The Charted Defense

Send us Fan Mail "The Silent Crisis" — Physician suicide and the litigation-suicide link. Covers the epidemiology, why malpractice litigation is a unique psychological stressor compared to other professional adversities, and the systemic silence around it. Support the show

Send us Fan Mail A competent, experienced physician sits down for a deposition. He's under oath. The plaintiff's attorney points to a chart entry — a staph skin infection two weeks before the patient's back pain visit — and asks one question: "Would you have ordered an MRI if you had known?" The physician answers, "Yes. Yes, I probably would have." One sentence....

Send us Fan Mail "The Syndrome" — Defines what Medical Malpractice Stress Syndrome actually is: the clinical evidence behind it, the symptom profile, and how the litigation timeline inflicts progressive psychological injury on the physician defendant. Support the show

Send us Fan Mail We meet the patient — a young woman diagnosed with bilateral pulmonary emboli and a dangerous combination of inherited and acquired clotting disorders, including antiphospholipid syndrome. We trace her medical history from initial presentation through diagnosis and the anticoagulation management that would become the center of a multi-defendant malpractice case. Support the show

Send us Fan Mail A deep dive into the medical issue at the heart of the entire case: the choice of blood thinner. We walk through warfarin versus DOACs, the pharmacology of each class, and the specific clinical question — whether switching a patient with APS from warfarin to rivaroxaban (Xarelto) departed from the standard of care in 2015. The patient suffered a massive hemispheric stroke and was...

Send us Fan Mail The season finale. We reconstruct what the plaintiff's expert and defense experts would allege at trial — how each side defines the standard of care for an APS patient in 2015, whether the medication switch was a departure, and whether it was a proximate cause of her injuries. Michael closes with what physicians should take away from this case. Support the show

Send us Fan Mail A young mother survives bilateral pulmonary emboli, only to be diagnosed with a rare clotting disorder. When her anticoagulation was allegedly switched, the case alleges that a chain of events was set in motion that led to her death. A medical malpractice lawsuit was filed. The case survived summary judgment when the court found that competing expert opinions — on whether the pres...

Send us Fan Mail Join us for a deep dive into a medical malpractice case from patient presentation to completion of the trial. On The Record Season 1 is a 5 episode look a case involving a wound that developed in the hospital. Each Season will explore a different malpractice case. Join us on Substack Support the show

Send us Fan Mail Through case analysis, legal concepts, and real-world clinical scenarios, the show breaks down complex medico-legal issues into practical insights physicians can apply in everyday practice. Topics include documentation strategy, the standard of care, expert testimony, depositions, and the litigation process. Support the show

Send us Fan Mail In this episode of The Charted Defense , we examine what happens in the space between “result available” and “result acted upon.” Four real cases. Different states. Different specialties. A shared vulnerability hiding in plain sight. This isn’t about dramatic surgical errors or obvious negligence. It’s about something far more common—and far more dangerous: the quiet breakdown of...

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Send us Fan Mail It looked like cancer. The imaging pointed one direction, the surgeon went in expecting a tumor — but what they found changed everything. A routine sepsis workup becomes a case that no one saw coming, and the real diagnosis hides in plain sight until the stakes are already life-threatening. In this episode, we follow a clinical trajectory that most physicians will never encounter...