Live Seminar

Traumatic Brain Injury Cases: Doctor and Attorney Perspectives



Wednesday, June 20, 2018


9:00 AM - 4:30 PM

Product ID#:



Red Lion Hotel Hartford

50 Morgan Street

Hartford, CT 06120


$339 / Each Additional

Registration Includes Course Book

Credit Information

Continuing Legal Education

  • CT CLE - 6.00
  • NY CLE - 7.00


  • PACE - 7.00

Program Description

Apply Anatomy of Brain Injuries to Advanced Litigation Skills

You already know the mechanics of personal injury litigation. Are you confident, however, in the intricate workings of a traumatic brain injury? Don't miss this unique opportunity to augment your legal knowledge by learning the ins and outs of how the injuries are tested, treated and diagnosed from a neuropsychologist himself. You will also learn how to apply advanced medical knowledge of closed head brain injuries to cutting-edge plaintiff and defense litigation strategies. Gain advanced insight from a seasoned doctor, plaintiff and defense attorneys on these unique and hard to prove cases. Register today!

  • Learn from a neuropsychologist what you need to look for in past and current medical records.
  • Better understand co-occurring psychiatric disorders and learn how to prove exacerbation of the injury.
  • Articulate complex knowledge to the jury on how a closed head injury can limit functionality.
  • Examine permanent brain injuries and how to prove (and disprove) inability to work.
  • Find out how to calculate pain and suffering, lost earnings and lost earnings capacity damages.
  • Gain advanced tips for coordinating medical, psychological, and neuropsychological information on the plaintiff, both before and after the accident.
  • Learn how to evaluate electrodiagnostic and radiographic test results to determine whether it's a concussion or traumatic brain injury.
  • Be able to prove the plaintiff has suffered gross damage despite the lack of a skull fracture.

Who Should Attend

This intermediate-to-advanced level legal program is designed for personal injury plaintiff and defense attorneys. Insurance adjusters and paralegals will also benefit.

Course Content

  1. Tips From a Neuropsychologist: Investigating Closed Head Brain Injuries
  2. Calculating Brain Injury Damages and Life Care Plans
  3. Defense Tactics Unique to Brain Injury Cases
  4. How to Overcome Defenses in Traumatic Brain Injury Cases
  5. How to Creatively Present Medical Evidence to Judge and Jury
  6. Ethical Considerations for Personal Injury Attorneys

Continuing Education Credit

Continuing Legal Education

Credit Hrs State
CLE 6.00 -  CT*
CLE 7.00 -  NY*

Professional Achievement in Continuing Education – PACE: 7.00 *

* denotes specialty credits

Agenda / Content Covered

  1. Tips From a Neuropsychologist: Investigating Closed Head Brain Injuries
    9:00 - 10:00, Dr. James W. Pier Ph.D.
    1. Anatomy of the Brain
    2. Types of Brain Injuries - in Detail
    3. What to Look for in Medical Records
    4. Deciphering Brain Injury Medical Terminology
    5. Identifying a Traumatic Brain Injury
    6. Clinical Examination and Testing - in Detail
    7. Diagnosing, Recording and Reporting
    8. Framing the Degree (Gross Damage, Mild-to-Moderate)
    9. Functional Limitations of Mild Brain Injuries (No Fracture)
    10. "Co-Occurring" Psychiatric Disorders - Proving Exacerbation
    11. Treatment of a Closed Head Brain Injury
  2. Calculating Brain Injury Damages and Life Care Plans
    10:15 - 11:15, Steven H. Cousins
    1. Temporary vs. Permanent Brain Injury Damage Calculation
    2. Using Medical Records, MRIs and CT Scans to Calculate Damages
    3. Calculating Past and Future Medical Expenses/Treatment
    4. Pre-Existing Conditions
    5. Loss of Enjoyment of Life and Companionship
    6. Lost Earnings and Lost Earning Capacity
    7. Pain and Suffering Damages
    8. Calculating Life Care Plans
  3. Defense Tactics Unique to Brain Injury Cases
    11:15 - 12:15, James A. Mahar
    1. Finding Holes in Past and Present Medical/Emotional History
    2. What to Look for in Employer and School Records
    3. Using IMEs to Prove the Injury is Not Permanent
    4. Tips for Defending the IME
    5. Diagnosing Physician Deposition Strategies
    6. What to Look for in Surveillance and Photographs
    7. Spotting Inconsistencies/Exaggerated Severity in Symptoms
    8. Presenting Other Options for Plaintiff's Injuries
    9. Evidence Needed to Prove Full Recovery of Mild Brain Injury (No Fracture)
  4. How to Overcome Defenses in Traumatic Brain Injury Cases
    1:15 - 2:15, Anthony Sheffy
    1. Client Intake of Closed Head vs. Fractured Skull Injury
    2. Type of Accident and Insurance Coverage Sources
    3. Coordinating Physicians, Neurosurgeons and Neuropsychologists
    4. Discovery of Uncommon Evidence Unique to Mild Brain Injuries
    5. Proving Injuries are Incurable, Serious and Worthy of Compensation
    6. Articulating Functional Limitations of Mild Brain Injuries to Jury
    7. Preparing the Plaintiff for the IME
    8. Using Fact Witnesses to Discuss Changes in Behavior
    9. Using Neurologists and Neuropsychologists
    10. Recovery, Return to Work and Inability to Work Obstacles
  5. How to Creatively Present Medical Evidence to Judge and Jury
    2:30 - 3:30, Anthony Sheffy
    1. Presenting Neuropsychological and Electrodiagnostic Test Results
    2. Using Publisher to Display MRIs, CT Scans and X-Rays
    3. Presenting Medical Records Using PowerPoint
    4. Articulating Complex Knowledge of the Injury to the Judge/Jury
  6. Ethical Considerations for Personal Injury Attorneys
    3:30 - 4:30, Ryan McKeen
    1. Conflicts of Interest
    2. Coverage Defeating Admissions
    3. Unethical Insurance Adjusters
    4. Obligations as Counsel in Lien Resolution
    5. Medicare Secondary Compliance - Ethical Considerations

STEVEN H. COUSINS, a member of Steven H. Cousins, LLC, in Monroe, Connecticut, practices in workers' compensation, personal injury and trial law. He has represented claimants at all levels of the workers' compensation process, from informal hearings through formal hearings, as well as appellate work before the Compensation Review Board, the Connecticut Appellate Court and the Connecticut Supreme Court. Mr. Cousins is recognized as a board certified workers' compensation specialist by the Connecticut Bar Association Standing Committee on Workers' Compensation Certification. He is a member of the Greater Bridgeport Bar Association Workers' Compensation Committee, the Connecticut Bar Association and the Connecticut Trial Lawyers Association. Mr. Cousins has also been a co-chair of the Young Lawyers Workers' Compensation Section and the Executive Committee of the Workers' Compensation Section of the Connecticut Bar Association. He is a frequent lecturer at professional education programs and a published author of articles in the Connecticut Bar Association's Compensation Quarterly. Mr. Cousins earned his B.A. degree from Vassar College and his J.D. degree from the University of Connecticut.

JAMES A. MAHAR is a partner in the litigation department of Ryan Ryan Deluca LLP, where his practice is focused primarily on defending civil lawsuits in the areas of personal injury, products liability, construction, motor vehicle and premises liability. Mr. Mahar is experienced in handling municipal and governmental liability matters as well. Since entering private practice, he has worked primarily on defense related matters. Mr. Mahar has been selected for inclusion in the Connecticut Super Lawyers list since 2014. He is admitted to practice law in states of Connecticut and New York, as well as the Federal District courts of Connecticut and the Eastern District of New York. Mr. Mahar is a member of the Connecticut Defense Lawyers Association and the Fairfield County Bar Association (member, Board of Directors). He earned his B.S. degree from Penn State University and his J.D. degree from Pace University School of Law.

RYAN McKEEN is an attorney with Connecticut Trial Firm, LLC, where he regularly tries cases to verdict and works diligently to apply cutting edge trial methods. Prior to opening McKeen Law Firm, LLC, he was an associate for 6.5 years at a well-respected East Hartford law firm and a partner at a firm in Hartford. Mr. McKeen also served a three year term as a member of the Oliver Ellsworth Inn of Court. He takes an active role in his continuing professional education. Mr. McKeen is a member of the Connecticut Trial Lawyers Association, American Association for Justice, the Connecticut Bar Association, and the Hartford County Bar Association. In 2014, the Hartford Business Journal named him one of its 40 under 40. In 2015, the Connecticut Law Tribune honored Mr. McKeen as one of a handful of lawyers in its Personal Injury Hall of Fame. He earned his B.A. degree from Framingham State University and his J.D. degree from Western New England College School of Law.

DR. JAMES W. PIER Ph.D. has more than 20 years of experience in the practice of clinical neuropsychology in hospital, rehabilitation, neurology and private practice settings. Since 2005, Dr. Pier has been in full time private practice of clinical neuropsychology; and in 2008, co-founded Northeast Neuropsychology, LLC, a group practice providing evaluation and treatment services to patients with developmental, psychiatric, medical, and neurologic conditions that affect brain function, cognition and behavior. Dr. Pier frequently provides consultation and evaluation for the Department of Children and Families and the Bureau of Rehabilitation Services. He has extensive experience in the area of forensic neuropsychology, providing consultation, evaluation, and expert testimony in civil and criminal forensic neuropsychological cases. This includes frequent consultation and evaluation for the State of Connecticut, Division of Public Defender Services. Dr. Pier received his bachelor’s degree in psychology from Boston College; his M.A. degree in clinical psychology from Loyola University Chicago; and his Ph.D. in clinical psychology from Loyola University Chicago. He completed a year-long, pre-doctoral internship in the Psychology Section, Department of Psychiatry, Yale University School of Medicine. He also completed a two year, post-doctoral fellowship in clinical neuropsychology at the Institute of Living/Hartford Hospital. Dr. Pier is a member of the American Psychological Association, the National Academy of Neuropsychology, and the Connecticut Neuropsychological Society.

ANTHONY SHEFFY is the founding partner of Sheffy, Mazzaccaro, DePaolo & DeNigris, L.L.P., which is located centrally in Southington, Connecticut. He has taken jury verdicts in state and federal court recovering substantial compensation for families including those whose lives have been dramatically altered by a sudden death or brain injury, as well as on behalf of Lloyd’s of London, Omni and other insurers. Mr. Sheffy has written and lectured on topics ranging from the fundamentals of presenting civil jury cases to advanced evidence techniques for attorneys experienced in the courtroom. He has been honored as a member of the Order of Justitia in the Litigation Counsel of America, a fellow of the American Bar Foundation, designated as a Top 100 Lawyers in America, and designated as a Super Lawyer in Connecticut since 2011. Mr. Sheffy earned his B.S. degree in combined music and physics from Lebanon Valley College; and his J.D. degree, magna cum laude, from Western New England School of Law. He is admitted to the bar for Connecticut state courts and the Federal District Court for the State of Connecticut.

Please refer to Continuing Education Credit FAQ for general information about seeking credit for your participation in one of our continuing education programs.

Additionally, our team of credit specialists are here to answer your specific credit-related questions weekdays 7am - 5pm Central:

Phone: 866-240-1890


Accreditation Details:

Continuing Legal Education

CT CLE: 6.00 Includes - Ethics: 1.00
Neither the Connecticut Judicial Branch nor the Commission on Minimum Continuing Legal Education approve or accredit CLE providers or activities. It is the opinion of NBI, Inc. that this activity qualifies for up to 6.0 hours toward your annual CLE requirement in Connecticut, including 1.0 hour(s) of ethics/professionalism.

NY CLE: 7.00 Includes - Areas of Professional Practice: 6.00, Ethics: 1.00
This course has been approved in accordance with the requirements of the New York State Continuing Legal Education Board for a maximum of 7.0 credit hours. 6.0 hours can be applied to the Areas of Professional Practice and 1.0 hour can be applied toward the ethics and professionalism requirement. This live format program is appropriate for experienced attorneys.

Professional Achievement in Continuing Education

N PACE: 7.00 Includes - Chartered Life Underwriter: 7.00, Registered Health Underwriter: 7.00
This seminar qualifies for 7.0 PACE (Professional Achievement in Continuing Education) credit hours for CLU and/or RHU.

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How To Order

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Call: 800.930.6182
Fax: 715.835.1405
Mail: NBI
P.O. Box 3067
Eau Claire, WI 54702