HLM Medical Consultants

Specialists in Occupational and Environmental Medicine

Medical Toxicology Expert Witness

and Medical Consultants in Auburn Georgia

About HLM Medical Consultants

Our combination of expertise in medicine, toxicology, epidemiology, physical and organic chemistry, biology, occupational medicine, environmental science, and weapons of mass destruction enables us to work with clinicians, medical scientists, engineers, regulators, industrial hygienists, certified safety professionals, and people from many other disciplines. We determine medical causation, hazard and toxicant medical effects, risks, and exposures; and we analyze and resolve complex, multi-disciplinary problems.

Many environmental and workplace regulatory and legal problems may be driven, at least in part, by public perceptions of danger and risk not aligned with the evaluations of technical experts. Our experience and expertise in risk communication has enabled us to conduct encounters with the public, ranging from individual evaluations to town-hall meetings and resolve many, and sometimes all, of the medical concerns of the public. Results range from getting responsible parties to take actions to resolving incomplete or incorrect public understandings of medical effects and risks.

Leslie J. Hutchinson, MD, MPH, FACOEM, CEO of HLM Medical Consultants

Leslie J. Hutchinson, MD, MPH, FACOEM, CHCQM, is certified by the American Board of Preventive Medicine in Occupational Medicine and is a Fellow of the American College of Occupational and Environmental Medicine (FACOEM). He trained in Epidemiology at Johns Hopkins and in Clinical Occupational and Environmental Medicine at Emory University. For 19 years, he served as course director for Environmental Health, a required graduate course, at Emory.

For many years, he was an Occupational and Environmental Medical Consultant for the U.S. Public Health Service and for Aon Insurance, and a District Medical Consultant for the U.S. Department of Energy and the U.S. Department of Labor. At the National Institute for Occupational Safety and Health and the Agency for Toxic Substances and Disease Registry at the Centers for Disease Control, he developed information and methods for and performed evaluations of workplace toxicant exposures. At the Agency for Toxic Substances and Disease Registry, he received the U.S. Department of Health and Human Services (DHHS) Superior Accomplishment AwardBSpecial Act or Service, the second highest award given by DHHS, for implementing expert opinion groups to define the current state of usefulness of neurobehavioral test batteries to identify people with significant exposures to toxicants in the environment.

Dr. Hutchinson served clients, including the U.S. Army Materiel Command, Chemical Materiel Agency, Army Corps of Engineers, and Army Medical Command, the Department of Justice, Federal Emergency Management Agency, Department of Homeland Security, U.S. Office of Naval Research, and Marine Corps War Fighting Laboratory in teaching courses and conducting and evaluating exercises and simulations for stockpile and non-stockpile chemical weapons demilitarization and chemical, biological, and other weapons of mass destruction counter- terrorism. He was a member of the U.S. National Guard Bureau Delegation to Assess Japanese Readiness for Terrorist Attacks with weapons of mass destruction in the aftermath of the Tokyo subway attack. He was a member of the U.S. Army Corps of Engineers Board of Investigation for the Chemical Release at the Munitions Demilitarization Building, Umatilla Chemical Weapons Depot, Oregon. He epidemiologically and clinically evaluated workers concerned about claimed chemical weapons agent exposures. His evaluation formed the basis of the successful defense of the U.S. in a subsequent lawsuit; and this outcome was important to the U.S. meeting treaty obligations with the Soviet Union.

HLM Medical Consultants Featured Services

Medical Toxicology & Medical Causation

HLM Medical Consultants has extensive experience in evaluating and clearly explaining the medical and toxic effects expected and evidenced in specific exposure situations. We use our medical and multi-disciplinary knowledge, expertise, and experience to explain fully how exposures occur and persist, how to mitigate and eliminate them, what medical impacts they have, and how they have them. We analyze and determine the strength of the weight of evidence for specific effects being caused by exposures that have occurred.
Specific types of evaluations have included workplace disease cluster, investigation of the medical effects of indoor air quality problems, and environmental and workplace evaluations of health effects and risks.

Litigation Consultation & Expert Witnessing

  • Services to assist attorneys to define and present toxicological and medical causation issues in their cases.
  • Ongoing consultation to aid in understanding and countering assertions of opposing counsel and their experts.
  • Support of plaintiffs, defendants, claimants, and responsible parties in lawsuits and regulatory and administrative claims, like Workers’ Compensation claims and federal and state environmental and workplace health agency actions.

Chemical and Biological Weapons

  • Support for government, state, and emergency response agencies concerning medical toxicology and exposure characteristics and clinical presentation and management of chemical and biological weapons and other weapons of mass destruction.
  • General awareness training for terrorist attacks involving weapons of mass destruction.
  • In-depth training in emergency and medical management of casualties for responders and
    the entire team of medical providers.
  • Medical and epidemiological evaluation of exposures and their medical effects.
  • Litigation consultation for attorneys and others about the medical toxicology of chemical
    and biological weapons and other weapons of mass destruction.

Risk Communication

HLM Medical Consultants has a long record of success in explaining the effects and risks of hazard exposures to affected people, from large groups to one or a few people. Technical experts= questions and conclusions as to which hazards and risks are important in a specific situation are often very different from what the public perceives to be of danger and concern. When this divergence results in minimization and disregard of public concerns, outrage and manifest anger often result. We are able to use techniques specifically developed for risk communication with the public in these types of situations. We can reduce or eliminate outrage and anger by providing the public with the explanations and information that addresses their concerns, which are frequently counterintuitive to regulators and technical evaluators.

Uniquely qualified to integrate medical expertise and knowledge with information and evaluation from many different scientific disciplines to solve complex, multi-factoral problems.

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