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:
Speech Language Pathology
COVIDs impact on communication, dehydration and swallowing
End of Life Nutrition
Standards of Care
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.
It is not uncommon for documentation or discussion to use the term “choking” to describe instances in which food or liquid went “down the wrong pipe” or a significant cough occurred. Those instances are not, in fact, choking in the sense of foreign body airway obstruction that leads to death by asphyxiation.
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.
Mesh is used to support the tissues in most hernia repairs in the U.S. This practice stems from research showing that without reinforcement material, hernias tend to recur frequently over the long term when the repairs are performed using suture repairs alone. Surgical mesh, made from polypropylene
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.
John Budny, PhD, provides expert Toxicology opinions based on recognized and accepted medical knowledge to determine if prescriptions, over-the-counter medications, and drugs of abuse that cause adverse medical events. With a PhD in basic medical science and a 40-year career as a practicing toxicologist, Dr. Budny combines the science of toxicology with medical knowledge to fully understand the ramifications of an adverse medical event caused by prescribing errors, faulty medications, or failure in the health care delivery process.
Dr. Budny has conducted scientific investigations in toxicology and has published the results of his research. In addition to being as an expert witness, Dr. Budny provides scientific contributions by writing book reviews of relevant topics related to toxicology and forensics. He is also on the Editorial Board of the International Journal of Toxicology. In his position on the Editorial Board, Dr. Budny reviews manuscripts on general toxicology and forensic topics that are submitted and proposed for publication in the journal. He also writes book reviews that cover the entire breadth of toxicology.
Litigation Support - Dr. Budny has over 25 years of experience as an expert witness. He has been retained in over 300 cases in which he has opined in reports, depositions, and in court testimony about cause and effect relationships between chemicals and adverse reactions and toxicities. While his forensic toxicology practice is not limited to any specific type of chemical, most of his retention as an expert has been for prescription drugs, illicit drugs, dietary supplements and nutritional products.
Successfully resolved complex medical issues involving pharmaceuticals and drugs:
Cardiovascular and Cerebrovascular Toxicology
Pharmacology and Physiology
Drugs Affecting the Central Nervous System
Cognitive and Psychomotor Impairment
Dietary Supplements, Nutraceuticals, and Nutrition
The book consists of 505 pages of text, which is divided among 17 chapters and an index. There are also 15 pages of important introductory material covering such topics as Preface; Health and Safety; Nomenclature, Symbols, and Conventions; Amount Concentration and Mass Concentration; Acknowledgements; and List of Abbreviations.
Dr. Jeffrey Stone, DO, MPH, FCCWS, specializing in Wound Care and Hyperbaric Medicine, served as Medical and Fellowship Director for the Hyperbaric Medicine Unit at the Institute for Exercise & Environmental Medicine at Texas Health Dallas from 1992- May 2016. Dr. Stone received his medical degree from Western States University and received a Master of Public Health degree from Harvard University. Dr. Stone completed a residency in aerospace medicine at Brooks Air Force Base and a fellowship in hyperbaric medicine and Wound care at the U.S. Air Force School of Aerospace Medicine. Dr. Stone started visiting nursing facilities in the Dallas Metroplex in the early 1990's teaching, educating and caring for individuals with chronic wounds. He is one of the first 60 physicians in the U.S. to receive his certification in Wound Care. Dr. Stone currently provides care to patients in acute care, LTAC, long term care facilities SNF and Nursing Home) and outpatient care.
Dr. Stone has been widely published in many medical journals regarding his expertise in Wound Care and Hyperbaric Medicine. He serves as an Expert Witness for Peer Reviews, Legal Reviews, and Medical Malpractice Cases.
Areas of Expertise: Wound Care and Hyperbaric Oxygen-
Diabetic Foot Wounds
Acute Traumatic Ischemias
Non-Healing Wounds, Venous or Arterial or Pressure Related
Thrombin and thrombin peptides play a role in initiating tissue repair. The potential safety and efficacy of TP508 (Chrysalins) treatment of diabetic foot ulcers was evaluated in a 60-subject, prospective, randomized, double-blind, placebocontrolled phase I/II clinical trial.
A wound patient plan of care is not complete without assessing the need for nutritional support. Wound repair, provided ot os not hindered by systemic or local factors that delay healing, takes place pn a continuum-all cellular events in the wound repair process follow a predictable course and order.