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Item #exh61553b — Source #1136
|Coronary Artery Stenosis with Placement of Multiple Stents - Medical Illustration, Human Anatomy Drawing
|Discontinuation of Anticoagulant Medication with Subsequent Thrombus Formation|
This exhibit begins with one cut-away view of the LAD illustrating the post-operative condition with multiple stents in place. Small colored dots depict the anticoagulant medication flowing through the blood through the newly opened lumen. Text describes how this medication prevents clot formation. An inset view of the heart will allow us to note that there was good cardiac function with stents in place prior to the discontinuation of anticoagulant medication. Next, a series of additional cut-away views of this vessel illustrate the progression of the condition following the discontinuation of the anticoagulant medication. These images show the removal of the medication from the bloodstream, the initial formation of a small clot on the most proximal stent, the growth of this clot as additional platelets and fibrin accumulate and the evental growth of the clot into a large thrombus completely blocking bloodflow through the vessel.
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|"[Your staff] was extremely efficient, cooperative and gracious and [their]
efforts produced a demonstrative exhibit that we used effectively throughout
our trial. The jury verdict of $3,165,000.00 was, in no small measure, due
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David J. Dean
Sullivan Papain Block McGrath & Cannavo, P.C.
New York, NY
|"At 3 PM it hit me--I needed exhibits of a tracheostomy, a coronary artery
bypass and a deep vein thrombosis--all in time for a for-trial video
deposition the next day. The Doe Report had each exhibit on line. In
addition, I ran across an exhibit I hadn't even thought of: reduced ejection
fraction after a heart attack. Because this was a video deposition, I could
use the e-mail version of the medical exhibit, print it on my color copier,
and let the camera zoom in. For $400, less than one blow-up by one of The
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The Doe Report saved me time and money."
Tracy Kenyon Lischer
Pulley Watson King & Lischer
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exhibit quality. In fact, many of the doctors I work with request color
copies of your outstanding artwork to show to patients during the informed
Jeanne Dolan, BSRN, AlNC
Legal Nurse Consultant
Golden Valley, MN
|"Whether it's demonstrating a rotator cuff tear, neck movement a few
milliseconds after rear impact, or a proposed lumbar fusion, the Doe Report
represents an instant on-line database of medical illustration for
health-care and legal professionals.
Illustrations can be purchased 'as is' or modified within hours and sent
either electronically or mounted on posterboard. An illustration is worth a
thousand words, as juries perk up and look intently to capture concepts
that are otherwise too abstract. Start with good illustrations, a clear and
direct voice, a view of the jury as 12 medical students on day one of
training, and your expert testimony becomes a pleasure, even on cross
examination. An experienced trial lawyer should also emphasize these
illustrations at the end of trial, as a means of visually reinforcing key
As a treating physician, I also use these accurate illustrations to educate
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Richard E. Seroussi M.D., M.Sc.
Diplomate, American Boards of Electrodiagnostic Medicine and PM&R
Seattle Spine & Rehabilitation Medicine