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' ' ' �� - � - , y�*'iri..'i?;a�`�. ..'r, �,�.�?J�Iti.•'',F�.`�,��t�f.: -1/�. „� . . . fi.•.:i,�:',�: �j,: �., , .t. . . � ' '�}„ i',-?i C'sL . � � . i'i.. !'. . ..;i1�3��yG'� t .��YV"+ S`Ya".S.��tTxl.r�.S..,�Td7"'a`.i�..��.'1, S..t-' � � . r, , ... , .. ii,�. � .. . - � � � . . � , � . � ' ' � . � . � . . . . .. .' • , . . • . , .. , � � ' ,' ' ., . . . ' ' , . ' , ' ' . . ' • , � , ' . ' .. � ' i ' , � . . � . . ' . �`I.•. ' k, . I . ' , li . , • ' ' . � , ' � . , � ' . � ' �54�� r .�. . ' ' . �� . ��, t . , . . , � � . �jG' ' . � ' . • 't , � ' ' ' '.,*,� . . ' . � , . ' � ' . . � . . ' . . . .. � . . i. . �): f i,: 3' , s ' . . . , . . . . • ' • . ��� a�. , , � • . . . , , . �.' � � ° . ACTION AGENDA � . , • �• '``{ ' '. . . � �� Saard af -Trustees o# the �mplvyees' Pensian �und � . � � ,j'F �f ;,. : . . . ' .' . . '. . � � . . , . May 2, 1994 � , • � � , �. . 3;' _ , � . • . � ' , . . 9:00 A.M. � . , . . �: . , . . f . , , „ . , . �_,:;�� ;,;, . � � , � ., . � . . , . . . . , ' . , ; �s' ,' .. �. . . ' � � ' ' . ' � ° ' ` � ' �;, ,, . . ; . ' . 1. ' Call to ord�r � . � ' 1 9:00 a.m. � � � �. ' . . . ����F � � � � � � . � � . � . � . ,�;��.. : . . . . � 2. A�prova! of Minutes 2. �,Approved. as. submitted. � ' , , � �. of4118194 . � ' � -� ' � � , � , � , : . ,,. . , . . ., . � , l . � ,� . , L��� . ' � 3. . Request for acc��pt�ence ' � 3. Approved.` • . , . . � �. . , � irrto ,membership: ' � . � . . � . . �. , � . � . . .��' �. : ' � ' � ,. , . , � • � . � . . ' . � � a} Debora L. Merlina � � � . . . . , . : - � ' . bj �.ouis C. 5mith, Jr. � � . ' , , . , . � ' cj Richard A. 6unton . . . � ' . � , . � . � � � � � , d� P�tiilip G. Manson ,' � ' 1 . � . , . � . • � . ,. ;. . � . � . . . , . �� 4. � . Job-Connected aisa�ility Per�sion � 4. . �iemancled tt� F'AC. Mr. �cMullerr • . r�. .' ; . . � � ta be grarited: � � � to be placed in iight dut�� �tisition , . � - : , ` � ' . � � untii resalved. . � - � � � � •� Do�ald McMuiten . � . . ` � : ' . , � , � � � . ' . ' ' . � 5. . Oth�r Business: • . � � ' S. None. � � � � . , . 1 : fi. Adjourr�ment: , ' � �. 9:20 a.rr�. ' , �. ' � . , , i � , � , . , , �cr° '� - : . • . , �r�..�.iw � � �� � .� , ' • ' ' . ; � ti. � ' � ' ' . ' , � �, .. ,� . ,. �,�'';!'. . ��. . .. �. . ' "� . ' • . ' " - :' . . • ' � � ' � '� ` , i., '• . , ' ' , ' , � . °� ' TRUST��S OF TH� �MPLOYEES' PEN510tr! FUND 4t�� � � � � `�-`. � � Meeling Date: 512/9„� � �;�- .� - � Agenda Cover . Memorandum , � R ;. � - , l� . � � Subject: � j Membcrshfp in �mplayces' Pensinn F'inn � �'. s � Recommendation/Mot�on; ,, , , � ' Employee(s) listed bclow b� s�cccpted into the Employees' Fer�sion Plnn as rerommendeci by the Pensian Ac4visory Committce. � � ❑ and titi�t ihe appropriake officials be authorized ka execute same. ' Fl�ACKGROUND: � � N�me and 3� �,],ass Dent./Div. Dcbora L. Merlir�a, Recre��tian Leuder Parks. & Recreatinn Louis C. Smith, Jr., Rccreation Pier Oper. Marine Richard A. Runton, Maint. ti'Vork�r II �Pub. Wks./Pub. �Ser. Phillip G. Mansnn, M�i�t. Wvrker II Pub. Wks.IPub. Ser. Seriic�rity D��te '7/28/8 G 7/1 J9 t � 3/? 1/94 3/21 /94 Pcnsion Fffectixe�7�� 2/22/9�4 3/2 I /9� 3/2 I /94 3/2 I /9a Pt��;c Revt�wed by: Ori�Ins�ti�� Dc� :� CastS: Commisston Action;, Hunusn Rcsaurccs Totnl l.cgal NA � ❑ Appruvaci F3uciget NA . ❑ Apprn�cd w/condilinns Purckiusin�; �.1i • � Llscr Dc�t.: Currcnt FY ❑ Dc�tiied Etis1; M�;tnt. ��i ❑ Contin�cd to: ClS �, NA r�ncling Saurce: ACM Advertised: ❑ CUgt. Im�. Othcr NA I]ntc: ❑ Operuting ,ti; • 1'aper: ❑ Other Attucliments: Submitted l�y: itv Mun � No� rcquirc� � Aft'ectc�f partics Appropriut9oii Codc; L,etter(s} ❑ Natil'i��! � Not rcguircd ❑ Noric :d • �1 . ' , � , , , , � , ' 1 , � • • ' . � ' , ' . . ', , •. Y ' . �' . . � ' ; . . � . ' . . 1 . i • j - 1 , ' � . . .1 , . ' .. � ' , . .. ' . . , ' ' 1 ' � .I' .3 ' , E' �. , . . , , r. . , .. , .}, , . t ' . ..1, . 3 ",i . . � � . ` . � . ' ' � ' . � . .. 1 . . � ,. ;I. '' ,t '�' � �4' . � � _ •E.�. i . ' , ' ' ' , . ... � � � . ', .., , � �. .� " �I . � . , . ,. , �° ' .�_•�art'�:�;?�a;'',j�.t'�;,, „a�E� . ' _ . , . , ' . , . . • ' ' . 'tic:'' �ar• yii�:... �r . ��'A .� .:gs',..f1f �.a! 5.�.«.. ..' �' Es.�,� .... . . ' � . ... ' ' ` . � - , • ' � , ' . ` . . y.. . „� .�r�,, . ... . . . . . . , . � ., '' s, i ¢� . . �t , . � . . �• • . , , . ' . , , . . . , ' . � � ., ;' ♦ • � ; . ' � , � ; . ' . . � ' � CITY �� CLLr1RtiVA1`ER ' ' I;�:',-' ' ,� ' �'►1+II'l.OXI:ES' F'�NSION PLAN, � . . � , , . ;�;, �� , � , I'�NSION ADYISURY COMMITTCC � I . . �". � ' TO: � Pensson Trustces ' - � ' ' ;�,� . . � . . �s ; . . , � , . . '�5�: � ' ' . . . �� � rfiOM; �ension Advisary Committec . . , ,'. SUI�JCCI'; Recoinrnendotian tar Acc�ptance into Pensian Plun . . � �f' ' �, , , • . , , � .DATE: . April 6, 1994 ' ' �; . ,. . � '. As Trustecs of the City af CIeurwater Empinyees' Pe�sion, �und, you 1re horeby, notified that the � '�., employee(s) �listed Bclow havc bcen� duly examined by a Iocal physicinn nnd e�ch has been � � designated ns a"first class risk,'. ' � ��'�: . , � . �'� These cmplayecs ure eligible for pension membership as noted in th� • Pansion Eligibility � Dut� �'. column bclow, nnd it is the recammendatinn o�, thc Pensian Advisory Cammittee that they be �, �� � acceptcct into membership. , , � , � � ,' • . Pension �iig. � Nnme._,��� Cj,�ss. & Dept./Div; ' Birth Dnte Hire ��te . L�Ate � Ir.' • , � '. , , Debora L: Merlitta, Recreation Lcader 311 Q/6 3 � 712 818 6 2/22/9� w , Parks & Recreatian Departrnent , � *E:nployea hireci fcom �ertnnnent • � � , ' �part-t#me � to fu11-timc permanent status. - � , , Hira d�te re�iects dnte hired as permanent ' �, � , part-time. ' .. ', �, Lnuis C. Smith, Jr., Recreatioa Pier � 313/'3 S' 7! ! 191 - 3/21/94 * ' Operator, Mnrinc Department „ . � *EmpIoyce hired from permanent � i� . part-ti[ne to fuli-tirrte �ermanent stutus. � ` Hire date reflects date hired as perrrznnent � , ' � part-time. , . , Richurd A. Buntan, Maintonanze 9/29158 3121/94 3/21/9h Worker II, Pu61ic �VarkslPubIic Scrvice ' �• Phiilip G. Mansan, Mainteaance 3/6/5 2 3/2 !/94 ' 3/21/94 �, � Watker II, P�blic Warks, Pub�ic Scrvice � ' � �� � , . .. . � . , a A ,t �, , °`�, ` TRlIST��S OF THE EMPLOYECS' PENSION FUND � � ��,� Agenda Cover Memorandum ..�.r..�.�..�.�.�. Subject: Pensson to bc Grar�ted R�commendati4n/Motfon: . Itrrn 1t ._. MoflSing D�te: � 2/9 �4 Do»nld McMullen, Police Officer, Po�ice De��rtment, bc grunted a job-connected ciisability pension und�r Section(s) 2.397 and/or 2.399 af tne Emplayees' Pensian Plan as recorrimended by thc Pension Advisory Cammittec. ❑ and that t�e appropriate ufficials bo �utharized to execute same. BACKGRQUND: Don��d McMullen, PoZicc Offfccr, i'olice DepArtment, 1V�5 cmpl�yed by the City un June 3C}, 19$6, and bc�;an p�rtici�ating in the I'ension 1'lan on August i 8, 198G, On M�jy 7, 1993, hc injured his b1c� irt a palicc cruiser accident whil� workin� which is thc basis for f�is rcqucst f'a r tlii� job-ec�nneecec� cli5:�b's!'sty perisian, Mr. McT��iullen hss submit�ed letters from Dr. Brian Olivcr, datecl MArct� 8, 1994; Dr. William Docison, dated 114arch 1S, 1994, and Fcbruary 14, �994; Dr. H. B. Angstadt, c��7ted Februnry 25, 1994; and Dr. 3�sepS� Sen,�, d�ted March 3, 1993; and an MRI re�ort dated 3unc Z5, 1993, in support af h i s rcquest for a disability �ension. This pen5ion will be effective at thc expiration of his vacf�tion and sick �eave as �roruted with �Vorkers' Compens7tion. The letter from Dr. Oli�er states, "Tffc patien� has suf'fered a Inw hack i��jury associated wiUi his work activity which is permanent in nature, T�ie jnb requir�mcnts.,.would nol b� .�ble t� b c nerCormed at an adequate level thut would b� requircd of a poiice officer. Thsse activities in h i s curr�nt job could certainly make his meciic;.ci condition �vorse." T�ie Eetter from Dc. llodson states, "Ti�e above captionec3 patient �vas invoIvcd in an accide��t on ihe jab on (}SI[)7193 wl�osc resultarit injuries will prc:venc him frorn norR�z�I pnlice putrol duties, .sucl� a5 repctitive liftin�;, bending, climbing, run�ing, ar�d jt�mpin�, �ermnnent�y." Thc letter from Dr. Angstadt st��tcs, "...the patient iy not a gaUd cand'sdate for Curlhcr duty due ta nat liaving t17e ability to run, jump, t�cnd i'orward for any excessiv� time and nat to Zif't inore tt�an 2U-30 Ibs. at a timc." Pa�e Etcvlewcd by: Le�al NA �ill(��;C[ ��► Purrhnsin� NA. Risk M�tnt. ��.. CIS N A ACM Other N A SuUr�ylttcd by; MF�nnecr Origit�uting Dept: Humnn Rcsourccs,� User Dcpt.: Aclvcrtised: D.ite: Pnper: � Not r�quircd Affected parties ❑ Noti1'ied (� Not rcyuired Costs: ��.55. i 2�i Tr�tat Currcnt rY �ur�dir�g Sourcc: ❑ Cnpt. Imp. Q Apccating ❑ OtEicr j?� �'p�ic�n Appr��riation Code: �,d�i-47410-53�LU�-585 Ca�nmission Action: ❑ f\pproved ❑ Approveti WICOqlJ1I1011S ❑ DC111CCI ❑ Continued to: Atluchmcnts: l.cttcr(s) ❑ Nonc � - ...s�.��... .�.� ���' .i' ' ' 1, .l ' r , l; .4�•: . � .� . i� � � � ' " ' . , •. . . ' %l`. ' . ' ' ;1[ ,f. ;�f4,` , �i � . .. . . '� . � ' ' � . . . . , , " . ' _ � ' ' ' � . �.� ' �� ' v ' ' ''� t , . ' . 1f�1 i.�" 1 . ' � • �•. •'� .l. �. _ ` , . . . . .,� ; . . . � i v , � " � � '' .,i. .� . � . . , . . � • . �t � . • . . , . . . . , '.tr 1:r.: I. t' � '.t. '��' . . � � /''' f ' . . . ' . , . . ' ' • � , .. � . 1. . ' ' '�� . ' S � � . ' < ' . . .. . . ' . ' • ' ' ' r . � � � .� - ., ' �;1 , . . ' . .'. . . �� . 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' , r ' . . i � ..' .' f a ��'(s, , •.U> ��r5 �f" � ij.. a:. �. . . . �4� � � , � • . . � .. _ ' , `� � ..��'I ��' ,�f1'�� :s � �, vi' .. . � . 37 . , .�r, ''a• - . ' : . .. � , F ,f' .. � :�r : y ��t.i� .%:..k:';�ti 'E` .if ".�'�.:�4�s?�,�j'i'`ti�",,;,}.1.p �La.0 } . ' ;.t- �:'s;, �':.:,�" ;`i��:r��.a`,.s:.#, �.� .o�;� .r ,y �1 Li�` ��i. "f.aTS�r.�:_ ..i". .�' =��y�� 1,] . 1 . �1. ut r. ♦,f e ..f!'.. �•Fi� s �,�:'�h.�C ��"' � �'e� ..i�.}F� ., r. hl' `� �I{t \{ � u.�� .�.x� . �.:c 'i�.9S�...;.. .�°:' %1��� ,`S'` . �t:F� �.k�. tl's . L .:.5!�< <i�.;=i:�'i:= .. ':t,' !'f '.� � :. . `' . ' . �p. � �' i'.� f t.: . . . j•.,.:. �.. , r l t� Q�i i�s i-. .i. �rl. 'r: °','s�` ai.. �`i' ,. w4t> �r,`:,. � ��.:: f•'. .�:�� ,. S"�1� 1.. .ti. 3 l,'•.',�.. � 'S7ai .. .�d'�=°� t.. 'i_ 'iif�:. . . 1'��. . . . . . . . . :r: �`�'e �,' ' � �' � • .� � '. . . - ' . ; , . � ' . ' . � . . ' t ' . � � . i . � � � . . � ' . � . ' ` ` �ar�'���. . . ` ' . • . ' , � ` , . ' � . .` . . . . �. .. ' ! .r � ' . , ' � . � .. l:.�' ' '1. !' ' � ' �i. . , , ��. ' � i .�. : .,. '1 ' ' �,. ' • .. . • ' � ' ,. . .' . . i: �r� „��Ag�nda .. Item-Donnld MaMu�fen ', � - . , . � „ , ,. ,. . ; , .. . . :, , . . ,,: �'��: ps�ge: 2 . ' � . . • . , . � � , � . ' � . • • . . ; . � � � . �;<' M�y 2; ]994 � '. . . . S , . . . • � � , � . , , , � � . ,. . . . . . , , � . , , , . . . , . . , , , ,, , , . . , . . . ,� : ; , . . . , , . , . , . .. .. �. . . , , , , , , � . :��..Mr, 'McMullen's pension was. Approved .by • the PAC at �its, meeting' on April 6! 1994. B�tsed on. a n .��:.>nverri�e , salflry � of• �pgroximateiy �3G,S 13 aver th� pnst : five `years � nnc[ , the farmulA for computing : � ' . , job"-cvnr�ected dis�ibility � pensions; this .pensior� vvill �pproximnce $27,385 ..nnnually. Charts ,,� 'from F�n�nce� which . ta�te . into, cnnsideratinn mort�lity rates � and 'A�e reflcct �tl�e "present vulue cost �. �,. <' .� c►f �financ�ng" t�is pension � wilE � be�� approxim�tely $3S5,124'. � � . , � � � . � , . . �, . . • - . ; � � , . , . . � ' �. . � ' .. . . , : . . • , .. , . ;; � ,• . .. >.. ,. � . �'• � ,, �. . . . �. . � � ' ..� , ... . � . .., -. .•, • , . '., . '.. , . ., : .. .. ` �,. , � .. . , ..�.� .�.' ; ..r�t . . [ , .' i ', '. ,• � , .'', � . , . . . ' , .. .. , 1 � . • . ' . � � ,.' . E, ' ' . � '� � � � � ' ' .. . " " � � i � . = i `' � � . .� ' . '. . � 1 . .. , , ' . , f , � ' � . . . . . ' � . . . , , . . . , ' , 1 � r . • ' � . . • . � � . . , ' . .. .� � ' ' ' f � � ' ' . ' �. . �, e ' . ' . . ' . . , ' ' ' � � ' � ' ' ' . ' . ' . , � � . . ; , . . , o . � . . , 4 , � ' , , � , , . r�r�.•. . . .. � . . . . _ .. . . _ , . ' ' . . . � 5 . ' , i , ' , , . . ' . ' ' . - '' . . ' ' . ' � ' ' . . . . � . ., . ' • ' . . ' . . . . . . , � . ' I ' . . � �f •A,i . r , . ; '1� . ' ' . � . . ' , . o {' � . ' I , . ' . • ' ` � •' . ' � . ' . � ' . � � ' . ' . � i.v � i 1 i. � � .. , ' . ' , � . � � , � � � .r ; . . . - . . . . • • • • . , � i � �. � 1 � ' � �' .. � I ' • ' . ' ' . � . . . , i � . . , . f:',' F�.'�,I; ' . , ' . . ' � ' ' . ' . . ' . q ' 3.!' .�}�. :yk`�e�ltR'S., :k." � .�fiai .• , . . . . . , � . . ��:4� � . . .. �fe } _ , :.�: . J`., , � t. . ` i •. e. .. ,. .. ' � .. � . r . . . . . . • � � • � . , : r ' ' �' .. . . ' � ' . . ' , . • � . /lj��rAr1ii�,,` �W , ' s��'�`.i'►Larr.rj , , . , • ' '`'��� r�..ytiC�� �y . ,,, ;(, �,, -� ; ,, C Y T Y, �0► F C L E A R W A T E R ;�� _.... ,�a . � ,� � ��: ; � �os7 OFFICE BOx 4»e , ���jf_A ,��b���� • � CI.EARWAT�R, FL4RlDA 34818•A746 ,. �r' r I� ! . '� J/I//�f�/ • � Human He�ourcqa Departmenl a»raez�aio . '�C?. ��onorable .Mayor and Members ,of the City. Commission as Trustees of the • En�ployees' Pcnsion Plan � . � • FR�M: Pension Advisory Committee , , � COPIFS: llor�ald McMullen; Debbic Bailey, P�yro�l Services Manager; Risk Mnnngement ; � SUB7EC'I`; Pension f'nr ponald NicMulleci—Job-Connected 1]isability Pension � , DATE: April 6, 1994 Tlie Pension Advisory Cummittee {PAC) rcceived an n�plication for disability �1CR5iOR from Donaid McA4ullen on February ZS, t994. � . � Mr. McM�llen has �ecn detcrmined by tlie Pension Advisory Commi�tec cn meet the requirements of the PenSian Pl�n #'or a job-cas�nccted disability pension, I'iC W�15 cmpinycd by tl�e City on J��i� 30, 1986, and begun participating in tl�c Peiision Piun on . AUgu�t 13, 1986. Further, I�e has subntiitted medical documcntation, c�pies ai �vhich nrc � attachcd, relativ� ta his disability whic� h7s becn revicwcd and ap�raved by thc PAC. By m4tio� mz�dc and duly carried at its meetir�g of A�ril 6, 1994, ihe Pension � Advisory Cammittec �pproved/recommcnded the �ranting nf �i job-cannected clisat�ility �cnsio� t� Mr. M�;Mu!!en in uccardance with provisions of Scction 2.397 of tl�e City Codc. This pension is to bc effcctiv� �n a datc to bc cictcrmined, Tlie :�mnunt nf N[r. McNIu�lcn's pcnsion wi!! bc c�ilcu�atc:c� t�y t}�c Finrince� Dc�nrtmcnt according to ihe formuia in t}�e Yension 1'1¢fn for job-cannnected di5ability pensian at such time as his lust �vc ycars of scrvice unc� sainry c�n bc camputcc�. • I hereby certify that the Pcnsion Advisory Cantmittee Eias upproved the granting of tt job- , con�ected disabiliry pensian for pon�ld McMt�llen nnd th� :�have dates are correct, i i - � ?'�M }�i,.l? __-- , � C!� ir an, Pe •i�n Acivisory - Committec ��¢1 ' "�qual Employmaitit and A}lirmative AcSfon Employer" � � . . , . , , , _ . , ; ,. . . ' • � ' - � ' ' , � , ,� . • � .. , . , . �, � � , � • , ' : , �• ' � r � , � � . . . , r . . � , , , � . � . � . . � , . < < . � ; . , • „ , � , , � , • ,. , .. , , , , . ' � . , . ., . . . . , �' , , � . - . ; ... � , . . •_., : �.. . �;�w,..� ,S � , , �r , , . . .., ,..!`t[�;:�r. , . . � , . . , - . • . _ . . .. . , ..r.. .. , . � . ... . . .... . . . . . . . �. . . . .. i. . .. � � �� . . . � . ' , ' ' � ' . . ' - PL�lS14N REQUEST FQRNI � . � . . �'4 > k`� , ' �' Donald A. McMulien _: do hcreby appiy f�r retirement �frqm the' City�af Clc�rwaccr' G�neral Employces' Pensian Plan. . ' .� My bettefits dat� is August 18, 1986 (�ntrp date into peusion pian) ' � . . My date of hire is June 30, 1.986 5eptember 23, i961, . , biy biz�thday is •. ��4iy �ob ClaSSi�"icatipn is Palice O�Eicer ans� I work � � �� . in the . Pol��� Department._ _ ��, � Division. � _ - • �1 y resignation date is �� be determa.n�d . • � � �� '�'he tygc Qt pc�sioa for w�ic� I am agp�Ytng is (cticcic �n�y ouc?: . � Regular PEAStO[1 bssed an years af service � � .. � x ,Iob-t�nnccLt�d Disabiiit� Pensioa . . Non-�ab-cnnnected Disabilitr Peasiun . - My spouse`5 aame is: 5tacey � . . � � Dependenc c�ildren und�r itse age of IS and residing in my hause#�aid are: . (Qrint t�i�d's Fuil �Na.�e} �. —...._. .(C�ild's Dato vi Birchi I hereay certiiy aIl ar tti� a6ovc to ix uuc and corrcct: r � • � � _ (S��eb�zua� 25, 199g - — �%' . � � (Dace) � . C . ; � (Nataxy F'ubiic) �or,��r �rstre sr�ar� oF F�cRroa . . � ' �#1' C014fISSIOH €XP SEpT.24��994 ' �Qit�'1i� 7Nrtl� GLH�RAL IHS. tfTJU � ;�.�. .. � � � _ ,;:= . ' ,�� ' - ' . , . ; • � . . , . .. `, , , ' ' (- � , , , . - ' � , � ' • � , . .• ,.. ' . , . .` . ' : . � , ' Ir.i � . . ,1 • ' . . . . . . . . , � • � . . . � � � , . ' [ . ' ' . . �. � � . � , ,l . �.' . ' � . . ' . � . ., i ' ' • , . ' �. . . • ' . I s[ . ' �� . . . , . f . . • . . . , ` . 1" � � � � � ' ' . , ' � � . � � • , '� t r , t ' . . . . , . . . . ' '. ..t .r '�4 :77�'�: '��.I 2�iiY-. � s . . . . , . . . . � S t... . r � . ., . � . .. � � '.l:�.. ,... . . �•fr:�if'. .,._ . . .. ,. . . . , , , .." . .. .� . � . . . . � '; ' ' . 1 , < � . . ; � 1 . � .. - h'� � � : r �v.. _. t . .... . .. , . . . ''', ' , � � CITY OF CI.�r1.R�VATE� � ' ' � ' �'. . . ... f: . �, B: v, e � � . G�NER�L EI�IPi�YEES' PENSFON PL�N ' ' . � � • , - OPTIONS - POLICE 0�`YC�RS � QPTI4N #I: Emplayees c�n rceeivc a letrup sum g�yrracnt � fot� v�c�tsor� �r�d ' . ; � -�olid�y pay and 11? of eccrued sick leavc � at the ' time� of � � separation frart� the Gity. �Tt�erc wili be no 8�'n deduction for. . , � peRSioa from this lump sum payment nor witI this amouni ' . �' eoant .as e�rning5 in the calcu3ac�an� of the �ensian. The Iast � � �� day of worlc wiE! be the termination datc and pension benefits '� � , ' will hegia the foliowing day. OpTIQN �2: Emgluye� csn E:�IElId cermina�ioa date by the tirric due for . � � .(Only avaifahle to vacacion. hoiiday. pay, and � 1/? of accrued sicSc leave. � empi4yees hired . Termina�ioa daae wijl 6e ttte fiu�l . day of extended time. . priar to 10l119t3} Pension I]CRCiltS will begin thc fotlowin� day, . O�'TION TM3: �iuployees can split their �ccumulnt�d sick time at (Only , avai�able to one•quar�er pay and one•quaeter early recircment �ime. Thac � empfayees• f�irecf porciun �cceived as ,oue•quarcer pay wili rtot have S�o . prior tn 1011/90) �eductad fqr pension nor wil! ic counc as earnin�s in �he . calculasion ar citc pensiort. The p��ction appiied �r�ward exrky � � �' retirernent time wiil hc subjec[ to �lte 44o pension deduction � and wi�t. caunt as c�cnings fvr peasion calcutacior�s. Termination date ��iIl be t�e fiaai day of extcnded cime; � .� � pension benciits w9ll be�in � the foflowing day. . � ��M if �1 Y ti 1� 4 � i1 if #' ]k �f f[ M Af %[ i[ Ft 1[ K s Y� ' �. _ Donaid A: McMu7.ien ,�n �mployce of the CiEy ot . Clearwater, hereby apply far p�nsion bencfics unc#er the C.JZneral Ecnpioyees' Peasian Plari. � . I hcreby certify that I fulty understant! tize thrce options offcred zo rne. I ck�oose to retir� using Op�ion n / and wish uiy bcnefits to bc calculatcd undcr this optioa. . I undcrstand that once this form is sigried, my dCCi � II is ' voca , . El�LOYEE'S SIGyATURE. SOCI,4L SECURITY �: . 263,-81.—z44� � S, ApDR�SS: 35�0 Grsen Glen CircLe ��� Palm Harbor, FL 3�4684 . � 1/j a� , r/'�DA.I.E: Febr.uary 2S, 1994 , 1� . ,. . . m 0 . -......��� �. � F': ;`�. �. � ��%�-�� . � . ' ' '., . . , : . . � �. . �. ' , � ' , } . . • „ - . . , � , . • � , , � . ,. � �}7 ' . . . . . ' , , , � ' . . • , . . ' . i.. • . ' ' � . •... -' ; , , � ' . � 3 .` �;', ,�, � 1 , � . r`. . j ' �,1 � i'•I ' , '• � , . . ' ' ' • ' ' , , . . � ' , � 4. ,. r.1 ! .. '1 � . . ' . �, , ' ( ' . ' , � . � i . . , r . , r . . ' � r , � , ' . � . ' � ' t . ' � � � ' . g' ;,;s;: ' ,, r ' .. t ;ti� , � ' � . .� ' . ' ' � . . ' , , .. . .' �' • . . . . � � . ,it, j. l.i ' , ��.,1 '4� , ' , '. ` • �.. . � . I• ' � �, , ' . ' , • , ' � ' ' . . , , r. . • f . � .. . - ., � � . , . . � . . . � . E . . . . � { � ! � . . . ' `��.'.;���'.i,jSJ���,i��i�'a �..�`.� '1�0. , '. . . . �� � , ••' r ' � �� • • ,• � .� . � • . �, f�;�S.y.�; ' if � a F`�.- �'2. i.:ll��.' .. V.xi�i3. ,.3 �.. , . _ �.s�, .. ':�z. ,.. �°t'i3`:,l:n:s-.r-.,. k�. .. . . � "!! . .�r�� , .� ... . . . . . f . . . i . .� . , ... .. . , � .. . „ ,n . . � :. , .. . .� , �i . . ' . . � ' . . . ' . . ; . . . � � ' , ' ' ' � ' . • . , ' . . ' �� , . . . . . .IIII�.�'[r.C� ' � � , . � ' �R...'.:��r� ' ' . i ��' , '� ��e ALL FL41tID�A� Ok'THC7►PAEDIC A55QCIAT�ES � : . � , Rabcrt G. H�miZton, M.D. , � � � , . : . � � ` Lawrcrice M. Gnagc, M.D. . � . � . Brctt'R. Bolhofncr, M.D. � � . , Da�c G, Bramict, M.D. � � � � • , . � Clinton B. Davis, M.D. , . ��� . Mazch 15, 139� .. � , City q� Clearwa�ex.Advisory Human Resources � At�n: •Aebbie Fnrd �- P.O. Sax 47�8 � � Clearwat.er, FL 34518 '� � Re: � M�cMullen, Donald Pt�:. 40073 SSN: 26]. 8Z 10�fi � . . ". . , . To Whom Zt May ConG�rn: ' , ' ',� � The�above cap�ioned patient was invalved i.n an acaident on the job on 45/07/93 Wr1d5@ resul�anti znjuries wiJ,l.Qrevent him �rom nflrmal police patral duties, such as repetiti�e lifting, b��nding, cli.mbi.ng, runni.ng and jumping, perman�ntl.y. �. if I may� b� o� fuz�.hez. assistance oz provide add�tional a.nfarma��an, p�ease �ee� �ree to ca�} me.� - S�.ncere�y xours, ' � . . Ctntad by ...l�_ . 1-� . �t �Igned fn 3tis/her abs ca to �ypld �� .. I�i m�iling. Wil.la.am W. nadson, M.D. � �• WWD% rtb . . • � , cC' to: , . ' � Donald McMul��n '. � , �. � • �3520•Gre�nglen Circle �� .' � , Palm Har�ar, �'L 34664 � < . . , , � . �60� 4th Strcet Norch �• St. Pecersburg; Florida 33703 •(813) 527-5272 • Fax (813) 522-7�f2 ,. , � e .,. ., � . . , .. . � . ' , . , f, , . . • ' • . 'e ,'�� � . .' �` , . �, _ . _ . . � • . .. . , .. . nr�r r.. rr --_ _— i��'' . � ; �, t. ,. � t i ��r : � . , ;� , �� s F � � T, ,l1 '. , , . . , • , r . . . . . , . . . ' ' , . . � . � .( , ,� ' ' . � ' � . .ALL FLORIDA ORxH�PA�DTC AS54CiAT�S � � • �46q0 �OURTH STR��T NORTH ' ST. P�TERSBURG, Ft, 337d3 , (813) �a2�-527Z • . � PROGRESS NOTE NAM�: MCMULLEN, DONA%D .� , PT#� : �n07'3 � • , ' AGE : � 3 Z . � � REF: D/A:. 05/0'1/93 � , AATE: p2/14/94 � , , �at�ent is a 32 year old, right-handed ma�.e who s�ates� that wh.i].e an the �ob on 05/Q7/93, he was the seat--and-shoul.der be].��d dr�.ver of a vehicl.e i.nvol.ved zn a co1l.i.sion fzom the �ear, He sta�es that he did , no� �.ose consca.ousness and ha.s body did no� impac� ttt� inter�.ox of the vehi.cle . .Immedi.at�e],y after �he accident, he had thp onsat of back �nd neck pain. Accordinq to wY�at Yte rer�emb�rs now, the n�ek pain da.d nat � radiate vr caUSe numbness, bu� �h� back �ain did radi�te down his 1ef� le� al�hough there was no num�ness or loss of bowe� vr blacider control , He states ��at neck x--rays were originall.y sa�.d i:o b� � , nega�ive for fxacture. Later, an MRI was done of �he c--spine, ti- spine and 1-sp�.ne and �tia.s ShQwed L�-S1 ,t�ezniation and Grade x spondyloli,sthesi.s. Despite tr�a�men� wi�.h medicati.ons and therapy, he con�i.nues to have this neck and back pa�n, wha.ch restricts hzs aha.lity to lift, b�nd, run or jump. PAST HISTORY: A1,lergzes to Penic,i].lin. Surgery h�.s�ory nec�a�,ive, Fracture his�ory status post righ�. wzis� £raC�.ure, hea�ed. Medications are Motrin and Soma. X-rays oi �he C anc3 � spines ar� nega�ive £or 1'arge displ.acement and frac�ure. MRI o� the L-spine shvws the abave-men�ioned L5-S1 herni.ation and Grade I sponc�yl.o�is�hesis. � PHYSICAL EXAMINATIOI�: iJpan pal�a�ion of �he sp�.ne, there's no poit�t tendexness . However,. there is same b�,J�ateral muscle tigh�ness ir� �- the C� and L� 'zegions�. C-�spine range of �ot�on is withi.n functa.ona�. lim�.ts . L--spine range o� mc�tions shows some �.ack. in the f 7.exion ab�].zty secondary to onset o� woxse back pain. S�raight ].eg rai.se is currently negative bilatarally.� Heel and �oe walk�.ng abiZ��y i� � good. Great t�e extensor sitrength is 5J�. Strength of the f�.exors and ex�ensors of the bilateral elbows, wri.st� and finger ai�ductors is 5/5. Pin-prick sensation a.s symmetza.c in �he bilateral upper and � 1.ower ex�zemit�.es. R�flexes are 2� at bi�.a�eral biceps, tri.ceps, bzachioradia,li�, knees and ankl.es. ASSESSMENT: Work-related non-radi.cular necic pain and xad.icular � back paa.n with G5'�-S1 herni.ation and spondy�.o�is�.hesis on MRT . . �4 . ,,. . ,s,;;-,. _, ,, ,f • �, . . . � , . � . ' , • ,� ,, � � , �:. . , _ , ;;1: •,,:, . .. . . . • � , 5 � . � � . .. •; ". � • .,'� : . .. , . . . . 'i;'�'; ' , " , ' -° , ,• , �., . , , . , ' ' r . - . ' ,� :z ;� . . � ,. , , , , ' , ' � . � , ' . , ' , . , . ' �s3; . k ° ' , .� � I .. , , '. ' ; ' r . . .' � ,. . ; , ' � ,. � . . . .. . • , • � , . _ . . . . . . . ' t- ' ���, .{`,.�� � ��.' � �. . , : ' ' „ ' , . ' .�r,• • , , . • . . � , , 1 . . i , . .. . , � . 'n� , _ . � , . .. , , � . . . . ,r ' . $i '.�'� • ``�., � , . . . ` � 3( . . , . � ' . . � , . . , . , . ,;��' �' � :�'" :� .� . j .. ' ', . . • ,r . (� • . , . .. . . � . . 'i �i' '.-;i�}. ���." �;�i� . ,�,r� .�,� .. '. . . ' ' ' .. . . ' . . . ;� . '.J� � �.� ', � ' , .� ' , e ' . ' : ' ! i. ' .�. �� .�P. t . � i . . � ' ' . � . U` ;� . '�i: ` { �v 'I' , , . � . �'': . . . � . . . , ' , r . . . � '. . . ' ' . ,��'�i v � � .. • 't ��f' . r ,�,i�r,. . •'., ., 3 . ' ,. . . , . ' .. .. . � ' . . ' � . . � . 'l. [;�t', r,•.a,:;�;11i>it•,bea�ri•Rj d. 7�, ',� .. �C• , . : , ., � . � ; �, ; ' , . � . .. ' • 1 .. ! ' y , . ��v�.F�'��ebrt;�J�9�f:'�.i�q'.Pr-;g.�F`�i.�vt'��1C1't:°1f1`.'!iv, ..i�.:'. . �.:.ri::'1'""+I^;.•.Y>.^' � ��., ..... .. ...., . ,�.' .� � ...,tt.;..,,�r. L.v: . . . ,.�... ... -. .t . . . ':F-'e,,�._ ..�,... ,�y� .� � ` . . . , ' ; , . • . , w• ' ' . ' ,. t ' . ' � . � ' - ' � r . . . . . ' � f��� • � ' � , i , , „ �� ' . � � ' . . . ". ' , ' ' ��:; .. . . i � •� = � , .. ' � � .. , I� ' .. � ,. •� , . . � . . il SvF{' ;' ' . ' , ' 1 . : ' ' .1 � ` , . . ' � . i ' � , � ` . � �,p.5.'' � � . . . ' • . : � . � , .� � . ' ' � � ' � ! = I � � �3;r � 1 . ' ' , . � � , ' ' . . ' , � '�`'� ` � ' . . � ALL FLORIDA ORTHOPAEDIC ASSOCIATES ., � � . , �,�., , , . . , . . .. , . . . � .� �' � � 4640 FOIIRTH STREET NORTH � ' - . � . . , � � • ��' , . . . . . } � � . �� : , '. � , • ST. � PE'�ERSBURG, FL 33703 � . . - �. .. . , � . . . ,.. , �. t 813 j 5Z?-5272 , ' - ' . . . ' , . , PROGRESS NOTE ` . . , ' . � , , . . �. . � , , PAG� TWO , � � ' �, � � � ' � �: . . ''' � . • � ' , . . . � r . , � , F , . . . , . �' � � ' NAM� : MCMllLLEN, � DONAL�D . . � ' , � � ' . . • ' � � , � �. '� . : PT# : f 40a.'l3 . , ' . . . �' � � . DAT� �, 02/14/94 _ ' � - . , ' . . ,. . , , � . . , , . ;�. . . , � , , �, . ��;,:` .', � The '�L5-S1, h�rniation is a permanent s�tuati.on, although si.grjs and � �;:; , symp�oms � may wax and wane .•��Activi.ti�s , in his curren� joh, which . ;� cauld make �hi.s si�uation worse �incZude lif�ing, benda.ng, runninc� .� ,. �. and jumping.... Today, his �.ight. duty ��c�mm�ndations are assigned �. ��or an a.nde�ina.�e' pexiod of �.ime and �.nc�.uc�e no i�.fting over � 20 � '�.lbs. nar� �epeti�a.ve ii��zng; hending or� cli:mkting; no runninc� ar , jumping. Ho should continue mecli�Cat�.ons. Conra.nue home exercise .� ' 'program' as demonstrated a.n phys�.ca1' therapy, H� w�.11 ca1� for a ', prohlem or change and may fo�low up an a.PHN. basis. WWD/nrr � ` . . 4 • . • � • END �F REi�ORT ' . � • T: 02/16/9�. ` ' ' �� i 1 ' ��� ' , ' � , `. ' �� • � +�r- �; '' '; c� � . ,<<. , . , , . � .f ' � � � , .. . , . . . ,.i , ' ' ' ORT�OPEDxC NQTE ' • Patxent: Donald McMullen Chart� �: 2fi1--81--1046 � Date o� EvaZu�taon: 03/08j94 ' ' � PROBLEM: Hack paa.n. . 81JHJECTI4�: This is a 32 year ol,d, white mai.e pol.a.ce off�.cer who �tates that wh�.le on the jnb on OS/07/93 he was involv�d a.n a � mo�tqr vehi,cl.e acci,dent wi.th an associated r�az end co�.�.is�on. ' The patient states that h� was wearing appropriate s�at and shoulder ha�cnesses at the time o� i�npact. He had no complaa.nts oE lo5s o� consciousness at the time of hi.s inju�y� however, had . iner�ased comp].aints o� neck paa.n and back pa,in a�ter the ��cczdent.. Ke denxed any comp�.aints oF numbness,- paz�sthe�ias ar �' weakness involving either the upper or lawer extremities associated witk� his injuries. He was seen in the emergency room wheze x--rays were obtained�of the n�ck region and apparentl.y ' ��hraw�d no evi.d�nce of acute abnarmaZity. H� was ev�ntua�3,y �eEn by the Doctor's Wa�.k-xn Clina.c and reterred to orthoped�.cs �'ar. .. further �va�.uat�.on. He saw twa orthop�dists incl.uding Dr. S�na who Qrdered an MR� evaluation of the C-spine, th4racic spin� and l.�mbar spine wi.th �i.ndings by record af a L5-S1 centra�. disc herna.ation and possz.ble mzl.d spandy].o�.�.sthesis. Patient has been treated with a prolonged course of inedicatian and physica7. therapy without relief of his law back and neck re].ated compl.aints . �HJECTTYE: Phys�.ca1 fzndings demonstrates neax Eul]. range o� matiun for cervical �Zex.i.on and extenszon. There is some tenderness to palpation in the paraspinous region a.nvolving �he C4-5 regi.on. Negative Spurl.ing's test. There is gooci muscl.e strength �ar bath uQp�r extr�mit��s wi�h grad� 5/5 inuscl.e strength for all groups t�sted. Exami.nation 4�' the low baek regi.on demonstrates some mi].d r�stra,ct�.on �or �arward fl.exi.an and comp].aints af law back pain. HE a.s unabZ� to touch his tv�s and ext�nd beyand th� midtibia�. �egion with iarwazd flexi,on. Som� pain with l.umbar ext�nsi.on and lateral bending. There is paraspinous tenderness ta palpatian zn the l.tzmbosacral region. Examin�ti.on of the low�r extremities demonstrate hamstra,ng tightness with straight leg raise bila�era�ly. No radicu�.a.r syrnptoms with these maneuvers. Deep ��ndon refl,exes are tested ta both the kn�e and ank3.e and rroted tn be symmetri.cal. Musc�.e �unction is grade 5/5 for a11 graups in the lower extremi.ties. Sensory �xam for both ].owe� extrefi�.�zes is nated t� be .i.nt�ct. MRx: Review oE the MR� �tudy demonstrates evidenc� o� central disc herniation LS-Sl with very mi�.d (le�s �han Grade Y) spondylo�.isthesis at L�-S1. A�8ES8MENT: Chronic low back pai,n with MRZ eva.d�nce of L5-�5�. disc h�rni,ation and mild spondylolisthe�is. . ,. . ...�f � 'i': it�€r: ' . ;r ,. . . .� . . . .. . . , . . '�� ' '�L, � � ` � .. ' � . ' ` ' . . • , k1 .. ' � , . . . . . . .. .t, ' . 'S° . �!'e ''S:' � ':} �� .. . � .. . i . . 1 � . � . � � . ' . ' I . . • . . '��•,J�'� ' i •. . , . .) . � . ,`i ...' �,' . . • , � ' , , , .� � , , � • ,' . � .� ' ' � ' � i ''�. ; ' . . , ' � .S+ • � ' • . 5 ' . � i�. . . ' 1 � .. . . . . ' : � ' . ., 5 . . . . • � . �. . . . ' � i • � . . . �l . E . � I . � , ' . � . � ' . . ' . , . . � . �f � �'. ..� ' . . i � `�� . ` ' � '`I�,` jt�i . ,,J. .. � . . , '. , i � i . ! .1 ',� • . . . , . 'i`�''' � , ,�' , .� `4. ,�.,�i.. !,r�,., - . . ' f'.�i• '' .,}• ' - , � .. . . i�� , � � �.� I .� . - ., ' . .`' . . >� 3.� , . .�i, �� . ,� .n" ,; . . . . , • . . . , • ` . ,�� ' � .ro `.'V ,. . f�':, • �Y�;� .'t , ;.'y',i . ..1 ' � 1 t i ' . . . • � . 'I ,. � ' .�r.. � Yi �.t �.i' �.it � f., . �. .. . . . . . .. � '' `3i`•:�, �t, :�,, '.��`f�:.' �f't� ����"��� S1F� . , ��. . � .. . . I: . - . . , , . . 1 • �� 'E� .1. -��' l,.'i'•:. '. J�:, -� • . '. � t' . - • � � . , aj�, . .1: . i �.f:... �'�.i'..,;' .i., � . .. ..t' .. . . ' , � . � - ., � . . � „;. �`�,�!,.S ^ . �,;<� � `�.. � .� . f, ' ";:. : .. , . � , . t'.:t, i� �, ,,'• • '.. � , ''t `: ' ' �.. '_j � ' • ' . , . ' . t. . '-'`�.., ' ' • • i'� '�' .. .; 'i t � a ' '.' . . . .. r . 1 � . . � � . . , , ;r� .'� ,�'m . , .:. '.; ,•. ..' 'f �; :- ��. � . �. r>..s •'t i . � . . , . . . , , � . . . . . . . �, . ��tE'y`�:'��'�jF��;,`r�;�J��t,:. . 'o' :�t ,::� ., . �` , r ' k , . � . . " i ' . ' � ' . ({t' `� '�` L, i�s'.w. h� ! '': '-�, � �, f� `' � 7 s. ' . �� ' , � ' ',Y•..,�. :-3.', r . . � . . .. . ..�� .• �il,< � �>;�t� ��' ��`"�`�•`t��,YF r,��ty�If •S'���e ,t , .c. � • � � . .. � . . ��'�� . . . . f:" . .7' '.� �';"° < . . -� n� :.+` 3 �. � rt �•z .nx'�i�i•N..r't . . ... +!'�•[is:•.rt;�.£•�. . . . l.a�� r': :r; ':�� JrS�" . .. . . r . . . . . �` . ' ' . ' ' ' . � . � . . k � , . ' �, � . ., ' , � � , � ' ' ' .. . • ' ' + . • � ' ' . . . . . . : . . . .i . ' • � ' � ' � t��, . ' ' ' � , , � . � , � ' ' � �. • t , ' , , ,' i' ' � ' , . . ,. �;'. ; � : . .T'atieat: . Dona�.d McM��len • � � ' Char. t � : 2 61-8 �.-1fl4 6 . , ., l � � Data a� Evaluata,da: � 0�/08/94 � , • . , . . , . , . . , .•. , . , � , . . . ' . � � . � . < � � � , . . �, . , �. PLAN: �, The patzent has su���red a low ?oack in7ury, ,associated wa.th � �.�;. ,�. , �- : . , his work 'acta�vity .�ahich ' �ts perman�nt in natur�. He dpmanstrates � � ,;,' . . � na ev�,dence o� radi.cular symptoms at .this 'time. , The job . • � � � � . � , requ3.r�ments o� �1iis patient� which include running, bending, , � � � -. � stoopa.ng, cl..�mbing,� 'squatta.ng, crawling and crouching woul.d not ,' �� ° be abl'e to be performed at an ad�quate . Zeve]. ��hat would be � � � � � r�qui.red�� o� a police �fticer. These acta.vities in his. current �, � ,.; �. .�. jab could certa�i.nly make.�his medi.ca�. cond�.tion worse. Thus, the � � � :� , � patient is current�y, �disabl,ed �rom ha.s current occupatian as a ' ' � ,� . �u,11 du4y pol.ice� o��'icer.. � � , ' , , � . . . `! �f , j' . 3 . ' ' . ' � . ' , , ` . , . � . . , . ' ' . .. ' , '' , • , j 1 1 � . 'f� � . . , • � . � . . � ' ' . . � ' . . . . ' • ' � • � . .. .. , � � , . . , , r ' ' " , ' ' 1 i' ' � ' 1 � �: .. , BRxAN C..� OLIVER, M. D. �. � � . � , . , � 1 !• ,. . , . � - . . � � , . . „ . , � � ', . . D:=� 03/p8/94 .. . � . T: Q3/,10/94 - OQS � � � , '� ' . , . " - �'. . ' , . � . , �. . , � . � � .; . t � , . � ! ' �r ..... . r. , ' ' ' 4 . � , � � �� ,, k � 4 . , � • ' • . . . .. t 1 3 i ,�. , . :t. . � . . � , , �, � : � . . � � � . , " E� . " .. ' i ' , � . 't . ' ' . ' � , ' . . - ' , �' . . . ' , ' , " , . • . �� . , . ., �/l.-.Sl.k,,F,, �f. ' lij4{ , ' ' � .• � � • t . . • . . ��.�' .��. .�i� . .� . . . . . . . �_. . ... . , .. {� ' .. � . � .. ii' v,. . ' . � ' �f' e. � � t . . . � . . ' . . ..J ' ! . � � � � � ` � � � �. B. ANGS7ADT,� �lR., D.4. � � � �059 BROAQWAY �r . � . � � DIfNEDIN, F�ONiDA 34698 , .. . ' �. . Teiephane 733•31�58 � � � , . .1 2%25/94 � , . .. , . , . , , . . . . . � RE: DONALD McMULLEN , � ' ' _ i , . , � �, • , " � _ . � . . � . . � TO WHOM IT M�Y CONCERN: � . �� d . . 5 THE A�OVE�CAPTZONED PAT�ENT'x5 A RiGHT-HANDED�32YEAR OLD WHZTE MALE. , �� THE PATIENT� A CLEARWAT�R POLICEMANr SUSTA�NED AN AUTO ACC�DENT'WH�LE i ON DU'�Y ON Q5f07%93 WITH REAR END TYPE OF COLLISION. HIS 5EAT AND SHOULDER � BELT WAS iN PLACE. HE WAS GIVEN A LOT OF EXAMINAT�(7NS AN� WAS TREI�TED WITH PHYSYQTHERAPY FOR MONTHS. THE FAT�ENT ST2L�,, �S NQT ON DUTY S�NCE THE ' A�CTDENT, HE HAD EXCESS�VE WORK UP OF THE CERVxCAL AN� LOW $ACK ��J THE � PAST WxTH MRI OF,CERVZCAL SPINE AND MRI OF TIiE LIMBAR SP7NE. X--RAYS AND . MEDZCATI�N�. PHYS�CAL EXAMINATxON REVEALS A 6' 207 LB.MALE ANIBULATING TNTD THE OFFICE WTTH NO DIFFiCULTY. EXAMINATION REVEALS MINTMUM AfdOUNT OF CERVICAL �ARA- VERTEBRAL MUSCULATURE Sk�ASMS. TiiE STRAP MUSCLES OF THE NECK ARE NOT � �NVOLVED. RANGE OF MOTTON Or THE CERV�CAL VERTESRA IS NOkMAL EXCEPT FOR SIDE BENDTNG REDUCED BzLATERA�,LY. SLIGHT KYPHOSIS OF THE THORAC�C VERT�BRA. , LUMBAR AREA IS FR�E FROM PALPABLE PAIiV. THE LUMSAR CURVATURE TS SL�GI3TLY STRAZGHTENEd.,PATXENT CAN BEND FORWARD TO APFROX�IdATELY 90 DEGREES WITH [�0 PAZAI AND THE PATZ�NT STATES," IF HE bENDS FORPIARD FURTHER THAlV THAT POINT� �IE HAS SOME STRAIN AND PULLYNG." RO�ATYON YS A�AR�X�MATELY 40 DEGREES BTLATERALLY WITH NO �AIN OR MUSCL� SPASMS. STRAxGHT LEG, FZGURE E'OUR AND HEEL TO BtiTT ARE ALL N�;GATIVE. NO R�FERRED PA�N. D�EP TEPI�ON REFLEXES OF THE UPPER AND L�W�R EXTREMiTI�S ARE.WiTHZN NORMAL L�MITS. PATELLA AND ACHZLLES REFLEXES ARE NORMAL. THERE iS ND EVIDENCE OF ANY �SUSCLE WASTiNG AND THE STRFNGTH OF TSE UPPER �XTREMTTIES WTTH GRTP OF THE HANDS ARE EQUAL AND STRONG. PAT2ENT CAN WALK H�ELS AND TOES WITH NO D�FFICULTY. EXAMTNAT�4N QF THE REP012TS REVEALED L5-S1 HERN�ATION AND GRADE 2 SPONDYLO�ISTHESIS. DX: I,OW BACK STRArN/SPRAIN WTTH RUPTURED DI,SC�L5-S1 AND GRADE I SPONDYLOL- TSTHESiS. AND CERVICAL STRAZN. BECAUSE OF THE HIST�RX AND THE.SYMP�QMATOLOGY,THE PAT��NT IS E�IOT A GOOD CANDIDAT� FOR FURTHER DUTY DUE TO NOT HAV�NG THE ABILZ'�'Y TO RUN, JUMP, BEND FORWAR�1 FQR ANY EXCESSIVE TIM� A�]D N�T TO LIFT MORE THAN 20--30 LBS. AT A T�ME STNCERELY YOURS, �� )�, ' . �'� e ��-�-�':�� �; . . � 1 .�-� � ��� �.� H.H. ANG�ADT,JR.D.O. HHA:c� � . � " �1 ' ' • � , . ' . � . �t � , ' . i ' , , � . ' . . . � . . � ' . . . ' ' , • . . 1 � � , � ' ' i . , '- � , . . ' . . , ' . ' . ' , � . � � . ' . . !� . . . ' i,. I � � :'. . � � .14 ,. ..� ' . .. � . . � ' � i . . . � ' . � . . • - � . • ' . `� .,S:.t(..y �s�� ''�•�J,;j.4. ��,�; .' ,i�••�e. , . � .....,. . .� � , , . .. i ...... .. � ,t��e°� �'�`: 4 .t. .. e. � � , v': , ...... � . � . � . . . • .. ' � . ' • . . , ,. , �� �If i�llL �J�l1O �J . � . � ....a�.r ..�� - .. .. . . . ........ . . . . . � ... � . , . , . �� -_`�. �. . � � , . �' . - � Carison, Meis��3ler,, � � . � �. , � !��" �Ne�b, Dodson ., � . � � � � � . & Harf, P.A:� : . . . � � �. . " . ' . Joseph Sena, M.D. 2334 Seminale B[vd. T..3r�o, FY. 34$�8 Novemi�er 3, I993 Re: � Donald 1�cMulleri Qur r iie i�54� 1 . i ' . , . � { . ��1VRTYl �. eQ,i��n � lne��rs lI! Dndson � : . J. Lnrry firin pdul �I. ,4feTSrnCr � , tiV11f1a+ri K. tiyebb � C�rsry �Y, Carlru+s 1 J. Kr�in ffayslctr � l.c�rrafne B. Grcgg ! ' , i 'Unnrrl Cerrifird - •� Crin,rnar r.�,w U�ar �r. Serr�: , , This office has been retained by Dona.id McMu4len regarding the injuries iie rec�ived 'as a sesu�t af a.work-retated accicient �vhich occurred on May 7, 1�93. �ncIosed is a signGd medical authorixatian foc your fil�. � � . � � , P�easz furnish me with capi�s af yaur ,u�dateci medic�� records and_ oF,fice _nc�tes coi�cerning ynur tre�tmez�t of Mr. McMui�en ��nr tize in�uries he sustained irom the accident. I wr�uld also appreciate it i� you would adv'rse me af the foLlowing: i, Has �t1y cltent reacEled maxisnum medic�I improvement? 1 f �S � . ..� . - - - ...---- 2. If so, on what date, �nd wt�at perce��ta�e of i�np;iirment woutd you assign to the injuries, per t��e Minnssota Gu'rcie�i.i��s? . ��.1, �. cj O � 3. What are my c;Iient's restrictians �nd �imitations? � � � 1 � i � � • _ 7 �i f' � . 0 �, . Do yau recammend a Functional C��pacity Evaluation? ' Ios��' Sena, M,D. (Sign�ture of Physicia.n) 4� Rrspond 7'u: L_:! �—. ?SO 8e�c�hri' RPItcI e�t�tY�a • S�eiir !�? 761� Alussurf��+x�•r�s .i+•en»r Cltnrwafer, Fl��rrt� 1�ti3S Ncw Pnry Rlc(rcr, Flu+i<!u :�kSS.i �r! f•.1.f�•lJ63 ,Yl.�•x4i-_ y±7 �AX b'!3•�y-(]?S�Y Frl.� �Y11-�lSS•5+7:» �p�i �.Q� _ �� i i � . ; �,� �� } , ,_ .�1''' ' ..1.,�, � �.�k i;� � ... . :.e� .�'.. . •'i .\.. �.�. �....r..r..�5:: 1'.r..J.. . _. �;�,' �i� �11� . �,.... � . ., r ...�. ... .. j . . �, , � , , , . t, . . � ..� • .. . . � , . . .. _ � . � .,��,.. ... .. � � � � . � . . . . . . � , . . f' i, : � � � r r.,, . � � � � ACCESS � . . , . ' [MAG[Nd CENT�R, INC. � � 1. , ' � � PATIENT: , � . DATE �F BIRTH: ,. � � DA'TE OF EXE�M: . ;:" � CLIIVIC�AN: :��' M[R� OF T�]fE LU�AR SPTNE �t�'., MCMULLEN, DONALD . 9-23-61 C-25-93 DR. JQSEPH SENA II�iTsYC�ATYCIN: Evaluate for disc hernia�.on. The patfen� presents wi.th ch.ief complaints of middle and lower back pain, and pain in the left lower �xtremity. Ther� is a h�story of preceding motar vehicle accident on 5-7-93, . . T�CHivIt,�UE: The MRY e�rarniriation nf �.� lumbar spine was p�rfonmed uf311zixig the %llowing �aulse sequences: TR/TE 6S/24. 2,Oc]Q/34, 2,400/8�. � Tmages were obta�ned in the sagittal and axial projectlons ut�zin� 4.5 and 7.5 mm slic:� thickness. FXNDIlVGS: Disc desiccation, assocfated with central disc herniation, i� nated at the L5-S 1�evel. 1Vo significant mass effec� upon �he adjacent structures by ih� herniated dis� material is appr�ciated. 4niy minima,I �ffacement of th,e adjacent epidural� fat is seen on the sagll.tal images. There is miid (less than Grade I} pos��rior spondylolis�hesi� o�' the L5 vertebra ov�r S i. . The remainc�er af the intervertebra� disc spaces app�ar �ntact, wfth resp�ct to their height and degree af hydration. No dfsc hernia�ton is se�n a� any o�zer leve�. The spinal canad and its contents appeared normal. Neural foraxnina are open biiatex ally at all levels. Signal intensity from the lumbar and visualized sacral vertei�rae is normal for thfs gat�ent's age. cvxczus�oN: 1. D�sc desiccat�on, associated wi�th c�ntral disc h�rnianon, at the L5-S1 level. with no sigrufican� rnass effect upon the ad,}acent stru�tuxes. 2, Mi�d (��ss than Grade I} poster�.ar spondylo�isthesis of the L5 vertebra over S 1. 3. Othezwlse, unremarkab3e study. Thank you for th�is consulfiation. . ° � LIDIA LINETSKY, M.D. �.`�.•pf� � � . D/T; 6/2$/93 _81c1U U.5. I') N.. 5w�c 5D'l � Clcurwuccr. �Inrida 3462i • Phune i813) 797•OOUO Fax 1�13} 799-19C�5 � I ' . 1 � .1..� .. '' ' ' ' . . . 1.' . . . ' 1'.. . . . . r , • ' ' ' ' . ' � . � . � . ' ` ' � . . . . . . . . • ` • �y` 3� i� . } j� i�.7 f--•' �� r'"". ;`�'Y i ii 11 �•.:.J K"� , . �� � ' . . . Cl�{GtT�.7�:.t'1�_�f � fyl'' lw ..�I � l f:.:�. • � � - a � �—�� z --u:�:� � . � - � �'W'i S �i�l'f'rC�l��,�r. , �...,`tl, "tt.?�..L.c=� Ir. , D��hl�,l_���,�.....�__.__.. �. �......r'�'�h���l'1: ..-`.. _. _ -:.;;.��',.Zi. ;: r � � i ;. . �-i.,r; ��: , , � . '� _;s; .�.�,_ ., i1iJC1'0� . i.i�J��'r'.t7 i hi � �dr�ra�:.� � ��1TE i�i" . �,� �. . . c:� _ ,� ti y�"� �' �7 �; ,:»Tr `i '.J`w I�i: 'S. ��.�....�����.���.��.�.�r.'��.��..r.��������.�.��� r.r.......�s��..�.rr.r�.�.�..r�...��....�......�......«...................�..w......�.....�......w....»....� • LOW BACt� �AIPI . � � Tt-iE �� AM I MAi' i DM F�i�iQ 'iFEATMENT Y�I.� H�;VE f;�CL F V�i! �}•ir��^ :� F'EYi�I v I���.ttii nt'�E f�,��1 i�1�1�!; t�i�:t�.l►,;,`� �A� I� C]NL`r' , AI�I? I S �l[�T I h1TENDEI] T❑ 1=;EF'L.Ar�,E T0�'�L I�t�i:�'[ �;��I_ 'L"VNLL'���' ? CJi�! ;���lu �'.: WItiE.. S I iJCE I T i� �FT�l�! I MF'OSS i£sLE TO FiECl7GA! I Z� Aidi3 Tf;�A1' s�l_ �._ iHF� �:!_Fi�IE��`I1" ���� f1l•f I1�1�3U�Y 0{'� I1_LI�JE�S AT ONE� Ei�EFif:iENCY VI5IT, IT iS it•lF=�,�r=.•�-,�i�ii r=[]f=; .'li11J ��'p L':t�f�IT;;�'i , YDl.�Fi DnC i�F'� p� THE F�i..LQW--IJF' DQCTO� t�}HEt'1 IlVS�'FsIJCTr" � i� r!� al�. 'i•}L;.'rtN4�a�-i tL�.: f c:�:JI..L�l+l THE � NSTF:UGT I iai�� �EL�W. �'fHE�� A��!� �hF,NY rH� ���'� QF SIJDl3EN E�+�k�; FAI�l. 5C}lh�Tlt�lE� �'HE_ ClaS�-i � G1�lli�r F�F��S, ��ALI_f�U . d i SCS , THAT L I E BETWE�V '. "ii-{E VEFTEBF.l�E, f���i+1'l SE�aMF�1i;� C]F Tf-tE �F' L A�E i�+�C�MC EilO�ld AND FrUSH AGAINST A rfERVE. FAR MOFtE FF��Q�.�EhETI..Y, 'fH� t•11.15CL.E5 I!�! OUfi E�AC6; ��CQt•�E •� STF�A � t�ED ,��SS ��LY DUE TO FAIJLTY MECHAIV I��3 , WEAF',: STat•t�1CH r1U5�LC5 , 0`; I N FF�FGPdAWC's'; � C3f� I F'f OU A�,E OVEFWE I GHT. WH��! TH i S Hf�F'�'�E�lS , r='A I PJ I S F'R�D4J �EI� � 1�1 THE '�ACiC AND OCCAS I QNALL`r ' DOWN THE LEGS . M7S1" L-��1CF:; F'A T PJ W i LL �E�F'��,t� T� S T� IF'LE THERAF�Y aS bUTLINED �EL�W. ` MOME.. 7REA7MENT � . . • , • . 1. ,�YE]U'•5F-iDULU. STAY AT CQMPLE7E: gED FtEST �XCEFT �0�'; WAl_�':II`�G Tti TH� �A i H�+'Q��t•d. : ;;'=�,��;�;;WHEN ..YOU. pRE N� . L�NGER. EXPERIEt+ICING �.BAC� f'AT1�1 l�1MEha YClU I�JALk'�: TQ THE 6ATHR0�1'I, �= ' :..' ,;:TMiS �.GIVES :.YOU . A SiGNAL ..i � STAF.T ThIC��ASi�IC Y�Jf; �C:TiV�iY. , -',.r;�:� � 2•:.=Ri�`,�;YOEJ.-i:,OSE CQNT�Ot�•�QVE� YQ[JR 'HQi�fELS �l� ��AaFiER, YaEJ SNaUL.D GAi�L THE F'HYSICAN�� ;'',.:i.:.;TQ;=WHOM',;YOU�rHAVE �+EEhI FE�ERRED IMMEDiATE�Y, OF FETUKt� 7C3 TH� �MEF:GEt�Jr`� CAftiE�%;,��., :�-r•�•'�CEI�TER: : :.. �, . - #'�•"t ! •r,�..':.3.�.;. . . . ; � . :'�' ' •' .'... .. � .... . ..r.,��• �. °�•� � ;; �::°�SC]ME'� FEOFLE, . F T ND THE APF'L I CAi'�I OE�! ❑F N�AT T� �E H�LF'�Ul..,� ��fT 4!� F'Ei;SONALL`r ;� ;;� ;�.�r.:;�FrIND;�THAT-:,ALTHOUGH IT IS NOT A� COMF�RTA6LE TQ �HE FATTEiV'i, i'ME ��'F•LI�ATiON"�:;��:, '����.r�`�AF.���HICE���FACKS GiVE LDNGEF'i-LASTING.R�LIAEF=. YCIU MAY USE EITHER�ON� OF THE�E,• ���:�r�`' T:.. i;�.. ,.. . �. . ,. . . �: . • " "'� r ;-,,;�..,�Y�IJR.,;DdCTCl�t�-:W�ILL..l15�fALLY., FRESCRIPE: MEbICATiGAlS iCl RELIEUE •5HE �AIh1' Ah�D 5FASM.�,; � ";s� ��:'YOU :,SH�UI: D `:TAF�E THESE�` �AS • PFESCF� I HED. � •' � � � ° - i'�. ��•�S':.;;�AFT�R�:YOUR�;,ACUTE•:HACK PF�ItV• IS OVER, �Y�OU � SHOULI7 �HEN WOFh; WIiH YOU�: AOCTOf; TC] ",� � r'-��1''�` EL I M I NATE"� �7HE CAUSE• OF � Y�IJR ACUTE �EsACi: PA i h� . D I ET Ai�J�, EX E�C I SE5 i"O S'�R�NG7HEN ''' ~'�'� YOUF� BACK �AND STOMACH MUSCLES MAY BE ��� I ND I CATED . NO EXE�C I SE ur�l�" I L FF� I N FRE� .'� .�` IF,�.,AT A�EY T�ME YQtJ � FEEL� Wa�S� �� �+�c0[�E . cOrJC���r�ED A�oUT Y�uR COhlt? i T I C1N , F�I.Ep��E � �='�'CALL'•-�•THE•�REFERa�h1G=FHYSICIAIV-OR ��TUF�N''T(] THE EMF_F;GEI�ICY CA�;� CEid�"EF.. � • .,- . .. ,. . . . . • �' SpEC�AL "INSTRUCTI�NS: � � � � . � � . f ;'.� .,DO ,{VQT : RET�RN TO . WD�iti , UNTiL "� YOU SEE YQU CQMF'Ar,f'! DO�T�R. �A�,:� F'Alr�l t�iEpACa7I QPd . =�AS Tf]LD . RETUFtN TO • HOSP I TAL i F YOL1 �E�L THE YQ��1 �al`aD I T E QhJ rE�"S 1�lOFzuE . �-�EFERRA'L'"PHYSICIAN ' - � • � . •� • - . � PATIENT I�lFORMATIClN � � - - • � , . . t,' DOCTOF� h1AME: �Ji�IASS I�I��ED Di�CTQR �;�E:��:� Nr�r1E: MCM�!i..LEN , DOt��fAL� A • ADDRES� 1: c�t,'fc 3c>ajc5�ycst���]cat:�c���c�i:ic:��:i�:yc_� NIJM%C��:: ���:���:���.;E�? . - ADQRESS �: . ���:tic�n�>t;►�]t,'siti��7�t�c:ic7�3c�t}c;ri:� S�X/!al"a�: M �1 '� C T TY / STATE : �;it:ujt:�i ,�;�c iij�;►t:yi:icjc:�c�ii;�c:1�;�i ic��;► �+ T�TM�i��''� : �:�'� % �-� / 1?� 1 � i>7 I F� ; �;�i3s_ic:ii.�—i ic;��;��:� l. �rHONE; c;�c;a�. —s���c?--r�c7r,��] � �� , .I ,' � ,' � /' ,�, ' _ �� ,," . � ' �. � �n.C.' NURSE S I GiyATL7RE . PAT-��EhiT S� GN�TLIR� 'r' �.��.��.�....�.�...w—�.��—� � � � J�.. i� '�.r. '�+�� . 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