SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF NASSAU
---X Index No.: 604159/2020 MARIANNE MYERS,
Plaintiff,
NOTICE OF MEDICAL
-against- EXPERT WITNESS AND
MEDICAL EXCHANGE RKP SERVICE INC. d/b/a RAINBOW CAR WASH,
KEVIN DEGIRMENCI AND JODIE DOCKOW a/k/a JODIE ROMAN, VINCENT RAZZANO and MARIA RAZZANO,
Defendants.
---X
PLEASE TAKE NOTICE, that pursuant to Uniform Rule 202.17, CPLR 3101(d) and CPLR 3121, the defendants VINCENT RAZZANO and MARIA RAZZANO, LLC, intend to call the following medical expert witnesses to testify at trial:
Jerry L. Ellstein, M.D 166 East Main Street
Huntington, New York 11743 Regarding plaintiff MARIANNE MYERS
(a) The substance of facts and opinions on which the expert will testify is his examination of the plaintiff Marianne Myers’ radiographic films, x-rays and/or MRI films and his complete review of the pertinent documentation contained in the defendant’s litigation file. A copy of Dr. Ellstein’s report and CV is annexed hereto.
The defendants hereby reserve the right to amend and/or supplement this notice prior to the trial of the within action as information, opinions, and/or substance of facts become known to the defendants.
DATED: Garden City, New York
April 29, 2021 Yours, etc.,
LAW OFFICE OF CHARLES F. HARMS, JR.
BY:
MICHAEL A. BUFFA Attorneys for Defendants
VINCENT RAZZANO and MARIA RAZZANO 990 Stewart Avenue – Suite 400
Garden City, NY 11530 (516) 493-4492
Matter #: 20-005055-15
MARIANNE MYERS 301 Mineola Boulevard Mineola, NY 11501 (516)294-2666
O’CONNOR, O’CONNOR, HINTZ & DEVENEY Attorneys for Defendants
RKP SERVICE INC. d/b/a RAINBOW CAR WASH, KEVIN DEGIRMENCI AND
JODIE DOCKOW a/k/a JODIE ROMAN 1 Huntington Quadrangle
Melville, NY 11747 (631) 777-2330
Jeny L. Ellstein, M.D., F.A.C.S. Neal Hochwald, M.D., F.A.C.S. Kamal D. Dagly, M.D., F.A.C S.
SURGERY AND REHABILITATION OF THE HAND & WRIST, ELBOW & SHOULDER, MICROSURGERY
HUNTINGTON PLAINVIEW
166 East Main Street BAY SHORE
700 Old Country Road 53 Brentwood Road
suite 202 Huntington, New York 11743 Suite A
Plainview, New York 11803 (631) 427-4263 Bay Shore, New York 11706
FAX: (631) 427-4279
____ ____
March·23, 2021
Law Office of Charles F. Harms, Jr.
ATTN: Selena Stigall 990 Stewart Avenue Suite 400
Garden City, NY 11530
Re: Marianne Myers
DOB: 11/22/46
Case ID #: 21343646
Claim #: 382875-GK / 20 005055
D/A: 6/6/18
To Whom It May Concern:
At your request, the following report is an Orthopedic Hand Specialty Independent Medic 1
Examination on Ms. Marianne Myers who I examined in my Plainview office on 3/23/21. T1 a
history provided to me is from Ms. Myers, supplemented by the medical records that you hat 3 forwarded. COVID-19 protocol was followed at the time of exam.
HISTORY OF PRESENT ILLNESS: Ms. Myers is a 74-year-old, right-hand-dominant female. S1 3 is currently retired. She worked for 40 years for a cardiologist. She had a job at Home Depot an 1 ultimately at Home Goods.
On 6/6/18 she went to buy a gift car wash for a friend. She was leaving the car wash and tripped o 1 the sidewalk, landing on her left side. She states she sustained a laceration to her chin, a fracture t f her left wrist, and bruised her left knee.
She went to First Med Medical in Hicksville. She drove herself to her sister's house inusediatel / after the injury. Her brother drove her first to the urgent-care center where her chin laceration we
sutured. An x-ray of her left wrist was taken. She was advised she had a fracture and then went t >
Winthrop Hospital.
Initially, she was stabilized in a splint. She followed up with Dr. Glenn Teplitz. Surgical treatme1 t with open reduction and internal fixation of her left wrist was carried out a few days after the injurs . The surgery was ambulatory, being discharged the same day. She was in a soft cast for a period c f time and then an Ace wrap. Although she states that therapy had been recommended, she was nt t able to go secondary to family obligations; she had to watch her grandchild. She bought som
supplies and did therapy on her own. She advised me she was okay. She continued to receiv :
follow-up care for about six months.
In 2020, she states her left wrist started bothering her again. She was advised that she had arthritis it the base of her left thumb and needed surgery. She wanted to hold off due to the corona virus. Sle states she is planning on having surgery on the left hand in the Spring of 2021.
She denies prior or subsequent injuries to her left wrist. She states she has had arthritis in her ldt thumb prior to the accident, but she states that the fall aggravated it. She was not clear as to wh¢ n her symptoms began, but she did not seek medication attention for her left thumb, to the best of n y knowledge, for two years. The complaints related to her left thumb, she states, did not happen unill some time later. She thought at first it was her left wrist that was troubling her.
Ms. Myers denies having seen Dr. Teplitz or any other surgeon for her left thumb prior to tl e accident. Dr. Teplitz also told her that she has arthritis at the base of her right thumb and will ultimately need surgery on it as well.
There is no current treatment for her left wrist or left thumb. She was given a support for her thuir b by Dr. Teplitz but she found it impossible for her to use. Between washing her hands and takir g care of her grandchild, she states she could not use it. She takes Tylenol Arthritis every day ft r arthritis overall, not specifically for her left wrist or hand. She denies balance problems.
PAST MEDICAL HISTORY: Pertinent for arthritis for which she takes Tylenol. She tak¢ s Amlodipine for Raynaud's disease, but she states it does not help her. She sees a neurologist ft r migraines and takes Imitrex. She also has restless legs syndrome and takes another medication ft r that. History of a right shoulder rotator cuff tear; she was advised tó have surgery but did not war t it. The right shoulder rotator cuff tear preceded the fall on her outstretched left hand. She also has a history of bilateral knee arthritis which preexisted the fall. She gets Euflexxa injections to her kneer .
PAST SURGICAL HISTORY: To her left wrist. Also, hysterectomy; laminectomy 35 years ago.
ALLERGIES: Levaquin.
PHYSICAL EXAMINATION: A physical exam was carried out. Ms. Myers'
physical descriptio 1 matches the photo identification on her New York State driver's license. She is 5'3", 130 pound: ,
and has gray hair and hazel eyes.
Dermatologic Exam: There is an 8cm-long scar on the volar-radial aspect of the left wrist over th3 flexor carpi radialis tendon, nontender. This is from her wrist surgery.
Musculoskeletal Exam: On inspection, there is enlargemeñt of right and left thumbs at th e
carpometscacpal joints, with enlargement of the right thumb greater than the left side. There an little arthritic changes at the PIP and DIP joints of her fingers.
Finger range of motion is full and symmetrical with range of motion of her digits of 0/85 at M
joints, 0/110 at PIP joints, and 0/75 at DIP joints, index through small fingers, bilaterally.
Page 3... March 23, 2021
Re: Marianne Myers
DOB: 11/22/46
She has syniniotrical Hexion and extension of her thumbs. There is ligamentous laxity of the uln r collateral ligament, Grade 3, on both right and left thumbs, as there is little motion at her thun b carpometaca2pal joints. There is tenderness to palpation over the base of her right and left thum s with discomfort on palpation on both of them.
Range of motion of both shoulders was performed. There are 90 degrees of abduction of the rig1t shoulder and 150 on the left (180 is normal). There are 100 degrees of flexion of the right should sr compared to 170 on the left, with 180 degrees being normal. External rotation of right and kft shoulders was symmetrical, n9rmal at 60 degrees for her. Internal rotation was to L1 bilaterally. .
Elbow range of motion, also measured with a goniometer, was from zero degrees of extension to 1"0 degrees of flexion bilaterally (normal measurements).
With wrist range of motion, also recorded with a goniometer, there are 70 degrees of dorsiflexicn bilaterally (normal measurements). There are 90 degrees of palmar flexion bilaterally (norm 11 measurements). There are 20 degrees of radial deviation and 50 degrees of ulnar deviaticn bilaterally (normal). There are 90 degrees of supination and pronation in both forearms without pa n bilaterally (normal nicanurements). There is a stable distal radiou1nar joint. There is no joi it effusion. There is no evidence of carpal instability pattern either.
There is no tenderness over the first dorsal compartment. There is no evidence of deQuervain 's disease.
. .
Vascular Exam: All fingers are well perfused with good color and capillary refill at this time in spit e of her history of Raynaud's disease. To touch, both hands are the same temperature. There is a 2 F radial pulse.
Neurologic Exam: Fine motor coordination is intact. There is no tremor. There is no intrinsip muscle atrophy or weakness. There is no pain with gripping or pinching. Abductor pollicis breyfs strength is motor level 5/5.
REVIEW OF MEDICAL RECORDS:
- Plaintiff's Verified Bill of Particulars, Index #604159/2020. This lists an open reduction an) internal fixation of the left distal radius, as well as a cortisone injection to the rig1 t carpometacarpal.
- Records from Dr. Mark Grossman of 7/6/18 with refereñce to her right shoulder, unrelated to this accident. He gives a diagnosis of rotator cuff arthropathy. There is mention that she broke he
wrist on the left and is having issues now with her right because she is favoring it. The purpos ) of the visit was follow up right shoulder after injection, wants another. A steroid injection wa s administered to the right shoulder at that time.
- Continued visits with Dr. Grossman of 7/6/18 and another injection given to the left shoulder a b that visit.
- Further visits of 7/6/18 for follow-up of the right shoulder, wants another injection. It w is performed that day.
- Further visits of 1/7/19 in which right rotator cuff arthropathy was mentioned and that Ms. Mye s did not want surgery. She would rather leave it alone and she wishes another injection. Th at was provided that day by Dr. Grossman.
- At the visit of 1/7/19, Dr. Grossman advised her that she really needs a replacement but she refus :s that. Will try one more injection and follow up in three months. He injected her right should :r at that time.
- Visit with Dr. Grossman of 9/20/19 for bilateral shoulder pain, right worse than left. He mentioys a massive rotator cuff tear. She comes here for x-rays to see what surgery may be necessar 7.
She also wishes injections for now. Dr. Grossman felt that she would need a right should r arthroplasty, called a reverse total shoulder. She was not interested. He states that he will do injections in both shoulders with follow up in three months. At this follow-up of 9/20/1 ), injections to her shoulders were given.
- Preoperative medical clearance note on Ms. Myers of 6/12/18.
- Records of 6/6/18 with reference to treatment for surgery to the left wrist.
- Winthrop Univeisity Hospital emergency room, 6/6/18. Report that 'there had been improve1 alignment of the wrist with a cast or splint in place from the emergency room.
- Emergency room notes of left wrist hematoma block being administered. The left wrist wt s
reduced under fluoroscopic guidance and a sugar-tong splint was placed.
- CAT scan of the left wrist performed on 6/6/18 mentions a mildly commimited distal radit 1 metaphyseal fracture with intraarticular extension including displacement and depression. Th3 impression was comminuted impacted distal radius fracture with intraarticular extension win foreshortening of the fracture fragments
- X-rays, three views of left wrist, 6/6/18, post reduction, showing slightly improved alignment c f the distal radius. Another report mentions no significant improvement in alignment after car t and reduction.
- ProHealth Urgent Care records dated 2/10/20 with a history of a trip-and-fall while walking o 1 cement sidewalk and fell on her outstretched hand, now has a laceration to chin of 1cm an 1 deformity of left wrist with acute onset moderate pain and stiffness with edema. There was n >
head or neck pain, paresthesias, loss of consciousness or other joint complaints. The impressio 1 was a fracture of the left wrist, as well as laceration to her chin repaired.
- Outpatient records of 6/15/18 for treatment of a fractured left distal radius. Additional pat t medical history listed of gastroesophageal reflux with esophagitis, osteoporosis, osteoarthritin diverticulosis, allergies to antibiotics, long-term use of aspirin, and a personal history of nicotin dependence.
Page 5... March 23, 2021
Re: Marianne Myers
DOB: 11/22/46
- Operative report dated 6/15/18, surgeon Dr. Teplitz. The diagnosis was comminated intraarticuhr left distal radius fracture. The operative procedure was open reduction and internal fixation 3f left intraarticular distal radius fracture with fluoroscopy and Hand Innovations DVR plaie;
cortisone injection right carpometacarpal joint.
- Photocopy images of a wrist with an internal fixation plate in place. The fracture reducti n appears anatomic.
- Medical records from Dr. Gregory Sirounian with regard to left knee pain of 5/23/16. The e continue on 6/13/16, 6/20/16, 8/28/17.
- Report from Dr. Teplitz of 2/7/17 with respect to right thumb carpometacarpal joint arthrit s.
Bilateral thumb x-rays were obtained. The impression was traumatic arthropathy of right hat d and left hand. The limitations and injections were reviewed she's had to this time; she wish )s additional third. The procedure that's available for CMC arthroplasty was discussed. Mentitn of referral to Nassau Radiology for the injection. Further notes from Dr. Teplitz of 2/7/17 wi h regard to arthritis in her thumbs.
- Dr. Teplitz states in the visit of 6/11/18, "She has been seen by me in the past for CMC arthrit. s and has received numerous injections to her right thumb in the past, approximately three. SI e states that since this particular fall, this has been quite exacerbated. She does present again with significant deformity of the right CMC, as well as a sugar-tong splint on the left upper extremity."
- Follow-up visit for the left wrist fracture was on 9/4/18. X-ray report of left wrist, 9/4/18, showin g a fracture in good alignment.
- Further reports from Dr. Teplitz are of 5/25/18, 6/25/18, 6/11/18, 12/27/18, 12/21/18, 12/21/19.
She had been diagnosed with right wrist synovitis as well. She was discharged to be seen on a follow-up basis.
- X-ray report of left wrist from ProHealth describing a comminuted intraarticular fracture of the le 1 distal radius.
- Therapeutic injection via ultrasound guided to the right hand of 3/24/17. Ultrasound guide 1 injection to the right thumb on 3/24/17.
- MRI report without contrast of the right shoulder sliewing glenohumeral joint arthritis, tor i retracted tendon of long head of the biceps, and massive rotator cuff tear.
- X-ray report of bilateral shoulders showing high-riding right humeral head which contacts th:
undersurface of the acromion, suggesting significant underlying rotator cuff tear. The le t shoulder has acromioclavicular joint arthrosis manifested by joint space narrowing and margim l osteophytes. Additional x-ray reports of both shoulders of 9/20/19 with similar findings.
- X-ray report of the right elbow showing no fracture or malalignment. There is questionable sma i joint effusion. There were no bony erosive changes.
- X-ray of the left wrist, 7/23/18, showing distal radius volar plate and screw construct inta t.
Progressive heling of the distal radius and moderate degenerative changes of the first ClV C joint.
- X-ray report of 6/11/18, left wrist, shows a comminuted acute fracture of the distal rad 11 metaphysis with intraarticular extension.
- X-rays on a disc show an oblique x-ray of the left wrist without identification showing a displac d intraarticular fracture of the left distal radius. On the lateral view, the fracture is volarly flexc 1.
On the AP view, the intraarticular extension between the scaphoid and lunate facet is seen.
SUMMARY: In summary, I have had an opportunity to obtain a medical history, perform a physic d exam, and review the medical records on Ms. Marianne Myers. By history, Ms. Myers had fallen < n her outstretched left hand resulting in a left distal radius fracture, intraarticular and comminute 1.
Surgical treatment was carried out by Dr. Teplitz with open reduction and internal fixation. C n review of the medical records, there was preexistent bilateral basilar thumb joint arthritis for whic h treatment had been rendered long before this wrist injury. Even by Ms. Myers'
history to me, h -r thumb didn't start bothering her on the left side where her wrist fracture was until some time after 1 e wrist injury.
If the history provided to me is correct, then the fall on her outstretched hand is the cause for the le 1 wrist injury. The bilateral basilar thumb joint arthritis is preevistent The right shoulder rotator cu f tear is preexistent. The bilateral knee arthritis is preexistent. There is no active'treatment for the le t wrist. She has recovered and regained excellent range of motion of her left wrist.
Any treatment for her thumbs is not causally related to this accident.
I state that I am a physician authorized by law to practice in the State of New York, am not a party O
this proceeding, am the physician who subscribed to the attached report, have read the same at 1 know the contents thereof; that the same is true to my knowledge, except as to the matters stated O
be on information and belief, and as to these matters, I believe it to be true.
The above-captioned patient is examined in accordance with the restrictive rules concerning a 1 independent medical examination. It is, therefore, understood that no doctor-patient relationshi 3 exists or is implied by this examination. The patient is examined with reference to the specifò complaints emanating from the original injury. Any other medical conditions which are eith r unreported or felt to be unrelated to the original injury are considered to be beyond the purview t f this examination.
I certify and affirm that the foregoing report is true to the best of my knowledge under the penaltio of perjury pursuant to CPLR Section 2106.
Since
rry L. 1 ste , . , .A.C.S.
JLE/aac CO -
JERRY L. ELLSTE[N, M.D.
LONG ISLAND HAND CENTER
WORK EXPERIENCE
1984-1991 East Huntington CC.opedio Group
1991-Present Hand Surgery Associates of Long Island P.C.
EDUCATION
Syracuse University College of Engineering BS
Syracuse, New York Biosystems Engineering 1973
Autonomous University of Medical School MD
Guadalajara, Mexico 1973-77
Guadalajara, Jalisco, Mexico
New York University Medical Center 1975-77
New York, New York Clinical Clerkships and
Preceptorships
Mt. Sinai Medical Center School of Medicine 1977-78
Elmhurst Hospital Fifth Pathway
Elmhurst, New York
Mt. Sinai Hospital Medical Center 1978-79
New York, New York Straight General
Surgery1ntemship
State University of New York Medical Center 1979-83
Stony Brook, New York Orthopedic Peidency
St. Vincent's Hospital Indiana Center for 1983-84
Indianapolis, Indiana Surgery of the Hand
IIand Surgery Fellow
ADDITIONAL TRAINING
Columbia University College of Physicians Summer
and Surgeons 1972
Mercy Hospital Extern in OB-GYN 1976 - 1 sho,
Rockville Centre, New York
HIP Center of New York Extern in Medicine 1976 - 1 to.
University of South Flonda AO Course on Intemal April 1480 Pixation of Fractums
University of Louisville Microsurgery Laboratory August 983
Louisville, Kentucky Course Participant
CERTIFICATIONS AND LICENSURF,S
Specialty and Subspecialty Boards
Orthopaedic Surgery Board-Certified July 26, 986
Recort 2
Hand Surgery CAQ 1989
Certificate of Added Recert 2þ26 Qualification - ABOS
Medical Licensures
New York 136138 1978
Other Licensureg
ECFMO 1976
FLEX 1978
DEA Registration Available upon request
Workers'
Compensation Registration Available upon request
MEMBERSHIP IN PROFESSIONAL AND SCIENTIFIC SOCIETIES
American Medical Association 1986 Member
American Academy of Orthopaedic Surgeons 1988 Fellow
American Society for Surgery of the Hand 1988 Member
American Collego of Surgeons 1988 Fellow
American College of Surgeons -Long Is. 1992 Fellow
New York State Medical Society 1986 Member
New York State Orthopaedio Society 1986 Member
New York Society for Surgery of the Hand 1987 Past President
Long Island Orthopaedic Society 1986 Member
Suffolk County Acadcm-f of Medicine 1986 Member
FIOSPITAL AFFILTATIONS
1984-Present University Hospital at Stony Bmok, New York
Attending-Hand Surgery/Orthopedics
Assistant Clinical Professor of Orthopedic Surgery 1984-1988 Team Member
- Microsurgical Replantation Team
Jerry L. Ellstein, M.D.- Page 3
HOSPITAL APFILIATIONS - continued
1984-Present Huntington Hospital, Huntington, New York
Attending-Orthopedic Surgery
1987-Present Long Island Jewish Medical Center, New Hyde Park
Attending-Hand Surgery/Orthopedics
1996-Present North Shore University Hospital at Glen Cove
Olen Cove, New York
Attending-Hand Surgery/Orthopedics
1998-Present Winthrop-University Hospital/Mineola, NY
Consultant Hand Surgery/Orthopedics
1984-1993 Northport VA Hospital, Northport, New York
Consultant-Hand Surgery/Orthopedics
1997-Present Southside Hospital, Bay Shore, New York
Consultant--Hand Surgery/Orthopedics
2004-Present North Shore University Hospital at Syosset, Syosset, New York Attending-Hand Surgery/Orthopedics
2004-Present North Shore University Hospital at Plainview, Plainview, Attending-Hand Surgery/Orthopedics
2/13/07-Present St Catherinc of Siena Medical Center, Smithtown, NY Attending-Hand Surgery/Orthopedics
2008-Present Oood Samaritan Hospital Medical Center, West Tslip, NY
Consultant-Hand Surgery/Orthopedics
VOLUNTEER ACTIVITIES
United Cerebral Palsy Association of Gitater Suffolk, Inc.
159 Indian Head Road Commack, NY 11725
Consultant, Hand/Upper Extremity Clinic
North Shore-Long Island Jewish Schneider Children'sHospital 269-01 766
Avenue
New Hyde Park, NY 11040
Monthly Clinic- IIand/Upper Extremity Disorders 1990-1997
CURRENT POSITIONS
Past President 2008 - 2009
The New York Society for Surgery of the Hand
Director, 2008 Hand Surgery Review Course 10/11/2008
Sponsored by the NYSSH and Co!=bi:: College of Physicians and Surgeons
1984 - Badalamente, Hurst, Ellstein & Stracher, "Inhibition of Neural and Muscle Degeneration after Epineural Neurorrhaphy", Journal of Hand Surgery, Vol 9A, pages 564-572, t984.
1985 - Badalamente, Hurst, Ellstein & McDevitt, "The Pathobiology of the Human Neuroma: An Electron Microscopic and Biochemical Study", Journal of Hand Surgery, Vol. 10B, pages 49-53, 1985.
1988 - Steichen, Powell & Ellstein "Plexor Tendon Performance in Digital Replentations and Revascularizations", HAND SURGERY Vol III, Editor, Raul Tubiana, Saunders, 1988.
1990 - Ellstein & Strickland, "Rheamatoid Disorders of the Hand and Wrist", Principles and Practicc of Orthopasdic Suractv. Dee & Hurst, McGraw-Hill, 1990.
1996 - Ellstein & Strickland, "Rhaumatoid Disorders of the Hand and Wrist",
Principles and Practice of Orthopaedic Surgery. Revised Edition, Dee &Hurst,
McGraw-Hill, 1996.
PRESENTATIONS
ASSH - 38th Annual Meeting Anaheim March 1983
"Electrical Stimulation of Healing Flexor Tendons"
International Symposium on Medical and Tokushima, Japan August 1983 Biclegical Aspects of Protease Inhibitors
"Effects of Protease Inhibitor Leupoptin after Epineural Neurorrhaphy"
International Hand Society Meeting B!^^sington, IN October 1983
"Fne Tissue Transfer in the Upper Extremity"
New York Academy of Scienco New York November 1983
"Inhibition of Neural and Muscle Degeneration after Epineural Neurorrhaphy"
Tendon Symposium Philadelphia 1984
"Management of Flexor Tendon injury Associated with Digital Replantation or Revascularization"
RECENT CME ACTIVITIES
American Society for 46th Annual Meeting 10/2-5/1991 27
Surgery of the Hand Orlando
American Society for Regional Review Course-NY 10/19-20/1991 14.25
Surgery of the Hand Hand Surgery (speaker)
International Hand Society Annual Meeting - Paris 5/1992 35
American Society for Regional Review Course-NY 10/17-18/1992 15
Surgery of the Hand
Jerry L. Ellstein, M.D.- Page 5
RECENT CME ACTIVITIES-continued
American Society for 47th Annual Meeting I1/l1-14/1992 26.5
Surgery of the Hand . Phoenix
American Educational 1992-1993 Medical-Legal 2/15-19/1993 20
institute, he. Update
Steamboat Springs
Huntington Hospital Tumor Board 1992-1993 1
American Society for 1993 Regional (NY) 10/30-31/1993 12.5
Surgery of the Hand
American Society for 48th Annual Meeting 9/29-10/2/1993 26.5
Surgery of the Hand Kansas City
Long Island Jewish Med. Ctr. orthopaedio GrandRounds 1993-1994 8
Ame!e:= Society for Course-Disordas of the Wrla 5/23-25/1994 24.25
Surgery of the Hand Diagnosis and 0perative Treatment Rochester, MN
American Society for 49th Annual Meeting 10/25-29/1994 26.5
Surgery of the Hand Cincinnati
American PWucational 1994-1995 Medical-Logal 2/20-24/1995 20
hstitute, Inc. Update - Steamboat Springs
American Society for 50th Annual Meeting 9/12-16/1995 26.5
Surgery of the Hand San Francisco
American F4ucational 1995-1996 2/19-23/1996 20
Institute, Inc. Computers in Medie!ne
American Society for 51st Annual Meeting 9/30-10/4/1996 29.75
Surgery of the Hand Nashville
Long Island Jewish Med. Ctr. Orthapacdic Grand Rounds 1995-1996 2
American Educational Computers in Medicine 2/17-21/1997 10
Institute, he.
American Society for 52nd Annual Meeting 9/10-14/1997 25
Surgery of the Hand Denver
American llducational Salt Lake City 2/20-24/1998 10
Institute, Inc.
Long Island Jewish Med. Cte. Orthopaedic Grand Rounds 1997-1998 11
