Medical / Clinical Research Expert Witnesses

Michael Armstrong, Jr, MD is the founder and president of Richmond ENT, a private medical practice specializing in Ear, Nose and Throat disorders in Richmond, Virginia.  He is certified by the American Board of Otolaryngology – Head and Neck Surgery and by the American Board of Facial Plastic and Reconstructive Surgery.  He has successfully completed the Fellowship program of the American Academy of Otolaryngic Allergy.  Dr. Armstrong graduated with highest honors from Princeton University (1985) and from Duke University School of Medicine (1989), and then trained for 6 years at Johns Hopkins Hospital before returning to his home town in 1995.  

Richmond ENT is an academically oriented private practice with an active research and teaching program.  Dr. Armstrong is an Assistant Clinical Professor in the Department of Otolaryngology and in the Department of Nursing at Virginia Commonwealth University–Medical College of Virginia.  His daily responsibilities include training family practice resident physicians and nurse practitioner students in the diagnosis and management of ear nose and throat disorders.  Dr. Armstrong has been the principal investigator in more than 20 clinical trials evaluating new treatment options for ear, sinus and throat infections.

Litigation support: Dr. Armstrong has provided expert review on more than 85 cases and testified at least 18 times.  He can generally review medical records and provide a verbal report within 7 days of record receipt.  Dr. Armstrong has been most commonly retained for claims regarding

View Dr. Armstrong's Consulting Profile.

Principal, Neal C. Small, MD, is a Board Certified Orthopedic Surgeon with over 35 years of clinical experience treating orthopedic injuries and spinal disorders. He has performed over 17,000 orthopedic and spine surgical procedures and has the experience and knowledge to be a credible expert in virtually any orthopedic or spine case.

Dr. Small is Certified by The American Board of Orthopedic Surgery, a Fellow of the American Academy of Orthopedic Surgeons, and a Member of the Arthroscopy Association of North America. He has also served as a Past President of the Arthroscopy Association of North America. Dr. Small has published over twenty articles on various orthopedic topics in refereed orthopedic journals and textbooks.

Litigation Support - Dr. Small has extensive forensic experience, serving as an expert on hundreds of cases and having been deposed numerous times. He has never faced a Daubert challenge. Dr. Small is licensed to practice in Texas, Oklahoma, and Idaho. He has provided opinions within reasonable degrees of medical probability or medical certainty on issues concerning Causation, Usual and Customary Medical or Surgical Treatment, Usual and Customary Expenses, Future Medical or Surgical Needs, and Anticipated Expenses.

Areas of Expertise:

Dr. Mayer is an independent consultant and scholar that holds the position of Visiting Fellow in Human Flourishing, Faculty of Arts and Sciences,  Harvard University. He has been a full-time tenured professor with recent appoints in statistics, biostatistics, epidemiology, biomedical informatics, public health and medicine (psychiatry). He held various titles including , Professor (Part-time), Bloomberg School of Public Health and School of Medicine, Johns Hopkins University, Affiliated Professor, Mayo Clinic/ASU joint program in Biomedical Informatics, a member of the Research Staff at Mayo Clinic, and Professor at Arizona State University He continues to do research and mentor young physicians and medical students while doing a limited amount of consulting in epidemiology, biostatistics, statistics, observatioan studies and clinical trials. His consulting projects often focus on model development, execution and inferences. He is one of the few MD/PhD epidemiologists. He now resides in Dana Point, California.

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

Criminal and Civil Cases Anaphylactic Reactions Overdosel Wrongful Death Cardiac Arrest Respiratory Arrest Fentanyl Overdose Dilaudid Overdose Pharmacist Mis-Fills Pharmacist Dispensing Errors

Pharmacy Standard of Care Medication Adverse Effects Falls Related to Medications (in and out of hospital) Toxicology/Toxic Reactions Medical Marijuana Positive Drug Screens in the Workplace Workplace Safety Fit for Duty Testing