Exhibit 19

2:14-cv-11700-PDB-MJH Doc # 1-20 Filed 04/29/14 Pg 1 of 7 Pg ID 252
Z2Y/4Q79q

Mundy Pain Cilnic

6240 Rashelle Drive Suite 103

Flint MI 48507

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

INITIAL EVALUATION

Patient ID 5270

Patient Name

Date of Birth

Date of Accident 03/08/2011

Date of Reevaluation 04/07/2011

Page of

SUBJECTIVE This is the patients first visit to this clinic and first time seeing the

undersigned He was involved in an auto accident on March 2011 He is4O years of

age On that day he was traveling in truck he is in the building trade and he was in

the passenger front seat They were hit by another vehicle and as far as they determined

the driver who hit them was drunk The driver then tried to flee the scene of the accident

and the truck driver followed him and managed to catch up with him and with the help of

Coca-Cola truck apprehended him Then the police was called The patient himself

was brought to the emergency room by ambulance where he had extensive bone scanning

and test and allowed home on Vicodin and advised to follow up with his own doctor He

followed up with his own doctor and he was referred to this clinic for follow up treatment

referred being made by legal services

OBJECTWE FLNDINGS He is quite disabled Complete physical examination is

performed and the results are in the chart The point which stand out at this time are

His need for walking cane

His inability to work

His weakness in grasping both aims

His inability to lift his legs more than 20 to 30 degrees He presents his level of

pain in his back and neck as about to 8/10 neurologic examination neurologic

examination and difficulty with limb movement as above described

ENT examination is normal Pupils are equal round and reactive to light and

accommodation Chest clear Heart regular and no murmur The patient never had been

ill before but is disabled at this time due to traumatic injuries There is no unilaterality

of abnormal neurological signs

ASSESSMENT AND DIAGNOSES

Whiplash type injury with inability to move his neck muscles comfortably

General disability and needing cane

Pain in the thoracic and lumbosacral spine and inability to walk jump coordinate

his legs as normal Never in an accident before Never hospitalized

PLAN AND TREATMENT The patient needs an MRI of his cervical spine and

lumbosacral spine He needs Vicodin and Soma for pain He needs therapy three times

weekly He is wo will see him again in one month

Sean Hob M.D

Transcribed by II Medical Systems DD 04/07/li DT 04/08/11 SD

2:14-cv-11700-PDB-MJH Doc # 1-20 Filed 04/29/14 Pg 2 of 7 Pg ID 253
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DOS 02/02/09 DATE OF ACCIDENT 01/01/09

SUBJTECTIVE

This is this patients first visit to our office She apparently was involved in an

automobile accident on 01/01/09 She was seated in the back seat of car behind the

driver and the car was involved in crash with another car here in the city of Flint The

police were called and she was brought to Hurley Hospital where diagnosis of injuries

to her head zygoma and neck were made She had CAT scan of her neck according to

herself and chest x-ray both of which showed no acute injury

OBJECT YE

She is 81 years old Blood pressure 135/80 She does have history of hypertension

ENT Essentially normal except that she cannot twist her neck in so far as she has

muscle spasm of her cervical muscles Tendon reflexes are within normal limits There

is no clinical evidence of abnormal neurological findings not consistent with her age

DIAGNOSIS/ASSESSMENT

Whiplash to neck

Contusions to left zygoma

Possible closed head injury

PLAN/TREATMENT

We recommend physiotherapy three times weekly No indications at this time for

analgesics She said that she takes Tylenol at home which she finds sufficient

Sean Hoban M.D./lsb 02/04/09

Dictated but not read

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2:14-cv-11700-PDB-MJH Doc # 1-20 Filed 04/29/14 Pg 3 of 7 Pg ID 254
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DOS 12/31/08 DATE OF ACCIDENT 11/22/OS

SUBJECTIVE

This isi first visit to our office She was injured in car accident on 11/22/08

Apparently the person who hit the back of her car fled the accident with his car but was

traced by police and apprehended She was brought to Hurley Hospital where she was

there for four hours She sustained injuries to her neck high back and low back She

attended her own physicianon the following day who advised her she could not work and

needed physiotherapy but she has been waiting for physiotherapy appointment since

that day Nobody has called her and so she ended up here and we have arranged for her

to have physiotherapy

OBJECTiVE

She is quite sincere patient and works in hair salon She states and believe her that

she is not able work She is unable to raise her arms above her head She states that in

her own physicians office her blood pressure was high but blood pressure today is

120/80 She does have significant stiffhess of her neck and is unable to raise her arms

comfortably above her head due to the spasm and pain in her high back muscles When

diagnosed in Hurley they advised her she had whiplash-type injury and lumbosacral

strain and examination confirms their diagnosis She however states that the pain

became worse week or two afterwards She tried to put on alternating heat and cold at

home with some success

DIAGNOSIS/ASSESSMENT

Whiplash-type injury with radiation of pain into the lower latissimus dorsi

muscles in the thoracic spine and also into her shoulders

Lumbosacral strain

PLAN/TREATMENT

Prescription given for Vicodin Extra Strength for pain q6h and Soma for muscle spasm

350 mg lqid She is also advised that she should not work at this time We are arranging

for her to attend physiotherapy ASAP This is New Years Eve so our secretary is trying

to get her in for treatment today She will need physiotherapy treatment to neck and

low back three times weekly

Sean Hoban M.D./lsb 1/07/09

Dictated but not read

2:14-cv-11700-PDB-MJH Doc # 1-20 Filed 04/29/14 Pg 4 of 7 Pg ID 255
Mundy Pain Clinic P.C

6240 Rashelle Drive Suite 103

Flint MI 48507

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

FOLLOWUP VISIT

Patient lID

Patient Name

Date of Birth

Date of Accident

Date of Reevaluation 05/05/201

_____ Page of

SUBJECTIVE returns again today relative to the accident which he was

involved in on April 2011 He was seen here on April 12 2011 and we had decided

that he needs MRIs of his low back and neck On that day we arranged for him to have

MIRI but apparently due to some mixup our slowness regarding claim numbering this

has not yet been done

He still continues to complain of pain in his neck and shoulders and this is due to

whiplash type injury He has some numbness in his left arm and this still persists He is

naturally upset because his MX1 investigations are not yet performed and he did not

completely happy with the lack of progress of legal nature due to this failure to have his

complete investigations and finalized in faster manner He also has found that he is

running out of Vicodin and Soma prior to the amount given to him and we will increase

the Vicodin today to Vicodin 90 and to Soma 90 one every eight hours He will also

continue to require physiotherapy

ASSESSMENT AND DIAGNOSES

Whiplash type injury with just minor improvement

Low back pain with just minor improvement and continuous need for

physiotherapy and medications for pain and muscle spasm

PLAN AND TREATMENT The patients biggest need at the moment is for Mills of

his neck and low back and he is going to arrange with our secretary here Candice to try

and speed this process up and he is going to call his own legal advisors to have the

process speeded up Otherwise he will change them He also needs EMCIs of his arm

and legs and will be seen again in one month In the meantime he has to continue taking

physiotherapy three times weekly to both arms and low back We are also giving him

some home healthcare two to four hours per day and complete care for all heavy work as

he is permanently disabled

ean oban M.D

Transcribed by LU Medical Systems

DD 05/05/11

DI 05/06/11

BP

2:14-cv-11700-PDB-MJH Doc # 1-20 Filed 04/29/14 Pg 5 of 7 Pg ID 256
Patient ID

Patient Name

Date of Birth

Date of Injury 03/08/201

Date of Reevaluation 05/03/2011

5270

Page of

SUBJECTIVE This patient was seen here for the first time on March 2011 He had

been involved in an auto accident with person whose vehicle hit him tried to flee the

scqne and was subsequently caught by police and charged for drunken driving The

patient himself has had difficult few weeks He has to use cane I-us neck and low

back are extremely painibl He is unable to sleep He states that when he went to the

emergency room they advised him he had fractures of his low back He is scheduled to

have an MRI to confirm and investigate the extent of his injuries this coming Saturday

QBJECTIVE He sits in wheelchair position and needs his cane He states he has

pains in his neck He cannot sleep The pains in his neck cause him numbness in his

arms and paresthesia He also walks with difficulty

ASSESSMENT AND DIAGNOSES

Whiplash type injury neck.

Lumbosacral type musculoskeletal injury low back

PLAN AND TREATMENT Refill on Vicodin Soma and Ambien for sleep and the

patient should be seen again in one month after which we will have MRJ report returned

and finished He should continue physiotherapy three times weekly for the present and

since we are noting that this patient had never been in an accident before The

________ regarding his _________ injuries

Sean Hoban M.D

Transcribed by JJ Medical Systems

DO 05/03/2011

DT 05/04/2011

Mundy Pain Clinic P.C

6240 Rashelle Drive Suite 103

Flint MI 46507

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

fOLLOWUP VISIT

Claims Imaging

JUN 27

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2:14-cv-11700-PDB-MJH Doc # 1-20 Filed 04/29/14 Pg 6 of 7 Pg ID 257
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DOS 09/18109 DATE OF ACCIDENT 08/10/09

SUBJECTIVE

Ireturns today relative to the injuries that she sustained on 08/10/09 She tries to

put the best side out and she does not overplay her complaint But on questioning she

does admit to significant pain in the right arm and significant numbness on the right

upper arm Numbness is confirmed grossly by pinpoint She has difficulty working with

the right arm suspect that this is secondary to the whiplash injury of her neck and

think an Mill will be necessary for her cervical spine She may require an EMG of the

upper extremities Her dominant pains and disability and disruption of her lifestyle are

due to the injuries to her neck She has plaster analgesia applied by physiotherapist to

her neck and she will continue to require therapy to the neck Her low back is still

painful but improved She is very good patient who does not exaggerate her

complaints

OBJECTIVE

Chest is cleat Heart regular She holds her right arm with her left hand because of the

fact that it is moderately disabled and numb She sits in position of pain

DIAGNOSIS/ASSESSMENT

Whiplash injury neck with radiculopathy right arm and numbness

Low back pain

PLAN/TREATMENT

The patient will require an MRI of her cervical spine and may require an Mill of her low

back but we will wait and see on her back She will certainly also require an EMG of

both upper extremities We will have to give her some medication and muscle relaxants

to help her pain We will continue therapy and disability We will see her again on one

month

PS At the end of this call Bethany does share with me the problems that the numbness

of her arm has affected her intellectual ability and she has failed one of her classes This

had never happened before So it is indicative of further need for further investigation

which we have arranged today in so far as we requested an EMG and an MRI of the

neck

Sean Hoban M.DJlsb 09/21/09

Dictated but not read

2:14-cv-11700-PDB-MJH Doc # 1-20 Filed 04/29/14 Pg 7 of 7 Pg ID 258