MONTEFIORE MEDICAL CENTER the University Hospital

MONTEFIORE MEDICAL CENTER Jerome L. and Dawn Greene NEUROLOGICAL ASSOCIATES Medical Arts Pavilion The University Hospital 3400 Bainbridge Avenue - Fifth Floor For the Albert Einstein David Myland Kaufman, M.D. College of Medicine Bronx, New York 10467-2490 718-920-4178 Office Michael L. Johnson, M.D. 718-920-4730 Office Alexis D. Boro, M.D. 718-920-5370 Office 718-652-7245 Fax

June 11, 2007

Jones Thomas, MD 449 East 68th Street New York, NY 10021

RE: Smith, John DOB: December 15, 1941

Dear Dr. Thomas:

I saw John Smith earlier today. He continues to do very well. He gets occasional paresthesias but is fully functional. He remains on Neurontin between 1000 and 1200 mg a day. He remains on Curcumin, and evidently his myeloma is under control.

On exam today, blood pressure is 120/78. Pulse is 76 and regular. He has normal gait and station. Romberg sign is negative. Strength is normal. Reflexes are 2+ in the uppers, 2+ at his knees, and 1+ at his ankles. His toes are silent bilaterally. Pin is intact. Position is minimally decreased in his right toe tip. Otherwise, sensation is normal.

In summary then, Mr. Smith is doing well, with no progression of his neuropathy. I told him I would like to see him again at the end of the year and will contact you.

Sincerely yours,

Michael Johnson, M.D.