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HOW TO FIND AND EFFECTIVELY USE MEDICAL LITERATURE
IN A MILD TRAUMATIC BRAIN INJURY CASE
Edward K. Le
Edward K. Le, PLLC
135 Park Ave N.
Renton, Wa 98056
425 336 2255
www.edwardkle.com
edward@edwardkle.com
WHY USE MEDICAL LITERATURE IN YOUR
MTBI CASE?
BOLSTER CREDIBILITY
& MAKE JURORS
RECEPTIVE TO YOUR
CASE
BOLSTER CREDIBILITY
OF YOUR EXPERT
ATTACK CREDIBILITY
OF THE OPPOSING
MEDICAL EXPERT
SHIFT PARADIGM OF
JUROR BELIEFS &
HEURISTIC SCHEMAS
HELP YOU WIN YOUR
CASE BY PROVING
YOUR POINTS
WHERE TO FIND THE MEDICAL
LITERATURE
FROM YOUR MEDICAL
EXPERT
FROM THE DEFENSE
MEDICAL EXPERT
FROM JOURNALS THAT
ARE UNIVERSALLY
RECOGNIZED
• New England Journal of Medicine: https://cdf.nejm.org
• American Medical Association: http://www.ama-
assn.org/ama
• American Academy of Neuropsychology: https://theaacn.org/
• American Academy of Neurology: https://www.aan.com/
• Journal of Neurosurgery: http://thejns.org/
FROM GOVERNMENT
FUNDED SCIENTIFIC
AGENCIES &
ORGANIZATIONS
• Center for Disease Control: http://www.cdc.gov
• National Institute of Neurological Disorders:
http://www.ninds.nih.gov
• National Rehabilitation Information Center
http://www.naric.com/
• National Institute of Health: https://vsearch.nlm.nih.gov
• US Veterans Administration: http://www.publichealth.va.gov
HOW TO USE THE MEDICAL LITERATURE
SHARE IT WITH YOUR
MEDICAL EXPERT &
HAVE THEM VET IT FOR
AUTHORITATIVENESS
EDUCATE YOUR CLIENT
ABOUT HIS TBI
MOST PATIENTS ARE NOT SELF-
AWARE OF COGNITIVE DEFICTS
UNTIL OTHERS TELL THEM
ASSIST AND GUIDE PATIENTS TO UNDERSTAND THEIR T.BI.
AND HELP DIRECT THEM ON PATH TO RECOVERY
REBUT AND DEBUNK
THE DEFENSES
GET ADMISSIONS AND
CONCESSIONS FROM
THE DEFENSE EXPERT
ASK DEFENSE EXPERT TO LOOK AT ARTICLE TO EITHER
CONCEDE OR DENY THE POSITIONS TAKEN IN THE ARTICLE
Q. Doctor, as a neurologist, are you familiar with the Center for
Disease Control?
Q. Would you recognize the CDC as an eminent authority in the
research and treatment of certain disease and pathology?
Q. Are they considered an authoritative source to investigate the
pathophysiology and epidemiology of a disease and its effect on the
general population?
Q. Do you consider them an eminent authority on research in the field
of traumatic brain injury?
Do you agree with their findings regarding the following:
• That most patients with MTBI have normal MRI and CT Scan
• It is an invisible injury and you would not be able to recognize a
person with MTBI on the street
• That MTBI can cause profoundly cause disability to individuals
• That MTBI can often permanently alter a person’s vocational
aspirations and have profound effects on social and family
relationship
• That many people with MTBI have difficulty returning to their
routine and may be unable to return to work for months;
• That although a person does not lose consciousness, he or she can
sustain a TBI;
• That TBI, including all levels of severity such as an MTBI, can be a
major cause of disability in the US;
• That one of the hallmarks for prolonged recovery from an MTBI is
the presence of complicating factors such as Depression, Chronic
Pain, Dizziness, PTSD, or persistent somatic complaints
• That many patient with MTBI have depression
• That the more comorbities the person has, the greater the
likelihood that he or she will have persistent and ongoing post-
concussive symptoms
ACCORDING TO CDC & NIH, PERSISTENT POST-CONCUSSIVE SYNDROME WILL IMPACT
EVERY ASPECT OF A PERSON’S LIFE
Functionality
Ongoing Medical
Care Needs
Quality of Life
Earlier Nursing
Home Enrollment
Activities of
Daily Living
ACCORDING TO CENTER FOR DISEASE CONTROL, PEOPLE WITH MILD BRAIN
INJURY MAY EXPERIENCE ACCELERRATED COGNITIVE AND FUNCTIONAL
DECLINE WITH AGE
IF THE OPPOSING EXPERT CHALLENGES RELIABILITY OR
AUTHORITATIVENESS OF YOUR MEDICAL LITERATURE
SHOW HOW HIS OR HER POSITION IS AGAINST
MAINSTREAM BELIEF OF MOST OTHER DOCTORS
• “Were you aware that this study was quoted and referenced by the CDC in
their report to the US Congress?”
• “Would the CDC quote from junk science or any research that is less than
authoritatively recognized by the medical community?”
• “This article was also quoted in PubMed as having 10,000 citations to it,
were you aware of that?”
• “Yet, as a self-professed expert in traumatic brain injury who’s been
practicing for 10 years, you never heard of this article, right?
FINAL TIPS
DON’T JUST CHOOSE
ANY LITERATURE THAT
YOU FIND
PICK ONLY THE BEST
HAVE YOUR EXPERT
AUTHENTICATE IT
FIRST SO YOU CAN USE
IT THE REMAINDER OF
TRIAL
MOVE FOR JUDICIAL
NOTICE OF THE
LITERATURE YOU LIKE
TO USE
ABOVE ALL ELSE
Email: Edward@edwardkle.com
https://www.linkedin.com/in/edwardkle
https://plus.google.com/+EdwardKLePLLCRenton
https://www.facebook.com/EdwardKLePLLC
CONNECT WITH ME FOR MORE INFORMATION

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How to Find and Use the Medical Literature in a Mild Traumatic Brain Injury Case

  • 1. HOW TO FIND AND EFFECTIVELY USE MEDICAL LITERATURE IN A MILD TRAUMATIC BRAIN INJURY CASE Edward K. Le Edward K. Le, PLLC 135 Park Ave N. Renton, Wa 98056 425 336 2255 www.edwardkle.com edward@edwardkle.com
  • 2. WHY USE MEDICAL LITERATURE IN YOUR MTBI CASE?
  • 3. BOLSTER CREDIBILITY & MAKE JURORS RECEPTIVE TO YOUR CASE
  • 5. ATTACK CREDIBILITY OF THE OPPOSING MEDICAL EXPERT
  • 6. SHIFT PARADIGM OF JUROR BELIEFS & HEURISTIC SCHEMAS
  • 7. HELP YOU WIN YOUR CASE BY PROVING YOUR POINTS
  • 8. WHERE TO FIND THE MEDICAL LITERATURE
  • 11. FROM JOURNALS THAT ARE UNIVERSALLY RECOGNIZED
  • 12. • New England Journal of Medicine: https://cdf.nejm.org • American Medical Association: http://www.ama- assn.org/ama • American Academy of Neuropsychology: https://theaacn.org/ • American Academy of Neurology: https://www.aan.com/ • Journal of Neurosurgery: http://thejns.org/
  • 14. • Center for Disease Control: http://www.cdc.gov • National Institute of Neurological Disorders: http://www.ninds.nih.gov • National Rehabilitation Information Center http://www.naric.com/ • National Institute of Health: https://vsearch.nlm.nih.gov • US Veterans Administration: http://www.publichealth.va.gov
  • 15. HOW TO USE THE MEDICAL LITERATURE
  • 16. SHARE IT WITH YOUR MEDICAL EXPERT & HAVE THEM VET IT FOR AUTHORITATIVENESS
  • 17. EDUCATE YOUR CLIENT ABOUT HIS TBI MOST PATIENTS ARE NOT SELF- AWARE OF COGNITIVE DEFICTS UNTIL OTHERS TELL THEM
  • 18. ASSIST AND GUIDE PATIENTS TO UNDERSTAND THEIR T.BI. AND HELP DIRECT THEM ON PATH TO RECOVERY
  • 20. GET ADMISSIONS AND CONCESSIONS FROM THE DEFENSE EXPERT
  • 21. ASK DEFENSE EXPERT TO LOOK AT ARTICLE TO EITHER CONCEDE OR DENY THE POSITIONS TAKEN IN THE ARTICLE
  • 22. Q. Doctor, as a neurologist, are you familiar with the Center for Disease Control? Q. Would you recognize the CDC as an eminent authority in the research and treatment of certain disease and pathology? Q. Are they considered an authoritative source to investigate the pathophysiology and epidemiology of a disease and its effect on the general population? Q. Do you consider them an eminent authority on research in the field of traumatic brain injury?
  • 23.
  • 24. Do you agree with their findings regarding the following: • That most patients with MTBI have normal MRI and CT Scan • It is an invisible injury and you would not be able to recognize a person with MTBI on the street • That MTBI can cause profoundly cause disability to individuals • That MTBI can often permanently alter a person’s vocational aspirations and have profound effects on social and family relationship
  • 25.
  • 26. • That many people with MTBI have difficulty returning to their routine and may be unable to return to work for months; • That although a person does not lose consciousness, he or she can sustain a TBI; • That TBI, including all levels of severity such as an MTBI, can be a major cause of disability in the US; • That one of the hallmarks for prolonged recovery from an MTBI is the presence of complicating factors such as Depression, Chronic Pain, Dizziness, PTSD, or persistent somatic complaints
  • 27.
  • 28. • That many patient with MTBI have depression • That the more comorbities the person has, the greater the likelihood that he or she will have persistent and ongoing post- concussive symptoms
  • 29.
  • 30. ACCORDING TO CDC & NIH, PERSISTENT POST-CONCUSSIVE SYNDROME WILL IMPACT EVERY ASPECT OF A PERSON’S LIFE Functionality Ongoing Medical Care Needs Quality of Life Earlier Nursing Home Enrollment Activities of Daily Living
  • 31. ACCORDING TO CENTER FOR DISEASE CONTROL, PEOPLE WITH MILD BRAIN INJURY MAY EXPERIENCE ACCELERRATED COGNITIVE AND FUNCTIONAL DECLINE WITH AGE
  • 32. IF THE OPPOSING EXPERT CHALLENGES RELIABILITY OR AUTHORITATIVENESS OF YOUR MEDICAL LITERATURE SHOW HOW HIS OR HER POSITION IS AGAINST MAINSTREAM BELIEF OF MOST OTHER DOCTORS
  • 33. • “Were you aware that this study was quoted and referenced by the CDC in their report to the US Congress?” • “Would the CDC quote from junk science or any research that is less than authoritatively recognized by the medical community?” • “This article was also quoted in PubMed as having 10,000 citations to it, were you aware of that?” • “Yet, as a self-professed expert in traumatic brain injury who’s been practicing for 10 years, you never heard of this article, right?
  • 35. DON’T JUST CHOOSE ANY LITERATURE THAT YOU FIND PICK ONLY THE BEST
  • 36. HAVE YOUR EXPERT AUTHENTICATE IT FIRST SO YOU CAN USE IT THE REMAINDER OF TRIAL
  • 37. MOVE FOR JUDICIAL NOTICE OF THE LITERATURE YOU LIKE TO USE