The New Physician shieldThe New PhysicianThe work of Sonny Saggar, MD
Difficult Problem

Your Experts Disagree. Don’t Hire a Third One Yet.

September 2, 2026 · Medicine

A difficult case can have tens of thousands of pages, conflicting experts, competing medical explanations, and a client waiting for a decision. My approach is to stop adding information long enough to identify the real decision, map what is known and disputed, find the hinge fact, stress-test the opposing theory, and only then decide whether another expert, deposition, or piece of evidence is actually needed. The objective is not another enormous summary. It is a decision-ready case map. Sonny Saggar newphysician.org

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A difficult case can have tens of thousands of pages, conflicting experts, competing medical explanations, and a client waiting for a decision. My approach is to stop adding information long enough to identify the real decision, map what is known and disputed, find the hinge fact, stress-test the opposing theory, and only then decide whether another expert, deposition, or piece of evidence is actually needed. The objective is not another enormous summary. It is a decision-ready case map. Sonny Saggar newphysician.org