oEiet6de I'assurence *o^*"t .

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Exhibit D

t{UeDeC le s
Quebec,le 3 octobre 2013

Francis Fuller

Dear Mr. Fuller, Further to your letter dated July 13, 2013adressedto Mr. RejeanH6bert, Ministre de la sant et des servicessociaux,we want to irrform you of the status of your file, at the Soci6te de l'assurance automobile du Qu6bec As you already know, your fiie is currently under study at our review board. You have been advised by ItdrsAnnie Bourdeau, the appeal officer appointed to your case,that some additionnal medical documents are needed to pursue this process and render a decision We remain at your disposal for any further information you may require. Yours bruIy,

Analyst in compl,aints c.c- : Mr. Rejean H6bert,lvlinisbe de la sant6 et des serrricessociaux

333,boul Jean-L"esage, postale 79600,succ. Ter:rrinus, Qubec (Qubec) G1K 816 C,ase

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Exhibit G ltem 2

Dr. Susanllulley, Medical

XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXX

26luly 2013 CONFIDENTIAL SAAQ Directeur de la revision administrative CP 19150 succersale Terminus Quebec, Quebec GlK 9C3 To Whom It May Concern, RE: FULLER, Francis File: 151872222-0Il Dateof accident:6 March201I Claimant: FrancisFuller This patient meetsthe criteria of the WHO CollaboratingTask Force for Mild Traumatic Brain Injury (mTBD. energyof a sudden He was involvedin a motorvehicleaccident6 March 2011 in which the mechanical while his headwas turned resultedin mild-moderatebrain injury. This accelerationwhen rear-ended was evident in that: at the time of the accident. 1. Therew:rsa brief lossof consciousness to be easily and continues following the accident immediately 2. He was confused and disoriented now. He finds himself not knowing time althoughnot as severely disoriented to the present where he is going evenwhen driving along well known routes.He can be working at a task and of time passing. thennot know what he is doing.He haslost the sense 3. There is a brief period of post-traumaticamnesiabetweenwhen he heardthe noise of the collision when he was about25 feet from a vehicle aheadand then when he awakensparallel to this vehicle. someofwhich have beentransienl but many persist. 4. Thereareneurological symptoms, with a traumatic brain injury sincethe He continuesto suffer from signsand symptomsconsistent motorvehicleaccident of 6 March2011. PersistingSymptomsinclude difficu[v with: o short-terrnand working memory, . concentration, o word finding o easilyconfirsed, seeabove. o lossof sense of time (doesnot noticetime passing) r loss of executivefunction: neglectstasks,difficulty multi-tasking and prioritizing o exfremefatigue necessitating one hour napsfollowng2-3 hours of mental or physical activity; confusionand significantlossof left-frontalheadaches, if this is exceeded" he develops

Exhibit G ltem 2 Page 2

a a

productivity, aswell as blurry vision frustration with even simple tasks (this is a significant changefrom his loss of anxiety that would be appropriateto circumstances stateprior to the accidentin which he was proneto panic attacks) a in prior to the accident loss of interestin activities engaged O activities now restrictedto thosethat are highly routine; if venturesoutsideof routine, becomes confused tinnitis in right ear, possibleintermittent auditory hallucinationsof musical beats,loss of hearingofhigh pitches very agitatedin noisy crowded spaces, sensitivity to lighf noise and crowds- becomes headaches. develops a proneto insomniawhen confused a depressed mood as he becomesmore awareof his deficits (with the use of an activity/symptom log) and his situation. This includessignificant suicidal ideation. a Very uncomfortable driving or cycling. a Weakness of right arm

which weretransient: Svmptoms unrelated to the accidentsuggesting very vivid memories of sudden Usedto haveexperiences excessive activity in the temporal lobes temporal lobe seizureactivitiy a He had olfactory and auditory hallucinationssuggesting jaw jerks of body or in May 2013 suggesting a Involuntary resultingin brokenteeth-lastepisode possibleseizure activity. as if there were drafts when there of temperaturechanges He also had frequentabnormalsense were no drafu. a Difficulty walking, as if he didn't know how to wallg very awkward, had to do consciously. a Significant problemswith balance,sense as if there were many earthquakes. o Significantlack of self-awareness awareness. and situational

of a strokewhich would The MRI ofthe headfrom 9 March 2013doesnot showany evidence patient's condition. accountfor this however,there was no sleepdeprived A routine EEG in February2013 was unremarkable, EEG.

Sincerely, \2II'JT
^A

u v

Hullev. MD Susan

Exhibit H
Inquiries Division Colldge desmddecinsdu Quibec 2170 Rend-Levesque Blvd. West Montreal, Qu6bec H3H 2T8 August30th 2013 Sahrt: I have an open file with your office in regardto aOrfof which I seekyour help.

Gdinearl QC. I have mother issuefor

Subsequent to the motor vehicle accidEntI experiencedan atrophy of feanres on the left side of my body. This is easily visible in pictres of my face which now lacks normal synmety. My concernis that this atrophy appears to be progressingI find trat my left arm is weaker than it was a year ago. I now experience touble with my left hip whe,nwalking (in the period immediately after the accidentI also had touble walking but during this phaseof the injury I had to consciouslywalk and ensurecorrect foot placementto maintain a norrral gait. This difficulty resolveditself. The current iszuehasto do with v&at appears to be a weaknessof the musclemassitself). I also orperience a "twitching" in the areaof my atrophiedleft cheek.I have also recenfly noticed priod of zudden,fas! and inegular heartbeat0 had blood work done and blood pressureetc were all normal). My problem is that I havebeeirwait listed for a physician in Gatineau,Qubecfor over 17 months now with no sign of any positive resporne.One of my Ontario physicians,Dr Hulley, sought to refer me to an appropriatespecialistin the Monteal areabut ftis referral was deniedasI live outside catchmetrt area-I have also writte,nto tre QudbecMinister ofHealth but all I get from him is public relations. My thinking is that the Colldge desm6decinsdu Qubecmay retain a regisuryof appropriatespecialists and may be able to direct me to one in Gatineauor nearto Gatineau.I am preseirtlyable to travel to any nearby location, evenMonteal or the suburbsof MontrealIn an initial assessment performedby Dr.Taylor ofthe Carleton SportsMedicine Clinis (this was the only resourceDr Hulley was ableto locate),Dr. Taylor indicatesan urgentreferral to a "physiatrist" and I presumethis is the type of specialistthat I should sec.Dr Tay'or advisedthat my injuries were beyondthe scopeof her ovm clinic vfrich dealswith sport concussioninjury. Any assistance you may provide would be gredly appreciatedRegar-ds,

FrancisFuller FrancisFuller

ExhibitJ

InventoryAugust20 2013 in new positionbehindleft ear.This is a to SAAQ. Had headache withAug 01 submission Problems in region Wasmuch s&ongerthan prior headache nap signal but nappingdid not clear the headachepersistedafter submissionwhen I was not doing any writing. Have been abovethe ear.Headache almost full time sinceMarch/April (includesblog posts).This was the first working on documents instance of this type of headache. / cleanup. Found"lost" papersfrom pastfilings Avoidedwriting andwent to do domesticchores and deliberatelyelseI will trigger frustration work very slowly house. Need to distributed aboutthe that I am more irritable. and upset.Dismayedat amountof stuffundone, not noticed. Sense to TBI: in the ph of blood systemsubsequent which is a change FoundMkipedia articleon acidosis http://en.wikipedia.org/wiki/Acidosis ury http://en.wikipedia. org/wiki/Primary_and_secondary_brain-inj SignsofAcidosis Central ' Headache ' Sleepiness ' Confirsion ' Loss of consciousness Muscular ' Seizures ' Weakness Respiratory ' Shorbress ofbreath ' Coughing Heart ' Arrhythmia ' Increased heartrate Exhibited yes yes yes ves.At time of accident

yes yes.Droppedgrocerybags

yes no memoryof this

did not notice did not notice

Intestinal ' Diarrhoea- Did havebout of this. Unableto place exact date/time.Norrrally have a cast iron stomachand tummy trouble is very rare. If it occurswill be in context of flue with other symptoms-Had zuddenbad tummy trouble without any other symptoms.Thought this may havebeendueto dish soapon dishes?? Gastric ' Nausea ' vomiting

yes no memoryof this

2013-08-20

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F. Fuller

Exhlbit J Page 2

2013{tt43
melring Etrrrre morc problcrnswhcn trying to strt od pryerwuk- A bsk thd invotves a ld of dccision scqucmiatdo-itof Oc;-is-hrdcr for mc to pcrfcm ftT (vrhcre O""J tir go in rel*ion o :trytc " "U trondling hrypfry be woutd $ill wer-andrcvcr-agEintj?c -t' IfI didn't rm uS of drying spaccI almgwashing wcrything in ftctitcha

201348-05
Unable to slee. Wasnp mtil dErm md frcn back to bd ltril now 1I 36:1 t Wokc thinlring aboutproblcmsgeiting a job: 1) vcry, vcry slow 2) very easily distactcd- will go fiom asLA 1s f'ek B and not realizc iL 3) Afcs to haveproblc,mwith dccisim making - sh-yawayfrom task frd invokescrcn relativety minor dccision malmg - bryily accepttask thet invotve routinc md repctitimnone of this tecbnical Fomd bindcrs of tcchnical notcsI crcatcdwhile working for HP. Can re,mc,mber detail.

2013{&13
Very bummed-Sourccsof ihis: 1) Rcaliz*ion of slownessm clcmry Ilavc a hnd timc rclating to this 2) Val cmccts md discrnrnccts. 3) realiz*ion thd we,n if I win wifr SAAQ, I loose 4) rnabtc to detcrmincto whd degec I $ould fight mdvficn to fold 5) unable to accPtacccptmccor ufraf is reggpablc accctrmcc Thcre was m(re to our interrriewthm I cm O OisayeA m rwicm of tny filc from Dr l. rcacmbcr. C.rmd bclicntefrat py mcmory of cYd is so poor-

2013{t-16
Ilrvc bccn working to nsmalirc my walrc slccp ryclcI nccd b rcalty prll +ingq bgfrcr. Nc srrewhd is ca$ing mc tbc poblcmSuspcctcsc issucis cming b acccfincc of no frrthcrfogrcs& Ycnt m valk fssrday Sdnd iselc is ouloc6 ovo n rft6rt@y. . Hng placc. lcfr sidc, Nc* s'.e wtd is od I m having poblcms with

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Exhibit J Page 3

Frsm a psychotogical was Fior to the accidcd- f lo.

to be as I I bavebccn fighting fs a rebrn to my pric self I wm| a win with SAAQ wolld resufr in positive ftis ftought ti t*"Uo*

iryctus.

of rccovcry' A issuc is fimdancffilly irrclsvdt q ry -Am ncm fcccd to a.lrnowtcdge6d SAAQ bc aocsioming to chmgc the hcatth d)'nmi' IfI look c SAAe "win' is rm-tgt"r doPby firther ficing "ify u dbcslAtwq$I -a r-pi-tm-t heatth dl'mic I rypeato bc ficing ""lt od possibledcmciltiadynmic' whEn I sce6* I hzve emedin rerd - bave grcattrouble wift acccpce of crred hcatth dislnf,yd asthis gocs egainstmy to Dr lcr sd od t**g *l nmberE the,nI t- *ryi.*"fy narrdive of iryrovc,ment md Sows it to be frlse ho'Pe' of injwy. - Atthe s"mc time I m rcluctutto acccdeto acccptmce

20134&lt
Thesis 1 this task focusrl more rcadity obserrre I ern now more awarc of issucs.I find elridenceof prior loss of beiter a have brs it is bcficr 6an last pr- so I in myserf rhe awuencss is dclayedmd not h'eiid' of defccts' penpective onmpclf md morc f,warcness Thesis 2 this yca. Last-yca there was a scnsof imprwe;ment I find tbd what wqked la* ycr hesno efect is wbd recovryrc{ilrfoEil This I yer associcedwift walking. I would trve wakea t,o00 nilcs if-tht asbcforc' I walk md no 'pop,'oJ io."""t"a kvcl ofthoughts, no hcad discomfort This is corryledwifr reporB on the web thd indicce h^}year wilt be achiwed-Aftr trd reccwryis slowto nil' recovcry poiEt is all fre recovery ta

bficr,ntr1fris is a cbronic So I m trying to cometo griPswith fte frct rhd I may nevEr"gct this fs the rcst of my life and I do not know quirc how conditim not acutc,hdr I wifi bc saddledwift 1s 34fo65 this. Current Sturtcgr Clcm lry thc housc-This scrvcstwo puposcs: 1) Itptps frc hsusc fu salc shorld fris bc rquird 2)ItgivcsmeGPcricoccincleming.l.smdiErgvespcrrcnmccmdsouldhe$ptpceme fcftis kind ofwqL

20I34,&z0'

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