A 48 year old woman was partially paralyzed when her vehicle was struck by a tractor trailer. A tractor trailer ran a red light, struck another vehicle, and then jackknifed into the woman’s vehicle, causing partial paralysis of her right arm and right leg, blurred version, cognitive deficits, and a broken arm, leaving her unable to work in her chosen profession as a nurse. This was the largest reported injury settlement in the history of Perry County, Missouri.