Medical Record Review Consultants: 54

Ms. Roughan is a Rehabilitation Nurse Specialist who functions in the capacity of case manager, life care planner and expert witness. Her company, Roughan & Associates at LINC, is a nationally recognized Case Management and Medical/Legal Consulting service. It has been in existence since 1987, providing coordination of patient care; construction of Life Care Plans; and, consultative services to both the defense and plaintiff bar on simple and complex cases alike. Ms. Roughan has experience with diagnoses involving both children and adults and are knowledgeable in current treatment philosophies, identification of appropriate resources.

Diagnoses include, but are not limited to:

• Neurological Injuries (Brain and Spinal Cord Injury)
• Burns
• Orthopedic Injures
• Amputation
• Chronic Pain
• Post Traumatic Stress Disorder

Services Include:

• Expert Testimony
• Life Care Planning
• Mini/Preliminary Life Care Plan
• Video Services
• Medical Record Review
• RN Independent Medical Exam
• Medicare Set Aside Trust Analysis
• Medical Bill Auditing
• Questions: Deposition Cross Examining

Sasse Surgical Associates, PC is Northern Nevada’s premier provider of minimally invasive surgical solutions. Dr. Sasse is a nationally recognized expert in bariatric surgery, colorectal surgery, minimally invasive hernia and gallbladder surgery, and regenerative wound healing. 

Areas of Expertise:

Bariatric Surgery Gastric Sleeve Gastric Bypass Adjustable Band Gastric Balloon Bariatric Surgery Revision

Colorectal Surgery Gallbladder Surgery da Vinci Robotic Single Site Surgery Hernia Surgery Medically Supervised Weight Loss Regenerative Wound Care

Founder and Medical Director, Kent C. Sasse, MD, MPH, FACS, FASCRS, FASMBS, is certified by the American Board of Colon and Rectal Surgery, American Board of Surgery, and the American Society for Metabolic & Bariatric Surgery. 

Dr. Sasse performed the first laparoscopic colon resection procedure and the first laparoscopic gastric bypass procedure in northern Nevada more than 14 years ago. More recently, he is credited with performing the first daVinci Single Site gallbladder procedure in late 2013. 

With over 20 years of experience, Dr. Sasse is a sought after speaker and mentor to surgeons around the nation. He hosts cadaver courses on surgical topics including complex abdominal wall reconstruction at the University of Nevada School of Medicine, for visiting surgeons. He has also authored numerous peer-reviewed research articles, and some of his most recent papers discuss sleeve gastrectomy, laparoscopic rectopexy, gastric physiology, endoscopic techniques for gastric repairs, and minimally invasive hernia repair. He is an acclaimed award-winning author of five books www.SasseSurgical.com/books.

View Dr. Sasse's Expert Witness Profile.

Elliott M. Stein, MD is a Geriatric Psychiatrist with over 45 years of experience caring for the elderly. Dr. Stein is Board Certified by the American Board of Psychiatry and Neurology in General Psychiatry (October, 1979) and Geriatric Psychiatry (April, 1991; Re-Certified, December, 2001, April, 2011, December 2022). He is licensed in California and Florida. Dr. Stein was the Director of Psychiatry at the Jewish Home of San Francisco from 2010-2020, and the Medical Director of their Geriatric Psychiatry Hospital. He has treated older individuals, typically people who have complex combination of psychiatric and medical problems. Dr. Stein has been a Member of the Task Force on Testamentary Capacity and Undue Influence, for the International PsychoGeriatric Association.

Dr. Stein is a Clinical Professor (Voluntary) in the Department of Psychiatry at the University of California, San Francisco, School of Medicine. He is a Distinguished Life Fellow of the American Psychiatric Association and a Distinguished Fellow of the American Association for Geriatric Psychiatry and a Life Member of the International PsychoGeriatric Association.

He is available to serve as an Expert Witness, do legal and forensic consultation, record review, and assessments concerning Psychiatric issues in Older Individuals. Dr. Stein offers his services to attorneys for both Plaintiff or Defense.

Consulting Specialties:

• Contested Wills and Trusts
• Testamentary Capacity, Undue Influence, Insane Delusions
• Geriatric Competence/Capacity
• Financial Elder Abuse
• Dementia and Delirium, Alzheimer’s Disease
• Geriatric Psychiatry Evaluation and Treatment, Psychiatric Medication, Psychotherapeutic Issues
• Depression and Anxiety Disorders
• Relationship Problems between the Elderly and their Adult Children
• Aging and Mental Disorders
• Geriatric Psychiatry issues concerning Hospitals, Nursing Homes, Independent and Assisted Living Facilities
• Medicare Psychiatric Services Coding and Documentation

View Dr. Stein's Expert Witness Profile.

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.

William B. Stetson, MD specializes in Sports Medicine with an expertise in Arthroscopic and Reconstructive Surgery of the shoulder, knee, elbow and ankle. He has first hand knowledge of athletic injuries and the desire that all of us have to “get back in the game”. He is an associate clinical professor of orthopedic surgery at the USC Keck School of Medicine and is the team physician on the USA Men’s and Women’s volleyball teams and was with both teams in London, England for the 2012 Summer Olympics. 

Dr. Stetson utilizes leading edge diagnostic solutions to assess and repair knee injuries, shoulder injuries, elbow injuries, and conditions relating to Arthritis . State-of-the-art, minimally invasive surgery techniques such as arthroscopic surgery means faster recovery times.

Areas of Orthopedic and Sports Medicine Specialization:

Knee Arthroscopy Shoulder Arthroscopy Rotator Cuff Repair ACL Reconstruction Treatment of Arthritis

Knee Ligament Reconstruction Recurrent Shoulder Dislocation Shoulder Impingement / Bursitis Meniscus Repair and Meniscectomy Elbow Arthroscopy

Dr. Stetson has traveled extensively throughout the world teaching and lecturing about shoulder arthroscopy and recently returned from Romania and Beijing, China where he lectured about the latest techniques of shoulder arthroscopy. He has started a non-profit organization, Operation Arthroscopy, whose mission is to bring orthopaedic surgery and arthroscopy to countries and communities in need.

View Dr. Stetson's Expert Witness Profile.

Dr. James Strader, Jr., MD, FACC is a full-time practicing General Invasive Cardiologist, experienced in all areas of cardiovascular medicine>. Dr. Strader is board certified in Cardiovascular Disease and Nuclear Cardiology. He is currently in private practice and serves as the Chief of Cardiology at The Medical Center of Plano, TX. A published author in his field of expertise, Dr. Strader has given Presentation and Lectures both nationally and internationally. His most recent awards include Cardiologist of the Year”, from The Medical Center of Plano in 2011 and the Max R. Ungar Award from the USAF Society of Flight Surgeons in 2008.

Dr. Strader's main focus is on the Medical Management of all Cardiovascular Disease. He possesses specialized knowledge of Cardio Vascular Imaging and Therpeutic Procedures, including cath lab, TEE, echocardiography, stress testing, and arrhythma testing. He also has special expertise in Aeromedical Cardiology and Return-To-Flight-Status Decisions. Cardiovascular Consultation Services:

Coronary Disease Heart Attack Diagnosis and Management Arrhythmia Management Hypertension Hyperlipidemia Vascular Disease

ICU Care Critical Care Cardiac Cath Lab Alvular Heart Disease Congestive Heart Failure Diagnosis and Management CV Imaging

Certifications:

• Diplomate, American Board of Internal Medicine, 2002
• Diplomate, American Board of Internal Medicine, Cardiovascular Disease, 2005
• Diplomate, Certification Board of Nuclear Cardiology, 2008
• Fellow, American College of Cardiology, 2008
• Aeromedical Examiner, Federal Aviation Administration, 2010 View Expert Witness Profile.

Clinton F. Merrill, Jr., MD, has over 35 years of experience in clinical Internal Medicine and 28 years of experience in Medical Oncology and Hematology. Dr. Merrill is experienced in the diagnosis and treatment of all solid tumors as well as the full range of hematologic malignancies. He has special expertise in benign hematology including: anemias, low blood cell counts, iron overload disorders, bleeding and clotting disorders. Litigation Support - Dr. Merrill offers expert witness services to counsel representing Plaintiff and Defendant. His services include medical record review, written reports, depositions, and trial testimony. Dr. Merrill takes pride in providing thorough record review, meticulously researched reports reflecting unbiased opinions, and excellent communication skills with the ability to make the complex understandable. Areas of Expertise:

Breast Cancer Colon Cancer Lung Cancer Tumors Leukemias Lymphomas

Myeloma Myeloproliferative Disorders Myelodysplastic Syndromes Benign Hematology Anemia Bleeding and Clotting Disorders

James M. Wheeler, MD, MPH, JD, magna cum laude in Biology / Psychology from Harvard, is an OB/GYN trained at Baylor, with subspecialty training in Reproductive Endocrinology / Infertility at Yale. He is also a graduate of the Robert Wood Johnson Clinical Scholars Program at Yale, focusing upon clinical epidemiology and biostatistics and health policy. He also earned his MPH at Yale majoring in Biostatistics, minoring in Maternal/Child Health. He graduated from the University of Houston Law Center with a JD in 2005, and was invited to join the Health Law division there. He has completed ADR training, having completed training programs separately in mediation, and arbitration.

Dr. Wheeler is a former national officer of the American College of Obstetricians and Gynecologists (ACOG), and served on several of their health policy committees including the Health Care Commission and the Hysterectomy Committee. He has published over 40 peer-reviewed papers on a wide array of topics in ob/gyn, with a particular emphasis on methodology. He has given over 200 invited lectures to ob/gyns, reproductive endocrinologists, radiologists, midwives, nurses, surgical technologists, law students et al. He sees himself first and foremost as a caregiver, and second to only that, as a teacher.

Dr. Wheeler has consulted in several hundred medicolegal matters for over 20 years, mostly in ob/gyn, but including family practice, internal medicine and several of its subspecialties, general surgery and several of its subspecialties, and dermatology. He has been a testifying expert before the FDA for drugs and devices, and has testified before U.S. Congressional staffers on health policy issues. He reviews for attorneys from both plaintiff and defense bars, as well as insurance companies (e.g. Pro-Assurance), and health plans (e.g. Harvard Community Health Plan). He has helped with Board of Medicine reviews, and constructing/defending class action suits. The combination of his training in medicine, basic and clinical research, clinical epidemiology, biostatistics and law make him a uniquely qualified person to review the complex issues of medicolegal cases.

Dr. Wheeler is a qualified first-reviewer, and a convincing expert during testimony. He has never been excused from a case as insufficiently expert.

Areas of expertise:

Gynecologic surgery Forceps / Vacuum Uses/ Complications Fetal Stress vs. Distress Cesarean vs. Vaginal Birth Shoulder Dystocia Pregnancy induced Hypertension / HELLP Syndrome Hysterectomy: Indications and Complications

Preterm Labor Incompetent Cervix Endometriosis Pelvic Adhesions Leiomyomata Uteri Infertility Advanced Reproductive Technology (IVF)

Jonathan Wiesen, MD received training in Pulmonary and Critical Care Medicine with a special focus on Medical Ethics.

Dr. Wiesen is currently a Pulmonary and Intensive Care Attending Physician at Community Intensivists where his duties include general clinical care and workflow organization and protocol authorship. He also serves as a Medical Technology Analyst at OurCrowd where he is responsible for the Scientific and financial assessment of medical technology start up companies and provides multi-disciplinary interactions for assessments and investments.

Dr. Wiesen has extensive academic experience with over 75 publications, including first authorship on over a dozen full length manuscripts. He has been honored with the Teaching Excellence Award from the Cleveland Clinic, a non-profit academic medical center, which provides clinical and hospital care and leads in research, education, and health information. He also received the Best Abstract Award, Critical Care session, at the ACCP CHEST annual conference in 2014.

Litigation Support - Dr. Wiesen provides expert witness services to attorneys representing plaintiff and defendant. His services include medical record review, written reports, depositions, and trial testimony as needed.

Areas of Expertise:

Cardio-Pulmonary Hemodynamics Respiratory Physiology End of Life Sepsis / Septic Shock Pneumonia COPD Asthma Life Support

Mechanical Ventilation Smoking Related Diseases Interstitial Lung Disease Pulmonary Hypertension Lung Transplantation Biomedical Ethics Conflict Resolution Triage