SERVICES
Medical Expert Consulting Services
for Stronger Cases
Dr. Goswami provides evidence-based medical expert consulting services to help attorneys clarify complex cases before litigation.
Her services, ranging from Medical Summary Reports and Causation Analyses to Standard of Care Reviews, Future Care Assessments, and IME Rebuttals, offer clear, objective insight that supports strategy, settlement, and case value.
Medical Summary Report
Medical Summary Reports offer a thorough, physician-level review based on the client interview, medical records, and relevant literature.
Unlike provider notes or specialty-specific summaries, these reports consolidate all relevant information into one document. They highlight the timeline of injury, treatment course, current impairments, and projected future needs, with supporting citations from peer-reviewed literature. Each report is structured for clarity and written in language accessible to non- clinicians.
Report Sections Include:
Introduction
Records Reviewed
Brief History of Events
Brief Review of Verbatim Records
Ongoing Medical Problems
Medical Charges to Date
Discussion
Future Medical Care and Costs
Summary
A causation report analyzes whether a specific event or exposure played a role in the onset or worsening of a medical condition. The report begins with a concise summary of the individual’s medical history and the incident in question, creating a clear framework for review.
The analysis considers pre-existing conditions, comorbidities, and other relevant risk factors to assess how the event may have contributed to the current presentation. Clinical findings are evaluated in the context of timing, progression, and plausibility.
Medical literature, clinical standards, and objective evidence are used to support conclusions. Alternative explanations and potential confounders are acknowledged and addressed.
This structured approach offers attorneys clear medical insight to inform causation arguments and guide case development.
Causation Analysis
A Standard of Care Review evaluates whether a healthcare provider’s actions were consistent with accepted medical standards within their specialty and the specific circumstances of the case. This analysis involves a detailed examination of the medical records, treatment decisions, and applicable clinical guidelines to determine if care was appropriate, timely, and consistent with professional norms.
Sample redacted reports are available upon request. Please contact us for details.
Standard of Care Review
A Future Care and Cost Report outlines the likely medical needs and associated expenses a person may face after an injury or illness. It provides a practical framework for understanding the long-term scope and cost of ongoing care.
The report includes expected treatments, therapies, medications, procedures, and supportive services based on the individual’s diagnosis, prognosis, and medical records. Duration of care, whether short-term, ongoing, or intermittent, is addressed, along with cost estimates based on current market rates and national pricing benchmarks.
The analysis reflects clinical expertise and is informed by relevant guidelines, data sources, and consideration of potential complications. These reports help clarify the medical foundation for future care planning and are frequently used to support case valuation and resolution.
Future Medical Care and Associated Cost
An IME Rebuttal Report offers a structured, physician-level review of an Independent Medical Examination. We provide a clear summary of the IME’s findings, followed by a focused medical analysis addressing areas that may benefit from further context or clarification.
This may include identifying gaps in clinical evaluation, variation in interpretation, or areas where additional evidence or updated guidelines could be relevant.
Independent Medical Exam (IME) Rebuttal
Frequently Asked Questions
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Physician-prepared reports cut through complex records to highlight key medical facts, what changed, why it matters, and what care is needed moving forward.
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The earlier, the better. Engaging a physician consultant during the pre-litigation/ pre-trial phase can:
Identify missing workups or overlooked diagnoses
Prevent unexpected medical challenges later in the case
Save attorney time by converting complex clinical information into concise, actionable insights
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Yes. While not every case directly involves the consultant’s clinical subspecialty, reports are based on peer-reviewed medical literature and evidence-based standards. For example, cases involving degenerative arthritis or spine disorders may reference orthopedic, rheumatology, and rehabilitation guidelines to assess causation and prognosis. When a matter requires deeper expertise, the consultant can recommend an appropriate subspecialist for expert testimony.
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Pre-existing conditions are among the most common challenges in personal injury cases. Pacific Northwest Medical MD Legal Consulting reviews prior imaging, medical history, and clinical notes to clearly distinguish baseline disease from changes caused or accelerated by injury. Reports address:
Whether the incident exacerbated or accelerated an existing condition
The degree of functional loss attributable to the trauma
Anticipated future medical needs compared to expected natural progression