending 17 spine itself. 17 physician at Shore Medical Center, 18 Q. = Thank you. 18 Q. Tell us what your typical day is 19 And could you share with usa little 19 like? 20 Dit about your educational and professional 20 A Tm a practicing treating 21 background? 21 neurosurgeon. That means I spend my time taking care 22 A. Certainly. I completed my bachelor 22 of patients. 23 of science at City College of New York in 1984, 23 I work anywhere from four and a half 24 graduating magna cum laude. 1 jeted my medical 24 to seven days a week. I take call every other night 25 degree or M.D, in 1986 at Mount Sinai School of j 25 and every other weekend for my practice. 2 (Pages 5 to 8) ZANARAS REPORTING & VIDEO 1.877.GO.DEPOS CPM-L-000223-17 06/25/2019 2:51:23 PM Pg 4 of 64 Trans ID: LCV20191112889 ANDREW S. GLASS, M.D. mae 9 | Page 11 have -- we have offices here in 1 | 9, 2016 car crash, Somers Point at Coastal Physicians and Surgeons, I'm MR. NAVARRO: No objection, an attending physician at Shore Medical Center where | BY MS. PRINZ: 1 do consultations, see patients in the hospital or the emergency room, admit patients, perform | Q. Doctor, are you familiar with the Jegal standard a reasonable degree of medical surgeries. certainty? Talso perform some of my surgeries A, Tam, yes. at our local surgery center as well. In a typical Q. As we go through the questions today week Til see anywhere between seventy-five and and you offer your opinion, any opinions you share 10 ninety patients in the office over two or three 10 with the jury, could you please keep them to that 1 office days, and in # typical week I'll perform 11 standard, Doctor? 12 anywhere between two and eight spinal surgeries. 12 A. Of course, absolutely. 13 Q. Doctor, do you only see patients who 13 Q. Thank you. have suffered trauma, such as patients who have been 14 Now, I see you have your office file in a car accident? 15 with you here today. Please fee! freeto use thatto 16 A. No, absolutely not. 16 tefresh your memory. 17 Q. So what percentage of your patients 17 A. Ofcourse. 18 are those that have suffered a trauma, like something 18 Q. Now, when did Sherry first come 19 irom a car accident versus some other cause? 19 under your care? 20 A. I think about fifty percent are from 20 A. Her initial evaluation wes August 3, 21 injuries and fifty percent are not. 21 2016. 22 Q. Now, as a board certified 22 Q. Can you tell us what her complaints 23 neurosurgeon can you tell the jury how you would go 23 ‘were at that time? 24 about diagnosing a patient's problems? 24 A. At the time of that evaluation she 25 A. Well, the process involves first 25 was 41-yoars old. She reported being involved ina Page 10 Page 12 taking « history of their cuttent problem, a past motor vehicle accident February 9, 2016. She was a history of all their other medical issues, a review driver. She was wearing her seatbelt, and the of any type of radiology studies that are available, vehicle was struck on the driver's side near the a review of any medical records that are available, a door, physical examination and a neurological examination, She was brought in by emergency ‘We then form an opinion about what medical services, meaning by ambulance to Shore the patient's problems are, make recommendations for Medical Center. She was evaluated in the emergency additional testing or treatment, and discuss the room there, She was also seen by Dr. Stephen options with the patients and come up with a plan, Zabinski for orthopedic evaluation. 10 Q. And once you've identifieda 10 Following the accident she 11 particular problem with a patient, what types of 12 complained of neck pain radiating down her trapezius, 12 options can you offer to treat that patient? 12 scapular, and left upper extremity to her elbow. 13 A. Well, typically they fall into two 13 So basically the trapezius is this 14 categories, nonsurgical and surgical, and obviously 14a ‘triangular or diamond-shaped muscle on the side of 15 there are multiple options within each category. 15 the neck, The scapular is the medical term for the 16 Q. Now, Doctor, we're here today to 16 shoulder blade area, and then the pain was radiating 17 ‘because your patient Sherry Gannon was injured in a 17 down her arm to her elbow region, 18 car crash on February 9, 2016, 18 She reported numbness and 19 Did you treat Sherry for the 19 paresthesias in her left arm. Numbness refers to 20 injuries she sustained in the crash? 20 Joss of sensation. Paresthesias is the medical term 21 A. I did, yes, 21 for that pins and needles type of nerve sensation 22 MS. PRINZ: At this point I would 22 that I believe most people have experienced at one 23 offer Dr. Andrew Glass as an expert witness in 23 time or anather. 24 neurasurgery relative to his treatment of Sherry 24 She also described having left-sided 25 Gannon for the injuries she sustained in the February 25 Jow back pain radiating down to her left buttock, and 3 (Pages 9 to 12) ZANARAS REPORTING & VIDEO 1.877.GO.DEPOS CPM-L-000223-17 06/25/2019 2:51:23 PM Pg 5 of 64 Trans ID: LCV20191112889 ANDREW S. GLASS, M.D. Page 13 Page 15 she reported experiencing weakness, numbness, and There are some other minor objective again paresthesias in her left leg. findings beyond that, but those are the three major She was taking Naproxen, which is an antiinflammatory analgesic pain medicine pain, and she was taking Flex for her So the first partis the physical foreril her muscle exam where you're actually evaluating on an Spasms. examination basis both the neck and the lower back, Q. Now, we discussed your process for So first ] examined the patient's diagnosing a patient's problems. cervical spine or neck, and J probably should At this time did you take Sherry’s interject at this point in time because I'll do it 10 history? 10 quite often, any time I use the word cervical, that's ll A. I did. So she reported that she did ii referring to the spine in the neck specifically. And 12 have a spinal