Exhibit 18

2:14-cv-11700-PDB-MJH Doc # 1-19 Filed 04/29/14 Pg 1 of 13 Pg ID 239
.-

INITIAL EVALUATION

MEDICAL EVALUATIONS

17117 WEST NINE MILE RD SUITE 1325

SOUTHFIELD MICHIGAN 48076

tie

DECEMBER 16 2010

_________ lit

PATIENTS NAMEI

DATE OF BIRTH

DATE OF VISIT DECEMBER 16 2010

DATE OF INJURY NOVEMBER 30 2010

CHIEF COMPLAINTS

PAIN IN THE NECK MID AND LOW BACK UNABLE TO SLEEP HE IS HAVING

MIGRAINS AND TROUBLE WITH ACTIVITES OF DAILY LIVING

HISTORY OF PRESENT ILLNESS

HE WAS RESTRAINED FRONT SEAT PASSENGER INVOLVED IN MOTOR

VEHICLE ACCIDENT THE CAR THAT HE WAS IN WAS HIT ON THE SIDE

AND HE WAS PUSHED INTO THE CAR IN FRONT OF HIM

THE AIR BAG DID NOT DEPLOY THERE WAS NO LOSS OF CONSCIOUSNESS

HE WENT TO THE EMERGENCY ROOM WHERE HE WAS TREATED AND

RELEASED HE HAS BEEN HAVING ON GOING HEADACHES

HE DENIES PRIOR HISTORY OF PAIN IN HIS NECK AND BACK AND

MIGRA1NS

MEDICAL HISTORY

NONE

SURGERIES

NONE

MEDICATIONS

NONE

ALLERGIES

PENICILLIN

PERSONAL/SOCIAL HISTORY

HE IS SINGLE

HE SMOKES PACK DAY AND DENIES DRINKING

EMPLOYMENT HE IS UNEMPLOYED

EDUCATION HIGH SCHOOL

PHYSICAL EXAM

2:14-cv-11700-PDB-MJH Doc # 1-19 Filed 04/29/14 Pg 2 of 13 Pg ID 240
PAGE

300

MUSCULOSKELETAL

HE IS TENDER IN CERVICAL DORSAL AND LUMBOSACRAL SPINE WITH

GUARDING DECREASED RANGE OF MOTION AND DECREASED STRENGTH

AGAINST RESISTANCE

SENSATION AND REFLEX TESTING IS NORMAL

iMPRESSION

STATUS POST MVA

CERVICAL SPRAIN/MYOFACIST

DORSAL MYOFACIST

LUMBOSACRAL MYOFACIST

MIGRAINS

RECOMMENDATIONS AND TREATMENT PLANS

PHYSICAL THERAPY THREE TIMES WEEK FOR FOUR WEEKS

MRI OF THE CERVICAL SPINE

MRI OF THE RIGHT SHOULDER

Mifi OF THE LUMBOSACRAL SPINE

CURRENT MEDICATIONS

PRESCRIPTION FOR LORTAB 10/500 ONE TABLET EVERY SIX HOURS PRN

FOR PAIN

HE IS DISABLED FROM CONSTANT OR REPETITIVE BENDING LIFTING

TWISTING TURNING PUSHING PULLING AND SQUATTING

HE IS TO BE RE-EVALUATED IN SIX WEEKS

t\fl

DR BEALE MD

2:14-cv-11700-PDB-MJH Doc # 1-19 Filed 04/29/14 Pg 3 of 13 Pg ID 241
INITIAL EVALUATION

MEDICAL EVALUATIONS PC

21411 CIViC CENTERDR SUITE 102

SOUTHFIELD MICHIGAN 48076

PHONE 248-354-I 111

FAX 248-354-1114

FEBRUARY 21 2012

PATIENTS NAME________________

DATEOFBIRTHI

DATE OF VISIT FEBRUARY 212012

DATE OF INJURY FEBRUARY 112012

CHIEF COMPLAINTS

PAIN IN THE NECK BACK AND HEADACHES TROUBLE WITH TWISTING

PUSHING AND PULLING PREFORMING OVER THE HEAD TASKS

HISTORY OF PRESENT ILLNESS

HE WAS THE RESTRAINED DRIVER INVOLVED IN MOTOR VEHICLE

ACCIDENT

HE WAS ON HARPER ANOTHER CAR FAILED TO YIELD STOP SIGN AND

PULLED IN FRONT OF HIM THEOTHER CAR SKIDDED AND HE WAS HIT ON

THE FRONT DRIVERS DOOR THERE WAS NO AIR BAG DEPLOYMENT

THERE WAS NO LOSS OF CONSCIOUSNESS

HE WAS ABLE TO GO HOME HE FELT DIZZY AND HAD PAIN IN HIS LOW

BACK HE WENT TO THE WELLNESS CLINIC AND WAS TREATED WITH

PHYSICAL THERAPY

HE DENIES PRIOR HISTORY OF PAIN IN THESE AREAS

MEDICAL HISTORY

NONE

SURGERIES

NONE

MEDICATIONS

NONE

ALLERGIES

NONE

PERSONAL/SOCIAL HISTORY

HE IS SINGLE

HE DOESNT SMOKE OR DRINK

2:14-cv-11700-PDB-MJH Doc # 1-19 Filed 04/29/14 Pg 4 of 13 Pg ID 242
PAGE

EMPLOYMENT MAKING PARTS FOR CHRYSLER

LAST DAY WORKED WAS FEBRUARY 20 2012

EDUCATION 12TH GRADE

PHYSICAL EXAM

58 150

MUSCULOSKELETAL

HE HAS j4flERNESS-ANW6tJiRD1NCThiti-IE CERVICAL DORSAL AND TGThAkSPINE COMPRESSION TESTS REPRODUCES HIS NECK PAIN HE

HAS DECREASED CERVICAL LORDOSIS STRAIGHT LEG RAISING TO 60

DEGREES REPRODUCES THE PAIN IN HIS BACK

IMPRESSION

STATUS POST MI/A

CERVICAL MYOFACIST

DORSAL MYOFACIST

LUMBAR MYOFACIST

RECOMMENDATIONS AND TREATMENT PLANS

PHYSICAL THERAPY

MRI OF THE CERVICAL DORSAL AND LUMBAR SPINES

BACK BRACE

TENS UNIT

HOUSEHOLD REPLACEMENT SERVICES

TRANSPORTATION TO AND FROM DOCTOR VISITS

CURRENT MEDiCATIONS

HE WAS .PRESCRIBED NO MEDICATIONS

HE IS DISABLED FROM BENDING LIFTING TWISTING TURNING PUSHING

PULLING AND SQUA1TING

HE IS TO BE RE-EVAL TED IN SIX WEEKS

DR I3EALE MD

2:14-cv-11700-PDB-MJH Doc # 1-19 Filed 04/29/14 Pg 5 of 13 Pg ID 243
INITIAL EVALUATION

MEDICAL EVALUATIONS PC

21411 CIVIC CENTER DR SUITE 102

SOUTHFIELD MIcmcIAN 48076

PHONE 248-354-1111

FAX 248-354-1114

NOVEMBER01 2012

PATIENTS NAMEI

DATE OF BIRTH

DATE OF VISIT NOVEMBER 01 2012

DATE OF INJURY OCTOBER 28 2012

CHIEF COMPLAINTS

NECKPAINBACKPAIN

HISTORY OF PRESENT iLLNESS

HE WAS THE DRIVER INVOLVED IN MOTOR VEEIICLE ACCIDENT

HE STATES THAT ANOTHER CAR SIDESWIPED RIM

THREWASNO-AJRBAG-DBPLOYMENT.--THERE-WAS-NO-LOSS-OF --

CONSCIOUSNESS

HE DID NOT SEEK IMMEDIATE MEDICAL AITENTION

HE DENIES PRIOR HISTORY OF PAIN THESE AREAS

MEDICAL msTORy

FlIT BY EUS WHILE DRIVING CAB FOUR YEARS AGO WITH PINCHED

NERVE

SURGERIES

NONE

MEDICATIONS

NONE

ALLERGIES

NONE

PERSONAL/SOC1AL HISTORY

HE IS SINGLE

HE DOES SMOKE AND DOESNT DRINK

EMPLOYMENT EXTERMINATOR

LAST DAY WORXED WAS ONE WEEK AGO

EDUCATION HIGH SCHOOL

EO12OJ3

2:14-cv-11700-PDB-MJH Doc # 1-19 Filed 04/29/14 Pg 6 of 13 Pg ID 244
IMPRESSION

STATUS POST MVA

ACUTE CERVICAL SPRAIN

ACUTE LUMBAR SPRAIN

ii

Ii

bOJ2O1-3

PAGE

PHYSICAL EXAM

5IOW 185

MTJSCULOSKELETAL

BE HAS TENDERNESS IN WE CERVICAL SPINE WITH DECREASED

CERVICAL LORDOSIS GUARDING DECREASED RANGE OF MOTION AN

DECREASED STRENGTh AGAINST RESISTANCE

SENSATION AND REFLEX TESTING IS NORMAL

tHERE IS NO ATROPHY

COMPRESSION TEST REPRODUCES HIS NECK PAIN

Sr

RECOMMENDATIONS AND TREATMENT PLANS

PHYSICAL THERAPY-THREE TIMES WEEK FOR FOUR WEEKS

MIt OF TilE CERVICAL AND LUMBAR SPINE

HOUSEHOLD REPLACEMENT SERVICES

TRANSPORTATION TO AND FROM DOCTOR VISITS

CURRENT MEDICATIONS

HE WAS PRESCRIBED VICODIN ES ONE TABLET EVERY EIGHT HOURS PRN

FOR PAIN

SOMA 350 MG ONE TABLET EVERY EIGHT HOURS FOR MUSCLE SPASMS

HE IS DISABLED PROM BENDING LIFTING PUSHiNG PULLING AND

SQUATTING

HE IS TO BE RE-EVALUATED IN SIX WEEKS

DR BEALE MD

2:14-cv-11700-PDB-MJH Doc # 1-19 Filed 04/29/14 Pg 7 of 13 Pg ID 245
MEDICAL EVALUATIONS PC

21411 CIVIC CENTER DR SUITE 102

SOUTHYIELD MICHIGAN 48076

PHONE 248-354-1111

FAX 248-354-1114

ctV\

NOVEMBER 17 2011

PATIENTS NAMEt

DATE OF BIRTH

DATE OF VISIT NOVEMBER 17 2011

PREVIOUSLY SEEN ON OCTOBER 18 2011

DATE OF INJURY

CHIEF COMPLAINTS

SHE IS STILL HAVING PAIN WITHOUT RELIEF SHE WANTS TO BE RECOMMENDED

TO PAIN CLINIC FOR THE PAIN IN HER NECK MID AND LOW BACJC

HER EMG AND NERVE CONDUCTION TEST WAS NORMAL

SHES STILL HAVING TROUBLE SLEEPING AND GEITING OUT OF BED PAIN

WORSENS WITH DAILY ACTIVITY HANDS STILL GO NUMB AND CRAMP UP INTO

hER SHOULDER

HER LEFT KNEE GAVE OUT ON HER AND HER RiGHT KNEE POPS

SHE DID NOT GET HER MRIS YEt

CLINICALLY

SHE IS UNCHANGED

SHE STILL HAS SIGNS OF CERVICAL STRAIN AND NEURIITIS

THERE IS GUARDING AND TENDERNESS WITH DECREASED RANGE OF MOTION

AND DECREASED STRENGTH AGAINST RESISTANCE OF THE CERVICAL AND

LUMBAR SPINE AND SHOULDER AREAS DECREASED SENSATION OF THE C6 C7

NECK AREA OF THE ARM COMPRESSION TEST REPRODUCES NECK PAIN

IMPRESSION

STATUS POST MVA

CERVICAL MYOFACIST

DORSAL MYOFACIST

LUMBAR MYOFACIST

RIGHT KNEE STRAIN

RECOMMENDATIONS AND TREATMENT PLANS

CONTINUE PHYSICAL THERAPY

REVERRAL TO PAIN MANAGEMENT

LUMBAR CORSET

MRI TO THE CERVICAL AND LUMBAR SPINE

TRANSPORTATION SERVICES

PSYCHIATRIC EVALUATION FOR POSSIBLE DEPRESSION

SF 02 30

2:14-cv-11700-PDB-MJH Doc # 1-19 Filed 04/29/14 Pg 8 of 13 Pg ID 246
PAGE

HOUSEHOLD REPLACEMENT SERVICES

ATTENDANT CARE

CURRENT MEDICATIONS

PRESCRiPTION FOR OXYCODONE 30 MG ONE TABLET EVERY EIGHT HOURS FOR

PAIN

XANAX MG ONE TABLET B.I.D 60 PRN FOR SLEEP

SHE IS DISABLED FROM CONSTANT REPETITiVE BENDING LIFTING TWISTING

TURNING PUSHING PULLING AND SQUAUING

SHE IS TO BE RE-EVALUATED IN SIX WEEKS

DR BEALE M.D

.%

Li ..U Li

2:14-cv-11700-PDB-MJH Doc # 1-19 Filed 04/29/14 Pg 9 of 13 Pg ID 247
MEDICAL EVALUATIONS PC

21411 CIVIC CENTER DR SUITE 102

SOUTHFIELD MICHIGAN 48076

PHONE 248-354-1111

FAX 248-354-1114

DECEMBER 15 2011

PATIENTS NAMEI

DATE OF BIRTHI________

DATE OF VISIT DECEMBER 15 2011

PREVIOUSLY SEEN ON NOVEMBER 17 2011

DATE OF INJURY NOVEMBER 16 2011

CHIEF COMPLAINTS

SHE IS STILL HAVING PAIN THE LOWER BACK NECK SHE WENT TO ST

JOHNS EMERGENCY ROOM IN NOVEMBER BECAUSE OF PERSISTENT PAIN

SHE WAS TREATED AND RELEASED

CLINICALLY

SHE IS UNCHANGED

SHE IS TENDER IN THE CERVICAL SPINE WITH DECREASED CERVICAL

LORDOSIS DECREASED RANGE OF MOTION AND DECREASED STRENGTH

AGAINST RESISTANCE OF THE CERVICAL DORSAL AND LUMBAR

PARASPINAL MUSCLES

COMPRESSION TESTS REPRODUCES HER NECK PAIN

SHE IS TENDER IN THE DORSAL/LUMBAR SPINE WITH DECREASED RANGE

OF MOTION AND DECREASED STRENGTH AGAINST RESISTANCE

STRAIGHT LEG RAISE CAUSES BACK PAIN AND IS NEGATIVE FOR SCIATIA

SENSATION IS NORMAL

THERE IS NO ATROPHY

IMPRESSION

STATUS POST MVA

CERVICAL STRAIN

DORSAL/LUMBOSACRAL STRAIN

RECOMMENDATIONS AND TREATMENT PLANS

CONTINUE PHYSICAL THERAPY

OF THE CERVICAL AND LUMBAR SPINES

BACK BRACE

HOUSEHOLD REPLACEMENT SERVICES

TRANSPORTATION TO AND FROM DOCTOR VISITS

2:14-cv-11700-PDB-MJH Doc # 1-19 Filed 04/29/14 Pg 10 of 13 Pg ID 248
PAGE

CURRENT MEDiCATIONS

SHE WAS PRESCRIBED VICODIN ES ONE TABLET EVERY SIX HOURS PRN

FOR PAIN

NEURONTIN 300 MG ONE TABLET TJ.D FOR NERVE PAIN

FLORCET ONE TABLET EVERY SIX HOURS PRN FOR HEADACHES

SHE IS DISABLED FROM BENDING LIFTING TWISTING TURNING PUSHING

PULLING AND SQUATTING

SHE IS TO BE RE-EV UATED IN SIX WEEKS

BEALEMD

2:14-cv-11700-PDB-MJH Doc # 1-19 Filed 04/29/14 Pg 11 of 13 Pg ID 249
MEDICAL EVALUATIONS

21411 CIVIC CENTER DR SUITE 102

SOUTHFIELD MICHIGAN 48076

PHONE 248-354-1111

FAX 248-354-1 114

SEPTEMBER 13 2011

PATIENTS NAMfrI

DATE OF B1RTHJ

DATE OF VISIT SEPTEMBER 13 2011

PREVIOUSLY SEEN ON AUGUST 09 2011

DATE OF INJURY AUGUST01 2011

CHIEF COMPLAINTS

SHE IS STILL HAVING PA1N IN THE NECK DORSAL AND LUMBAR SPINES

HEADACHES THE BACK BRACE AND TENS UNIT DOES HELP TROUBLE

WITH ACTJV1TES OF DAILY LIVING AND WITH COLD AND WET WEATHER

CLINIOCALLY

SHE IS UNCHANGED

SHE HAS SIGNS OF CERViCAL/DORSAL AND LUMBOSACRAL MYOFACIST

WITH GUARDING TENDERNESS DECREASED RANGE OF MOTION AND

DECREASED STRENGTH AGAINST RESISTANCE THERE IS EVIDENCE OF

NEURITIS INVOLVING THE LEFT UPPER EXTREMENITY

COMPRESSION TESTS REPRODUCES THE PAIN IN HER NECK STRAIGHT LEG

RAISE CAUSES PAIN IN HER BACK

SENSATION AND REFLEX TESTING IS NORMAL

IMPRESSION

STATUS POST MVA

CERVICAL SPRAIN

DORSAL SPRAIN

LUMBOSACRAL SPRAIN

RECOMMENDATIONS AND TREATMENT PLANS

CONTINUE PHYSICAL THERAPY

EMG OF THE NECK AND LEFT UPPER ARM

MRJ OF THE CERVICAL SPINE

HOUSEHOLD ASSISTANCE

ATTENDANT CARE HOURS DAY DAYS WEEK

TRANSPORTATION SERVICES

CURRENT MEDICATIONS

SIE WAS PRESCRIBED XANAX MG ONE TABLERT AT NIGHT FOR SLEEP

2:14-cv-11700-PDB-MJH Doc # 1-19 Filed 04/29/14 Pg 12 of 13 Pg ID 250
PAGE

VICODIN ES ONE TABLET EVERY SIX HOURS PRN FOR PAIN

SHE IS DISABLED FROM BENDING LIFTING TWISTING TURNING PUSHING

PULLING AND SQUATTING

SHE IS TO BE RE-EVALUATED IN SIX WEEKS

ci

DR BEALE MD

2:14-cv-11700-PDB-MJH Doc # 1-19 Filed 04/29/14 Pg 13 of 13 Pg ID 251