Another Important Must-Win Case? Get The Edge You Need to Win

Posted by on Nov 30, 2011 in Blog, Case Management, Legal Nurse Consultant, Litigation Tools, LNC

Thanks to television courtroom dramas and the 24-hour live news cycle, we’re all familiar with expert witnesses.  Perhaps none are more dramatic than medical experts who, when they take the stand, can make or break a case.  Though these moments make for exciting TV, in actuality, no one from either side of the room relishes landing in court.  While doctors are certainly well versed in their field of medical practice, few have much practical experience in the field of law.  When you add a Legal Nurse Consultant (LNC) to your legal team, you gain an invaluable asset with specialized insights in both arenas — and, LNCs do most of their work behind the scenes—where it really counts. TOP Reasons To Add a Certified LNC To Your Legal Team  Time is Money—Save Both An LNC is both cost- and time-effective.  Whether the LNC conducts a pre-trial screening of complex medical records, or reviews medication and therapeutic treatment protocols, her dual knowledge of medical and legal procedures provides that intangible edge for your team – an edge that could mean the difference between winning and losing. LNCs act as “medical interpreters” to both distill and translate the technical issues that are critical to all phases of your case— arbitration, deposition, mediation, validating case merits, fraud detection, pre-trial preparation.  This leaves your staff free to focus on the core legal tasks and prep. Merits of the Case—Build a Solid Case  No matter how many times those outside the legal field see contracts and other legally binding instruments, it’s always prudent and recommended that an attorney review the documents before any signatures find their way to the page. Likewise, even though you may have a strong knowledge of medical terminology, treatment strategies, and medication protocols due to your prior litigation experience, there’s still a significant chance you may miss something critical to the case buried in (or missing from) the medical records. You don’t want to pay the high fees commanded by medical doctors to review the medical aspects of your case file – save your physician expert, and the fees associated with his services, for in-person testimony before the judge at trial, for expert deposition OR for a laser pointed desk review/consultation. A certified LNC can handle all aspects of case review and claim/file validation behind-the-scenes. A qualified LNC possesses a deep working knowledge of medical and associated case terminology as well as causality, case merit, and expert witness selection expertise. Bring an LNC in to review the merits of a case before using scarce and costly resources before case merit is unequivocally established.  In addition, the LNC report/work product is very different and should give a broader view of the case,...

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Don’t Risk A Shot In The Dark: Learn About Injection Therapy

Posted by on Nov 17, 2011 in Blog, Orthopedic, Workers Compensation

“Oh! My back!” is a popular punch line for stand-up comics and in primetime sitcoms.  For the many millions who suffer with it daily, chronic back pain is no laughing matter.  Even mild back pain can interfere with the enjoyment of everyday life.  Moderate activities like gardening, or simply keeping up with friends and family via email become uncomfortable for those in constant pain. Intense back pain can cause your entire life to come to a grinding halt. Forget about playing tennis, riding a bike, or working for any appreciable amount of time, with chronic back pain, you can barely get on the floor to play with your kids. Fortunately, when more conservative approaches to pain management do not sufficiently manage the pain, many other effective treatments exist, such as injection therapy, to reduce and possibly eliminate chronic back pain. Physicians can use a number of different types of injections as well as several points of entry for the injections. Some therapeutic injections deliver steroids, such as cortisone or a steroid mixture, directly to the source of the pain.  Steroid injections can decrease the swelling and inflammation caused by trauma to the spinal nerve pain and, thereby, decrease pain.  Others deliver opiates, a potentially addictive class of medication, to relieve the patient. Alternatively, injection therapy may consist of epidural steroid injections, spinal nerve blocks, or facet joint injections. Nerve block injections interrupt the pain signal from a spinal nerve to the brain, providing temporary pain relief.  Still other types of injections are used as diagnostic tools to confirm or negate a spinal diagnosis. Patients should never receive injection therapy unless under a doctor’s care.  A medical professional with specialized knowledge of spinal anatomy and physiology will closely monitor the patient throughout any injection therapy process.  Local anesthesia is typically administered to reduce patient discomfort.  The various natures of injection therapies can confuse patients and some come with considerable controversy.  To clear up the confusion, read this introduction to three primary categories of injection therapies. Epidural Injection Therapy:  The traditional epidural injection technique involves the doctor manually feeling the patient’s spine in order to guide the placement of a needle between the spinal vertebrae.  The physician injects the medication inside the bony column of the spine surrounding the ‘dura’—the medical term for the sac that houses the spinal cord and nerves.  This may sound scary, but patients should know that the needle stays several centimeters from the spinal cord and can result in complications as minor as a headache. Injections of medications, such as steroids or opiates, into the lumbar epidural space are frequently used for low back and related radicular leg pains. Physicians use epidural injections to treat a...

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