Anesthesiology Consultants: 4

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:

Orthopedics Neurosurgery / Neurology Anesthesiology / Pain Management Bariatric Surgery Cardiology Chiropractic Orthopedics Covid-19 Critical Care/ICU Chronic Pain  Dermatology Emergency Medicine Endocrinology Gastroenterology General Surgery / Trauma Geriatrics Family Practice IME Life Care Planning Medical Billing / Bill Auditing Medical Malpractice

Medical Record Review Metallurgical Engineering Neuropsychology Neuroradiology Obstetrics / Gynecology / OB/GYN Ophthalmology Optometry Orthopedic Implants Otolaryngology Physical Medicine and Rehabilitation Physical Therapy Plastic Surgery Podiatry Pulmonary Medicine Radiology Sports Medicine Thoracic Surgery  Traumatic Brain Injury Vascular Surgery Vocational Rehabilitation

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 

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:

Anesthesiology Interventional Pain Management Medical Pain Management Nerve Blocks Epidural Steroid Injections Radiofrequency Ablation

Botox Headaches Joint Pain / Bursitis Arthritis Post Hernia Repair Abdominal Surgery Neuropathic Pain

CV Available Upon Request.

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