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Addiction Medicine Consultants: 6

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Joel L. Kent, MD, is an expert in all realms of Pain Medicine and has focused expertise in the prescribing and oversight of opioid analgesics. His specialties include acute and chronic pain management, opioid analgesics, interventional pain management therapies, spinal cord stimulation, intrathecal drug delivery, RSD/CRPS and low back pain.

Dr. Kent has provided expert case reviews and testimony for over twenty years. The majority of his expert work has focused on the standard of care in the practice of Pain Medicine and the use of opioid analgesics. Dr. Kent has provided expert case opinions in Federal and State civil courts. He has provided defense support to the US Department of Justice in two cases. He has served as an expert witness and case reviewer for both Maryland and New York State. Dr. Kent assisted the District Attorney of New Jersey in prosecuting a case of unlawful prescribing of controlled substances. He has provided expert case review and litigation support to health insurance carriers seeking restitution for fraudulent expenses related to opioid therapy.

Over the course of his career, Dr. Kent has developed particular expertise surrounding the use of opioid analgesics. He has provided over 50 lectures to other physicians regarding the safe and proper use of these medications. He has been recognized as an expert in both State and Federal Court in cases related to opioid therapy. He has served on advisory boards helping craft regulatory policies related to opioid medication. All these accomplishments attest to Dr. Kent’s high level of expertise in the complex and evolving realm of opioid therapy.

Primary area of expertise: Pain Medicine

Expert consulting experience:

Authored over 50 expert case reports
Participated in over 25 depositions
Testimony experience in civil trials and professional hearings
Provides litigation support and expert testimony in plaintiff and defense cases

Professional experience:

Over 25 years of experience in Pain Medicine
Triple Board Certified
Practice Director of University Multi-Disciplinary Pain Management Practices from 1998 to 2017
Program Director of a Multi-Disciplinary Pain Management Fellowship Training Programs from 1998 to 2015
Professor of Anesthesiology, Palliative Care, and Physical Medicine and Rehabilitation at University of Rochester School of Medicine
Lectures extensively and published

• Dr. Kent's Curriculum Vitae

10/26/2023 · Medical Malpractice

Administrative Law - Standard Of Care In Opioid Stewardship

By: Joel L. Kent, MD

I was asked by a state medical licensing board to evaluate the practice of a primary care physician in regards to their oversight of opioid analgesics. My findings identified serious aberrant events in the majority of the cases reviewed. Among the aberrancies that raised concern included episodes of DUI events in several of the patients in question...

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6/20/2023 · Medical Records Review

Plaintiff Support - Insurance Carrier Seeks Restitution For Fraudulent Bills Related To Transmucosal Instant Release Fentanyl Products

By: Joel L. Kent, MD

Asked to provide expert witness support for a health-care insurance carrier who was seeking restitution for fraudulent invoices that were paid for the provision of a transmucosal instant release fentanyl (TIRF) products. The plaintiff alleged that the pharmaceutical manufacturer was perpetrating a criminal conspiracy resulting in undue payments.

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1/27/2023 · Medical Malpractice

Defense Support - Paralysis Following An Epidural Injection

By: Joel L. Kent, MD

In this case I was asked to assist in the defense of a physician who had performed a T5/6 epidural on a patient who subsequently developed an epidural hematoma and resultant spinal cord injury with paralysis. The suit contended that the injuries sustained by the patient were the result of negligent..

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11/21/2022 · Pain Management

Defense Support - Wrongful Death Suit Related To Opioid Analgesics

By: Joel L. Kent, MD

Following my review of the records as well as the research I conducted, I provided an affidavit to the court indicating that the claims of negligence against this provider had no merit. I found that the treatments provided had been fully within the standard of care recognized at the time.

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William Santoro, MD is Board Certified in Addiction Medicine and board eligible in Family Medicine. His professional consultant services are utilized by Pharmaceutical companies to educate doctors on why and how to use medication for substance use disorders. Dr. Santoro also gives talks and seminars to groups on all aspects of addiction medicine.

In addition to being the Chief of the Section of Addiction Medicine at Tower Health System, he was the Medical Director at the Reading Hospital & Medical Center detoxification and rehabilitation program for 36 years. He was also the Medical Director for a Methadone Treatment facility for 22 years where he was responsible for all admission physical examinations and for prescribing methadone to approximately 950 opiate dependent patients.

Dr. Santoro is the Addictionist on staff at The Reading Hospital & Medical Center within the Department of Family & Community Medicine. He is consulted by hospitalists to care for patients admitted to the hospital with addiction complicating their condition. Dr. Santoro runs an outpatient program utilizing buprenorphine and naltrexone maintenance for over 300 patients. With a special interest in Sports Medicine, in 2001, he served as a volunteer physician for the U.S. Olympic Training Team in Lake Placid, New York.

Professional Services:

Consultant speaker for Forrest Pharmaceuticals. Responsible for teaching physicians about using Campral for alcohol dependence, 2005 to 2007
Consultant speaker for Indivior (formerly Rickett-Benckiser). Mentoring program to teach physicians how to appropriately use Suboxone and Sublocade for opioid use disorder, 2005 to present
Consultant speaker for Pfizer Labs. Responsible for teaching physicians how and why to use Chantix for tobacco addiction, 2007 to present

View William Santoro's Expert Witness Profile.

• Curriculum Vitae

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Dr. James C. Norris, Ph.D., DABT, EURT is an Expert Witness in Toxicology and Pharmacology. He has Litigation and Arbitration experience in the United States, United Kingdom and Hong Kong. Dr. Norris has given testimony to government agencies, has acted as a consultant for the media (BBC) and is an Industrial Site Crisis Team Member. He is avaliable for both Plaintiff and Defense.

Areas Of Expertise:

Carcinogenicity and Chemicals
Combustion or Fire Toxicolog
General and Inhalation Toxicology
Pesticides, and Pharmaceuticals (pharmacology)

Professional Affiliations:

American Association of Pharmaceutical Scientists
British Toxicology Society
Society of Toxicology
Editorial Boards of Inhalation Toxicology and Journal of Fire Sciences

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John Budny, PhD, provides expert Toxicology opinions based on recognized and accepted medical knowledge to determine if prescriptions, over-the-counter medications, and drugs of abuse that cause adverse medical events. With a PhD in basic medical science and a 40-year career as a practicing toxicologist, Dr. Budny combines the science of toxicology with medical knowledge to fully understand the ramifications of an adverse medical event caused by prescribing errors, faulty medications, or failure in the health care delivery process.

Dr. Budny has conducted scientific investigations in toxicology and has published the results of his research. In addition to being as an expert witness, Dr. Budny provides scientific contributions by writing book reviews of relevant topics related to toxicology and forensics. He is also on the Editorial Board of the International Journal of Toxicology. In his position on the Editorial Board, Dr. Budny reviews manuscripts on general toxicology and forensic topics that are submitted and proposed for publication in the journal. He also writes book reviews that cover the entire breadth of toxicology.

Litigation Support - Dr. Budny has over 25 years of experience as an expert witness. He has been retained in over 300 cases in which he has opined in reports, depositions, and in court testimony about cause and effect relationships between chemicals and adverse reactions and toxicities. While his forensic toxicology practice is not limited to any specific type of chemical, most of his retention as an expert has been for prescription drugs, illicit drugs, dietary supplements and nutritional products.

Successfully resolved complex medical issues involving pharmaceuticals and drugs:

Cardiovascular and Cerebrovascular Toxicology
Pharmacology and Physiology
Drugs Affecting the Central Nervous System
Cognitive and Psychomotor Impairment
Pharmacokinetics
Dietary Supplements, Nutraceuticals, and Nutrition
Opiates
Wrongful Death

Antibiotic, Analgesic, and Anesthetic Toxicology
Over-the-Counter (OTC) Product Toxicology
Amphetamine Toxicity
Fentanyl
Drugs of Abuse
Marijuana
Animal and Plant-Derived Toxins

• View Dr. Budny's Qualifications

6/3/2011 · Toxicology

Book Review - Endogenous Toxins: Targets For Disease Treatment And Prevention

By: John Budny

Once in a while, a new publication appears that, for some reason, generates attention and interest. Endogenous Toxins: Targets for Disease Treatment and Prevention may be such a 2-volume book.

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4/14/2011 · Toxicology

Book Review - Fundamentals Of Analytical Toxicology

By: John Budny

The book consists of 505 pages of text, which is divided among 17 chapters and an index. There are also 15 pages of important introductory material covering such topics as Preface; Health and Safety; Nomenclature, Symbols, and Conventions; Amount Concentration and Mass Concentration; Acknowledgements; and List of Abbreviations.

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Stephen M. Raffle, M.D. is double Board-Certified in Psychiatry and Forensic Psychiatry. Dr. Raffle has over 49 years as a clinical and forensic psychiatrist offering his expert opinion in Federal and State jurisdictions nationwide. In addition to serving as an expert witness, Dr. Raffle consults to attorneys, judges, insurers, and to employers regarding Fitness for Duty and Risk of Violence (Threat) Assessment:

5000+ psychiatric assessments
Expert testimony in 700 depositions and trials
Successful clinical practice

The job of an expert witness is to educate a jury, judge, attorney, and trier of fact about the forensic psychiatrist's conclusions and how those opinions were derived in a manner well-reasoned, skillful, and easily understood by every person, not only another forensic psychiatrist. In short, an educator. Dr. Raffle’s experience as an educator extends well beyond a forensic venue, yet underpins the key to his ability to explain his opinions.

Prof. of Psychiatry, UCSF Medical School, 20 years
U.C. Hastings College of the Law postgraduate course "Trial and Appellate Advocacy" instructing seasoned attorneys about the direct and cross-examination of expert witnesses, with special focus on mental health experts and licensed medical professionals, Psychiatrists (MDs), Psychologists (LCSWs / MFTs), and physicians in other medical specialties, 11 years

Stephen M. Raffle, M.D. & Associates' expertise is well-established in forensic assessment in the areas of:

Post-Traumatic Stress Disorder (PTSD)
Dementia and Competency
Testamentary Capacity
Undue Influence
Traumatic Brain Injury
Malingering
Emotional Distress: Intentional & Unintentional infliction
Emotional Distress: Forensic Evaluation to render medical-legal opinion
Diagnosis and Need for Treatment
Fitness For Duty
Risk/Threat Workplace Violence Assessment
Wrongful Termination
Discrimination (ADA, Title VII, EEOC)
Harassment
Employment Litigation
Medical Malpractice
Catastrophic Injury
Temporary and Permanent Disability
Medical Records Review
Assist in Preparation for Direct and Cross-examination of Expert Witnesses and Deposition of expert witnesses

Licensed in California.

• View Dr. Raffle's Curriculum Vitae

• View Dr. Raffle's Case Studies

12/3/2014 · Psychiatry

Direct Examination And Cross Examination of The Expert Witness: Psychiatrists And Psychologists

By: Dr. Stephen M. Raffle

In order for a medical opinion to be admissible as evidence in civil, criminal and administrative cases, the basis of the opinion must fulfill either the Daubert Criteria or the Frye test, depending on the jurisdiction. The judge of the court rules on the admissibility of the expert opinion. The effect of Daubert has been to limit expert testimony to opinions which are based on a scientific foundation. Daubert specifies that adequate scientific support and method and a known error rate must exist. The testimony of a mental health expert rendering an opinion using criteria which does not meet Daubert standards is weakened by the implication that it is not based on "sound science." In some instances, for example, a mental health expert uses an approach where there are no peer-reviewed studies or methods, such as when psychologists compose their own neuropsychological test batteries. In most cases where an attorney is considering a "Daubert challenge," a contemporaneous and up-to-date literature search is indicated. Also, extensive case law presently exists as to specific issues. Being familiar with the Daubert criteria enhances effectiveness in challenging a mental health expert's opinion, whether on voir dire or cross examination. On direct examination, the strengths of an opinion reached under Daubert criteria become a "teaching moment" for the trier of fact, because it will be founded on the science of mental health assessment.

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10/27/2014 · Psychiatry

Undue Influence in the Making of a Bequest: A Forensic Psychiatrist Examines The Evidence

By: Dr. Stephen M. Raffle

Undue influence occurs when the testator's freewill and freedom of choice in the disposition of the assets of his or her estate is replaced by the substituted judgment/wishes of another. This can apply to creating a will, codicil to amend a will, trust or other legal instrument.

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2/11/2014 · Psychiatry

Assessing Emotional Distress

By: Dr. Stephen M. Raffle

The medical expert cannot express an opinion about the ultimate question to the trier of fact: how much is the plaintiff's emotional distress (emotional injury) worth in dollars? Yet when the question of these monetary damages is put to a jury, their deliberations are better-served if considered in the context of a Forensic Psychiatrist's knowledgeable findings and testimony.

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4/3/2013 · Forensic Psychiatry

A Few Thoughts About Cross Examination of A Psychiatric Expert Witness

By: Dr. Stephen M. Raffle

My teacher and mentor, Dr. Bernard Diamond, pondered the question about the role of the psychiatric expert and other experts in the courtroom.

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5/29/2009 · Expert Witnessing

The Role of the Expert in the Courtroom

By: Dr. Stephen M. Raffle

My teacher and mentor, Dr. Bernard Diamond, pondered the question about the role of the psychiatric expert and other experts in the courtroom. My first public presentation was to the American Criminology Society on this topic, and it has continued to occupy my attention to the present

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5/28/2009 · Human Factors

How to Read a Psychiatric Report

By: Dr. Stephen M. Raffle

All psychiatric reports evaluate something, but not always the same thing. For example, eligibility for benefits, or fitness to do a job. To make sense of the report, the reader must determine what is being evaluated and how it is being done

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5/28/2009 · Psychiatry

The Therapist as Expert Witness? Reasons the Treating Psychotherapist Should Not Be the Expert Witness

By: Dr. Stephen M. Raffle

In civil cases where emotional distress is alleged, it often occurs that the plaintiff’s attorney designates the treater as his expert. Usually the argument is that the plaintiff’s own therapist has spent many more hours with the plaintiff than the defense expert and therefore "knows" the plaintiff better. The treater often agrees with this reasoning

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Tracy L. Skaer, PharmD, FASHP, FASCP is a Professor Emeritus of Pharmacotherapy with over 30 years of pharmaceutical experience. Dr. Skaer's research and professional experience include pharmacy practice, chronic pain, mental health, substance abuse, and complementary and alternative medicine. She is licensed pharmacist in California, Idaho, and Washington.

Dr. Skaer’s current research involves the use of mindfulness and multiple family group problem solving for the Treatment of Chronic Pain in those with high risk of Opioid Use. Her plans are to expand this intervention to manage chronic insomnia and post-traumatic stress disorder in children and adolescents, American Indians, veterans, and other populations. Other research interests include chronic pain, comorbid mental illness in chronic disease, depression, anxiety disorders, insomnia, mindfulness, complementary and alternative medicine, and pharamcoeconomics and pharmacoepidemiology. Her research has been supported by over $3.2 million in grants from foundations and pharmaceutical industry.

Dr. Skaer has published 110 professional abstracts, 82 research papers, 43 review articles, and 6 book chapters. She serves on the editorial boards of 3 medical professional journals, Clinical Therapeutics, Journal of Sleep Medicine and Disorders, and Pain Studies and Treatment. Dr. Skaer's publications have appeared in numerous journals including, Drugs, Clinical Drug Investigation, PharmacoEconomics, Journal of Clinical Pharmacy & Therapeutics, American Journal of Medicine, Harvard Review of Psychiatry, and the New England Journal of Medicine among others.

View Dr. Skaer's Expert Witness Profile.

• Dr. Skaer's Curriculum Vitae

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