Author: James Li, M.D., M.S.
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The $5 Billion Question: Acetaminophen, ASD, and the Political Battle Over Causation
I. The Dual Crisis: Fear, Fever, and Legal Risk The current climate surrounding maternal acetaminophen use during pregnancy is fraught with conflict. Fueled by mass tort lawsuits alleging a link to Autism Spectrum Disorder (ASD) and ADHD, patient anxiety is high. For attorneys, physicians, and concerned parents, the central problem is clear: how do we…
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The Microscopic Margin: Why NICU Cases Demand a Stronger Breach of the Standard of Care
II. Introduction: The Unique Legal Calculus of the NICU The Neonatal Intensive Care Unit (NICU) is medicine’s most challenging arena. A “bad outcome” is often the tragic, yet expected, natural sequelae of prematurity. For attorneys and physicians, the legal calculus is unique: every NICU medical malpractice case starts with the defense shield that the infant…
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Standard of Care in Pediatrics: Beyond the Textbooks
I. The Unique Pediatric Variable A child is not a small adult. Pediatric cases are exponentially more complex than adult cases because infants are non-verbal, and physiological deterioration is not linear—they compensate aggressively until they crash suddenly. During residency, my attending physician once remarked, “The difference between an adult and a child is like the…