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Lexcura Summit

The Doctrine of Clinical Intelligence(TM)How Better Clinical Understanding Leads to Better Litigation DecisionsHealthcare litigation is built upon evidence. Yet despite increasingly detailed medical records, sophisticated diagnostics, expert opinions, and extensive documentation, professionals reviewing the same case frequently arrive at very different conclusions. Why?In The Doctrine of Clinical Intelligence(TM), Michelle Carroll introduces Clinical Intelligence(TM), a new discipline developed to bridge the gap between information and understanding. Drawing on more than forty years of experience in healthcare, Carroll demonstrates that collecting evidence alone is not enough. Reliable professional judgment requires a disciplined process that transforms fragmented clinical information into a coherent understanding of the patient's complete journey.Rather than treating medical records as the story itself, Clinical Intelligence(TM) begins where every healthcare investigation should begin-with the patient. From that foundation, readers are guided through a structured methodology that examines the integrity of the evidence, reconstructs the patient's baseline health and clinical timeline, evaluates professional decision-making within its proper context, considers regulatory and organizational influences, and ultimately assesses causation through a systematic framework designed to support objective analysis.At the heart of the book is the Lexcura Clinical Intelligence Methodology(TM), a comprehensive framework built upon seven interconnected pillars: - Record Integrity(TM) - Baseline Profiling(TM) - Timeline Reconstruction(TM) - Standard of Care Review(TM) - Regulatory &amp; Compliance Overlay(TM) - Causation Mapping(TM) - Litigation-Ready Output(TM)Together, these pillars provide a disciplined approach for understanding complex healthcare events while avoiding many of the cognitive and evidentiary pitfalls that can influence clinical and legal decision-making.More than a methodology, this book explores the philosophy behind professional understanding itself. It examines the distinction between information and knowledge, knowledge and understanding, experience and expertise, documentation and reality, and demonstrates why meaningful conclusions emerge only when evidence is examined within its complete clinical context.Written in a clear, accessible style, The Doctrine of Clinical Intelligence(TM) is intended for attorneys, healthcare professionals, clinical consultants, expert witnesses, investigators, insurers, risk managers, healthcare leaders, students, and anyone responsible for evaluating complex healthcare evidence. Rather than advocating for plaintiffs or defendants, the methodology remains evidence-centered and patient-focused, providing a structured process for reaching more reliable and defensible conclusions.Whether the goal is understanding adverse healthcare events, strengthening litigation strategy, improving case evaluation, supporting expert review, or developing more consistent approaches to healthcare investigations, The Doctrine of Clinical Intelligence(TM) offers a practical and intellectually rigorous framework for transforming evidence into understanding.Clinical Intelligence(TM) does not replace clinical expertise, legal judgment, or professional experience. It strengthens them through a disciplined process for understanding the complete clinical picture before important decisions are made.Because better understanding leads to better litigation decisions.

The Doctrine of Clinical Intelligence

Pharmaceutical and medical device manufacturers face relentless and costly waves of product liability claims across U.S. federal and state courts, spanning individual suits, consolidated multidistrict litigation and coordinated proceedings, multi-plaintiff actions, and class actions. As this complex area of litigation continues to expand-often into more treacherous and plaintiff-friendly venues-the stakes for getting strategy right, early and often, have never been higher.

The third edition of Drug and Device Product Liability Litigation Strategy equips litigators with clear, practical guidance from pre-litigation investigations through trial. Reflecting significant developments since the prior edition, it distills the current and evolving legal landscape impacting drug and device lawyers, and offers actionable analysis on the issues that are most likely to influence outcomes: pre-litigation investigation and risk assessment, document preservation and fact discovery, coordination in MDLs and state proceedings, class action challenges, developments in preemption and personal jurisdiction case law, admissibility of expert testimony, dispositive and pre-trial motion practice, jury selection, and trial strategy. 

This edition highlights strategic inflection points and delivers practice-oriented insights to streamline case management and sharpen advocacy. With its emphasis on strategy and results, it is an indispensable resource for lawyers navigating high-profile drug and device litigation in a continually shifting environment.

Drug and Device Product Liability Litigation Strategy

Law and Anthropology

This book deepens our understanding of the social, legal, and anthropological issues that arise from the global proliferation of advanced biomedical technologies and how they enable people to use their bodies to express individual and collective identities. The volume approaches these issues through the lens of three contentious and ethically fraught biomedical techniques: gender surgery, medically assisted reproduction, and organ donation and transplantation. It combines anthropological understandings of the body as a site for claiming and safeguarding identities with perspectives from legal and medical experts to address the bioethical concerns associated with these technologies and to challenge assumptions regarding the universality of normative principles, such as personal autonomy, consent, and justice. The two regions that are the focus of this volume - the Middle East and Europe - allow the authors to explore cross-cultural comparisons and what they can tell us about how the symbolic dimension of the body, as a locus of identity, impacts medical practices. This is becoming especially relevant now, as contact among widely diverse cultures and communities is becoming ever more frequent and intense due to increasing migration, rampant urbanization, and internal displacement. The book will be of interest to researchers, academics, and policymakers working in the areas of legal anthropology, comparative law, law and religion, medical anthropology, medical law and ethics, and sociology of medicine.

Perspectives from the Middle East and Europe

Biomedical Practices, Religion, and the Law

Cambridge Bioethics and Law

Towards Social Justice in Dementia Care

Relating to People Living with Dementia as Equals

'Fantastic . . . Kojo's case is clear and to my mind irrefutable' AKALA 'Essential reading' CAROLINE LUCAS The future of drugs is here, and it's dangerously unequal. Over the last decade, the status quo around drugs has collapsed. Drugs once sold as safe cures have been revealed as ineffective or dangerous, while substances criminalised for generations are being reborn as breakthrough mental health treatments, wellness supplements, Silicon Valley productivity tools and billion-dollar investment opportunities. How did this reversal happen - and who stands to benefit? In The Next Fix, award-winning author and academic Kojo Koram travels from Scotland to Colombia, Ghana to the United States, to uncover the forces reshaping the global drug landscape. Moving between glossy corporate cannabis expos to grassroots activist campaigns and the question of reparations, he traces the growing tension between movements fighting for justice after decades of prohibition and the finance-world race to profit from a newly legal frontier. Will drug reform finally undo the racial violence, environmental destruction and public health failures of the War on Drugs? Or will it simply open a new chapter in global capitalism, creating a smooth transition from cartel barons to Wall Street oligopolies? Urgent, moving and deeply reported, The Next Fix asks whether the War on Drugs is really over - or merely changing its chemical formula.

The Winners and Losers in the Future of Drugs

The Next Fix

Code of Federal Regulations, Title 42 Public Health

A compilation of federal regulations, the CFRs are an authoritative source of government information representing broad subject areas. Title 42 presents regulations that apply to: medical personnel; medical care and examinations; health related grants; fellowships, internships, and training; quarantine, inspection, and licensing; occupational safety and health research; health assessments; vaccines; Medicare and medical assistance programs; and standards and certification of facilities and services. Additions and revisions to this section of the code are posted annually by October. Publication follows within six months.

Code of Federal Regulations, Title 42 Public Health 400-413, 2025

Building a New Legal Framework

Foetal Tissue Governance

Defending Physicians as an ER Authority

The Med Mal Whisperer

This book provides a timely and much-needed critical legal review of children's participation in healthcare that goes beyond merely documenting the extent and scope of participation, and explores the importance, definition of, and barriers to their meaningful participation. Addressing a gap in the literature, the book uses a combination of empirical data, childhood and participatory theory, and legal analysis to study the participation of children and young people in the medical context from a child's rights perspective. Centring the unheard and underrepresented lived experiences of recent and past child patients, and doctors, the book uses Interpretative Phenomenological Analysis, a methodology traditionally used in psychology, to provide a refreshing and unique exploration of children's participation in their healthcare. The book explores to what extent national law and international non-binding conventions have created a 'right' to participation, studies the application of national law in clinical practice asking whether the law facilitates meaningful participation, and analyses the interaction between law and quasi-legal regulations. The book will be useful for academics, children's activists, and legal and clinical practitioners.

Medical Decision-Making with Children and Young People

Title 42 presents regulations that apply to: medical personnel; medical care and examinations; health related grants; fellowships, internships, and training; quarantine, inspection, and licensing; occupational safety and health research; health assessments; vaccines; Medicare and medical assistance programs; and standards and certification of facilities and services. Additions and revisions to this section of the code are posted annually by October. Publication follows within six months.

Code of Federal Regulations, Title 42 Public Health 414-429, 2025

This book constructs a model of informed consent to surgery utilising empirical ethics and socio-legal analysis to bring together medical ethics, medical professional regulation, and medical law. The work includes an original socio-legal analysis of the models of informed consent to surgery present in court judgments and fitness to practise decisions. It constructs such a model using the empirical ethics methodology of reflexive balancing to both develop and challenge its construction. This unified model enables patients to make autonomous choices about surgery by encouraging healthcare professionals to draw upon the patient's subjective perspective, as well as objective viewpoints, when determining what information needs to be given to patients about treatment. It incorporates a focus on the importance of patients understanding that information and having the opportunity to reflect upon it. The outcome is a model of informed consent to surgery that speaks to medical ethics, medical professional regulation, and medical law, giving equivalent weight to the insights offered by each. The book will be an invaluable resource for students, academics and researchers working in the area of Medical Law and Ethics and Bioethics.

A Unified Model

Informed Consent in Medical Ethics, Regulation, and the Law

This book critiques international and regional human rights standards on abortion from a feminist perspective, exploring the progress made and lack thereof on the protection of abortion rights within the EU, UN, Inter-American and African systems. Drawing on the idea that human rights are aspirational tools which can be transformed to make progress on abortion rights from the bottom-up, this book sets out a globally applicable framework and makes recommendations for recognising the human right to abortion. In the face of a growing global backlash against abortion rights, this is a topical, timely and compelling work.

Recognising a Human Right to Abortion

Psychedelic Medicine

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