Talking Defense: Blog

Case Study: Stroke & tPA

Case Study: Stroke & tPA
This case involved a 51 year-old man with a history of multiple myeloma, amyloidosis, hypertension, and hypercalcemia who awoke around 2:30 am unable to speak or hold himself up on his right side. His wife reported he had gone to bed at 11 pm the previous night after having a headache all day and, at that time, had been acting… read more →

Case Study: Cancer

Case Study: Cancer
This case involved a middle-aged male patient diagnosed with carcinoma in situ of the bladder. At the time of diagnosis, doctors found no signs of metastasis. Further complicating the patient’s course was a long-standing history of severe kidney disease preventing use of any contrast for radiology studies. (more…) read more →

Introducing the S&A Medical Graphics Anatomy & Physiology Handbook!

Introducing the S&A Medical Graphics Anatomy & Physiology Handbook!
Contact us via email, twitter, or facebook us for a complimentary copy of the S&A Medical Graphics Anatomy & Physiology Handbook! A broad-based overview of anatomy and common medical issues, this fully illustrated professional litigation tool is a catalog of our generic exhibits, designed to give some insight into the inner workings of the body as well to exemplify the… read more →

Case Study: Hernia Repair

Case Study: Hernia Repair
This case involved a middle-aged male patient with bilateral inguinal hernias. The right side had both direct and indirect hernia, so the defendant repaired it with pre-cut mesh. The left side had smaller direct and indirect hernias, as well as an incarceration of a loop of the sigmoid. (more…) read more →

Case Study: Carpal Tunnel Syndrome

Case Study: Carpal Tunnel Syndrome
This case involved a patient who underwent an endoscopic carpal tunnel surgery. During the procedure, the patient’s hand was dropped during transfer. Postoperatively he experienced transient neuropraxia. The defense in this case hinged on the jury’s ability to understand the anatomy of the carpal tunnel so that they could also understand how the neuropraxia could have occurred independent of the… read more →

Case Study: Total Hip Replacement

This case involved a 45 year-old woman who had undergone a transvaginal tape suspension (TVT) and rectocele repair in February 2004. Postoperatively she complained of left groin pain and tests revealed a small cortical cyst in the left femoral head so she was sent for an orthopedic evaluation. Her EMG was normal and physical therapy had good results. She returned… read more →

Trial Director

A 2010 study found that the typical American sees an average of 18.7 different doctors during their lifetime, with the standard doctor’s appointment taking about 13 pages to document. Just think of how many records and files that adds up to - and that’s just the medical records! Take the transcripts, video depositions, demonstrative evidence, and all the other files… read more →

Case Study: Lumbar Nerve Root Compression

Case Study: Lumbar Nerve Root Compression
This case involved a 19 year-old male patient who had a history of low back pain for about a year and was reporting severe, constant, and aching lower back pain of 8-9 on a scale of 10, as well as radicular right leg pain, decreased sensation on the right, difficulty straightening his right leg making it difficult to walk. An… read more →

Case Study: Retained Foreign Body

Case Study: Retained Foreign Body
The female plaintiff presented to the defendant with abdominal pain and after a sonogram indicated a pelvic mass, the defendant performed an exploratory laparotomy. Intraoperatively, as the defendant entered the abdominal cavity, he used moistened lap pads to position the small bowel up and away from the operative site. The incision was held open with an adjustable retractor in order… read more →

Case Study: Gastric Bypass

Case Study: Gastric Bypass
This case involved a morbidly obese woman who underwent a vertical banded gastroplasty with Roux-en-Y.  The procedure was performed through an open incision because the patient was undergoing a cholecystectomy and a ventral hernia repair during the same surgery.  The bypass was uneventful, a gastrostomy tube was placed, and there were no apparent complications to any of the procedures. (more…) read more →

Passing the Baton

Passing the Baton
2013 not only brings new services but also an announcement... my retirement from Seif & Associates. Short of cloning myself, I’ve made every effort to make this transition seamless for your firm. Emily Steigler, senior medical illustrator, has been managing 98% of my responsibilities these past few years and is ready to fill my shoes. But Emily has her own… read more →

2013: S&A Medical Graphics

2013: S&A Medical Graphics
2013 is an exciting year for Seif Medical Graphics – not only do we have a brand new look but we’ve added new services and products too! New Website! You’ll find a sleek new look, a user-friendly layout, and an expanded online store.  Whether you want to browse our products and services or explore case studies on our blog, our… read more →

Seif & Associates Anatomy & Physiology Handbook!

Seif & Associates Anatomy & Physiology Handbook!
Contact us via email, twitter, or facebook us for a complimentary copy of the Seif & Associates Anatomy & Physiology Handbook! A broad-based overview of anatomy and common medical issues, this fully illustrated professional litigation tool is a catalog of our generic exhibits, designed to give some insight into the inner workings of the body as well to exemplify the… read more →

Case Study: Porcelain v. PFM Crowns

Case Study: Porcelain v. PFM Crowns
This case involved a female patient who presented for evaluation of a chipped tooth. The defendant recommended veneers on teeth #8 and #9. She prepared the patient’s teeth by grinding down and performing root canals on #8 and #9, but after completion of the root canals, the defendant opted to crown the teeth rather than place veneers. (more…) read more →

GoToMeeting Is Here!

GoToMeeting Is Here!
If you’ve worked with us recently, you may have noticed that we now offer GoToMeeting computer conferencing service. We are really excited about this new service as it allows our client and medical illustrator to effectively reach the final draft stage much more quickly. GoToMeeting is an online conferencing service that allows up to 15 people in 15 different places… read more →

Case Study: Cholecystectomy (Bile Duct Injury)

Case Study: Cholecystectomy (Bile Duct Injury)
This case involved middle-aged male who presented with multiple gallstones in the gallbladder, one of which was lodged in the gallbladder neck. The defendant performed a laparoscopic cholecystectomy on 10/23/06. Upon visualization of the surgical field, the defendant encountered multiple adhesions, which required tedious dissection. After decompression of the tense gallbladder, the defendant dissected the cystic duct and artery out… read more →

Case Study: Anastomotic Leak

Case Study: Anastomotic Leak
This case involved a middle-aged woman who was diagnosed with a villous adenoma in her cecum by laparoscopy and biopsy. During the subsequent laparoscopic hand-assisted hemicolectomy, the cecum was found to be attached to the omentum. There were no apparent complications. (more…) read more →

Film Reconstructions

Film Reconstructions
In an age where we are surrounded and inundated by technology and wondrous special effects daily, the benefits of animation and technology in the courtroom certainly cannot be ignored. As an alternative to often-costly and time-consuming 3D animations, recently, we have become excited about the expanding possibilities of animating DICOM radiology image reconstructions for use in the medical malpractice defense… read more →

Case Study: Spinal Accessory Nerve Transection

Case Study: Spinal Accessory Nerve Transection
This unique case involved a female plaintiff with a history of right-sided shoulder and back pain. She presented to the defendant for evaluation of an enlarged, non-painful, right-sided posterior cervical lymph node, which she had noticed approximately 6 months earlier. The node was 1.5 x 1.5 cm and easily palpable along the border of the trapezius muscle; an ultrasound revealed… read more →

2D vs. 3D

2D vs. 3D
Animations can be a valuable tool in the courtroom. In some cases, movement can be crucial to the explanation of key concepts, and this is something that only an animation can truly achieve. Subsequently, our proposal strategists suggest animations in situations where we think they will be the most effective – in some cases even more effective than static boards.… read more →

Case Study: Ureter Injury

Case Study: Ureter Injury
Generally speaking, gynecologic surgery accounts for over 50% of all ureteral injuries resulting from operations. Hysterectomy of any type is usually a safe procedure, but any surgery has risks, such as blood loss, blood clots, infection, damage to surrounding organs, and reactions to anesthesia. Surgery involving the organs in the pelvis puts the surrounding organs at risk of injury at… read more →

Health Literacy’s Impact

Health Literacy’s Impact
Health literacy is defined as ‘The degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions.’ Beyond simply the ability to read, health literacy requires a patient to listen and analyze information about their health in order to make an informed decision. (more…) read more →