Pain Management - Chronic Pain Consultants: 11

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 

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.

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.

• Neurological Injuries (Brain and Spinal Cord Injury)
• Burns
• Orthopedic Injures
• Amputation
• Chronic Pain
• Post Traumatic Stress Disorder

• Expert Testimony
• Life Care Planning
• Mini/Preliminary Life Care Plan
• Video Services
• Medical Record Review
• RN Independent Medical Exam
• Medicare Set Aside Trust Analysis
• Medical Bill Auditing
• Questions: Deposition Cross Examining

Dr. Patricia J. Bartzak, DNP, RN, CMSRN is a doctorally prepared Registered Nurse, with active nursing licenses in both Massachusetts and California.  Dr. Bartzak provides direct patient care in the hospital setting.  In addition to nursing research and education positions. Dr. Bartzak demonstrates both a wide and deep involvement in the nursing field. Her clinical practice provides the relevance, skill set, and understanding of what’s needed to create an environment that finds the evidence to optimize patient outcomes and leads the next generation of nurses. Dr. Bartzak utilizes peer-reviewed journal databases and meticulously references her sources and synthesizes information on complex nursing and health-related subjects. Currently working in a hospital designated as level 1 trauma center. 

Dr. Bartzak has completed the Intensive Course on Evidence-Based Practice (EBP) at the Fuld Institute at Ohio State University (2019) and is co-leading the adoption of EBP for a national organization. Dr. Bartzak has demonstrated skill in data mining and concept simplification to provide background and context for complex healthcare matters. Dr. Bartzak has worked in both union and non-union environments, and has the background and experience to consult with hospital leadership to engage and strengthen nurse’s investment in the workplace. Dr. Bartzak has written policies and procedures so she can assist other organizations in policy review and recommendations to ensure broad coverage, while also maintaining a risk management balance. Dr. Bartzak is versed in core measures and patient safety initiatives, and can provide an independent evaluation of practice issues and outcomes.

Finally, Dr. Bartzak has taught at all levels in nursing education from associate to doctoral, and can provide recommendations related to student progress in the academic area, and issues related to new graduate nurses transitioning into practice.

View Dr. Bartzak's Expert Witness Profile.

Non-Surgical Orthopaedics, P.C. was established in 1993. Specializing in Spine Care and Pain Management, the practice has developed into one of the premier non-surgical orthopaedic practices in the southeast, and an industry leader for the non-invasive treatment of back and neck pain. Non-Surgical Orthopaedics P.C. offers a wide variety of Non-Surgical options to Treat Pain and Musculoskeletal Injuries. Their goal is to eliminate pain with a strong emphasis on injury prevention and rehabilitation. Services include:

• Pain Management
• Orthopaedic & Sports Injuries
• Workers’ Compensation
• Auto Injuries
• IME's & Disability Evaluations

Video: Non-Surgical Orthopaedics, P.C. | The Overview

Arnold J. Weil, MD has over 29 years of experience specializing in Non-Surgical Orthopaedics and Pain Management. A Diplomat of the American Board of Physical Medicine and Rehabilitation and Chief Executive Officer of Non-Surgical Orthopaedics, P.C., one of the premier orthopaedic practices in the metro Atlanta area. 

Dr. Weil's practice focuses on conservative, non-surgical care of orthopaedic injuries, including the spine and extremities, with emphasis on spine rehabilitation, functional restoration, pain management, and ergonomic modifications. He treats patients with back and neck pain and a variety of other orthopaedic conditions. Focusing on acute and chronic pain management through an advanced Non-Surgical approach, 

Dr. Weil has become one of the leading experts on Spine Care and Disability Management. Dr. Weil has been a Clinical Assistant Professor of Rehabilitation Medicine at Emory University School of Medicine in Atlanta, Georgia. An active lecturer, Dr. Weil speaks nationally and internationally on the nonsurgical management of back and neck pain as well as new advances in pain management. He also provides practice management to small-medium sized medical practices.

View Dr. Weil's Expert Witness Profile.

MRK Medical Consultants provides Medical-Legal Evaluations to help legal and insurance professionals reach appropriate conclusions about their client's situations. MRK provides a wide array of medical experts that offer objective review and analysis of personal injuries. Each stage of the process—research to review, analysis to opinion—is addressed in a comprehensive manner in order to help legal and insurance professionals reach appropriate conclusions about their client’s situations. MRK's prestigious list of more than forty consultants are active clinicians and surgeons, who are all board-certified or eligible in one or more specialties. MRK provides physician experts to the entire State of California, the Reno/Lake Tahoe area, and Las Vegas, and we travel to many areas of the United States. Physical therapy, registered nurses, physician assistant, and billing review consultants are available services MRK provides. Our office physicians are available for telephone review of the merits of your case before you decide to proceed.  

Edward W. Younger, III, M.D., Medical Director of MRK Medical Consultants, specializes in Orthopedic Surgery. He has extensive experience in total joint replacement, as well as reconstructive surgery of the knee, hip, and shoulder. He was instrumental in bringing computer navigation technology to his hospital. He served on the orthopedic trauma staff at Mercy San Juan Medical Center in Carmichael, California, for more than fifteen years and was instrumental in bringing computer navigation technology to that institution. He is a member of Alpha Omega Alpha National Honor Society and is a Diplomate of the American Board of Orthopedic Surgery, a member of the American Medical Association, the American Academy of Orthopedic Surgeons, and the California Orthopedic Association.

Dr. Michael R. Klein, Jr., M.D., specializes in Orthopedic Surgery and is a founding member and the first Medical Director of Northern California Orthopedic Centers. He was involved with the development of the orthopedic section of the Level II Trauma Center at Mercy San Juan Medical Center. He served as a clinical professor at the University of California, Davis, Medical Center for more than thirty years. He has been a member of the North American Spine Society since 2009 and was awarded the David O. Selby Award in 2020 for his contributions. He is a fellow of the American College of Surgeons and American Academy of Orthopedic Surgeons, and a member of the American Medical Association and the California Medical Association. He retired from the USAF in 1998 after being on active duty during the Vietnam War, and he was activated for Operation Desert Storm in 1991. 

MRK's Areas of Expertise:

Terence K. Gray, DO, is a Harvard trained Anesthesiologist / Interventional and Multidisciplinary Pain Management Specialist. Currently the Medical Director at Mercy Pain Management Center, he is responsible for assisting in the leadership, physician oversight, and management of a large multidisciplinary pain management program. Dr. Gray served as a physician leader and partner in a large multistate anesthesia practice in southern New England and has been on the faculty of Harvard Medical School and Tufts University School of Medicine. He is a diplomate of the American College of Osteopathic Anesthesiologists. Along with treatment modalities for spine and radicular back pain, Dr. Gray has a special interest in treating pain associated with sacroiliac dysfunction, Piriformis pain, joint bursitis, and arthritis (in particular genicular nerve blocks for knee pain), as well as post hernia repair and abdominal surgery neuropathic pain. Dr. Gray was awarded 1 United States Patent for a Ventilating Tube and Stylet System patent number, and has 3 patents pending. He also holds 1 United States Copyright. Dr. Gray is currently an Adjunct Professor of Clinical Research at the University of New England College of Osteopathic Medicine. Litigation Support - Dr. Gray has been a medical expert consultant for several years. He provides medical forensic reviews and expert testimony in the areas of Anesthesiology, Pain Management, and Medical Malpractice. His services include medical record review, written reports, depositions, and trial testimony. Areas of Expertise:

CV Available Upon Request.

Wayne H. Grant, PharmD, has been a registered Clinical Pharmacist, in good standing, in the State of Ohio, since 1990. Dr. Grant's current clinical practice targets disease state management in multiple areas, including but not limited to; cardiology, gastrointestinal, geriatrics, nephrology, oncology, psychiatry, and pulmonology. 

Consulting Services - Dr. Grant provides Comprehensive Medication Management services, including a complete review of prescriptions and over-the-counter medications. He is available for direct communication with patients and families. 

Experience - A detailed understanding of pain management is paramount to his current practice. Dosage routes from oral, intravenous, intrathecal, and others, in conjunction with strong opioids and adjuvants, garner much of Dr. Grant’s attention. He has delivered local, state, national and international speaking programs reflective of the fundamental practice of pharmacy. As a peer reviewer for the American Journal of Health-System Pharmacy, Dr. Grant has provided feedback on articles that will determine future drug therapies. A history of clinical practice, management, and education culminates present-day understanding of the pharmacy profession. 

View Dr. Grant's Profile.

Kenneth "Kenny" Stein, MD
Board Certified Emergency Medicine & Internal Medicine 
Subspecialty Certified in NeuroCritical Care 

Kenneth "Kenny" Stein, MD, is Assistant Professor in the Department of Emergency Medicine, St. Louis University School of Medicine (a Level 1 Trauma Center). Dr. Stein has practiced Emergency Medicine for 29 years and Critical Care / Intensive Care Medicine for 27 years. For 20 years, Dr. Stein was an Emergency Physician at St. Anthony's Medical Center of St. Louis, one of the busiest emergency departments in the State of Missouri.

Dr. Stein has extensive experience in providing medical-legal expert services, having reviewed over 500 cases (both plaintiff and defense) and having given testimony over 200 times. Dr. Stein furnishes an unbiased opinion on medical malpractice/negligence cases. He also provides medical opinion concerning causation. Dr. Stein does not guarantee a favorable outcome but provides an honest assessment.

Dr. Stein has lectured nationally, and consults in the area of Pharmaceutical and Biomedical Product Development and Marketing.

Dr. Stein reviews cases (for both Plaintiff and Defense) of alleged Medical Malpractice / Negligence in areas including:

• Emergency Medicine        
• Critical Care Medicine / Intensive Care Medicine          
• Internal Medicine

Services provided include:

• Medical chart review and analysis   
• Providing opinion concerning the presence or absence of Negligence / Breach of the Standard of Care, Damages / Injury and Causation
• Survey of case for merit 
• Preparation of reports and / or affidavits        
• Preparation for opposing expert deposition and cross-examination        
• Medical literature search    
• Expert witness testimony at deposition and trial

Call 314-495-7009 for a complete CV, including presentations.

• Cognitive Behavior Therapy
• Post Traumatic Stress Disorder Evaluation & Treatment
• Forensic Testimony (Consultation, Evaluation Treatment Following Trauma or Injury)