Rodrigo Miziara Yunes — medico-legal consultant
Working remotely across every province and territory in Canada

You believe something went wrong with your care, but you have no way of judging the medicine. That is exactly what this is for.

Start with an online consultation

Your record, read first by a medico-legal consultant.

Independent, non-testifying analysis of clinical records — for patients who suspect something went wrong, and for the lawyers deciding whether a file will hold.

Neurosurgeon and spine surgeon, 25 years in practice. Also a qualified lawyer, and six years as a court-appointed medical expert. Serving all of Canada remotely, with an office being established in Winnipeg, Manitoba.

See how a review starts Fees and turnaround

What a review contains

One document, written to be read by a lawyer or by a patient, depending on who asked for it. It answers a single question: does the record support a claim, and where.

Clinical chronology
The admission reconstructed in order, from the chart, nursing notes, imaging reports and operative record — including what is missing from the record and when.
Points of departure
The specific moments where the care given appears to diverge from established practice, each tied to the entry in the record that shows it.
Literature
A targeted review of the published evidence and institutional protocols bearing on those specific moments — not a general survey. The reading is directed at the legal question, not at the medicine in the abstract.
Causation, kept separate
A preliminary view on whether the departure plausibly caused the injury, stated apart from the question of whether the care fell short. These fail independently, and conflating them is how weak files survive too long.
What to do next
Which specialty of expert the file calls for, and the questions worth putting to them. Where the record does not support a claim, the review says so and explains why.
Two formats
Delivered either as a named medical analysis over my signature, or as an unattributed working document for internal use. Your choice, decided before I begin.

Why an opinion from abroad holds up

Medical practice is not local knowledge. The management of a cauda equina syndrome, the indications for fusion, the window for decompression, the reading of a post-operative deficit — these rest on institutional protocols and a body of published evidence that circulate the same way in Winnipeg, in Toronto and in São Paulo. Surgeons everywhere are trained from the same journals and the same trials.

What changes across borders is the legal test applied to the medical answer — the burden of proof, the treatment of consent, the standard against which conduct is measured. That part belongs to your counsel, and I do not trespass on it.

The review itself is never generic. It is built from your record, on your dates, around the specific decisions your clinicians made or failed to make.

How a review starts

Two routes, the same analysis. The difference is who holds the file and who authorises its release.

If you are the patient or a family member

Or acting for someone who cannot act for themselves.

  1. An online consultation, so I understand what happened in your own words and can tell you which records will matter. There is no charge for this.
  2. If we both agree the case is worth reviewing, the scope, price and delivery date are confirmed in writing and you sign a short engagement letter. Payment is made by PayPal at that point, and only then.
  3. You send the chart, imaging and reports. Where a hospital is slow to release them, I can tell you what to ask for and how.
  4. You receive the review, which tells you plainly whether the record supports a claim worth taking to a lawyer.
A review is not legal advice and does not begin a case. It gives you something a lawyer can read in twenty minutes instead of a box of paper.

If you are counsel, an insurer or another interested party

Screening a file before committing to a retained expert.

  1. An online consultation to establish what you need decided and by when.
  2. Scope, price and delivery date confirmed by both sides in writing, with a signed engagement letter. Payment by PayPal on acceptance.
  3. You send the record with the patient's written authorisation, de-identified as far as your file permits. Names, addresses and health numbers are not needed — the clinical sequence is.
  4. You receive the review in the format you choose, and the questions to put to the expert you go on to retain.
Patient authorisation is required in every case. I will ask to see it before any record is opened.

Fees and turnaround

Both depend on the same two things: how long the record is, and how difficult the medicine is. A single admission with clear imaging is not a fifteen-year history across four institutions. You are quoted a fixed price before anything starts — never an open hourly account.

CAD 250 Preliminary review of a record up to 500 pages, delivered within three days. Longer records, multiple institutions and complex files are quoted individually after the online consultation.

Payment is by PayPal, once both sides have confirmed the scope and the engagement letter is signed. The initial online consultation is free.

Who is reading your record

Dr. Rodrigo Miziara Yunes

Neurosurgeon and spine surgeon, and a lawyer specialising in medical and health law with a focus on medical negligence.

  • Neurosurgery and spine surgery — CRM-SP 100.602 · RQE 39.830
  • Lawyer, São Paulo bar — OAB/SP 553.091
    Medical and health law · medical negligence
  • Court-appointed medical expert, São Paulo State Court
  • ORCID 0000-0003-4722-264X

I am a neurosurgeon and spine surgeon in São Paulo with 25 years in practice. I trained in medicine and then in neurosurgery at UNIFESP / Escola Paulista de Medicina, where I later served on staff, and I coordinate the spine surgery group for the neurosurgery residency at Hospital CHS. My clinical work is instrumentation and fusion, decompression, percutaneous procedures, and the neurological complications that follow them.

I then read law, and I hold a practising licence at the São Paulo bar in health law and medical defence. For the past six years I have worked before the São Paulo State Court as a court-appointed medical expert and as a technical assistant to parties, in medical liability and health coverage litigation. That work is the whole of this service: reading a record against the medicine and against the questions a court will actually ask. I am the author of six books on surgical technique and medico-legal subjects.

I practise clinically in Brazil and am in the course of establishing an office in Winnipeg, Manitoba. The review work does not depend on that. It has always been done from the record, and it is available remotely across every province today; in-person consultations will follow once the Winnipeg office opens.

Office, São Paulo

Rua Borges Lagoa, 1065 — cj. 78
Vila Clementino, São Paulo — SP
Brazil

Direct contact

Office +55 11 3459-4916
WhatsApp +55 11 97454-1233
rodrigoyunes@adv.oabsp.org.br

What this service is not

  • I am not registered with a Canadian provincial college of physicians and surgeons. I do not opine on the Canadian standard of care, and I do not act as a testifying expert or sign expert reports for filing.
  • I am not licensed to practise law in Canada. Nothing here is legal advice, and no solicitor-client relationship arises from a review.
  • I do not examine patients, order investigations, prescribe, or provide any form of clinical care. This is document analysis only.
  • No record is opened without the patient's written authorisation, and material is destroyed on request once the review is delivered.

Send a case

Describe what happened, roughly how many pages the record runs to, and what you need decided. A reply within two business days, with a date for the online consultation.

rodrigoyunes@adv.oabsp.org.br

WhatsApp +55 11 97454-1233  ·  Office +55 11 3459-4916
Rua Borges Lagoa, 1065 — cj. 78, Vila Clementino, São Paulo, Brazil