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AMFS is the nation's leading provider of medical expert witnesses. We maintain a network of thousands of actively practicing, board-certified physician medical experts as well as expert witnesses in all other health care related fields. Since 1990 we have provided medical expert witnesses to thousands of attorneys in thousands of cases, including medical malpractice, personal injury, wrongful death, criminal and other matters. Contact AMFS now for a free case analysis with our team of U.S. based Medical Directors.

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2/19/2015 · Medical - Medicine

Infectious Disease

By: AMFS Medical Experts Nationwide

Infectious diseases are among the most common conditions for which patients seek medical care, and potentially the most serious. Fortunately, since the discovery of penicillin over 70 years ago, antibiotics have made the treatment of serious infections highly successful. Nevertheless, physicians and advanced practioners such as nurse practitioners and physician's assistants must use caution in administering antimicrobial medications, both to ensure effectiveness and to prevent side effects. Careful prescribing will help minimize the legal risks resulting from antibiotic treatment.

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1/15/2015 · Medical - Medicine

Hospital Medicines and Transitions of Care

By: AMFS Medical Experts Nationwide

Over the past two decades, there has been a growing trend for the care of the hospitalized patient to be assumed by physicians who care only for patients in the inpatient setting, and who do not have an outpatient medical practice. These physicians have come to be known as "hospitalists", and their area of practice as "hospital medicine". Hospitalists are a departure from the old style of practice, in which the primary care physician (PCP) cared for their seriously ill patients in the hospital while still maintaining a busy outpatient practice. Because of the increasing complexity of modern medicine, and due to a variety of economic pressures, the trend now is for physicians in primary care specialties to focus their practice on either outpatient or inpatient care, but not both.

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12/5/2014 · Medical - Medicine

Congestive Heart Failure

By: AMFS Medical Experts Nationwide

Congestive heart failure can be simply described as the inability of the heart to meet the metabolic demands of the body. The heart functions as a pump to deliver oxygen and nutrients to the tissues. Failure of the pump to deliver nutrition to the tissues stimulates a number of compensatory responses in an effort to improve tissue perfusion. These responses result in the clinical symptoms and signs associated with the heart failure syndromes-shortness of breath, rapid heartbeat, and fluid retention.

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10/28/2014 · Medical - Medicine

ARDS (Acute Respiratory Distress Syndrome)

By: AMFS Medical Experts Nationwide

Acute respiratory distress syndrome (ARDS) was first described in 1967 by Ashbaugh, who described a syndrome of severe respiratory failure associated with pulmonary infiltrates, similar to infant hyaline membrane disease.

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9/16/2014 · Medical - Medicine

Anterior Cruciate Ligament Injury

By: AMFS Medical Experts Nationwide

Anterior Cruciate Ligament Injury (ACLI) is most often a result of low-velocity, noncontact, deceleration injuries and contact injuries with a rotational component. Contact sports also may produce injury to the anterior cruciate ligament (ACL) secondary to twisting, valgus stress, or hyperextension all directly related to contact or collision.

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8/14/2014 · Medical - Medicine

Transient Disorders of Awareness

By: AMFS Medical Experts Nationwide - R. Starkey

Some of the most abstract medical occurrences that may also prove to be legally challenging are transient disorders of awareness. The very nature of their transient occurrence often results in an absence of objective laboratory or examination abnormalities. Since these conditions result in an alteration of the patient's awareness, there may also be inadequate historical information to assist in diagnosis. Yet, these disorders can have very significant consequences that range from a loss of one's driving privileges or job to the participation in a criminal event. The two most common causes of altered awareness are seizures and reduced blood flow to the brain.

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7/11/2014 · Medical - Medicine

Carpal Tunnel And Other Tunnel, Tendon And Inflammatory Syndromes

By: AMFS Medical Experts Nationwide - John Toton

There are many wrist and hand symptoms related to the multiple tunnels that tendons, nerves, and blood vessels pass through. Wherever there is a "crease" in one's wrist, palm, or fingers on the flexor/volar side, there is a tunnel that these structures must pass through. These tunnels are usually soft transverse tissue bands that keep the tendons from bowstringing as they pass from forearm to fingers, as we use our hands in grasp and function.

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6/5/2014 · Medical - Medicine

Evaluating Patients for LASIK Surgery

By: AMFS Medical Experts Nationwide

Almost every American from eighteen to eighty years of age has heard enough about LASIK to understand on a basic level what it is and how it works. On average approximately 1,000,000 LASIK procedures are performed annually in the United States. The vast majority of these procedures are successful, but unwanted side effects and/or suboptimal results can occur in a small percentage of patients. Below is a discussion of the essential elements in the pre-operative evaluation of a patient being considered for LASIK.

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4/29/2014 · Medical - Medicine

Diabetes in Pregnancy

By: AMFS Medical Experts Nationwide - Bruce Halbridge

There is an epidemic of diabetes in the United States. In the last ten years, the number of American diagnosed with diabetes has increased 40 percent. The number has risen from 4.9% to 6.9%. It is estimated that the number will increase buy another 16.5% by 2050. A woman born in 2000 has a 39% risk of developing diabeteso. The epidemic of obesity is responsible for the current epidemic of diabetes in pregnancy. The incidence of diabetes complicating pregnancy has increased 40% between 1989 and 2004.

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3/25/2014 · Medical - Medicine

Effects of Crude Oil Exposure to Children, Adults, and Pregnant Mothers

By: AMFS Medical Experts Nationwide

Crude Oil has been pouring into the Gulf of Mexico and is causing numerous and significant health issues for children, pregnant mothers, and adults. Exposure occurs via inhalation, ingestion (of liquid droplets in the air), and direct skin contact. Some of the health effects will be long-term sequelae and may last a lifetime or affect future generations. Crude oil is a known teratogen and can cause birth defects and changes in fetal development. The target organs for crude oil are the hematopoietic (blood forming) system, lymphatic system, nervous system, and reproductive system. The Benzene component is a known carcinogen.

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2/20/2014 · Medical - Medicine

Skilled Nursing Facility Falls

By: AMFS Medical Experts Nationwide

Falls among patients in Skilled Nursing Facilities (SNF) are an all too common occurrence. Causes can generally be classified into 4 broad groups:

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1/3/2014 · Medical - Medicine

Postconcussive Syndrome

By: AMFS Medical Experts Nationwide

Persistent neuropsychiatric impairment following head injury is a significant public health problem. From 400,000 to 500,000 are hospitalized in the United States every year from head injury; many more people are injured and do not require admission. Head injury is the third most likely cause of dementia, after infection and alcoholism, in people younger than 50 years.

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11/27/2013 · Medical - Medicine

Kidney Transplantation in Medical Malpractice or Personal Injury Lawsuits

By: AMFS Medical Experts Nationwide

In 1911, Hammond and Sutton of Philadelphia performed the first human-to-human kidney transplant with transient success. Since then the techniques and indications have evolved. The first wholly successful human transplant took place on December 23, 1954, in Boston, Massachusetts. Surgeon Joseph Murray performed a kidney transplant between identical twin brothers. Although this and subsequent twin transplants did little to solve the problem of rejection, these procedures contributed to proving the value of the procedure and to the solution of many technical problems.

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10/24/2013 · Medical - Medicine

Neonatal Emergencies

By: AMFS Medical Experts Nationwide

Neonatal emergencies are not uncommon problems. They appear either at the time of birth, during the in-hospital post-birth period, or at home within several weeks of discharge. In all instances they present significant diagnostic and treatment challenges to the clinician, and must be taken seriously.

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10/1/2013 · Medical - Medicine

Heart Attacks in Women

By: AMFS Medical Experts Nationwide

Cardiovascular disease (CVD) is the leading cause of death in the United States, accounting for approximately 500,000 deaths each year. More women in the United States die of heart disease than of any other cause, and one form of heart disease, myocardial infarction, is responsible for the majority of these deaths. In every year since 1984 it has claimed the lives of more women than men.

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9/5/2013 · Medical - Medicine

H. Pylori Infection

By: AMFS Medical Experts Nationwide

A large number of reports have been produced on HP and its pathogenetic potential. In fact, although peptic ulcer disease is the most studied disease related to HP infection, this bacterium is seemingly involved in the pathogenesis of several extragastric diseases, such as mucosa-associated lymphoid tissue lymphomas (MALTomas), coronaritis, gastroesophageal reflux disease, iron deficiency anemia, skin disease, and rheumatological conditions.

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8/13/2013 · Medical - Medicine

Abdominal Aortic Aneurysm

By: AMFS Medical Experts Nationwide

Abdominal aortic aneurysm (AAA) is a relatively common, potentially life-threatening condition. It has a wide spectrum of presentations and should be considered in the differential diagnosis for a number of symptoms.

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7/9/2013 · Toxicology

Acetaminophen Toxicity

By: AMFS Medical Experts Nationwide

Acetaminophen is the most widely used pharmaceutical analgesic and antipyretic agent in the United States and the world; it is contained in more than 100 products. As such, acetaminophen is one of the most common pharmaceuticals associated with both intentional and accidental poisoning. Acetaminophen-induced hepatotoxicity is well recognized.

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6/18/2013 · Medical - Medicine

Aspirin Toxicity

By: AMFS Medical Experts Nationwide

Salicylates are ubiquitous agents found in hundreds of over-the-counter (OTC) medications and in numerous prescription drugs including topical preparations used for the treatment of pain, warts, and acne.

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5/21/2013 · Medical - Medicine

Spider Bites

By: AMFS Medical Experts Nationwide

In the United States, reports of severe envenomations by brown spiders began to appear in the late 1800s, and today, in endemic areas, brown spiders continue to be of significant clinical concern.

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4/9/2013 · Medical - Medicine

Cataracts

By: AMFS Medical Experts Nationwide

Cataract is a vision-impairing disease characterized by gradual, progressive thickening of the lens. It is one of the leading causes of blindness in the world today.

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3/7/2013 · Medical - Medicine

Peptic Ulcer Disease

By: AMFS Medical Experts Nationwide

Peptic ulcer disease (PUD) is one of the most common diseases affecting the GI tract. It causes inflammatory injuries in either the gastric or duodenal mucosa, with extension beyond the submucosa into the muscularis mucosa.

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1/14/2013 · Psychiatry

Antidepressants and Suicide Risk

By: AMFS Medical Experts Nationwide

Among suicidal patients who had taken antidepressants, fluoxetine (Prosac) was associated with the lowest risk for causing suicidal tendencies and venlafaxine (Effexor) with the highest risk, according to the results of a cohort study published in the December 2006 issue of the Archives of General Psychiatry.

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Ernest N. Charlesworth, MD, is a Diplomate of the American Board of Dermatology, the American Board of Internal Medicine, American Board of Allergy & Immunology, and the American Board of Diagnostic Laboratory Immunology. He has over 40 years of experience in his field of expertise.

Dr. Charlesworth is one of only a few United States physicians who is board certified in both Allergy / Immunology and Dermatology. Well-versed in his area of expertise, he has published over 50 peer-reviewed articles, several textbook chapters, and two textbooks. He has been honored by the American College of Allergy, Asthma, and Immunology for both Distinguished Service and as a Distinguished Fellow.

Dr. Charlesworth offers litigation support, except independent medical examinations, to attorneys representing both Plaintiff and Defense. He has been deposed and/or testified approximately 15 times since 2010. His services include issues of causation and standard of care. Dr. Charlesworth has completed the National Catholic Certification Program in Health Care Ethics. He retired from active medical practice in May of 2014 but continues to be active in academic medicine.

Areas of Expertise:

Respiratory Diseases
Asthma
Immunologic and Allergic Disorders
Dermatologic Diseases
Allergic Skin Diseases

Allergic Drug Reactions
Skin Cancers
Health Effects from Toxic Mold
Mycological Diseases
Allergic Pulmonary Disease

• Dr. Charlesworth's Curriculum Vitae

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Steven Burres has over 30 years of experience in the practice of Facial Plastic and Reconstructive Surgery. Dr. Burres provides all aspects of care including surgery, evaluation, treatment, and complications. He specializes in:

Ear, Nose, and Throat
Facial Plastic Surgery
Liposuction
Allergy

Dr. Burres has in-depth expertise in procedures such as cosmetic plastic surgery including hair, forehead, eyelids, nose, lip, facelift, neck lift, ear pinning and reshaping, cheek and chin implants, fillers, Botox, lasers, skin, scars, liposuction, and others except for breast implants and tummy tuck.

Dr. Burres' ear nose and throat experience includes broken noses and other facial fractures, hearing loss, vertigo, dizziness, smell, taste, nasal obstruction, sinusitis, tinnitus, hoarseness, GERD, sleep apnea, cancer, headaches, TMJ, skin disorders, facial nerve, and allergy.

Dr. Burres also has expertise in medical manufacturing having creative from concept-to-sales two medical businesses, one an injectable filler and the second a set of ear cleaning tools sold at major retailers.

Litigation Support - Dr. Burres has 20 years of experience serving as an expert witness and evaluator. He is a licensed QME/IME in California. His services are available to attorneys representing plaintiff and defendant for any medical legal matter including personal injury, workman's compensation, QME, IME, medical malpractice, or other medical manufacturing issues.

Education / Training: