Standard of Care Expert Witnesses: 119

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.

Wayne H. Grant, PharmD, is a Clinical Pharmacist with over 30 years of pharmacy experience working in or within various practice settings—retail, long-term care, home infusion, sterile products, corrections, hospice, specialty, and hospitals.  

Dr. Grant has prepared and delivered educational programs to physicians, nurses, and other healthcare professionals based on his extensive experience in multiple disease states. Programs include topics such as Pain Management, COPD, and Motor Neuron Diseases.

Serving as an integral member of multiple pharmacy and therapeutics committees, he has promoted evidence-based interventions while driving quality initiatives and building a highly collaborative consortium among healthcare professionals.  

Earning his Doctor of Pharmacy from the University of Florida, his Master of Business Administration for Kent State University, and his Bachelor of Science from Ohio Northern University highlights Dr. Grant's drive for education, understanding, and application of pharmacy services.  

Dr. Wayne Grant on Consulting with Attorneys

Litigation Support - Dr. Grant is an expert in pharmacy practice. His expertise in long-term, institutional, infusion, and retail practice allow for an extensive understanding of the various pharmacy sectors. He is responsible for pharmacotherapeutic management, medication safety and efficacy and drug information all which follow federal, state, and local laws. He has provided a variety of expert witness services on behalf of legal professionals, including attorney consultation, case review, case opinion, and written case opinion. 

Areas of Medication Expertise:

Adverse Drug Reactions Chronic Pain Drugs and Narcotics Geriatrics Hospice / Palliative Care Hospital Pharmacy Infusion Pharmacy

Long Term Care Medical-Legal Issues Nursing Homes Overdosages Pain Management Pharmaceutical Care Pharmacology

View Dr. Grant's Consulting Profile.

Gloria Kardong, MD, DLFAPA, DABPN is a Board Certified Psychiatrist who has been in full time private practice in Palo Alto, CA for over 35 years, Licensed in 10 states. She is an Adjunct Clinical Associate Professor of Psychiatry and Behavioral Sciences at Stanford University Medical Center and a Distinguished Life Fellow of the American Psychiatric Association. 

Dr. Kardong offers Forensic Psychiatric litigation support services in civil and criminal cases to attorneys for Plaintiff and Defense. Her services include General Psychiatric Issues, Women's OB/GYN Issues, and Trauma/PTSD. Dr. Kardong has served as a Psychiatric Consultant and Expert Witness for Stanford University Schools of Law and Medicine, the California Medical Board, and private attorneys nationwide.

Areas of Expertise: 

Forensic Psychiatry, General Psychiatry, women's health care, OB-GYN related psychiatric issues, eg postpartum depression, sexual abuse, sexual, physical and psychological trauma, PTSD, adoption. Personal injury. Medical malpractice. Discrimination. Psychological autopsy. Medical case review. Trial consultant.

Women's Health Care Specialist - Psychiatry / OB-GYN Interface:

Pregnancy-Related Psychiatric Problems Psychiatric Medications in Pregnancy and Postpartum Postpartum Depression / Psychosis Infertility Gynecologic Oncology

Menopause Hormonal Issues Childhood Sexual / Other Abuse Adult Consequences of abuse Post Traumatic Stress Disorder (PTSD) Sexual Assault

Impaired Professionals:

• Physicians
• Mental Health Providers
• Attorneys
• Executives / Professionals
• Organizations

Consultation Services for Businesses and Organizations:

Standard of Care Hospital and Medical Ethics Healthcare Practices and Records Discrimination Harassment Disabilities	Human Factors Human Resources Alternative Dispute Resolution Psychological Consequences of Workplace Injuries Wrongful Termination Product Liability Executive Coaching

View Dr. Kardong's Consulting Profile.

I am a board-certified emergency medicine physician. I have been called upon to express opinions in the areas of medical malpractice, personal injury, negligence, standard of care, and causation. I am involved in both plaintiff and defense cases.

My qualifications include: 

• Award-winning emergency physician in active practice with 30 years clinical experience
• Former Associate Clinical Professor of Emergency Medicine (Volunteer) at University of California San Francisco School of Medicine
• Current VP of company that staffs 500 emergency departments, overseeing more than 5000 ER providers in risk management and quality assurance issues 
• Fellow of the American College of Emergency Physicians (FACEP) 
• Past President of the California Chapter of the American College of Emergency Physicians 
• Medical Director of California Highway Patrol 
• Extensive publication and speaking experience in the area of emergency medicine

One of the industry's leading law firm services experts, Michael J. Garibaldi, CPA, ABV, CFF, CGMA, has a strong background providing efficient and affordable solutions to the many complex issues facing the legal profession today.

A Certified Public Accountant licensed by the State of New York, Mr. Garibaldi is Accredited in Business Valuation (ABV), and Certified in Financial Forensics (CFF) by the American Institute of Certified Public Accountants (AICPA). He is recognized as a Chartered Global Management Accountant by the Association of International Certified Professional Accountants.

Mr. Garibaldi works closely with law firms and other professional service firms, manufacturing, wholesale/retail, medical, technology, restaurant/hospitality, artists and galleries, construction, and real estate clients where he is responsible for providing accounting, tax planning management consulting services, and financial reporting.

Mr. Garibaldi provides valuation and litigation support services, assisting attorneys and their clients with the financial aspects of a case throughout the litigation process, from contemplation of action through expert witness testimony. He brings an in-depth understanding of the business and technical aspects of valuation, finance and accounting that is required in complex litigation and arbitration cases.

Mr. Garibaldi qualifies as an expert in valuation matters in the Supreme Courts of New York, Nassau, Suffolk, Kings, Richmond, Monmouth, Orange, and Westchester Counties, and has been called upon by the courts to serve as a neutral Expert. As an instructor of the AICPA Certificate of Educational Achievement Program in Business Valuation, Mr. Garibaldi teaches his specialty to other professionals.

Michael Garibaldi is a Candidate Member of the American Society of Appraisers (ASA), Member of the Institute of Business Appraisers (IBA), the Association of Certified Fraud Examiners, the American Society of Appraisers (ASA), the AICPA and the NYSSCPA. He is a past President and former member of the Board of Directors of the NYSSCPA Nassau Chapter, and has held a variety of positions on the Litigation Support Committee of the Nassau County and State Chapters of the NYSSCPA. Mr. Garibaldi has also held a number of positions on other committees and sub-committees within these organizations.

Areas of Expertise:

Auditing Bankruptcy Business Business Law Business Valuation Lost Profits Mergers & Acquisitions Finance

Forensic Accounting Fraud Investigation, Embezzlement Personal Property Valuation Real Estate Valuation Trusts & Estates White Collar Crime Dissolutions Wrongful Death, Termination

View Michael J. Garibaldi's Consulting Profile.

Michael G. Kaplan has nearly 50 years of experience in the areas of Forensic Accounting, Business Valuation, and Litigation Consulting. Mr. Kaplan is a Forensic Certified Public Accountant who is regularly called upon to testify as a qualified expert witness in federal and state courts. He has participated in approximately 300 trials. Mr. Kaplan has also served as a court appointed expert accounting referee.

Mr. Kaplan has served as a university professor for approximately 24 years (including 18 years at the University of Southern California). He created and taught courses for the National Judicial College, American College of Business Court Judges, National Association of Certified Valuators and Analysts, and presented sessions for various Bar Associations, various CPA societies, and other professional organizations. His professional affiliations have included local, regional and national CPA/Advisory firms.

Areas of Expertise:

Forensic Accounting Business Valuation Lost Profits Business Interruption Business Damages Employment Damages Matrimonial Litigation

Personal Injury Damages Intellectual Property Damages Professional Standards Professional Malpractice Fraud - Embezzlement - Misappropriation Partner and Shareholder Disputes

Awards and Honors:

• Circle of Light Award (1998) - National Association of Certified Valuators and Analysts (first recipient of this award presented annually recognizing one's contributions and performance as an instructor; highest award bestowed upon an instructor in NACVA's educational programs for Business Valuation and Financial Forensics experts.) 
• Magna Cum Laude Award - National Association of Certified Valuators and Analysts (2017) - Recognizes one's contributions to the fields of Business Valuation and Financial Forensics.

Frederick J. Fisher, JD, is the President of Fisher Consulting Group, Inc., a Professional Liability firm. Since his career began, Mr. Fisher focused on one vision: providing financial security to the client. The result was a successful 40 year career in Specialty Lines Insurance.

Mr. Fisher provides Expert Witness services and Litigation Strategies to attorneys representing Plaintiff and Defense. He testifies regularly as an expert witness in cases dealing with:

• Insurance Broker Standards of Care
• Real Estate Broker Standards of Care
• Third Party Administrator Standards (TPA)
• Claims Handling and Bad Faith
• Wholesale Broker Policies with "gotchya's"

Background Experience:

• For almost 20 years, Mr. Fisher was the Founder of E.L.M. Insurance Brokers, a Wholesale & MGA facility specializing in Professional Liability and Specialty Line Risks. In 1995, he formed what is now known as ELM insurance Brokers, a firm that has acted as an MGA and Wholesale Broker of Professional Liability Insurance and Specialty Lines. From nothing, the firm grew rapidly to a $30 Million dollar facility when sold in 2008
• Mr. Fisher began his career on the service side, as an Independent E&O claims adjuster. In 1982, he bought the Company. In only 4 years, the annual billings increased by 400%
• In 1989, Mr. Fisher became a Founding Member of the Professional Liability Underwriting Society (PLUS), and was elected to the PLUS Board of Trustees in 1993. After serving in all Officer capacities, he was elected President in 1997. He remains a Special Materials Expert for several RPLU courses and is the Senior Technical Advisor for The Professional Liability Manual, first published by the International Risk Management Institute in 1990

For more information on his Litigation Support Services, Email Frederick Fisher at: fjfisher@fishercg.com

View Frederick Fisher's Consulting Profile.

EXPERTISE IN: 1. The pathobiology, clinico-pathologic correlation, and histopathologic diagnosis of: diseases of the esophagus, stomach, small intestine, colon, rectum, anus, liver, and pancreas. 2. Human neoplasms (cancer) and preneoplastic conditions. 3. Establishing standard of care, causation and cause of death. 

BACKGROUND: 

1. Anatomic Pathology Residency: Washington Univ-Barnes Hospital 1991-94.
2. Oncologic Pathology Fellowship: M.D. Anderson Cancer Center 1994-95.
3. Gastrointestinal and Liver Pathology Fellowship: Harvard-Brigham & Womens Hospital 1995-96.
4. Instructor at Harvard Medical School: 1996-1998.
5. Assistant Professor and Director of Gastrointestinal Pathology Division at UT-Health Science Center-Hermann Hospital, Houston Medical Center: 08/1998 - 12/2000.
6. Staff GI Pathologist and Quality Assurance Director at Caris/Miraca Life Sciences, Dallas TX: 01/2001 - 04/2012.
7. Staff Pathologist, Anatomic Pathology Division of the North Shore-LIJ Health System, Long Island NY: 05/2013 - 05/2015.
8. Staff Pathologist, Anatomic Pathology Division of Alliance Health Sciences, Dallas TX: 01/2016 - present.
9. Sole Proprietor of Expert Pathology Consultation Services Laboratory since 01/2001, which provides diagnostic pathology services to hundreds of clinicians of different subspecialties.         

Dr. Torres was instrumental in creating a unique model of Gastrointestinal Pathology subspecialty-focused laboratory, during his tenure at Caris/Miraca Life Sciences.

Robert A. Ertner, MD, is a Board Certified, fellowship-trained Cardiac Anesthesiologist in full-time clinical practice at a Northern California county hospital that serves as a level 2 trauma center. Dr. Ertner has been a certified Echocardiographer for 15 years. He specializes in Cardiac and Thoracic surgical procedures for which he is fellowship-trained.

Background: Dr. Ertner has previously served as an academic physician teaching residents in both MD and CRNA programs.  He has served as a locum tenens anesthesiologist performing direct care and both supervising and directing CRNAs, and presently provides care to over 700 patients each year. He provides Spinal, Epidural, Regional, and General Anesthesia for patients undergoing cardiovascular and thoracic procedures as well as general, orthopedic, bariatric, urologic, vascular, otorhinolaryngological (ENT), ophthalmologic, gynecologic, and neurologic surgery in both the hospital inpatient and outpatient surgery center settings.   He provides care for obstetric patients in the labor and delivery suites and operating rooms.  Additionally, he provides care for a variety of procedures performed “out-of-department,” such as in the cardiac catheterization suites, the interventional radiology suites, and CT and MRI cases.  

Dr. Ertner maintains licenses in California where his practice is located, as well as in Texas and Georgia, where he trained, and in Missouri and Oregon. He was awarded Diplomat status by the National Board of Echocardiography in 2007.

Litigation Support: Dr. Ertner has been involved in medical-legal work since 2014. He has reviewed cases for attorneys representing both plaintiff and defense. Dr. Ertner has consulted on over 85 cases, including preparation of affidavits, forensic report writing, and providing testimony at deposition and trial. He works with clients to offer both an understanding of the relevant medicine (anatomy, pathophysiology, pharmacology, etc.) and how to think about what information they need to seek going forward as they pursue their cases.

Areas of Expertise:

Anesthesiology Cardiac Anesthesiology Thoracic Anesthesiology Peripheral Nerve Block Epidural Anesthesia Spinal Anesthesia Airway Management

Airway Trauma Intubation Transesophageal Echocardiography Nerve Injury Bronchospasm Laryngospasm Cardiac Arrest and Resuscitation

Dave Bano has 40 years of hands-on experience across all aspects of Property Casualty Insurance Operations. He is a cross-functional and seasoned senior executive who has led Sales, Claims and Underwriting operations. Mr. Bano possesses a deep understanding of P & C customs, practices, standards and the duty of care. As a retired Chief Claims Officer, a Business Unit President/COO, as well as a Regional/State Executive at Nationwide, he has very broad multi-discipline knowledge and experience.

Litigation Support - Mr. Bano managed all aspects, and coverage lines, within Nationwide Claims including their bad faith/extra-contractual litigation. He also testifies relative to Sales and Agency operations, as well as Underwriting practices. He is a true general manager and expert across the P&C spectrum. 

Areas of Expertise:

Insurance Customs / Standards / Practices Insurance Claims / Sales / Underwriting / Agency Property / Casualty Operations Insurance Bad Faith Insurance Coverage Insurance Exclusions Insurance Denials Extracontractual Automotive Insurance Errors and Omissions (E&O)

Unemployment Insurance (UI) Uninsured Motorist (UIM) Class Actions Homeowner Insurance Commercial Insurance Catastrophe / Disaster Flood Insurance Excess Surplus Insurance Insurance Fraud Insurance Investigation

Background Experience - Mr. Bano began his career as an adjuster trainee and worked through every operating level within Claims, eventually becoming Nationwide's first company-wide Chief Claims Officer. As a hands-on leader with strong experience in P/C general management (sales, agency operations, underwriting) as well as claims, he offers current expertise across any aspect of Property & Casualty insurance. 

As Chief Claims Officer, he was responsible for 8000 employees, all claims operations, across all lines of coverage. He partnered closely with his legal teams and held decision-making authority over all claims-related litigation, including extracontractual and bad faith situations. He led Automobile, Homeowners, Commercial, Agribusiness, Excess & Surplus [Scottsdale Insurance], Environmental, Pet & Veterinary, as well as the National Catastrophe group and the Special Investigations anti-fraud teams.  

As a general manager, Mr. Bano led the hundreds of agents, underwriters and claims staff within the State of Michigan and earlier, within the five-county Philadelphia, PA market. 

Dr. Theresa A. Schmidt, DPT, is an expert Orthopedic Physical Therapist with 35 years of clinical expertise and over 10 years of academic experience.  As an Approved Provider of continuing education for NY State Boards of Physical Therapy and Massage Therapy, and for the National Certification Board of Therapeutic Massage and Bodywork, Inc., (NCBTMB), she updates clinicians internationally on clinical practice guidelines, standards of care, examination and management of injuries, disease, movement impairments and disability.

Litigation Support - Dr. Schmidt offers expert witness services to attorneys representing plaintiff and defense. She is dedicated to providing the latest evidence-based assessment and interventions to support functional outcomes. Dr. Schmidt offers meticulous, objective review of medical records and documentation.  She is an excellent communicator, engaging presenter, and expert orthopedic physical therapist with clinical, academic, and professional speaking experience.

Areas of Expertise:

Physical Therapy Orthopedic Rehabilitation Ergonomics Massage Massage Therapy Manual Therapy Falls Work-related injury Personal Injury

Exercise / Fitness Injury Physical Therapy Malpractice Chronic Pain Soft Tissue Injury Mobilization Allied Health Physiotherapy Physical Therapy Standard of Care Professional Ethics

Educise Education, Health and Wellness with Dr. Schmidt, DPT

Background Experience - Dr. Schmidt has been in private practice physical therapist for over 30 years. She has presented for American Physical, Occupational and Massage Therapy Associations, NASA Inomedic Health, Cleveland Clinic, Johns Hopkins, Vanderbilt Medical, Wake Forest, private companies and medical centers across the US.

Dr. Schmidt is an approved provider of continuing education by National Certification Board of Therapeutic Massage and Bodywork, Inc, NCBTMB, Inc., and New York State Board of Massage Therapy.  She is also a published author in medical journals and has published her research in MOJ Orthopedics, Journal of Complementary and Alternative Medicine, and Fascia Research Congress III.

View Dr. Theresa A. Schmidt's Consulting Profile.

Dr. Phillip R. Devore actively practices dentistry in Las Vegas and he is an expert witness, case planner and evaluator to the legal profession, particularly in regard to professional liability matters. He offers advice on case viability and strategic planning for depositions and trial, and testifies in affidavits, depositions and at trial. In the last 40 years, he has testified hundreds of times in numerous states prevailing in the vast majority of his cases.

Dr. Devore graduated from UCLA in 1980, lectured there part-time for 18 years, and lectured and consulted in over thirty states, attending 1,800 dental offices. He also taught at UNLV School of Dental Medicine as a full-time Associate Professor of Clinical Sciences where he chaired the business classroom courses and was the Director of the Faculty Group Practice  in addition to his other faculty duties.

Areas of Expertise:

• Aesthetic Dentistry
• Cosmetic & Restorative Dentistry
• Dental Care Analysis
• Dental Implants
• Dentistry / Odontology
• General Dentistry

Associations & Memberships

• American Academy of Cosmetic Dentistry
• Las Vegas Dentist Member of American Academy of Cosemetic Dentistry
• American Dental Association
• Nevada Dental Association
• Southern Nevada Dental Association
• Academy of General Dentistry
• Pierre Fauchard Fellow

Brian H. Aanestad has over 30 years of Construction and Fleet experience, including Heavy Equipment, Truck, and Trailer Transport. He currently serves as President and Construction Consultant at Inland Valley Engineering, Inc. and as an Expert Witness for Discover Experts.

Mr. Aanestad is a Consultant and Expert witness for matters including Underground Construction and Placement of Underground Utilities. He has decades of experience overseeing the placement of underground utilities, pipelines, and conduit. In addition, he has almost 20 years of experience in the Full-Service Truck Leasing industry, overseeing transportation, logistics, leasing, rental, and maintenance activities. His company was honored for its work on the Scripps Seawater Return Lines at the University of California, San Diego. The complex, $2.5 million project included nearly 4,500 feet of piping.

Litigation Support - Mr. Aanestad provides expert services to attorneys representing plaintiff and defendant which include on-site review, written reports, depositions, mediation, and trial testimony as needed. Most cases end in mediation or negotiated settlement.

Clients have included such firms as Heffernan & Boortz LLP, Wood Smith Henning & Berman LLP, Rutan & Tucker LLP, and Dowling/ Aaron, Chancio Brown LLC., Southern California Edison, Vast Networks (CVIN), City of Kansas City Missouri, and the City of Oceanside.  

Areas of Expertise:

Underground Trenchless Public Utilities Fiber Optics Installation   Engineering Contractor Negligence Feasibility Studies Underground Utility Easements Construction Standard of Care Construction Defects, Delays, Change Orders Construction Dispute Resolution Construction Damages / Cost Analysis Construction Equipment / Pipelines Heavy Trucks and Trailers

Forklifts Cranes Skip Loaders Backhoes Excavators Drilling & Boring Machines Horizontal Directional Drills Hydraulic Moles Truck Leasing, Rental, Maintenance Transportation Logistics DOT / BIT Review

Dennis E. Coleman, JD, MPH, has over 40 years of experience in Hospital and Healthcare Management. In 1990, he formed his own hospital administration / healthcare management services consulting firm provide healthcare management services to various healthcare provider clients in a variety of areas, including strategic planning, business development, operations management, sales and marketing, policy & procedure development, and human resources management.

Mr. Coleman's academic background includes a Juris Doctor degree from Southwestern University in Los Angeles and a Masters in Public Health degree with a Hospital Administration major and a Bachelor of Arts degree in Political Science, both from the University of California, Los Angeles.

Litigation Support - As a hospital administration expert witness consultant, Mr. Coleman is an advocate for applying community standards which are relevant, based upon the time frame, subject matter and administrative practice(s) appropriate to each case. He has consulted and provided case review, expert witness services, and/or strategic litigation preparation services in more than 200 legal matters. He accepts cases on behalf of Plaintiffs or Defendants.

Mr. Coleman is willing to serve as either a work product consultant or a designated expert based upon the particular strategic litigation needs of each case.

Cases Include:

• Medical Staff Credentialing & Clinical Privileging / ELAM
• Negligent Credentialing, Negligent Supervision, Negligent Retention
• Hospital / Physician Relations-MEJIA Ostensible Agency Issues
• Administrative Community Standards
• Medical Staff Bylaws, Rules & Regulations
• Provider-Based Physician Contracting Negotiations & Contract Administration
• Administrative Policies & Procedures
• Hospital Joint Commission Accreditation, Licensing & Regulatory Compliance Issues
• Wrongful Termination / Constructive Discharge / Whistleblower Issues
• Patient rights; Informed Consent
• Patient Safety; Environment of Care
• Governance; Corporate Negligence

View Dennis Coleman's Consulting Profile.

Alan R. Smith, MD, RPh, FAAFP, is Board Certified as a Family Medicine Physician (American Board of Family Medicine) plus Board Certified by the American Board of Physicians and Surgeons. Along with a full-time, full-spectrum Family Medicine Practice, Dr. Smith is the Medical Director of Millard Care and Rehabilitation, a position he has held for over 30 years. 

Dr. Smith also serves the State of Utah as Chairman of the Utah Physician Licensing Board (2018 - Currently), and is a Fellow of the Federation of State Medical Boards. 

Litigation Support - Dr. Smith is retained as an Expert Witness with a focus on Family Medicine and Nursing Home Medical Malpractice. He has over 20 years of expert witness experience with approximately 100 cases reviewed, 25 depositions, and 10 court / arbitration testimonies. 

"I feel a responsibility to hold my fellow physicians, as well as myself, to the standard of care. I likewise feel a responsibility to stand and defend the truth when care of a physician is in question." - Alan R. Smith, MD

Areas of Expertise:

Obstetrics Surgical Obstetrics Inpatient and Outpatient Care Home Health Skilled Nursing Care Extended Nursing Care

Long Term Care / Hospice Care Endoscopy, Colonoscopy, and EGD Minor Surgery - Vasectomy Major Surgery - Hernia Repair, Endometrial Ablation, Tonsillectomy, Tympanostomy Tubes Emergency Department Care