20141148 Ver 1_More Info Received - Email_20170501

Burdette, Jennifer a
From: Brian Rubino <[e-mail]>
Sent: Monday, May 01, 2017 3:26 PM
To: Burdette, Jennifer a
Cc: Scarbraugh, Anthony
Subject: FW: Letter from Johns Hopkins
Attachments: 20170501131112944.pdf, ATT00001.htm
Jennifer,
Please see the attached letter from Johns Hopkins associated with Peter Warlick's diagnosis (for the Warlick Property on
Ocracoke). We wanted to make this available for the Commission members and DWR. I have seen your Findings of Fact
and associated powerpoint slides. Thanks for your work on this variance request. Please let me know if you need
anything else from us. I will be attending the hearing on the 101h along with Peter Warlick.
Thanks,
Brian
Brian D. Rubino, P.G.
Vice President
Quible & Associates, P.C.
8466 Caratoke Highway, Bldg 400
Powells Point, NC 27966
P.O. Drawer 870
Kitty Hawk, NC 27949
t 252.491.8147
f 252.491.8146
www.auible.com
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From: Warlick, Peter [ma iIto: [e-mail]]
Sent: Monday, May 01, 2017 2:13 PM
To: Brian Rubino <[e-mail]>
Cc: [e-mail]
Subject: Fwd: Letter from Johns Hopkins

Brian- Attached is the letter requested from Johns Hopkins regarding my ALS diagnosis. Peter
Sent from my iPad
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Jeffrey D. Rothstein, MD, PhD
Professor Neurology & Neurosurgery
Director of Packard Center for ALS Research
RE: PETER WARLICK
DOB: 10/06/1964
Neurology
Rangos Building
855 N. Wolfe 5t, 2nd floor, Rm 270
Baltimore, MD 21205
Office: 410-614-5972
Fax: [phone]
E-mail: [e-mail]
RE: Letter of medical necessity for house modifications
To Whom It May Concern:
JOHNS H PKINS
Psi E 0 1 C E N E
My patient, Mr. Peter Warlick, has been diagnosed with ALS — Amyotrophic Lateral Sclerosis (ALS). It is
more commonly known as Lou Gehrig's disease and it is a progressive neuromuscular disease caused by
the degeneration of motor neurons, which control all voluntary muscle movement. The disease causes
muscle weakness and atrophy throughout the body, eventually affecting ambulation, speech, and
breathing functions.
ALS is progressive, irreversible, and terminal. It has no cure at this time.
Mr. Warlick was seen in ALS Clinic today, as well as by Dr. Jeffrey Rothstein for follow-up. Progression of
disease was noted, with increased weakness. Unfortunately, he is progressing as is the nature of the
disease and will need to use a wheelchair sometime in the future due to expected complete paralysis.
As his ALS provider, I strongly recommend the modifications necessary for his house to accommodate
durable medical equipment such as roll -in shower, wheelchair, hoyer lift, hospital bed, etc. that he will
need as the disease progresses.
believe this will help him maintain his independence and more importantly, his quality of life for as long
as possible. ALS is a progressive disease and it is terminal. Peter is a wonderful person affected by this
terrible disease and has every right as a human being to enjoy an accessible home where he is
comfortable and functional, has space to allow caregivers to assist, and family and friends to visit and
spend quality time with.
If you need to speak with me concerning any questions you might have, please feel free to contact me
directly at 410-955-8511.
Yo rs_§Mce
Jeffrey D. Rot stein, MD,PhD
Professor of Neurology and Neurosciences
Director of Packard Center for ALS Research at Johns Hopkins