Insights
Clinical insights and practical guidance for plaintiff attorneys navigating medical malpractice cases.
Showing 29 posts
Dr. Andrew Tisser, DO MBA & Gina Marra, RN LCSW LNC CLCP
Many states require a physician to certify the merit of a medical malpractice claim before or shortly after filing. Here is how independent pre-litigation screening supports that process.
Read MoreDr. Andrew Tisser, DO MBA & Gina Marra, RN LCSW LNC CLCP
AI tools identify what happened. They cannot tell you whether it should have happened differently. The standard of care question requires clinical judgment, not algorithms.
Read MoreDr. Andrew Tisser, DO MBA & Gina Marra, RN LCSW LNC CLCP
Medical expert witnesses charge between $350 and $500 per hour for file review. The median upfront retainer is $2,000. And in the majority of cases they review, they find no basis for a claim.
Read MoreDr. Andrew Tisser, DO MBA & Gina Marra, RN LCSW LNC CLCP
There is a well-documented problem in clinical diagnosis that medical literature calls anchoring bias. Most screening services do nothing to protect against it.
Read MoreDr. Andrew Tisser, DO MBA & Gina Marra, RN LCSW LNC CLCP
The single most expensive mistake in plaintiff-side medical malpractice practice is committing to a case before the fundamental clinical questions have been answered.
Read MoreDr. Andrew Tisser, DO MBA & Gina Marra, RN LCSW LNC CLCP
When an attorney describes a clinical scenario, the legal instinct is to evaluate the narrative. A clinical read starts somewhere else entirely.
Read MoreDr. Andrew Tisser, DO MBA & Gina Marra, RN LCSW LNC CLCP
The best plaintiff attorneys I know share one trait. They are brutally honest with themselves about what they do not know.
Read MoreDr. Andrew Tisser, DO MBA & Gina Marra, RN LCSW LNC CLCP
The plaintiff firm down the road from you is screening cases before they retain experts. They are not going to tell you about it.
Read MoreDr. Andrew Tisser, DO MBA & Gina Marra, RN LCSW LNC CLCP
You are going to spend money this year on a case that has no clinical foundation. Maybe you already have.
Read MoreDr. Andrew Tisser, DO MBA & Gina Marra, RN LCSW LNC CLCP
The cases most likely to collapse are not the ones with thin facts. They are the ones with the most emotionally compelling intakes.
Read MoreDr. Andrew Tisser, DO MBA & Gina Marra, RN LCSW LNC CLCP
Here is the clinical read that happens in the first fifteen minutes of reviewing a medical malpractice chart.
Read MoreDr. Andrew Tisser, DO MBA & Gina Marra, RN LCSW LNC CLCP
You have a case with four months left on the statute. The records are voluminous. What do you do?
Read MoreDr. Andrew Tisser, DO MBA & Gina Marra, RN LCSW LNC CLCP
Every objection attorneys raise to pre-litigation screening has an answer. Here they are.
Read MoreDr. Andrew Tisser, DO MBA & Gina Marra, RN LCSW LNC CLCP
Somewhere in your market right now, a plaintiff attorney is twelve months into a case that was never going to file.
Read MoreDr. Andrew Tisser, DO MBA & Gina Marra, RN LCSW LNC CLCP
You are not qualified to decide if a medical malpractice case has merit. Neither is anyone else, without reviewing the chart.
Read MoreDr. Andrew Tisser, DO MBA & Gina Marra, RN LCSW LNC CLCP
The deviation was on page 412. Not in the physician notes. Not in the discharge summary. Not anywhere an attorney reading for the highlights would find it.
Read MoreDr. Andrew Tisser, DO MBA & Gina Marra, RN LCSW LNC CLCP
Last year you spent money on a case that did not file. You know the number.
Read MoreDr. Andrew Tisser, DO MBA & Gina Marra, RN LCSW LNC CLCP
This post is for the attorney who is really good at personal injury and occasionally takes a medical malpractice case because the intake looked too strong to pass on.
Read MoreDr. Andrew Tisser, DO MBA & Gina Marra, RN LCSW LNC CLCP
There is a version of the hard call that happens at month two. Then there is the version that happens at month eighteen.
Read MoreDr. Andrew Tisser, DO MBA & Gina Marra, RN LCSW LNC CLCP
You know the feeling. You are reviewing records at 9pm. Something is wrong in this chart. You cannot articulate it clinically but you cannot shake the feeling.
Read MoreDr. Andrew Tisser, DO MBA & Gina Marra, RN LCSW LNC CLCP
Here is the truth about pre-litigation clinical screening that nobody says plainly. You already know you need it.
Read MoreDr. Andrew Tisser, DO MBA & Gina Marra, RN LCSW LNC CLCP
Let us talk about what a bad med mal case actually costs a plaintiff attorney. Not the expert fee. The whole number.
Read MoreDr. Andrew Tisser, DO MBA & Gina Marra, RN LCSW LNC CLCP
Large plaintiff firms have in-house nurses on staff. Solo attorneys and small firms do not have that.
Read MoreDr. Andrew Tisser, DO MBA & Gina Marra, RN LCSW LNC CLCP
Here is the clinical checklist that should be run on every potential medical malpractice case before expert retention is considered.
Read MoreDr. 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 said the case was defensible. Something felt off.
Read MoreDr. Andrew Tisser, DO MBA & Gina Marra, RN LCSW LNC CLCP
There is one question that determines whether most medical malpractice cases are viable. Not what went wrong. What was knowable at the time.
Read MoreDr. Andrew Tisser, DO MBA & Gina Marra, RN LCSW LNC CLCP
Emergency medicine cases are the cases most likely to be misread at intake. In both directions.
Read MoreDr. Andrew Tisser, DO MBA & Gina Marra, RN LCSW LNC CLCP
Five things plaintiff attorneys learn after their first bad med mal retain. Usually the expensive way.
Read MoreDr. Andrew Tisser, DO MBA & Gina Marra, RN LCSW LNC CLCP
Here is exactly what is offered and what it costs. Dual review by a board-certified emergency physician and a licensed legal nurse consultant.
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