Exhibit 17

2:14-cv-11700-PDB-MJH Doc # 1-18 Filed 04/29/14 Pg 1 of 8 Pg ID 231
Mundy Pain Clinic P.C

6240 Rashelle Drive Suite 103

Flint MI 48507

Phone 810-232-9800 Fax 810-232-7710

INITIAL EVALUATION

Patient ID

Patient Name

Date of Birth

Date of Injmy

Daie of Evaluation

August 2010

02/08/2011

The patient was not sure of date of injury some time in August 2010

HISTORY OF PRESENT ILLNESS The patient was belted driver He stated the

car he was driving was 1-boned to the passenger side The patient states the drivers

airbag deployed The patient states he may have been knocked out for very brief

moment He stated the airbag deployed in to his face area The patient stated when he

came to he got out of the car to make sure the other person in the other car was okay He

states the EMS arrived but he did not feel he needed medical attention at that time The

patient apparently has not had any medical attention presumably he slates because he

has no insurance He stated may be three of four days after the accident be started

noticing some headaches He stated he went to the McLaren ER where they said they

were migraines and he was sent home The patient did not tell the ER physician that he

had been in car accident few days prior The patient stated that he would get

occasional sharp pain in his neck and low back following the accident but he it was very

intermittent and was not causing him much difficulty until he stated about month or so

thereafter the accident when the neck and low back pain became more intense and more

consequent The patient states that he continues to have headache They are at the front

of his bead No nausea or vomiting He states sometimes they may be throbbing in

nature There is no neurologic deficit noted He states he is experiencing some

occasional memory loss He states that sonietinies he will put something down like

glass of water and then forget where he put it The headaches are not everyday They

come and go He states his neck pain is about 8/10 He states there seems to be what he

is describing some right-sided radiculopathy and he has paresthesias and both hands he

states His low back pain he states is localized there are no radiculopathy symptoms no

paresthesias and gives that about 7/10 on the pain scale The patient has not been taking

any pain medication The patient has no other complaints

PAST MEDICAL mST0RY Positive for hypertension non-insulin-dependent

diabetes schizophrenic paranoia glaucoma cataracts asthma and panic attacks He

states the panic attacks started about three or four months ago and he is not sure what is

trigger those but they were not there before the accident

MEDICATIONS He is not sure of the names of He will bring the names of his

medications at next visit but ostensibly they are medications for the above-mentioned

medical conditions

ALLERGWS He has no drug allergies

SIGNIFICANT PRIOR INJURIES AND ACCIDENTS He has no prior injuries or

accidents

jl-0

Page o13

2:14-cv-11700-PDB-MJH Doc # 1-18 Filed 04/29/14 Pg 2 of 8 Pg ID 232
Patient ID

Patient Name

Date of Birth

Date of Injury

Date of Evaluation

Mundy Pain Clinic P.C

6240 Rashelle Drive Suite 103

Flint Ml 48507

Phone 810-232-9800 Fax 810-232-7710

INITIAL EVALUATION

Auust 2010

02/08/2011

Page 2o13

PAST SURGICAL HISTORY The patient has surgical procedure nine months ago

he stated for rectal dancer There is no chemotherapy just stated it was an outpatient

surgery for rectal cancer so am not sure if this is truly what his condition was or this is

what he was led to believe it was He had no prior hospitalizations

FAMiLY AND SOCIAL HISTORY He is single He has six children ages 25 to 16

The 16-year-old lives with the chIlds mother The patient does not drink or smoke

cigarettes The patient was laid off in July 2010 He had worked as General Motors

supplier The patients education he is high school graduate and he is presently

attending learning center four days week

PHYSICAL EXAYIINATION Vitals Blood pressure of 140/90 Pulse 80

Respirations 14 The patient appears to be in some distress due to his injuries He is

alert He is oriented x3 HEENT Pupils are equally round and reactive to light

Extraocular muscles are intact C-spine reveals tenderness to palpation over the spinous

processes C3 through Cl with cervical paraspinal tenderness left greater than the right

Range of motion is just restricted in the horizontal plane Lungs are clear Heart Si and

82 normal without murmur Abdomen is benign Thoracie spine is nontender Lumbar

spine there is tenderness to palpation over the lumbar spinous processes L2 through L5

with bilateral lumbar paraspinal tenderness Range of motion is decreased in all planes

Negative straight leg raise bilaterally DTRs are bilaterally in upper and lower

extremities Handgrip is strong bilaterally Right shoulder reveals tenderness to

palpation over the anterosuperior aspect Range of motion is decreased in all planes and

he is unable to raise his right arm above shoulder level

IMPRESSION

Status post MVA with subsequent cervical radiculopathy

Lumbar strain

Right shoulder derangement

Postconcussive headaches with possible memory loss

Paranoid schizophrenic

Hypertension

Non-insulin-dependent diabetes

Glaucoma

Asthma

10 Cataracts

ii Panic attacks

2:14-cv-11700-PDB-MJH Doc # 1-18 Filed 04/29/14 Pg 3 of 8 Pg ID 233
Mundy Pain Iinic P.C

6240 Rashefle Drive Suite 103

Flint MI 48507

Phone 810-232-9800 Fax 810-232-7710

INITIAL EVALUATION

Patient ID

Patient Name

Date ofBirth

Date of Injury

Date of Evaluation

Page of

PLAN We will get MN of his C-spine and right shoulder will geta neuropsychic

evaluation or occupational therapy to his right shoulder and head Physical therapy to his

C-spine and lumbar spine He is considered disabled Vicodin ES one b.i.d dispensed

60 Xanax mg one b.i.d dispensed 60 Recheck in 30 days

thlrew RudenD

Transcribed by 13 Mical Systems

DD 02/08/11

DI 02/09/Il

FV

August 2010

02/08/2011

2:14-cv-11700-PDB-MJH Doc # 1-18 Filed 04/29/14 Pg 4 of 8 Pg ID 234
EVALUATIONS

Patient

DOS 03/22/2012

First time evaluation

DATE OF ACCIDENT 03/06/2012

DATE OF BIRTHI________

HISTORY OF PRESENT ILLNESS The patient states she was belted front seat passenger She

said another vehicle ran red light and struck the vehicle that she was in to the driver side just

behind the driver The patient states she did not sustain any immediate injury at the time of the

MVA but the next day she noticed she was having right-sided neck pain and she point her right

trapezius muscle pain and also Left knee pain She went to Hurley ER on the 03/08/20 12 where she

stated an x-ray of the left knee was obtained and was negative for fracture and was send home on

Xanax Tylenol No the diagnosis of left knee contusion and next drain The patient has not

sought medical attention since leaving Hurley She states that around three to four days ago she

started noticing some low back pain that localize and does not radiate into her lower extremities

________ there is no headache there is no abdominal pain or chest wall pain There is no loss of

consciousness The patient states since the accident the left knee is getting slightly better She has

good days and bad days but the right-sided neck pain continues as well as is the low back pain

MEDICAL HISTORY The patient states she had some knee problems She thinks it was her left

knee many years ago and recalls getting some kind of shots put into it She said that the knee was

pretty much better until this accident The patient also has history of high cholesterol and

hypertension

MEDICATIONS She is on some statin and hypertension medicines She is not sure the name of

She is allergic to PENICILLIN

There is no significant prior injuries or accidents

SURGICAL PROCEDURE She has had tubal ligation hysterectomy cholecystectomy and

hemorrhoidectomy

She is widow She has adult children She works as housekeeper twice week She last

worked in February

EDUCATION She is high school graduate

PHYSICAL EXAM foot inches 190 is her weight Blood pressure 140/90 mmFlg pulse 78

respirations 12 The patient is alert oriented x3 Pupils are equal round and reactive to light

Extraocular muscles are intact spine reveals tenderness to palpation to the right paraspinals and

tenderness to the right trapezius There is some tenderness to palpation over the spinous processes

C3 through C6 Range of motion is slightly restricted in the horizontal plane There is no thoracic

spine tenderness Lumbar spine exam reveals tenderness to palpation to the paraspinals bilaterally

UI page

2:14-cv-11700-PDB-MJH Doc # 1-18 Filed 04/29/14 Pg 5 of 8 Pg ID 235
Range of motion is some .t restricted in the flexion and extension ..s are bilaterally

upper and lower extremities Handgrip is strong bilaterally in the upper extremity Lungs are clear

Mean SI 52 normal without murmur Abdomen is benigw Left knee compared to the right knee

has no obvious swelling noted There is some tenderness to palpation over the body of the patella

Also there is some tenderness over the lateral joint line Full range of motion noted

IMPRESSION Status post MVA with subsequent cervical strain particularly in the right side

Right trapezius strain and lumbar strain and left knee contusion

PLAN Physical therapy to the low back neck and right trapezius as well as the knee The patient

states she has pain medication from Hurley ER so would not give her any more from this visit

Consider disabled Will be rechecked in 30 days

Andrew Ruden MD

I-.

tISLJ Ui .C

2:14-cv-11700-PDB-MJH Doc # 1-18 Filed 04/29/14 Pg 6 of 8 Pg ID 236
EVALUATIONS

PatientL

DOS 04119/2012

This is reevaluation on an injury sustained in an accident that occurred on 03/06/20 12 The

patient states her neck is getting slightly better She is about 6/10 in the pain scale which is

localized There is no radiculopathy in the upper extremities She states her left knee pain is

improving it is about 50% improved Her low back pain she states it is no better It is localized

with no radiculopathy in the extremities and she is about 6/10 on the pain scale The patient is

going to physical therapy as directed and emphatically inadvertently failed to prescribe physical

therapy to her low back at last visit and it would have been indicated because she had complaints of

low back pain discomfort and positive physical findings So just want to document that that was

my error

PHYSICAL EXAM The C-spine reveals tenderness to palpation to the right paraspinals as before

and also some tenderness to the right trapezius There is any tenderness any longer over the

spinous process of the C-spine Range of motion is only minimallyrestricted in the horizontal

plane The lumbar spine exam reveals tenderness to palpation to the paraspinals bilaterally There

are no tendemess to palpation to the lumbar spinous processes Negative straight leg raise

bilaterally DTRS are bilaterally upper extremities and lower extremities Left knee there is no

swelliag noted only minimal tenderness to palpation over the patella and over the lateral joint line

Full range of motion noted in the left knee joint

IMPRESSiON Status post MVA with improving neck and trapezius strain improving left knee

contusion/strain and persistent low back pain

PLAN To continue physical therapy to her right trapezius cervical area left knee and low back

The patient states she does not need refill on her pain meds She is considered disabled to

recheck in 30 days

Andrew Ruden MD

.a -4- At

Ii .L -L

2:14-cv-11700-PDB-MJH Doc # 1-18 Filed 04/29/14 Pg 7 of 8 Pg ID 237
Choice House Calls

17200 10 Mile Road Suite 135

Eastpointe MI 48021

Phone .586-279-3200

FOLLOWUP VISIT

Patient ID 128 1050

Patient Name

Date of Birth _____________

Date of Injury 03/21/2010

Date of Reevaluation 12/01/2010

Page of

CURRENT COMPLAINTS The patient is here for those injuries sustained in that

accident The patient was last seen here on September 27 2010 The patient was

scheduled for liMOs on September 28 2010 and again on October 26 20i0 and

apparently he was no show for those EMOs In any event the patient states his neck

pain may be 20% better than it was last visit He gives it 3/10 on the pain scale and he

states it is localized His low back pain he says is worse He gives it 6/10 on the pain

scale He says it is localized but no radiculopathy symptoms on his lower extremities

His headaches are unchanged The patient has not been going to physical therapy for the

last month Tie has been out of pain medicine since last month

OBJECTIVE FINDINGS The patient does not appear to he in any acute distress His

neck reveals bilateral tenderness to the cervical paraspinals along the spinous processes

03 04 05 and 06 Range of motion is slightly decreased in extension Handgrip is

strong DTRs are -2 bilaterally There is no thoracic spine or muscle tenderness

Lumbar spine there is some tenderness to palpation bilaterally on the lumbar paraspinais

Some tenderness over the spinous processes L3 IA and L5 Negative straight leg raise

bilaterally DTRs are bilaterally

IMPRESSION

Status post MVA with subsequent cervical and lumbar strain rule out

radicolopathy

Resolved thoracic back strain

Persistent headaches

PLAN The patient will be rescheduled for his liMO of his lower and upper extremities

Naprosyn 500 mg one bi.d Physical therapy to his neck and low back We will cancel

his occupational therapy to his head The patient is given work restrictions The patient

will he rechecked in 30 days We discussed MUAs and steroid epidural steroid injections

as additional things we can do for his pain management The patient will be rechecked in

30 days

Ancrew .1 Laden lvi

Transcri bed Medical Systems

DD 12/01/10

DT 12/02/10

SD

B00000i

2:14-cv-11700-PDB-MJH Doc # 1-18 Filed 04/29/14 Pg 8 of 8 Pg ID 238