Complex Regional Pain Syndrome, TBI, Whiplash, Pre-Existing Injuries, and More: Doctor Insights for Attorneys

presented by NBI, Inc.
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Course Description

Gain Practical Insights on "Invisible" and Other Challenging Injuries

Cases with "invisible" injuries like TBI are some of the trickiest to prove - assuming they don't go misdiagnosed or undiagnosed completely. Furthermore, pre-existing injuries can add a whole new level of difficulty to even the most standard of injury cases. To be successful in identifying and handling these types of injuries, you need to see them as the experts do. In this program, doctor faculty will explore a variety of hard-to-prove injuries and share with you their unique insights on diagnostic tests, causation, medical controversies, and so much more. Get the medical knowledge you need to effectively argue your client's case in settlement negotiations and at trial - register today!

  • Learn how doctors differentiate between injuries resulting from trauma and degeneration due to aging.
  • Dig deep into the medical nuances of herniated discs: types of disc herniation, causes, etc.
  • Examine the accuracy and limitations of different tests that doctors use to diagnose TBI.
  • Anticipate when an injury is the trigger for complex regional pain syndrome.
  • Discover what really goes on at the IME so you can better prepare clients for the examiner's tactics.
  • Get practical tips for confronting experts whose opinions are not supported by the medical evidence or sound methodologies.


All times are shown in Eastern time

  1. Pre-Existing Injuries and Conditions
    10:00 - 10:45, Robert J. Kasieta
    1. New Injury vs. Aggravation vs. Recurrence
    2. Aggravation vs. Exacerbation
    3. Differentiating Injuries vs. Degeneration/Aging
    4. Pre-Existing Condition vs. Pre-Disposition
    5. Complications From Pre-Existing or Co-Occurring Medical and Psychological Conditions
    6. Reviewing Reports to Differentiate Pre-Existing Injuries
    7. Objective vs. Subjective Findings
    8. Medical vs. Legal Standard of Causation
    9. Temporary vs. Permanent Aggravation
    10. Apportioning Aggravation From Pre-Existing Conditions
  2. Spine Injuries and New vs. Degenerative Disc Issues
    10:45 - 11:30, Douglas R. Horn
    1. Spinal Stenosis, Cauda Equina Syndrome, and Spinal Cord Syndromes
    2. Disc Pathology - Bulges, Herniations, and How to Tell Whether Acute or Chronic
    3. How All Herniated Discs Are Not the Same: Impingement, Radicular Pain, Annular Tears, Fissures, etc.
    4. Pre-Existing Degenerative Disc Disease
    5. Treatment and Spinal Surgeries
  3. Traumatic Brain Injuries and Post-Concussion Syndrome
    11:45 - 12:45, Dr. Lauren Rasmussen
    1. Brain Anatomy and Terminology
    2. Diagnosing TBI - Tools and Their Limitations
      1. GCS, Speech, and Language Tests
      2. Cognition and Neuropsychological Tests
      3. CT Scans and Advanced CT Techniques
      4. MRI: Conventional Techniques vs. DTI, SWI, etc.
      5. ICP Monitoring
    3. What Objective Evidence Can be Used to Rule out TBI?
    4. Interplay of Psychological Conditions and TBI
    5. Measuring TBI: Mild vs. Moderate vs. Severe
    6. Prognosis and Treatment
  4. Whiplash and Other Soft Tissue Injuries
    1:15 - 1:45, Robert J. Kasieta
    1. Crash Course on Soft Tissues
    2. Diagnosing Soft Tissue Injuries: Objective and Subjective Tests
    3. Injuries to Discs and Spinal Nerve Roots
    4. Whiplash - Definition and Diagnostic Criteria
    5. Assessing the Severity of Soft Tissue Damage
    6. Chronic Pain and Soft Tissue Injuries
    7. The Malingering Question
  5. Complex Regional Pain Syndrome (CRPS/RSD)
    1:45 - 2:30, Douglas R. Horn
    1. The Science of Pain
    2. Understanding CRPS and Other Pain Syndromes
    3. Testing and Diagnosis
    4. What Objective Evidence Can be Used to Rule out CRPS?
    5. Identifying the Cause
    6. CRPS vs. Arthritis and Other Conditions
    7. Assessing the Severity and Duration
    8. Treating CRPS
  6. MVA Injuries: Blowout Fractures, Facial Fractures, Crush Injuries and Brachial Plexus Injuries
    2:30 - 3:00, Robert J. Kasieta
  7. IMEs and More: A Behind-the-Scenes Look
    3:15 - 4:00, Robert J. Kasieta
    1. Disconnect Between Doctors and Attorneys - Tips for Improving the Way You Communicate and Work with Medical Providers
    2. Medical Records - Things You May be Missing
    3. Deciphering Medical Bills and Diagnosis Codes
    4. What Doctors Need You to Know About IMEs
    5. How to Respond/Argue Against an IME Doc's Bad/Harmful Reports
    6. Admissibility of Opinions: What Doctors Understand About the Rules of Evidence
    7. Issues/Questions/Impeachment of Diagnostics, Subjective Testing, Dating of Injuries
  8. Legal Ethics
    4:00 - 5:00, Robert J. Kasieta
    1. Conflicts of Interest
    2. Competence
    3. Confidentiality and Privilege
    4. Candor and Fairness
    5. Ethics of Compensating and Preparing a Witness
    6. Fees and Handling Client Funds
    7. Ethics of Advocating for a Party vs. the Medicine

Who Should Attend

This program is designed for attorneys. Insurance professionals and paralegals may also benefit.

Additional Information

Training Provider: NBI, Inc.

Course Topics: Law Training > Personal Injury

Training Course Summary: Complex Regional Pain Syndrome, TBI, Whiplash, Pre-Existing Injuries, and More: Doctor Insights for Attorneys

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