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Case
Review, Expert Disclosure, and/or Written Report
- Initial Telephonic Case Consultation: This does not entail any
obligation-or-restriction regarding Dr. Pape's services.
- Formal Case Review: As available, review of case materials usually
includes (1) plaintiff's complain, (2) relevant reports such as
police - fire - EMA - ambulance - medical - autopsy - toxicology, (3) relevant
interrogatories and answers, (4) relevant witness statements and
depositions, (5) and expert disclosures or report.
- Expert Disclosure: Following the case review including materials such as
(1-5), the expert should actively participate in the preparation of any
required expert disclosure.
- Written Report: Again, following the case review including materials
such as (1-5), the expert should prepare any required written report meeting
the generally accepted and/or required obligations. In New Jersey and
Pennsylvania, this includes a full report that will satisfy or define the
four-corners of what is anticipated regarding expert testimony.
- Example: Toxic Torts or Product Liability
- Case Review-Disclosure-Written Report: Review should include (1-5,
see above), product and process-related information including MSDS
sheets and accident-safety-health-OSHA-other reports.
- Example: Positive Drug Test Results
- Initial Case Review: In addition to (1-5, see above), the expert
should consider available information regarding the
selectivity/specificity, sensitivity, and/or reliability of the
qualitative or quantitative drug test results. Detailed case-specific
discovery may be necessary. The expert should be consulted regarding
a request for disclosure of results-related foundation.
- Initial Case Review and On-going Consultation:
- The purpose of initial case review and on-going consultation is to
evaluate the case evidence and foundation for case-related allegation or
expert opinions.
- When Dr. Pape is engaged for the purpose of initial case review and
on-going consultation, this does not usually allow for the disclosure of
his identity, case opinions, or anticipated testimony. Dr. Pape is not
available to counsel representing other parties to the specific case
without prior permission and agreement. If Dr. Pape and counsel agree,
Dr. Pape can be retained following review and consultation.
- The usual practice is to bill a flat charge for case review and
on-going consultation.
- Expert Retainer:
- A retainer is required in order to name-associated-disclose Dr. Pape
as a consultant or expert witness.
- Billing:
- Dr. Pape will provide you with a description of his usually billing
practices. Estimates of minimum-maximum charges for different types of
charges are available on request.
- Questions:
- If you have any questions regarding these activities or
expert-relationships, please discuss them with Dr. Pape as part of your
initial telephonic case consultation.
Expert Witness
Testimony
Literature
Review & Related Services
Cross-examination of an Adversarial
Expert
To view, print or download a full
description of services, click here.
For more information regarding services,
call Dr. Pape at (800) 736-0503.
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Civil Matters:
Dr. Pape has testified in State and Federal Courts on a wide
range of issues relating to clinical, analytical, and forensic
toxicology. He has also consulted regarding risk assessment,
reliability of laboratory testing, and pre-trial evaluation of
expert testimony. Over the last 10 years, he has testified at
trial in approximately 50 civil cases.
Criminal Matters:
While most of Dr. Pape’s work involves civil litigation, he does
accept some cases that include review, consultation, and
potential testimony in criminal matters. The discussions of
topics relating to criminal charges on this website and in Pape
& Associates Newsletters are intended to assist attorneys
considering technical and scientific issues. The information
provided does not necessarily reflect Dr. Pape’s opinions or his
prior testimony.
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CASE CONSULTATION
An Illustration: Liquor Liability
  
CASE CONSULTATION: Even without testimony, an experienced liquor
liability expert can assist legal counsel. Consider the following
example case-assignments:
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Appraisal of the
qualifications-reputation-and-record of other available experts,
their charges, and case-assignments
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Evaluation of potential expert testimony and
anticipation of cross-examination with special emphasis on at least six
case-specific issues:
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Alcohol Concentration Test Results
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Total Alcohol Consumption
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BAC at the Time of Last Service
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Reported Appearance-Behavior-Demeanor
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Expected Effects Based on BAC
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Witness Testimony
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Strategic options including expert deposition and/or
voir dire, trial exhibits, and cross- examination.
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CASE CONSULTATION
An Illustration: Toxic Tort
Fact: The pharmacologist’s written report regarding the
effects of marijuana seemed a little contrived but
scientifically defensible … and he was very well qualified … and
he was an experienced expert witness. His “problem” was found on
the Internet:
Fact: An Internet search for the doctor’s name found over
100 references. Yes … you’re right … he was a member of the
Board of Directors of NORML, the National Organization for the
Reform of Marijuana Laws. He was clearly associated with the
group’s political, social, legislative, and scientific
positions.
Case: Dr. X … Sauna Man
The plaintiff’s case was relatively strong: She had been
in excellent health; she had no history of allergy or
immunologic deficiency; her acute chemical exposure due to a
misapplication of a solvent-pesticide aerosol was well
documented; and her acute-care medical records were consistent
with chemical intoxication. The experts disagreed regarding her
alleged residual immunologic deficiencies, multiple chemical
sensitivities, treatment recommendations, and long-term
prognosis.
Treatment became a big issue: The plaintiff’s treating
physician insisted on a clean house, a chemical-free diet, and
heat treatments. Defense counsel geared-up for trial including
the cross-examination of the plaintiff’s expert, a “clinical
ecologist”. The defense expert searched the Internet. Based on
the findings, defense counsel settled on a code-name for the
expert: Sauna Man.
Sauna Man was chosen as a code name for the expert
because of his prior medical opinions regarding clinical ecology
and chemical detoxification including the use of heat treatments
and water fasts. Unfortunately for the expert, his case-specific
prescription of therapeutic saunas contributed to putting him in
hot water.
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Finding – Retrieving – Reviewing –
Explaining – Applying
Scientific Reports
Given the case-specific facts and legal
issues, Dr. Pape will search-recover-review-and-summarize
relevant scientific literature and illustrate the application of
scientific studies to case analysis, the
formulation-presentation-defense of case opinions, and the
appropriate cross-examination of an expert witness
The consultation process is much more than
providing written materials and answering questions. The goal is to add to
your competence, confidence, and presentation of case-relevant scientific issues
… including your ability to effectively control the cross-examination of an
expert witness.
Call Dr. Pape to discuss your case and a potential assignment.
Example Literature Reviews:
Alcohol and Cycling
Accident
A comparative analysis of alcohol in fatal and
nonfatal bicycling injuries.
Bicycling is the leading
cause of recreational injury, resulting in more than half a million emergency
department visits and about 900 deaths each year in the United States. The fatal
cases were more likely than the nonfatal cases to have positive BACs (30% vs.
16%, p < 0.01) and to be legally intoxicated (i.e., BACs > or = 0.10%) (22% vs.
13%, p < 0.01). For both fatal and nonfatal cases, intoxication was more
prevalent among victims who were male, aged 20 to 39 years, or who were injured
at nighttime (7:00 PM to 6:59 AM). Bicyclists who died at the scene were four
times as likely as those who died at hospitals to be legally intoxicated (35%
vs. 9%, p < 0.02). Given a serious bicycling injury, intoxication was associated
with significantly increased likelihood of fatality, with an adjusted odds ratio
of 2.8 (95% confidence interval, 1.3 to 6.3).
Alcohol – Fatigue - MVA
Low levels of alcohol
impair driving simulator performance and reduce perception of crash risk in
partially sleep deprived subjects.
Mean blood alcohol
concentration on the alcohol night was 0.035 +/- 0.015 g/dL. Compared with
conditions during partial sleep deprivation alone, subjects had more microsleeps,
impaired driving simulator performance, and poorer ability to predict crash risk
in the combined partial sleep deprivation and alcohol condition. Women predicted
crash risk more accurately than did men in the partial sleep deprivation
condition, but neither men nor women predicted the risk accurately in the sleep
deprivation plus alcohol condition. CONCLUSIONS: Alcohol at legal blood alcohol
concentrations appears to increase sleepiness and impair performance and the
detection of crash risk following partial sleep deprivation. When partially
sleep deprived, women appear to be either more perceptive of increased crash
risk or more willing to admit to their driving limitations than are men. Alcohol
eliminated this behavioral difference.
Drugs – Impairment –
MVA
Psychoactive substance use
and the risk of motor vehicle accidents.
The main outcome measures
were odds ratios (OR) for injury crash associated with single or multiple use of
several drugs by drivers. The risk for road trauma was increased for
single use of benzodiazepines (adjusted OR 5.1 (95% Cl: 1.8-14.0)) and alcohol
(blood alcohol concentrations of 0.50-0.79 g/l, adjusted OR 5.5 (95% Cl:
1.3-23.2) and >or=0.8 g/l, adjusted OR 15.5 (95% Cl: 7.1-33.9)). High relative
risks were estimated for drivers using combinations of drugs (adjusted OR 6.1
(95% Cl: 2.6-14.1)) and those using a combination of drugs and alcohol (OR 112.2
(95% Cl: 14.1-892)).
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Case-decisions regarding deposition, voir dire, and
cross-examination at trial
Case-evaluation and case-strategy are two important considerations when an
attorney is deciding if-when-how to examine an adversarial expert. When
considering these and other case-specific options, counsel will usually benefit
from a discussion with an experienced liquor liability expert.
Expert deposition
There are at least three good reasons to consider deposing an expert:
- You know little or nothing about the expert’s approach to case-analysis and
his/her ability to defend the approach taken, case-assumptions,
case-calculations including BAC and TAC, and knowledge of and/or reliance on
scientific studies.
- You want to establish the nature, scope, and limits of the expert’s
case-analysis as presented in a written report and/or you want to “marry” the
expert to a flaw in the case-analysis or written report.
- You want to settle the case and hope to indirectly affect the negotiations by
diminishing the perceived impact of the expert’s testimony.
When should the expert be deposed? As a general rule, as late as possible ...
after you have obtained a detailed report or exhausted all related attempts to
define the expert’s opinions and/or anticipate the expert’s testimony as well as
the expert’s reaction to deposition questions.
Voir dire A voir dire is an under-utilized technique. While you might be hesitant to
disclose your approach to cross-examination at a pre-trial deposition, you
should be much less concerned when conducting a voir dire.
- What’s in his file?
- What’s not there?
- What has he done?
- What has he charged?
- What does he know?
- How does he react?
Compared to a discovery deposition, a well-devised voir dire can have a much
greater impact. The expert is usually not able to effectively rehabilitate
his/her lack of case-specific knowledge or approach to case-analysis: “Isn’t it
true that when I questioned you about 20 minutes ago, you were not able to …?
Cross-examination The effectiveness of your examination is based in large part on your
preparation, your anticipation of the content of expert’s testimony, the
expert’s usual behavior, your confidence, the use of control techniques, and a
goal of providing the members of the jury with both information and explanation.
Does your cross-examination of the expert reflect a consistent case-strategy
that includes ways to effectively present information about the witness’s … ?
- Qualifications
- Knowledge of case-specific facts
- Focus (i.e. what he did and did not do)
- Implicit and explicit assumptions
- Disregard for case-relevant factors
- Gaps in testimony re relevant issues
- Accuracy when describing the case analysis
Do you visualize and then construct a cross-examination that is organized,
understandable, easy to follow, relevant, to the point,
interesting-informative-and-illustrative, and persuasive?
Are you able to control the expert?
Are you familiar with the scientific literature, the expert’s implicit or
unspoken assumptions, and the expert’s usual appearance-behavior-demeanor … such
that you can confidently and effectively use techniques to control the expert?
Are you able to effectively use different types of questions to control both the
flow of the examination and the expert’s response to the particular question?
- Isn’t it true that …
- Are you able to …
- Are you familiar with …
- Why didn’t you tell the members of the jury …
- Have you ever published anything in …
- Did you …
Are you able to follow-up?
- Isn’t that because …
- Would you agree with a statement that …
- Let’s review …
Do you practice and test your trial skills? Think through example outlines of case-specific questions-and-answers, your
reaction to potential adverse answers, techniques you can use to maintain or
regain control of the witness and/or focus on your strategic “home-base”,
follow-up questions and/or illustrations, checklists used to ensure that you
have provided the jury with necessary information, and a strong closing.
Elements Key to an Effective Cross-examination
Preparation - Anticipation - Knowledge - Control
Science based examination and case evidence
Examination of an expert witness should be based on
generally accepted scientific principles, relevant scientific
studies, and the case evidence or reasonable hypotheticals.
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PAPE & ASSOCIATES, INC.
Specializing in Toxicology
Brian E. Pape,
Ph.D. Ph: (800) 736-0503
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