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MEDICAL ANIMATION TRANSCRIPT: Acid-base balance is the precise maintenance of the hydrogen ion concentration in blood and tissue fluids so the body will function properly. This concentration of hydrogen in body fluids is called pH, and the acidity or alkalinity of the fluid is expressed as a pH value. Normal blood pH ranges from 7.35 to 7.45. Metabolic processes constantly release acids which freely release hydrogen ions resulting in increased acidity and lower blood pH. In response, the body can use chemical buffers such as bases to neutralize the acids and physiological buffers to facilitate their excretion through the kidney. Respiratory acidosis occurs when breathing difficulties allow carbon dioxide to build up in the body. If respiration cannot keep pace with carbon dioxide production, carbon dioxide builds up in the tissues. Excess carbon dioxide combines with water to produce carbonic acid. Carbonic acid disassociates into bicarbonate and hydrogen ions. The build up of hydrogen ions lowers pH and causes acidosis. Metabolic acidosis occurs when metabolic disorders allow certain acids to build up or cause the loss of basic buffers such as bicarbonate. Conditions causing metabolic acidosis can include diabetes and kidney disease, ingestion of acidic drugs such as aspirin or toxins, alcoholism, and chronic diarrhea, resulting in significant bicarbonate loss. Since acidosis is the result of a variety of conditions, treating the underlying condition is the first step. Bicarbonate may be used to treat metabolic acidosis, and oxygenation and ventilation may be used to treat respiratory acidosis. ♪ [music] ♪
"I just wanted to let you know that after several days on trial, I settled
[my client's] construction accident case for $4.5 million. Immediately after
the jury was discharged, I spoke with several jurors who told me that they
really appreciated the medical illustrations for their clarity in dealing
with [my client's] devastating injuries. They also expressed their gratitude
in being able to read from a distance all of the notations without
difficulty. Obviously, the boards were visually persuasive. I am certain
that this contributed to our successful result."
Michael Gunzburg, Esq.
Attorney at Law.
New York, NY
"We are extremely pleased with the quality of the medical exhibits and the
timely manner in which they were provided. I will certainly recommend
your company to my business associates who could benefit from your services.
Please tell Brian Wilson [Director of Content Development, Senior Medical
Illustrator] that he did an exceptional job on these exhibits."
K. Henderson
Dunaway and Associates
Anderson, SC
"Thank you for the splendid medical-legal art work you did for us in the
case of a young girl who was blinded by a bb pellet. As a result of your
graphic illustrations of this tragic injury, we were able to persuade the
insurance company to increase their initial offer of $75,000.00 to
$475,000.00, just short of their policy limits.
We simply wanted you to know how pleased we were with your work which, to
repeat, was of superlative character, and to let you know that we would be
more than willing to serve as a reference in case you ever need one. Many
thanks for an extraordinary and dramatic depiction of a very serious injury
which clearly "catapulted" the insurance company's offer to a "full and
fair" amount to settle this case."
Philip C. Coulter Coulter &Coulter Roanoke, VA
"For us, the defining feature of effective demonstrative evidence is
whether, by itself, the piece will tell the story of the case. Medical legal
Art provides our firm with illustrations and animations that are clear and
persuasive. Their exhibits tell the story in a way that allows the jury to
understand a very complex subject, very quickly."
James D. Horwitz Koskoff, Koskoff & Bieder, P.C. Bridgeport, CT
Medical Legal Art creates medical demonstrative evidence (medical
illustrations, drawings, pictures, graphics, charts, medical animations,
anatomical models, and interactive presentations) for use during legal
proceedings, including research, demand letters, client conferences,
depositions, arbitrations, mediations, settlement conferences, mock jury
trials and for use in the courtroom. We do not provide legal or medical
advice. If you have legal questions, you should find a lawyer with whom you
can discuss your case issues. If you have medical questions, you should seek the advice of a healthcare provider.