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How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case

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HOW TO FIND AND EFFECTIVELY USE MEDICAL LITERATURE IN A MILD TRAUMATIC BRAIN INJURY CASE Edward K. Le Edward K. Le, PLLC 135 Park Ave N. Renton, Wa 98056 425 336 2255 www.edwardkle.com [email protected]
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Page 1: How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case

HOW TO FIND AND EFFECTIVELY USE MEDICAL LITERATURE IN A MILD TRAUMATIC BRAIN INJURY CASE

Edward K. LeEdward K. Le, PLLC

135 Park Ave N.Renton, Wa 98056

425 336 [email protected]

Page 2: How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case

WHY USE MEDICAL LITERATURE IN YOUR MTBI CASE?

Page 3: How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case

BOLSTER CREDIBILITY & MAKE JURORS RECEPTIVE TO YOUR CASE

Page 4: How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case

BOLSTER CREDIBILITY OF YOUR EXPERT

Page 5: How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case

ATTACK CREDIBILITY OF THE OPPOSING MEDICAL EXPERT

Page 6: How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case

SHIFT PARADIGM OF JUROR BELIEFS & HEURISTIC SCHEMAS

Page 7: How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case

HELP YOU WIN YOUR CASE BY PROVING YOUR POINTS

Page 8: How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case

WHERE TO FIND THE MEDICAL LITERATURE

Page 9: How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case

FROM YOUR MEDICAL EXPERT

Page 10: How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case

FROM THE DEFENSE MEDICAL EXPERT

Page 11: How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case

FROM JOURNALS THAT ARE UNIVERSALLY RECOGNIZED

Page 12: How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case

• New England Journal of Medicine: https://cdf.nejm.org

• American Medical Association: http://www.ama-assn.org/ama

• American Academy of Neuropsychology: https://theaacn.org/

• American Academy of Neurology: https://www.aan.com/

• Journal of Neurosurgery: http://thejns.org/

Page 13: How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case

FROM GOVERNMENT FUNDED SCIENTIFIC AGENCIES & ORGANIZATIONS

Page 14: How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case

• Center for Disease Control: http://www.cdc.gov

• National Institute of Neurological Disorders: http://www.ninds.nih.gov

• National Rehabilitation Information Center http://www.naric.com/

• National Institute of Health: https://vsearch.nlm.nih.gov

• US Veterans Administration: http://www.publichealth.va.gov

Page 15: How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case

HOW TO USE THE MEDICAL LITERATURE

Page 16: How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case

SHARE IT WITH YOUR MEDICAL EXPERT & HAVE THEM VET IT FOR AUTHORITATIVENESS

Page 17: How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case

EDUCATE YOUR CLIENT ABOUT HIS TBI

MOST PATIENTS ARE NOT SELF-AWARE OF COGNITIVE DEFICTS UNTIL OTHERS TELL THEM

Page 18: How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case

ASSIST AND GUIDE PATIENTS TO UNDERSTAND THEIR T.BI. AND HELP DIRECT THEM ON PATH TO RECOVERY

Page 19: How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case

REBUT AND DEBUNK THE DEFENSES

Page 20: How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case

GET ADMISSIONS AND CONCESSIONS FROM THE DEFENSE EXPERT

Page 21: How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case

ASK DEFENSE EXPERT TO LOOK AT ARTICLE TO EITHER CONCEDE OR DENY THE POSITIONS TAKEN IN THE ARTICLE

Page 22: How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case

Q. Doctor, as a neurologist, are you familiar with the Center for Disease Control?

Q. Would you recognize the CDC as an eminent authority in the research and treatment of certain disease and pathology?

Q. Are they considered an authoritative source to investigate the pathophysiology and epidemiology of a disease and its effect on the general population?

Q. Do you consider them an eminent authority on research in the field of traumatic brain injury?

Page 23: How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case
Page 24: How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case

Do you agree with their findings regarding the following:

• That most patients with MTBI have normal MRI and CT Scan

• It is an invisible injury and you would not be able to recognize a person with MTBI on the street

• That MTBI can cause profoundly cause disability to individuals

• That MTBI can often permanently alter a person’s vocational aspirations and have profound effects on social and family relationship

Page 25: How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case
Page 26: How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case

• That many people with MTBI have difficulty returning to their routine and may be unable to return to work for months;

• That although a person does not lose consciousness, he or she can sustain a TBI;

• That TBI, including all levels of severity such as an MTBI, can be a major cause of disability in the US;

• That one of the hallmarks for prolonged recovery from an MTBI is the presence of complicating factors such as Depression, Chronic Pain, Dizziness, PTSD, or persistent somatic complaints

Page 27: How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case
Page 28: How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case

• That many patient with MTBI have depression

• That the more comorbities the person has, the greater the likelihood that he or she will have persistent and ongoing post-concussive symptoms

Page 29: How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case
Page 30: How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case

ACCORDING TO CDC & NIH, PERSISTENT POST-CONCUSSIVE SYNDROME WILL IMPACT EVERY ASPECT OF A PERSON’S LIFE

Functionality

Ongoing Medical Care Needs

Quality of Life

Earlier Nursing Home Enrollment

Activities of Daily Living

Page 31: How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case

ACCORDING TO CENTER FOR DISEASE CONTROL, PEOPLE WITH MILD BRAIN INJURY MAY EXPERIENCE ACCELERRATED COGNITIVE AND FUNCTIONAL

DECLINE WITH AGE

Page 32: How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case

IF THE OPPOSING EXPERT CHALLENGES RELIABILITY OR AUTHORITATIVENESS OF YOUR MEDICAL LITERATURE

SHOW HOW HIS OR HER POSITION IS AGAINST MAINSTREAM BELIEF OF MOST OTHER DOCTORS

Page 33: How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case

• “Were you aware that this study was quoted and referenced by the CDC in their report to the US Congress?”

• “Would the CDC quote from junk science or any research that is less than authoritatively recognized by the medical community?”

• “This article was also quoted in PubMed as having 10,000 citations to it, were you aware of that?”

• “Yet, as a self-professed expert in traumatic brain injury who’s been practicing for 10 years, you never heard of this article, right?

Page 34: How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case

FINAL TIPS

Page 35: How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case

DON’T JUST CHOOSE ANY LITERATURE THAT YOU FIND

PICK ONLY THE BEST

Page 36: How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case

HAVE YOUR EXPERT AUTHENTICATE IT FIRST SO YOU CAN USE IT THE REMAINDER OF TRIAL

Page 37: How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case

MOVE FOR JUDICIAL NOTICE OF THE LITERATURE YOU LIKE TO USE

Page 38: How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case

ABOVE ALL ELSE

Page 39: How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case

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