Pain Management - Chronic Pain Consultants: 16

Tracy L. Skaer, PharmD, FASHP, FASCP is a Professor Emeritus of Pharmacotherapy with over 30 years of pharmaceutical experience. Dr. Skaer's research and professional experience include pharmacy practice, chronic pain, mental health, substance abuse, and complementary and alternative medicine. She is licensed pharmacist in California, Idaho, and Washington.

Dr. Skaer’s current research involves the use of mindfulness and multiple family group problem solving for the Treatment of Chronic Pain in those with high risk of Opioid Use. Her plans are to expand this intervention to manage chronic insomnia and post-traumatic stress disorder in children and adolescents, American Indians, veterans, and other populations. Other research interests include chronic pain, comorbid mental illness in chronic disease, depression, anxiety disorders, insomnia, mindfulness, complementary and alternative medicine, and pharamcoeconomics and pharmacoepidemiology. Her research has been supported by over $3.2 million in grants from foundations and pharmaceutical industry.

Dr. Skaer has published 110 professional abstracts, 82 research papers, 43 review articles, and 6 book chapters. She serves on the editorial boards of 3 medical professional journals, Clinical Therapeutics, Journal of Sleep Medicine and Disorders, and Pain Studies and Treatment. Dr. Skaer's publications have appeared in numerous journals including, Drugs, Clinical Drug Investigation, PharmacoEconomics, Journal of Clinical Pharmacy & Therapeutics, American Journal of Medicine, Harvard Review of Psychiatry, and the New England Journal of Medicine among others.

View Dr. Skaer's Expert Witness Profile.

Stokes & Associates specialize in Life Care Planning and Vocational Rehabilitation. Their team has a combined experience of over 20,000 case assignment engagements. They can quickly map out a plan to provide the right level of service for the task. Their detailed Request for Services interview is conducted before we begin work to ensure roles and expectations are clearly determined from the onset of their involvement.

Consulting Services:

Life Care Planning - Regardless of the engaging party, their certified Life Care Planners utilize a systematic methodology when developing a life care plan, which involves requesting and reviewing records, conducting a clinical interview with the injured individual, consulting with treatment providers when possible, market rate cost research, and cost analysis

Vocational Rehabilitation Assessments - For injured individuals in order to determine an rehabilitation potential and wage-earning capacity to determine any changes in vocational status. Includes employability assessments, standardized assessment measures, lost wages, earning capacity, and labor market research

Case Management - Comprehensive services to Workers’ Compensation claims representatives, third-party administrators, self-insured employers, programs and agencies handling both state and Longshore and Harbor Workers’ Compensation Act claims, and attorneys. Includes Vocational evaluation, testing, job goal development; Job analyses (employer of injury); Medical conference (clarify medical treatment, MMI, physical capacities); Job placement and work adjustment; Job-seeking skills training; Labor market surveys (identifying job openings in claimant’s geographic area); Coordinate medical treatment recommended by a physician; Clarify employability and expected earnings; Life care planning

Career Counseling and Job Placement - Offered to help those in need of finding and securing employment by first teaching them to recognize their interests, abilities, and priorities. They then develop goals, including identifying potential and suitable occupations, participating in job-seeking skills training, preparing a resume, and practicing for interviews.

Aaron M. Wolfson, PhD, LRC, CRC, CLCP, is a Licensed Psychologist, Licensed Rehabilitation Counselor, and Certified Life Care Planner who has testified as an expert witness in both state and federal jurisdictions.

Dr. Wolfson is a New Orleans native who earned his Bachelor’s degree in psychology from Colgate University, as well as a Master’s Degree and Doctoral degree in Psychology from the University of Southern Mississippi. He completed a doctoral internship at the University of Washington, where he also completed a post-doctoral fellowship in Rehabilitation Psychology. 

Dr. Wolfson received specialized training at the University of Washington Multidisciplinary Pain Center, as well as multiple inpatient and outpatient physical rehabilitation departments, and has published in the areas of vocational rehabilitation and clinical decision making in rehabilitation populations.

Expertise: Chronic Pain Management - Physical Rehabilitation - Residual Earning Capacity Analysis - Assessment of Future Medical Needs - Life Care Planning

Todd S. Capielano, M.Ed., LRC, CRC, LPC, CLCP, CCM, is a Licensed and Certified Rehabilitation Counselor who has practiced in the private sector of Vocational Rehabilitation for over 34 years. He has been in the field of vocational rehabilitation since 1985, specializing in vocational evaluations, labor market research, job placement, and career counseling. 

Mr. Capielano has been accepted as a vocational expert since 1989 in various courts, including Federal, State, Civil District Courts, and before Administrative Law Judges for Longshore Harbor Workers Compensation Act claims. Additionally, he has served as a vocational expert for the Social Security Administration testifying in thousands of cases since 1992. 

Mr. Capielano is a member of professional organizations, including the International Association of Rehabilitation Professionals, the Louisiana Association of Rehabilitation Professionals, and the American Association of Christian Counselors. He has served as Board Member at Large, President, and Past-President of IARP-LA. He received his Master’s degree in Counseling in 1992 from the University of New Orleans and his Bachelor’s degree in Rehabilitation Counseling from Louisiana State University Medical Center, School of Allied Health Professions in 1986. 

Mr. Capielano holds national certifications as a Certified Rehabilitation Counselor, Certified Case Manager, and Certified Life Care Planner. He has taught college-level counseling classes at Bethesda Bible College as an adjunct faculty member. Additionally, Mr. Capielano is a licensed professional counselor specializing in marriage and family counseling. 

Mr. Capielano specializes in the areas of:

Expertise: Life Care Planning - Vocational Assessment - Wage and Earning Capacity Analysis - Job Placement - Labor Market Research - Career Counseling

View Stokes & Associates' 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.

Mohan Nair, MD, trained at the University of California (Irvine) and Harvard and is board certified in:

Brain Injury Medicine Psychiatry Child Psychiatry Forensic Psychiatry

Addiction Medicine Pain Medicine Psychopharmacology Behavioral Neurology / Neuropsychiatry

Dr. Nair brings his extensive training, clinical experience, and formal board certifications to provide in-depth and nuanced medico-legal analysis of cases for both adults and children involving brain injury, frequently and tragically combined with chronic pain and severe psychological trauma (PTSD). He is committed to comprehensive and accurate forensic examinations, quality neuropsychological assessment, and the use of the most up-to-date technology available in the field.

Dr. Nair has provided extensive trial testimony in defense and plaintiffs' cases. He provides and coordinates medical, psychological, neuropsychological, toxicological, and imaging experts for complex civil litigation. Dr. Nair has been on cases involving:

• TRAUMATIC BRAIN INJURY: TBI, Mild TBI, CTE, Concussions, Chronic Pain
• SCHOOL DISTRICT CASES: Discrimination, Personal Injury, Willful Misconduct, Sexual Misconduct, and other abuse
• ADULT-ADOLESCENT-CHILD PSYCHIATRY: Neurocognitive Assessment, Neuropsychological Testing, Anxiety Disorders, Depressive Disorders, Malingering, Police Violence, Psychosomatic Disorders, Trauma Evaluations, Borderline Personality Disorder (BPD)
• ELDER MATTERS: Abuse, Dementia, Testamentary Capacity, Undue Influence
• MEDICAL TOXICOLOGY: Lead Exposure, Carbon Monoxide Poisoning, Mold
• STANDARD OF CARE: Psychiatric/Psychological / Psychotherapeutic Malpractice, Wrongful Death from Prescribing Psychiatric Medication

EDUCATION/TRAINING:

• 1970-75 Doctor of Medicine, University of Bombay
• 1981-83 Clinical Fellow in Child Psychiatry, Harvard University; McLean Hospital / Massachusetts General Hospital
• 1978-81 University of California at Irvine: Residency in Psychiatry

CERTIFICATIONS/LICENSES:

Dr. Nair is board certified by the American Board of Medical Specialties in Brain Injury Medicine, Psychiatry, Child Psychiatry, Forensic Psychiatry, and Addiction Medicine. Additionally, he is board-certified in Pain Medicine, Psychopharmacology, and Behavioral Neurology / Neuropsychiatry. He currently holds medical licenses in California and Hawaii.

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

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.

Non-Surgical Orthopaedics, P.C. was established in 1993. Specializing in Spine Care and Pain Management, the practice has developed into one of the premier non-surgical orthopaedic practices in the southeast, and an industry leader for the non-invasive treatment of back and neck pain. Non-Surgical Orthopaedics P.C. offers a wide variety of Non-Surgical options to Treat Pain and Musculoskeletal Injuries. Their goal is to eliminate pain with a strong emphasis on injury prevention and rehabilitation. Services include:

• Pain Management
• Orthopaedic & Sports Injuries
• Workers’ Compensation
• Auto Injuries
• IME's & Disability Evaluations

Video: Non-Surgical Orthopaedics, P.C. | The Overview

Arnold J. Weil, MD has over 29 years of experience specializing in Non-Surgical Orthopaedics and Pain Management. A Diplomat of the American Board of Physical Medicine and Rehabilitation and Chief Executive Officer of Non-Surgical Orthopaedics, P.C., one of the premier orthopaedic practices in the metro Atlanta area. 

Dr. Weil's practice focuses on conservative, non-surgical care of orthopaedic injuries, including the spine and extremities, with emphasis on spine rehabilitation, functional restoration, pain management, and ergonomic modifications. He treats patients with back and neck pain and a variety of other orthopaedic conditions. Focusing on acute and chronic pain management through an advanced Non-Surgical approach, 

Dr. Weil has become one of the leading experts on Spine Care and Disability Management. Dr. Weil has been a Clinical Assistant Professor of Rehabilitation Medicine at Emory University School of Medicine in Atlanta, Georgia. An active lecturer, Dr. Weil speaks nationally and internationally on the nonsurgical management of back and neck pain as well as new advances in pain management. He also provides practice management to small-medium sized medical practices.

View Dr. Weil's Expert Witness Profile.

Dr. Robert H. Odell, Jr., MD, PhD, owner and Medical Director of Neuropathy and Pain Centers of America in Las Vegas, NV, is a Stanford and UCLA trained Anesthesiologist and Pain Management Physician. As a fellow of the Medical Scientist Training Program, he received his Ph.D. in Biomedical Engineering from Stanford University in 1974 and his MD degree from Stanford in 1976. He completed his residency in anesthesiology at UCLA, and served as chief resident at Harbor/UCLA Medical Center in 1982. He is a diplomat of the American Board of Anesthesiology (1983), American Academy of Pain Management (2001) and the American Board of Pain Medicine (2007) and a Fellow of Interventional Pain Practice of the World Institute of Pain (2008).

Dr. Odell has extensive experience with a wide variety of non-interventional and interventional Acute and Chronic Pain Management techniques, including Vertebral Axial Decompression and Electroanalgesia. Treatment utilizes the Combined Electrochemical Block (CEB), which combines the clinical benefits of these Electronic Signal Treatment (EST) devices with interventional pain management techniques to produce dramatic patient outcomes in a wide variety of Refractory Neuropathic Pain States, including Low Back Pain, Diabetic Neuropathy, Idiopathic Neuropathy, Failed Spine Fusion Syndrome and Carpal Tunnel Syndrome.

Over the last several years, Dr. Odell has been working with some advanced electromedical devices which produce salutary effects for some of the most refractory pain management challenges. He is the first author on three significant papers in the Electromedicine and Pain Management literature. The first, "Electroanalgesic Nerve Block: Theory and Case Reports" appeared in Practical Pain Management in 2006. The cornerstone of treatment at New Vision is the use of local anesthesia along with the Electroanalgesia block. This technique is outlined in Dr. Odell ‘s third paper, "New Device Combines Electrical Currents and Local Anesthetic for Pain Management," Practical Pain Management (2011). Dr. Odell has also been invited to deliver presentations in his field of expertise throughout the United States.

View Expert Witness Profile.

James Patrick Murphy, MD, MMM. has been a devoted champion of our nation’s health care for over 30 years. His combination of clinical expertise, leadership skills, communication skills, creativity and business acumen are clearly unique. Dr. Murphy is among the most highly trained Pain Specialists in the world.

As a board-certified Anesthesiologist, Dr. Murphy possesses a thorough understanding of pharmaceuticals. He is also one of the first physicians in the world to attain subspecialty board certification in Addiction Medicine from the American Board of Preventive Medicine. Aside from a thriving clinical practice, Dr. Murphy regularly authors medically related published articles, participates in research, lectures to various groups in a variety of media, and advocates for the health and well-being of his community.

Consulting Services: Dr. Murphy provides consulting services to healthcare systems, governmental agencies, regulatory bodies, law enforcement, pharmaceutical companies, and agricultural enterprises in the areas of:

• Product Development -  Anesthesiology, Pain Management (interventional, i.e. invasive procedures such as epidurals) and pain medication related products
• Pain Management Software Development
• Electronic Medical Records Development

Background Experience: In recognition of his devotion to his profession, Dr. Murphy was honored with the prestigious Mayday Fellowship in Washington, D.C. He also added to his education and credentials by completing a rigorous business curriculum culminating in his graduation from the University of Southern California’s Marshall School of Business with a Master of Medical Management degree.

Dr. Murphy's positions have ranged from president of one of our nation’s largest physician groups, the Greater Louisville Medical Society, to medical school class vice president, to Commander in the United States Navy. In 1994, he founded a state-of-the-art Anesthesia group of physicians and nurse practitioners that became the dominant provider of anesthesia services in central Kentucky.

After his Pain Medicine fellowship at Minnesota’s prestigious Mayo Clinic, where he also served on the faculty of the Mayo Medical School, Dr. Murphy returned to his hometown of Louisville in 1998. It was there that he founded Murphy Pain Center, which would become, by some metrics, the largest pain care provider in the state of Kentucky. In recognition of this accomplishment Dr. Murphy was selected as a Louisville Business First 40 Under 40 honoree.

View Dr. Murphy's Expert Witness Profile.

Cathy Ciolek, DPT, FAPTA, Cathy Ciolek, DPT, FAPTA, President of Living Well With Dementia, LLC, has over 30 years of experience as a Geriatric Physical Therapist. Dr. Ciolek is board certified as a Geriatric Clinical Specialist, a Certified Dementia Practitioner (CDP), and Certified Alzheimer’s Disease and Dementia Care Trainer (CADDCT) by the National Council of Certified Dementia Practitioners. 

Consulting Services: Consultation for individuals, care partners, and facilities to address challenging issues that impact well-being and quality of life for people with dementia.  Examples include:

• People with frequent Falls and developing Falls Assessment Process and Teams
• Behavioral Expressions of Unmet Needs
• Inappropriate Medications and Anti-psychotic Medication Reduction
• Unrecognized Pain
• Alarm Use Reduction
• Culture Change and Change Management

Background Experience: Dr. Ciolek previously served as Regional Director for the Pennsylvania Restraint Reduction Initiative (PARRI), providing education and consultation for issues related to well-being (falls, engagement, medication reduction) to nursing homes throughout the Commonwealth of Pennsylvania via a CMS grant. 

Prior to that, Dr. Ciolek served as assistant professor and director of clinical education for the University of Delaware, Department of Physical Therapy. She has practiced as a physical therapist in outpatient, SNF, home health and CCRC facilities over the course of her career.  She is a former Instructor/ Guest Lecturer/Lab Instructor at multiple universities including: Drexel University, Temple University, AT Still University/Arizona School of Health Sciences, Widener University, and Rocky Mountain University.

Dr. Ciolek speaks and delivers seminars throughout the nation on topics including dementia, exercise for aging adults, falls and fall risk mitigation, and Person-Centered Care. She is also a noted author on geriatric issues with books entitled, “Cognitive Issues in the Older Adult," “Restraint Assessment,” and “The Older Adult With Multiple Comorbidities.”

Geriatric Physical Therapy Thought Leader

• President, Academy of Geriatric Physical Therapy (APTA Geriatrics)
• Past President, Delaware Physical Therapy Association (APTA Delaware)
• American Physical Therapy Association
• APTA Geriatrics
• APTA Delaware 

Awards and Accolades

• Catherine Worthingham Fellow of the American Physical Therapy Association
• Marilyn Moffat Leadership Award (APTA)
• Joe Lucca Service Award (APTA Delaware)
• Lucy Blair Service Award (APTA)
• Joan Mills Award (APTA Geriatrics)
• Clinical Educators Award (APTA Geriatrics)

View Dr. Cathy Ciolek's Expert Witness Profile.

Joel L. Kent, MD, has been quadruple-board certified in Family Medicine, Anesthesiology, Palliative Care, and Pain Management over the arc of his career.

Background: Much of Dr. Kent’s expertise is an artifact of both the clinical and educational leadership roles he has held over the course of his career. He has served as Division Head of Pain Medicine at medical schools between 1997 - 2017; originally at the University of Maryland and subsequently at the University of Rochester. In addition to this clinical leadership role, he also lead the pain medicine educational missions at these institutions from 1997 to 2015. Dr. Kent served as Director of the Pain Medicine Fellowship Training Programs at the University of Maryland form 1997 to 2007 and at the University of Rochester from 2007 - 2015. Both these programs are accredited through the Accreditation Counsel for Graduate Medical Education.

Over the course of his career, Dr. Kent has developed particular expertise surrounding the use of Opioid Analgesics. He has provided over 50 lectures to other physicians regarding the safe and proper use of opioid. He has served as an expert case reviewer for both the state of Maryland and the state of New York. The vast majority of these case reviews involved resolving concerns regarding the appropriateness of controlled substance prescriptions. In 2014, he provided a series lectures on behalf of the New York State Department of Health which were presented across New York State to educate physicians about the safe use of opioid analgesics in both cancer and non-cancer related pain conditions.

Since July 2017, Dr. Kent has been serving as a content expert on the Opioid Abuse Prevention and Pain Management Advisory Group to the Healthcare Association of New York State (HANYS). All these accomplishments attest to Dr. Kent’s high level of expertise in the complex and evolving realm of opioid therapy for the management of chronic pain problems.

Litigation Support: Dr. Kent has served as a medical expert witness for nearly 20 years. He has served as an expert witness and case reviewer for the states of both Maryland and New York's Departments of Health. He has provided expert case review and litigation support to health insurance carriers seeking restitution for fraudulent expenses related to opioid therapy. Dr. Kent provides litigation support and expert testimony in plaintiff and defense cases.

Expertise: Dr. Kent has expertise in all areas of Pain Medicine and has focused expertise in the prescribing and oversight of opioid analgesics. His specialties include acute and chronic pain management, opioid analgesics, interventional pain management therapies, RSD/CRPS and low back pain.

Terence K. Gray, DO, is a Harvard trained Anesthesiologist / Interventional and Multidisciplinary Pain Management Specialist. Currently the Medical Director at Mercy Pain Management Center, he is responsible for assisting in the leadership, physician oversight, and management of a large multidisciplinary pain management program.

Dr. Gray served as a physician leader and partner in a large multistate anesthesia practice in southern New England and has been on the faculty of Harvard Medical School and Tufts University School of Medicine. He is a diplomate of the American College of Osteopathic Anesthesiologists.

Along with treatment modalities for spine and radicular back pain, Dr. Gray has a special interest in treating pain associated with sacroiliac dysfunction, Piriformis pain, joint bursitis, and arthritis (in particular genicular nerve blocks for knee pain), as well as post hernia repair and abdominal surgery neuropathic pain.

Dr. Gray was awarded 1 United States Patent for a Ventilating Tube and Stylet System patent number, and has 3 patents pending. He also holds 1 United States Copyright. Dr. Gray is currently an Adjunct Professor of Clinical Research at the University of New England College of Osteopathic Medicine.

Litigation Support - Dr. Gray has been a medical expert consultant for several years. He provides medical forensic reviews and expert testimony in the areas of Anesthesiology, Pain Management, and Medical Malpractice. His services include medical record review, written reports, depositions, and trial testimony.

Areas of Expertise:

Anesthesiology Interventional Pain Management Medical Pain Management Nerve Blocks Epidural Steroid Injections Radiofrequency Ablation

Botox Headaches Joint Pain / Bursitis Arthritis Post Hernia Repair Abdominal Surgery Neuropathic Pain

CV Available Upon Request.

Kenneth A. "Kenny" Stein, MD
Board Certified Emergency Medicine & Internal Medicine 
Subspecialty Certified in NeuroCritical Care 

Kenneth A. Stein, MD, ABPS, ABIM, UCNS, is Assistant Professor in the Department of Emergency Medicine, St. Louis University School of Medicine (a Level 1 Trauma Center). Dr. Stein has practiced Emergency Medicine and Critical/Intensive Care Medicine for 29 years. For 20 years, Dr. Stein was an Emergency Physician at St. Anthony's Medical Center of St. Louis, one of the busiest emergency departments in the State of Missouri. 

Dr. Stein has extensive experience in providing medical-legal expert services, having reviewed over 500 cases (both plaintiff and defense) and having given testimony over 200 times. Dr. Stein furnishes an unbiased opinion on medical malpractice/negligence cases. He also provides medical opinion concerning causation. Dr. Stein does not guarantee a favorable outcome but provides an honest assessment.

Dr. Stein has lectured nationally, and consults in the area of Pharmaceutical and Biomedical Product Development and Marketing.

Dr. Stein reviews cases (for both Plaintiff and Defense) of alleged Medical Malpractice / Negligence in areas including:

• Emergency Medicine        
• Critical Care Medicine / Intensive Care Medicine          
• Internal Medicine

Services provided include:

• Medical chart review and analysis   
• Providing opinion concerning the presence or absence of Negligence / Breach of the Standard of Care, Damages / Injury and Causation
• Survey of case for merit 
• Preparation of reports and / or affidavits        
• Preparation for opposing expert deposition and cross-examination        
• Medical literature search    
• Expert witness testimony at deposition and trial

Call 314-495-7009 for a complete CV, including presentations.

Dr. Kenneth J. Manges is a Vocational and Psychological Expert with over 30 years of experience. He is certified in Forensic Psychology, Emotional Trauma, Wage Loss, Disability, and Crisis Intervention and is recognized as an Expert in Post Traumatic Stress Disorder.

Dr. Manges is qualified to testify in both federal and state courts and has provided expert opinion testimony for plaintiff and defense.



Specialties Include:

• Cognitive Behavior Therapy
• Post Traumatic Stress Disorder Evaluation & Treatment
• Forensic Testimony (Consultation, Evaluation Treatment Following Trauma or Injury)

Expert Testimony Experience:

Mental Health Evaluations Mental Health Malpractice Damages Personal Injury Consultation Wrongful Death Damages Medical Malpractice Damages Diminished Capacity Defense Chronic Pain Syndrome

Insanity Defense Vocational Evaluation Family Law / Spousal Support Railroad / FELA Maritime / Jones Act Fitness for Duty Evaluations Post Traumatic Stress Disorder

Garson M. Caruso, MD, MPH, CLCP, FACOEM, FIAIME is a board certified Occupational Physician and Certified Life Care Planner, with expertise in Life Expectancy Determination, in private consulting practice:

• Trained at Johns Hopkins Bloomberg School of Public Health (MPH) and the University of Pennsylvania (Residency in Occupational Medicine), with additional training at the American Academy of Insurance Medicine
• Broad background in consulting, medical direction, and occupational health services for organizations including AmTrust North America, Bechtel, Bell & Evans, Dean Foods, Johns Hopkins Medical Institutions, Lockheed Martin, The New York Transit Authority, PepsiCo, Service Employees International Union, and the US Department of State and Federal Motor Carrier Safety Administration
• Extensive experience with supervision of physician extenders (nurse practitioners and physician assistants) in onsite occupational health clinics
• Review of thousands of complex disability and workers’ compensation claims for Advance Medical, AmTrust, Assurant, CorVel, Mutual of Omaha, and others
• Medical Expert Witness in Life Expectancy Determination, professional liability, and impairment and disability evaluation (multiple depositions)
• Fellow, American College of Occupational and Environmental Medicine (ACOEM) and International Academy of Independent Medical Evaluators (IAIME)
• Certified Medical Review Officer (MROCC 2008-present) and Independent Medical Examiner (ABIME 2009-2014)
• Numerous Leadership roles in ACOEM, including: Chair, Practice Guidelines Revision Panel on Disability Prevention and Management (2009- present) and Co-Chair, Depression in the Workplace Project (2006-2010)
• Licensed in Florida, Maryland, New York, North Carolina, Pennsylvania, and Virginia

 Areas of Expertise:

Causation Analysis Disability Prevention and Evaluation Drug Testing Fitness for Duty Impairment Evaluation and Rating

Life Expectancy Determination Occupational Medicine Physician Life Care Planning Return to Work Work Capacity

View Dr. Caruso's Expert Witness Profile.