Physicians Helping Attorneys: Recent Episodes

Physicians Legal Consultants LLC

Welcome to the Physicians Helping Attorneys Helping People podcast! You know injured people need all the help they can get. Listen to Drs. Armin Feldman and Mike Bummer talk about the new medical sub-specialty of Medical/Legal Consulting and get a competitive advantage in your PI and Workers Comp cases. Armin and Mike will help you better understand the medicine in your cases, maximize settlement amounts and get the appropriate medical care for your clients in this entertaining and lively podcast.

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Mike & Armin discuss one of the most common conditions seen in their cases and that is soft tissue injuries caused by trauma. All too often these injuries are seen by opposing counsel and insurance companies as minor. That can be true, but more often these soft tissue injuries are recognizable damages needing treatment.

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Mike and Armin each discuss a case with interesting twists. Mike goes full on sleuth to help his attorney client find the very best expert possible for a case involving prostate cancer screening. Armin talks about an IME rebuttal in which he needs to rebut the facts of the case.

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Mike and Armin answer questions sent by email & text. This is our third episode of answering listener questions including topics about Medical Summary Reports, Armin’s training program, how do we choose which attorneys with whom we work, can we help with crush injury cases and a few other interesting queries.

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It’s back to basics! Mike and Armin each discuss a recent case. Mike’s case involves a merit question in an obstetrics situation. Armin discusses an IME observation and rebuttal report in a case in which life is stranger than fiction.

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Welcome to our slip and fall injury episode. We realized we were remiss in not yet discussing slip and fall injuries. Mike and Armin each present a case in which serious injuries were sustained in two separate slip and fall cases. There were a few curve balls and challenges in both cases in which we were able to help our attorney clients.

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Mike and Armin first talk about a new service recently added to the many ways Medical-Legal Consultants can help their attorney clients. This is a service Mike developed in working with attorneys helping them maximize their effective use medical experts. Armin also briefly discusses a recent development in the diagnosis of sepsis.

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Mike & Armin talk about a recent medical journal article discussing a new treatment for PTSD. Post-Traumatic Stress Disorder is one of the most common psychiatric problems after trauma and often a medical damage in injury cases. They discuss a high success rate/low side effect treatment called Hyperbaric Oxygen Therapy.

Article link: https://tinyurl.com/4ndfm43y

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This is our first Holiday Special podcast! Mike & Armin welcome three physicians doing Medical/Legal Consulting for a round table discussion. Our panel first discusses some fascinating cases and we also talk about our own experiences of physicians helping attorneys helping people. We each also give the gift our best pop culture suggestion for 2024.

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Mike and Armin take a deep dive into Armin’s training program that helps physicians to master this medical field of Medical/Legal Consulting. This episode should be of interest to physicians as well as attorneys interested in learning how doctors train for this consulting work that helps increase case value.

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Based on positive feedback to a past episode, Armin discusses two more very unusual cases. Both cases fall way out of range of our typical Medical/Legal consultations. One case is a post-mortem psychological autopsy and the other case involves answering an attorney question about possible poor credentialing of a medical professional by a healthcare institution.

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Mike & Armin discuss an interesting Workers Compensation case on which Mike consulted. Our attorney client called Mike to say he was “stuck” regarding one of the injuries in the case. After Mike reviewed the IME report in question, he let our attorney client know he disagreed with the medical opinions in the report and helped the attorney find a solution to this issue.

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Mike & Armin go back to basics each discussing an auto crash case. Mike goes through the Medical Summary Report he wrote that the attorney used as part of the settlement demand letter. Armin discusses the IME Rebuttal Report he wrote when opposing counsel questioned the validity of the client’s post-crash injuries.

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We are often asked by attorneys, physicians and even listeners in the general public, “What is the difference between a physician Medical/Legal Consultant and a nurse legal consultant?” Mike and Armin answer the question and explain the critical differences. They have a back and forth conversation sharing their ideas and insights.

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As promised in an episode last May, Mike and Armin answer more questions from our listeners and viewers. We were unable to get through all the questions sent in to us (and most likely will never get through them all on the air!). We answer new questions that we are so grateful our audience has emailed in and questions that we think would be of interest to everyone.

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Mike & Armin talk specifically about how Medical/Legal Consulting can save attorneys time. They each discuss a couple of examples and arrive at the conclusion, "let us save you time by handing the medicine in the case".

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Armin discusses a case that appears to be a “bread & butter” typical rear-end auto crash that turns out to have several challenges to overcome. Armin talks about how each issue was dealt with in his report. Mike discusses an interesting merit review/standard of care case where the client was left with avoidable life-long problems.

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We are excited to have back one of our favorite guests, David Grundy, M.D. David is an Emergency Medicine doctor who also practices Medical/Legal Consulting in California. David discusses a traumatic tibial bone fracture which then gives him an opportunity to discuss his method to “reverse engineer” scientific predictions based on medical literature of expected future
medical problems secondary to the immediate traumatic injuries.

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Because a lot of questions get sent to us by email, we decided to have another Q&A episode in which Mike and Armin answer questions from listeners and viewers. These questions all came in the last few weeks. We thought if one listener/viewer had this question it was most likely on the minds of others.

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Mike and Armin each discuss a case outside of the usual car crashes, work injuries, etc. Mike talks about a case of placental abruption. Armin discuses a case of medications stopped abruptly after a woman is jailed for a DUI. The similarity in both cases is the possibility of a system failure. Mike and Armin discuss whether or not there was negligence in these cases.

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Mike and Armin each discuss fascinating Standard of Care Review cases. Mike’s case involves an overlooked x-ray and Armin’s case involves missed diagnostic data. Neither case is straight forward and you can hear how the medical issues were evaluated in each case.

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This episode’s topic is Unusual Outlier Cases. Armin discusses two cases that are way out of the normal range of medical issues usually presented. As Armin talks about each case Mike asks great questions that he feels our listeners would like to have asked. One case involves determining what was the actual cause of death and the other case is a fascinating pediatric psych case with negligence & liability issues.

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Mike & Armin talk about the common characteristics of attorneys who use our consultative services on a routine basis. Although any Personal Injury or Workers Comp attorney will benefit from a Medical/Legal consult, we find that we’re primarily working with a subset of attorneys that share some common ground. To start, these attorneys feel a strong sense of duty to their clients. Find out more in this episode.

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Mike and Armin each discuss a case that involved a rare medical condition in both their
traumatic injury cases. In both situations the case needed some research, finesse and critical
thinking to tease out the issues and help each of their attorney clients achieve excellent
settlements. Get some insight in how both Mike and Armin process and work through medical
issues in a case.

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Mike & Armin always encourage listeners to email in their questions. In this episode they answer some of the questions they have gotten in the last couple of months. We know if one person asked the question there are many of you listening with the same question. Have fun with this fast moving episode chock full of information!

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Current Medical/Legal Questions * Fascinating Medicine * Providing Evidence

Mike discusses teasing out if a bile duct surgical mishap is negligence or an unavoidable
complication. Armin talks about a problematic consequence of tissue trauma after accidents, the condition of Complex Regional Pain Syndrome.

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In this episode Mike discusses an interesting case in which the request of the attorney for him to find a medical expert is superseded by some medical opinions and conclusions Mike reaches after reviewing the nuances of the case. Armin discusses another “invisible injury” and briefly talks about the often found issue of depression occurring in trauma cases.

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To celebrate our 40th episode and as an end of the year departure from cases and medical injuries Mike interviews Armin on the origin story of Medical/Legal Consulting, Armin’s physician training program and Mike and Armin opening Physicians Legal Consultants. Hear about the triumphs and challenges of starting a new field of medicine.

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Mike and Armin go back to some basics! Armin discusses neck problems after a cement truck hit a van of teenagers resulting in the client having significant neck injuries. Armin talks about the medicine that every attorney should understand. Mikes talks about a standard of care merit review in a medically complicated post-surgical case for which he ultimately found the standard of care was met. Mike teases out the important issues.

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Mike & Armin discuss success stories and give details on settlement amounts in six cases for which they consulted. This episode gives you insight into the process and how their Medical/Legal consults helped the case, the attorney and the injured client. Get concrete evidence how Medical/Legal Consulting helps people.

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And now something completely different! Mike and Armin discuss a method to communicate with others more effectively. In the work we do, we need to communicate effectively with attorney clients, the injured individuals attorneys represent and others. Mike and Armin discuss a system for effective communication that they hope attorneys, physicians and all our listeners can incorporate in their everyday lives.

Take the DISC Test Yourself: https://discpersonalitytesting.com/

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In this episode Mike & Armin discuss the “legal” in Medical/Legal Consulting. In other words, what we’ve learned about the law in the areas in which we consult and how to weave that specialized knowledge into our reports and interactions. We make sure attorneys can rely on our reports to offer evidence in proving up medical theories in cases.

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Mike & Armin go back to basics and discuss a really interesting case in which a woman was hit head on in an auto crash. Unfortunately, this client suffered serious and long-term medical problems. The most significant of which was a traumatic hiatal hernia. Our attorney client asked us to help prove up his medical theory that the accident caused the hernia, and we went to the medical literature to find answers. We discuss what happened.

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Mike & Armin discuss how we optimize our medical involvement in cases by educating attorney clients about not only the broad scope of our services but the many nuances of each of the very specific services we provide. We want to make sure attorneys maximize settlement amounts and get the most comprehensive future medical care needed after an accident or injury. We also discuss an exciting new video series coming out for our attorney clients, physicians and our general listeners.

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Mike & Armin welcome Anke Horacek, MD to this episode. Anke has been doing Medical/Legal Consulting for the past 5 years in Nebraska. Anke talks about a truck vs. tractor crash that resulted in catastrophic injuries for the farmer driving the tractor. Anke lays out the case including two previously undiagnosed injuries that Anke was able to identify. This case resulted in enormous future medical care and costs which is discussed.

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Mike and Armin discuss two common issues that come up in cases. First, Mike talks about our process when we are asked to find medical experts. Mike describes how our process differs from the standard expert finding company and is based on research and customizing the expert to the case. Then Armin talks about how we determine traumatic causation of injuries and how our opinions are based on science and the medical literature.

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Mike and Armin discuss how they often act as a medical liaison between their attorney clients and treating doctors, other professionals, service & governmental agencies and even occasionally with client families. Armin talks about a case concerning clarifying traumatic causation with a treating doctor and Mike talks clarifying case issues with a physician before choosing the right medical expert witness.

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Mike and Armin each discuss a case in which they were asked to do a Standard of Care Review and give an opinion if there was merit to pursue a medical malpractice case. Both cases had some interesting, complicated and sad medical issues. In both situations both Mike and Armin came to the opinion that the standard of care was met and advised their attorneys not to pursue the case. This helped the clients process what happened, saved the attorney time, money and aggravation and helped the doctors to avoid unwarranted litigation.

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Rear-end auto accidents represent one of the most common cases in which our attorney clients are involved. Mike and Armin have consulted on hundreds of these cases. In this episode they discuss some of the medical journal articles they commonly use in reports to give attorneys the medical evidence they need to prove up their medical theories concerning client injuries in these frequent rear-end cases.

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Mike and Armin talk about how Post-Traumatic Stress Disorder (PTSD) can be a missed or “invisible” medical damage in PI or Worker Comp injuries. Mike talks about a case in which PTSD was initially missed as part of the traumatic injuries and Armin discusses a case in which PTSD was complicated by the circumstances surrounding the accident itself.

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Mike and Armin have done hundreds of initial meetings with attorneys wanting to know more about Medical/Legal Consulting. Get some insight into how physicians and attorneys work together as Mike & Armin answer the common questions they are consistently asked in almost every one of these initial meetings. For instance, why should the I use a Medical/Legal Consultant instead of a medical expert, why spend the money on a Medical Consultant when I don’t have that expense now and much more.

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Mike & Armin are pleased to have Barbara Furutani, J.D. as a guest on this episode. This episode is a must for attorneys representing injured clients and anyone wanting insight into injury cases. Armin has worked as a Medical/Legal Consultant for Barb and her firm for several years. Barb has practiced Workers Comp, Personal Injury and Social Security law for many years and is well-known and respected for representing Claimants injured on the job. We discuss how Ms. Furutani has worked with Armin over the years helping her to optimize her case results.

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Mike and Armin discuss the training that physicians go through to become Medical/Legal Consultants. Armin has been training physicians to do this specific kind of consulting for attorneys for about 14 years. Armin discusses his one year training program as well as his various conferences and courses for physicians. The episode gives attorneys, physicians and other listeners insight into what’s involved in learning this new field of medicine.

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Armin and Mike discuss a case of Armin’s in which a man was struck in the head by a falling object resulting in the attorney’s client being diagnosed with a Mild Traumatic Brain Injury. Opposing counsel argued that this man’s pre-existing coronary artery disease, heart attack and subsequent coronary bypass surgery was the cause of his cognitive and other problems. Armin and Mike tease out the medical issues and medical evidence in the case and Mike talks about how our use of verbatim medical records in the report helped to refute & disprove opposing counsel’s theory for the case.

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Get an intimate look at how doctors and attorneys can seamlessly work together. Mike and Armin discuss the many and varied relationships they have with their individual attorney clients. Their goal is to establish mutually beneficial & profitable long-term relationships with attorney clients. Mike and Armin work hard to become part of the attorney’s team, even if only called in on an as needed basis. They talk about blending into each attorney’s routine handling of cases & work flow and discuss how they often are part of the solution to the settlement.

Have a potential case to discuss? Question about our services? We are committed to maximizing case value, saving attorney time, and we do it without breaking the bank.

  1. Call us directly anytime: 1-800-208-5138
  2. Schedule a 15-minute Zoom call: https://calendly.com/arminf/schedule
  3. Visit our website: PLegalC.com

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Mike and Armin welcome their first guest, Dr. David Grundy, to the podcast. David is based in California and discusses a fascinating auto crash case with a couple of really unique twists. First, Dr. Grundy’s report was required just 6 days after he got the case for review. Also, opposing counsel and doctors were trying to prove their theory that the client’s very serious problems from the crash were not accident-related which seemed far-fetched based on the fact pattern and evidence from the medical literature that David beautifully lays out.

Have a potential case to discuss? Question about our services? We are committed to maximizing case value, saving attorney time, and we do it without breaking the bank.

  1. Call us directly anytime: 1-800-208-5138
  2. Schedule a 15-minute Zoom call: https://calendly.com/arminf/schedule
  3. Visit our website: PLegalC.com

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In Part 2 of this topic, Mike and Armin bring up numerous attributes that differentiate a Medical/Legal Consultant from a treating doctor or medical expert in legal cases and how these differences help attorneys and their clients achieve better settlements and get needed medical care for clients. In this Part 2 they discuss the specific language used in reports, ADLs, opinions within a reasonable degree of medical certainty/probability, and much more.

Have a potential case to discuss? Question about our services? We are committed to maximizing case value, saving attorney time, and we do it without breaking the bank.

  1. Call us directly anytime: 1-800-208-5138
  2. Schedule a 15-minute Zoom call: https://calendly.com/arminf/schedule
  3. Visit our website: PLegalC.com

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Mike and Armin discuss what differentiates a Medical/Legal Consultant from a treating doctor or medical expert in legal cases and how these differences help attorneys and their clients achieve better settlements and get needed medical care for clients. In this Part 1, they discuss the Thin Skull rule, and how Medical/Legal Consultants need to understand certain aspects of the law and as well as how attorneys approach cases.

Have a potential case to discuss? Question about our services? We are committed to maximizing case value, saving attorney time, and we do it without breaking the bank.

  1. Call us directly anytime: 1-800-208-5138
  2. Schedule a 15-minute Zoom call: https://calendly.com/arminf/schedule
  3. Visit our website: PLegalC.com

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Mike and Armin discuss one of Armin’s case’s involving a slip and fall. The accident happened at work and so it became a Work Comp case but the issues in the case apply to PI cases as well. Armin refutes the opposing doc’s use of Waddell’s signs and the doc’s opinion that the client’s injuries were not accident-related.

Have a potential case to discuss? Question about our services? We are committed to maximizing case value, saving attorney time, and we do it without breaking the bank.

  1. Call us directly anytime: 1-800-208-5138
  2. Schedule a 15-minute Zoom call: https://calendly.com/arminf/schedule
  3. Visit our website: PLegalC.com

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Mike and Armin take a deep dive into IME observation and Mike interviews Armin concerning a recent IME he observed. They then discuss the IME Rebuttal Report written by Armin that helped the attorney help their client get needed ongoing treatment reinstated after it was denied due to the IME report.

Have a potential case to discuss? Question about our services? We are committed to maximizing case value, saving attorney time, and we do it without breaking the bank.

  1. Call us directly anytime: 1-800-208-5138
  2. Schedule a 15-minute Zoom call: https://calendly.com/arminf/schedule
  3. Visit our website: PLegalC.com

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Mike & Armin shake things up a little and talk about a couple of commonly seen injuries instead of discussing a specific case. Mike discusses common injuries and approaches to shoulder injuries. Armin talks about Temporo-mandibular Joint Disorder which in not an uncommon injury often seen in auto accidents, work-related injuries and other kinds of PI cases. They discuss the concept of functional losses and how that relates providing a comprehensive picture of traumatic injuries.

Have a potential case to discuss? Question about our services? We are committed to maximizing case value, saving attorney time, and we do it without breaking the bank.

  1. Call us directly anytime: 1-800-208-5138
  2. Schedule a 15-minute Zoom call: https://calendly.com/arminf/schedule
  3. Visit our website: PLegalC.com

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Mike discusses a case in which he needed to play medical detective and sort through the medical records leading to his defining specific medical damages which were not previously clear. Mike goes on to discuss how his detective work significantly added value to the case. Armin talks about the history and development of Medical/Legal Consulting as a new field of medicine.

Have a potential case to discuss? Question about our services? We are committed to maximizing case value, saving attorney time, and we do it without breaking the bank.

  1. Call us directly anytime: 1-800-208-5138
  2. Schedule a 15-minute Zoom call: https://calendly.com/arminf/schedule
  3. Visit our website: PLegalC.com

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Armin discusses a “bread & butter” PI case in which a woman developed three serious injuries often seen in car crashes. He goes through the report delivered to the attorney that helped to successfully settle the case for significant case value. Mike talks about the process we use to interview clients of attorneys which is a critical part of our process in developing a case report.

Have a potential case to discuss? Question about our services? We are committed to maximizing case value, saving attorney time, and we do it without breaking the bank.

  1. Call us directly anytime: 1-800-208-5138
  2. Schedule a 15-minute Zoom call: https://calendly.com/arminf/schedule
  3. Visit our website: PLegalC.com

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In this episode Mike and Armin discuss a report written by Mike in which opposing counsel and opposing doctors stated the client’s injuries were not accident related. Mike was able to diagnose and prove up a diagnosis of Thoracic Outlet Syndrome and back up his medical opinions with evidence from the medical literature. Armin then adds a unique personal story of this client’s case paralleling an experience of his own.

Have a potential case to discuss? Question about our services? We are committed to maximizing case value, saving attorney time, and we do it without breaking the bank.

  1. Call us directly anytime: 1-800-208-5138
  2. Schedule a 15-minute Zoom call: https://calendly.com/arminf/schedule
  3. Visit our website: PLegalC.com

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In this episode Mike and Armin discuss a couple of cases in which they advised their attorney clients that there was not significant merit to warrant the pursuit of the case. This episode delves into the fact that our attorney clients want and value our straight-up medical opinions regarding whether we feel the medicine presented in the case would be worth the attorney’s time, effort and money. And, of course, in the injured person’s best interest.

Have a potential case to discuss? Question about our services? We are committed to maximizing case value, saving attorney time, and we do it without breaking the bank.

  1. Call us directly anytime: 1-800-208-5138
  2. Schedule a 15-minute Zoom call: https://calendly.com/arminf/schedule
  3. Visit our website: PLegalC.com

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Mike and Armin discuss an interesting low-speed auto crash case in which Mike helped the attorney prove up the medical theory of traumatic causation despite the low speed of the auto accident. Armin discusses our process of researching medical issues given that we help attorneys answer any and all medical issues in cases that are settled.

Have a potential case to discuss? Question about our services? We are committed to maximizing case value, saving attorney time, and we do it without breaking the bank.

  1. Call us directly anytime: 1-800-208-5138
  2. Schedule a 15-minute Zoom call: https://calendly.com/arminf/schedule
  3. Visit our website: PLegalC.com

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In this episode Armin and Mike go into great detail and highlight the most important sections of their Comprehensive Medical Summary Reports. These reports are the most commonly requested services from their attorney clients. Used in the settlement demand and negotiation process, these reports focus on the causation, mechanism of injury, and functional losses of the injured plaintiff. Armin and Mike will walk you through specific injuries related to severe neck pain and shoulder pain, all which were contested and argued as insignificant by the defense attorneys. Feel free to request the redacted hardcopy by emailing us comments@physicianshelpingattorneys.com

Have a potential case to discuss? Question about our services? We are committed to maximizing case value, saving attorney time, and we do it without breaking the bank.

  1. Call us directly anytime: 1-800-208-5138
  2. Schedule a 15-minute Zoom call: https://calendly.com/arminf/schedule
  3. Visit our website: PLegalC.com

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In this episode Armin first talks about the beginnings and development of the new medical sub-specialty of Medical/Legal Consulting and some of his challenges developing this field of medicine and then Mike discusses an really interesting case involving a traumatic brain injury, the client developing psychogenic seizures and dealing with the issue of overcoming inaccurate pre-existing condition arguments and rolling it all in a Medical Summary Report.

Have a potential case to discuss? Question about our services? We are committed to maximizing case value, saving attorney time, and we do it without breaking the bank.

  1. Call us directly anytime: 1-800-208-5138
  2. Schedule a 15-minute Zoom call: https://calendly.com/arminf/schedule
  3. Visit our website: PLegalC.com

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Armin and Mike discuss how they can uniquely add value to car crashes with only soft tissue injuries, and also discuss how medical consultants can help with treating doctors.

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Armin & Mike discuss two really interesting aspects of Medical/Legal Consulting. First, Armin talks about a recent Workers Compensation case in which a 29 year old man developed two work-related injuries that resulted in cervical disc problems and the need for a medical causation opinion letter. Then Mike talks about how attorneys rely on us as Medical/Legal Consultants to help them find and retain medical experts.

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Armin and Mike first discuss Independent Medical Exam Observation & Rebuttal Reports as well as some of Armin’s interesting experiences dealing with IME docs. Then Mike talks about bowel perforations and how to tease out complications from standard of care breaches.

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Armin and Mike know that after reviewing the facts in a case attorneys need evidence to back up their medical theories. One of the best ways to provide that evidence in medical matters is to quote peer-reviewed medical literature from recognized medical journals. Mike & Armin talk about some of their often used favorite medical journal articles that have helped attorneys better negotiate favorable settlements. These articles are classics you need to know about!

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Mike discusses a recent case in which he was asked to give an opinion on standard of care and overall case merit. The case involves a woman who presented to the ER with trouble swallowing and the onset of vomiting.

We discuss what happened, what was missed and how Mike was able to not only give an opinion but also help the attorney with the crucial medical education needed to really understand all the medicine in the case. We then discuss what we do help in cases when our attorney clients need an opinion on future medical care and costs.

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In this episode we discuss two cases. In the first case Mike was brought in to provide a comprehensive Medical Summary Report and found an undiagnosed Mild Traumatic Brain Injury that was then included as a damage in the case and provided the client with the appropriate medical care. In the second case Armin was asked if the multiple traumatic injuries sustained by a client could have caused the sudden onset of his diabetes. His opinions may surprise you.

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Drs. Armin Feldman and Michael Bummer are happy to welcome you to the Physicians Helping Attorneys Helping People Podcast!  Join us on this quick introduction to understand the how’s, whys and the “what’s in it for me” of this podcast that describes how the new medical subspecialty of Medical/Legal Consulting helps attorneys and their clients.