Orthopedic Foot and ankle Expert Witness Report

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To Whom it May Concern:

Re: Medical Records of Carl K. and litigation filed by wife and children.

I, ********, M. D., have been asked to review the medical records of the above-named individual, now decedent, in a malpractice action pertaining to a simple foot surgery with resulting pulmonary embolism and death. The wife has filed a wrongful death suit. I have no financial interest in the outcome of this suit.

I am a board-certified surgeon with 35 years of active full-time practice. I have performed foot and ankle surgery all these years and my current job duties at the ********** Medical center involve performing foot and ankle surgery. I have performed talo -navicular foot fusions as well as other fusions in the foot and ankle. While at the Tucson VA from 2003-2007, I served as Chief of Orthopedics but also was involved in serving as an attending on the podiatry service and performing complicated foot and ankle surgery with the podiatry residents. The risk of post-op VTE was always considered and acted upon with these cases.

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Orthopedic Expert Witness Report: Severe Thumb Injury

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To Whom It May Concern:

Re: Medical records review and treatment of severe thumb injury of Jackson G.

I, ******, MD, am a board-certified orthopedic surgeon who has been in continuous active practice for 35 years. During my t residency, the chairman of my residency program was a hand surgeon. Also during my residency, I had a mini-fellowship in hand surgery and reconstructive hand surgery. During the first 28 years of my practice experience, I was very active in having hand surgery as my subspecialty of orthopedics and treated hundreds of finger injuries. For several years I was the company hand surgeon of choice for a large steel mill which frequently had not only single but multiple traumatic finger amputations. I have also treated pediatric hand injuries, not only crush injuries but blast injuries and sharp lacerations as well. In the adult population in addition to all forms of trauma, I also performed carpal tunnel releases; Dupuytren’s excisions and joint reconstruction surgery with implants for severe arthritis. I am very familiar with and have used various means of fracture fixation in the hand, frequently with staged procedures.

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Gynecologic Oncology Expert Witness Report

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I have reviewed the medical records in this case and as requested, providing my opinion regarding the medical care given to Mrs. Annita S. I am certified by the Division of Gynecologic Oncology of the American Board of Obstetrics and Gynecology and in active clinical practice in the state of **.

Materials reviewed:

Medical records from ** medical center, including H&P and operative report of Dr. H and consultation by **, M.D. and operative report by **, M.D.

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Cardiology Expert Witness Report

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Summary of Record Review: Ray ******, DOB Records Reviewed:  J.S. *******, M.D. expert witness report 1/19/2011 Depositions: Ray ****** Debra M A.J, M.D. K. T. Mr. ****** is a 54-year-old male with a history of mild hypertension and hyperlipidemia. Mr. ****** was admitted to North Central Baptist Hospital, San Antonio, Tx., 7/11/2008 for new onset […]

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Orthopedic Surgeon Expert Witness Report

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To whom it may concern:

I, **************, MD, have been asked to review medical records of the above-named person.  These records pertain to the treatment of her knee arthritis and subsequent severe complications of wound dehiscence with multi-organism deep infection, wound necrosis, and multiple operations with plastic surgery.

I am a board-certified orthopedic surgeon has been in continuous active practice for 34 years. I have performed hundreds of total knee arthroplasties and revisions during this entire practice period.  I am currently an attending orthopedic surgeon at the ***** **** *****. I am involved in teaching orthopedic residents. At this medical center, we have concrete criteria for candidates for total knee arthroplasties.

In the process of review of records which are listed below, I have formed opinions which are outlined below and which are based on my education, my practice experience, and my continuing education. These opinions are based on scientific principles and evidence-based orthopedic literature.  I reserve the right to modify or supplement these opinions should additional opinions become available.  Should this case come to litigation, I have no financial interest in the outcome.

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Oncology Expert Witness Report

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To whom it may concern: I am responding to your request to review the records that you electronically provided of Ms. M’s medical course and treatment in regard to the squamous cell carcinoma of the left inner ear that was diagnosed at ***** Hospital in NY in July 2011. These records were sent to me as electronic files:

1. Radiology Reports from Imaging Center ****
2. Metropolitan, Hospital Metropolitan, and Services *****
3. Medical Records from ***** **** Medical Center
4. Medical Records from ****** Medical Center
5. Department **** Medical Records
6. Laboratory Reports
7. 4/19/2011 MRI
8. 1/26/11 CT, 3/17/2011 CT
9. Complaint

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Oncology Expert Witness Report

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Re: Jane Smith – Sample report – NY / NJ Expert

To whom it may concern:

I am a licensed and board-certified physician in internal medicine and oncology and eligible in Hematology. In the course of my career, I have been involved in clinical research and treatment of patients and had been chief or directory of divisions of Hematology in four institutions, including in a medical school. I developed clinical research programs in two institutions. I am licensed in NY and NJ. I am certified by the American Board of Utilization Review and Quality Assurance and have been in practice since 1990.

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Misdiagnosis of a Heart Attack

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A heart attack (myocardial infarction) is the most common cause of death in both men and women. Failure to timely treat will result in further irreversible heart damage with the consequence of heart failure, or worse: death. Classical crushing chest pain is most common in men, but not in women (who more commonly experience jaw, back or arm pain, or just fatigue).

Whenever any adult has symptoms of a heart attack, the following test must be performed: an electrocardiogram (EKG), plus blood enzyme test to rule out heart muscle injury (troponin and CPK). Even if these are initially normal, the patient should be monitored in a hospital for 24 hours, and retested, especially if they have high-risk factors: a previous heart attack, high blood pressure, diabetes, high cholesterol (especially if their LDL {“lousy” cholesterol} is greater than 100), and if they have a family history of a heart attack. The failure to do this is a departure from the accepted standards of care.

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MRSA (Staph) infection

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Methicillin-resistant Staphylococcus aureus (MRSA) is a very serious infection. MRSA is the cause of approximately 18,000 American deaths each year. This bacterial germ is present in many hospitals and can be spread through inadequate sterility techniques, including the failure of hospital and medical personnel to wash their hands thoroughly between patients, as well as breach of sterile operating technique.

Obtain the hospital’s documents on infection prevention to document the failures of following their own standards.

Prescription Medication Side Effects

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Every year 2 million Americans have side effects complications from prescription medications. And 100,000 die.

Every prescription medication must have a Food and Drug Administration (FDA) approved “drug insert”. This must list the indications, contraindications, side effects, as well as incompatibilities with other medications. This is reprinted every year in the book: Physicians Desk Reference (PDR).

Every patient must be informed of the major side effects and questioned as to any other medications – prescription or over-the-counter (OTC) they may be taking, to reduce all their risks.

One consideration in your drug side effect cases is whether the prescribed medication was actually indicated, whether the dose was correct, and whether the least toxic drug was prescribed.