Medical Justice Founder and CEO, Jeffrey Segal, MD, JD, Medical Justice General Counsel, Michael Sacopulos, JD, and many guests discuss modern medico-legal threats to physicians. Opening and closing music written and produced by Grammy award winning artists: Lili Haydn and Itai Disraeli (performed by The Service Cats).

Episode 28: Armed Conflicts in the Practice, Violent Threats, and Suicide Prevention – Former FBI Agent and Police Sergeant Teach Doctors How to Prevent the Worst. (Part 2)

We continue our two-part discussion with Kathy Leodler (former FBI) and Paul Leodler (former police sergeant) of the Rampart Group.

Concealed weapons in the medical practice – where to begin? Is it possible to balance the protection firearms provide with the risks they create? And how should doctors react when a patient (or employee) with a history of extreme behavior (and a sizeable gun collection) threatens violence – or suicide? Most patient interactions are conflict free. But not all of them. Some can be deadly. And if it is predictable, it’s often preventable.

Before we get into the show, here’s a quick message from Resolve – a physician contract review company.

At Resolve, they believe that knowledge is power for physicians. And that power gives you control over your financial future.

Resolve believes that by mining, analyzing and synthesizing data, they can provide you with the information and insight that empowers you to diagnose the health of your career, fully understand your worth and maximize your full potential.

As a company founded by a doctor, for doctors, Resolve’s focus is on the wellbeing of those whose purpose in life is to care for the wellbeing of others.

To have this incredible company review your employment contract, find them at www.doctorpodcastnetwork.com/resolve.

__________________________________

Episode 27: Violent Patient or Employee? Active Shooter? Former FBI Agent and Police Sergeant Teach Doctors How to Prevent the Worst. (Part 1)

Kathy and Paul Leodler run the Rampart Group, a security consulting and investigations company. Kathy Leodler is a former FBI agent who retired after a distinguished 23-year career. Paul Leodler served in local law enforcement for 16 years and has over 40 years security and investigative experience.

They have assisted many doctors. They’ve seen it all. Angry patients. Family members who are exploding – metaphorically. Employees who want the practice to know who’s the “real boss.” They understand security at the highest level – including security nuisances to crises specific to medical practices. Most patient interactions are conflict free – but not all. Some can be deadly. Preparation is key. Here’s what doctors must know…

This episode of the Medical Liability Minute is sponsored by John McCarthy, co-founder of Physician Tax Advisors, and his team of CPAs have a combined total of over 60 years of experience helping physicians save money. Doctors have full plates already – and taxes just add stress.

Get the help you need and save money while you’re at it with Physician Tax Advisors.  

This firm is physician-family owned and works exclusively with physicians to lower their tax bills. By specializing in physician finances, John and his team have helped many physicians with high student debt decide if they need to file their taxes jointly with their spouse or separately. 

We ran the numbers and know that working with John just makes sense. Check them out at www.doctorpodcastnetwork.com/CPA

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Episode 26: Patient Blinded and Doctor Blind-sided by Referral Gone Bad. Who’s to Blame?

An ophthalmologist determined his patient required the attention of a niche specialist. Fortunately, such a qualified specialist practiced next door (literally). Flash forward: The patient was rendered partially blind. And the cherry on top? The specialist next door did not take the patient’s insurance. A suit resulted.

Questions abound: How much research is the doctor obligated to perform prior to referring a patient? How can doctors reduce risk to themselves (and their patients) when making a referral? And what are the chances this could happen to you?

This episode of the Medical Liability Minute is sponsored by Physician Wealth Services.  Physician Wealth Services is a fee-only financial planning firm devoted to the financial well-being of physicians. Ryan Inman, founder of PWS and creator and host of the Financial Residency Podcast, developed a sense of responsibility to help physicians with their financial goals after witnessing how vulnerable his wife was to poor financial advice during her residency. To work with Ryan so that you can feel more in control of your money, contact him and his team at www.doctorpodcastnetwork.com/physicianwealth

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Episode 24: Surgeon Slammed by NFL Star. When Celebrity Patients Sue Doctors. 

An orthopedic surgeon operated on an NFL star athlete. When the athlete experienced a bad outcome, he blamed the surgeon for prematurely ending his career. When a patient’s lost earning potential can be measured in the tens of millions, how can doctors protect themselves from catastrophic settlements?

Most doctors would jump at the chance to operate on someone famous. But star-power can cut.

Here’s what doctors must keep in mind when caring for celebrity patients…

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Guest Episode 3: I’m a Doctor: What Will a Medical Liability Mitigation Advisor Do For Me?

Huh? What’s that? Malpractice is a large and expensive part of what doctors have to face in today’s medical landscape. By establishing this relationship ahead of time with an advisor, you can head off a lot of problems before they become really big problems.

Our colleagues at the Paradocs podcast discuss how Medical Justice works offensively against the parties bringing lawsuits against member doctors.


Guest Episode 2: Lessons from a Neurosurgeon-Attorney-CEO

Dave Mandell, partner at OJM Group and host of the Wealth Management for the Modern Physician podcast, discusses, business, medicine, and wealth management with Medical Justice Founder and CEO, Jeff Segal, MD, JD. Listen and subscribe to future episode of the Wealth Management for the Modern Physician podcast here: https://www.ojmgroup.com/wealth-planning-for-the-modern-physician-podcast/


Guest Episode 1: Have You Heard of HIPAA’s Angrier Cousin, TCPA?

Here’s what doctors must know: Texting a patient (without proper written authorization) can result in a $500 penalty. Per text. With no caps. Doctors who text patients without written permission risk ruin. Legislation known as the TCPA (Telephone Consumer Protection Act) dictates stiff penalties specific to texting and privacy violations. 

The good news: The enclosed podcast, produced by our colleagues at the Insight Marketing Group (and featuring Medical Justice Founder and CEO, Jeff Segal, MD, JD) will teach you how to protect yourself from the worst outcome. Need help addressing TCPA compliance? Schedule a free consultation with Medical Justice Founder and CEO, Jeff Segal, MD, JD.


Episode 23: A Storm is Brewing in the Med-Mal World. 

Click here to read the podcast transcript

A storm is brewing in the med mal world – and one of the best professionals to educate us on the gathering clouds is Teddy Gillen. Who is he? Teddy is a principal at EPIC Insurance Brokers & Consultants. He’s been in the med-mal space his entire career. He has a gift for turning medical malpractice insurance, a subject most perceive as dry and dreary, into a whirlwind narrative that is fascinating and informative. Doctors frequently call us after a crisis has hit. If you spend even a modest amount of time with us today, you’ll walk away with wisdom that will help guard you against the worst med-mal outcomes.

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Episode 22: America’s Leading Voice on COVID Speaks from the Frontlines. 

Click here to read the podcast transcript

Dr. Roger Seheult is arguably America’s leading voice on COVID-19.  He is a pulmonary and critical care doctor treating COVID-19 patients on a daily basis. His website, MedCram, has released over 100 videos on COVID-19. His YouTube channel has over 800,000 subscribers. MedCram’s content has been cited regularly as one of the most credible and accurate sources of COVID information available.

We spoke with Dr. Seheult about his experiences caring for patients on the frontline. And we discuss it all – victories, setbacks, emerging vaccine candidates, and potential treatment options.

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Episode 21: E.R. Doc Sued After Dousing Patient’s Laceration with Pesticide. Who’s to Blame? 

Click here to read the podcast transcript

A patient was rushed to the E.R. after a lawnmower lacerated his forearm. Sitting on the counter was a product called CaviCide. What’s CaviCide? An industrial strength pesticide. Absolutely not for human use. Which, of course, is precisely why the attending physician and his nurse sprayed it repeatedly into the patient’s gaping wound.

How did this happen? Why was an industrial strength pesticide present in the treatment room? And why did the jury deliver a defense verdict? It’s a complicated case.

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Episode 20: Missiles in the OR. Patient’s Eyeball Pierced by Flying Needle. Who’s to Blame?

Click here to read the podcast transcript

A 30-gauge needle pierced a patient’s eyeball during an elective procedure. The patient was advised all was well and sent home. She returned a short time later with rapidly deteriorating vision. She was ultimately rendered blind. Was the surgeon at fault? Or was his scrub tech to blame? It’s a complex case.

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Episode 19: Every State Determines Brain Death Differently. Really.

Click here to read the podcast transcript

What does it mean to be dead? You’d think the answer to that question is binary. You are, or you are not dead. But the fact is every state in the US determines death differently. And the subtle differences can have major consequences for doctors and their patients.

On this episode of the Medical Liability Minute, we discuss brain death with Thaddeus Pope, JD, PhD. Professor Pope is one of the world’s leading experts on medical law and clinical ethics. We are privileged to have Professor Pope as our guest on this episode of the Medical Liability Minute.

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Episode 18: Asset Protection and Wealth Creation for Doctors – Protect Your Nest Egg from COVID-19 with Medical Justice and the OJM Group

Click here to read the podcast transcript and learn how you can get several of the OJM Group’s publications for free…

The COVID-19 pandemic has turned our world on its head – both in terms of our health and our finances. On this episode of the Medical Liability Minute podcast, Medical Justice Founder and CEO, Jeff Segal, MD, JD, discusses asset protection strategies for doctors with David Mandell, JD, MBA. The objective? Help doctors protect their nest eggs during these turbulent times.

David Mandell is a partner at the OJM Group, a multi-disciplinary wealth management firm. What distinguishes them? Their focus on physicians. The OJM Group has worked with over 1500 physician clients in 48 states. David Mandell is an author and renowned authority in the fields of asset protection and general wealth management. We are privileged to have him as our guest on this episode of our podcast.

+ Request a complimentary, confidential medico-legal consultation.

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+ Questions about membership? Call our admin, Wendy Cates: 336-358-5587


Episode 17: Family Practitioner Treats Patient for Depression While Sleeping With His Wife on the Side

It is not uncommon for patients to develop romantic feelings for their caregivers. Managing these emotions is critical. When these emotions are mismanaged, bad outcomes often result.

A family practice doctor was treating a husband and his wife for an assortment of challenges. To make a long story short – the patient’s wife (who was also the doctor’s patient) fell in love with him.

Did this development resolve healthfully? If it did, we wouldn’t be discussing it. What can we learn?

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Episode 16: A Prescription for Humanity in Medicine

Neurosurgeons (and surgeons in general) have a reputation for being cold. Deserved or not, the stereotype has stuck. Dr. Joseph Stern argues embracing humanity in medicine is the key to combating burnout and improving patient outcomes. He speaks from his own experiences and makes compelling arguments.

We are privileged to have him as our guest on this episode of the Medical Liability Minute…

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Episode 15: Combating Sexual Harassment in Healthcare: Protecting Your Employees, Your Patients, and Yourselves


It is critical doctors take steps to protect their staff, their patients, and themselves from sexual harassment. These cases often rear their heads without warning. Many doctors have the power to do more than they realize. Those caught unaware pay a high price. 

On this episode of the Medical Liability Minute, Medical Justice Founder and CEO, Jeff Segal, MD, JD, and Medical Justice General Counsel, Mike Sacopulos, JD, discuss key measures doctors can take to protect their employees, their patients, and themselves from sexual harassment.

They do this by dissecting a real sexual harassment case from Tennessee…

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Episode 14: How to Have Your Day in Court and Keep Your Nest Egg | Top Med-Mal Defense Measures with Super Lawyer Chris Schulte, JD

Let’s pretend you’re on trial for malpractice. The jury delivers a runaway verdict – a 5 million dollar judgement. You have a 1 million dollar malpractice policy. You could be on the hook for the 4 million dollar difference – but because you and the plaintiff agreed to invoke a certain kind of agreement, your nest egg is untouched. And you get to keep your house.

What is this agreement? And what other key strategies can doctors invoke to protect their interests before, during, and after a trial?

Listen to this episode of the Medical Liability Minute to find out…

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Episode 13: What Doctors Get Wrong About Med-Mal Litigation | A Deep Dive with Florida Super Lawyer Chris Schulte, JD

On this episode of the Medical Liability Minute, Medical Justice Founder and CEO, Jeff Segal, MD, JD, and Florida Super Lawyer, Chris Schulte, JD, discuss what most doctors get wrong about medical malpractice litigation – and what they can do to increase the chances they’ll get their case dismissed or prevail in court.

Chris Schulte, JD, is a seasoned medical malpractice defense attorney from Tampa, Florida.

We are privileged to have him as our guest on this episode of the Medical Liability Minute…

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Episode 12: A Doctor’s Greatest Nightmare. Indictment. Prison. Then the Road to Redemption.

Dr. Roy Shelburne was, by all accounts, living the dream. He was leading a successful dental practice. He was providing high-quality care to patients who otherwise would’ve gone without. And he was serving a community of friends and family.

In 2003, the FBI kicked down his door. Over the next few years, his every word was scrutinized. A few years later, he was indicted and found guilty of healthcare fraud, racketeering, money laundering, etc.

Now he teaches others how to avoid fatal mistakes. We are privileged to have him as our guest on this episode of the Medical Liability Minute…

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Episode 11: Making Primary Care Cool Again with Dr. Josh Umbehr and Atlas MD

Dr. Josh Umbehr is a leader in the DPC (Direct Primary Care) movement. Briefly defined – it is prepaid primary care. And it is revolutionizing primary care across the country.

On this episode of the Medical Liability Minute, Dr. Umbehr and Dr. Segal discuss multiple topics: the DPC movement’s history, its impact on patient outcomes, and what doctors can do to participate…

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Episode 10: Asset Protection Planning for Physicians: A Prescription for Peace of Mind

We spend our careers caring for our patients and providing for our families. But how often do we stop to protect what we’ve earned? Not enough – which is a problem. It’s much easier to protect what you’ve earned than to earn it again. And catastrophes can divorce you from the assets you trust to keep your loved ones financially secure. 

On this episode of the Medical Liability Minute, Dr. Segal collaborates with Asset Protection Attorney Ike Devji, JD. Mr. Devji is one of the country’s leading authority on asset protection strategies for physicians…

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Episode 9: Gadolinium Deposition Disease: The Litigation Tsunami No One Sees Coming 

There’s a litigation tsunami on the horizon. If you order any MR imaging studies, you will want to hear more. Including how to mitigate the risk. Gadolinium is a contrast agent. Each year, about 30 million MR scans are performed. 1/3rd use contrast.

The newly described diagnosis is called Gadolinium Deposition Disease. It was described only recently in clinical journals. Even today, the diagnosis is controversial.

But, the lawsuits have started.

First up, lawsuits against manufacturers/distributors of gadolinium contrast agents. Chuck Norris (and his wife) are some of the plaintiffs. These are being propelled in MultiDistrict Litigation (MDL) by a small number of attorneys.

For those attorneys left out, they are starting to target healthcare systems, radiologists, and doctors who ordered such studies.

On this episode of the Medical Liability Minute, Dr. Segal interviews Dr. Benjamin Harvey, Director of Quality Improvement, Department of Radiology, Massachusetts General Hospital, Harvard Medical School.

Learn about Gadolinium Deposition Disease. Is it real? Is it just litigation theatre? If you order even one MR with contrast, learn how to mitigate the legal risk of being caught in the snare. 

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Episode 8: Missing Toes & Shotgun Lawsuits – Why Throwing Colleagues Under the Bus Never Pays


The subject of this week’s podcast is a podiatrist. The podiatrist was scheduled to treat a patient suffering from a fungal infection in his toenails. The problem – the patient didn’t have any toes…

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Episode 7: Trolling for Litigation – Why Staff Chaperones Will Save Your Skin

If a patient’s reported symptoms are grossly incongruent with your objective examinations, you might be looking at a red flag. Such was situation the subject of our podcast found himself navigating. The patient (female) alleged his the doctor’s examination was so brutal, it aggravated her existing condition. The patient’s husband, who claimed to have been in the exam room at the same time, verified this was true. But the physician’s employee, who was also present during the examination, told a different story. Jeff and Mike discuss…

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Episode 6: Consent Vs. Informed Consent – How Should Doctors Communicate Risk to Patients?

If surgeons told their patients everything that could go wrong during a procedure, only the most courageous would consent. That said, doctors must set appropriate expectations. Patients must have an adequate understanding of the risks. These conversations are memorialized in consent forms.

But even after a doctor obtains a patient’s consent, some will still allege they did not comprehend the innate risks. These outbursts typically accompany bad outcomes. What is the difference between consent and informed consent? And what is the optimal way for doctors to communicate the level of risk to their patients? Jeff and Mike discuss…

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Episode 5: Belly Dancer Sues Belly Dancer – What to Do When a Patient’s Family Perpetuates a Frivolous Lawsuit

Patients aren’t always the party responsible for perpetuating a frivolous claim. Sometimes the patient is perfectly happy with the care you’ve rendered – it’s his family that wants to pick the fight. Such circumstances require the patient to declare loyalty to one side or the other. Spoiler alert – his doctor rarely come out on top. But there are steps doctors can take to diffuse these delicate situations before sparks start to fly…

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Episode 4: Patients Bamboozled by Big Bills: How Much Care is Too Much Care?

Malpractice accusations fly when patients feel they’re denied the standard of care. In an attempt to douse firecrackers, some doctors prescribe superfluous tests. The purpose of said tests is to alleviate anxiety. But whatever good-will they facilitate is dashed when the patient receives his bill. On top of that, these tests generate unnecessary costs while providing little or no insight into the patient’s health.

Doctors know even menial tests present a small amount of risk to the patient. And if the amount of menial tests performed is not menial, then neither is the level of risk. On this week’s episode of the Medical Liability Minute, Jeff and Mike dig into all that can (and will) go wrong when patients are subjected to unnecessary testing…

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Episode 3: Avoiding Bad Outcomes When Selecting Interpreters for Deaf Patients

Deaf patients require interpreters fluent in sign language. Federal law mandates you provide one. The defendant in today’s episode provided his deaf patient with someone beyond adept in sign language – a member of his staff who happened to be the mother of a deaf child. And yet – when treatment ended, a lawsuit was served.  It alleged the patient was not provided with a qualified interpreter and experienced a sub-optimal outcome as a result. 

Could anything have been done to avoid this end? Jeff and Mike discuss…

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Episode 2: Fueled by Fear: Why Scared Patients Will Always Find an Attorney

Meritless malpractice cases are propelled by emotions. Most are products of greed, confusion, and misinformation. Physicians must not underestimate the role fear plays in such cases. Scared patients and predatory attorneys are drawn together like magnets. The 2012 New England Compounding Center meningitis outbreak created a lot of scared patients. And numerous malpractice claims. Not every claim was warranted, though. Today, Jeff and Mike dissect two malpractice claims that were inspired by fear, not medical neglect. How can physicians protect themselves from “trigger-happy” patients during such outbreaks? And what can physicians do to assuage a patient’s fears?

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Episode 1: From Vietnamese Re-Education Camp to Med Mal Courtroom

In our debut episode, Jeff and Mike discuss an important topic: How to navigate the fallout that inevitably follows the death of a patient. A patient’s death can conjure “long lost relatives”, along with their attorneys. Experience has taught us if they smell blood in the water, they’ll bite. What can physicians do to protect themselves from family members who want to pursue frivolous litigation?

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The medico-legal space is a challenging one. That’s why our Founder and CEO, Jeff Segal, MD, JD, provides complimentary consultations to doctors in need of guidance.

Jeffrey Segal, MD, JD

Chief Executive Officer and Founder

Dr. Jeffrey Segal is a board-certified neurosurgeon. In the process of conceiving, funding, developing, and growing Medical Justice, Dr. Segal has established himself as one of the country’s leading authorities on medical malpractice issues, counterclaims, and internet-based assaults on reputation.

Dr. Segal is also a partner at Byrd Adatto, a national business and health care law firm. With over 50 combined years of experience in serving doctors, dentists, and other providers, Byrd Adatto has a national pedigree to address most legal issues that arise in the business and practice of medicine.