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Oncology Expert Witness Report

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To whom it may concern: I am responding to your request to review the records that you electronically provided of Ms. M’s medical course and treatment in regard to the squamous cell carcinoma of the left inner ear that was diagnosed at ***** Hospital in NY in July 2011. These records were sent to me as electronic files:

1. Radiology Reports from Imaging Center ****
2. Metropolitan, Hospital Metropolitan, and Services *****
3. Medical Records from ***** **** Medical Center
4. Medical Records from ****** Medical Center
5. Department **** Medical Records
6. Laboratory Reports
7. 4/19/2011 MRI
8. 1/26/11 CT, 3/17/2011 CT
9. Complaint

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Oncology Expert Witness Report

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Re: Jane Smith – Sample report – NY / NJ Expert

To whom it may concern:

I am a licensed and board-certified physician in internal medicine and oncology and eligible in Hematology. In the course of my career, I have been involved in clinical research and treatment of patients and had been chief or directory of divisions of Hematology in four institutions, including in a medical school. I developed clinical research programs in two institutions. I am licensed in NY and NJ. I am certified by the American Board of Utilization Review and Quality Assurance and have been in practice since 1990.

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Cancer Pain Management Negligence

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Safe and effective chronic opioid therapy for chronic cancer-related pain requires clinical skills and knowledge in both the principles of opioid prescribing and on the assessment and management of risks associated with opioid abuse, addiction, and diversion. Although evidence is limited in many areas related to use of opioids for chronic non-cancer pain, several guidelines provide recommendations developed by a multidisciplinary expert panel after a systematic review of the evidence.

Generally, narcotics are not the only modality that can be used to treat pain. Adjuvant therapies together with narcotics can be very helpful. For example, steroids and non-steroidal anti-inflammatory drugs, such as ibuprofen(Advil) can reduce the inflammation associated with tumors pressing on tissues, and certain anti-depressants and anti-seizure drugs can modify how the brain perceived pain and lessen it. There are also procedures, such as nerve blocks, that can be helpful when pain is localized.

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