Exhibit 11

2:14-cv-11700-PDB-MJH Doc # 1-12 Filed 04/29/14 Pg 1 of 9 Pg ID 171
JI FlushnRd Mohammed Syed M.D

Patient

DOD ___________ DOS 05/10/2010

CC Patient herc for F/U on MVA

HPI Patient here for F/U on MVAShe stated she was restrained driver and her car was hit

from behind and she felt neck jerkpolicc arrived on scene Complains of back pain since the

accident no head injury or loss of consciousness

Pain is in the lower back worse with movement or bending No radiation of pain to the lower oxt

No tingling or numbness no weakness No problem controlling bladder or stoolsNo

nausea/vomiting and abdominal pain no skin rash no cough or fever

Patient also complains of pain is in the thoracic spiae areaworse with movement or bending no

radiation of pain to the lower ext no tingling or numbness no weaknessno problem controlling

bladder or stools.No nausea/vomiting and abdominal pain no skin rash no cough or fever

Medications None

Allergies PCN

PMH GERD

P511 Csection 1989

SHx No Drugs No Smoking No drinking

PFH CVA Diabetes mellitus Mother father HTN Mothcr Mother

1405

General no fever or chills no recent weight gain or weight loss

Head No headaches no swelling no injuries

HEENT No sore throat no earache no nasal congestion no sinus pain

Chest No cough no chest pain no SOB

Heart No Chest pain no palpitations no fainting or weakness

Abdomen No abdominal pain no nausea or vomiting no diarrhea no constipation and no blood

in the stools

Ext No edema no calf pain

Skin no new skin rash

Exam

Vitals WEIGHT 148.2 IBP 130/78 IRESP 20 IPULSE 88 NOTES DUC

General Patient is alert awake and in no distress

HEENT Throat was normal TMs normal no lymphadenopathy no thick nasal discharge

Chest Clear to auscultation no crackles wheezing or rales were noted

Heart Regular rate and rhythm no murmurs or extra sounds noted No JVD

Abdomen No tenderness no masses no organomegalies no rebound tenderness bowel sounds

were normal

Ext No edema noted positive pcdal pulse No skin changes or ulcers noted

BACK Muscle spasms noted along spine

Back Is tender to touch in the lumbar area Some spasm noted too ROM of the back is

somewhat limited due to pain SLR negative no sensory motor or vascular deficit in the lower

ext No vertebral tenderness

Page of2

2:14-cv-11700-PDB-MJH Doc # 1-12 Filed 04/29/14 Pg 2 of 9 Pg ID 172
DOS 05/10/20 10

Scripts Ultram 50mg take one BID 60 Refills 10 take one bedtime 30 Refills

Orders Refer to st rehabLumbar and thorasic back pain due to MVA follow up week

Assessment Back strain secondary to MVA

Acute Lumbar Strain

Acute Thoracic Strain

Plan

Pain meds muscle relaxants back exercises physical and occupational therapy

To ER if any problems with severe pain problem controlling bladder or stools

Pain meds muscle relaxants back exercises consider PT or chirpractor if not better in few

days

Safety education discussed with patient

explained to the patient the side effects complications and what to expect from the medicines

Patient councelted regarding compliance to treatment and regular follow ups

Mohammed Syed M.D

Digitally Signed

Charted 05/10/2010

Page of

2:14-cv-11700-PDB-MJH Doc # 1-12 Filed 04/29/14 Pg 3 of 9 Pg ID 173
0i iRd Mohammed Syed MLD Fax 810-235-8023

Patient

DOB ___________

DOS 05/17/2010

CC Patient here for F/U on MVA

HP Patient here for F/U on MVA Complains of back pain since accident Patient denies

numbness and tingling in extremities.patient is under physical therapy

ROS

General no fever or chills no recent weight gain or weight loss

HEENT No sore throat no earache no nasal congestion no sinus pain

Chest No cough no chest pain no SOB

Heart No Chest pain no palpitations no fainting or weakness

Abdomen No abdominal pain no nausea or vomiting no diarrhea no constipation and no blood

in the stools

Ext No edema no calf pain

Medications None

Allergies PCN

PMH GERD

PSH Csection 1989

SUx No Drugs No Smoking No drinking

PFH CVA Diabetes mellitus Mother father HTN Mother Mother

Exam

Vitals WEIGHT 146.8 IBP 150/70 IRESP 16 PULSE 80 INOTES DBC

Gefleral Patient is alert awake and in no distress

HEENT Throat was normal TMs normal no lymphadenopathy no thick nasal discharge

Chest Clear to auscultation no crackles whcezing or rales were noted

Heart Regular rate and rhythm no murmurs or extra sounds noted No JVD

Abdomen No tenderness no masses no organomegalies no rebound tenderness bowel sounds

were normal

Ext No edema noted positive pedal pulse No skin changes or ulcers noted

BACK Muscle spasms noted along spine

Assessment

Back strain secondary to MVA

Plan continue present treatment

Safety education discussed with patient

explained to the patient the side effects complications and what to expect from the medicines

Patient councelled regarding compliance to treatment and regular follow ups

Page of2

2:14-cv-11700-PDB-MJH Doc # 1-12 Filed 04/29/14 Pg 4 of 9 Pg ID 174
Mohammed Syed M.D

Digitally Signed

Charted 05/17/2010

DOS05/1 7/20 10

Page of

2:14-cv-11700-PDB-MJH Doc # 1-12 Filed 04/29/14 Pg 5 of 9 Pg ID 175
Aug 11 2010 i59PM No 5933

Patient ID

Patient Name

Date of Birth

Date of Injury

Date of Initial Evaluation

Mundy Pain ClinkPC

6240 Rashalle Dilve Suite 103

Flint Ml 48507

Phone 81 0-232-980G

Fax 810-232-7710

LNH14LflMATION

3080

04123/2010

05/20/2010

CHIEF COMPLAINT MV/I

HISTORY OF PRESENT ILLNESS This is 49-year-old Aftican-American.female

driver that was Involved in motor vehicle collision She was rear ended at an unknown

rate of speed but it was fast according to the patient while she was stopped at red light

She was wearing seatbelt The airbags were not deployed though the vehicle was

equipped She did obtain police report EMS did not show up and nor did not go to the

hospital She states that she was shaken up by the accident quite bit however her

emotional state surpassed that of her physical complaint1 so she opted to go home instead

When she woke up the next morning she found herself to be in pain Cervical pain was

7/lOin quality and sharp quality1 bilateral radiation with paresthesias upto the fingertips

were noted The thoracic spine was 7110 and radiating to the right towards her chest

around the flank Her lumbar spine is wont this is 10/101 sharp and bilateral Station to

the back of her knees Additionally the patient has had posttraumatic hSdaches

approximately four cpinodes week lasting one to two hours These resolved only with

excess usc of over-the-counter medication tor headaches

REVIEW OF SYSTEMS As per RN

MEDICATIONS None

ALLERGIES Penicillin which gives her 3ilves

PRIOR INJURIES OR ACCiDENTS None

PRIOR SURGICAL PROCEDURES She hado cesaregn section xl

PRIOR ROSPITALIZADON None

FAMILY HISTORY None ontributoty

SOCIAL HISTORY She is married Denies alcohol Denies tobacco use She works

as nursing home aide

LAST DATE WORKED Presently working

EDUCATION High school completion

2:14-cv-11700-PDB-MJH Doc # 1-12 Filed 04/29/14 Pg 6 of 9 Pg ID 176
Aug 11 2010 159PM P.6

Mündy Pain Unit P.C

6240 Rashelie Ddve Suite 103

Flint Ml 48507

Phone 10-232-9800

Fax 810-232-7710

Page of

Patient iD

Patient Name

Date of 111db ____________________

Date of Injury 04/23/2010

bate of Initial Evaluation 05/20/2010

PHYSiCAL EXA1flNAT1ON Vitals She had blood pressure at 136/84 pulse 72

and respirations 15 She is feet 10 inches and weighs 149 pounds General Well

nourished and developed in no acute distress alert and oriented x4 IJEENT Head is

normocephalic and atrawnatic Pupils are equally round and reactive to light and

accommodation Extraocular muscles are intact Cardiovascular Si 52 No murmurs

rubs or gallops Pulmonaxy Clear to auscultation bilaterally No wheethg tales or

rhonchi Abdomen Soft nontender and nondisicndcd Bowel sounds x4 norruoactive

ExtreinitIes Full range of motion No clubbing cyanosis or edema Neurological

Examination Cervical spine palpation on the vertebral aspects of spinous processes and

transvcrc processes revealed paraspinal musculature tenderness of mild-to-moderate

nature as well as spinousprocesses tendernesifrom 03 to C7 diffusely Spu.riings test

was performed and it was positive bilateral up to the fingers with paresthesias Rotation

flexion extension of the cervical spine was reduced to approximately 40% SensatIon

slightly decreased Vibration intact Thoracic spine examination was within normal

limits Lumbar spine examination palpatory findings were that of moderate to severe

paraspinal muscle spasm with tissue texture abnormality asymmetry restriction of

motion and tenderness to palpation along the spinous processes of L3 and Li

Flexion and extension of lumbar spine was reduced to approxImately 25% StraIght leg

test was performed and was positive bilateral 30 and 35 degrees respectively left and

right Musck strength 5/5 Deep tendon reflexes 214 Gait was stable

Cervical strain rule out radicuiopathy

Thoracic strain rule out radiculopathy

Lumbar strain rule out radiculopathy

Posttraumatic headaches

r5

2:14-cv-11700-PDB-MJH Doc # 1-12 Filed 04/29/14 Pg 7 of 9 Pg ID 177
Aug 11 201U 159PM No 5933

cY1Lj

Mundy Pain Clinic P4C

6240 Rashollo Drive Suite 103

Flint Ml 48507

Phone 10.232-9800

Fax 810-232-1710

Page of

Patient ID _____________________

Patient Name

Date ofBirth _________________

Date of Injury 0412312010

Date of InltlalEvaluatlon 05/20/2010

RECOMMFZ4DATIONS

Physical therapy and occupational therapy three sessions week x4 weeks

Pharniacotherapy with ValIum 10mg one p.o ti.d 60 dispensed and pain

medication with Lortab 7.51500mg one iio t.i.d 90 dispensed Additionally

the patient is to wear lumbar brace which has been prescribed to her at this time

and reevaluation to take place In 30 days Physical therapy goals to resiorc motor

deficits increase range ofmotion and reduction of pain

ManinQuizoga P.O

Transcribed by 11 Medical Systems

PD 02105/10

DI 08/06/10

PTV/WF/MW

3080

2:14-cv-11700-PDB-MJH Doc # 1-12 Filed 04/29/14 Pg 8 of 9 Pg ID 178
Mundy Pain Clink P.C

6240 Rashelle Drive Suite 103

Pint MI 48507

Phone 810-232-9800

Fax 810-232-7710

PHYSICAL THERAPY SCRIPT

Patients Name

Diagnosis

Diagnosis

Diagnosis _______________________________

Diagnosis ________________________________

Evaluate and Treat _______________

Evaluate and Treat._______________

Evaluate and Treat

Evaluate and Treat Area

Frequency 37A kauration

Precautions _________________

Physicians Name

Physicians Signature

Area

Area

Is Area

tsffl

Onset Date 44io

Date 52a-iO_

2:14-cv-11700-PDB-MJH Doc # 1-12 Filed 04/29/14 Pg 9 of 9 Pg ID 179