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Bruises and Bones – When is it child abuse?

Assault, Blunt Force Trauma, Child AbuseBy Tara Godoy

Child abuse cases are emotionally driven for everyone involved. Expert review for both sides is imperative to ensure that the facts of the case are brought to light. The healthcare providers are emotionally connected to…

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Heroin Withdrawal and Intent {Mental Health/Toxicology}

Assault, Criminal Law, DUI, Homicide, Mitigation, Psych/Mental Health, ToxicologyBy Tara Godoy

“What symptoms of Heroin withdrawal would affect the defendant’s ability to form intent?” Heroin use is a common thread within the criminal system and can become relevant in cases where the defendant’s ability to form…

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What Constitutes GBI? {Assault/Trauma}

Assault, Blunt Force Trauma, Domestic Violence, Emergency Department, Missed DiagnosesBy Tara Godoy

I am often called to testify in assault cases in which great bodily injury is an enhancement. In these cases I try to determine the severity of the injury based off of the medical records…

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Dismissing DUI Blood Draws {DUI/Gen Med}

DUI, ToxicologyBy Tara Godoy

I just got back from the DUI Defense Lawyers Association’s Mile High Summer Seminar 2016 in Denver where I presented on Medically Acceptable Blood Draws. The case law for this issue is from Cuevas and…

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Detecting Methamphetamine : Toxicology Time Window

Criminal Law, ToxicologyBy Godoy Medical Forensics, Inc.

Detection Time of Methamphetamine: Compared to cocaine, methamphetamine’s effects can be more intense and last longer. The half-life for methamphetamine (the time period required for the body to decrease the blood level of methamphetamine by…

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Concentration and Metabolites: Methamphetamine

Criminal Law, ToxicologyBy Godoy Medical Forensics, Inc.

Blood concentrations for methamphetamine use as a prescribed medication are typically in the range of .02-.05 mg/L for a person taking methamphetamine prescribed for attention deficit disorder, weight loss or narcolepsy.  Drug abuse with methamphetamine…

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Methamphetamine: Screening

Criminal Law, ToxicologyBy Godoy Medical Forensics, Inc.

Screening: Methamphetamine is typically detected through urine and blood screens that offer positive or negative (“qualitative”) results. A positive result on a screen often leads to a confirmatory test that will use more sophisticated laboratory…

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Meth: What triggers a drug screen?

DUI, ToxicologyBy Godoy Medical Forensics, Inc.

Methamphetamine use has physical manifestations that heighten suspicion of use and lead to a drug screen. The category of stimulants, which includes methamphetamine, methylphenidate and cocaine, all produce dilation of pupils and the pupils appear…

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Medical Records Review: Abbreviations

Civil Law, Criminal LawBy Tara Godoy

The last thing I want to cover is abbreviations. Reading a doctor’s handwriting alone is hard enough, and it is so much harder if it’s filled with unknown abbreviations. It is literally impossible to understand…

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Medical Records: Complications & Procedures

Assault, Blunt Force Trauma, Civil Law, Criminal Law, Malpractice, Mitigation, Surgical proceduresBy Tara Godoy

For more information on the hospital course, other documents to look for include: Operative reports: These are generated if the patient undergoes any surgeries, and a separate report will be generated for each operation. Look…

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Medical Records Review: Emergency Dept.

Assault, Blunt Force Trauma, Civil Law, Criminal Law, Emergency Department, EMS, MalpracticeBy Tara Godoy

When performing a medical records review, if you’re looking for a list of injuries, as you commonly are in criminal law, you will look at the emergency department (ED or ER) reports and/or the ambulance…

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Medical Records: Where to Start

Civil Law, Criminal LawBy Tara Godoy

If you’re looking for the “story” of how the patient entered the hospital and what happened while he/she was there, go to the Discharge Summary (Caution: This is different than the Discharge Instructions, which are…

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