Evan Campbell DX PDF

Summary

This document contains expert testimony from Evan Campbell, a medical doctor. The testimony details the neurological examination of Mrs. Chen. It focuses on the diagnosis and treatment of a concussion, with details of initial injuries, neurological examination, and her symptoms, including prolonged symptoms potentially related to post-concussion syndrome.

Full Transcript

Evan Campbell DX I. Intro, Background, Laying Foundation of Expert Testimony Q: Good morning, Dr. Campbell, please introduce yourself to the members of the jury and spell your last name for us: A: Good morning, my name is Evan Campbell, my last name is spelled C-A-M-P- B-E-L-L Q: What do you...

Evan Campbell DX I. Intro, Background, Laying Foundation of Expert Testimony Q: Good morning, Dr. Campbell, please introduce yourself to the members of the jury and spell your last name for us: A: Good morning, my name is Evan Campbell, my last name is spelled C-A-M-P- B-E-L-L Q: What do you do for a living? A: I am a medical doctor and the Chief of Neurology. (Z 60) Q: Where do you work as the Chief of Neurology? A: I work at Nita General Hospital. Where did you go to school? A: I received my bachelor’s degree from the University of California, Berkeley, and my master’s degree from the University of Nita. [Z 60] Q: Where did you go to medical school? A: I graduated from the University of Nita’s medical school twenty years ago. [Z 60] Q: Did you complete any fellowships? A: Yes, I did a fellowship at the American College of Sports Medicine, as well as the American Association of Neurological Surgeons [Z 60] Q: What if any, are your specialties as a doctor? II. Experience Q: How long have you been a Doctor? A: I have been a doctor for 20 years (I got my MD in 2004) Evan Campbell DX Q: Did you review any documents in preparation for your testimony today? A: Yes. I reviewed Mrs. Chen’s medical records and my own reports that I have written for Mrs. Chen. Your honor at this time the Plaintiff would like to tender Dr. Campbell as an expert III. The First Evaluation Q: Doctor Cambpell, please explain to the members of the jury why you are here today? A: I was the doctor who conducted neurological examinations on Mrs. Chen and treated her while she was in the hospital. I also monitored her treatments after she was discharged from the hospital. [Z 57, line 20-21, 36-37; Z 58, line 1-2] Q: Based on your review of the records, why was Mrs. Chen first brought to the hospital? A: She was brought in because she was struck in a crosswalk by a car, and she suffered serious injuries. [Z 57, lines 10-15] Now, I would like to first discuss your involvement with Ms. Chen. Q: When did you first examine Ms. Chen? A: I examined Mrs. Chen on September 6. [Z 57, lines 14-21] Q: What kind of injuries did Mrs. Chen suffer from? A: The doctors that first treated her in the emergency room determined she had a fractured pelvis, a strained knee, a head injury that required stitches. [Z 55, lines 20-22; Z 57, lines 15-18] Q: How did you become involved with Mrs. Chen’s care? A: The doctors in the emergency found that Mrs. Chen had a concussion and asked for me to conduct a neurological exam. [Z 57; line 20-21] Evan Campbell DX Q: What did you check for during your examination of Ms. Chen? A: A variety of things. I checked for mental status, balance, speech, reflexes, and vision. [Z 57, lines 21-22] Q: What were the results of the examination? A: I found that Mrs. Chen suffered from a moderate concussion and mild traumatic brain injury. [Z 57, lines 22-23] Dr. Campbell, let's discuss those diagnoses one at a time. Q: What is a mild traumatic brain injury? A: A mild traumatic brain injury is a head injury that temporarily disrupts brain function, often caused by an impact to the head. Q: What symptoms do patients who have suffered from a mild traumatic brain injury experience? A: Symptoms include headache, dizziness, confusion, and memory issues. Q: What is a moderate concussion? A: A moderate concussion is a type of mild traumatic brain injury with more pronounced or prolonged symptoms. Recovery can take weeks or months. Q: Do you know what caused Mrs. Chen’s brain injury? A: It was caused when Mrs. Chen was hit by a car while she was walking in a crosswalk. [Z 57, lines 10-12] Q: What symptoms did Mrs. Chen experience because of this brain injury? A: Mrs. Chen experienced severe headaches. Because of those headaches I prescribed acetaminophen. [Z 57, lines 24-26] Evan Campbell DX Q: Was Mr. Chen experiencing any symptoms when she was discharged from the hospital? A: She was experiencing headaches and brain fog. She continues to experience headaches Q: So, Dr. Campbell, Mrs. Chen was not fully recovered when she was discharged from the hospital? A: No. There is no exact timeline for concussion recovery—many recover within weeks, but symptoms can persist longer for some. Q: Please explain to the members of the jury how symptoms of a concussion can persist? A: Some patients experience post-concussion syndrome. Q: What is post-concussion syndrome? A: Post-concussion syndrome is when concussion symptoms persist after the initial injury. The exact cause isn't fully understood, but it often requires ongoing management and treatment. [Z 58, lines 22-28] Q: Did Mrs. Chen have to do any of these requirements? A; Yes. I recommended that she follow up with a Neurologist once she was discharged. [Z 57, lines 31-37] Q: Do you know if Mrs. Chen followed your recommendation? A: Yes! She had her follow up appointments with me. I have continued to monitor Mrs. Chen since her accident. [Z 57, lines 35-37; Z 58, lines 1-2] Q: In your continued treatment of Mrs. Chen did you form an opinion about her prognosis? Evan Campbell DX A: Yes. I determined that Mrs. Chen was suffering from post-concussion syndrome. As a result, there are issues that could arise later in her life because of her concussion. Q: How certain are you that Mrs. Chen suffers from post-concussion syndrome? A: With a reasonable degree of medical certainty I can say that Ms. Chen is currently suffering from post-concussion syndrome. Q: Please explain to the members of the jury how someone can fully heal from post-concussion syndrome? A: There are different cognitive and physical exercises, psychotherapy and medication that can help but it may never resolve entirely. [Z 58, lines 27-28] Q: Dr. Campbell, do you have an opinion on whether Mrs. Chen’s symptoms resolve? A: There is no guarantee. I am hopeful with treatment that her symptoms will resolve over time but it is possible that they may never resolve.

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