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IME & Expert Witness Services

Category: Med-Legal

Risk of Cipro-Induced Achilles Tendinopathy and Rupture

Achilles tendinopathy is considered an overuse syndrome from excessive loading of the tendon during vigorous training activity. Possible mechanical causes include poor gastrocnemius-soleus flexibility, low-flexibility shoes, muscle fatigue resulting in tendon elongation, and micro-tearing. Achilles tendon rupture (ATR) is a condition that manifests as a complete or partial rupture of

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Indoor Mold-Related Illness

The issue of mold-related health problems, and in particular Stachybotrys (“black mold”), is a controversial one. There are known health effects that can result from exposure to certain molds, a form of fungi, such as Aspergillus, which is known to occasionally cause respiratory symptoms. The generalized and often popularized “toxic

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Discussion on Metal Working Fluid Exposure Limits

Inhalation of Metal Working Fluid (MWF) mists that exceed OSHA levels can cause irritation of the lungs, throat and nose.  Irritation may affect upper respiratory areas including nose, throat, oral pharynx, lungs, and bronchi.  Symptoms reported after inhalation can include sore throat, red and watery eyes, itchy eyes, runny nose

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Discussion on Heroin and its Effects

Heroin (diacetylmorphine) is a semisynthetic narcotic that was first synthesized in 1874. It was originally marketed as a safer, non-addictive substitute to morphine. Soon after its introduction, heroin was realized to be clearly as addictive as morphine, prompting the US government to institute measures to control its use. By 1914,

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Components of a Life Care Plan

A Life Care Plan is a document that projects the future costs of medical goods and services, medications, or other necessary requirements for a catastrophically injured or ill patient. Life Care Plans are created after a team of specialists completes comprehensive assessments, data analysis, and research.

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Medical Bill Audits

A typical medical billing involves two processes, the Financial Review and the Clinical Review of related charges. The Financial Review is subdivided into a Usual, Customary and Reasonable (UCR) Analysis and a Medical Billing Audit, and involves a comprehensive review of the Universal Bill and itemization. The Clinical Review is a thorough review of the medical records performed by trained Registered Nurses and the Medical Director to determine the necessity of treatment for accident-related injuries.

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Trichloroethylene (TCE) Medical Experts

Trichloroethylene (TCE) is a neurotoxic solvent most commonly used to degrease and clean machine parts. There are currently approximately 3.5 million workers exposed to TCE, with 100,000 of them exposed on a full-time basis. Negative health effects of TCE can impact the central and peripheral nervous systems, skin, kidney, liver, and heart.

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