10nfl 313MUMM& 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 1 of 58 PageID: 812
FROM RZ VIDEO FAX NO. 7322734237 Jul. 21 2309 02:43FM Fl 

FAX 

To: ShØrtSiTerry 

Fax: 51 888066l 0 

# of pages including -cover sheet 

Date: 07/21/09 

From Ralph Van Deventer 

Phone: 

Cell’ 

Re: Case # 7451 a 

Dear Sherry, 

As mentioned in my earlier fax dated today, attached is a copy of my procedure on 

07117109 at the pain management office for my 2nd round of facet blocking epidoral 

shots. This entailed 4 shots as outlined. To date I have had 11 injections. 

it there lare any questions or you need anythinelse, please let me know. You can- -. 

contact me at the above phone numbers. Thank you. 

Sincerely, 

cc: W. Wilkinson 

1’nM 

U 

r

LUL

4r

UV .. 81 PM jEastern Day light Tit rne] 

Confidential 

Admin Rec. 00372 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 2 of 58 PageID: 813
FROM A-Z VIDEO FAX NO. 7322704297 Jul. 21 209 OQ:53AM P1 

FAX 

To: Shthy Terry # oipages incIudircovo? sheet / 7 

Fax: 518-880-6610 Date: 07121/09 

From: Ralph an Deventer 

Phone 

Cell - 

Re: Case #74518 

Dear Sherry, 

Please find in this fax copies of medical documents that were requested. Included are: 

1. Out of work Dr. note. 

2. Dr. office appointment notes. 

3. Emergencyroomdocuments. - 

4. Physical Therapy reports. 

- .....................Following sh

ortly will be d 

appointment. It comprised of another 4 injections in the lumbar section of my back. Also 

to follow will be documents from my Neurologist appointment that is scheduled for 

tomorrow. 

Since the last time of supplying information, my condition has worsened causing 

relentless headaches that causes nausea/vomiting. This was discussed with my 

orthopedic surgeon. Although he and I believe that this is stemming from my cervical 

problems, he wanted to rule out the possibility that it may be originating with my head 

and wanted me to see a neurologist, which I have scheduled an appointment for 

tomorrow. In the meantime, it was so severe that I had to go to the hospital. A CT scan 

was performed without any indication of bleeding or masses. The ER physician said that 

the CT scan is a good screening toot, but to follow up with a neurologist and get an MR], 

which would be a definitive procedure. 

I was on vacation last week (if that is what it can be called) so that I could rest my back 

and neck and go to my medical appointments with my surgeon and pain management, 

not to mention the hospital ER. I received the appointment letters from Reed Group for 

an ECE and IME, which I will keep the appointments. 

I have been speaking frequently with Bill Wilkinson at J&J Corporate to let him know of 

my decline and struggles, and as of yesterday, I could no longer continue to work. It has 

become evident to him, myself and those that work with me that I cannot continue, So it 

received an 7!2/2UO9 8:03:39AM [Eistem Daylight limel Confidential 

Admin Rec. 00373 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 3 of 58 PageID: 814
FROM R-Z VIDEO FAX NO. 7322704287 Jul. 21 2009 09:54AM F2 

was a sad day yesterday for me to walk out of work after 20 years. I am now faced with 

no job. 

Afthough I have benefits to continue seeking medical help, (must now wait for the Reed 

Group to make its dete rmination on LTD. Bill s tated that he will rquest that the FCE - 

and [ME reports be submitted to you In an expeditious manner in order to expedite your 

review process. I ask that this be done quickly since my medical condition and status 

has now has become a financial burden. I cannot financially afford this with a family of 

wife and 4 children (3 of which are special needs), and I cannot medically afford to keep 

working. 

(should have never returned to work. I may or may not have experienced my neck 

problems if I was out of work, but since I did return, it just brought it out quicker. If I 

injure myself while driving, that is one thing, but if someone else is injured, then it is a 

totally different problem. I expressed this to you before and now to Bill. It causes much 

anxiety every time I get in the car. Sol ask that you give this a priority review. 

If there are any questions or you need anything else beside what Will follow, please let 

me know and I will make sure you will receive ft. You can contact me at the above 

phone numbers. Thank you. 

Sincerely, 

v. 

cc: W. Wilkinson 

t O.M.1)æ At tmph,r~ reoeived on 7/21!2D05 uu w [;LcitI DayhghtTirne 

Confidential 

Admin Rca 00374 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 4 of 58 PageID: 815
FROM AZ UIDEO FAX NO. : 7322704287 Jul. 21 2009 O6:54RM F3 

IRVtNG D. STROUSE, MD. PA. 

DIPLOMATE AMERICAN BOARD OF ORTHOPEDIC SURGERY 

279 THIRD AVENUE, SUTE 504 

LONG BRANCH, N.J. 07740 

TELEPHONE 732-229-4333 

FAX 732-571-1937 

June 11, 2D09 

To Whom It May Concern: 

Ralph Vandeventer is under my care for cervical disc degeneration and herniation in both 

the cervical and lumbar spine. He also underwent arthroscopic surgery of his right knee 

in June 2005 and has been treated for Achilles tendinitis of his left heeL 

Please be advised because of all of these medical conditions, I consider him to be a 

candidate for long term disability. 

JDS:pb 

received an 7[212009 :03:39 AM jEastern Daylight Time] 

Confidential 

Admin Rec. 00375 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 5 of 58 PageID: 816
TO Who 

FROM R-Z VIDEO FAX NO. 7322734207 Jul. 21 2339 36:55flM F4 

Q Please excuse for being absent from school /work on RE 

o s released to return to school on ___________ 

o ls released to return to work on 

Full Duty Light Duty 

o la/It not able to participate in the physical educatfon program at school, 

0 lsnot able to participate n 

:. 

El Surgery is schadthsd for _____________________ and patient may return to school / work after _______weeks, 

iype of surgery to be performed: 

/ 

IRVING b. STROUE, M.D., PA. 

(SIGNAThRE 

Confidential 

Admin Rae. 00376 

received on 712112009 8:03:39 AM fsrn ’I Daylight Time] 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 6 of 58 PageID: 817
FROM R-Z UIDEII FRX NO. 7322704287 Jul. 21 2089 08:5SRM PS 

RALPH VANDEVENTER 

DOE 

- -. 

HISTORY: Patient still has difficulty in his neck and back. He has disc disease in both 

areas with 4egeneration and herniation. He presently is working but is seeking permanent 

disability. There is no change in his neurologic status. 

PLAN: I $in restarting his physical therapyRETURN 1 month 

JDS:pb 

received on 71211200 8:83:39 A1 (Eastern Daylight Tirnel 

Confidential 

Admin Rec. 00377 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 7 of 58 PageID: 818
FROM A Z VIDEO FAX NO. 732274237 Jul. 21 2009 0655AM FE 

Community Medical Center - ER Report 

An Mfliliata of the St Sarnabas Health Cars S5tCTh 

Patient Name; RALEX VANDEVENTEP. 

MB)); 351900 

AoctAo: 1003544995 

This Note was digitally signed by Or. Roomi on 07/15/2009 5 19:47 ** 

Diagnosis 1; ACUTE HEADACHE. - 

Diagnosis 2: 

diagnosis 3; 

Condition on discharge; STABLE 

TRIAGE NOTES; 

PATIENT HAS HAD HEADACHES X S WEEKS, SEEMED TO COME AT ThE SAME TIME AS A NECK 

INJURY, WAS SEEN YESTERDAY ST A ORTEOPOD WRO TOLD HIM THEY MIGHT NOT BE RELATED 

TO NECK INJURY, INSTRUCTED TO FOLLOW UP WITH NEUROLOGIST. SISTER PASSED AWAY 

FROM BRAIN TOM OR SO PATIqT DOES NOT WANT TO WAIT UNTIL SEPTEMBER TO SEE 

NEUROLOGIST. PATIENT HAS NAUSEA ALONG WITH HEDACHE AT PRESENT. 

Hi LOWER BACK PROBLEMS 

PRESENTING PROBLEM; Headache 

Initial considerations based on the presenting problem include but are not 

limited to; Cephalalgia due to: Muscle contraction, vascular disorder, 

infection, hypertension; intracranial hemorrhage, tumor or increased pressure; 

carbon monoxide; caffeine withdrawal. 

HISTORY OF PRESENT ILLNESS; Ralph Vandeventer is a so-year-old male who reports 

6 week hx of graduiak onset headaches desribed as intremittent right sided 

vuoderat eto sveer sharppain behind right eye with no asscoaited neruo symptOms. 

Headaches no worse it ta est few days Patient schedule to see neurologita in a 

few weeks, he nEanecb ii bdth sisters liEd brain aneurysms- , 

otherwise; (-) fever, -) trauma, (-) subjective neurologic symptoms, onies 

a~ty or releiving symptoms. 

P5; Camiscoli 

REVIEW OF SYSTEMS: other than the symptoms associated with the present events, 

the dollowin5 is reported with regard to recent health; General: N) fever, 

HENT; N) congestion. Respiratory: C-) cough. Cardiovascular; C-) chest 

Pain. OX: (-) abdominal pain. 00: (-) urinary complaints. Musculoskeletal; 

(-) other aches or pains. Endocrine; C-) generalized weakness. Neurological: 

(-) prior localized weakness. Psychiatric: (-) emotional stress. 

PAST MEDICAL HISTORY; back probelam 

FAMILY HISTORY; () known inherited disease 

SOCIAL HISTORY; (-) smoking 

MEDICATIONS: Par nurse’s note, reviewed by ma : sERI.XIN, MOTRIN 

ALLERGIES: Per nurse’s note, reviewed by me NRA 

PHYSICAL EXAMINATION; 

GENERALIZED APPEARANCE: Patient is alert, and in moderate distress. 

VITAL SIGNS; Per nurse’s note, reviewed by me : Temp; 97.6 F Oral, Pulse: 25 

Radial, Rasp: 19 Normal, 5?; 124/77, Pulse ox; 94... Room Air 

SKIN; Warm, dry; (-) cyanosis; (-) rash, 

HEAD; C-) scalp swelling or tenderness, C-) temporal artery tenderness. 

lENS; (-) conjunctIval pallor, (-) aclaral icterus. 

ENHT; (-I sinus tenderness; mucous membranes moist, 

NEX; (-) tenderness, )-) stiffness, C-) mer.ingismus, C-) lymphadenopathy. 

CHEST AND RESPIRATORY: C-) rales, (-) rhonohi, N) wheezes; breath sounds equal 

bilaterally. 

HEART AND CARDIOVASCULAR; C-) irregularity; (-) murmur, (-) gallor, 

ABDOMEN AND 01; Soft; C-) tenderness. 

EXTREMITIES: C-) deformity. 

NEURO AND PSYCH: Mental status as above. CN5: Pupils reactive; SeMI; C-) 

facial asymmetry; tongue and uvula midline, Strength and DTRS symmetric. 

Babinski normal bilaterally. 

IT scan of head with and without contrast as read by OR Kravetz , results 

no acute fidnigs 

received on 712112009 8:03:39 AM fEastern Daylight Time] Confidential 

Admin Rec. 00378 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 8 of 58 PageID: 819
FROM A-z VIDEO FRX NO. 7322734237 Jul. 21 2009 0a:56 F? 

EMERGENCY PEPPflMENT COURSZ AND TEXTMENT: 2atiencs ootd3bion stable during 

Emergency Department evaluation. 

labs otedbo OCIOp vol 

ct head no acute findings 

194. repeat. neuto exam -al. 

advised on use pai mes 

advised on follow up 

Patient was assessed for any signs or symptoms of abuse, incl ,4ding bruises Sr. 

various stages of development, patient and visitors were observed for any 

suspicious óehavior consistent with victim abuse, 

PLAN AND rotLOW-UP: patient received written and verbal instructions regarding 

this condition. Follow up to be arranged ky patient with pod or neruologist 

within 3 days for further evaluation. aetuni to the St for increased headache, 

vomiting, fever, rash, weakness, 

PX written: 

The patient will be discharged home. They are to follow-up with their own doctor 

Or the referral doctor listed on DO instructions in the time frame as stated. At 

the time of discharge the patient is Stable. Verbal instructions given to the 

patisnt/amily. 

received on 7!21009 8:02:39 AN [Eastern Daylight Time] 

Confidential 

Adrnin Rec, 00379 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 9 of 58 PageID: 820
FROM AZ UIDEO FAX NO. : 7322704267 Jul. 21 2009 O9:55P1 Pa 

07115/2009 

.19:47 

Community Medical Center 

99 Highway 37 West 

Page; 1 

732-5574000 

Ettyc’?n Notes 

Patiôrtt Name; VANDEVENTER, RALPH - - Date of Ssrvtce: 0711512009 ED Physic1fl:R00nd 

1003544958 PMb; carhlscoti - 

TRIAGE NOTES: 

PATIENT HAS HAD HEADACHES )( 5 WEEKS, SEEMED TO COME AT ’HE SAME TIME AS A NECK INJURY. WAS SEEN 

YESTERDAY BY A 0RT14OPOC WHO TOLD HIM THEY MIGHT NOT BE RELATED TO NECK INJURY. INSTRUCTED TO 

FOLLOW UP WITH NEUROLOGIST. SISTER PASSED AWAY FROM BRAIN RIM OR SO PATIENT DOES NOT WANT TO 

WAIT UNTIL SEPTEMBER TO SEE NEUROLOGIST. PATIENT HAS NAUSEA ALONG WITH HEDACHE AT PRESENT. 

HX LOWER BACK PROBLEMS. 

PRESENTING PROBLEM; Headache 

Initial considerations based on the presenting problem Include but are not limited to: Cephalalgia due to; Muscle contrectiort, 

vascular disorder, infection, hypertension: intracranial hemorrhage, tumor or Increased pressure; carton rnonolde; caffeine 

withdrawal. 

HISTORY OF PRESENT ILLNESS; Ralph Vandeventer is a 50-year-old male who reports S week Nt of gradulak onset 

headeehes desribed as intremittent right stood moderat eta sveer sbarppaIn behind right eye with no asscoalted neruo 

symptoms. Headaches no worse in to act few days Patient schedule to see neurologits in a few weeks, he was concerned 

becuase-both.sisters had brain aneurysms,.. Qtttsnrigq; ,(-) fever, (.-) trFUrnoM IrUbILCUV8ioc symptoms. anies any 

exacerbating or releMng symptomsREVIEW OF SYSTEMS: Other than the symptoms associated with the present events, the following is reported with regard to 

recent health: General: (-) lever. HENT: (-) congestion. Respiratory: (-) cough, Cardiovascular: (-) chest pain. GI: (-) 

abdominal pain. GU: (-) urinary complaints, Musculoskeletal; (-) other aches or pains. Endocrine; (-) generalized weakness. 

Neurological: (-) prior localized weakness. Psychiatric: (-) emotional stress. 

PAST MEDICAL HISTORY: beck probelam 

FAMILY HISTORY: (.) known inherited disease 

SOCiAL HISTORY: (-) smoking. 

MEDICATIONS: Per nurse’s note, reviewed by me: SKELAXIN, MOTRIN 

ALLERGIES: Paf nurses note, reviewed by me NKA 

PHYSICAL EXAMINATION: 

GENERALIZED APPEARANCE: Patient Is alert, and in moderate distress. 

VITAL SIGNS: Per nurses note, reviewed by me! Tamp: 97.6 F Oral, Pulse: 85 Radial, Reap: 16 Normal, BR: 12077, Pulse 

ox: 94% Room Air 

SKIN; Warm, dry; (-) cyanosis; (-) rash. 

HEAD: (-) scalp swelling or tenderness, (-) ternpxxal artery tenderness. 

EYES; (-) conjunctival pallor, (-) scler& icterus, 

EN/MI: (- sinus tenderness; mucous membranes moist. 

NECK: (-) lefidemess. (-) stiffness, 1-) meningismus. (.) lymphadenopathy, 

CHEST AND RESPIRATORY; (-) rates, (-) rhonohi, (-) wheezes; breath sounds equal bilaterally. 

HEART AND CARDIOVASCULAR’. (.) irregularity: (-) murmur, (-) gallop. 

ABDOMEN AND GI; Soft; (-) tenderness. 

EXTREMITIES: (-) deforrrlfty. 

N/EURO AND PSYCH: Mental status as above. CNs: Pupils reactive; SOW; (-) facial asymmetry; tongue and uvr4a midline. 

VANDEVENTER, RALPH Medrec#: 351900 Chart 9: 1303544993 MD Seen Time: 18:00 

VU V,VU,C nIV 

rai’c’uarl nn 7l21/2O9 MIN’ jEastern DayDghtTinie 

Confidential 

Admin Rec, 00380 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 10 of 58 PageID: 821
FROM : AZ LIlOGO FAX NO. : 7322704287 Jul. 21 2028 08:57RM PS 

1. 

Community Medical Center Page: 2 

0711512009 

99 Highway 37 West 19:47 

732.557-8000 

Fhysic4n Notes,,, 

Patient r4arne: VANDEVENTER RALPH Date of Satvioe: 07115/2099 ED Physician ROOM! 

Dale of Birth: Sex: M Chart #; 1003544998 ,ge%rS 

PMC): CarnlscoU 

Strength and DTRs symmetric Bahinaki normal bilaterally. 

DIAGNOSTICS: 

Test Result F129 Unit Ref, Range Status 

WBC 7.8 fl-i0/CMM (4.8-10.8) Final 

REC 5.05 MIIJCMM (4.70-6.00) Final 

Hemoglobin 14.9 0/CL (14.0-130) Final 

Hematocrlt 44.7 */o (42.0-52.0) Final 

MCV 38.5 II (800-940) Final 

MCH 29.5 - PG (27.0-31.0) Final 

MCHC 33.3 S/CL (320-36.0) Final 

ROW 13.7 % (11.5-14.(J) Final 

Platelet Ocu 265 THU/ClAM (130-400) Final 

MPV 70 L FL (7,4-10.4) Final 

Segmented ne 66 % (35-66) Final 

% (244) Final 

Monocytes S Y. (4-8) Final - 

Eosinophils I % (0-4) Final 

Basophils I 

t1f (0-3) Final 

Absolute neu 4.8 TNO/CMM (1 .5-5$) Final 

Absolute lyni 1.8 THO/CMM (1.5-3.5) Final 

Absolute mon 0.6 ThO/CMM (01-0.6) Final 

Absolute eos 0.1 THO/CMM (0-07) Final 

Absolute has 0.0 THO/CMM (0-0.2) Final 

Test Result Flat Unit Rat. Range Status 

Glucose 97 MG/CL (70-99) Final 

SUN 11 MG/CL (6-30) Final 

Crootinine 0.8 MG/CL (0.6-1.4) Final 

Sodium 138 MMOLJL (134-145) Final 

Potassium 3,7 MMOL/L (2.4-5.2) Final 

Chlodde 104 MMOL/L (94-Ill) Final 

002 29 MMOLJL (21-31) Final 

Calcium 0.0 MG/CL (5.5-101) Final 

Total Protel 7.3 S/CL (6.1-7.9) Final 

Pjbumnin 4.2 S/CL (3.4-5.1) Final 

8ilirubin,To 0.8 MG/CL (0.3-1.2) Final 

GOT 23 lUlL (15-41) Final 

Alk. Phospha 46 lULL (42-133) Final 

OPT 23 U/i. (7-40) Final 

GFR WHITE >90 nil/mm/I .7(>60) Final 

GFR WHITE Calculation assumes a body 

surface area of 1.73 sq 

VAN0EVENTER, RALPH MG&eC#: 351900 Chan #; 1003544998 MD Seen Time: 19:00 

received on 712112909 8:03:39 AM [Eastern Daylight Timej Confidential 

Admin Rec. 00381 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 11 of 58 PageID: 822
FROM : AZ UIDEO FSX NO. : 7322794287 Jul. 21 2009 08:57RM P10 

071I 512009 Community Medical Center Page: 

19:47 99 Highway 37 West 

732-557-8000 

Physician Notes 

Patient Name: VANDEYEER R&H Date of SerQioo: 0711512009 E0 PhyscianBQc"ul 

Date of Birti - AgG’r’rs Sex: M Chart #: 1003544905 PMO: Caniisoofl 

meters. The calculated GFR 

is an estimate onlyand is 

variable by age raceand 

body roses. More accurate 

studies should be used Soc 

treatment purposes. 

GFR SLACK ’60 (>50) Final 

PATIENT TAKING METFORMIN: ---------------------- -- 

PATIENT TAKING METFORMIN: -------------------------------------(Lab) End 

CT scan of head with and without contrast as reed by DR Kiavatz results no acute fidnigs 

EMERGENCYDEPARTMSNT COURSE AND TREATMENT: Patleofe condition stable during Emergency Department

evaluation 

labs otedbc comp wnl 

et head no acute findings 

1040 repeat neuro exam wnl 

advised On use pal mes 

advised on follow up 

Patient was assessed for any signs or symptoms of abuse including bruises in varfous stages of development, Patient and 

visitors Were observed for any Suspicious behavior consistent with victim abuse, 

PLAN AND FOLLOW-UP: Patient received written and verbal instructions regarding this condition, Follow up to be arranged by 

patient With pmd orneruologist within $ days for further evaluation. Return to the ED for increased headache, vomiting fever, 

rash, weakness. 

Rwdt1en; 

The patient Will be discharged home. They are to follow-up with their own doctor or the referral doctor listed on DC Instructions in 

the time frame as staled. At the time of discharge the patient is Stable. Verbal instructions given to the patlent/farnihi. 

RX: 

Medication: Fioricet 

Dosage: Tablets 

20twenty) 

Si;: ¶ to 2 Tees PC every 4 hours toe rratimum ore Tabs per day, do not drive or operate machinery or consume alcoholic 

beverages while on this medication 

End 

VN4DEVENTER, RALPH Medrec #: 551900 Chad #: 1003544993 MD Seen Time: 18:00 

A" received o 7121/2039 MIII rEastern Dayllgiltlirne] 

Confidential 

Admin Rec. 00382 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 12 of 58 PageID: 823
FROM : R Z VIDEO FRX NO. : 7322704267 Jul. 21 209 B:5B1 P11 

19:47 99 Highway 37 West 

732-551-8000 I 07115/2009 Community Medca1 Center Page: 4 

Ebican Notes 

tient Name: VANDEVENTER, RALPH Date of Service: 07/1$/2009 ED Physician:ROOmi 

-: rimp. Aee:t :5e: M Chart # 1003544998 PMD: CernlscU 

Condition: STABLE 

Diagnosis: ACUTE HEADACHE. 

These rdes were digliafly st9ned by Adil Scan MUon 07t15?2Q0’ 91 19:47:19 

PA: Physician: Adil Room! MD 

-- - - - - -- 

VANDEVENTER RALPH Medrc Th 351930 Chart #: 1003544998 MD Seen Time: 18:00 

received on 7!2112U09 8:3:39 k [Eastern Daylight Timej 

Confidential 

Admin Rec. 00333 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 13 of 58 PageID: 824
FROM : PZ VIDEO FAX NO. : 7322704287 

Fieart1ancl 

REHABILiTATION SERVICES 

Jul. 21 2099 08;58AM P12 

222 OAK AVENUE SUITE 5 

TOM$ RIVER, NJ 05755 

Ph; (732) 244-199$ Px; (732) 505-3476 

PLAN OF CARE 

Patient Name; VanDeventer, Ralph Date of Birth: - 

Referring Physician; Irving Strouse, M.D. Date of Onset; COUa 

Referring Physician Fax (732)571-1937 - - 

frCc. From Date; 06-Q8-09. - 

Diagnosis; DISC 015 NEC/NOS-CERV POD To Date; 07-08-09 

Problem Site(s); Cervical 

Short Term Goals 

Decrease soft tissue dysfunction 

Independent with HEP 

Demonstrate improved postural awareness 

Improve cervical ROM 

Long Term Goals 

Cervical motion WFL to perform functional 

activities 

Return to work without pain 

Assessment: - 

The patient’s rehabilitation potential is excellent Patient’s treatment today consisted of an IE, postural education, 

MH, US, STM and therapeutic exercise. 

Plan 

____pLq_n_Tay_conslst of the following: 

Hot Pack I Cold PackS Therapeutic Exercise - 

Ultrasound - MassageManual Therapy - 

The plan is to continue treatment as prescribed. 

Thank you for your referral. 

Clinician: Electronically Signed By Jamie Vallone, PT Date; 05-08-09 

Lic; 400A01055500 

I cert’ that the above rehabilitative services are required and authorized by me. A qualified therapist will 

perform services and the patients plan will be reviewed every thirty (30) days. 

Physician: Date; 

Physician’s Instructions; 

0 Continue Therapy 0 Other. 

Please sign me aoove autnonzation and return to; 

HEARTLAND REHABILITATION SERVICES 222 OAK AVENUE SUITE 5 TOMS RIVER, NJ 08755 

Fax; (732) 505-3475 

rece ived on 7/2112009 0:01"n v niti AM [Eastern Daylight Tim 

confidential 

Admin Rec. 00384 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 14 of 58 PageID: 825
FROM : A-Z LIDEO FAX NO : 7322704297 Jul. 21 2009 06:59AM P13 

Heartlandtt 

REHABILITATION SERVICES 

222 OAK AVENUE SUITES 

TOMS RIVER, NJ 08755 

(732) 244-1995 Fax: (732) 505-3479 

INITIAL EVALUATION 

June 8, 2009 

Irving Strouse, M.D. 

279 Third Ave. Suite 504 

Long Branch, NJ 07740 

Fax (732) 571-1937 

Re: Vanoeyenter,.Ralph 000; 

DX: 0150015 NEC/NOS-CERV DCI: v’u-OW 

Recently you referred your patient, Ralph VanDeventer, a 50-year-old male, to our facility for treatment Below, 

please flnd the results of the evaluation. 

-Subjective-H!stcny-- .............................................. 

Patient reports that he has been experiencing pain through the cervical spine with sleeping, sitting and turning his hdTTf6ithe pasC fri atTbt!fliTatlWflf5flPeTFEntlnt9UdBth ----- - ....- 

The patient reports of 60% loss of funttion, 50% loss of motion/stiffness, 60% weakness, and moderate swelling. 

The patient reports pain in the tight neck with a pain rating of 6/10 with medication. The pain is constant. The pain 

is increased in The morning, afternoon and evening and during activity, after activity, at work, after work, while 

sitting. The pain is described as aching and stabbing. The pain is relieved with medication, heat, and rest The 

patient has difficulty finding a comfortable position to allow him to sleep. The patent reports taking the following 

types of medications: pain, NSAIDs, muscle relaxers.The patient’s work status is full-time, 

He has had the following diagnostic tests: MRI, X Ray. multi-level cervical spondylosis 04-05 with mild cord 

compression He has seen the following specialists: Orthopedic Surgeon. 

The patient reports that prior to this episode the patients functional status was: ADLs - 100%, Sports/Recreation - 

100%, Work Activities - 100%. The patient reports that the patients current functional status is: ADLs -.50°/, 

Sports/Recreation - 40%, Work Activities - 50%. 

There are no contraindications / precautions at this time. 

Objective Findings 

received 

Region Side Goal 

I 

Contralateral 

Joint 

’ 

Cervical Cervical ET ight Z

end-right 

Cervvical 

on I ZI 

end . left Cervical 50% 

Yes 

in 712112009 8:03:39 AM [Eastern Daylight Time] 

Grv Severe Mini 

Admin Rec. 00385 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 15 of 58 PageID: 826
FROM A-Z VIDEO FAX MO. 7322704-.e7 Jul. 212009 0959PMP14 

Re: VariDeventer, Ralph 

Date: 06-08-09 Page: 2 

Tenderness to palpation at the right upper.trap and mid-soap region. Patient is right hand dominant, 

Treatment 

[Exercise! Modalits’ Seth Reps Wts Color Our Comments 

ROM Cervical Extension 2 10 4 ---- --H 

ROM Cervical Flexion 

- 2 10 

- 

4 

ROM Cervical Rotation Left 2 10 

-- 

4 

AROM Cervical Rotation Right 2 10 

omer$tmh 1 10 4 

Moist Heat 

_________________ 

15 cervical and thoracic spine 

Supine 

Dostural Correction Exercises 1 10 4 

Postural Education 1 10 4 

Scapular Retraction 2 10 

4 

Ultrasound 

] 

8 TrigAt upper trap and mid-sthJ 

region 

Tissue Message 

Assessment 

The patient ’s rehabilitation potential is excellent. Patients treatment today consisted of an IE, posturateducation, ..... 

MH1 US-S-TM- and therapeutic -exercise. - 

Short Term Goals - Time Frame - -. 

Improve cervical ROM 2 Weeks 

Demonstrate improved postural awareness 2 Weeks 

Decrease soft tissue dysfunction 2 Weeks 

Independent with HEP - 2 Weeks 

Long Term Goals Time Frame 

Return to work without pain 4 Weeks 

Cervical motion WFL to perform functional activities 4 Weeks 

Plan 

We will see the patient 3 times a week for 3 weeks. The treatment plan may consist of the following: 

Hot Pack I Cold Pack Therapeutic Exercise 

Ultrasound Massage 

Manual Therapy 

The plan is to continue treatment as prescribed. 

If you have any questions or concerns regarding the treatment program for Ralph please feel free to contact us. 

We will keep you informed of his progress. Thank you for this referral. 

Regards, 

aectroniceuy Signed By 

Jamievallone, PT 

Uc: 400A01055500 

Confidential 

received on 712112009 8:03:39 M [Eastern Daylight Time] 

- Admin Rec. 00386 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 16 of 58 PageID: 827
FROM A-Z VIDEO FAX NO. 7322704297 Jul. 21 2009 09:0eppl P15 E7/13!299 11:53 7325711937 5TRflJS/LOFANo PACE 1 

JU_ as 202S 19:11 F gTLQ R2H 732 505 3475 TO .732S2t £937 P 0t’03 

IH[ea.rtlai id 22 OAX AV9NU E SI) Lit 

TOMS RIVFR, NJ O&75$ 

REFLkBUTAT1OT’ SIER\?TCES Ptcgn) 24449S Fx: (722 5054-4Te 

PLAN OF CARE - RECERTIFICAtON 

Fatietit Name: - Jsnfleventer. R alph - tat-- of S1rth:. 

Rtfenin Physitn: Tying Strousa MD. Da of Onset: S1-O 

RsMrtirig Fhyscian Fax (732) 571-1937 FOC From Date: 04-2-09 

Disgnoso: DISC 015 rCECINOS-C2RV P00 to Data 07-08-09 

Problem site(s): Cervical 

Sborf Terrtt GOA}is t-ot’g flsnn Coa/s 

[tnprcve cervical ROM Return to work without Pifl 

DeIn2nstrate Improved or ;turl twprere= CeMl motton WA. to per,rm functorol 

acffities 

ndeoendent with HE? 

Decraos s-oft tissue dysfr notion 

Assessment* 

The paUarrs rtabiIltat10 potential is ernellent Patient presented with decreased pEdn foflowjnQ omj4etion 01 

today t treatment sess’r $lhty u’creaseC AROM Lithe overafl nea the patens status _eeter’J Is 

progressing slowly with FT treatrattt to date and is beginning to plateau wityl temporary r--Lief pteaentad FolloWing 

PT freatmnervt, which rants later the sama day. Patie& would benefit from returning to tAO. Patitrift treatment 

today 

Plan 

We V.a see the ptiet 3 Imes a week for 3 weeks. The treatment plan may canaist of the erig: 

Hot ParicJ Cold ’aek - Therapeutic Lxercieo - 

Ultrasound Massage - 

Manual Therapy - 

The plan is to continue tj eatment as prescribed. 

ThanK you for your rateri a 

Cflnican; Els c&ly lignad y Jamle Vl e, PT Date; 07’0S-09 

Uo: 0 O1Ol5O0 

certify that e eb i are required and authorized by me. P1 qualified "hr 

perforni seres a d t ll be reviewed every thirty (30) daIs. I 

Physb’a: Date ( O 

El Continue Therapy D Other. 

Please sloe the above avthorszakon and return to: 

NEAR-LAM, REHAeILn-ATION SERVICES 222 OAK AVENUE SUITE S TOMS CrIER, bU 06Th6 

Par (732) 505-370 

rec&yed on 7!21/20U9 8:03:39 AM [Eastern Daylight flnie] Confidential 

Admin Rec. 00387 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 17 of 58 PageID: 828
FROM A-Z UIDEO FAX NO. 7322704257 Jul. 21 2009 09:0OAM P16 

He. dand 

REHABILITATION SERVICES 

222 OAK AVENUE SUITES 

TOMS RIVER, NJ 05755 

(732) 244-1995 Pax: (732) 505-3476 

REEVALUATION REPORT 

July 8, 2009 

Irving Strouse, M.D. 

279 Third Ave. Suite 504 

Long Branch, NJ 07740 

Fax: (732) 571-1937 

Re: VanDeventer, Ralph 

D>c DISC 018 NEC/NQS-CERV 

’1 

____ j 

Recently you referred your patient, Ralph Vanfleventer, a 53-ye2r-old male, to our facility for treatment. Below, 

please find the results of the re-evaluation. This patient has attended Bout of II visits. The patient has cancelled 

or no showed 3 times. 

Subjective History 

Patient reports that his only relief is after PT treatment. There is no long lasting relief with PT or HEP activities. 

He states that he applies MR a couple times a day at work. He reports that his head feels very heavy at the and of 

The-dey-Pein-1s-in-the-Rdbeceipital and- upper cenicaf -mnt--&ompltance -with-thaH-EP-actMti-es isrepurethoe 

good. 

Objective Findings 

Region Side Initial Current Goal Contralateral 

Joint 

kROM Cervical Extension Ceryical 50% 80% 50% 

kROM Cervical Flexion Cervical 0% 70% 90% 

ROM Cervical Rotation - right Cervical 40% - 40% 70% 

ROM Cervical Sideband - right Cervical 20% 30% 50070 

\ROM cervical rotation - left Cervical 30% j 30% 50 0/6 

kROM cervical sidebend - left Cervical 30% J 43% 60% 

MMTUE -ThL Cervical Yes Yes 

Point Tenderness Cervical R I Severe Moderate 

j 

Minimal 

Postural Deviation Cervical Yes Yes 

j 

No 

Tenderness to palpation at the right upper trap and mid-soap region. Patient is right hand dominant 

Treatment 

received oi 

Exercise / Modality Sets Reps Color I Dur Comments 

ROM Cervical Extension 2 10 3 

ROM Cervical Flexion 2 10 3 

kROM Cervical Rotation Left 

712112009 8:03:32 N [Eastern Daylight Time} l-----r--- 

2 

j 

13 

10 

3 

3 

Confidential 

Admin Rec. 00388 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 18 of 58 PageID: 829
FROM : P-Z VIDEO FAX NO. : 7322754287 Jul. 21 2009 09:01AM Pt? 

Date: 07-08-09 age: 2 

Exercise / Modality is Reps Wts Cobr Dur Comments 

Corner Stretch 1 10 3 

Moist Heat 15 ervical and thoracic spine 

upine 

Scapular Retraction 2 10 3 

Ultrasound 

___________________________ 

8 right upper trap and mid-soap 

region 

Soft Tissue Massage a 

Isotonic Shoulder Abduction 3 10 J 2 3 

Isotonic Shoulder Flexion 3 10 J 2 3 

4achine Rowing 3 10 KGS 3 

Assessment 

The patient’s rehabilitation potential is excellent. Patient presented with decreased pain following completion of 

today’s treatment session. Slightly increased AROM. Little overall change in the Patients status. Patient is 

progressing slowly with PT treatment to date and is beginning to plateau with temporary .rJieLpresanted fohowieg. 

PT fteatrnenL which returns later the same day. Patient would benefit from returning to MD. Patient’s treatment 

today consisted of MN, US, STM and therapeutic exercise. Performed a re-evaluation of patient’s status today, 

Short Term Goals Body Part Status Time Frame 

Decrease soft tissue dysfunction Cervical Fending 2 Weeks 

Independent with HEP Cervical Met 2 Weeks 

Improve cervical ROM Cervical Pending . 2 Weeks 

Demonstrate improved postural awareness Cervical Met 2 Weeks 

Long Term Goals Body Part Status Time Frame 

-Cervi cal---------- -------------------------------------- 

Return to work without pain Cervical Pending 4 Weeks 

Plan 

We will see the patient 3 times a week for 3 weeks, The treatment plan may consist of the following: 

Hot Pack! Cold Pack Therapeutic Exercise 

Ultrasound Massage 

Manual Therapy. 

The plan is to continue treatment as prescribed. 

If you have any questions or concerns regarding the treatment program for Ralph please feel free to contact us. 

We will keep you informed of his progress. Thank you for this referral. 

Regards, 

Electronic.atky Sted By 

Jamie Valione, PT 

Lic: 40QAc1065E00 

received on 712112009 8:03:39 AM [Eastern Daylight Time] 

Confidential 

Admin Rec. 00389 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 19 of 58 PageID: 830
FROM PrZ VIDEO FAX MO. 7322704287 Jul. 21 2009 02:44FM P1 

FAX 

To: Sherry Terry # of pages including cover7sheat 

Fat 513-980-5610 -- Date: 07121/09 

From: 9ph Van Deventer 

Phone: 

Cell 

Re: Case 1 74518 

Dear Sherry, 

As mentioned in my earlier fax dated today, attached is a copy of my procedure on 

07/17/09 at the pain management office for my 2nd round of facet blocking epidoral 

shots. This entailed 4 shots as outlined. To date I have had 11 injections. 

If there are any questions or you need anything else, please let me know. You can 

ctttafm the above phone inumbers. - ...... 

Sincerely, 

4 

cc: W. Wilkinson 

received an 712112009 1:55:05 PM [Eastern Daylight Timej 

Confidential 

Admin Rec. 00390 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 20 of 58 PageID: 831
Jul. 21 2009 92:45PM P2 

P1 1 FROM A-Z LJIDEO FAX NO. 732274287 

JJL- iUU3 UL1F Fair isLitjte NJ ric 73247743% 

Tat PAiN ZNSTIThTE OF NEW JERSEY 

254 Brick Boulevard S’ffi 2 

Brick, NJ 087z4 

TEL: (7S2) 477-4242 FAX: c732)477-435g 

PADXNT NANMt Ralph Vadeeutar 

DATE OF OPERATION.- My Il, 200 

SURGEONr Carmen M Quinones, MD 

PREOPZRATTVE BIAGNOSS: L4unbns facet joint syndrosxie Lumbar dsenerative disc disease 

?O$T0flR4.Tflt D1AGNOSIS Same 

OPERATION: R!Øfc U, L3,4 Medial braocb, L5 dorsal ranws 92 

MQSTflESL44 local anesthetic 

BLOOD LOSSr Noao 

DESCEXPTION OF pgocnsu 

Method of Sargeryt The Patient signed an informed consent fort in the pre-cp area after all ritks arid oompUcaflcns 

Were eaplairted and all qizstlons were answbnd. Vital &igns were fnowtQr tho u~-out.prvcedure. . The .ent-was .......... 

rcpped and drapcdintflrfflhzathzpronoóiftioTt. The patient’s tuthar spine was survsyed under ftuorocopic 

svsllzalott and appropriate bony is dmnzrks were identitlel 

Right U MMthI Branch Block, After epprt’priaie local anesthesia with 1% Lidocne v4thcut cpins$irie via a 27 

13 bet nedie, a U gauge 3.5 inch spins.l needle was Snd down to the s*speSr Junotionof the tlgltt L3 risyerec 

process. After a nfla–ive aspfrS for blood or CS?. 05cc of Lidocaint 2% without epinaphrne was injected Derfonting a 

Rihc L2 medial branch block. After performing this block the needle was withdrawn leaving a trail of 1% Lidots in 

its wake. 

Right 12 MedidBrueb Block: After appropriate local anestheS with 1% Lidocthe without epioephrius via s270 

1.5 inch needl e, a 22 gauge 33 inch spinsl need le was lnaerte-d down to the suoeriorjunclion of the Right LA transverse 

prooes. After a negative aspirate for blood or CSF, 03cc of Lldceains 2% without epinephrtho was injectcdperlbrning a 

Right L3 medial branch block. After perfomtg this b7oo.t the needle tns with4rawn lea ving a &eii of 1% LidocaS iii 

its wt 

Rlflt IA Ms4bzl Branct Block. ,After appropriate [acel nzmesthtsa with I % Lidocaine without epinephrine via a 270 

13 ineli nee41e, a 22 sauge 34 inch spinal needle was inserted down to the pe.riorjunction of the Right Li tnsverse 

process. After a eer.ttve asphata for blood or OSE, 03 cc of Lidocaine 2% without z piaophrine was injcred performing 

a Right LA znedLsl branch blot Ate: parf6tttht5 this block, the needle was withdrawn leaving a trail of 1% Lideonine 

in its web, 

Right £5 fern! Rsnine BIoS ASer appropriate local aintbSa with I Ye Udocaine without eçinephrine via a 270 13 

inch no4ja, a 220 3.5 inch spine! rtccdlc was placed in a similar ntjeotoiy clown to the supariorjnotiori of the Right 51 

ripotior articular proocas eadthe saccal akto block theRight U dorsal rrnus. Mist aneve nspintrs fotbinod or 

CSF, 0,5 cc of Udacaine 2% without epinephrkne was injected p rfcnnia a lU2ht U dorsal retina block. Att eu 

perforating this block, the needle was withdrawn leaving a tall of 1% LideoSe in its wako 

received on 712112039 1:55:05 PM [Eastern Daylight Time] Confidential 

Admiri Rec. 00391 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 21 of 58 PageID: 832
FROM P.-Z UI000 

FAX NO. : 7322734207 Jul. 21 2009 32:459M F3 

LUV U1j Fi Fr !rsf:jte 1?J F. 2 

m p.,4jN INSTXTIJfl OF NEW JR.szy 

2.54 ThiCk Rcvjeynd Suitt 3 

Srick NJ 08724 

TEL: (7-32)477-42A2 MX: (732) 4774363 

?ATIINT NAME k1$ Vaudevntr 

DATE C? CflRAflON: y 17, 2009 

Ccxzpilethn*n None 

Diposiüoni I  The pti;mt was &thargd to the reccnry area it good othtion 

2. Call for ooz=m andlor questions.,ace discharge rctkn 

3. lot –c injection s1tssprn + 

4. Pollow up in to wwks for possible 2+td jeoticg 

Cartnen M. QSoe, MD 

Diptowmsofphysical Mdiene&td RehabiUWio 

trflDtStl Pain Nianagam= 

CMQtvp (dictated tread) 

received on 712112009 1:55:05 PM pstem Daylight Time) 

confidential 

Admin Rec, 00392 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 22 of 58 PageID: 833
IN 

VoiIlpleteJtem$M 

Item 4 If.RstdSc 

N Print:ybur name ar 

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a dtvy ecidnasa dUferaut train Nero 1? Li Yes 

If yEs, outer delivery address below: U No 

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0 Reglatemd rr fletoui Rewipt fbV Menthspdrse 

Hi 71FI8 E133 1J 1C4F1 JiL J I 

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Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 23 of 58 PageID: 834
1RedBroup 

¶5T \.IFey rkiw 

7e Floor, &üte 3 

EBst 3reerbu New York 12W1 

July 14, 2009 

Dr, Lawrence I. Barr 

300 Water Street 

Toms River, NJ 08753 

RE: Ralph Van Deventer 

DOB: 11/19/I958 

Dear Dr. Barr 

Thank you for agreeing to perform an Independent Medical Examination on the above employee of 

Johnson & Johnson on Wednesday, July 29, 2009 at 10:00am. The purpose of the IME is to provide an 

independent, impartial and objective evaluation of the individual. Please note that no tests or 

diagnostic studies are to be performed without prior authorization from Reed Group or Exam 

Coordinators Network. 

Mr. Van Deventer has been losing time from work primarily due to diagnoses of 721.3 Lumbosacral 

Spondylosis without Myelopathy; Arthritis; Csteoarthritis; Spondylarthritis, 847.2 Sprains and Strains of 

Other and Unspecified Parts of Back, Lumbar Spine, and 727.06 Tenosynovitis of Foot and Ankle since 

9/8/2008, 300.4 Dysthymic Disorder; Anxiety Depression, Depression with Anxiety, Depressive 

Reaction, Neurotic Depressive State, Reactive Depression since 9117/2008, 722.5 Degeneration of 

Thoracic or Lumbar Intervertebral Disc since 11/13/2008, and 722.0 Cervical Intervertebral Disc 

Displacement.withoutMyelopathyNeuritis(Braohial)_or.Radioui.itis.Dueto DisplacementofCervicsL. 

Intervertebral Disc, and 721.1 Cervical Spondylosis with Myelopathy; Anterior Spinal Artery 

Compression Svirldrom&-apond " Jo enic Compression of Cervical Spinal Cord - Vertebral Aite1y 

Compression Syndrome since 6/17/2009, Mr. Van Deventer continues to apply for disability benefits for 

issues related to the aforementioned diagnoses. The employee alleges continued symptomatology that 

prevents him from performing the essential functions of his lob. Based onplan provisions, Mr. Van 

Deventer needs to demonstrate disability from his position as a Senior Compliance Analyst. In order to 

evaluate the employee’s eligibility for continued disability benefits the following issues need to be 

clarified. My specific questions are: 

1. What is the current condition? Please review the report of Functional Capacity Evaluation 

performed on 7/23/2009. Do you concur? Please address. 

2. Is the patient’s condition preventing him from functioning in his current job position? 

3. If he is capable of performing his current job, what specific functions of the job is he capable of, 

and what specific functions of the job is he not capable of? 

4. Is the patient capable of working for 8 hours per day? 

5. Do you agree with the treatment to date? lf further treatment is recommended, what further 

treatment would you recommend and how long do you feel treatment should be provided? 

Thank you again for your assistance in this matter. Please send your report to my attention at Reed 

Group, 15 Tech Valley, 2 rd Floor, Suite 3, East Greenbush, New York 12061 and/or fax the same to me 

at (518) 880-6610. 

Thank you, 

Reed Group 

Confidential 

Admin Rec. 00394 

Reed Group 115 Tech Valley Drive [2’ Floor, Suite 3! East Greenbush, New York 12061 1888-347-7443 [Fax: 518-283-8517 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 24 of 58 PageID: 835
!

15ThhWey Die 

2 Floor, &flte 3 

Eaa 6reerbuth New Yo,1 I2ffl 

July 14, 2009 

Dear Mr. Van Deventer: 

Your case was referred to case management on 919/2008. 

An Independent Medical Examination (IME) has been scheduled for you on: 

Wednesday, July 29, 2009 at 10:00am with Dr. Lawrence I. Barr. Dr. Barr’s office is 

located at: 

300 Water Street 

Toms River ! NJ08753 

For directions his office vou mav call (856) 616-2999 

You will need to bring all X-ray and/or MR] films to this evaluation. You will need 

to request these from your physician. This is necessary for the physician to properly 

evaluate you. 

Please be aware your failure to attend, put forth reasonable effort or otherwise fully 

cooperate in this evaluation will result in the termination of your disability benefits as 

well as any other benefit programs you may be eligible for through Johnson & Johnson. 

Please contact me at (866) 829-8861 (Toll Free) with any questions or comments. 

Thank you, 

Reed Group 

Confidential 

Admin Rec. 00395 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 25 of 58 PageID: 836
VRndruup 

Teoh’AttyDbe 

2 Floor, Siits3 

Ez Greertuth; New York 12D31 

July lo t 2009 

Mr. Charles Filippone 

Cooper Rehab & Sports Therapy 

31-5 Route 35 North 

Red Bank, NJ 07701 

Re: Ralph R Van Deventer Jr 

DOB: 11/1911958 

Dear Mr. Filippone: 

Thank you for agreeing to perform a Functional Capacity Evaluation on the above employee of 

Johnson & Johnson on Thursday July 23, 2009 at 12:00pm. 

Mr. Van Deventer Jr has been losing time from work primarily due to a diagnosis of 722,5 

Degeneration of Tho(acic or Lumbar Inter -vertebral Disc, Displacement, Cervical Intervertebral Disc 

Displacement Without Myelopathy, Cervical Spondylosis with Myelopathy Cervical Disc Degg- ertid7 since 0/08i20Q8 Ho alleges oohtiiiued syMptornotol09Y that provEflthifli from 

performing the essential functidns of his job. Based on plan provisions, Mr. Van Deventer Jr needs 

- - todemonstratedisa tlitrfrornJ’æs-=position -asa’Senior omp1iancsAnaivst Fhave enctosed-ajeb-------- 

description and analysis for your review. I am requesting that you address specific attention to the 

ability of the upper extremities. 

If the findings indicate that the employee can perform sedentary work, please confirm he can work 

an eight (8) hour day, 

Thank you again for your assistance in this matter, Please send your report to my attention at 

Reed Group 15 Tech Valley, 2 Id Floor, Suite 3, East Greenbush, New York 12061 and /or fax the 

same to me at (518) 880-6610. 

Thank you, 

Reed Group 

Confidential 

Admin Rec. 00396 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 26 of 58 PageID: 837
UReed Group 

T5’reahMalleyaie 

2e floor, &zlte 3 Greerbuth-, New York 12051 

July 10, 2009 

Mr. Ralnh Van Deventerjr 

Dear Mr. Van Deventer Jr, 

Your case was referred to case management on 9/8/2008. 

A Functional Capacity Evaluation (FCE) has been scheduled for you on Thursday July 23, 2009 

at 12:00pm. The name of the facility is called Cooper Rehab & Sports Therapy and you will be 

evaluated by therapist, Charles Filippone. The office is located at: 

Cooper Rehab & Sports Therapy 

315 Route 35 North 

Red Bank, NJ 07701 

For directions to his office you may call (732) 741-5085. 

Please be advised that this evaluation will take approximately 3-4 hours and that your failure to 

termination of your disability benefits as well as any other benefit programs you may be eligible 

for through Johnson & Johnson. 

Please contact me at (866) 829-8861 (Toll Free) with any questions or comments 

Thank you, 

Reed Group 

Confidential 

Admin Rec. 00397 

Reerl flrni,n IF Thr.h Vsllev nrive I 7" Floor Suite 3F Fast Greenbuh. New York l2OEI 1858-347-7443 1 Fax: 518-283-8517 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 27 of 58 PageID: 838
!i Reedl3rnup 

15lrtt‰ky Ohs 

2 Floor, Suite 3 

Eag GreerbSi, New York 12C61 

June 25, 2009 

Ralph R Van Dewenter Jr 

Case #: 74518 

WWID#: 10900 

Dear Ralph Van Deventer Jr: 

We have received medical information from you or your representative and cannot determine 

whether or not this information was submitted as part of an appeal of your Long Term Disability 

benefit denial. 

If you intend to submit a formal appeal request, you must submit a letter stating you want to appeal 

-the denial-of your Long Tefm-DisabiTitybenefits.Your request -foran appeal must be in writing and 

be submitted no later than 180 days from the date you received the LTD denial letter, as outlined in 

your deniall-letter , an4yu---- 

appeal will not be considered. 

You may fax your request to us at 303-247-1863 or mail your request to the address listed below: 

Reed Group 

ATTN: Appeals Department 

10155 Westmoor Drive 

Suite 210 

Westminster, CO 80021 

If you have any questions or need additional information, please contact Reed Group at 866-829-

8861. Thank you for your attention to this matter of mutual concern. 

Thank you, 

Natalie Madrid 

Reed Group 

Qonfiential 

Reed Group 10155 Westrnoor Drive [suite 210 [Westminster, Colorado 80021 I 800-347-744 303247i, 

.1.1088 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 28 of 58 PageID: 839
& 

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Lu 

uj 

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In - 

ru 

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Confidential 

Admin Rec. 00399 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 29 of 58 PageID: 840
FROM Az LJIDEO FRX NO. 732274297 Jun. 24 2009 12:39PM Pt 

s 1 

\f 

1; 

re 7Lm1 

... LA 4 - 

H avQ 1 4e4 i;\t 

ky?ro vflrt. ’-ct4_ f ctt?j-c& 

- 

_1 

Ctct 

received An 612412009 11:49;57 kM [Eastern Day!ightUme 

Confidential 

Admin Rae. 00400 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 30 of 58 PageID: 841
FROM : A-Z VIDEO FAX NO. : 7322794287 Jurr. 24 2208 12:38PM P2 

- 

THS PA-IN INniTtilt OF NEW JERSEY 

254 rkk vievArd Suth 2 

SrkkNJ08724 

TEL: ’32) 4774242 AX: (732) 477-369 

?Aflt1’T N,4MEt Ralph Vadvater 

nATE O tYPfltAflON: I -ane 24, 20O 

ttGONr Oarzzl M Quinones, MD 

PRWPflATht DL&GNGSI& Lucth& tht;obit s,t–te; Lumber dagerierutin dSc dncnae 

posrOflRATflt DIAGNOSIS: S=t 

OflflflON Riht L2, L3,4 Medial hmit3i U da1rms #1 

ANETHflA2 l000 sthotk 

BLOOD LQS: None 

DESCR’nON 01 PW)CED1iz 

MSznd of Szrery; The petleet Sied an bfzrmed no-isena form in the pre-op arom atar all Sirs and tc’xtpticatiors 

wer txàined and adl eticns were finswued. Vital tins wcxte monitor thoug–it our paoett, The pattrt wn 

prepped aM thaped in a smrüe ShEon fri the pmne psWOth The patient’s urrbas ;pthc wms aurveyrd tatidsr f1iorosoepic 

viatsJization and çptopriMe bony lendmax 4a wero idtffiad. 

1$ bch nMle, a 22 gnuar 33 inzh spbaal oele w;u hsartsd down th the xupwivrjunoticn of the Right L3 frnnsverria 

R4gELLZ nediai brash b1O& After perfoning this HccL the needle was withdrawn ving a txJ of 196 

its 

Right Li Me8a! Br -taineka After appnprdste loml nnasthnis wtflt 1% Lidocathe withcL epinetine via a 27G 

13 Sah naadle., a22 gauge 33 inch spinel needle wM üis*rtE4 down to the auperiorJuncrion oftht Right LA- trarstrse 

proceas- After a nostive tspfr–e for Wood or CSF, Q See of Lidocaine 2% "A nnphtepbrbe was !ected performing a 

Right U ntdlal SiteS WOthL. Aftet perfomicg this Is look, the racedle was withth-twt teeviag a trail of 1% tA4,osfne In 

it wake. 

Right U ?ykdlt! &nzeh Blocia After appr priate lGval enthtsEa with 1% LitccSe without epinephrine Aa.a 270 

1.5 ijzacth =dl; a 22 gtte 3$ kwh spinal :-sinserted down to the cnptiorjuntion of the Right 13 ransvere 

PrC- After a it ath-eastatefer Hood ot CSR 05 c-c of LidonaS 2%w hotrzeinephrhte was ini 

a pdtht LA medial branch hiccir. After porforming this hlocL the needle was withdrawn icavins anti! of 1% LidocaS 

in iti wake. 

Rht 13 Dorusi Esmur Stotk4 Mtssr appropriate local mtqthtsia with 1% Udocahaethotd epinephrine vgt a 270 15 

inthzedi:, s2203.S iteb a needle wac p)eoe4 in a similartrotory down tote rtzpetiorjunction of the Right S 

w° srtieuiar p-rotate sed tht waa3 sit to block the Right U domal raeits. After a nags5jye ph-ate for Wood or 

CSF. 0.5 ct oi t.adooabe 2% ,z4thotd epkephrbc was thjsttd performing a RiEt ii dortal remus blook. After 

petfoting thia b*tC. th’s needle was withdrawn enving a tail of 1% Li doc aim e in its wak:. 

received on 612412009 11:49:57 AM [Eastern Daylight Timej 

Confidential 

Admin Rec. 00401 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 31 of 58 PageID: 842
FROM P-Z VIDEO FAX HO. 7322734207 jun. 24 2009 12:43PM P3 

TEE PAL% T]tSTnVTh OF NEW JfltSZY 

254 Brick Beilwiir4 Wt 

$Hek4 N1 e724 

TEL; (Ifl) 4774242 FAX: (732) 47-435 

PATItNI SWNM Rsipz V*Saemter 

DAU OF OPZRAflOTh Yce 24.2009 

Copau None 

zpStiea: 1. The pet[tnt S dis*hrpze tetlw tecovely zrea IC good ccaadftiox 

2. C11 fis eozgt ndier qtiiort; t dithe inrtozs 

3. kcefflEn 

4. oflow 4D in twe weeks for ehe 2 injection 

CCmiea M QuMne;, MD 

Djpjtwtse of Phy*M Mdieine od ?4iahUitEion 

1nteeioei Prim M*ezient 

CMQbrp (dictated bt,t not read) - 

Confidential 

Admin Rec. 00402 

received on 6/2412009 11:49:57 AM [Eastern Daylight Time] 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 32 of 58 PageID: 843
I 

LU ’11 14Z I 

wine ;J 

FROM AZ VIDEO FAX NO. : 7322734297 

CRVCAL REOcOW 

Lurflhr spin 

root 

fr--I 

 

Aloc& - e rteeThtic ’ 

SHijecied. -t’ 

JIfnt9 

4. 

- -- 

9 A contraet i lr.ie:ted sc the 

t 

Cortrflt C 

.------L DhysVtM see - 

’k ’ to plona the 

Lumbar :plttr 

&t Arnixttreot 

- ?sneathe&. eiine - . 

and wnt]’ 

"t inflafltttty 

mebJne 

- 

- I 

3U1). 24 2039 12:43PM P4 

d 

Ecob vertebrs in the aphe is =nnecrted 

y two fetJcks  one pn seon 

of the apJn. For beck or neck pain 

b&iVet to oriqirnate in these Johns. a 

iiz etokt hicok oar be both d iagnoatc 

-end thecapet.t. This b’-4ecIon oar 

ooritrrn whether the facet oInts arc 

The aouroe of On and car, hate 

re&ve the pair and rvflarrtaVcn. 

STEP I 

A smei erea of e4dn is numbed with a 

locei anesthetic inieotior,. 

STEP 2 

C3ue-d by &ioroscopt x-ray. !3 

N p&cad Into the facet 5c4nt. mc c-rsct 

r;Ecerne,t of the neIe ç =nfw1mac -11 1 1

, 

nadir; ocntrat dye into thtjoint. 

STEP 3 

A cornbintion c?o niirnbinc anesiheto 

er 3nmt1t-atory stvrofu - - - 

mscaton Is dehiiered to the joint 

the iooaben of pain, one or more 

in)ettfon may be IVen, If the pair, 

ubsld eer the iniaSior, ths uggacts 

that the facet jokts) hiec’ad were the 

c.tuc of pain. 

END OF PROCEDURE 

acR or neck pei my dtaappear 

immedietaly aftE a tuccessfu btocc. 

however, once the nvnibiri ett of 

the onesthekk wears off, pain rrtsy return. 

ft uwsfly taku 5 to tO days lar the 

arcid rnedjct3(v to redres 

hiernrnetien end sUevt pain. Effe.t 

may [ast severac s Cr varJ ricnth. 

Up to three ledors may be giver, 

r year, 

bioc...ed - PtInsUtS of New J&ssy 

254 B;bk $Vd., SuIte 2, Brtk New Jersey 08724 (732 477-1242 

E4RMEN M. QU1NONES MD, FAAPMR 

received on 6/24/20D9 11:49:57 AM [Eastern Daylight Time] Confidential 

Admin Rec. 00403 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 33 of 58 PageID: 844
FROM A-Z VIDEO FAX NO. 7322794297 Jur,. 12 2009 05:36FM Ft 

mTAW 

To: Sherry Terry # of pages including cover sheet 

Fax: 518-880-6610 Date: 6/12109 

From: Ralph Van Deventer 

Phone: 

Re: Case #74518 

Dear Sherry, 

Please find in this fax copies of: 

1. Orthopedic surgeon’s note for LTD. 

2. Orthopedic notes from scheduled appointments - 4 in total from the time my STD 

3. Cervical MR] 

have also begun physical therapy this week, which they will update my surgeon on ft’s 

progress. On my doctor’s appointment on 4/28/09 he gave me exŁrcises/streches to do 

at home. So far to date there has been no improvement. Physical therapy has also 

given me similar exercises/stretches to do, which I complete at home with no 

improvement. This is the same scenario that has happened with my lower back. As you 

recall, physical therapy did not improve the condition of my back, even after several 

months of treatment. 

Please include this with the documents that I faxed on 6/5/09 to your office, which 

included: 

1. Copy of my cervical MRI report. 

2. Doctor’s script for cervical physical therapy. 

3. My self evaluation letter and experience. 

I will call to make sure you receive this and to discuss next steps. 

Sincerely, 

received on 6/12120094:49:11 PM [Eastern Daylight IS] 

. Confidential 

Admin Rec. 00404 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 34 of 58 PageID: 845
FROM A-Z U 1 DEO FAX NO. : 7322724257 Jun. 12 2009 as: 38FM P2 

r_Lr...._r1_.r.!L. rki t. 

STPOU. P.4 0,, r.A 

? OMAta AMEC.&N OAW OP t-4OPE0C sL’IaaRv 

T1RD ÀY US. SUETK 

LONG SRANOR N.J. 07740 

ThLEPhQNE fl225-4$33 

PAX n2-Mi-sa7 

Jte 11. 2009 

To W-x IT My :,nc 

Riph Vvet r s undcr toy cars La osr4c& disc & .irgtjion nd haniæon 5a both 

cM rioti and lu tbr spine. He Jo undcr,cn: arthruscopie irtcy of hi8right kne.e 

n June 2005 and J is bezcn tratcd for .A–ifles zen&dtLs of HB left heel. 

Pkaz he advised eteue of tl of these rnediea eoncbioo.. I oonsder him, to be a 

ndi&– for Ifing tm disability. 

-. 

M.D. 

received on 5/1212009449 :11 PM tEastern Daylight Time] 

Confidential 

Admin Rec. 00405 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 35 of 58 PageID: 846
FROM I P-Z VIDEO FRX NO. 7322704287 Jun. 12 2009 05:3BFM F3 

FAt 

RAI2’H 7i&.ADL1 ’ENThR 

3-27-09 

iTZTO&Y Patie zfl Athills continues to improve. The 3wlU44 aLowly ctst)viag 

There ’S s siigk tnc4ule 0r bxt it i nat tent, Ec has good stitDgtE F’r 1 

back, he is had 3’ pi&Z*1 . thicb be feels did zat k&p him moth, His pkydcal 

tMrapy has bean cc rnpltved, and he !s con1ting with a hmc tttcie pogt2m, He has 

to retzr7s to wOrk fc uz hezis a day, but will be rMln-ltlng nett month t Ml time, 4thoar4h 

he may be Me to sani was at hun-a, 

?LAN O7:atiaue lome exccise ptograzi. 

I ruo iS 

ID&ph 

recelvd on 611212009 4:49:11 PM Rastem Daylight Time) 

Confidential 

Admin Rec. 00406 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 36 of 58 PageID: 847
FROM R-Z VIDEO F h!C. 7322704287 Jun. 12 2009 05: 39FM P4 

&LPR VAN1 ENTER 

WSTORV: Ptie is b3àkw wt* fdI tbwt. We has dtekped, -wevsr, esk pain 

Thrt is no spec4c rad!2!~on iio th arms. Nc: pain is pPesz çn a J 91y basis. Fte has 

diE tzfly t IS neck 

?WSCAL RXA1, iWATJCPN ?htcs1 *mar, 

 rvv1 - im ths emcmei or 

r$Ithctgh is rnoti*ms are –’ÜIL There is no 1aeali netntiogio &dh n the 

rçpot ertrnititRADIOLOGY: )- my of cnicsi spiftt shows degerntiv j3sc di, C3 ag 

7! 

DrAGNOSL: Ee enraht disc diseas canti stir1& 

PLsY: Ucm e arA poss5hly phyiovJ therapy. 

flfliRN: 2 w 

IDSrpb 

received on 6112/2009 4:49:11PM [Eastern Daylight Time] Confidential 

Admin Rec. 00407 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 37 of 58 PageID: 848
FROM : FAX HO. : 7322724287 Jun. 12 2029 25: 9FM PS 

R&LPE VANDE\ ENTER 

DOBIANO 

Ilk 

s-12a 

flS1DRY: Pziic Lt is still baitg sicant diffic*y with hI$S tteL I fitS no 

vlc&cd6cit Hs zifl has scgne pin at tho txfxamcs aErnot.oit 

PLAN; Stan pyc .al therar 

S we Its 

received on 611NON 4:49:11 PM [Eastern Dayiht The] 

Confidential 

Admin Rec. 00408 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 38 of 58 PageID: 849
FROM A-Z UI090 FRX NO. 7322704287 Jun. 12 2009 05:40FM PS 

j;- 

aALni VANtE\ ENTER 

DOi 

5-2949 

STORY Paz it did azi MRJ c’f his rica! spat perform4 oa Mv 22, 2CC, 

At 0-4, there v,n nij4 dLffi&e disc &ulga with otcophyti ridge, souienrUd ctrid 

ojtflAl formS! C4-5, mild derate dlffl~ze disc thüge with ocohrdQ 

tiI#e rcsukticg it. = [14 aS) canal and moderce itft ratter tbit t{n –brsniSi 

stcots. Thn S a Ed cord oaznpreticn væthout an intrinsic cord siial th1ertion, At 

C54 there Was n. ri £d disc bt1gc wtth amaJi ctaJ disc herala1ia There was Hht 

sed cstecthytic ; mild central osi stenosis with cflcmctt of the vvzznd 

No cord eomçrenioh. Mild right 5rantal stenc-t AL C6-7, mild 

dzffiuse dist Wige It osttophyiic ridge rultinsr in mild modsre b4i–ra1 faj 

stenosis At C7-TI, mild diffise disQ btr$gc withttytic ddge rcgn1th in aæld 

omftal canal aS ft raethxial atcts. Tht ipeasicn was mullave1 cnrvicaZ ettndyiocis, 

mOst notable in the tprx ceMca2 ts at C4-5, which v–ad in m cord crncn 

witheta inritsic cc xi .dgn& &tcretkzt 

.... PHVSCAL.EXA3 CNkflffli;.Tod* te. a re iesjnft? Bab imcf 

or nt zthtes in tin upper or ibwer e rettilies Rei5cxet 

PLAN: ?Scat wi I sect pbytdcal thettpy He is baæe problaitu ar work We will have 

to work this but ’fl art is an change in his ncurvk’gic atsttn 

IDS:pb 

received on 611212009 4:49:11 PM [Eastern Daylight lime] 

Confidential 

Admin Rec. 00409 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 39 of 58 PageID: 850
FROM fl-Z VIDEO FAX NO. 7322704287 Jun. 12 2039 05:40FM F? 

AdvEnced 

S 

of Turns ?itrt 

:4 ooe& Ave 

Tr"s Krvw, RI ol7E2 

t7321 34S2967 

T3E8OFAH OAMI$C.tU Ii.D, 

I i4 b4oOtER. AV 

TQS RW. N.. c75tpSetd PlaT*S RALPH VA?P8VE rrZF 

URN ’27273 & 

Mv 22X Mt22:D _____________________ 

Cfttate* iry 7k EL F \’AY/ER 0.0. Dt&.sbd Dtei May 2t, 700S &tS0 

oMev 6, 240" 1:43 Prt,,t Datsfflrnr M272OO;15:3Ot38 _______ 

1a 

cERVICAL fl{’ CYAT0M , N ) 

:-llsTORt N?C PAIN FORT RE WEEKS. RC: r-SUDED HEADACHES. 

ERIOR EXAM: NONE. 

TECHNiQUE: sitta FLA R aM TO FSE; z3d2’ 3D P0-alA (bansd 83FF) aidfor3D rasa 

FINDINGS: 

mars is flUIIT,& Lmof ik osrtat wfrie. Thc 5 grade 1 antarot Is bt 07 on TI. Thers is no mpceissQfl 

fracture. Tis cttvIcDrntduRr/ Untior is 

Eivà;ueticn of the ndMdui ieva s demonttatqs 

Q2-03; Thers is no cisc t -mrrIaI r. ceitsl cli%M or tC>rarnini enosis. 

QSO4 A mild utffuse dise btilg v4th ocph* dee rasilts in Mild csntral carI and toamtnJ sieilcsts. 

04’CS: A m-qzosrate dIiftae at bulge with łaterph/Jo ngs resuits In mild enS can aid moderate Ieft oretor 

than rig UoramirI slencsis. 1 era Is mild ectd cc otSitii \4thOth I triI1.t CDd Ign*I ?itet2t0n. 

05-Cs: Th*ir a mIld 61S bL-jj S With a armS ontr. Ii$.c hernSicfl. There Is rihtsklsd oetecphyti rie, There :s mild 

centS ornal sk,-css with efa mnt o4 iM ’/efl&rd herohrold spoca. There is no cord cornpralon. Th&s is mild 

right forsriThsi stenctlt. 

08-CT: Th&r Is a mild cl’ffuge c isQ bslgs wIth eMetr14ic riogs reluitrg in nliICl-rnt)der.stG bheteS forrninsl slenc’sis. 

CT-Ti: A mid lffuse cflr, ,- W94 with cscscph-g& ric’z results in mad cenir canS end focsmIrt stflesi& 

TI T2: fllert IS no zEsr, nerniat fl, enfrS eara( or rmineJ ntcr.USiA. 

No rjrm’tfl&r&l masses are id ti1ed. 

IMPRESS I ON: 

MULT1LVEL CERVCAL SEC NDYLOS!& MOST HOTADLE IN flt UPFE CERVICAL SPINE AT 04-CS WF4ICN 

RESULTS IN MLD CORD CQ IPRESSION WITH 1 INTFINSIC CCD S)GAL ,LTEkTlON, 

TkW4K YOU FOP THE COUP ESV OF THIS RErR&L, 

received on 61212009 4:49:1 PM [Eastern DayFghtiime] Confidential 

Admn Rec. 00410 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 40 of 58 PageID: 851
FROM : p-Z VIDEO FRX NO. 7322704267 Jun. 12 2009 05:41pM PD 

2.2. .2.2. 2 .j. ,. _E...LLL_21 M1.J _4c 

,f Tots Ri ver 

: 4"Zo Hospt Au; 

ajhs 102 

P  River. NJ G753 

n2)34g2DD7 

AO1OLOGY C ...SULTATIO aEPORT (CONT) 

eQFw4 QAMOOU M.D 

134 4OO?6AW 

TOM$ RrvER NJ QV$3- 

nt Manjmt RALPH VnOEV ’t1R 

WU.. .t37273 E1 20C465S1 

DittW GASRIEL F IVAWER 0.0. ott,s Dow. Mey fl 2O09 10:13:50 

tVE math: 1 3:61:43 Prrt Drn:z7.zDcsm3e:z3 ___________ 

De.ttd by GASRJEL PWAWES D.C. 

ned by: GAORfl WAWER D.O. 

?acsfWst kFirSEF 

rtsoæbS tWT7n: Q5Qfj 

t.tttpton twte at. xc 

received on 611212009 4:49:11 PM jEastem Daylight Time) 

Confidential 

Adrnin Rec. 00411 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 41 of 58 PageID: 852
FROM R-Z LJIDEO FAX NO. 7322704287 Jun. 12 2009 05:41FM PS 

BRICK FSYCHATPJC SERVICES, INC, 

ZU7,,F1QATi A. RAWUT MD 

Board Cwifitd ?c1ttth’t 

L541 Rowc srvest StdeJ 

Sictctwo, NY O-724 

Th22C2-O622 

(rac) 732-202-0 5 20 

Re F. iph Van Davn.ter 

To whom this ivav oncczm, 

Ra1p has ba a patleat bt this office 9/17/2008. He is suffering from 

depr4 sicn end nxety, At this flits he is not responding well to medication. 

He w11 =,=ms to 1oep re gull ax appointments If there. arQ suy ’further 

gun: ms, please do act beaitata to contact this oEEce. 

Sine: 

Zutfkar & 

received on /21109 4:49:11 PM [Eastern Daylight Time] 

Confidential 

Admin Rec. 00412 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 42 of 58 PageID: 853
Jun 0509 11:58a P, t 

fax 

Subject: (#718 # of pages in fax ino/udir,g cover sheet 9 

Dote: June 5, 2009 

To: Sherry Terry Phone Number: 7322-881-0506 

Phone Number: 866-822-8862 4202 Fox Number; 732-270-4287 

Fox Number: 518-880-6620 

From: - Roiph Von Deventer 

Comments: Dear Sherry, 

Please find in this facsimile: 

 copies of my cervical MPI report 

 the doctor’s script for Physical Therapy for oervioal treatment 

 my detailed letter of condition and expedence 

1 -wiltforwardontoyoct hopetullMcnday/Tuesday; my orthopedic: - surgeon’s office notes for tsitssinceMaroh 

and his note to put me out of work. He is not In today or you would have it already. PJ50, I will have an ttiflol 

cervical evaluation appointment on Monday with the physical therapist, That information will follow, Please set 

aside some time to review my detailed letter that describes my condition and expedences while on 510 and now 

at work. I will call to ensure that you have received these and discuss, 

noerely, 

UO 

received on 51512009 11:53:35 AM lEastern Daylight Time] 

Confidential 

Admin Rec. 00413 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 43 of 58 PageID: 854
Jun 0509 11:58a p.2 

Advanced Efcsz:) \ 

Medical Imaging 

of Toms River 

1430 Hooper Ave 

Toms River, NJ 08753 

(732) 349-2867 

DEBORAH CAMISCOLI M.D. 

1314 HOOPER AVE 

TOMS RIVER, NJ 08753- 

VANDEVENTER 

DOS MRN: 237273 E: E-00496581 

Exam ompleted: May 22, 2009 15:22:00 

Dictated byt GABRIEL Pt VAWER D.O. Dictated Date: May 25, 2009 10:13:50 

Approved Date: May 26, 2009 13:51:43 Print DateTflme: May 27, 2009 15:30:33 

Exams): 

CERVICAL SPINE OVATION .35 MR] 

HISTORY: NECK PAIN FOR THREE WEEKS. RIGHT-SIDED HEADACHES. 

......

- .................. ..................... 

flODflEflTt70Wn a I 2TSE axial iUFlESTK alariceTSSffPflndf or 3DG1RE 

FINDINGS: 

There is normal curvature of the cervical spine. There is grade 1 anterolisthesis of 07 on Ti There is no compression 

fracture. The cervicomedullary junction is intact. 

Evaluation of the individual levels demonstrates: 

02-03: There is no disc hemialion, central canal or foraminal stenosis, 

C3-04: A mild diffuse disc bulge with osteophyc ridge results in mild central canal and foraminal stenosis. 

C4-05: A mild-moderate diffuse disc bulge with osteophytic ridge results in mild central canal and moderate left greater 

than right foram inal stenosis. There is mild cord compression without intrinsic cord signal alteration. 

05-06: There is a mild disc bulge with a small central disc herniation. There is right-sided osteophytic ridge. There is mild 

central canal stenosis with effacement of the ventral subarachnoid space. There is no cord compression. There is mild 

right foramina[ stenosis. 

06-07: There is a mild diffuse disc bulge with osteophytic ridge resulting in mild-moderate bilateral foramina! stenosis. 

07-Ti: A mild diffuse disc bulge with osteophytic ridge results in mild central canal and foramina[ stenosis. 

T1-T2: There is no disc herniation, central canal or foraminal stenosis. 

No paravertebrai masses are identified. 

IMPRESSION: 

MULTI-LEVEL CERVICAL SPONDYLOSIS, MOST NOTABLE IN THE UPPER CERVICAL SPINE AT 04-05, WHICH 

RESULTS IN MILD CORD COMPRESSION WITHOUT INTRINSIC CORD SIGNAL ALTERATION. 

THANK YOU FOR THE COURTESY OF THIS REFERRAL. 

Confidential 

received on 615/2009 11:5:35 AM reastem Daylight Tlmej Admin Rec, 00414 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 44 of 58 PageID: 855
Jun 0509 11:59a p.3 

AMI of Toms River 

1430 Hooper Ave 

Suite 102 

Toms Fiver, NJ 06753 

(732) 349-2867 

RADIOLOGY CONSULTATION REPORT (CONT) 

DEBORAH CAMISCOLI M.D. 

1314 HOOFER AVE 

TOMS RIVER, NJ 08753- 

Patient Name: RALPH VANDEVENTER 

MRN: 237273 E#: E-00496581 

Dictated by: GABRIEL PIVAWER 0.0. Dictated Date: May 26, 2009 10:13:5C) 

Approved Date: May 26, 2009 13:51:43 Print tate/Time: Ivay 27,200915:30:33 

Dictated by: GABRIEL PIVAWER D.O. 

Electronically signed by: GABRIEL PIVAWER D.0, 

Transcript!on/sf: SHEISER 

Trarisc4bed DtIi7rne: 05126109 10:51 

Transcriber: SHEISER 

Trarisc’lplion Dale/lime: May 26, 2009 10:51:59 

Confidential 

received on 6/512009 11:53:35 AM [=eastern Daylight Time] Admin Rec. 00415 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 45 of 58 PageID: 856
Jun 3539 11:59a p ,4 

IRVW4G D. STROCISE MO,. P.A. 

ORThOP4c SURG 

OATS 

Su’rE 504 

27e ThR0 AVeM)0 

L.O>o ep,cNo NJ "40 

I 

PATIE j 7 

DIAGICEIS: 

£ )C 

TIMESP F0R: 

PROGRAM 

CONTiNUE 

j caANGE, 

1)I) NECK f 

P00 1 IWRIST 

/ SHOuLDER I I OTHER 

()IOEE (JANKLE 

II 

received on 51512009 11:53:35 AM tEastern Daylight Timel Confidential 

Admin Rec. 00416 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 46 of 58 PageID: 857
;..:in.s- -::: cc: 

Jun 05 09 12:01p PA 

fax ng \ s c n_ 

Subject,’ Case# # of pages in fox including cover sheet: 9 

Dale: June 5, 2009 

To: Sherry Terry Phone Number. 7322-551-0506 

Phone Number. 566-820-8561 x1202 Fax Number 732-270-4287 

Fox Number 578-580-6630 

From: Ralph Van Deventer 

Comments: Dear Sherry. 

Please find In this facsimile: 

 copies of my cervical MR] report 

 my detailed letter of condFflon and experience 

I will forward onto you, hopefully Monday/Tuesday, Try orthopedic surgeon’s office notes for visits since March 

and his note to put me out of work. He is not in today or you would have It already. Nsa. I will have an initial 

cervical evaluation oppointrnert on Monday with the physical therapist. That information will tallow. Please setaside some time to review my detailed letter that describes my condition and experiences while on ff10 and now 

of work. I will call to ensure that you have received these and discuss. 

Sincerely. 

aZML 

Confidential 

Admin Rec, 00417 

received on 515/2009 11:56:26 AM [Eastern Daylight time] 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 47 of 58 PageID: 858
Jun 05 09 12:01p p.2 

Advanced 

Medical ImaSg 

of Toms River 

1430 Hooper Ave 

Tome River, NJ 58753 

(732) 349-2867 

DEBORAJ-! CAMISCOLI M.D. 

1314 HOOFER AVE 

TOMS RIVER, NJ 38753- 

Patient Name: RALPH VANDEVENTER 

DOB: fl1 

Exam Como ci: May22, 2039 16:2 

MRN: 237273 Eft: E-00496561 

Dictated by GABRIEL PIVAWER DO. Dictated Date: May 25, 2039 10:13:53 

Approved Date: May 26, 2039 13:51:43 Print Date/Time: May 27, 2039 15:30:33 

Exam(s): 

CERVICAL SPINE OVATION iS MRI 

HISTORY: NECK PAIN FOR THREE WEEKS, RIGHT-SIDED HEADACHES, 

PRIOR EXAM: NONE. 

TECHNIQUE: SagittalTl FLAIR and T2FSEY axial 3E .... 

There is normal curvature of the cervical spine. There is grade 1 anterolisthesis of C7 on Ti. There is no compression 

fracture. The cervicomeduflary junction is intact. 

Evaluation of the individual levels demonstrates: 

C2-C3: There is no disc herniation, central canal or foraminal stenosis. 

C3-C4: A mild diffuse disc bulge with csteophytic ridge results in mild central canal and forarninal stenosis. 

04-CS: A mild-moderate diffuse disc bulge with osteophytic ridge results in mild central canal and moderate left greater 

than rightforaminal stenosis. There is mild cord compression without intrinsic cord signal alteration. 

C5-C6: There is a mild disc bulge with a small central disc hemniation. There is right-sided osteophytic ridge. There is mild 

central canal stenosis with effacement of the ventral subarachnoid space. There is no cord compression. There is mild 

right foraminal atenosis, 

06-07: Thee is a mild diffuse disc bulge with osteophytic ridge resulting in mild-moderate bilateral foramina( stenosis. 

07-T1: A mild diffuse disc bulge with osleophytic ridge results in mild central canal and foraminalstenosis, 

T1-T2: There is no disc herniation, central canal or foramina[ stenosis. 

No paravertebral masses are identified. 

IMPRESSION: 

MULTI-LEVEL CERVICAL SPONDYLOSIS, MOST NOTABLE IN THE UPPER CERVICAL SPINE AT 04-05, WHICH 

RESULTS IN MILD CORD COMPRESSION WITHOUT INTRINSIC CORD SIGNAL ALTERATION. 

THANK YOU FOR THE COURTESY OF THIS REFERRAL. 

received on 6151200 11 :56:26 AM [Eastern Oay5ght Time] 

Confidential 

Admin Rec. 00418 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 48 of 58 PageID: 859
Jun 05 09 12:01p P.3 

AM! of Tons River 

1430 Hooper Ave 

Suite 102 

Yams River, NJ 08753 

(7.32) 349-2867 

RADIOLOGY CONSULTATION REPORT (CONT) 

DEBORAH CAMISCOLI M.D. 

1314 HOOFER AVE 

TOMS RIVER, NJ 08753- 

Patient Name: RALPH VANDEVENTER 

MRF1: 237273 5Th E-00496561 

Dictated by: GABRIEL FIVAWER D.O. Dictated Date: May 26, 2009 10:1350 

Approved Date: May 25, 2009 13:51:43 Print Date/Time: May 27, 2009 15:30:33 

Dictated by: GABRIEL PIVAWER D.O. 

8ectronicailysicned by GABRIEL PIVAWER D.C. 

Trsnsc.riptionist: SHEJSER 

Transcribed Dt/r7mc: 05i25/09 10:51 

Transcdbert SHEISER 

Transcription Date/Time: May 2S, 2009 10:51:59 

Confidential 

Admin Rec, 00419 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 49 of 58 PageID: 860
Jun 05 09 12:02p 

p. 4 

IRVING D. STROUSE, M.D., PA 

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Confidential 

Admin Rec. 00420 

1 ,4?,RtAi’flfl0 ",,’A firM rFaren Davlinht timel 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 50 of 58 PageID: 861
Fron Van 

Jun 05 09 12:02p P.O 

June 3, 2009 

To: Sherry Terry 

15 Tech Valley Drive 

2nd Floor, Suite 3 

East Greenbush, New York 12061 

Re: Case #74518 

WWID# 10900 

Dear Sherry, 

This letter is in response to our telephone conversation June 3, 2009 regarding my LTD 

susryauLrecommeodationaofexLstep&aod_cleareLunthrstandmgof this unusual 

case. After our discussion, you asked me to write to you explaining my experience with 

the Reed Group, the medical reasons that placed me on disability and what has 

transpired during the past two months upon returning to work. 

My experience with the Reed Group and in particular, Christina Teta has been 

professional and thorough. She had been understanding and receptive to all my 

updates; we practically spoke on a weekly basis and medical documentation was 

continually faxed to her attention. Whatever she asked for or instructed me to do, I did. 

She knew my case well, was courteous and always responded to my voice mails. 

The reason for going on STD was twofold. My left achilles and my back problems made 

it impossible to do anything, let alone work. You have all the data and can tell that 

during the six months of seeing my orthopedic surgeon, physical therapy and pain 

management doctors, that my back has not responded to treatment. To this day I must 

endure pain in my back and sciatic. 

When it was apparent That my back was not getting any better, I inquired about the LTD 

process. I was informed that an application would be mailed to me, but it arrived late. 

When it was completed and faxed/mailed to the Reed Group, your organization required 

45 days to review it and make a decision. This review period would have put me past 

the STD deadline and placed me in a precarious position. I confirmed with Christina that 

according to policy, that once STD ends and I do not return to work, That I was 

terminated as an employee. I requested of Christina to see if this review could be 

Confidential 

received on 51512009 11:5e:26 AM CEasteim Daylight Time] Admin Rec. 00421 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 51 of 58 PageID: 862
Jun 05 09 12:02p p’s 

expedited before my STD ends because, being the sole income for my family (wile and 

4 children, 3 which are special needs), that J could not afford to not have an income or 

health benefits, Taking a chance on the decision process was a huge gamble For me 

given all who depend on me - with no guarantee of approval. This presented a real risk 

of no income, no benefits for my family, still sick with no way to pay for medical 

treatment and the futile thought of having to work sick elsewhere after 20 years with 

.J&J, contributing to the Plan for such an occasion as this. 

Christina agreed to relay this request to you and shortly thereafter called me and 

regretfully said that she was informed by you that I was denied LTD based on the 

Independent Medical Evaluation (NE). As you know, I had responded extensively to the 

IME report because there were many errors and mix-ups in it and it did not convey a 

true picture of my condition. I said to Christina that I could not believe that the LTD 

decision was based on an inaccurate 45 minute examination that trumped all the 

months of treatment by the doctors mentioned above. She told me and my wife that she 

was sorry and shocked, as we were that it turned out this way. I said to her that since I 

was denied and there is no time to appeal before my STD ends, that I had no choice in 

the matter but to crawl back to work, if necessary, and suffer for the benefit of my family. 

She then began the process of returning to work. 

It was arranged that I would return to work for 4 hours per day for a month. After that it 

-would-transitionto4uIltirpe.t.returnectoworlcunderd.uressforceddue -to the -LTD --------------------------

denial. Upon interview with the nurse and doctor at work, due to my obvious condition, 

thayaskedwhy–wa&nuthmLTDJawbicbJiepllnd,JbatJi&a&deniethdu&totheJME _ 

They were perplexed. As anticipated, I worked with much pain during the part time 

which then increased when required to work full time. I requested of management to 

modify my work schedule, a mixture of working at the office and home in an effort to 

alleviate some of the pain, i was asked to get a doctor’s note to this effect, which I did, 

and when I presented it, the request was rejected, fearing everybody in the department 

would make the same request. Yet, none of those employes are or were at that time 

injured of ill. 

After a couple weeks on the full time schedule, while working at my computer, I 

experienced a pain in my neck, which made it stiffen. The right side of my head began 

to hurt like a very bad headache. I never had this happen to me before, even when I 

was on STD. I was examined by the nurse and doctor at work and was returned to 

complete the day’s work. This pain in my neck and head has remained constant since 

then. I was examined by my orthopedic surgeon and x-rayed. He stated that I had a 

degenerated condition. He prescribed physical therapy, but I wanted to get an MRI done 

before anybody touched my neck. This was advised by my physical therapist and 

primary care physician. My MHI report showed multiple disk problems (bulges, stenosis 

and spinal cord compression)in all but one disk. I can hardly turn my head to either side, 

which makes driving to work dangerous. Opening my mouth to eat a sandwich is 

painful, causing pressure on my upper neck. All this, along with The never ending 

headache and pain in the entire length of the right side of my neck. Along with the still 

painful agony that plagues my back daily, 

received on 51512009 11:56:25 Ml EEasern Daylight Time) Confidential 

Admin Rec. 00422 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 52 of 58 PageID: 863
Jun 05 09 12:02p p.7 

My health and life has deteriorated even more since returning to work. I hardly sleep. 

have been sleeping in my reclining chair (the only thing that helps my back) Since 

September 2008. I have to take 800 mg Ibuprofen an hour before I leave for work and 

take Tylenol while at work. When I get home I have to resort to taking Mobic (antiinflammatory), Flexural (muscle relaxer) and Percocet for pain, in conjunction with ice 

packs on my back and neck while sifting the remainder of the night in my reclinirig chair 

- just so that I can make it to work the next day. My wife worries constantly each day 

whether I will make it to work and back. My kids don’t have the same father as they did 

a year ago. Meaning just simple play or attending any of their events. Which sadden 

them, they do not understand. I can do less now then when 1 was on STD and 

drastically less than a year ago. I was always very active, working since I was 14, 

served in the military and even built our house. I am well acquainted with pain, but this 

is different. I am afraid of what will happen next if something doesn’t change. I am even 

under the care of a psychiatrist who wants me to seek out a psychologist to work 

through the stresses of my health, work and what the future may hold for me and my 

family. I have not as yet been able to do this because I am not physically able to go, it 

takes too much out of me after working all day. I have yet to find someone who works 

on Saturdays. 

The reason why I give this lengthy Update is for you to understand who I am and the 

events that I have been through not only this last year, but especially these last 2 

montlis~: Of which, tha7rnost recant events, bcaotthe fact- th-atIwa. 

wrongly informed of my status were completely unnecessary. By this I mean that the 

pain per en ce tb TtDt tin 10 thdMTiUMtiUfl1t tiafli&Oed7Titis 

problem with my neck, more than likely could have been avoided it I was told the truth 

that, in fact, I was approved for LTD. I have been perplexed, stressed and disappointed 

to the point of depression that I was treated like nothing was really that wrong with me 

and [had no recourse. That I have no control over my life, that my life and the lives of 

my wife and children are deemed by the powers that be know matter how sick or 

horrible [feel. 

I would not have known this if I did not speak with Darlene Arroyo and Bill Wilkinson, 

who informed me that I was approved for LTD and that the IME was not considered in 

making this decision. This is completely opposite from what I was told by the Reed 

Group. As stated before I talked with Christine Teta weekly she told myself and my wife 

that you (Sherry) had denied me because of the IME and how sorry she was. That if I 

did not returned to work within the next few days I was terminated. Again, I would have 

and did crawl back there due to my family obligations. What would you do if you were 

the sole provider for you family, who would suffer if you were terminated from your job? 

It strikes fear and anxiety into your heart and soul. This has shocked and angered me 

and my family, to think that all this stress and pain could have been avoided and that my 

health maybe be better today if I was informed of my approval while on STD. I thought 

about if and wondered, why didn’t my decision to return to work after six months of STD 

with an application in for LTD benefits (that was approved) did not seem strange to 

anyone in the Reed Group? You yourself would have to sign off on that am I correct? 

received on 6151200 1:56:26 AM [Eastern )ayiight time 

Confidential 

Admin Rec. 00423 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 53 of 58 PageID: 864
Jun 05 09 12:03p P.8 

 Did it not seem odd that I fought for LTD, was approved and decided to return to work 

anyway? That makes no sense. Why was I not questioned. I was not informed what the 

rehabilitation status was all about. I thought it was an agreement between the Reed 

Group and J&J to ease me back into the work environment because of my so called 

denial. I did not know that it was and is part of LTD. 

That brings me to the advice of what to do next. As stated by your colleague on June 2, 

2009. If [choose to appeal and were to go back out on LID, it would be called an LTD 

relapse and that I would need a doctor’s note putting me out of work, doctor’s progress 

notes, any treatment documentation and test results since I returned to work. She also 

stated that I may need to have one of your doctors to cia another examination ([ME or 

functional examine). All this, of course, would occur while I’m in a pending status with no 

job, benefits, income and no guarantee of approval. This puts me back in the same 

precariods situation I was in before. What would I be appealing, my previous approval? 

Would I have even been told of my previous approval? 

After you spoke to Bill Wilkinson and we touch based you told me this was to be relooked at as a relapse which is very rare. This is not a relapse, but a continuation of my 

deteriorating condition. The problem with my neck is not a new injury, it is not acute, it is 

chronic. I never recovered from my back. I was and still am in agony daily. This is all a 

part of my chronic deteriorating spinal injuries. I have worked under false pretense and 

-have- suffered-both - physical ly-an& mentally foriLHwoul&bemore than happy- toadditional documentation. My new MRI, the plan for my PT, the doctors notes since 

---------myieturn-toworic--hirrecotnniendation-the-Grtho-ttrsewho-sees-rne*r-hea-t 

treatment so I am not so stiff that I can at least drive hattie etc. 

But I ask, why must I go through the approval process or an appeal as if this is a new 

injury or a relapse when in fact, this is the same condition t was previously approved for 

LTD, just progressing? Also, what benefit would it be to have another IME when the first 

one was not a factor and caused me great stress? If performed, don’t you think the 

evaluation will show that I am worse than before? I should not have to bear any of this 

do to the negligence of this whole nightmare. I have no problem periodically seeing your 

doctors to track my progression as well as sending you reports and updates from the 

medical professional I see on a regular basis. Yet to make me wait to see another 

doctor to see if I am qualified for LTD when I already was approved, but just not 

informed, is adding stress and insult to my injuries- I was approved. This is the protocol 

you told me. Well, I ask you this, what is the protocol for telling people they are not 

approved yet, when in fact they are? Allowing them to go back to work rolling the dice 

to see if the get better or if their condition worsens? - 

It was left to me over the last two months going down every avenue, which was 

extremely frustrating adding to my distress, to finally get in touch with the right people 

Darlene and Bill. The shocking truth first from Darlene Arroyo and then Bill Wilkinson 

that I was approved was appalling to me to say the least That I would be left to suffer 

for no reason? That if I never pressed this issue I would still be in the dark suffering, 

wondering what would become of me and my family. Do you know what kind of weight 

received on e1512609 1156:26 AM rEasterr, Daylight time] Confidential 

Admin Rec. 00424 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 54 of 58 PageID: 865
Jun 05 09 12:03p P.9 

that is to carry, not knowing if YOU can move the next day then to worry if I will still have 

a job? I have worked for J&J for twenty years, I expected better then I have been given. 

Both Darlene and Bill were as shocked and perplexed by this obvious tremendous error 

on your part as I was. Again, from my first day back the Ortho nurse and doctor, 

including my own physician, along with my coworkers who see me in person were 

dumbstruck by my condition wondering why I was not approved for long term disability. I 

know you must handle a lot of cases, but I am a person with a life, not a number to be 

judged by paper, You need to put a face on me or put yourself or your spouse in the 

same boat lam now in. If my tone sounds angry it is. Would you not feel the same way 

had this, God forbid, happened to you or your family member? I had to write this 

freehand and have my wife type it out. After a full day I am unable to sit once again at a 

desk and type for any length of time. 

I fight to come to work everyday. My life was bad before, well it is worse now. As far as 

Ortho is concerned, this is not on me or them, it is on the Reed Group. It was 

unprofessional to say the least and not only devastating to me and my family, but 

negligent on the part of the Reed Group which has cost me so much. 

If there wherever a case of extenuating circumstances, this would be it In all actuality, 

because of this error, I should not be suffering here another day. Yet, I am forced to be 

here. -.You may-think.. I- -must not- be too bad-if he is working? Wel I.-F- am- barl ey- kvo rk! ng jI 

have NO choice in the matter. Everyday I pray I will get there and back. Do you know 

my back, it always has. I have always been unshakable, but this is my livelihood, my 

families future depends on my actions. So I do what has to be done no matter the 

suffering to me. But, if I continue down this road I afraid I may not be well enough to 

continue, then what? 

To sum this all up - the bottom line is this. Based on my new MR[ results, my doctor’s 

plan of treatment, office visit documents and a note from him stating I should be out on 

LTD should suffice, I should not have to be evaluated by your doctor to approve me 

when I am already approved. My health should not suffer one more day due to the Reed 

Group’s doing and negligence. I should not be here another day longer, the right thing to 

do is to let me go out on LTD so I don’t have to suffer another day longer. I was an 

innocent bystander who was kept in the dark. Please let me know ASAP. 

Sincerely, 

Ralph Van Deventer 

Cc: B. Wilkinson 

Confidential 

received on 61512009 11:56:26 AM[Eastern Daylight Time) Admin Rec. 00425 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 55 of 58 PageID: 866
 Complete Items 1, 2, and 3,AJso complete - 

Item 4 if Restricted Delivery is desired 

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so that we can return the card to you. ’ Reh .sOid1? ~7m..C.’Pt; of OeVvery 

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or on the front if space permits. 

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Confidential 

Admin Rec. 00426 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 56 of 58 PageID: 867
4RSGruvp n_ 

I5t’tfley flte 

2 floor, &iite 

Eag Greethuth, New York 12M1 

April 8, 2009 

a 

Ralph R. Van Deventer Jr. 

Case #: 74518 

WvVID#: 10900 

Dear Ralph Van Deventer Jr.: 

We are writing to you regarding your claim for Long Term Disability (LTD) status, After a careful review 

of your claim, it is our decision that you are no longer eligible to receive benefits under the Johnson & 

......Johnson LTD- Plan. Your LTD status and all-associated-benefits-wiff-be.-ter-m.inated. on- 04/05/2009,.- 

04/06/2009 and as required by the Plan: 

"in no event, however, shall a Participant be considered Totally Disabled for the purpose of 

this Plan, and no benefit under this Plan shall be payable on or after the date the 

Participant becomes self-employed or returns to work for pay with the Employer or any 

other employer, other than rehabilitation employment pursuant to Article V or work which is 

otherwise approved be the Plan Administrator or its authorized representative;" 

You have a right to appeal this decision. A request for an appeal must be submitted in writing and 

signed by you or a duly authorized representative. It must state specifically the reason why you are 

requesting a review and must be filed with Reed Group no later than one hundred eighty (180) days from 

your receipt of this notice. You must include any new facts or new medical information you consider 

important for the appeal. Upon request, you will be provided with copies of all documents relevant to 

your claim. 

Reed Group’s Appeal Administrator will provide you with a full and fair review of your claim and this 

denial decision. The review on appeal will take into account all comments, documents, records and 

other information submitted that relates to the claim, even if not previously submitted or not considered in 

the initial decision. The review on appeal will be without deference to the initial decision and it will be 

conducted by the Appeals Administrator, who was not involved in this initial decision. 

The decision of the Appeals Administrator will be made within forty-five (45) days after the request for 

review is received, unless special circumstances require an extension of time for processing the review. 

Should an extension be required, you will be notified in writing prior to the expiration of the forty-five (45) 

day period. Where Reed Group seeks additional information from you, you will have forty-five (45) days 

to provide it, Reed Group will notify you of its decision within forty-five (45) days of the date you provide 

Confidential 

Admin Rec. 00427 

T.,’h \/M, flrh, I Ondflnnr ,’ito ’ Pf flrnnK,]h RIY 17flS11 SSR-R9QRR1I Fv 51S-RR0-AR10 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 57 of 58 PageID: 868
IrA I- 1PMdrnup ieVQI 

2’ Floor. &jltw 3- 

F,st Greertuth, New York 12M 

that information or if you fall to provide it, within forty-five (45) days of the date your period for furnishing 

the information expires. 

A request for appeal should be submitted to: 

Reed Group 

ATTN: Appeals Department 

10155 Westmoor Drive 

Suite 210 

Westminster, CO 80021 

All the facts and circumstances of your case will be thoroughly reviewed, should you exercise your right 

to appeal the denial of your claim. If you follow the above procedures and your appeal is denied, you 

have the right to a second level appeal and will be advised of those instructions at that time. 

If you have any questions or concerns regarding your claim, please call us at (866) 829-8861 

Thank You, 

Sherry Terry 

Reed Group 

Cc: Corporate Benefits 

Confidential 

- Admin Rec. 00428 

 II 0+ k, ,k MV I IflOI I _OPPI I Roy- I RSRflRRIfl 

Case 3:10-cv-06344-PGS-DEA Document 14-13 Filed 05/13/11 Page 58 of 58 PageID: 869