on State Farm's behalf. Peter had obvious winging of the right scapula. Dr. Cazale thought that Peter's symptoms were more than likely secondary to the accident because Peter was asymptomatic before the accident and then he became symptomatic. He thought more likely than not Peter possibly had winging in 1999 or 2000 when Dr. Carson saw him but Peter was not tested for it. Normally, Dr. Cazale would not have tested for winging.
Dr. William Albert Martin, a board certified neurologist, testified he did an independent medical exam of Peter on March 19, 2003. Peter had some winging of the scapula. By the time he saw Peter, Peter seemed to be in a convalescent phase and the injury to the "spinal accessory," which controls the trapezius muscle appeared toMcCarty testified there was some permanent impairment of the scapula and the scapular winging was permanent. Based on the Fifth Edition of the American Medical Association's Guide to physical impairment, he would give Peter an anatomical impairment of 15% of upper extremity permanent impairment and 9% whole body impairment. Dr. McCarty stated that it was more likely than not that Peter's injuries resulted from the trauma of the February 1999 accident.
Dr. Robert D'Ambrosia testified that to a reasonable medical degree of certainty, the shoulder injury that required arthroscopic surgery was caused by the accident.
At the time of the accident, Peter was 23 years old. He was preparing for the MCAT to get into medical school. He had graduated with honors from Bellehaven College in Mississippi. About four months