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Expert Witness related news, topics, discussions and overall happenings.

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Can a frog be an expert witness?

March 5th, 2010 · Uncategorized

Megan Lynch Reporting
megan.lynch@cbsradio.com

EDWARDSVILLE, Ill. (KMOX)  — Some tiny amphibians could impact a Metro East court case.

As KMOX News has reported, the Holiday Shores Sanitary District is suing the makers of Atrazine to get the common agriculture chemical cleaned out of drinking water.

Now University of California – Berkeley biologist Tyrone Hayes says male frogs exposed to the herbicide started producing the female hormone estrogen, “and the problem that humans should worry about is that the local production of estrogen is very important in breast cancer.  So we have a chemical that potentially promotes the growth of breast cancer.”

Hayes tells KMOX some of the male African clawed frogs exposed to EPA-acceptable levels of atrazine were chemically castrated.  Others turned into egg-laying females.

Manufacturers fighting the Southern Illinois lawsuit to clean Atrazine out of water supplies say the new research on frogs is all wet.  Syngenta is questioning Hayes’ methods, saying they lack transparency. 

“Well, that’s money talking, not science,” says Hayes, who adds his research is triple-checked by the peer review journals that publish it.  “Remember I worked with those guys and I know that they manipulate data and statistics to make things look the way they want it to look.  That’s why I stopped working with them.”

The US EPA is in the process of re-evaluating the safety of Atrazine.  Some agriculture groups fear a loss of the chemical could cut crop yields.

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The Dirty Dozen Contraindications of Spinal Manipulation

March 5th, 2010 · Uncategorized

Dr. Andrew Mark Rodgers, D.C,,M.S.,B.S.,C.F.S.
 

There is a standard of care to be followed that dictates the caution that must be exercised when administering medical spinal manipulation treatments.

The medical spinal manipulation can be chiropractic, osteopathic or rendered by other medical or non-medical persons all potentially ending in disastrous results. A definitive diagnosis and prognosis must be reached prior to treatment through a comprehensive history evaluation and examination. There is a systematic medical protocol that must be adhered to. This may even lead to radiological or imaging studies (MRI) prior to spinal manipulative treatment (SMT).

Most important in this discovery procedure is to determine if this patient is a candidate for spinal manipulative treatment (SMT). There symptoms may not be coming from spinal or pelvic misalignments. There spinal and or pelvic structures may not be in good structural condition to accept a manipulation procedure. There can be so many co-morbidity factors, such as congenital abnormalities, prior accidents, family histories and or cardiovascular susceptibilities that could end in death or stroke. These all must be ruled out prior to any treatment.

Please understand that this list is not meant to decrease the scope of what spinal manipulation treats, but to minimize injuries caused by spinal manipulative treatment (SMT).

These are some of the deadly sins, but the Dirty Dozen Contraindications are as follows:

1) Rule out extruded disc myelopathy and refer out for a MRI any suspicion of a protruded disc that may have any degree of an annular tear.

2) Rule out cardiovascular predisposing factors based on family history. Perform at least four vertebral artery insufficiency tests. Especially in cases of females, smokers, or users of steroid, birth control and blood thinner medications.

3) Check the structural integrity of the osseous integrity of the osseous structures prior to spinal manipulative treatment (SMT). For example: Osteoporotic and Osteoarthiritic Degenerative Disease.

4) Check for congenital abnormalities or space-occupying lesions. Yes, this can take time, but dig deep and be a good detective and refer for additional radiological and/or diagnostic imaging studies.

5) Check vital signs, especially temperature. There could be an infectious process developing.

6) Remember that visceral symptoms mimicking musculoskeletal symptoms may not warrant spinal manipulative treatment (SMT) and may require immediate medical or emergency room referral.

7) Do not perform spinal manipulative treatment (SMT) into an acute spastic muscle region.

8) Do not perform spinal manipulative treatment (SMT) into a spinal region with bilateral radicular extremity symptoms without an MRI. This is crucial if other orthopedic neurological tests are positive.

9) Spinal manipulative treatment (SMT) is not going to decrease the progressive destructive effects of congenital juvenile idiopathic scoliosis.

10) The “standard of care” is that if symptoms do not abate, even a little, within two weeks of care is to refer the patient and co-treat with another medical physician for further diagnostics and treatment.

11) Unbelievable as it may seem and quite obvious, do not perform spinal manipulative treatment (SMT) into surgical fusion hardware, especially if the surgery was recent.

12) Finally, remember “What can do good can do harm!” Activator and other mechanical spinal manipulative treatment (SMT) tools can do harm to a contraindicated patient.

Please note that this listing is not meant to decrease the scope of treatment possibilities that spinal manipulative treatment (SMT) can be of value to, but to point out the need to exercise caution when considering a patient for spinal manipulative treatment (SMT), which is certainly a medical procedure.

 
Dr. Andrew Rodgers, D.C.,M.S.,B.S.,C.F.S.
Fort Lee Chiropractic Associates
Fort Lee, NJ
201-592-6200

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VIDEO: Avoiding Documentation Pitfalls

February 18th, 2010 · Expert Witness, Lawyer, Legal, testimony, training

Found this great discussion from Patricia Iyer covering topics such as:

Why do patients sue for malpractice?
What is the role of the medical record in how legal cases are screened for merit?
How should health care providers address delay in treatment & failure to rescue patients?
Why it is so important to have legible orders?

Pat Iyer answers these questions and more based on her 22 years of experience as an expert witness and expert in nursing malpractice.

She has much much more info and resources on her website as well:

http://www.medleague.com/

Expert Witness Network
http://www.witness.net

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Free Expert Witness Search by Category now available!

February 17th, 2010 · Expert Witness, advertising, computer, expert witness maketing, expert witnesses, marketing, technology

The Expert Witness Network now features a new way to search our free expert witness directory.  In addition to our original KEYWORD searchable database, we have added the ability to simply click on a category to reveal the expert witnesses and expert consultants within the category.

To access our free directory by expert witness category, click on “Category Search” from the FREE EXPERT SEARCH navigation link at the top of our homepage.

Expert Witness Network
http://www.witness.net

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Social Marketing Tips for Expert Witnesses

February 17th, 2010 · Expert Witness, advertising, expert witness maketing, expert witness websites, expert witnesses, linkedin, marketing, training

With the obvious growth and groundswell behind Social Networking, I thought it may be helpful to the expert witness community to provide a few tips to help you wade through all the options and for you, as expert witnesses, to take advantage of it all.

Obviously you have taken the first step because you are here.

1) Diversify:

LinkedIn, Twitter, blogging and Facebook are just the tip of the iceberg when it comes to social networking.  Just because you are in one, certainly doesn’t mean you have it covered.  You are already a participant in the Expert Witness Network LinkeIn group…why not expand into the world of Twitter and give it a try? 

 2) Participate:

 Lurking has its advantages, but there is nothing like pure participation to get the blood flowing.  Participating not only establishes you in your field and builds credibility, but it also builds your network.  Comment on discussions…comment on blogs…Tweet and ReTweet…you will be amazed at how quickly your network will grow.  Who knows…maybe you will find your next gig or even learn something you didn’t already know.  Who am I kidding??? You guys are the “experts”. ;-)

 3)“Birds Of A Feather…”

 Stick together.  Network, link-up, connect and follow others with similar interests and experience.  Your next connection could be the missing link to another connection that could solidify your future retirement.  This may be a stretch, but in this ever shrinking virtual world we live in, it’s not unheard of.

 On that note…here are the networks you can connect with me on:

Blog: http://www.expertwitnessnetworkblog.com

Twitter: http://www.twitter.com/witnessdotnet

LinkedIn: http://www.linkedin.com/in/rspies

Hopefully this was a helpful start.  I would be happy to continue to provide more tips in the future if you find this helpful and worthwhile.  Your feedback is always appreciated.

Expert Witness Network
Networking Experts & Attorneys since 1998
http://www.witness.net

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The role of medical expert witnesses: the Goudge Inquiry

December 22nd, 2009 · Uncategorized

The role of a medical expert witness needs to be strictly defined and carefully controlled during legal proceedings and physicians need to be aware of their role, states an analysis of the Goudge Inquiry into pediatric forensic pathology published in CMAJ (Canadian Medical Association Journal).

The Inquiry into Pediatric Forensic Pathology by Justice Stephen Goudge looked into the flawed expert testimony of Ontario pathologist Dr. Charles Smith which has been linked to several miscarriages of justice, including the wrongful conviction of Sherry Sherret-Robinson that was overturned by the Ontario Court of Appeal in December 2009.

“Several commentators have suggested that, when the adversarial system is working as it should, our courts are a robust forum for highlighting matters of scientific controversy,” write the authors. “Goudge’s report is a tragic narrative of the mischief that results when the system is not functioning effectively.”

In the CMAJ analysis, the Honourable Frank Iacobucci and coauthor Graeme Hamilton describe 4 reasons to carefully control the use of expert witnesses, a 4-part test for determining legal admissibility of expert evidence and summarize Justice Goudge’s concerns over how pathologists interact with the Canadian legal system. They also include recommendations from the Goudge Inquiry on the role of the expert medical witness.

They conclude that for the legal system to function well, each participant must do their part. “Expert witnesses must give fair, objective and impartial testimony, irrespective of whether they have been retained by a party or appointed by the court. They must also be sensitive to the vulnerabilities of the system and do their utmost to present evidence in a manner than ensures its intelligibility.”

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San Diego DUI Lawyer Finds Dishonesty in DUI CaseTestimony

November 1st, 2009 · Uncategorized

From Scottsdale-DUI-Lawyer Blog

When it comes to court time, the prosecution (police or sheriff’s department) will often use evidence from their key witness in the crime lab. The expert that provides evidence of toxicology is the crime lab’s blood-alcohol expert. These key witnesses, often called forensic toxicologists, will often go to the stand and describe what amount of alcohol was found in the blood, what is done to find this level while describing the steps in laymen’s terms. They are probably the singe most important witness, because they back up the evidence of blood alcohol levels — something that a breathalyzer may not do 100 percent of the time.

The honesty of all those in the chain of evidence gathering at the police department is important to the case at hand, but recently a San Diego DUI lawyer found the toxicologist’s testimony odd since most of his account seem to come from a paper he was referring to during questioning.

Afterwards, San Diego attorney Cole Casey approached the toxicologist and asked him what he was reading during the testimony. To his surprise the witness showed him the paper he was referencing and found it to be a strict instruction list on how to answer. The instructions explained to the witness on what to say verbatim, not what their experience was or anything that they knew unique to the case.

If fact some of the questions where basically saying to play dumb and state that “it’s impossible to remember each blood draw.” This was the prosecutions method of putting away DUI cases without a matter of a doubt simply to make their toxicologist follow along a set of guidelines on what to do rather than what they know happened during testing — a true conflict and a pretty blatant case of dishonesty.

Another ‘Expert Witness’ Gone Wrong

Another toxicologist was found, not to have been giving testimony with scripted lines, but scripting a false resume instead. During an employee record audit at the San Diego Sheriff Department’s Crime lab, it was found that an often used key witness, Raymond Cole, had falsified his resume. It was found that Cole’s resume states that instead of graduating from Berkeley in pre-med, he had actually graduated with a bachelor’s in political science.

Unfortunately Cole had nearly 30 years working in the crime lab with many cases where he was used at the witness stand. Notices of the allegedly perjured testimony went out to the San Diego DUI lawyers that used him.

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DUI Wars: A view from the expert witness perspective

September 20th, 2009 · Uncategorized

From: DUIAttorney.com

Opinion – The continuing battle between prosecutors and defense attorneys in DUI trials is similar in many ways to the old arms race between the United States and the old Soviet Union. As one side develops a new “attack” strategy, the other side develops a new “defense”.

Sometimes the government wins, sometimes the defense wins.

Each side gains a better understanding of the legal and scientific aspects of DUI cases. The end result is that the government is encouraged to do a better job, investigating, documenting, and prosecuting DUI cases. As the government does their job better, the likelihood of a guilty person “getting off” of a DUI charge lowers significantly.

In the few years I’ve been available to the defense community as an independent criminalist, I’ve seen improvement in the way officers investigate DUI cases, document DUI investigations, crime labs carry out analysis, and prosecutor’s conduct cases.

After a seminar I gave on blood alcohol analysis, I was approached by an employee of the Arizona Department of Public Safety Crime Lab. They told me I made some valid points in my presentation.

Within a few months that lab had instituted new changes, to improve the quality of their analysis.

Another laboratory has purchased new equipment, when old equipment couldn’t adequately be shown to be contaminant free.

One law enforcement agency now properly handles blood draw samples, to help ensure the integrity of the evidence.

Officers have approached me during trial breaks to clarify points I made during testimony about misunderstandings the officer had about field sobriety testing.

Common terms incorrectly used during testimony as being phased out for more accurate terms.

It’s interesting to note that my work as an independent criminalist has had a greater effect in improving the quality of DUI investigation in Arizona, than when I worked for the government.

About the author: Erik Brown is a forensic scientist who frequently testifies and consults about DUI blood and breath testing, field sobriety testing and gives expert opinions in court. He is the author of the forensics blog, Benchnotes.

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Job of expert witness is no easy thing to endure…

July 26th, 2009 · Uncategorized

By Richard Meehan
For The Norwich Bulletin

Trials often require expert testimony to establish facts that only one possessing certain training and experience can describe. Most often, experts are highly credentialed medical doctors or have doctorate degrees. An expert, however, can be anyone possessing knowledge in an area beyond that of the average juror. The classic comic example is mechanic/hairdresser/girlfriend, Mona LIsa Vito, in the movie “My Cousin Vinny.” A knowledgeable car mechanic can qualify as an expert in automotives issues.

Once a proper foundation is developed, the expert may give an opinion based upon the facts of the case and a reasonable degree of certainty. An expert may not testify to possibilities, nor engage in speculation and conjecture.

Jurors may accept or reject part or all of an expert’s opinion. The trial lawyer’s challenge is to educate the jury on the expert’s background and basis of the opinions offered.

Trying complex cases over three decades, I’ve had a legion of experts on the witness stand ranging from the world of the Miss Vitos’ to Yale and Harvard professors. We start with a recitation of the expert’s education and training, professional associations, honors, awards, publications or teaching experience.

Next, a review of the evidence through a hypothetical question that asks the expert to assume certain facts. Often those facts are disputed, which later presents a platform for opposing counsel to challenge the opinion on cross-examination.

With the exception of standard of care experts in malpractice cases, experts are not permitted to give opinions on the ultimate fact in issue. That is viewed as invading the fact-finding province of the jury.

Recently, I had the unique experience of testifying as an expert in a criminal trial practice. The issue was whether a defense lawyer failed to provide a convicted client effective assistance of counsel as required by the Sixth Amendment. My opinion was that he had not.

Read the entire article here.

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Determining When An Expert Witness Is “Expert Enough”

June 29th, 2009 · daubert, expert witnesses

In medical malpractice case, trial court’s exclusion of defense expert as unqualified was not harmless error; the defense expert’s opinion that the plaintiff’s expert’s conclusion was not supported by the medical literature plaintiff cited did not require the defense expert to have as much specialized “training and experience” as the opposing expert whom he critiqued, in Huss v. Gayden, __ F.3d __ (5th Cir. June 10, 2009) (No. 04-60962)

The lack of precision in the Daubert test for the admission of expert witness testimony serves as a source of its remarkable flexibility and also as a source of frustration to practitioners. It is clear that under Daubert, an expert witness need not be a star in his or her field to qualify. On the other hand, minimal preparation or training frequently is insufficient for expert qualification. The Fifth Circuit recently probed the question of just when an expert is “expert enough” in a medical malpractice case. The result reached by the circuit demonstrates that expertise is a matter that must be assessed within the context of the evidence presented and arguments that will be made at trial.

Read the entire article here: Determining When An Expert Witness Is “Expert Enough”

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