Testimonials – Bouncebacks Medical and Legal

Bouncebacks is a medicalegal thrill ride! The authors have created a tremendously educational integration of medical facts and legal orientation intertwined with medical expert and deposition testimony including viewpoints of the actual plaintiff and defense attorneys involved in the litigation. This is a fast, educational and enjoyable read.
Dan Sullivan, MD, JD
Associate Professor of Emergency Medicine, Rush Medical College
Past president, Illinois Chapter of the American College of Emergency Physicians (ACEP)
Editor, ACEP’s Emergency Medicine Risk Management, 2nd edition
Founder, The Sullivan Group

The cases of this book are frightening and feel awfully close. Because each feels like it could be mine tomorrow, the book does much more than entertain. The book is real, it is emotional, it is technical, and it is educational – it should be mandatory reading for every practicing emergency physician. I still feel bad for the patients as well as the doctors in the situations, but hearing their tales made me better. There are lessons that I am taking away. This is an advanced course, written for skilled doctors who need to identify the unusual cases, recognize the rare events, and make great diagnoses based on subtle symptoms. It is a harsh reminder about how tough and uncertain the malpractice system is, but we do not need a reminder of that – fear is a powerful motivator. Congratulations to the authors for an important book. It is still resonating with me.
James G. Adams, MD
Professor and Chair, Department of Emergency Medicine Feinberg School of Medicine
Northwestern University, Northwestern Memorial Hospital

“Riveting” is not a term I would typically use in describing a medical text, much less a medical-legal text. However, Weinstock and Klauer have indeed created a book that is not just educational, but also an enjoyable read. The authors do a literal postmortem exam on ten malpractice cases, focusing on medical records, trial transcripts, recollections of patients, family members and physicians, as well as commentaries by involved attorneys and expert witnesses from both sides. In addition, medical and legal experts not involved in the cases, provide guest commentary. Although written with emergency physicians in mind, physicians from all specialties would benefit from these in-depth analyses of selected medical malpractice cases.

Richard Nelson, MD, FACEP
Professor Emergency Medicine and Vice Chair, Clinical Affairs
TheOhioStateUniversityCollegeof Medicine
Columbus,Ohio

I loved this book.  Not only do the authors provide an education on malpractice law and risk management, but they do it in the way doctors learn best – through the eyes of their colleagues and patients.  Each case is a study in humanity, walking in the shoes of both the provider and patient from the first symptom to trial.  The commentary by the authors and other noted experts is in the voice of a learned colleague mentoring another.
Cases read like a Sherlock Holmes story, and for good reason. Sherlock Holmes was a fictional character invented by a physician who wrote stories to raise money while starting his practice.  How the famed detective thinks is how physicians think – sorting through a stream of clues to find which ones are incidental and which ones critical. Don’t forget Sherlock’s famous line that when you have eliminated the impossible, whatever remains, however improbable, must be the truth.  These cases reinforce that sage wisdom. In the end, we live to do what is best for our patients; knowing how to spot key clues to their illness makes us better physicians.

Ricardo Martinez, MD, FACEP
Associate professor of the Division of Emergency Medicine, Department of Surgery,
Emory University School of Medicine
Former Administrator of theNational HighwayTraffic Safety Administration (NHTSA)
Past Chairman of the Trauma Care and Injury Control Committee (ACEP)

Bouncebacks! is a fascinating and somewhat terrifying read. This phenomenal work allows you to vicariously experience and learn from some truly sad cases. Will this book help you to keep your butt out of court? Absolutely!
But of far more importance, it will help you avoid errors and better protect your patients.

Scott Weingart, MD FACEP
EMCrit Podcast
Associate professor and the Director of ED Critical Care
Mount Sinai School of Medicine
New York, NY

One of the most unique and illuminating books I have read on the subject. The evaluation of both the Medical and Legal Aspects of representative cases will have great value for patients, physicians and lawyers. Science and Art may have truth at their base; Law is more interpretive and  subject to opinion. By combining the two, Drs Klauer and Weinstock will help reduce malpractice claims while improving medical care and saving lives.

Bruce Hensel, MD, FACEP
Chief Health, Medical and Science Editor and Correspondent for NBC4
Clinical professor of Emergency Medicine at UCLA
Boarded in Internal medicine and emergency Medicine

“Bouncebacks” is back – and it’s really catching on.   Using a format borrowed from television’s popular “Law and Order” series, Drs. Weinstock, Klauer, and Henry lead us from start to finish through a series of actual malpractice claims against emergency physicians.  Their candid discussions, with guest commentary by some of the sharpest medical and legal minds of our time, are chock-full of pearls for the practitioner.  Bouncebacks manages to simulate, more than any other written work that I have seen, the fertile learning environment of an expertly run mortality and morbidity conference.

Stuart P. Swadron, MD, FRCPC, FAAEM, FACEP
Vice Chair for Education and Associate Professor
Department of Emergency Medicine
Los Angeles County/USC Medical Center
Keck School of Medicine of theUniversity of Southern California

Bouncebacks! Medical and Legal is the second offering of lessons in the practice of emergency care.  The authors extract the knowledge of a superstar panel of experts to provide insight into bad outcomes on the medical and legal aspects of a variety of malpractice cases.  They offer great insight into the anatomy, physiology, and toxicology of emergency medical care.  With each case, there is acknowledgment of the breadth and depth of the specialty, the temporal demands of care, and the necessity of an organized approach.

The authors offer fabulous insight into why “bouncebacks” are the friend of emergency care; because the challenges of diagnosis are so profound, the second visit offers an opportunity for the patient to clarify the symptoms and signs, and allow the emergency physician to more precisely determine a safe and effective disposition.

In the world of firefighting, the incident commander is required to take a look beyond the 360 degree approach, and consider the 6 sides of an emergency situation (what is going into the air, and what is going into the ground).  Bouncebacks! Medical and Legal offers the reasons why emergency physicians need to be able to take an equally expansive look into the medical and legal aspects of patient care.  This book is a must read for emergency physicians, and those who aspire to be emergency physicians.

James J Augustine, M.D.
Director of Clinical Operations, EMP Ltd,Canton,Ohio
Assistant Clinical Professor
WrightStateUniversity, Department of Emergency Medicine
Executive Editor, ED Management
Former Medical Director and Assistant Fire Chief, Atlanta Fire Rescue Department and the District of Columbia Fire and EMS Department

Bouncebacks offers a novel and compelling method of teaching emergency physicians to identify, prioritize and avoid “missing” high risk presentations.  There are already many highly regarded texts and other curricula focused on the clinical diagnosis and treatment of ambiguous, but potentially lethal cases, but few deal directly with the psychological environment faced by the emergency physician and staff.   These professionals encounter multiple competing agendas for their attention.  What can they do proactively to avoid stimulus fatigue and other human heuristic responses that may mask a high risk process?
Weinstock and Klauer address this conundrum with an effective instructional approach–the use of salient, real case studies from the emergency environment.  They then extract from these cases a set of prospective actions, thought questions and behaviors to reduce latent diagnostic errors.   Their focus is on one major subset of risky presentations–the bounceback, that is, the patient returning to the emergency department after prior discharge.  The authors raise the bar by asking the reader to be concerned not just with avoiding litigation, but on becoming a better physician as well.  As they remind us, “just because you didn’t get sued, doesn’t mean you did the right thing by the
patient”.
Any physician desirous of improving patient outcomes while reducing risk will find Bouncebacks a useful practical acquisition to their training library.

Robert E. “Bob” Sweeney, DA, MS
CEO, Challenger Corporation

Bouncebacks! is masterful blend of everyday cases, actual court transcripts, educational pearls and of course Greg Henry’s notorious wit. This is a must read for those of us in the pit. I simply could not put the book down and am already looking forward to the next edition!

Ghazala Sharieff, MD, FACEP, FAAEM
Director of Pediatric Emergency Medicine
Palomar-Pomerado Health System/California Emergency Physicians
Clinical Professor, University of California, San Diego

This is a book that if read periodically throughout one’s EM practice career has the potential to save lives and prevent countless hour of physician angst. As medical record digitalization alters ED team workflow, it also reminds us of the pitfalls of miscommunication and/or obscured communication between the members of the ED team.

Ronald Hellstern, MD, FACEP
Principal & President of Medical Practice Productivity Consultants
Dallas, Texas

This is a very readable set of cases that combine real clinical cases with their medical and legal outcomes. The style combines wisdom with medical issues in a format that keeps the reader’s attention. These cases nicely combine the inputs into a medical-legal case from the medical, expert review, jury and attorney perspective – a great combination.

Neal Little
Clinical instructor, University of Michigan Medical School
Co-author, Neurologic Emergencies: A Symptom-Oriented Approach, 2nd Ed.
Co-presentor, Medical practice risk assessment: Continuing medical education for Emergency Physicians

This edition of Bouncebacks is even better than the first. The cases are engaging, true to life and applicable to emergency medicine physicians everywhere. As a recent graduate experiencing the “real world” for the first time, it is reassuring to know that even the best physicians at times make mistakes, and more importantly, that we are all able to learn from them. This book has made me think differently about the way I practice, the way I document and how I treat patients and their families in the emergency department. Thank you for providing such a dynamic read – you definitely know your audience.

Veronica Vasquez, MD
Assistant Professor of Emergency Medicine
Director, Quality Assurance
Department of Emergency Medicine
LAC+USC Medical Center

Urgent care TESTIMONIALS:

Compelling, enjoyable and easy to read.  I found myself trying to guess the outcomes as the cases were presented.  The teaching points are memorable.  This is an indispensable book for any clinician who is responsible for taking care of walk-in patients. Congrats!

Jill Miller, MD

Board certified Internal Medicine and Pediatrics

Senior ClinicalInstructorCaseWestern ReserveUniversity,

Staff Attending, Chagrin Highlands Urgent Care,UniversityHospitalsof Cleveland

“Bouncebacks” is an absolutely innovative and provocative take on the traditional morbidity and mortality conference.  The legal analysis is both dramatic and realistic, expertly woven into the clinical discussion.  The format demystifies medical liability and highlights the difference between the legal “standard of care” and a “guarantee against harm”.   Perhaps most important, each case illustrates the perils of judgments and assumptions and their ability to cloud medical decision-making.  Just the right amount of humor keeps it accessible and enjoyable to read.  Ideal for all urgent care, emergency medicine and primary care providers.  Should be required reading for all physicians-in-training.  Even better than the first “Bouncebacks” book.

Lee A. Resnick, MD

Editor-In-Chief, The Journal of Urgent Care Medicine (JUCM)

National Program Director, Fellowship in Urgent Care Medicine (UCAOA)

Assistant Clinical Professor, Department of Family Medicine

Immediate past president, Urgent Care Association of America (UCAOA)

University Hospitals Case Medical Center, Cleveland, OH

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