AMFS is the nation's leading provider of medical expert witnesses. We maintain a network of thousands of actively practicing, board-certified physician medical experts as well as expert witnesses in all other health care related fields. Since 1990 we have provided medical expert witnesses to thousands of attorneys in thousands of cases, including medical malpractice, personal injury, wrongful death, criminal and other matters. Contact AMFS now for a free case analysis with our team of U.S. based Medical Directors.
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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.
Dr. Danny Allen, Consultant Adult Psychiatrist is fully trained and experienced in report writing and regularly appears as an Expert Witness in Family Proceedings. Dr. Allen is an Approved Clinician, approved under Section 12(2) of the Mental Health Act 1983 and a Cardiff University accredited Expert Witness and a member of the Expert Witness Institute, the Academy of Experts and the Society of Expert Witnesses. He holds consultancies with Oxfordshire and Buckinghamshire Mental Health NHS Foundation Trust, Workplace Health (Buckinghamshire Hospitals NHS Trust) The Maidenhead Clinic, Phoenix Mental Health Services/Cardinal Clinic and BMI The Shelburne Hospital.
Dr. Allen appears in court regularly in public law cases. He has undertaken a number of high profile cases for Customs and Excise and the Crown Prosecution Service, including alleged rapes and murders. Dr. Allen provides services for lawyers, social services and businesses. His reports are also available to Employment & Housing Tribunals and Employers and Licensing Authorities.
Dr. John G. Looney is Professor of Psychiatry and Behavioral Science at Duke Medical Center. He is Board Certified in General Psychiatry, Child & Adolescent Psychiatry, Addiction Psychiatry, and Forensic Psychiatry. He has more than 30 years of experience in psychiatric treatment of Adults, Children & Adolescents. He is experienced in Hospital Psychiatry and Residential Treatment of patients with psychiatric and addictive disease. He is designated a Distinguished Life Fellow of the American Psychiatric Association.
Through the American Psychiatric Association, he has published about treatment methods for children and adolescents. He describes methods of treating children and adolescents who have suffered serious and longstanding problems in his edited book, Chronic Mental Illness in Children and Adolescents.
General Psychiatry for Adults
General Psychiatry for Children
Organizational Consultation for Schools and Universities
Forensic Psychiatric Associates, LP's (fpamed) mission is to provide the legal profession with the highest quality evidence-based forensic psychiatric and psychological opinion and testimony.To accomplish this, they have built a specialty practice of highly trained forensic psychiatrists and psychologists.
The psychiatrists at fpamed are multiply boarded by the American Board of Psychiatry and Neurology in Psychiatry and Forensic Psychiatry. In addition to multiple board certifications, each has additional subspecialty expertise relevant to forensic psychiatric and psychological practice.
fpamedoffers Forensic Psychiatric and Psychological Expert Assessment and Testimony about traumatic and non-traumatic psychological injuries including the following:
Motor Vehicle Accident
Death of Parent
Loss of Consortium
Traumatic Spinal Cord Injury
Forensic Child & Adolescent Psychiatry
Child Sexual Abuse
Child Custody Disputes
Effects of Stress
Standard of Care
Prescribing Psychiatric Medication
Post Traumatic Stress Disorder (PTSD)
Traumatic Brain Injury
Dr. Mark I. Levy, MD, DLFAPA, a Distinguished Life Fellow of the American Psychiatric Association, has been practicing Clinical Psychiatry and Psychoanalysis full time for over 30 years. During the past fifteen years he has devoted a substantial portion of his clinical practice to Forensic Psychiatry, providing independent medical evaluations (IME's) and expert forensic psychiatric opinion and Consultation nationally for plaintiff and defense trial attorneys, major insurance carriers and the courts.
Dr. Levy has lectured on a wide range of forensic topics including Post Traumatic Stress Disorder, the role in personal injury litigation of pre-existing Personality Disorders, patient confidentiality, “Eggshell” Plaintiffs, stress management for attorneys and other topics and much more at state and local bar associations and in various other Continuing Legal Education programs for attorneys. He has written and lectured to medical audiences and is a frequent media expert and commentator on psychiatric, forensic, and mental health issues.
Dr. Levy has consulted as a psychiatric medical expert in more than 450 legal cases, have been deposed approximately 400 times and has been qualified as an expert by various State and Federal District Court to testify at trial on 52 occasions. He is currently an Assistant Clinical Professor of Psychiatry for the School of Medicine at the University of California at San Francisco, is on the Faculty at San Francisco Psychoanalytic Institute and is Chairman of the San Francisco Foundation for Psychoanalysis.Licenses.
Charles E. Saldanha, MD, FAPA, graduated from Emory University with a Bachelor of Arts in Economics and completed his Doctor of Medicine degree at the Duke University School of Medicine. After internship at the Brigham and Women’s Hospital, he completed residency in Psychiatry at the University of California, San Francisco (UCSF) and a fellowship in Forensic Psychiatry at Yale University. He is certified in Psychiatry with Added Qualifications in Forensic Psychiatry by the American Board of Psychiatry and Neurology.
Dr. Saldanha has practiced in the areas of Emergency Psychiatry, Inpatient Psychiatry, and Community Psychiatry with a focus on persons with Serious Mental Illness. Over the course of his career, he served in medical leadership roles for several facilities, hospitals, and programs in the San Francisco Bay Area. He has served on the faculty of the UCSF Forensic Psychiatry Fellowship Program and has delivered educational presentations to a variety of professional and lay audiences.
Dr. Saldanha's areas of interest include administrative psychiatry, violence and suicide risk assessment, substance use disorders, medical malpractice, and civil and criminal competencies. He has performed over 60 forensic psychiatric evaluations and has testified over 25 times in court proceedings and depositions. Dr. Saldanha has been qualified as an expert in the field of psychiatry in courts in Connecticut, California and in the Federal Jurisdiction.
Anlee Kuo, JD, MD, received her B.A. degree from Dartmouth College. She received her J.D. from New York University School of Law and her M.D. from the Johns Hopkins University School of Medicine. She completed her residency in Psychiatry and subspecialty fellowship training in both Child and Adolescent Psychiatry and Forensic Psychiatry at University of California, San Francisco. She is certified in Adult, Child, Adolescent & Forensic Psychiatry by the American Board of Psychiatry and Neurology.
Dr. Kuo's areas of interest include child forensic issues such as child custody evaluations, competency to stand trial assessments, diagnostic evaluations and risk assessments for the juvenile courts, parenting assessments in dependency cases, child sexual abuse allegations and child trauma assessments and diagnostic assessments in school consultation and child immigration cases. She currently maintains a clinical faculty appointment at the University of California, San Francisco and a private practice in San Francisco and San Mateo treating children, adolescents and adults. She has also worked in the child psychiatry division of the San Mateo County Mental Health Department.
Dr. Kuo has performed over 250 forensic psychiatric evaluations and qualified as an expert in the field of psychiatry in the San Francisco juvenile and adult courts and in the Federal Jurisdiction. She is a member of the American Academy of Psychiatry and the Law, the American Academy of Child and Adolescent Psychiatry and the American Psychiatric Association.
Catastrophic accidents often lead to claims for severe emotional distress including allegations of post-traumatic stress disorder ("PTSD"). Similarly, allegations of acute neuropsychological disorders and fear of cancer can follow environmental releases and toxic exposures. So, too, with product liability claims and even claims from entire "classes" of individual employees. A single incident or condition may produce thousands of claims.
Forensic psychiatry is a medical subspecialty of psychiatry. Its focus is the interface between the law and behavioral medicine. Like the law, forensic psychiatry is divided into various sections. According to the American Board of Psychiatry and Neurology (ABPN):
In prehistoric times, when our earliest ancestors lived in dread of their mortal enemy, the saber-toothed tiger, those cave men (and women) who were fortunate enough to be genetically endowed with the quickest "fight or flight" reactions survived, and became our ancestors. That's where the story begins..
Although federal and state laws prohibit employment discrimination against individuals with physical and mental disabilities and require an employer to make reasonable accommodations for both kinds of disabilities, interpreting and implementing the law with regard to mental disabilities has proven very difficult.
An hour earlier, a commuter train with 180 passengers struck a sport utility vehicle left on the tracks-an aborted suicide attempt. The parking lot adjacent to the tracks is filled with people dazed and confused.
The practice of forensic psychiatry and psychology, like the rest of medicine, is as much art as it is science. At the end of the day, the job of the forensic expert is to be able to communicate complex and at times abstract information in plain, non jargonized language
Expertise: Specializing in applications of clinical psychiatry to legal issues in civil and criminal matters at the interface of Psychiatry and the Law. Has served as an evaluator or expert witness in about three hundred cases in State and Federal courts in matters relating to:
Mental State at Time-of-the-Offense Evaluations
Insanity Defense / Diminished Capacity
Civil & Criminal Competency Evaluations
Competency to Stand Trial / Competency to Waive Miranda Rights
Independent Medical Evaluations / Psychiatric Disability
Personal Injury / Pain & Suffering / Emotional Distress
Workplace Violence Assessments
Evaluations under Americans With Disabilities Act
Fitness for Duty
Professional Background: Certified by ABPN in Psychiatry and Forensic Psychiatry. Assistant Professor of Psychiatry and Director of Psychiatry and Law Program at MCP Hahanemann University. Director of Psychiatry & Law Program and Director of Correctional Mental Health Services Program/Provider of Mental Health Services for the City of Philadelphia Prison System. Formerly Director of Psychiatry & Law Program at the Medical College of Virginia. M.D. Degree -University of Massachusetts. Psychiatry Residency & Forensic Psychiatry Fellowship -Tulane University Medical Center.
Wills are generally contested either on the grounds that the testator lacked Testamentary Capacity (was incompetent to make a will at the time of signing it) or the testator, because of his/her mental state, was subject to Undue Influence (i.e. if there is evidence of coercion, manipulation, deception, compulsion, intimidation, etc.) or an Undue Influence secondary to a thought disturbance (such as delusions affecting the testator's free will in making decisions).