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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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
A top doctor in his field, Barry S. Verkauf, MD, MBA, CPE, has more than 40 years of practice expertise in Gynecology and Reproductive Endocrinology/ Infertility, as well as medical management having earned an MBA from USF College of Business in 1997.He has served in leadership positions in both hospital and medical organizations.
A respected and long-standing figure in his field, Dr. Verkauf currently serves as an Affiliate Professor in Obstetrics and Gynecology at the Morsani College of Medicine at the University of South Florida where he was on the founding faculty and initiated the Division of Reproduction Endocrinology and Infertility in 1974. In 1981, he was the founding Partner of The Reproductive Medicine Group which continues as one of the largest and most successful private practices in his specialty in the State of Florida.
Dr. Verkauf has been a reviewer for high impact journals, KePro Peer Review Organization and has published 25 papers, 8 abstracts, 3 book chapters, and 3 books. He has been active in the American Society for Reproductive Medicine, serving on several committees and as their Delegate to the American Medical Association for 15 years.
Over the last 20 years, Dr. Verkauf has been awarded many honors recognizing his clinical and leadership expertise, and most recently was recognized by Marquis Who's Who with their Lifetime Achievement Award in Reproductive Medicine.
Litigation Support - Dr. Verkauf offers expert witness services in cases involving Reproductive Endocrinology, Infertility, and other Obstetric and Gynecological matters. His services are available to insurance companies with questions and attorneys representing plaintiff and defendant and include peer review, medical record review, written reports, deposition, and trial testimony.
The health-care industry and its professional practice are currently in uncertain times as the outcome of the hotly debated health-care reform is awaited. While the magnitude of potential change may be unchallenged, the past century has been one of continual change for the medical profession and its practice. The rapidity of this change has continually increased with emerging new technologies and changes in the social fabric of society. Even the doctor-patient relationship has changed. Medicine as a profession and the specialties within it have had to adapt to this change in order to be relevant to the physicians it trains, the patients they treat, and to maintain status among their peers. This book chronicles the history of the successful adaptation to required changes in one medical-school department.
An indispensible guide to challenges every health care provider, manager, consultant, supplier and end user faces. Detailed exploration of a single example spotlights the critical relationship of cost analysis to pricing strategies in today's changing medical enviroment. A key resource for establishing, analyzing, and improving your organization's pricing strategies.
University of South Florida, Tampa. Concise survey of congenital abnormalities of the female genital tract, and their treatment, both surgical and nonsurgical. For practitioners. Variety of illustrations. 25 U.S. contributors.
Diabetes Endocrinology Expert Witness Ivy Joan Madu
Ivy-Joan Madu, MD, JD, is a University of Southern California-trained Board-Certified Endocrinologist and Fellow of the American Association of Clinical Endocrinologists. With nearly 40 years of experience in health care and medicine, and 25 in clinical practice, Dr. Madu recently earned a Juris Doctor in 2019.
Dr. Madu treats adults with Diabetes and Endocrine Disorders. She is an expert in Insulin Pump Therapy. She has medical staff privileges at St. Joseph Hospital, in Orange, California, and Hoag Hospital in Newport, California. Dr. Madu has been the Principal Investigator for clinical research studies in her field of expertise. She serves on the Board of Directors of Lestonnac Free Clinics and is the Medical Director of a Home Health Nursing service.
Litigation Support: Dr. Madu offers Expert Medical opinions for cases involving Diabetes, Endocrinology, and Internal Medicine standard of care. She has provided Expert Medical Opinion for the California Medical Board and for the Orange County Public Defender. Her services include medical chart review, thorough reporting, depositions, and trial testimony as needed.
Elite Medical Experts is a physician-led team that hand selects nationally recognized Professors of Medicine and Surgery as expert witnesses. Each expert is a board-certified specialist with a busy clinical practice and impeccable credentials. From Stanford to Yale, and from every healthcare specialty and field, Elite aligns leading specialists from top-tier medical universities.
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Please call  670-8625 to speak directly with our in-house Case Strategy Team. There's no charge for phone or video consultation consultation and we'll outline a a strategic plan for moving forward.
Dr. Burton Bentley II, M.D., FAAEM CEO, Elite Medical Experts
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.
A malpractice action requires the plaintiff to prove: (1) the defendant caregiver owed a duty of care to the plaintiff-patient, (2) the caregiver departed from that standard of care, and (3) that departure from the standard of care actually caused the injury claimed by the plaintiff. "Causation" 11; often the critical component in a malpractice action because the presence of a duty is often obvious, except perhaps in "Good Samaritan" cases, but the statutorily-required expert witnesses will argue about whether the caregiver departed from some standard of care. Because defining "causation" is difficult, there are interesting distinctions in legal versus medical, sociological, or philosophical concepts of cause-and-effect. Applying this difficult concept of "causation" to the very complex world of labor and delivery (L&D) does indeed beg the question, just how can causation be established?