Diagnostic imaging studies represent objective findings thatcan help buttress your case with the adjuster, opposing attorney,mediator, arbitrator or jury. Dr. Powers is licensed in 49 statesplus the District of Columbia and can provide you, your doctorsor clients with primary imaging tests, over-reads/secondopinions, education or expert trial testimony and back-upin workers' comp, personal injury, malpractice and other disputeforums. Liens are often accepted for primary imaging tests. Diagnosticimaging studies represent objective findings that can help buttressyour case with the adjuster, opposing attorney, mediator, arbitratoror jury.
Diagnostic Radiology represents a very exciting field thatcan offer you many opportunities. Services include performingthe primary imaging study such as an MRI (on lien if necessary),providing second opinions on studies performed by others, educatingand researching topics for the lawyer and providing depositions,mediation, arbitration and trial testimony. Dr. Powers has participatedin Workers' Compensation, Personal Injury claims including toxicdisputes, slip and fall accidents and automobile injuries, PostOffice, Railroad, Longshore, Social Security and Malpractice issuesplus various other litigated or disputed areas of medical/legalreview. He is a practicing Diagnostic Radiologist licensed in49 states plus the District of Columbia who performs thousandsof imaging studies yearly which he interprets. Call June his officemanager at (800) 222-6768 for services or further information.
When Dr. Powers testifies at trial, he uses an electronic overheadprojection device that allows him to project images either fromvarious imaging studies and/or drawings that he may make directlyto the jury on a large screen TV which you provide to the court.This is very educational to the jury. No longer is the jury lookingat a distant image on a shadow box at such a great distance thatthe findings are not visible to them and the technical descriptions,way over their heads. Now they can identify and see the findingswith their own eyes and be aware of what the radiology expert,myself, is discussing. They can feel that they have learned somethingduring the trial and that they have a better understanding ofthe anatomy that is being discussed and feel that they have actuallyidentified the presence of disease or internal derangement, giventhis limited educational presentation. This is satisfying to thejury and works well with the judges who are happy that they aswell as the jury can see the findings present.
For Primary Testing, Second Opinions, Education or Trial Testimonyand Backup by Dr. Powers please call his office manager, Juneor him directly and/or to e-mail or fax requests. I and my stafflook forward to serving your needs and appreciate your referrals.
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Attorneys who have a physician recommendationfor a specific study or in consultation with Dr. Powers may scheduletheir clients directly, as well. Attorneys may also request secondopinions on imaging studies performed elsewhere. Each study ispersonally read and interpreted by Dr. Powers, a board-certifiedDiagnostic Radiologist with 15 years' experience in injury evaluation.
Forensic reports are provided with a detailed review of findings,conclusions and a clinical consideration section consisting ofa discussion of how and why anatomic findings may be related tothe client's complaints and/or disability. A grading scale isused to measure the probability of physiologic effect. Dr. Powers'reports help objectify anatomic injury. He supports his conclusionsat deposition or trial as necessary.
Pre-trial and pre-deposition consultation with Dr. Powers canenhance strategy planning for a trial by either defense or plaintiffattorneys in multiple types of cases, including malpractice, personalinjury and other various type claims. Second opinions and imagingtestimony can strengthen and support the clinical conclusionsof the evaluating or treating physician for the case.
Objective evaluation of musculoskeletal, soft tissue, neuralor pulmonary damage can influence the presentation of a personalinjury, workers' comp or malpractice claims, pending settlement.
* Disclosure: There is no implied nor expressed guarantee of positive findings. An imaging test can be negative as well as positive for post traumatic findings. Imaging findings need to be correlated with the clinical examination. Objective imaging tests are helpful to your case if they show post traumatic internal derangement buttressing the clinical findings.
You are asked to participate in asking questions related toimaging studies and your practice. You may wish to submit caseexamples with elaboration. We will attemptto have an educational question and answer forum that is virtualon-line 24 hours a day for participation by others. You are alsowelcome to review MD, osteopathic, chiropractic and podiatriaccutting edge issues contained within this web site.
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a) Did you know that one of the major nerves responsible formuch of back pain, travels up and down one to two levels and cancross? That means that individuals with a right-sided disc herniationscan have left-sided radicular symptoms or an individual with adisc herniation at one level can experience symptoms on the sameside at a different level.
b) Did you know that older individuals with bone spurs anddisc space narrowing may actually be more prone to exacerbationor greater injury at the time of trauma? And thus, even in theabsence of disc herniations, significant clinical symptoms thatmay persist longer than in younger individuals can occur and bejustified on an anatomic basis.
c) How often have you seen MRI reports that are only one paragraphlong? It may be that the person who interpreted the images wasundertrained or underqualified or that significant findings weremissed. That is where a second opinion on previously obtainedimaging studies is useful from Dr. Powers especially if your clienthas significant clinical pain symptoms, since findings may bepresent but have been overlooked.
d) How often have the imaging studies in a case never beenput together into a whole? I remember that one of my first assignmentsinvoled a lady that had a hip fracture. When asked to review therecords, she had clinic x-rays that preceded the accident. Uponreview of the x-rays and various reports, it was revealed thatthis patient not only had a hip fracture but that she also hada compression fracture of her back and a tibial plateau fractureof her knee - all documented after the accident. Thus, insteadof one fracture, there were now three. Thus, a review of imagingstudies by Dr. Powers and his report may be helpful in puttingthe total case together where findings are present but not tiedtogether due to the multiple doctors and time spans involved.
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