Medical Legal Consultants Expert Witnesses: 42

Ms. Roughan is a Rehabilitation Nurse Specialist who functions in the capacity of case manager, life care planner and expert witness. Her company, Roughan & Associates at LINC, is a nationally recognized Case Management and Medical/Legal Consulting service. It has been in existence since 1987, providing coordination of patient care; construction of Life Care Plans; and, consultative services to both the defense and plaintiff bar on simple and complex cases alike. Ms. Roughan has experience with diagnoses involving both children and adults and are knowledgeable in current treatment philosophies, identification of appropriate resources.

Diagnoses include, but are not limited to:

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

Services Include:

• 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

Anthony Scarcella, MD, JD, FAAEM, FACEP, is a full-time practicing, Board Certified Emergency Medicine Physician who specializes in providing expert testimony and consultation services for plaintiff and defense attorneys involved in medical malpractice lawsuits. As an emergency medicine expert witness, Dr. Scarcella has reviewed hundreds of cases over the last 25 years. He provides an honest, unbiased assessment of emergency medicine issues. As a board certified emergency medicine physician with a law degree, he is uniquely qualified to provide case review and expert witness services in medical malpractice cases. Concentration in all areas of emergency medicine including the following Areas:

• Misdiagnosis of Chest Pain, including Myocardial Infarction and Pulmonary Embolism
• Testicular Torsion
• Missed Meningitis and Fractures
• Leaving against Medical Advice

Dr. Scarcella has also served as a medical consultant to attorneys, assisting them in preparing for deposition and trial cross-examination. He can provide case strategic planning for medical malpractice suits with regard to the examination of medical experts and medical defendants. If needed, Dr. Scarcella will also attend the deposition of the opposing side's expert or defendant physician. Dr. Scarcella speaks both Spanish and English and has full-time privileges as an Attending Physician in the Department of Emergency Medicine at Eisenhower Medical Center in Rancho Mirage, CA.  He is an Assistant Clinical Professor of Medicine at the University of California, Riverside School of Medicine.  He previously served as an expert reviewer for the Florida Board of Medicine and currently is an expert reviewer for the California Board of Medicine.

California Office  78-365 Highway 111, #135 La Quinta, CA 92253

View Dr. Scarcella's Consulting Profile.

Dr. Richard K. Skala, DC, QME, has been a Doctor of Chiropractic since 1976, providing chiropractic manipulation and spinal manipulation, as well as related physiotherapy. Certified in Manipulation Under Anesthesia (MUA), he has been granted Hospital / Surgery Center privileges for MUA and has performed hundreds of MUA cases. He was one of the first chiropractors in California to train for and provide Extracorporeal Shockwave Treatments (EWST). He has post graduate certification in the performance and interpretation of neuro-electrodiagnostics. Consultation and Expert Witness Services for Attorneys regarding

• Personal Injury
• Industrial Medical-Legal Cases
• Standard of Care involving General Chiropractic, Manipulation Under Anesthesia (MUA), Non-Surgical Spinal Decompression, and Extracorporeal Shockwave (EWST)
• Chiropractic Licensure Compliance California
• Workers Compensation

One of the foremost experts in Workers’ Compensation in California, he has taught many doctors on the subject and testified at numerous WCAB trials and hearings. He has been declared an expert witness by the California Workers’ Compensation Appeals Board. He has been a Qualified Medical Evaluator since 1992, an Independent Disability Evaluator since 1992, a certified AMA Impairment rater since 2003, a Fellow of the Academy of Chiropractic Forensic Consultants (AFICC) since 2003, and a consultant to the California Board of Chiropractic Examiners since 2008.

Dr. Skala is a noted author in his field of expertise. He has written numerous published newsletter articles on Chiropractic and other topics related to that field.

Elliott M. Stein, MD is a Geriatric Psychiatrist with over 45 years of experience caring for the elderly. Dr. Stein is Board Certified by the American Board of Psychiatry and Neurology in General Psychiatry (October, 1979) and Geriatric Psychiatry (April, 1991; Re-Certified, December, 2001, April, 2011, December 2022). He is licensed in California and Florida. Dr. Stein was the Director of Psychiatry at the Jewish Home of San Francisco from 2010-2020, and the Medical Director of their Geriatric Psychiatry Hospital. He has treated older individuals, typically people who have complex combination of psychiatric and medical problems. Dr. Stein has been a Member of the Task Force on Testamentary Capacity and Undue Influence, for the International PsychoGeriatric Association.

Dr. Stein is a Clinical Professor (Voluntary) in the Department of Psychiatry at the University of California, San Francisco, School of Medicine. He is a Distinguished Life Fellow of the American Psychiatric Association and a Distinguished Fellow of the American Association for Geriatric Psychiatry and a Life Member of the International PsychoGeriatric Association.

He is available to serve as an Expert Witness, do legal and forensic consultation, record review, and assessments concerning Psychiatric issues in Older Individuals. Dr. Stein offers his services to attorneys for both Plaintiff or Defense.

Areas of Expertise:

• Contested Wills and Trusts
• Testamentary Capacity, Undue Influence, Insane Delusions
• Financial Elder Abuse
• Geriatric Competence/Capacity
• Dementia and Delirium, Alzheimer’s Disease
• Geriatric Psychiatry Evaluation and Treatment, Psychiatric Medication, Psychotherapeutic Issues
• Depression and Anxiety Disorders
• Relationship Problems between the Elderly and their Adult Children
• Aging and Mental Disorders
• Geriatric Psychiatry issues in Hospitals, Nursing Homes, Memory Care, Independent and Assisted Living Facilities
• Medicare Psychiatric Services Coding and Documentation

View Dr. Stein's Consulting 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.

William B. Stetson, MD is an Orthopedic Surgeon who specializes in Sports Medicine with an expertise in Arthroscopic and Reconstructive Surgery of the shoulder, knee, elbow and ankle. He is an Associate Clinical Professor of Orthopaedic Surgery at the University of Southern California Keck School of Medicine and the Department of Orthopaedic Surgery.

Dr. Stetson spends over 90% of his time in clinical practice and research and has over ten years experience as an expert witness and in reviewing complex medical-legal issues. He is the Team Physician for the USA Men's and Women's Olympic Indoor Volleyball Teams and accompanied both teams to the 2012 Summer Olympics in London, England. He is a former athlete himself, a two time All-American volleyball player at the University of Southern California (USC). He is also a recipient of the NCAA's prestigious Silver Anniversary Award, given to former NCAA athletes who have gone on to distinguish themselves after graduation. 

Areas of Orthopedic and Sports Medicine Specialization:

Knee Arthroscopy Shoulder Arthroscopy Rotator Cuff Repair ACL Reconstruction Treatment of Arthritis

Knee Ligament Reconstruction Recurrent Shoulder Dislocation Shoulder Impingement / Bursitis Meniscus Repair and Meniscectomy Elbow Arthroscopy

View Dr. Stetson's Consulting Profile.

Janet Grace Attard, RN IV, RNC-MNN, NRP Instructor, High-Risk OB Nurse (NICU, PP, L&D), OB Professor of Nursing.  

Ms Janet Grace Attard has over 30 years of High-Risk Acute Nursing at a variety of top teaching Hospitals throughout the United States (Johns Hopkins Cancer Center, University of Maryland Laminar Flow-Cancer Research Unit, Sloan Kettering Research Bone Marrow Transplant Unit, Stanford Children’s Hospital Bone Marrow Unit, etc.

Ms. Attard provides confidential, timely, accurate consultation, litigation support, and expert witness service to attorneys, insurance companies, and multi-system hospital organizations. Jan offers thorough, detailed, fact-based medically significant chronologies, concise, factual analysis of medical records, and relevant health care documentation review in collaboration with the legal team in preparation for deposition and or trial with prompt, efficient identification of breaches in the relevant Standard of Care accurate case analysis and issue spotting. 

Ms. Attard is experienced, concise, thorough, and timely in the expert review and chronology reporting of cases involving hospital sentinel events.  

Clinton F. Merrill, Jr., MD, has over 35 years of experience in clinical Internal Medicine and 28 years of experience in Medical Oncology and Hematology. Dr. Merrill is experienced in the diagnosis and treatment of all solid tumors as well as the full range of hematologic malignancies. He has special expertise in benign hematology including: anemias, low blood cell counts, iron overload disorders, bleeding and clotting disorders. Litigation Support - Dr. Merrill offers expert witness services to counsel representing Plaintiff and Defendant. His services include medical record review, written reports, depositions, and trial testimony. Dr. Merrill takes pride in providing thorough record review, meticulously researched reports reflecting unbiased opinions, and excellent communication skills with the ability to make the complex understandable. Areas of Expertise:

Breast Cancer Colon Cancer Lung Cancer Tumors Leukemias Lymphomas

Myeloma Myeloproliferative Disorders Myelodysplastic Syndromes Benign Hematology Anemia Bleeding and Clotting Disorders

James M. Wheeler, MD, MPH, JD, magna cum laude in Biology / Psychology from Harvard, is an OB/GYN trained at Baylor, with subspecialty training in Reproductive Endocrinology / Infertility at Yale. He is also a graduate of the Robert Wood Johnson Clinical Scholars Program at Yale, focusing upon clinical epidemiology and biostatistics and health policy. He also earned his MPH at Yale majoring in Biostatistics, minoring in Maternal/Child Health. He graduated from the University of Houston Law Center with a JD in 2005, and was invited to join the Health Law division there. He has completed ADR training, having completed training programs separately in mediation, and arbitration.

Dr. Wheeler is a former national officer of the American College of Obstetricians and Gynecologists (ACOG), and served on several of their health policy committees including the Health Care Commission and the Hysterectomy Committee. He has published over 40 peer-reviewed papers on a wide array of topics in ob/gyn, with a particular emphasis on methodology. He has given over 200 invited lectures to ob/gyns, reproductive endocrinologists, radiologists, midwives, nurses, surgical technologists, law students et al. He sees himself first and foremost as a caregiver, and second to only that, as a teacher.

Dr. Wheeler has consulted in several hundred medicolegal matters for over 20 years, mostly in ob/gyn, but including family practice, internal medicine and several of its subspecialties, general surgery and several of its subspecialties, and dermatology. He has been a testifying expert before the FDA for drugs and devices, and has testified before U.S. Congressional staffers on health policy issues. He reviews for attorneys from both plaintiff and defense bars, as well as insurance companies (e.g. Pro-Assurance), and health plans (e.g. Harvard Community Health Plan). He has helped with Board of Medicine reviews, and constructing/defending class action suits. The combination of his training in medicine, basic and clinical research, clinical epidemiology, biostatistics and law make him a uniquely qualified person to review the complex issues of medicolegal cases.

Dr. Wheeler is a qualified first-reviewer, and a convincing expert during testimony. He has never been excused from a case as insufficiently expert.

Areas of expertise:

Gynecologic surgery Forceps / Vacuum Uses/ Complications Fetal Stress vs. Distress Cesarean vs. Vaginal Birth Shoulder Dystocia Pregnancy induced Hypertension / HELLP Syndrome Hysterectomy: Indications and Complications

Preterm Labor Incompetent Cervix Endometriosis Pelvic Adhesions Leiomyomata Uteri Infertility Advanced Reproductive Technology (IVF)

Andrew Wittenberg, MD, MPH, FACEP, is the medical director of his Emergency Department and a practicing Emergency Medicine Physician with over 15 years of experience. He is certified by the American Board of Emergency Medicine (ABEM) and is a fellow of the American College of Emergency Physicians (ACEP).  

Dr. Wittenberg currently works in a tertiary care center in southern California that is a stroke center, trauma center, STEMI-receiving center, and Pediatric Medical Center.  Dr. Wittenberg also has significant experience working in a smaller, single-coverage community emergency department.  Dr. Wittenberg graduated from Temple University School of Medicine and completed his residency at LA County-USC Medical Center. He has been recognized for excellence in teaching with awards from two residency programs. He also a national board examiner for ABEM.   

Litigation Support - Dr. Wittenberg offers expert witness services in medical malpractice cases involving Emergency Medicine. He provides consultation for chart reviews, expert witness depositions, and testimony. Dr. Wittenberg's services are available to both plaintiff and defense attorneys.  

Areas of Expertise:

Trauma Stroke Myocardial Infarction / STEMI /NSTEMI / ACS Pregnancy / Ectopic Pregnancy Sepsis Pulmonary Embolism (PE) Aortic Dissection Endocarditis Cauda Equina Spinal Epidural Abscess Meningitis

Aneurysm Pneumonia Appendicitis Intubation Ischemia Testicular Torsion and Ovarian Torsion Airway Management Fracture  Diabetic Ketoacidosis

Dr. Jeffrey Stone, DO, MPH, FCCWS, specializing in Wound Care and Hyperbaric Medicine, served as Medical and Fellowship Director for the Hyperbaric Medicine Unit at the Institute for Exercise & Environmental Medicine at Texas Health Dallas from 1992- May 2016. Dr. Stone received his medical degree from Western States University and received a Master of Public Health degree from Harvard University. Dr. Stone completed a residency in aerospace medicine at Brooks Air Force Base and a fellowship in hyperbaric medicine and Wound care at the U.S. Air Force School of Aerospace Medicine. Dr. Stone started visiting nursing facilities in the Dallas Metroplex  in the early 1990's teaching, educating and caring for individuals with chronic wounds. He is one of the first 60 physicians in the U.S. to receive his certification in Wound Care. Dr. Stone currently provides care to patients in acute care, LTAC, long term care facilities SNF and Nursing Home) and outpatient care.

Dr. Stone has been widely published in many medical journals regarding his expertise in Wound Care and Hyperbaric Medicine. He serves as an Expert Witness for Peer Reviews, Legal Reviews, and Medical Malpractice Cases.

Areas of Expertise: Wound Care and Hyperbaric Oxygen-

• Pressure Sores
• Arterial Ulcers
• Diabetic Foot Wounds
• Acute Traumatic Ischemias
• Decubitus Ulcers
• Non-Healing Wounds, Venous or Arterial or Pressure Related

View Consulting Profile.

Marilyn McCullum, BSN, RN, CEN, is a certified Emergency Nurse with peer-reviewed publications, speaking engagements, and testifying experience. She specializes in emergency nursing, general nursing care, medical documentation bias, and medical products as an end-user. She stays active in her clinical position and teaches her peers about documentation and triage.

Ms. McCullum's expert opinions are unbiased, neutral, and fact-based, following the national Standard of Care.