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0:00

So a few final notes

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or tips from a plaintiff's medical

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malpractice attorney perspective.

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And that is that if you wanna do this work, have an up

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to date cv, it's one of the things

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that we're going to ask you for.

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Um, and no matter who you're working for,

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they're gonna ask you for that,

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and we're required to provide it to the other side.

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So it's one of the things that, uh, you have to have,

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and we have to in fairly short order, provide

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to opposing counsel.

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Um, Dave talked to you a little bit about this,

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but I wanna expand on that.

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And, and that is that

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before going into this work,

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you should have a pretty comprehensive fee schedule.

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And from my perspective, that involves an hourly rate

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that you charge for reviewing records

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or in the case of a radiologist, if you decide to charge

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for this by the study.

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And that's fine. So have that ready to go.

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And on that same document, um, I'm gonna tell you

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that you should have the hourly rate for reviewing records,

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talking with lawyers, that type of thing, talking with me.

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You should have an hourly rate for deposition.

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Um, and that can be,

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that can be in several forms.

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You can say, look, send me a $2,500 retainer,

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which is gonna get you five to six hour, you know, five

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or six hour, whatever the rate's gonna be

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of medical records review talking with you.

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And then we'll bill forward going on.

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A lot of times it's just, here's my hourly rate

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that I bill you for the time I actually spend.

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Like, you know, I'll bill you a thousand dollars

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after two hours, whatever it is, talk to your friends

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and colleagues, ask how they do it,

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and just be comfortable in developing this.

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Here's kind of a pro tip that I will tell you,

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and that is, I recommend that

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you charge a higher rate for your deposition

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and even a higher rate for trial.

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And here's the reason why.

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If you come in

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and you say, oh, my hourly rate's $300 for everything,

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um, well the, the opposing attorney's gonna go,

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great, that's reasonable.

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I'm gonna book you for a 4, 5, 6 hour deposition simply

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because I can, and I can spend a whole bunch

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of time talking about everything under the sun with you

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and trying to, you know, chin away at your armor.

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Um, or you can charge $600 an hour for a deposition.

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They'll go, okay, maybe I want you for three hours.

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And they'll, they, you know,

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they may come at you in a deposition

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and say, well, doctor, why do you

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charge more for a deposition?

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And here's the answers that my doctors give

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and their, I feel they're entirely appropriate is, well,

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it's a more intense process to do this work and to sit down

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and have you, you know, grill me, you know, which you,

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you know, it's part of the process, I understand.

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But, um, it's, it's more intense work.

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It's more focused work.

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I'm preparing for it and I, you know, I want you to come

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and, you know, be able

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to ask me the questions in the setting

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that's more stressful.

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Um, and I have no problem with that

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because what it's really doing behind the scenes

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is it's causing the defense attorney

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or the plaintiff's attorney, whoever,

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or the other side to say, I need

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to be a little more judicious in

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how much time I really think I

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need to spend with this lawyer.

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And it causes us to come in

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and go, alright, let me ask the really germane questions.

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Instead of spending a bunch, a bunch of time just beating

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around the bush and trying

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to see if I can attack you from anywhere.

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So, um, that's one of the things to consider is,

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is they will streamline your deposition if you're

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charging, you know, a higher rate for that.

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And I personally feel it's justifiable,

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and I haven't really found, if you're in a reasonable range,

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it doesn't affect anything.

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Nobody's gonna give you a hard time about it.

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Um, the same for trial.

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Uh, trial is an even more stressful experience, uh,

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according to a lot of people.

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So, you know, you can say, well, my hourly rate, you know,

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at this point is a little higher.

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Some people charge the same, you know, $600 an hour

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for deposition, 750 an hour for deposition and trial.

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What, whatever it is, just have it ready to go.

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If you wanna kind of do this work

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and know why you're charging the rate that you're charging,

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a lot of times, uh, doctors will say, well, you know,

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if I'm gonna miss an afternoon of my clinics,

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this is approximately, you know,

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what the practice would be making.

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So this is how I, I justify that time.

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A lot of different ways to do it.

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Talk to your colleagues and just feel comfortable with it.

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The other thing that you have to think about is

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if I'm gonna be traveling outta state to do a deposition

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or to testify at trial, um, that's gonna involve travel.

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So how do you charge for your travel?

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Do you charge, you know, an overnight rate?

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Do you, you know, um, most, not all,

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but most of my experts charge us for obviously their travel

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expenses and then the hours that they spend preparing

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to meet with me and preparing for trial.

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And then they have like, well, half a day at trial

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or a full day at trial.

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They have, they may be, well, we're gonna charge, you know,

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3000 or 3,500 for a half a day, you know,

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7,000 or 7,500 for a full day.

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Just be aware that these are the different issues

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that you will at some point have

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to address if you do this kind of work.

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And it's best to start out with a pretty comprehensive,

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well thought out fee schedule.

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So, uh, the next one is, we, we did talk about briefly,

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but provide an active communication channel.

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Just let us know how you prefer to be contacted

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or how you prefer to communicate,

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and we'll comply with that.

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Um, you know, I tell my experts, Hey,

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Here's my deadlines, or I may need to do this.

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And they'll be like, oh, no problem, just text me.

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It doesn't matter. I'll get back with

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you just as soon as I can.

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And, and if you have

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that expectation on both sides going in,

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I think it's a lot smoother.

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Um, let us know.

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Let the lawyer know how you like to receive your materials.

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I have experts who say, oh, send me a jump drive.

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Send me a link on Dropbox. Nope, I want physical copies.

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Send me everything in a physical form.

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Um, so be aware of that, just let us know

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and we'll get you the materials in, in the way that you like

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to receive them best.

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Um, so this next point is that, um,

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the, the prior testimony.

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So in federal court, um,

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and now most states are following this rule, we are required

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to provide to the court in the opposing side in particular,

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um, the areas of

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how many cases have you testified given testimony,

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and which is either deposition

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or trial during the last four years.

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They wanna know that number.

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And then the information that we have to provide with

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that is they have to ba basically be able

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to identify every single case that, that

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where you say you've testified,

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and that's gonna be the name of the case, the location

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of the case, preferably the case number, the attorney

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that you are working with,

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and whether you were working

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for the defense or for the plaintiff.

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Or sometimes there'll be administrative hearings

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and, you know, not related to malpractice,

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but all of that information.

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If you've given sworn testimony

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as an expert witness in your field, um, over the previous,

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it's typically four years that some states are different.

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Sometimes it goes back as far as 10.

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You have to have that comprehensive document.

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And that's one of the hardest things that we do as working

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with experts is they'll come in

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and say, yeah, I'd like to do this,

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but I don't have that list.

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I've never kept track. You must keep track.

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If you start out keeping track, it's a whole lot easier.

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And then, you know, the older cases will move off the list.

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But basically this is our ability to go back

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and to look at prior opinions that you've given,

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to look at the types of cases that you've done

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and where you've been qualified as an expert

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to give those opinions.

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And it makes the whole process a lot easier.

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But this does dovetail into my last point, which is

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your expert testimony.

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You're the testimony you give in these matters whether

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deposition or trial follows you,

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or even sometimes sworn statements, be aware.

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Those documents are court records.

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We can find them and they follow you.

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So you want to be well aware

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and work with attorneys who understand that.

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And don't put you in a difficult position

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because it is not uncommon for you

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to be sitting in a deposition or at trial

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and have the opposing counsel when they come in

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to cross-examine you

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and say, well, doctor, didn't you give testimony in,

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you know, Smith versus Jones, you know, three years ago

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and in, you know, Alabama

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where your opinions were thus and such?

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And you say, well, gee, uh, vaguely remember

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that they're gonna pull out a copy

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of your deposition transcript or the trial transcript

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and hand you one and, and expect you to read it.

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And the opinion

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or the the object there will again be to try

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to under undermine your testimony.

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So that's why you don't ever want to, you know,

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sort of do anything on the fringes.

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Anything that could compromise you, understand that

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that's a record that's gonna follow you as you do this work.

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Or even if it's someday, you know, heaven forbid you are a,

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um, a defendant in a case.

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And, and that testimony could come back to you.

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So just be aware of that as you move through this process.

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And I highly encourage anybody who has any interest, uh,

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in doing this to jump in, give it a shot.

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You may find you really like it, you may find you don't.

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Um, but it's worth exploring

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and I wish you good luck with it.

10:04

Thank you. I.

Report

Faculty

David M Yousem, MD, MBA

Professor of Radiology, Vice Chairman and Associate Dean

Johns Hopkins University

Majid Aziz Khan, MD, MBBS

Director, Non-Vascular Spine Intervention

Johns Hopkins University

Mahla Radmard, MD

Postdoctoral Research Fellow

Johns Hopkins University School of Medicine

Kelly P. Yousem, JD

Plaintiff’s Attorney

Tags

Non-Clinical