9930 Johnnycake Ridge Rd, Suite 2G 44060
Concord, OH
44060 USA

New Standard in Stroke Treatment: What it Means for Hospital Liability

October 5, 2015

Stroke treatment and hospital liabiltiy

Until very recently, IV tPA was the only treatment shown in clinical trials to improve the prognosis of ischemic stroke. Patients are typically considered for tPA, a protein that breaks down clots, up to 4.5 hours after the onset of stroke. (more…)


Where Science Meets Law: Tips for Daubert Challenge Preparedness

September 16, 2015

Surviving a Daubert Challenge

The Daubert Standard is used by a trial judge to make an assessment of whether an expert’s scientific testimony is based on reasoning that is scientifically valid and can be properly applied to the facts of a case.  The Daubert standard is the test currently used in the federal courts and some state courts.




The Silent Witness: How Cameras are Changing our Legal System

August 28, 2015


It’s a reality of our time – cameras are everywhere.

Unless you haven’t watched or listened to the news in the past year, you have probably noticed the effect that cameras have had (whether they are surveillance, mobile phone or police cams) on collecting evidence from everything ranging from medical malpractice to police misconduct cases, and everything in between. The camera, something that observes yet makes no comments, is increasingly becoming a Silent Witness – a powerful and compelling means of evidence collection.


5 Reasons Attorneys Should Hire a Professional Expert Witness Service

August 21, 2015

Hiring a Strong Medical Expert Witness

We often receive frantic calls from attorneys who have hired an expert witness on their own, and discover that they, for any number of reasons, need to replace them – and fast! These calls typically happen when a case has progressed to the point where the expert opinion is now critical for the pursuit of the case, and the attorney has discovered an issue with the expert that will cause credibility problems or problems in qualifying the expert.



Certificate of Merit/Affidavit of Merit

July 2, 2015

Our Comprehensive Case Evaluation service is a simple and cost effective approach to meet your State requirements in the preparation of an Affidavit of Merit and/or Certificate of Merit While the requirements of the Affidavit of Merit/Certificate of Merit vary from State



How An Independent Medical Exam Can Help Legal Disputes

March 11, 2015

Independent Medical ExamAnIndependent Medical Exams is required in disability and personal injury litigation. When a claimant lists a physical or mental condition as part of a claim, many insurance policies require an Independent Medical Exam to be performed. The National Highway Traffic Safety Administration reports that 60,000 personal injuries occur each year due to truck accidents. Medical mistakes cause almost 100,000 deaths a year, and construction accidents cause 300,000 injuries.

A Bureau of Justice Statistics study found that tort and personal injury trials comprised almost 60 percent of 27,000 contract, tort, and real property trials nationwide in 2005.

Our experts can conduct an Independent Medical Exam for a legal dispute in areas including (but not limited to):

  • Pain Management
  • Orthopedics
  • Neurology
  • Physical Therapy
  • Occupational Therapy
  • Neuropsychology
  • TMJ Specialists
  • Psychiatry
  • Vascular Surgery
  • Plastic Surgery

An Independent Medical Exam can assist an attorney in the preliminary assessment of a case or legal dispute. In a personal injury or workers’ compensation case, a physician will evaluate the claimant’s wounds to determine if there is a relationship between diagnosis and the injuries. The physician can also tell an attorney the extent of permanent impairment or disability after an examination. A claimant’s attorney may suggest a different course of action in a legal dispute or case based on the results.

An Independent Medical Exam provides unbiased facts and opinions in legal disputes. Due to the high number of personal injury and disability claims, physicians often have a heavy workload. It is not uncommon for a doctor to make a mistake, or have a potential conflict of interest. An Independent Medical Exam is not vulnerable to claimant manipulation or falsities.

Our Experts can provide services that include (but are not limited to):

  • Second opinions
  • Peer evaluations
  • Chart reviews
  • Legal testimony
  • Functional capacity evaluations
  • Fitness for duty exams
  • Permanent impairment rating
  • Certified Disability Evaluations

Saponaro, Inc. offers Independent Medical Exams for your personal injury, worker’s compensation, or product liability litigation. Our board-certified Physicians posses a broad range of credentials and certifications in their respective specialties. We offer the most dedicated and experienced team of professionals who can assist in your legal dispute.

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Affidavit of Merit / Certificate of Merit

February 24, 2015

Affidavit of MeritSaponaro, Inc., has experts available to provide Certificate of Merit or Affidavit of Merit in all Medical specialties and sub-specialties including:

Physician’s Assistants
Nurse and Nurse Practitioners
Nursing Home personnel
Dental care

Saponaro, Inc. has been assisting medical malpractice attorneys throughout the United States with their Certificate of Merit and Affidavit of Merit requirements. We screen your case with the appropriately qualified physicians, matching certification for certification, and recommend the expert best suited to speak to the specific criteria of your case.  The experts we refer are available to support their opinions through deposition and/or trial.

We provide the expert’s curriculum vitae, hourly rate, and retainer requirement at the time of the referral.  We also provide replacement experts, for any reason, at no additional cost.

You work directly with the recommended expert, and pay the expert directly for their time involved in assisting on your case.

With over 40 years of experience let Saponaro, Inc., be the one call you make for all your Expert Witness Referrals.


Electronic Medical Records

February 17, 2015

RN Synopsis & Review & Electronic Medical Records

Electronic Medical RecordsPersonal Injury and Medical Malpractice cases can be overwhelming, complicated, & time-consuming, often requiring the thorough review of several years of medical records.

Now, with the use of electronic medical records, the ability to clearly decipher a patients care is even more challenging.

An experienced Nursing professional can save you hours of time by outlining injuries and medical issues, summarizing medical history, and establishing possible relationships to the current injuries and/or outcome of a case.

At Saponaro Inc., our Nursing professionals have extensive experience reviewing, organizing, and summarizing voluminous medical records in a clear and concise fashion.

The RN Synopsis & Review will:

  • Establish timelines and chronologies of events.
  • Clarify medical history prior to an injury in question.
  • Explain injuries related to an accident/malpractice.
  • Assist medical experts in analysis of the electronic medical records
  • Outline potential deviations and potential defendants.
  • Explain medical issues and terminology.
  • Recommend the type of Expert needed.
  • Conduct literature research.

Our highly qualified Nursing professionals will provide you with a straight-forward analysis of the medical records to help you pinpoint the pertinent issues of your case before you invest significant financial resources and non-billable hours on a case with a limited recovery value.

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Surgical Errors

October 30, 2013

Events that should never occur in surgery (“never events”) happen at least 4,000 times a year in the U.S., according to research from Johns Hopkins University.

The finding published in Surgery, is the first of its kind to reveal the true extent of the prevalence of “never events” in hospitals through analysis of national malpractice claims.They observed that over 80,000 “never events” occurred between 1990 and 2010.

They estimate that at least 39 times a week a surgeon leaves foreign objects inside their patients, which includes surgical items such as towels or sponges. In addition, surgeons performing the wrong surgery or operating on the wrong body part occurs around 20 times a week.1



How to Reduce Your Risk for Medical Malpractice

July 1, 2013

When a person enters a hospital or other medical facility, they do so expecting the highest standards of care, and to leave in better condition than they first entered. While no one enters a medical facility with the intent of being harmed, injuries still occur.

While it’s not possible to completely eliminate your risk for medical malpractice, you can take some steps to reduce your risks:

Research: Before scheduling a doctor’s appointment, take some time to do some research of your own. There are many websites out there that will tell you malpractice rates for any facility, as well as sites that provide records and reviews on individual doctors.

Observe for Cleanliness: When you arrive at the office or facility, look around. Is everything clean and sterile? Do you observe doctors and nurses washing their hands and following other proper medical procedures? According to MIT Technology Review, about 100,000 people have died due to hospital infections, some of which stemmed from doctors, nurses, and technicians not washing well enough.

Ask Questions: Is the doctor knowledgeable about your condition, and able to provide satisfactory answers? If you feel like your doctor doesn’t seem to know or care about your condition, find another doctor.

Most doctors carry medical malpractice insurance to protect themselves and the cost of their legal defense should a medical malpractice case come about. The plaintiff, on the other hand, will need to hire a personal injury lawyer. Lawyers on both sides will call medical experts to either confirm or deny that the doctor’s conduct and actions fell below the standard of care.

If you believe that you are a victim of medical malpractice, contact an attorney to find out whether or not you have a case.