Example Case Descriptions

Birth Asphyxiation

The case concerned the long-term prognosis of an infant who suffered a devastating hypoxic brain injury during birth and was subsequently in a permanent vegetative state at the age of four. Dr. Goodwin's expertise was utilized in order to assess reasonable damage calculations in regard to management / prevention of long-term complications, life expectancy, potential of latest treatments to improve quality of life, impact on caregivers / family dynamics, need for home nursing care, potential for physical/occupational/speech therapy, adaptive equipment, housing accommodations and potential for functional prognoses (walking, talking, eating by mouth, etc.).

Traumatic Brain Injury

An adolescent boy fell 10 feet from indoor playground equipment onto concrete, sustaining a moderate traumatic brain injury by formal definition. His stay in the acute hospital was relatively short and uncomplicated with no need for acute inpatient rehabilitation hospitalization afterwards nor any day neuro program. Over the next 18 months the subtle long-term complications of his brain injury became more evident after the physicians who cared for him in the hospital had signed off on the case. Dr. Goodwin's video deposition used in court gave insight into the patient's higher-level cognitive function, accommodations needed for the classroom and PE class, vestibular (balance/vision) disturbances, return to sports, behavioral changes, social development, disrupted sleep patterns, impulsivity, abnormal hormone levels and the interpretation / utility of various types of brain imaging. Dr. Goodwin gave extensive clarification of the formal definitions of severity in brain injury since multiple providers had incorrectly documented this child's injury as "mild" during the hospital stay.