{"version":"1.0","type":"rich","provider_name":"Acast","provider_url":"https://acast.com","height":250,"width":700,"html":"<iframe src=\"https://embed.acast.com/$/69b7ab3e19edd9d9c9df5f5e/69b7adc54266c9b1c75e28e9?\" frameBorder=\"0\" width=\"700\" height=\"250\"></iframe>","title":"E01: Diagnosis & Causation with Dr Michael Dooley","description":"<p>The MRI and patient testimony don't line up. So what's next?</p><p><br></p><p>Dr. Michael Dooley is an orthopedic surgeon with 30 years of medico-legal experience.</p><p><br></p><p>Host Jess Marshall asks the questions every medico-legal expert faces: </p><p><br></p><ul><li>What do you do when imaging and symptoms don't line up? </li><li>How much weight do you put on an MRI versus what you see in the room? </li><li>When is uncertainty acceptable in a report? </li><li>How do you establish causation when the mechanism is murky?</li></ul><p><br></p><p>Dr. Dooley's approach prioritizes clinical assessment over imaging findings. He distinguishes between frank malingering (rare) and psychological amplification of pain (common). And his guiding principle for avoiding overconfidence:</p><p><br></p><p>\"Never say never, never say always.\"</p><p><br></p><p>Dr. Dooley covers diagnostic hierarchy, causation principles, managing disproportionate pain presentations, handling hostile patients stuck in the system, and why stating uncertainty is professionally superior to forcing a diagnosis that doesn't hold up.</p><p><br></p><p>Medico-Legal Mastery is proudly supported by <a href=\"https://www.melbournemedicolegal.com.au/\" rel=\"noopener noreferrer\" target=\"_blank\">Melbourne Medicolegal.</a></p>","author_name":"Melbourne Medicolegal"}