Adult Care Medical-Medicine Expert Witnesses: 8

Neal C. Buddensiek, MD, DNBPAS, HMDC, CMD, WCC has over 16 years of experience practicing Internal Medicine, and over 10 years of experience practicing as an attending physician in Post Acute Care. 

Dr. Buddensiek is Chief Medical Officer for one of the largest Catholic Long-Term Care / Senior Living companies in the United States (26 skilled nursing facilities comprising 2,100+ beds, 28 assisted living facilities comprising 2,100+ units, 5 Midwestern states). He holds active medical licenses in multiple Midwestern states. For 5 years, Dr. Buddensiek has taught Internal Medicine residents and nurse practitioners about nursing home and residential care.

Dr. Buddensiek is an Expert in:

• Long Term Medical Care and Administrative Oversight (8 skilled nursing facility medical directorships; 1000+ resident chart reviews for safety and quality control).
• Assisted Living Medical Care and Administrative Oversight (5 assisted living facility medical directorships; 500+ resident chart reviews for safety and quality control). 
•  Hospice Medical Care and Administrative Oversight (2 hospice agency medical directorships; average daily census 400+ hospice patients, 3 Midwestern states). 

Areas of Expertise:

Dr. Peter-Brian Andersson, a Board Certified Neurologist and Associate Professor of Neurology at UCLA, specializes in Traumatic Brain Injury, Multiple Sclerosis, Complex Regional Pain Syndrome, Memory Disorders, Capacity, and Nursing Home Standard of Care. 

Between 1992 and 1997, Dr. Andersson completed an internal medicine internship and then neurology residency at the University of California, San Francisco where he also served as Chief Resident. He has completed fellowships in multiple sclerosis at UCSF and in neuromuscular disease at Stanford University. He served on the faculty at Stanford University in the neuromuscular division before moving to the Valley in 1999 and has served this community as both an outpatient and inpatient neurologist for over 20 years.

Dr. Andersson has been published in laboratory and clinical neurology. He has been an ad hoc reviewer for the journal Muscle & Nerve. He is the Medical Director of Stratus Neurodiagnostics, the leading outpatient EEG services company in the United States, and has served as a Principal and Co-Investigator for dementia trials at The National Research Institute.Epilepsy 

Litigation Support: Dr. Andersson has extensive experience providing expert testimony. His services include medical record review, IMEs, thorough reporting, depositions, and trial testimony as needed.

Areas of Expertise:

Prior to beginning his residency, Dr. Andersson graduated cum laude in medicine from the University of Cape Town in 1986. In 1988, he earned an honors degree in medical biochemistry at the University of Cape Town. Between 1988 and 1991, Dr. Andersson obtained a D. Phil in neuroimmunology at Oxford University as a Rhodes Scholar. He was Yamanouchi Junior Research Fellow in Cell Biology at Wolfson 1991-2. Junior Research Fellowships are awarded to the top 2% of graduates at Oxford University.

Chinemerem Y. Ugorji, MD, is a board certified Internal Medicine doctor with over 10 years of experience as a Hospitalist and Nocturnist. She has knowledge  of Critical Access Care, Level 2 Trauma, and Telemedicine.

Litigation Support - Dr. Ugorji's mission is to provide accurate expert assessments of Medical Billing / Coding, Medical Fraud, and Medical Necessities. She helps attorneys for plaintiff and defense make informed decisions about their cases. Dr. Ugorji's services include medical record review, thorough reporting, interrogatories, depositions, and trial testimony as needed.

Areas of Expertise:

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. 

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 delivers speaks and delivers seminars throughout the nation on topics including dementia, exercise for aging adults, falls and fall risk mitigation, and Person-Centered Care.

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
• Catherine Worthingham Fellow of the American Physical Therapy Association Award

Litigation Support - Dr. Ciolek is available as an expert witness for attorneys representing plaintiff and defendant. Her services include medical record review, thorough reporting, depositions, and trial testimony as needed.

Areas of Expertise:

View Dr. Cathy Ciolek's Consulting Profile.

Megan M. Hamilton, MS, CCC-SLP earned her Master of Science degree from Marquette University and holds a lean six sigma green belt from Purdue University as well as a Certificate of Clinical Competence from the American Speech Language and Hearing Association (ASHA).  Megan currently provides consultation to hospital speech language pathology and serves as a forensic medical SLP throughout the United States.  Megan has held positions as direct care provider, site manager, regional vice president, and division manager of clinical education for national rehabilitation providers in long term care, sub acute, and pediatric care.   She brings over 30 years of experience to her clients.  

Litigation Support - No healthcare provider can prevent aspiration and/or choking for all patients at all times, but all SLPs can be expected to practice within accepted standards of care.  Megan's exhaustive review of case materials can determine whether diagnosis, evaluation, recommendations and discharge determination were based upon sound clinical reasoning to mitigate adverse outcomes and facilitate improvement.  If standards of care were met, Megan provides evidence-based opinions of such.  When care failed to meet accepted standards, Megan can illustrate how the SLP provider deviated from standards.  She can assist in determining if substandard care contributed to negative outcomes including suspected choking event, aspiration, dehydration, health decline or death.  

Areas of Expertise:

Megan has been an instructor in the areas of cognition, dysphagia / swallowing, end of life nutrition, and Medicare regulatory compliance. She has presented at conferences for the American Occupational Therapy Association and local Speech Language Hearing Associations as an employee of national Rehab companies.

The Lios Manhe (pronounced LIZ munee) mission is to be a trusted partner to plaintiff or defense by providing thorough analysis and independent opinions supported by science and based upon evidence collected.  
   

Dr. Matthew Lee, MD, RPh, MS. is a Physician, Pharmacist, Pharmacologist and Toxicologist who also practices as an Expert Witness and Legal Strategy Consultant. Specific Benefits Include:

• Increased quality and integrity of written expert reports, based on an expanded knowledge base
• Time savings by only having to coordinate and discuss a case with one expert as opposed to two or more
• Since there is so much overlap between fields in the medical profession it is often hard to determine where one scope ends and another begins. This ambiguity is dramatically decreased , and scope increased by combining physician, pharmacist, and pharmacologist into one
• Communication skills of a pharmacist and experience dealing directly with the lay-public, in addition to the knowledge and background of a physician is extremely beneficial describing technical details to a jury
• Practicing in different realms within the healthcare field has allowed Dr. Lee to integrate the multiple facets giving him a unique and distinct perspective that no other expert has.

Case Experience Includes:

Post Traumatic Stress Disorder

Depression

Drug & Alcohol

Specific Phobia

Sexual Offense

Adjustment Disorder

Family Proceedings

Personal Injury

Criminal Reports

Head Injury

Capacity

Gerald W. Smetana, MD, Board Certified in Internal Medicine, is a General Internist with over 36 years of experience in an academic primary care practice at Beth Israel Deaconess Medical Center in Boston. He is also a Professor of Medicine at Harvard Medical School where he has taught internal medicine to medical house staff and also teaches extensively to practicing clinicians in continuing medical education settings. Dr. Smetana is a Master of the American College of Physicians.

Practicing in an outpatient setting, Dr. Smetana cares for a panel of patients that is weighted towards those with multiple chronic illnesses and high disease complexity. In addition to all aspects of office based general internal medicine, his areas of interest include Preoperative Medical Evaluation, Hypertension, and Headache.

Dr. Smetana has been repeatedly selected as a Best Doctor in a national survey and has received a national award for scholarship in medical education. He publishes in the peer reviewed medical literature and medical texts, has edited textbooks, and has helped to develop national guidelines on topics in internal medicine. He has been invited to deliver seminars and presentations on various topics within his area of expertise nationally and internationally.

Litigation Support - Dr. Smetana reviews cases for both plaintiffs and defendants and has testified at deposition and at trial as an expert on numerous occasions in most states in the eastern United States. He has reviewed medical malpractice cases over the past 20 years both for plaintiffs and doctors. Dr. Smetana also consults for risk management insurers. His record review and medicolegal consultation services are available throughout the United States.