Traumatic Brain Injury (TBI) Consultants: 8

Neurological Surgery is a medical office in Brandon, Florida, with a highly practiced neurosurgeon who focuses on minimally invasive outpatient surgery. He is a Mayo Clinic-trained neurosurgeon with decades of experience. Larry Fishman, MD, PA, is a Board Certified Neurosurgeon with more than 22 years of experience. Dr. Fishman specializes in minimally invasive surgery, including Carpal Tunnel, Spinal, and Cranial Procedures.

Dr. Fishman provides minimally invasive spine and brain surgery that requires only a small incision. The recuperative time is much less than required with traditional surgical methods, and patients can return to normal activities in a much shorter amount of time. This type of procedure minimizes potential risks of full surgery and maximizes the benefits of an early recovery. Dr. Fishman is a Member of the Congress of Neurological Surgeons, the Florida Neurological Society, the American Academy of Neurological Surgeons, the International Association of Minimally Invasive Surgery, and many more.

View Dr. Fishman's Expert Witness Profile.

MRK Medical Consultants provides Medical-Legal Evaluations to help legal and insurance professionals reach appropriate conclusions about their client's situations. MRK provides a wide array of medical experts that offer objective review and analysis of personal injuries. Each stage of the process—research to review, analysis to opinion—is addressed in a comprehensive manner in order to help legal and insurance professionals reach appropriate conclusions about their client’s situations. MRK's prestigious list of more than forty consultants are active clinicians and surgeons, who are all board-certified or eligible in one or more specialties. MRK provides physician experts to the entire State of California, the Reno/Lake Tahoe area, and Las Vegas, and we travel to many areas of the United States. Physical therapy, registered nurses, physician assistant, and billing review consultants are available services MRK provides. Our office physicians are available for telephone review of the merits of your case before you decide to proceed.  

Edward W. Younger, III, M.D., Medical Director of MRK Medical Consultants, specializes in Orthopedic Surgery. He has extensive experience in total joint replacement, as well as reconstructive surgery of the knee, hip, and shoulder. He was instrumental in bringing computer navigation technology to his hospital. He served on the orthopedic trauma staff at Mercy San Juan Medical Center in Carmichael, California, for more than fifteen years and was instrumental in bringing computer navigation technology to that institution. He is a member of Alpha Omega Alpha National Honor Society and is a Diplomate of the American Board of Orthopedic Surgery, a member of the American Medical Association, the American Academy of Orthopedic Surgeons, and the California Orthopedic Association.

Dr. Michael R. Klein, Jr., M.D., specializes in Orthopedic Surgery and is a founding member and the first Medical Director of Northern California Orthopedic Centers. He was involved with the development of the orthopedic section of the Level II Trauma Center at Mercy San Juan Medical Center. He served as a clinical professor at the University of California, Davis, Medical Center for more than thirty years. He has been a member of the North American Spine Society since 2009 and was awarded the David O. Selby Award in 2020 for his contributions. He is a fellow of the American College of Surgeons and American Academy of Orthopedic Surgeons, and a member of the American Medical Association and the California Medical Association. He retired from the USAF in 1998 after being on active duty during the Vietnam War, and he was activated for Operation Desert Storm in 1991. 

MRK's Areas of Expertise:

Dr. Farr Ajir, MD, MBA, FACS, CIME, is a Board Certified Neurosurgeon with more than 35 years of experience in the treatment of disorders of the Brain, Spine, and Peripheral Nerves. He is also certified by the American Board of Independent Medical Examiners.

Dr. Ajir has been staff neurosurgeon at Mayo Clinic and Kaiser Permanente Healthcare Systems.

He is a Fellow of the American College of Surgeons (FACS),  Congress of Neurological Surgeons, and California Association of Neurological Surgeons. He is a Certified Physician Executive (CPE) with many years of leadership and administrative experience in healthcare delivery.

Litigation Support - As an expert neurosurgeon with decades of experience, Dr. Ajir offers services to attorneys representing plaintiff and defendant. He is certified by the American Board of Independent Medical Examiners (CIME), performs IMEs, and provides expert reviews and medical-legal opinions. Dr. Ajir holds medical licenses in California, Montana, New York, Pennsylvania, Washington, Wisconsin, and Utah. 

Areas of Expertise: 

Brain

Spine

Dr. Patricia J. Bartzak, DNP, RN, CMSRN is a doctorally prepared Registered Nurse, with active nursing licenses in both Massachusetts and California.  Dr. Bartzak provides direct patient care in the hospital setting.  In addition to nursing research and education positions. Dr. Bartzak demonstrates both a wide and deep involvement in the nursing field. Her clinical practice provides the relevance, skill set, and understanding of what’s needed to create an environment that finds the evidence to optimize patient outcomes and leads the next generation of nurses. Dr. Bartzak utilizes peer-reviewed journal databases and meticulously references her sources and synthesizes information on complex nursing and health-related subjects. Currently working in a hospital designated as level 1 trauma center. 

Dr. Bartzak has completed the Intensive Course on Evidence-Based Practice (EBP) at the Fuld Institute at Ohio State University (2019) and is co-leading the adoption of EBP for a national organization. Dr. Bartzak has demonstrated skill in data mining and concept simplification to provide background and context for complex healthcare matters. Dr. Bartzak has worked in both union and non-union environments, and has the background and experience to consult with hospital leadership to engage and strengthen nurse’s investment in the workplace. Dr. Bartzak has written policies and procedures so she can assist other organizations in policy review and recommendations to ensure broad coverage, while also maintaining a risk management balance. Dr. Bartzak is versed in core measures and patient safety initiatives, and can provide an independent evaluation of practice issues and outcomes.

Finally, Dr. Bartzak has taught at all levels in nursing education from associate to doctoral, and can provide recommendations related to student progress in the academic area, and issues related to new graduate nurses transitioning into practice.

View Dr. Bartzak's Expert Witness Profile.

Research & Planning Consultants, LP (RPC) has been assisting clients with expert services for over 45 years, including consulting and expert witness testimony for personal injury, healthcare litigation, commercial litigation and Certificate of Need matters. RPC also offers a wide selection of health data. They have served clients across the U.S, from Alaska to Florida and from New England to California. 

A Complete Team of Damages Experts for Personal Injury Litigation

Research & Planning Consultants, LP provides the following services: 

• PERSONAL INJURY - RPC provides comprehensive damages analysis in personal injury litigation. Their expert team has life care planners, vocational evaluators, board-certified physicians, economists and neuropsychologists. 

Areas of Expertise include: Life Care Plans, Loss of Earning Capacity or Support, Present Value of Damages, Medical Bill Analysis, Chargemaster Analysis, Neuropsychological Testing & Traumatic Brain Injury, Vocational Evaluations, IMEs, Section 18.001, Prestanding ED Chargemaster Analysis

• COMMERCIAL LITIGATION- RPC has provided expert analysis on commercial litigation concerning many industries: chemicals, refining, forestry, waste management, pipelines, water resources, oil and gas EDP, fisheries, agriculture, electrical generating plants, transmission lines, telecommunications, and real estate development. Our special expertise in the healthcare industry has proven valuable to business litigators unfamiliar with this complex industry.

Areas of Expertise: Breach of Contract / Commercial Economic Damages, Construction Disputes, Litigation over Non-Competitive Agreements, Environmental Torts and Toxic Torts, Commercial Disparagement, Wrongful Termination

• HEALTHCARE LITIGATION - RPC offers economic, statistical, data and clinical analysis in a wide range of healthcare litigation. They have experience with payment disputes, qui tam litigation, physician-hospital disputes, practice valuations and construction litigation. 

Areas of Expertise: Qui Tam Healthcare Litigation, Medical Staff Disputes, Professional Liability, Payment Disputes, Health Facility Construction Disputes, Freestanding ED Chargemester Analysis

• CERTIFICATE OF NEED - RPC provides Certificate of Need (CON) planning services nationwide. We have over 35 years of experience developing regulatory strategy, preparing applications and testifying in public and administrative hearings.

Areas of Expertise: Satellite Hospitals, New Hospitals, Relocation and Transfer of Beds, Observation Beds, Geriatric Psychiatric Units, Children’s Hospitals, Comprehensive Inpatient Rehabilitation Units, Neonatal Intensive Care Units, Open Heart Surgery Services, Long Term Acute Care Units, Projects that exceed CON Capital Threshold Limits, Projects for Specifically Listed Services, Programs Requiring CON, Hospices, Senior Living Facilities

Ronald T. Luke, JD, PhD, is a principal consultant and President of RPC, LP. Ron joined RPC in 1976 and became its president and principal owner in 1979. He has consulted on projects for health care providers, managed care plans and public agencies in more than 25 states. He also serves as an expert witness in trials, administrative proceedings and legislative hearings.

Active in the Health Policy Arena, Dr. Luke has been accepted as an expert in Economics, Socioeconomic Impact Analysis, and Policy Analysis by state and federal courts, and state administrative agencies. The types of cases in which he has provided expert testimony include personal injury, contractual disputes, health care payment disputes, construction defects, utility construction permitting, and certificate of need. He has testified on health care matters including market structure, billing fraud and abuse, reasonableness of charges, medical staff credentialing, workers’ compensation fee guidelines, utilization review, physician contracts, and managed care contracts.

Kacy L. Turner, MS, CRC, CVE, CLCP, is a Certified Life Care Planner and Vocational Consultant with RPC. She has over 20 years of experience in Rehabilitation. Ms. Turner has experience writing life care plans for both plaintiff and defense clients. She has experience as a rehabilitation consultant in three states and has been qualified as a testifying expert in state and federal court.  

Ms. Turner has worked on cases in several states as well as the country of Trinidad. To determine the pre-injury and post-injury employability in personal injury cases, she provides vocational testing, transferable skills analysis, job requirements analysis, rehabilitation plans, and definition of reasonable accommodations under the American with Disabilities Act. She is a member of the International Association of Rehabilitation Professionals, the Texas Association of Rehabilitation Professionals and Providers of Services, and Vocational Evaluation and Career Assessment Professionals.

Brian Piper, PhD,  is an Economist with RPC specializing in Quantitative Analysis and Modelling. He works on a variety of cases including personal injury and certificate of need. He is experienced in data extraction, management, simulation, and analysis using STATA, SQL, ARC GIS and a variety of other programs. Dr. Piper has taught graduate classes in statistics and econometrics in both MBA and Ph.D. programs.

Dr. Piper is an experienced expert, providing testimony, reports, and affidavits on the issues of economic damages in personal injury litigation, healthcare litigation, False Claims Act litigation, and other commercial litigation. He has testified on behalf of plaintiffs and defendants. 

Dr. Piper specializes in the economics of healthcare. He has been retained by healthcare providers and insurers in payment disputes. He has analyzed the reasonableness of charges and expected payment for past and future medical services for providers, insurers, plaintiffs, and defendants. Besides work in litigation, Dr. Piper has provided analysis of Certificate of Need applications and the economic impacts of proposed legislation.

Sanjay Adhia, MD, MRO, is triple-Board-Certified in Psychiatry, Brain Injury Medicine and Forensic Psychiatry. In addition to forensic/expert witness practice, Dr. Adhia has provided patient care in the Houston area. Currently, he is a neuropsychiatrist at Memorial Herman TIRR where he treats those with brain injury, stroke, and other neurological injuries. His forensic practice focuses on the psychiatric impact of personal injury, medical malpractice, drug and alcohol abuse, sexual abuse, competency, violence, and complicating mental illness, as well as psychiatric disability. 

Dr. Adhia is among one of the few Forensic Psychiatrists who is also Board-Certified in Brain Injury Medicine. Often, Traumatic Brain Injury (TBI) can be a major factor in litigation as it can result in psychiatric or neurocognitive impairments. He has expertise in psychopharmacology, the medicine of medication. 

In addition, Dr. Adhia works with Physicians for Human Rights to assess victims of kidnapping and false imprisonment, human trafficking, undue influence, physical and sexual abuse, rape, and fear of imminent death. In all populations, he assesses PTSD, Anxiety, Depressive Disorders, risk of suicide, and malingering. He is experienced in the treatment and impact of drug and alcohol abuse on decision-making. Dr. Adhia has also treated severe psychosis (Schizophrenia, hallucinations) and psychopathology. Dr. Adhia was formerly treating patients at a Maximum Security Prison and prison psychiatric hospital. He has treated Opioid Use Disorders. 

Dr. Adhia’s findings consider complicating factors, such as emotional distress worsened by other active physical and mental conditions. Other factors are pre-existing mental and physical illness, competency and capacity (e.g. dementia, Intellectual Disability.) As a physician, Dr. Adhia is uniquely qualified to review medical records and doctor reports. Institutional medicine, medical malpractice, and standard of care apply to both public and private facilities, including government, regulated correctional institutions, and psychiatric hospitals. Dr. Adhia is skilled in these med-legal issues. He conducts Independent Medical Examinations, review of records, and reports his med-legal findings and opinions. He is available to testify in civil, criminal, probate, Federal, Immigration, military, and administrative jurisdictions.

Stephen M. Raffle, M.D. is double Board-Certified in Psychiatry and Forensic Psychiatry. Dr. Raffle has over 49 years as a clinical and forensic psychiatrist offering his expert opinion in Federal and State jurisdictions nationwide. In addition to serving as an expert witness, Dr. Raffle consults to attorneys, judges, insurers, and to employers regarding Fitness for Duty and Risk of Violence (Threat) Assessment:

• 5000+ psychiatric assessments
• Expert testimony in 700 depositions and trials
• Successful clinical practice

The job of an expert witness is to educate a jury, judge, attorney, and trier of fact about the forensic psychiatrist's conclusions and how those opinions were derived in a manner well-reasoned, skillful, and easily understood by every person, not only another forensic psychiatrist. In short, an educator. Dr. Raffle’s experience as an educator extends well beyond a forensic venue, yet underpins the key to his ability to explain his opinions.

• Prof. of Psychiatry, UCSF Medical School, 20 years
• U.C. Hastings College of the Law postgraduate course "Trial and Appellate Advocacy" instructing seasoned attorneys about the direct and cross-examination of expert witnesses, with special focus on mental health experts and licensed medical professionals, Psychiatrists (MDs), Psychologists (LCSWs / MFTs), and physicians in other medical specialties, 11 years

Stephen M. Raffle, M.D. & Associates' expertise is well-established in forensic assessment in the areas of:

• Post-Traumatic Stress Disorder (PTSD)
• Dementia and Competency
• Testamentary Capacity
• Undue Influence
• Traumatic Brain Injury
• Malingering
• Emotional Distress: Intentional & Unintentional infliction
• Emotional Distress: Forensic Evaluation to render medical-legal opinion
• Diagnosis and Need for Treatment
• Fitness For Duty
• Risk/Threat Workplace Violence Assessment
• Wrongful Termination
• Discrimination (ADA, Title VII, EEOC)
• Harassment
• Employment Litigation
• Medical Malpractice
• Catastrophic Injury
• Temporary and Permanent Disability
• Medical Records Review
• Assist in Preparation for Direct and Cross-examination of Expert Witnesses and Deposition of expert witnesses

Licensed in California.