Case Studies

Nurse Expert Witness – Changed Records

Changed Records Nurse from Pennsylvania COMMON FEATURES OF MISSED APPENDICITIS IN THE EMERGENCY DEPT Would it have been possible to prevent blindness in an extremely immature infant? Despite showing all the associated risk factors for development of retrolental fibroplasia (RLF), the infant's eyes were not examined until the 121st day of life. The exam revealed bilateral retrolental fibroplasia at Grade V, with poor prognosis for vision. Medical Advisors was asked to determine whether or not an eye examination should have been done at an earlier date. If so, would that have prevented eye damage? Following birth, the infant was placed in the intensive care nursery for therapy of respiratory distress syndrome--Hyaline membrane disease....
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Emergency Room Expert Witness

Appendicitis: Failure to Diagnose in the Emergency Department (ER) Emergency Room Physicians from Chicago COMMON FEATURES OF MISSED APPENDICITIS IN THE EMERGENCY DEPT Appendicitis is one of the most common surgical diagnosis made in the ER and the failure to diagnose acute appendicitis is among the five leading causes of successful ER suits, accounting for 15% of the total dollars paid out for ER malpractice litigation. It is important to emphasize that as many as 30% of patients with acute appendicitis have been seen previously and incorrectly diagnosed by a prior physician. The classic case of acute appendicitis is most often only found in books, as a large number of cases do not have...
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General Surgeon Expert Witness

Hospital Billings General Surgeon from Georgia Hospital billings are notoriously inaccurate. Overcharges commonly are in the 20% or 25% range. Patients only see the insurance adjustment and blindly pay their 20% thinking they are saving money To save 25% on a $ 4000 bill puts $ 1000 back in their pocket.. Perhaps more distressing are billings paid by Estate settlements and malpractice cases. Often a hospital bill in these cases follows a long period of costly hospitalization. Bills in the $ 300 to $ 400 thousand range are not unusual. A proper review of these bills could result in a savings to an estate lawyer or liable malpractice insurance carrier in the...
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Radiology Expert Witnesses

Medical Aspects of Three Dimensional Reconstruction By Radiologist in Delaware Over the past decade, medical imaging with three dimensional reconstruction (rendering) has become a valuable tool for not only the radiologist in diagnosing various pathologic conditions throughout the body, but more recently as an adjunct for the attorney in demonstrating the specific etiology for the pain caused by a particular injury. The concept of three dimensional imaging has been utilized to detect and confirm subtle findings suggested on more common 2-D images. This concept starts with a two dimensional CT or MRI image and then we stack contiguous two dimensional images in various planes which are modified by software algorithms via a...
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Endocrinologist Expert Witness

DIABETES Endocrinologist from Pennsylvania Diabetes is epidemic in the United States. Especially in Latinos and African Americans. Diabetes affects 21 million Americans- 7% of the population - and will grow to 22 million by 2025. A new diagnosis of diabetes is made 2200-3500 times each day, yet 25% of people with diabetes are undiagnosed! The estimated costs of managing people with diabetes approaches a staggering 132 billion dollars a year. Thus Type II diabetes represents a major health care crisis and continues to grow. Diabetes vents its damaging effects on multiple organs. Each year 82,000 amputations, 18,000 cases of blindness, 41,000 new dialysis starts and 213,000 people die from diabetes and its complications....
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