Breast Surgery Expert Witness

Breast cancer occurs in patients whose breasts have developed malignant growths. Breast cancer has become highly prevalent, and is often fatal. The most common method of treatment is surgery to remove cancerous material; after surgery, certain drugs such as tamoxifen can be prescribed to alter hormone levels in order to alleviate patients’ symptoms.Breast Implant Surgery – Medical Malpractice? Breast surgery that utilizes breast implants is very common and includes surgery for both cosmetic and reconstructive diagnoses. As in all procedures, informed consent is a very important component in preparing the patient for surgery. Lack of sufficient informed consent before a procedure that uses breast implants can reach the level of malpractice. A patient consulted with her Plastic Surgeon about having a breast augmentation. As a 4’ 11” person who weighed 96 lbs., she told the doctor that she currently wore a 32 A bra and wanted to be augmented so she could wear a 36 D bra. She was very concerned about the possibility of implant rupture; she did not want to face the extra expense this would cost her. Her doctor assured her that he could surgically place implants that would give her the size she wanted and told her that, although he had never seen a patient with ruptured implants, if the implants did rupture, her insurance company would cover those costs. She had the surgery performed but was very unhappy because her bra size was only 34B, much smaller than her desired size. Also, 5 years later one of the implants ruptured, requiring removal and replacement. Her insurance company did not cover the costs of that surgery and she had to pay for this surgery out of pocket. The issues in this hypothetical case revolve around lack of informed consent: A patient should be informed regarding what the surgery can achieve and the possible risks and complications. In this case, the Plastic Surgeon informed a very petite patient that he could place implants to give her the size she requested. No plastic surgeon can guarantee an ultimate bra size in a breast augmentation, especially in a petite patient; the skin and soft tissue under which the implant is placed have a limit on how far they can stretch and therefore how big an implant can be placed. A reasonably well trained plastic surgeon would inform any patient about this. All breast implants can rupture, requiring further surgery, and a patient must be informed of this possibility prior to surgery. A reasonably well trained plastic surgeon would know about this and inform his patient about this. Telling a patient that her insurance company will cover surgical expenses and giving her the wrong breast size is not quite malpractice, but it reaches the level of malpractice. Not giving an honest and informed consent and giving patient unrealistic expectations, and depending on the circumstances and what or was not said, not only can be unethical but potentially below the standard of care and medical malpractice. The Plastic Surgeon who prepared this article is a Board Certified Plastic Surgeon who has been in private practice for over 25 years and has both a cosmetic and reconstructive surgical practice. This Plastic Surgeon graduated from the University of Notre Dame, earning membership in the prestigious Phi Beta Kappa society. After graduating from Northwestern University’s Feinberg School of Medicine and being asked to join the Alpha Omega Alpha honorary society. This expert completed a plastic surgery residency at Northwestern Memorial Hospital in Chicago, Illinois, as well as went on to complete a fellowship in pediatric plastic surgery at Children’s Memorial Hospital, also in Chicago. This Plastic Surgeon specializes in breast reconstruction after mastectomy, breast augmentation and reduction, treatment for traumatic injuries, eyelid surgery, wound care, skin grafting and burn treatment, skin cancer biopsies and repair, abdominoplasty, rhinoplasty, facelift, non-invasive skin care, and liposuction.

Breast Surgeon Expert Witness

Breast cancer occurs in patients whose breasts have developed malignant growths. Breast cancer has become highly prevalent, and is often fatal. The most common method of treatment is surgery to remove cancerous material; after surgery, certain drugs such as tamoxifen can be prescribed to alter hormone levels in order to alleviate patients’ symptoms.

Breast Implants Expert Witness

Plastic surgeons perform breast implant surgeries to alter the size and shape of a woman’s breasts. This procedure can also be referred to as breast augmentation or enlargement. Surgeons will perform this surgery for cosmetic reasons, or to reconstruct the breast after a mastectomy. The two primary types of implants are saline and silicone.Breast Implant Surgery – Medical Malpractice? Breast surgery that utilizes breast implants is very common and includes surgery for both cosmetic and reconstructive diagnoses. As in all procedures, informed consent is a very important component in preparing the patient for surgery. Lack of sufficient informed consent before a procedure that uses breast implants can reach the level of malpractice. A patient consulted with her Plastic Surgeon about having a breast augmentation. As a 4’ 11” person who weighed 96 lbs., she told the doctor that she currently wore a 32 A bra and wanted to be augmented so she could wear a 36 D bra. She was very concerned about the possibility of implant rupture; she did not want to face the extra expense this would cost her. Her doctor assured her that he could surgically place implants that would give her the size she wanted and told her that, although he had never seen a patient with ruptured implants, if the implants did rupture, her insurance company would cover those costs. She had the surgery performed but was very unhappy because her bra size was only 34B, much smaller than her desired size. Also, 5 years later one of the implants ruptured, requiring removal and replacement. Her insurance company did not cover the costs of that surgery and she had to pay for this surgery out of pocket. The issues in this hypothetical case revolve around lack of informed consent: A patient should be informed regarding what the surgery can achieve and the possible risks and complications. In this case, the Plastic Surgeon informed a very petite patient that he could place implants to give her the size she requested. No plastic surgeon can guarantee an ultimate bra size in a breast augmentation, especially in a petite patient; the skin and soft tissue under which the implant is placed have a limit on how far they can stretch and therefore how big an implant can be placed. A reasonably well trained plastic surgeon would inform any patient about this. All breast implants can rupture, requiring further surgery, and a patient must be informed of this possibility prior to surgery. A reasonably well trained plastic surgeon would know about this and inform his patient about this. Telling a patient that her insurance company will cover surgical expenses and giving her the wrong breast size is not quite malpractice, but it reaches the level of malpractice. Not giving an honest and informed consent and giving patient unrealistic expectations, and depending on the circumstances and what or was not said, not only can be unethical but potentially below the standard of care and medical malpractice. The Plastic Surgeon who prepared this article is a Board Certified Plastic Surgeon who has been in private practice for over 25 years and has both a cosmetic and reconstructive surgical practice. This Plastic Surgeon graduated from the University of Notre Dame, earning membership in the prestigious Phi Beta Kappa society. After graduating from Northwestern University’s Feinberg School of Medicine and being asked to join the Alpha Omega Alpha honorary society. This expert completed a plastic surgery residency at Northwestern Memorial Hospital in Chicago, Illinois, as well as went on to complete a fellowship in pediatric plastic surgery at Children’s Memorial Hospital, also in Chicago. This Plastic Surgeon specializes in breast reconstruction after mastectomy, breast augmentation and reduction, treatment for traumatic injuries, eyelid surgery, wound care, skin grafting and burn treatment, skin cancer biopsies and repair, abdominoplasty, rhinoplasty, facelift, non-invasive skin care, and liposuction.

Breast Cancer Expert Witness

FALSE

Brain Injury/Trauma Expert Witness

Tramautic brain injury occurs when an external force severely injures the patient’s brain. Injuries are classified by severity and mechanism and can be extremely dangerous and even fatal. Physicians who treat traumas are typically neurosurgeons.

Brain & Spinal Surgery Expert Witness

Brain and spinal surgery, a.k.a. neurosurgery, is a branch of surgery in which physicians treat disorders of the brain, spinal cord, and nerves. Neurosurgeons are highly trained and skilled because brain surgery is highly risky. Luckily, advances in medicine and imaging technology have proven vital to the field because they reduce the number of unnecessary surgeries.

Bone Marrow Transplants Expert Witness

Bone marrow transplantation is a medical procedure in which physicians in the hematology and oncology branches of medicine treat patients with blood diseases. It is risky and complicated, so it is reserved for patients with serious, life-threatening diseases.

Body Contouring Expert Witness

Body contouring or shaping is a term that refers to any medical or surgical procedure that allows a patient to change certain areas of their body. Body contouring is often surgery that is performed to remove loose folds of skin after dramatic and rapid weight loss (e.g. gastric bypass). Surgeons in this medical specialty operate on many different body areas; therefore, their branch overlaps with other medical fields.

Blood/Blood Banks Expert Witness

A blood bank is a cache of blood that is gathered from blood donation drives; it is stored so that it can be used in later blood transfusions. Experts in this specialty are trained to receive, store, and transfuse blood for vital health procedures.

Blood Borne Diseases Expert Witness

A blood-borne disease is one that is spread by contaminated blood. The most common examples of blood-borne diseases are HIV, hepatitis B and C, and some viral fevers. Physicians in this field are responsible for encouraging safe practices (safe sex, hand washing, fresh needles, etc.) so that disease transmission is reduced or eliminated.