The Case That Built Case Veritas: What Was Found on Page 340
Dr. Andrew Tisser, DO MBA & Gina Marra, RN LCSW LNC CLCP
Early in this work, an attorney called after he had already retained a different expert.
He had spent $11,000. The expert's report said the case was defensible. The attorney was not satisfied with the analysis. Something felt off to him clinically.
He sent the records as a second opinion.
What Was Found
The deviation was in the nursing documentation on page 340 of a 600-page chart. It was not in the physician notes. It was not in the discharge summary. It was a single flowsheet entry that showed a vital sign trend that, under the standard of care for that presentation, required escalation that never happened.
The original expert had not flagged it. Either they missed it or did not recognize its significance in context.
What This Case Illustrated
The attorney had already spent $11,000 to get an incomplete analysis. He spent additional money bringing in a second review afterward. That case could have been screened at intake for $1,000. The deviation would have been identified in week one. The expert would have been retained with that specific finding scoped into their opinion from the first call.
That experience is the foundation of the Case Veritas methodology. Not to replace expert witnesses. To make sure the right things are found before anyone is retained, and that when an expert is brought in they are working from a clinical roadmap instead of starting from scratch.
The Lesson That Does Not Change
The deviation is almost never in the summary. It is in the chart. The full chart, read by someone trained to know what they are looking for and where to look.
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