Dear Parent,

My intake form is at so go there, check it, and print it out for response concerning your son/daughter.Please forward retainer check with legal pleadings, letters and  psychological reports first in the overnight mail.

My approach is to demonstrate TO THE TRIAL JUDGE hard numbers via advanced clinical chemistries persuasive on the issues of ADD/Dyslexia, their underlying causes and treatments. My approach as advisory/trial counsel is to  DEVELOP AND MARSHALL THE EVIDENCE BOTH FOR TREATMENT AS WELL AS TRIAL AS SOON AS POSSIBLE. Clearly stated, focused goals here. Judges do not ignore hard physical evidence. I have to develop it to steer away the courts from the Ritalin Issue. Ritalin application is cookbook medicine and the judges have to be taught and your attorney counseled (by me) to present, do direct and cross-examine on the issues. I need time for this. It's up to you.

QUESTIONS AND ANSWERS ABOUT LAB WORK

Q: Why do I need laboratory studies_
A: Any health care provider has to be competent. The exercise of sound clinical judgement by a health care provider should be based upon not only his/her experience and other clinical skills but the physical characteristics of the patient. The physical characteristics of the patient are based upon a physical examination if the provider is a physician and the results of appropriate laboratory studies. Most of the time, clinical intuition is not enough. Laboratory work gives the provider a number which is either above, below or within a given reference range on a particular item. This value may be marginal or critical (important) in nature, depending upon the variance from the reference range, the validity, reliability, descriptive nature and extent of the reference range, patient history and the presentation of symptoms. Patterns of laboratory values are sought, using PATTERN RECOGNITION ANALYSIS to understand what is happening to you. See: Lundberg, GD. Critical (Panic) Value Notifications: An Established Laboratory Practice Policy (Parameter). JAMA 1990;263:709, Catrou, PG. Editorial: How Critical Are Critical Values_ AM J CLIN PATHOL 1997(Sept):108:245-246, Emancipator, K. Critical Values: ASCP Practice Parameter. AM J CLIN PATHOL 1997(Sept);108:247-253.
Q. Will my doctor know what to do with the laboratory results_
A. Sometimes yes, sometimes no. And oftentimes, not, depending upon the provider's familiarity with the particular tests. There is substantial agreement among practicing physicians, particularly those in primary care, that advice on the selection and interpretation of laboratory tests is a frequent and unmet need....The size of the clinical laboratory test menu has increased substantially with more questions from physicians (See Kirby, JE, Laposata, M. The Nature and Extent of Training Activities in Clinical Pathology Required For Effective Consultation on Laboratory Test Selection And Interpretation. ARCH PATHOL LAB MED 1997;121:1163-1167). This problem is even more serious in orthomolecular and functional medicine with new and advanced clinical chemistries and their interpretation which are largely unknown by mainstream physicians. (e.g. Abrams, MB et al. Early Detection And Monitoring Of Cancer with the Anit-Malignin Antibody Test. CANCER DETECTION AND PREVENTION 1994;18(1):65-78, Lord, RS, Bralley, JA. Organics In Urine: Assessment Of GutDysbiosis, Nutrient Deficiencies And Toxemia. 1997(June): NUTR PERSP, 1997(June);1-5, O'Leary, JJ et al. Origins Of The Polymerase Chain Reaction In Pathology. J CLIN PATHOL 1997(Sept);50:805-810.  The reality is that the sheer pace of new developing biochemistries in clinical medicine and lack of time to keep up with the developing literature and required training for new testing is leaving many physicians standing in a cloud of dust.
Q. How important are laboratory tests_ Do I really need to do this_
A. People are treated, not laboratory reports. Nevertheless, sound clinical thinking mostly should be based upon baseline studies to guide your clinical course as a patient. Clinical decision making should not be based upon hunches or guesswork. Laboratory studies may tell us what is a proper clinical direction or whether a given clinical course is a proper one for your case or not and what type of support you require during your treatment. See: Laposata, M. What Many Of Us Are Doing Or Should Be Doing In Clinical Pathology: A List Of The Activities Of The Pathologist in the Clinical Laboratory. AM J CLIN PATHOL 1996;106:571-573, Nutting, PA et al. Problems in Laboratory Testing In Primary Care. JAMA 1996;275:636-639.