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4/11/2024· Medical - Medicine

Fine-Needle Aspiration Biopsy of Secondary Neoplasms of the Thyroid Gland

By: Dr. Paul Michaels

Secondary neoplasms of the thyroid gland (SNTGs), representing either metastases or direct extension of tumors from adjacent anatomic structures, are uncommon. Their reported incidence varies substantially, however, ranging from 0.1% to 3% in clinical series. They have been reported as incidental findings in autopsy studies with a frequency of 4.4% to 24% in patients with a known primary cancer or...

6/20/2023· Medical Records Review

Plaintiff Support - Insurance Carrier Seeks Restitution For Fraudulent Bills Related To Transmucosal Instant Release Fentanyl Products

By: Joel L. Kent, MD

Asked to provide expert witness support for a health-care insurance carrier who was seeking restitution for fraudulent invoices that were paid for the provision of a transmucosal instant release fentanyl (TIRF) products. The plaintiff alleged that the pharmaceutical manufacturer was perpetrating a criminal conspiracy resulting in undue payments. 

7/20/2022· Medical Malpractice

Hernia Mesh Complications Expert Witness: Challenges And Potential Issues In Hernia Mesh Litigation

By: Dr. Kent Sasse

Mesh is used to support the tissues in most hernia repairs in the U.S. This practice stems from research showing that without reinforcement material, hernias tend to recur frequently over the long term when the repairs are performed using suture repairs alone. Surgical mesh, made from polypropylene

1/21/2020· Orthotics and Prosthetics

Liability Pitfalls In Providing 3D Printed Components or Devices In Prosthetics And Orthotics

By: John Schulte

The 3D printing manufacturing process has been garnering the Medical headlines lately. While exciting to literally print a device right from the computer, some very important aspects relative to placing a printed device on a medical referral person particularly regarding prosthetics and orthotics will be discussed...

1/6/2020· Medical - Medicine

Beware Overuse of Fluoroquinolones

By: Dr. Sajid Khan

Fluoroquinolone antibiotics (Ciprofloxacin, Levofloxacin, Moxifloxacin, among others) are an important class of antibiotics that are used in a variety of settings. Ciprofloxacin remains one of the primary treatment options for cystitis. It is used routinely for inpatient treatment of pneumonia and many still consider it part of the first-line treatment for diverticulitis. But in the last few years, questions about its safety profile have led to growing concerns.

11/13/2019· Emergency Medicine

Supervising Midlevel Providers in Emergency Departments

By: Dr. Sajid Khan

Managing the Emergency Department is a team sport. That means sharing information with one another, trusting your teammates to perform to the best of their ability, and working together towards a common goal. To that end, one responsibility of [most] ED physicians is supervising mid-level providers.

9/13/2019· Medical - Medicine

Vertebral and Carotid Artery Dissections

By: Dr. Sajid Khan

Cervical arterial dissections most commonly occur in the carotid arteries, followed by the vertebral arteries. Vertebral artery dissection (VAD) often presents after a trivial injury such as hyperextension of the neck while at the salon...

7/23/2019· Medical - Medicine

Myasthenia Gravis Disorder: Diagnosis, Crisis, and Treatment 0verview

By: Dr. Sajid Khan

Myasthenic crisis is a rapidly progressive and potentially fatal condition. Early consideration and bedside confirmatory tests are essential. Have a low threshold to establish a definitive airway using higher than typical doses of paralytic medications. Involve the consultant early and be extra vigilant when caring for anyone with a history of myasthenia gravis

7/1/2019· Medical - Medicine

Failure of Medical Stress Tests

By: Dr. Sajid Khan

When evaluating a patient, we rely on a good history to help us form a differential diagnosis. We use our physical exam skills to refine that list. A bedside ultrasound or ECG can further guide our decision-making and save precious time. Beyond these, we rely on seemingly failsafe data: radiographs, blood tests, and urine samples. But sometimes these reliable tests aren't so reliable.

4/25/2019· Emergency Medicine

Ready for the Measles' Comeback?

By: Dr. Sajid Khan

As disease patterns evolve, so too must we. Being aware of emerging illnesses and remaining diligent in identifying their presence ensures a safe environment for the patient and the community. Measles is a highly contagious and potentially lethal viral infectious disease.