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Wound Care Management Expert Witnesses

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Constance Paine, RN,CCRN, LNCC
4058 Hegg St.
San Diego CA 92115
USA
phone: 619-997-8407
fax: 619-255-9501
Constance J. Paine CCRN, LNC, is a Legal Nurse Consultant with over 40 years of nursing experience. Ms. Paine offers comprehensive services to the legal community in cases involving Critical Care, Interventional Radiology, Medical Surgical, and Discharge Planning. She is currently the Principal at CP LegalMed Consulting and a Staff Nurse in ICU at UC San Diego Health System.

Ms. Paine has been retained as a nursing expert over 70 times for actions involving Medical Malpractice, Personal Injury, and Product Liability. She provides non-biased opinions for attorneys representing both Plaintiff and Defense. Ms. Paine is available to identify causation and damages issues and attend IME's. Her services also include assessment, review, analysis, and research of medical cases, and education of nursing standard of care issues.

Areas of Specialization:
  • Hospital Policy & Procedure
  • Open Heart Surgery Patients
  • Pacemaker / Implantable Defibrillator Management
  • Intra-aortic Balloon Pumps
  • Continuous Dialysis
  • Advanced Cardiac Life Support
  • Ventilated Patients - acute and chronic
  • Stroke Care
  • Conscious Sedation
  • Intravenous Therapy
  • Epidural Catheters
  • Skull Base Surgery
  • Wound Care
  • Fall Risk Management
  • View Constance Paine's Consulting Profile.
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    Louis Flancbaum
    MD
    1218 East Laurelton Parkway
    Teaneck NJ 07666
    USA
    phone: 201-663-1010
    fax: 201-357-2675
    ● Extensive experience in general surgery, bariatric surgery, GI surgery, trauma surgery and critical care

    ● Board Certified in General Surgery and Surgical Critical Care

    ● Fellow of American College of Surgeons, American College of Critical Care Medicine, and American College of Chest Physicians

    ● Member of 25 professional societies

    ● Held faculty appointments at UMDNJ-Robert Wood Johnson Medical School, Ohio State University College of Medicine and Columbia University College of Physicians and Surgeons

    ● Published 2 books and over 120 peer-reviewed papers and book chapters

    ● Available for review and expert testimony in medical malpractice cases, insurance reviews and appeals and related matters
    Louis Flancbum, MD; et al
    An excellent and reassuring guide for those considering the surgery. The book clearly outlines the surgical options, explaining each type along with its risks and possible complications, as well as expected outcomes. It also explains what to expect before, during, and after surgery, discussing selection of a surgeon, insurance coverage, the surgery itself, pain control, diet, and (rarely) re-operation. Resources and recipes are appended.
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    John H. Fullerton, MD, MRO, CMD, CFP, FACP, AGSF, FAAHPM
    Founder & President
    1700 California St.
    Suite #470
    San Francisco CA 94109
    USA
    phone: 415-460-5532
    fax: 415-459-2774
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    John FullertonJohn H. Fullerton, MD, MRO, CMD, CFP, FACP, AGSF, FAAHPM is Board Certified in Internal Medicine, Geriatric Medicine, Addiction Medicine and Hospice & Palliative Medicine.

    Dr. Fullerton maintains active medical licenses in both California and Florida and holds additional national certificates of added qualifications as a Certified Medical Director (CMD) at multiple levels of care locally and in Home Care (AAHCP).

    Dr. Fullerton is a certified Clinical Forensics Expert, who has participated in nationally recognized Elder Abuse Cases, including the cases of "lay caregivers" misguidedly criminally charged with homicide or manslaughter after caring for a loved one at home with advanced dementias. He has been vetted by the Department of Homeland Security, the Department of Justice, the Office of The Inspector General, and the FBI to perform the duties of a government expert in cases of Criminal Healthcare Fraud. He has served as a key expert witness in the continuing efforts of 'Operation HEAT' and been on the winning side of three criminal convictions.

    Over roughly the past 13 years, Dr. Fullerton has provided independent medical expert testimony and clinical forensic medical testimony in more than 200 cases and reviewed over 1,500 files (including Medicare Audits for the Government). He has focused his medical expertise in mostly Personal Injury, Medical Malpractice, Determinations of Medicare Medical Necessity matters, and Civil & Criminal cases alleging Elder Abuse (including homicide) at either discovery, deposition or at trial testifying for both plaintiff and defense cases, respectively.

    Areas of Expertise:
    • Adult Hospital Medicine
    • Ambulatory Care - Internal Medicine & Geriatrics
    • Geriatric Approaches to Gero-Psychiatry
    • Immuno-Compromised Host 1 Treatment
    • Long Term Care - SNF
    • Sub-Acute Rehabilitation
    • Assisted Living - Secured Dementia Units
  • LTC / Hospice Medical Directorships
  • Hospice & Palliative Care Units
  • Home Care
  • Elder Abuse Defense Cases
  • Preventable Falls
  • Pressure Wounds / Pain Management
  • Addiction Medicine - Forensic Toxicology / DUI Defense Cases
  • View Consulting Profile.
    2/3/2014 · Medical
    From the days of "Reefer Madness" until the timing of Proposition 19 with the "Legalization of Marijuana Initiative" on the ballot last November, the controversies swirling around not only the recreational use, but also the medical use of marijuana, particularly in frail, elderly geriatric patients with clinically significant weight loss (and cachexia), has been fraught with controversy. Even though the ballot initiative from 2010 went down in defeat on November 2, 2010, rumblings of some of the authors bringing another, more "targeted" CA initiative in 2012 are regaining momentum.

    A disturbing trend has emerged involving criminal charges being levied against family caregivers treating end-of-life (EOL) elders with dementia.

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    Kathleen Martin
    RN, MSN, MPA, LNHA, CPHQ, WCC
    368 White Oak Ridge Rd.
    Short Hills NJ 07078
    USA
    phone: 973-218-6267
    fax: 973-912-9702
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    Kathleen MartinKathleen Martin, has extensive experience in health care with 20+ years experience in Acute-Care Hospital where she specialized in Critical Care Nursing and an additional 12 years as a Long Term Care Director of Nursing and Administrator.

    Ms. Martin was responsible for the oversight of nursing and clinical operations of 7 Long Term Care facilities in NJ for an LTC Management company. She has been an Expert Witness, Consultant and LNC for 20 years, advising plaintiff and defense attorneys on both clinical and administrative healthcare operations. Also Wound Care Certified.

    Assessment & Evaluation of:
  • Four Elements of Medical Malpractice
  • Compliance of Standards of Care
  • Underlying Medical Conditions
  • Deviation from Standards of Care
  • Pertinent Missing Records; Fraudulent Documentation
  • Key Clinical Areas:
  • Fall Prevention and Management
  • Pain management
  • IV Care, Tube Feedings, Infection Control
  • Abuse, Neglect
  • Medication Management
  • Pathophysiology of Disease Processes
  • Interrelationships of Diagnoses
  • Timeliness of Care and Notification
  • Regulations / Standards

  • Consultation for the Legal Community / Long TermCare Industry:
  • Survey Readiness
  • Risk & Quality Management
  • Fall Prevention and Management
  • Wound Prevention and Management
  • DON Support and Training
  • Staff Education
  • Infection Control
  • 11/19/2012 · Nursing
    Fall and injury prevention continues to be a considerable challenge in all health care areas, as well as in the homes of those at risk. Inpatient fall prevention has been an individual area of concern for nursing for almost 55 years.

    3/7/2012 · Medical
    MEDICAL ERRORS HAVE RECEIVED increased scrutiny in recent years. In 1999, the Institute of Medicine (IOM) report, "To Err is Human," found that medical errors were calculated to be the fifth-leading cause of death in the United States. Such errors are the cause of at least 98,000 deaths per year, according to IOM. But keep in mind that these numbers are estimates; no one knows how many errors go unrecognized or are simply not reported.

    10/27/2011 · Nursing
    A Kennedy Terminal Ulcer is a pressure ulcer some people develop as they are dying.

    9/15/2011 · Nursing
    You may have asked yourself, "What is a Legal Nurse Consultant (LNC) and why would I want to utilize one?"

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    Richard G. Buch, MD
    Orthopedic Oncology Expert
    4001 West 15th St., 209
    Plano TX 75093
    USA
    phone: 469-443-0926
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    Richard G. Buch, MD is a board certified, fellowship trained Orthopedic Oncologist and fellow of the American Academy of Orthopaedic Surgeons. With over 26 years of experience, Dr. Buch has performed over 11,000 hip, knee, and shoulder replacements using only the most advanced implants available. In addition, he is actively engaged in bone and joint investigative studies, as well as researching and writing numerous reports that have been widely published in medical and orthopaedic journals.

    One of only 150 Orthopedic Oncologists in the nation, Dr. Buch is sometimes referred to as the physician's specialist. His total joint revisions and oncology procedures are done by very few surgeons in the country, and his expertise in his field is exceptional.

    Dr. Buch provides litigation support services to attorneys for Plaintiff and Defense. His services include medical record review for causation and standard of care issues.

    Areas of Expertise:
    • Bone Cancer
    • Bone Cancer Revisions
    • Bone Infections
    • Joint Infections
    • Complex Reconstructions
    • Musculoskeletal Tumors
    • Complex Joint Replacements
  • Knee Replacements
  • Hip Replacements
  • Shoulder Replacements
  • Ankle Replacements
  • Elbow Replacements
  • Joint Replacement Revisions
  • Orthopedic Oncology
  • View Dr. Buch's Consulting Profile.
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    10274 Alliance Road
    Cincinnati Ohio 45242
    USA
    phone: 513-891-9991
    fax: 513-891-9947
    Aletha W. Tippett, MD is board certified in Family Medicine, Pain Management, Palliative Care, and Wound Care. She is a practicing solo family physician in Ohio with a primary focus on wound care, using a bioengineering approach. Her main areas of interest in wound care are Limb Salvage and Pressure Ulcer Prevention and Treatment.

    Dr. Tippett offers consulting and litigation support services to attorneys for both Plaintiff and Defense. She spends a significant amount of time consulting in nursing homes, hospitals, and the outpatient office on wound care, having treated more than 15,000 wounds to date. Her services include pre-trial consulting, medical record review, deposition, and trial testimony when necessary.

    Areas of Expertise:
    • Pressure Ulcers
    • Palliative Care
    • Wound Pain
  • Arterial Insufficiency
  • Limb Salvage
  • Amputation
  • Dr. Tippett is the founder and president of the Hope of Healing Foundation┬«, dedicated to limb salvage and innovative wound treatment. She has been honored with numerous awards in the health care community and is a published author and international speaker on wound care. With teaching an area of particular interest and strength, Dr. Tippett delivers many lectures and presentations on wound care locally, nationally, and internationally.
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    Dr. Jeffrey Stone
    DO, MPH, FCCWS
    Limb Salvage Centre
    5481 Blair Rd
    Dallas TX 75231
    USA
    phone: 214 265-9408
    fax: 214 265-8752
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    Dr. Jeffrey Stone, DO, MPH, FCCWS, specializing in Wound Care and Hyperbaric Medicine, serves as Medical and Fellowship Director for the Hyperbaric Medicine Unit at the Institute for Exercise & Environmental Medicine at Texas Health Dallas. Dr. Stone received his medical degree from Western States University and received a Master of Public Health degree from Harvard University. Dr. Stone completed a residency in aerospace medicine at Brooks Air Force Base and a fellowship in hyperbaric medicine and Wound care at the U.S. Air Force School of Aerospace Medicine. He is one of the first 60 physicians in the U.S. to receive his certification in Wound Care. Dr. Stone currently provides care to patients in acute care, LTAC, long term care facilities SNF and Nursing Home) and outpatient care.

    Dr. Stone has been widely published in many medical journals regarding his expertise in Wound Care and Hyperbaric Medicine, Dr. Stone serves as an Expert Witness for Peer Reviews, Legal Reviews, and Medical Malpractice Cases.

    Areas of Expertise: Wound Care and Hyperbaric Oxygen-
    • Pressure Sores
    • Arterial Ulcers
    • Diabetic Foot Wounds
    • Acute Traumatic Ischemias
    • Decubitus Ulcers
    • Non-Healing Wounds, Venous or Arterial or Pressure Related
    View Consulting Profile.
    3/5/2013 · Medical
    Thrombin and thrombin peptides play a role in initiating tissue repair. The potential safety and efficacy of TP508 (Chrysalins) treatment of diabetic foot ulcers was evaluated in a 60-subject, prospective, randomized, double-blind, placebocontrolled phase I/II clinical trial.

    1/3/2013 · Medical
    A wound patient plan of care is not complete without assessing the need for nutritional support. Wound repair, provided ot os not hindered by systemic or local factors that delay healing, takes place pn a continuum-all cellular events in the wound repair process follow a predictable course and order.

    11/1/2012 · Medicine
    Adequate debridement, control of infection, off-loading of pressure, and appropriate topical management are the most important interventions in treating nonhealing wounds.