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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.
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
EXPERTISE IN: 1. The pathobiology, clinico-pathologic correlation, and histopathologic diagnosis of: diseases of the esophagus, stomach, small intestine, colon, rectum, anus, liver, and pancreas. 2. Human neoplasms (cancer) and preneoplastic conditions. 3. Establishing standard of care, causation and cause of death.
BACKGROUND: 1. Anatomic Pathology Residency: Washington Univ-Barnes Hospital 1991-94. 2. Oncologic Pathology Fellowship: M.D. Anderson Cancer Center 1994-95. 3. Gastrointestinal and Liver Pathology Fellowship: Harvard-Brigham & Womens Hospital 1995-96. 4. Instructor at Harvard Medical School: 1996-1998. 5. Assistant Professor and Director of Gastrointestinal Pathology Division at Univ. of Texas Health Science Center-Hermann Hospital, Houston Medical Center: 08/1998 - 12/2000. 6. Staff GI Pathologist and Quality Assurance Director at Caris/Miraca Life Sciences, Dallas TX: 01/2001 - 04/2012. 7. Staff Pathologist, Anatomic Pathology Division of the North Shore-LIJ Health System, Long Island NY: 05/2013 - 05/2015. 8. Staff Pathologist, Anatomic Pathology Division of Alliance Health Sciences, Dallas TX: 01/2016 - present. 9. Sole Proprietor of Expert Pathology Consultation Services Laboratory since 01/2001.
Dr. Torres was instrumental in creating a rather unique model of Gastrointestinal Pathology subspecialty-focused laboratory, that during his 12 yrs tenure became one of the largest private national Anatomic Pathology laboratories-Caris/Miraca Life Sciences.
MRK Medical Consultants provides Medical-Legal Evaluations to help legal and insurance professionals reach appropriate conclusions about their client's situations. MRK provides a wide array of medical experts that offer objective review and analysis of personal injuries. Each stage of the process—research to review, analysis to opinion—is addressed in a comprehensive manner in order to help legal and insurance professionals reach appropriate conclusions about their client’s situations. MRK's prestigious list of more than forty consultants are active clinicians and surgeons, who are all board-certified or eligible in one or more specialties. MRK provides physician experts to the entire State of California, the Reno/Lake Tahoe area, and Las Vegas, and we travel to many areas of the United States. Physical therapy, registered nurses, physician assistant, and billing review consultants are available services MRK provides. Our office physicians are available for telephone review of the merits of your case before you decide to proceed.
Edward W. Younger, III, M.D., Medical Director of MRK Medical Consultants, specializes in Orthopedic Surgery. He has extensive experience in total joint replacement, as well as reconstructive surgery of the knee, hip, and shoulder. He was instrumental in bringing computer navigation technology to his hospital. He served on the orthopedic trauma staff at Mercy San Juan Medical Center in Carmichael, California, for more than fifteen years and was instrumental in bringing computer navigation technology to that institution. He is a member of Alpha Omega Alpha National Honor Society and is a Diplomate of the American Board of Orthopedic Surgery, a member of the American Medical Association, the American Academy of Orthopedic Surgeons, and the California Orthopedic Association.
Dr. Michael R. Klein, Jr., M.D., specializes in Orthopedic Surgery and is a founding member and the first Medical Director of Northern California Orthopedic Centers. He was involved with the development of the orthopedic section of the Level II Trauma Center at Mercy San Juan Medical Center. He served as a clinical professor at the University of California, Davis, Medical Center for more than thirty years. He has been a member of the North American Spine Society since 2009 and was awarded the David O. Selby Award in 2020 for his contributions. He is a fellow of the American College of Surgeons and American Academy of Orthopedic Surgeons, and a member of the American Medical Association and the California Medical Association. He retired from the USAF in 1998 after being on active duty during the Vietnam War, and he was activated for Operation Desert Storm in 1991.
Kent C. Sasse, MD, MPH, FACS, FASCRS, FASMBS, is a Bariatric surgery thought leader. Performed over 5,000 primary bariatric surgical procedures and 500 revisional bariatric procedures. Medical Director of nationally accredited bariatric surgery center. Award-winning teacher. Widely published scientist. Author of the nine books. Inventor and patent holder of bariatric surgical device.
Clinical Experience includes: bariatric surgery and endoscopy, sleeve gastrectomy, gastric bypass, duodenal switch, reoperative surgery, revisional surgery, hiatal hernia, wound care, Barrett's esophagus, hernia mesh, hernia mesh explantation, endoscopic stenting, leaks, Ambulatory Surgery Centers, and solving complications. Prolific public speaker. University of Nevada School of Medicine faculty. Experienced expert witness at both deposition and trial. www.SasseSurgical.com/books.
Litigation Support - Dr. Sasse has served as a medico-legal consultant to attorneys involved in complex litigation. He has provided extensive expert reviews of complex cases for the State of Nevada, for independent insurance and disability carriers, and for the United States Air Force. He brings to each and every case a level of experience and unparalleled dedication to preparation, excellent service, and insightful review. His expert testimony has proven highly valuable , serving both defense and plaintiff to reach the truth.
Dr. Sasse is a sought after speaker and an experienced trial witness, having logged many hours on the witness stand in highly charged cases. He brings a commitment to objectivity and thoroughness to each and every case.
Metabolic and Bariatric surgery and endoscopy play increasingly important roles in the treatment of type two diabetes and obesity. American Diabetes Association and other societal guidelines now incorporate sleeve gastrectomy and gastric bypass into their recommended treatment protocols.
This updated and expanded edition of Outpatient Weight-Loss Surgery delivers timely information and the latest research results on innovative procedures, including Laparoscopic Sleeve Gastrectomy, Mini-Gastric Bypass and the latest innovations in Laparoscopic Gastric Banding with Imbrication. The new edition explains why the Laparoscopic Gastric Bypass is the cure for Type 2 Diabetes and Pre-Diabetes in 85% of cases.
he decision to have a surgical weight-loss procedure is a life-affirming decision. Choosing the correct procedure requires diligence, responsibility, hard work, determination and resourcefulness to inform yourself to the point of making the best informed decision.
Combining the science of weight loss with inspiration and advice that has dramatically improved the lives of many people, this guide offers a compelling case that change is possible and that losing weight may be the most important life change a person can make.
Surgical weight-loss procedures have come a long way in the last several decades. Not only have the procedures become much safer and much less invasive with the advent of laparoscopic surgery, but the surgical procedures themselves have come to be accepted in the medical field as having real health benefits rather than being viewed as simply cosmetic. The benefits to weight loss have been long-documented, and the benefits from weight-loss operations are now documented as well. However, weight-loss operations are still surgical procedures, and not to be undertaken lightly.
This simple yet powerful tips resource provides meaningful evidence-based practical and effective tips for initial weight loss and long-term weight maintenance. It touches on key topics that help remind us to initiate and ingrain long-term healthy behaviors. It points out small meaningful steps that we can all take on the road to a healthier weight.