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Medical Causation Analysis Expert Witnesses

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Acclaim Consulting
John B Everlove, Paramedic
Emergency Medical Services
Thousand Oaks CA 91362
phone: 844-810-1917
fax: 805-379-4352
John B. Everlove, Paramedic, BA has over 25 years of experience providing Emergency Medical Services. Currently licensed and practicing in California, Mr. Everlove has the following licenses and credentials:
  • State of California Paramedic License P03889
  • Ventura County Paramedic Certificate of Accreditation
  • Advanced Cardiac Life Support Provider
  • Pediatric Advanced Life Support Provider
  • Basic Life Support Healthcare Instructor
  • Basic Life Support Healthcare Provider
  • Drug Abuse Recognition Evaluator
  • Federal Emergency Management Agency Emergency Response Team Member
  • National Association of Emergency Medical Services Association of Education Instructor
  • National Incident Management Systems Provider
  • Emergency Vehicle Operations Course Instructor
Litigation Support - Mr. Everlove provides dependable and professional litigation and support services for both plaintiffs and defendants. As a Supervisor and Clinical Manager for an organization of 150 employees, he conducted numerous investigations related to all aspects of Pre-Hospital Emergency Care from inception, to final review and root cause analysis.

Mr. Everlove has participated in the research, development and implementation of clinical care equipment, policy and procedure design and implementation, as well as clinical educational services for Paramedics and EMTs.

Areas of Expertise:
  • Pre-hospital Standard of Care
  • EMT / Paramedic Standard of Care
  • EMT / Paramedic Misconduct
  • Ambulance Driving & Operations
  • Patient Transportation
  • Patient Care Documentation
  • Electronic Patient Care Records
  • Medical Legal Consent
  • EMT / Paramedic Training & Education
  • CPR / AED
  • Lifting
  • Opiates / Antidotes
  • View John Everlove's Consulting Profile.
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    David S. Dinhofer, MD, MSMI, FACR
    2142 State Route 26
    Hasbrouck Heights, New Jersey
    Vestal NY 13850
    phone: 646-504-4569
    David S. Dinhofer, MD, MSMI, FACR, has over 35 years of experience practicing Radiology and Health / Medial Informatics.

    A Fellow of the American College of Radiology, Dr. Dinhofer is on the staff of SUNY-Downstate as head of Emergency Radiology at the University Hospital teaching medical students, residents, and fellows. His research focused on radiation reduction strategies, patient safety, radiation ethics, simulation lab for software evaluation in medicine, patient centered HIT, and shared decision making for patient provider interactions.

    Dr. Dinhofer is a reviewer for the journal, Emergency Radiology, as well as on the reviewer for paper submissions to the Sigma Xi Research Honor Society and American Medical Informatics Association.

    Litigation Support - Dr. Dinhofer has performed clinical evaluations for malpractice cases and personal injury cases. He has been an expert witness and testified in court for attorneys representing both Plaintiff and Defendant. Dr. Dinhofer currently has state licenses in New York, New Jersey, Pennsylvania, Florida, Louisiana, and Alabama.

    Areas of Expertise:
  • Interpretation of Medical Images (CT, MRI, US, Nuclear Medicine, X-ray)
  • Workflow Analysis
  • Quality Improvement
  • Radiation Reduction Strategies and Patient Safety
  • Business Analytics
  • Risk Management
  • Medical Informatics (Product Development, Start up Advisor
  • Implementation of HIT and PACS
  • Meaningful Use Compliance
  • Radiology Business Administration
  • Governance, Strategic Planning
  • Medical Ethics

  • View Dr. Dinhofer's Consulting Profile.
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    Advanced Pain Solutions
    V.K. Puppala, MD
    IL USA
    phone: 800-976-8150 or 847-340-7215
    V.K. Puppala, MD, DABA-PM, is double board-certified in Anesthesiology and Pain Medicine. He has extensive NIH research experience in nerve injury as well as epidural injections, spinal cord stimulation, and intrathecal pumps.

    Dr. Puppala has expertise in the treatment of a variety of chronic painful conditions including neck and low back pain, intractable neuropathic pain, joint pain, headaches, myofascial pain syndrome, complex regional pain syndrome (CRPS/RSD), chronic abdominal pain, chronic pelvic pain, cancer-related pain, and post-traumatic stress disorder (PTSD) with a multi-modal approach.

    Dr. Puppala is exceptionally skilled in a variety of minimally invasive techniques including ultrasound-guided injections, epidural injections, joint injections, diagnostic nerve blocks, radiofrequency denervation, intrathecal pump implantation, spinal cord stimulation, vertebroplasty, and kyphoplasty.

    Litigation Support - Dr. Puppala provides unbiased and impartial expert testimony and litigation support services for both plaintiff and defense attorneys. His services include medical record review and causation analysis. A former journalism major, he has excellent communication skills and is able to meet tight deadlines.

    Expertise Includes
    • Intubation
    • Intraoperative Death
    • Spine Surgery
    • Back Pain
    • Herniated Disc
    • Epidural
    • Radiofrequency
    • Ablation
    • Urine Drug Screening
    • Addiction
    • Overdose
    • Spinal Cord Stimulators
    • Intrathecal Pumps
    • Vertebroplasty
    • Kyphoplasty
    • Anesthetic Awareness
    • Blindness
    • Stroke
    • Tonsillectomy
    • Sleep Apnea
    • Hemorrhage
    • Brain Damage
    • Cardiac Arrest
    • Aspiration
      • IV Infiltration
      • Oversedation
      • Nerve Block
      • Spinal Anesthesia
      • Lethal Injection
      • Midazolam
      • Propofol
      • Fentanyl
      • Oxycodone
      • Hydrocodone
      • Morphine
      • Methadone
      View Dr. Puppala's Consulting Profile.
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      Roger M. Katz, MD
      11500 W. Olympic Blvd., Ste 630
      Los Angeles CA 90064
      phone: 310-393-1550
      Roger M. Katz, MD, is Board certified in Allergy and Immunology and Pediatrics. Dr. Katz has been in the private practice of Allergy & Immunology since 1973. He has been honored as one of the "Best Doctors of America" and elected as one of "Southern California Super Doctors" by his peers.

      Dr. Katz is currently a Clinical Professor of Pediatrics at the David Geffen School of Medicine at UCLA. He is the author of over 100 articles, monographs, and chapters on medicine, mostly related to Allergy, Sinus and Asthma Disorders.

      Litigation Support - Dr. Katz has approximately 20 years experience in defense and plaintiff expert witness evaluations. His services include Medical Legal Reviews, Depositions, and Court Appearances involving:
      • Allergy and Asthma Medical Care
      • Exposures to the Environment - i.e. Sick Building Syndromes
      • Exposures to Cleaning Agents
      • Exposures to Insecticides
      • Mold Intrusion
      • Fire Related Exposures and Effects on Asthma and Allergy
      • Oil Slick and Solvent Exposure
      • Insect Sting & Bite Reactions
      View Dr. Katz's Consulting Profile.
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      Andrew J. Szabo, MD
      Andrew Szabo, MD
      401 East 80-th Street
      New York, NY 10075
      phone: 212-702-9051
      Andrew J. Szabo, MD has 50 years of experience in the general specialties of Diabetes and Endocrinology. Dr. Szabo has spent the majority of his practice focusing on Thyroid Diseases and Pregnancy and Diabetes.

      In private practice from 1988-2012, Dr. Szabo was also a full time Associate Clinical Professor of Medicine at Weill-Cornell Medical College. He has 23 peer reviewed papers published in medical and scientific journals including the Canadian Medical Association Journal and the American Journal of Medical Science.

      Dr. Szabo is currently offering medico-legal services to attorneys for both Plaintiff and Defense. He has reviewed approximately 50 cases (charts and depositions). Dr. Szabo has given depositions and/or provided expert testimony at approximately 5 trials.

      Specialty Areas:
      • Internal Medicine
      • Thyroid Diseases
      • Endocrinology
      • Metabolism
    • Investigative Medicine
    • Physiology
    • Hormone Levels
    • Pregnancy and Diabetes
    • Specialty Degrees:
      • Certified Specialist in Internal Medicine (Canada), 1965
      • Fellow of the Royal College of Physicians (Canada), FRCP(C), 1965
      • Certified by the American Board of Internal Medicine, 1987
      • Certified by the Amer. Board of Int. Med. Endocrinology & Metabolism, 1989
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      Arcadia Medical Group LLC
      Michael L. Winzenread, MD
      Independent Medical Exams
      105 S. Bryant
      Ste 310
      Edmond OK 73034
      phone: 405-757-5211 / 405-816-6840
      Michael L. Winzenread, MD, has over 35 years of experience practicing Family Medicine. In private practice for 20 years, Dr. Winzenread is currently a Family Practice Doctor at Deaconess Physicians Services, LLC in Edmond, Oklahoma. He is also a Clinical Professor in the Department of Family Medicine at Oklahoma University College of Medicine.

      Dr. Winzenread's work has evolved into predominantly Independent Medical Exams (IMEs) and claimant evaluations for those injured on the job. He also serves as a Physician Reviewer for the Oklahoma Foundation for Medical Quality. A Civil Surgeon, Dr. Winzenread provides Immigration Exam services as well.

      Litigation Support - Michael Winzenread has been offering expert witness services since 1987. He has an excellent reputation for honest, truthful, and fair evaluations. Dr. Winzenread has been appointed as an independent medical examiner for the Workers' Compensation Court of the State of Oklahoma and has been hired on multiple occasions by the Attorney General of the State of Oklahoma.

      Dr. Winzenread's cases include Personal Injury Accidents, Workers' Compensation, and Medical Malpractice. He provides IMEs for judges in the workers' compensation system, attorneys for both Plaintiff and Defense, and claims adjusters. His services also include medical record review, video exams, video depositions, depositions and live trial appearances if needed.
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      Kirsten Turkington, DNP, APRN, FNP-C, CEN, CNLCP, AFN-BC
      Nurse Practitioner, Certified Nurse Life Care Planner
      PO Box 25626
      Scottsdale AZ 85255
      phone: 877-677-7744
      fax: 877-677-7744
      Kirsten-Turkington- Family-Nurse-Practitioner-Expert-Photo.jpg
      Kirsten Turkington, DNP, MSN, APRN, FNP-C, CEN, CNLCP, AFN-BC is a highly experienced, board certified Family Nurse Practitioner, licensed to practice since 1998. Dr. Turkington received a Doctor of Nursing Practice (DNP) degree in 2014, a Master of Science in Nursing (MSN) in 1998, and dual Bachelor degrees (BS -- Psychology & BSN -- Nursing) in 1994. She is the owner, operator of North Scottsdale Health, PLLC.

      Dr. Turkington is a Board Certified Family Nurse Practitioner and Forensic Medical Expert. She has over 20 years of active clinical experiences as a Registered Professional Nurse and Advanced Practice Registered Nurse and is one of less than 50 board certified Advanced Forensic Nurses internationally. Dr. Turkington's clinical background encompasses adult, adolescent, pediatric, and geriatric cases across Family Medicine, Emergency Medicine, Critical Care, Neurosurgery and Hospice.

      Litigation Support - Dr. Turkington has consulted in over 50 medical malpractice, clinical, and professional negligence and criminal cases. She works for both plaintiff and defense clients in each area. Dr. Turkington provides expert testimony at trials, depositions, arbitrations, mediations and hearings. She is an experienced educator and practicing clinician able to confidently simplify complex medical scenarios for understanding. Her litigation support services include:
      • Medical Record Review
      • Standards of Care / Negligence
      • Life Care Planning (Certified)
      • Healthcare Cost Estimates
      • Client and Staff Education
      • Federal Written Reports
    • Record Tampering and Inconsistencies
    • Medical Literature Research
    • Medical Events Chronology
    • Liaison Between Involved Parties
    • Deposition Question Preparation
    • Jury Selection
    • View Dr. Turkington's Consulting Profile.
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      Avrum R. Goldstein, DMD, FRCD(C)
      33A Edgerton Drive
      N. Falmouth MA 02556
      phone: 508-524-1919
      Avrum R. Goldstein, DMD, FRCD(C) is Board Certified in Periodontics, both in Canada, as a Fellow of the Royal College of Dentists, as well as in the United States, as a Diplomate of the American Board of Periodontics. Dr. Goldstein has over 40 years of experience in his field.

      Dr. Goldstein has excellent academic credentials, including 15 years as an Assistant Clinical Professor at Yale University School of Medicine. He has placed thousands of dental implants during his career and is currently licensed in MA, CT and NY.

      Dr. Goldstein has been offering litigation support services to attorneys for over 25 years. He is an excellent writer, an articulate speaker and an experienced teacher. He understands both patients and dentists.

      Areas of Expertise:
      • Dental Implants
      • Dental Implant Surgery
      • Dental Surgery
      • Oral Surgery
      • Gum Disease
      • Periodontics
      • Infection in the Mouth
      • Loss of Teeth
      • Failure to Diagnose
    • Problems with Crowns
    • Poor Dental Esthetics
    • Extractions
    • Bone Loss
    • Decay
    • Sinus Perforation
    • Loss of Teeth
    • Loose Teeth
    • Dental Malpractice
    • View Dr. Goldstein's Consulting Profile.
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      Richard H. Bailey, MD, CPE, FACP, FAAPL
      1411 Maple Hill Rd.
      Wassau WI 54403
      phone: 715-301-9277
      Richard Bailey Healthcare Quality Control Expert PhotoRichard H. Bailey, MD, CPE, FACP, FAAPL, President and Chief Medical Officer of Bailey Healthcare Solutions, LLC, is American Board Certified in Internal Medicine and a Certified Physician Executive, certified by the Commission of Medical Management.

      As an experienced physician executive and skilled clinician, Dr. Bailey is committed to improving the quality and safety of patient care through leadership, innovation, collaboration, and change management. He has more than 15 years of progression physician leadership positions with a strong reputation and demonstrated success in the areas of medical affairs, practice management, physician engagement and alignment, medical informatics, evidence based practice, hospital medicine, health care quality and safety, and utilization management.

      Dr. Bailey's services help healthcare organizations refine health care delivery systems for the sole purpose of improving patient care. He is committed to the professional role that physicians have in improving health care quality and patient safety through quality assurance, continuous quality improvement, and total quality management. His work includes peer review, quality review, medical necessity and utilization review for hospitals, third party payers, quality improvement organizations, quality review organizations, and for medico-legal purposes.Litigation Support - Licensed in Wisconsin, New Hampshire and Kentucky, Dr. Bailey provides expert witness services to counsel representing both Plaintiff and Defendant. His services and expertise are available for complicated healthcare matters including:
      • Sentinel Event Investigation
      • Peer Review
      • Case Review
      • Utilization Review
      • Medical Necessity Review
      • Second Opinions
      • Provider Behavior Review
      • Patient Safety / Incident Review
    • Medication Errors
    • Credentialing
    • Medical Staff Governance
    • Distressed Physicians
    • Physician Behavior
    • Quality & Patient Safety
    • Palliative Care
    • Hospital & Medical Staff Relations
    • View Dr. Bailey's Consulting Profile.
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      John D. Baker, MD, FACC, FACP, FSCAI
      4790 Irvine Blvd. #105-141
      Irvine CA 92620-1973
      phone: 877- 924-9009
      John D. Baker, MD, FACC, FACP, FSCAI, is dual Board Certified in Cardiology and Interventional Cardiology by the American Board of Internal Medicine. Actively practicing, he has over 20 years of experience in Cardiology, Invasive and Interventional Cardiology.. Dr. Baker is currently the Director of Cardiac Catheterization Laboratories and Invasive/Interventional Cardiology for Anaheim Regional Medical Center.

      Dr. Baker provides evidence based opinions regarding the medical facts of each case, for attorneys representing both Plaintiff and Defense. His services include medical record review for causation, angiogram review, depositions, expert testimony, written reports with writing including statements of merit, case summary opinions, and affidavits.

      Dr. Baker also has extensive experience in peer review, in his capacities as prior Chair of Invasive Cardiology, organizing and maintaining high quality accurate peer review for Anaheim Memorial Medical Center, and redesigning the process to meet the Joint Commission's (JCAHO) Standards. He performs guideline and evidence-based reviews and depositions in all areas of Cardiology nationwide.

      Areas of Expertise:
      • Medical Malpractice
      • Coronary Heart Disease
      • Stents
      • PTCA
      • Pacemakers
      • Angioplasty
    • Myocardial Infarction
    • Radiation Safety
    • Congestive Heart Failure
    • Fluoroscopy
    • Rotablators
    • Laser Atherectomy
    • View Dr. Baker's Consulting Profile.
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      Sanjiv Modi, MD
      1211 S. Prarie Ave.
      Unit 4901
      Chicago IL 60605
      phone: 312-450-2475
      fax: 866-597-9162
      Sanjiv Modi, MD, is board certified in Medical Oncology, Hematology, and Internal Medicine. In active practice since 2000, Dr. Modi has been reviewing medical records for peer review, utilization review, disability review, and medical legal purposes since 2012. He holds an active Florida Expert Witness Certificate.

      Litigation Support - Dr. Modi provides expert witness services for litigation in the specialty of Hematology, Medical Oncology, and Internal Medicine. His services are available to attorneys representing both Plaintiff and Defendant.

      Dr. Modi has been called upon to define applicable standards of care and identify deviations from and adherence to the applicable standards of care. He utilizes objective evidence of standards of care and national published guidelines in preparing his reports.

      Dr. Modi is familiar with court proceedings and the deposition process. He is experienced in trial and able to communicate with a jury in easy to understand language. His service include medical chart review, narrative reports, and testimony for court, arbitrations and medical panels.

      Areas of Expertise:
      • Blood Clots
      • Anticoagulation
      • Cancer
      • Chemotherapy
      • Mesothelioma
      • Clinical Genetics
      • Hospice and Palliative Care
      View Dr. Modi's Consulting Profile.
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      Dr. Robert A. Bailey, DC, DABFP, CICE, DABCC, CIRE
      14920 Hickory Greens Court
      Fort Myers FL 33912
      phone: 812-890-7121
      Robert Bailey Chiropractic Expert PhotoRobert A. Bailey, DC, DABFP, CICE, DABCC, CIRE, has been practicing Chiropractic since 1977. A graduate of Logan College of Chiropractic in St. Louis, Missouri, Dr. Bailey is certified by the American Board of Independent Medical Examiners (ABIME) and holds Diplomate status from the American Board of Forensic Professionals (ABFP) and the American Board of Chiropractic Consultants (ABCC). He is certified in disability evaluations through the National Association of Disability Evaluating Professionals (NADEP).

      Litigation Support - Dr. Bailey has provided litigation support services for over 12 years. He has been deposed and/or testified approximately 15 times since 2010. Dr. Bailey's services include review of medical records and preparation of thorough, objective, written analysis regarding causation, diagnosis, prognosis, MMI, impairment, appropriateness and duration of care, and audit procedure codes. He assists with question preparation for depositions and interviews and is available for forensic chiropractic testimony when necessary.

      Dr. Bailey offers opinions in matters including:
      • Stroke Secondary to Chiropractic Manipulation
      • Independent Medical / Chiropractic Examination
      • Standard of Care relating to Chiropractic Malpractice
      • Appropriateness of Care relating to Chiropractic Malpractice
      • Impairment Ratings / Coding Audits
      • Fraud / Abuse
      • Functional Capacity Evaluations
      Dr. Bailey has lectured to the Indiana State Chiropractic Associations, the College on Forensic Sciences, and numerous interested groups about clinical documentation, chiropractic coding and billing, risk management, and issues of fraud and abuse. Lastly, Dr. Bailey serves as an academy instructor for the National Insurance Crime Bureau and is a member of the National Society of Professional Insurance Investigators.
      9/29/2015 · Medical
      As part of their educational process, practitioners of manipulative procedures are made aware of the possible association between neck manipulation and cerebrovascular accidents[i] (CVAs) as well as what to do in the event a CVA occurs during treatment.[ii] For any litigation considered regarding a stroke that closely follows spinal manipulation, the starting point for retained counsel is to ask what else could have caused or contributed to the stroke. Screening issues to consider include the following:

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      Arnold D. Berliner, MD, MPH
      6721 Serena Ln.
      Boca Raton FL 23433
      phone: 561-289-2647
      Arnold D. Berliner, MD, MPH, is Certified in Internal Medicine, Hematology, and Medical Oncology. Dr. Berliner has extensive clinical experience in cancer management and care of patients with hematologic disorders. He was formerly on the faculty at University of Miami, Miller School of Medicine/Jackson Memorial Hospital. Currently, he is a voluntary teaching associate at Schmidt School of Medicine at Florida Atlantic University in Boca Raton, Florida.

      Litigation Support - Dr. Berliner offers case review of Oncology / Hematology involving questions of Delayed Diagnosis and Standard of Care. His services are available to counsel representing both Plaintiff and Defense.

      Dr. Berliner opines on matters of:
      • Medical Misdiagnosis
      • Treatment Delay
      • Medical Mismanagement
      • Prostate and AIDS-related Cancers
    • Lymphomas
    • Leukemia
    • Bleeding and Clotting
    • Bone Marrow Transplant
    • Curriculum Vitae Available Upon Request.
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      Gerald W. Smetana, MD
      Yamins 102C
      330 Brookline Ave.
      Boston MA 02215
      phone: 617-667-2115
      fax: 617-667-9105
      Gerald W. Smetana, MD, Board Certified in Internal Medicine, is a General Internist with over 28 years of experience in an academic primary care practice at Beth Israel Deaconess Medical Center in Boston. He is also a Professor of Medicine at Harvard Medical School where he teaches internal medicine to medical house staff and also extensively to practicing clinicians in continuing medical education settings.

      Practicing in an outpatient setting, Dr. Smetana cares for a panel of patients that is weighted towards those with multiple chronic illnesses and high disease complexity. In addition to all aspects of office based general internal medicine, his areas of interest include Preoperative Medical Evaluation, Hypertension, and Headache.

      Dr. Smetana has been repeatedly selected as a Best Doctor in a national survey and has received a national award for scholarship in medical education. He publishes in the peer reviewed medical literature and medical texts, has edited textbooks, and has helped to develop national guidelines on topics in internal medicine. He has been invited to deliver seminars and presentations on various topics within his area of expertise nationally and internationally, including Canada, Switzerland, United Arab Emirates, Vietnam, Japan, and Taiwan.

      Litigation Support - Dr. Smetana reviews cases for both plaintiffs and defendants, and has testified at deposition and trial as an expert more than 30 times. He has reviewed several hundred medical malpractice cases over the past 10 years both for plaintiffs and doctors. Dr. Smetana also consults for risk management insurers. His primary care, record review, and medicolegal consultation services are available throughout the United States.
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      Robert M. Greene, PhD
      Louisville KY 40202
      phone: 502-457-6852
      Robert M. Greene, PhD, received his degree in Anatomy / Developmental Biology from the University of Virginia and obtained postdoctoral training at the National Institutes of Health. As a professor at Jefferson Medical College in Philadelphia, he conducted NIH funded research into the Genetic and Biochemical Causes of Various Birth Defects, including cleft lip, cleft palate, and neural tube defects such as spina bifida.

      Since 1998, Dr. Greene has served as Founding Director of the University of Louisville Birth Defects Center, Chairperson of the Department of Molecular, Cellular & Craniofacial Biology, and as an Associate in the Department of Pediatrics.

      Continuously funded by the NIH for the past 35 years, with over 160 peer-reviewed scientific publications, his research activities and scientific expertise encompass the genetic, epigenetic, and environmental causes of birth defects. Dr. Greene currently serves as an Associate Editor, for the scientific journal Birth Defects Research A: Clinical & Molecular Teratology.

      Litigation Support - Dr. Greene offers expert services to attorneys for Plaintiff and Defense. He has previously served as an expert witness for the following firms: Schiller, Orborne & Barnes, Louisville, KY; Angino & Rovner, Harrisburg, PA; Collier, Shannon, Rill & Scott, Washington, D.C.

      Dr. Greene's specific areas of scientific/expert witness expertise include:
      • Causes of Cleft Palate, Cleft Lip, other Craniofacial Defects
      • Causes of Neural Tube Defects Responsible for such Conditions as Spina Bifida and Anencephaly
      • Cigarette Smoke, and other Environmentally-induced Birth Defects and Intrauterine Growth Retardation
      View Dr. Greene's Consulting Profile.
      1/8/2015 · Medical
      Issues - Plaintiff sued the city of Bloomfield, KY, claiming that contaminants, specifically trihalomethanes (THMs), in drinking water supplied by the City of Bloomfield are likely to have caused orofacial clefting deformities in children born in Bloomfield, KY in 2001.

      Issues - Plaintiff sued Merrell Dow Pharmaceuticals claiming that Bendectin, an antiemetic, frequently prescribed prior to 1983 for the treatment of nausea and vomiting during pregnancy, and developed and manufactured by Merrell Dow Pharmaceuticals, caused specific birth defects in the children born to mothers treated with Bendectin.

      11/13/2014 · Medical
      To begin, what is the overarching mission of the University of louisville Birth Defects Center? Has this focus evolved since the Center was first established?

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