Hawaii Medical Experts - IME Medical Experts, DME Doctors- Recommended Doctors vs.
Biased IME Doctors who have sold out to the insurers and Insurance Company Doctors
This Hawaii Medical Experts page and the pages to which it links are provided in an effort to help patients and those who care about them to steer clear of biased IME doctors, insurance company doctors and uncaring and/or incompetent doctors. Since the courts and state agencies often do not allow adequate inquiry into insurance company control of a doctor's income stream and the governing authorities here in Hawaii do not deem it necessary to require doctors to practice medicine in the best manner available for the patient (see next paragraph), it is up to the public to educate itself and to share information about which doctors should be avoided and which seem to be fair and concerned about their patients. Obviously, this information here is being provided by a non-medical person and no authority exists whatsoever for these pronouncements- it is simply personal opinion based upon experience, hearsay and conjecture. If this information seems helpful- great- if not, ignore it as the ravings of an uninformed lunatic.
For more information about Defense Medical Exams, Insurance Company Doctors and the Rules which such doctors are supposed to follow, you may wish to visit:
Defense Medical Exams - Hawaii.
One of the reasons why the people of Hawaii should share their
feelings and information about doctors, physicians and chiropractors
in the islands is that Hawaii has a very low level of "self"-discipline of
medical professionals. Among the states, Hawaii appears to be dead
last in levels of discipline by the governing state
board for recent years.
In the Public Citizen’s Health Research Group's publication
Ranking of the Rate of State
Medical Boards’ Serious Disciplinary Actions in 2003
(Health Research Groups Publication #1696),
the study found that Hawaii has been among five states
(Wisconsin, Minnesota, Tennessee, Delaware, and Hawaii)
which have consistently been in the bottom 15 states
for nine consecutive 3-year average periods. According to
this study Hawaii's state rank based on average doctor
disciplinary rates over three years
for the years ending is shown as follows:
1995- 50th
1996- 49th
1997- 50th
1998- 46th
1999- 48th
2000- 47th
2001- 49th
2002- 50th (dead last- did not include D.C.)
2003- 51st (dead last- included D.C.)
Hawaii's cumulative rank appears to be dead last over this nine year period.
As the Public Citizen's study concluded: "Given the importance of medical boards in protecting patients from doctors who are not practicing medicine in the best manner and are thus endangering the lives and health of residents, {Hawaii's medical board is} not living up to this obligation."
Some doctors cut back on the practice of medicine after a while and replace it with
work for insurance companies doing insurance company medical examinations
(IME's). In many cases this evolves into an established ongoing business of writing reports which diminish the value of
an injured person's injuries. These doctors are sometimes referred to by the insurers
as Independent Medical Experts, but it is more
accurate to describe them as Defense Medical Experts.
The insurance companies find such doctors to
be of great financial benefit to them because these doctors
can provide insurers with admissible biased medical testimony which predictably
reduces the insurers debt to the claimant. The "dark side" doctors predictably state that a person's injuries don't exist at all or are minimal and further state that to the extent that a person does have any injuries, those injuries were pre-existing and are unrelated to the incident for which the insurer is liable.
Among the plaintiffs' bar, we refer to doctors who establish a practice of writing biased medical-legal reports for insurance companies as "having gone over to the dark side".
The lure of huge sums of money paid by insurance companies is primarily
responsible for converting doctors over to the "dark side". Income
of over $500,000 a year is often earned by these doctors-
just for performing defense oriented medical examinations. The actual
writing of the medical reports is sometimes done mostly by staff and not by the doctor - further increasing profitability. The doctors who go down this road soon find that they spend their time
testifying against patients in hearings and court proceedings
for the purpose of reducing payouts by the insurance companies that hired them.
This enormous income stream becomes the reward- and the curse- of these
doctors. Once a doctor has converted to the dark side, the insurers
can cut the doctor's earnings off overnight if the doctor writes a report that an insurer believes is overly favorable
to a claimant. Since the choice of which DME doctor is used on a case is a choice which is completely within the
control of the insurance company and the defense attorneys who work
for them, doctors who do
not perform as expected can be relegated to blacklist
status overnight. After writing a report favorable to a claimant, a DME doctor can be shunned by insurance companies - ending any and all ongoing business. DME doctors are aware of this risk and some form their
"opinions" and write their reports to avoid it.
This problem is more of a problem than the average person is aware and
it is more detrimental to the truth finding process than the
average juror is likely to understand in court under the rules as they exist today.
Since the Hawaii rules of evidence (like those in most
jurisdictions) preclude litigants from even mentioning liability
insurance in most trials, juries never hear that these doctors are
reliant on a handful of insurance companies for their hefty annual incomes in their report writing careers. The jurors never hear that the doctors can have their huge incomes cut off overnight if the doctor writes even one report that an insurer believes is overly favorable
to a claimant.. The jurors only see a doctor and a defense
attorney and they never even hear about the insurance companies and their opportunity to control the opinions
of the doctor. Since doctors generally are considered "healers" and hence
have a pretty good reputation- the insurance companies are able to take advantage of the generally favorable impression of doctors as a whole - to create a false impression that a "dark side" doctor is providing
"independent" and reliable medical testimony.
One first step to addressing this problem would be to change the rules of
evidence so that insurance company involvement is no longer routinely excluded
from jury consideration. To begin with, efforts by claimants to avoid mentioning insurance makes many claimants look like they are "hiding something" in court and hurts their credibility unfairly. In addition, juries should be allowed to consider the effect of huge incomes from insurance companies in considering the opinions of "dark side" doctors. Most studies have shown that jurors assume the existence of liability insurance anyway and that a court's attempt to keep them from considering its effect doesn't work. Insurance and the amount of coverage is routinely discussed in mediations, arbitrations and court settlement conferences. In light of the warping effect of insurance
company money on this type of medical testimony in court, it is essential that jurors be
allowed to see the big picture. The political and financial power
of insurance companies should not be permitted to hide
this important evidence of what is really going on
from the deliberations of juries.
Please join us in supporting changes
to this unfair rule of evidence.
Recommended Doctors- Oahu
Neurosurgery & Disk Surgery
William G. Obana, M.D., aka William Obana, M.D., Dr. William G. Obana, Dr. William Obana (neurosurgery, neurosurgeon)
Gonzalo Chong, M.D., aka Ganzalo Chong, M.D., Dr. Gonzalo Chong, Dr. Ganzalo Chong
Jon F. Graham, M.D., aka Jon Graham, M.D., Dr. Jon F. Graham, Dr. Jon Graham
Leon Liem, M.D., aka Dr. Leon Liem
Orthopedic Surgery, Orthopaedic Surgeon
Darryl M. Kan M.D, Darryl Kan M.D, Dr. Darryl M. Kan, Dr. Darryl Kan
Jeffrey (Kimo) Harpstrite, MD, Jeffrey Harpstrite, MD, Dr. Jeffrey Kimo Harpstrite, Dr. Jeffrey Harpstrite (also Trauma Specialist)
Antonio B Cordero, MD, Antonio Cordero, MD, Dr. Antonio B Cordero, Dr. Antonio Cordero
Thomas J. Kane, MD, Thomas Kane, MD, Dr. Thomas J. Kane, Dr. Thomas Kane - lower extremities
Calvin S. Oishi, MD, Calvin Oishi, MD, Dr. Calvin S. Oishi, Dr. Calvin Oishi - lower extremities, esp. knees, and hip replacement
Jeffrey J K Lee, MD, Jeffrey Lee, MD, Dr. Jeffrey J K Lee, Dr. Jeffrey Lee
Stuart K. Wakatsuki, MD, Stuart Wakatsuki, MD, Dr. Stuart K. Wakatsuki, Dr. Stuart Wakatsuki, - Kailua, Hawaii
Morris (nmn) Mitsunaga, MD, Morris Mitsunaga, MD, Dr. Morris (nmn) Mitsunaga, Dr. Morris Mitsunaga
Gary Y. Okamura, MD, Gary Okamura, MD, Dr. Gary Y. Okamura, Dr. Gary Okamura
Peter (nmn) Diamond, MD, Peter Diamond, MD, Dr. Peter (nmn) Diamond, Dr. Peter Diamond
(unfortunately Dr. Diamond is in a group "Honolulu Sports Medical Clinic Inc" with mostly insurance company doctors)
Neurology, Neurologist
Jordan S. Popper, MD, Jordan Popper, MD, Dr. Jordan S. Popper, Dr. Jordan Popper
Leo M. Maher, MD, Leo Maher, MD, Dr. Leo M. Maher, Dr. Leo Maher
James (nmn) Pearce, M.D., James Pearce, M.D., Dr. James (nmn) Pearce, Dr. James Pearce
Hand & Foot Surgeon, Orthopedic|Orthopaedic Surgery
Robert E. Atkinson, M.D., Robert Atkinson, M.D., Dr. Robert E. Atkinson, Dr. Robert Atkinson
Michael K Hahn, MD, Michael Hahn, MD, Dr. Michael K Hahn, Dr. Michael Hahn
Daniel I. Singer, M.D., Daniel Singer, M.D., Dr. Daniel I. Singer, Dr. Daniel Singer
Stuart K. Wakatsuki, M.D., Stuart Wakatsuki, M.D., Dr. Stuart K. Wakatsuki, Dr. Stuart Wakatsuki
Occupational Medicine
John S. Endicott MD, John Endicott MD, Dr. John S. Endicott, Dr. John Endicott
James R. Langworthy, MD, James Langworthy, MD, Dr. James R. Langworthy, Dr. James Langworthy
Vern K. Sasaki, MD, Vern Sasaki, MD, Dr. Vern K. Sasaki , Dr. Vern Sasaki
Rehabilitation, Occupational and Sports Medicine
Ira D. Zunin, MD, Ira Zunin, MD, Dr. Ira D. Zunin, Dr. Ira Zunin
Scott D. McCaffrey, MD, Scott McCaffrey, MD, Dr. Scott D. McCaffrey, Dr. Scott McCaffrey
Pain Management - severe - and Anesthesiology
Mary Kathryn Schaefer, M.D., M. Kathryn Schaefer, M.D., Kathy Schaefer, MD, Dr. Mary Kathryn Schaefer, Dr. M. Kathryn Schaefer - Pain Management for severe cases
Neuropsychology
Richard P. Kappenberg, Ph.D., Richard Kappenberg, Ph.D., Richard P. Kappenberg, MD, Dr. Richard P. Kappenberg
Brian B. Combs, Ph.D., Brian Combs, Ph.D., Dr. Brian B. Combs, Dr. Brian Combs
Psychiatry- Psychiatrist - Forensic Psychiatrist
Boyd J. Slomoff, MD., aka Boyd Slomoff, MD. aka Dr. Boyd J. Slomoff aka Dr. Boyd Slomoff (male)
Daryl Matthews, MD., aka Daryl (nmn) Matthews, MD. aka Dr. Daryl Matthews aka Dr. Daryl (nmn) Matthews (male)
Psychology- Psychologist- Clinical Psychologist
Rene Tillich, Ph.D., aka Rene (nmn) Tillich, Ph.D. aka Dr. Rene Tillich aka Dr. Rene (nmn) Tillich (male)
Psychology- Psychologist- Clinical Psychologist - PTSD, Post Traumatic Stress Disorder
Chalsa M. Loo, Ph.D., aka Chalsa Loo, Ph.D., aka Dr. Chalsa M. Loo, aka Dr. Chalsa Loo
Silke (nmn) Vogelmann-Sine, Ph.D., aka Silke Vogelmann-Sine, Ph.D., aka Dr. Silke (nmn) Vogelmann-Sine, aka Dr. Silke Vogelmann-Sine
Roger Hamada, Ph.D aka Roger S. Hamada, Ph.D, aka Dr. Roger Hamada, aka Dr. Roger S. Hamada
Warren Loos, Ph.D., aka Dr. Warren Loos
Developmental Psychology- Child Psychology- Autism
Maggie Koven, aka Dr. Maggie Koven, Loveland Academy
Ann Pulozzi
Child Psychology
Linda Yamamoto, Ph.D, aka Dr. Linda Yamamoto
Ophthalmology, Neuro-Ophthalmology
J. Scott Kortvelesy, MD, aka Scott Kortvelesy, MD, aka Dr. J. Scott Kortvelesy, aka Dr. Scott Kortvelesy
Ophthalmology
Gary Edwards, MD, Gary (nmn) Edwards, MD, aka Dr. Gary Edwards, aka Dr. Gary (nmn) Edwards
Percival H. Chee MD, MD, aka Percival Chee MD, MD, aka Dr. Percival H. Chee MD, aka Dr. Percival Chee
Speech Language Pathology (Speech Pathology), Audiology, Psychology
Dr. Patricia J. Dukes, aka Dr. Patricia Dukes, aka Dr. Patty J. Dukes, aka Dr. Patty Dukes, Loveland Academy
Mary Marasovich (speech pathology)
Orthopaedics (Orthopedics), Rehabilitation and Sports Medicine
Timothy F. Olderr, MD, Timothy Olderr, MD, Dr. Timothy F. Olderr, Dr. Timothy Olderr
Bernard M. Portner, MD, Bernard Portner, MD, Dr. Bernard M. Portner, Dr. Bernard Portner
Internal Medicine- Internist
Clyde T. Miyaki M.D., aka Clyde Miyaki M.D, Dr. Clyde T. Miyaki, Dr. Clyde Miyaki (internal medicine, internist)
Lance (nmn) Yokochi M.D., aka Lance Yokochi M.D, Dr. Lance (nmn) Yokochi, Dr. Lance Yokochi (internal medicine, internist - also occupational medicine, occmed)
Internal Medicine- RSD (Reflex Sympathetic Dystrophy/Disorder)
Eugene M. Lee, MD, aka Eugene Lee, MD, Dr. Eugene M. Lee, Dr. Eugene Lee (internal medicine, internist, RSD, Reflex Sympathetic Dystrophy/Disorder)
Physiatrist, Physiatry, Physical Medicine and Rehabilitation
Linda J Rowan, MD, Linda Rowan, MD, Dr. Linda J Rowan, Dr. Linda Rowan
Marlon P. Rimando, MD, Marlon Rimando, MD, Dr. Marlon P. Rimando, Dr. Marlon Rimando
Gary A. Okamoto, MD, Gary Okamoto, MD, Dr. Gary A. Okamoto, Dr. Gary Okamoto
Infections Expert, Infectious Disease Expert
William K. Lau, MD , William Lau, MD , Dr. William K. Lau, Dr. William Lau
Dental Expert, TMJ, Oral and Maxillofacial Surgery
George A. Wessberg, D.D.S., George Wessberg, DDS, Dr. George A. Wessberg, Dr. George Wessberg (reconstructive dentistry) (active in community service also)
Lonnie W. Tiner, D.D.S., Lonnie Tiner, DDS, Dr. Lonnie W. Tiner, Dr. Lonnie Tiner (now lives in Yucca Valley, California
Dental Expert, TMJ
Todd T. Tasaki, D.D.S., Todd Tasaki, DDS, Dr. Todd T. Tasaki, Dr. Todd Tasaki
Armand K. Chong, DDS, Armand Chong, DDS, Dr. Armand K. Chong, Dr. Armand Chong
Mark M. Tasaki, D.D.S., Mark Tasaki, DDS, Dr. Mark M. Tasaki, Dr. Mark Tasaki
Chiropractor, Chiropractic Medicine
Nicholas G. Opie DC, Nicholas Opie DC, Dr. Nicholas G. Opie, Dr. Nicholas Opie
Eugene (nmn) Kitts DC, Eugene Kitts DC, Dr. Eugene (nmn) Kitts, Dr. Eugene Kitts
Alex (nmn) Concepcion, DC, Alex Concepcion, DC, Dr. Alex (nmn) Concepcion, Dr. Alex Concepcion
Impairment Ratings, Independent Medical Exams (IMEs)
Typically, a specialist in the area of injury chosen from the list of recommended doctors (the upper part of this page) should be appropriate. Some doctors who have generally been fair include:
John S. Endicott MD, John Endicott MD, Dr. John S. Endicott, Dr. John Endicott
James R. Langworthy, MD, James Langworthy, MD, Dr. James R. Langworthy, Dr. James Langworthy
Morris (nmn) Mitsunaga, MD, Morris Mitsunaga, MD, Dr. Morris (nmn) Mitsunaga, Dr. Morris Mitsunaga
Jon F. Graham, M.D., aka Jon Graham, M.D., Dr. Jon F. Graham, Dr. Jon Graham
Gary A. Okamoto, MD, Gary Okamoto, MD, Dr. Gary A. Okamoto, Dr. Gary Okamoto
Peter (nmn) Diamond, MD, Peter Diamond, MD, Dr. Peter (nmn) Diamond, Dr. Peter Diamond
Lance (nmn) Yokochi M.D., aka Lance Yokochi M.D, Dr. Lance (nmn) Yokochi, Dr. Lance Yokochi (internal medicine, internist - also occupational medicine, occmed)
Scott D. McCaffrey, MD, Scott McCaffrey, MD, Dr. Scott D. McCaffrey, Dr. Scott McCaffrey
Recommended Doctors- Maui
Orthopedic Surgery, Orthopaedic Surgeon
Darren K. Egami, MD, Darren Egami, MD, Dr. Darren K. Egami, Dr. Darren Egami
Charles A. Soma, MD, Charles Soma, MD, Dr. Charles A. Soma, Dr. Charles Soma (please be warned that Dr. Soma does not like hearing lots of complaining)
Psychology- Psychologist
Richard (nmn) Sword, Ph.D., Richard Sword, Ph.D., Dr. Richard (nmn) Sword, Dr. Richard Sword
Mark Breithaupt, Ph.D., Mark Breithaupt, Ph.D., Dr. Mark Breithaupt, Dr. Mark Breithaupt
Pain Management
Michael A. Klaper, MD, Michael Klaper, MD, Dr. Michael A. Klaper, Dr. Michael Klaper
Jeffrey H. Chester, DO, Jeffrey Chester, DO, Dr. Jeffrey H. Chester, Dr. Jeffrey Chester
Charles (nmn) Ballard, DO, Charles Ballard, DO, Dr. Charles (nmn) Ballard, Dr. Charles Ballard
Recommended Doctors- Big Island of Hawaii
Neurology, Neurologist
Note:
Voderbet C. Kamath MD, Voderbet Kamath MD, Dr. Voderbet C. Kamath, Dr. Voderbet Kamath
has apparently moved to Yakima, Washington - so he is no longer available
Physical Medicine & Rehabilitation
Charles I. Salzberg, MD, Charles Salzberg, MD, Dr. Charles I. Salzberg, Dr. Charles Salzberg
Robert R. Sloan, M.D., Robert Sloan, MD, Dr. Robert R. Sloan, Dr. Robert Sloan
Recommended Doctors- Kauai
Orthopedic Surgery, Orthopaedic Surgeon
Timothy E. Schendel, MD, Timothy Schendel, MD, Dr. Timothy E. Schendel
, Dr. Timothy Schendel
Physiatrist, Physiatry, Physical Medicine
Gil (nmn) Hagar, MD, Gil Hagar, MD, Dr. Gil (nmn) Hagar, Dr. Gil Hagar
So-called IME Medical Experts, DME Doctors That You May Want To Avoid- Doctors Who Do Lots of Work for Insurance Companies, Doctors who Are Regarded by Some as Insurance Company Doctors
(** = special concern)
General practice and areas of specialty
Clarissa T. Burkert, MD, aka Clarissa Burkert, MD, Dr. Clarissa T. Burkert, Dr. Clarissa Burkert **(Dr. Burkert was in a group called "Honolulu Sports Medical Clinic Inc" and was one of several doctors in this misnamed group who never saw patients there (only people sent by insurance companies and lawyers).
Maurice W. Nicholson, M.D., aka Maurice Nicholson, M.D., Dr. Maurice W. Nicholson, Dr. Maurice Nicholson (neurosurgery, neurosurgeon)**
Calvin C. Kam, M.D., aka Calvin Kam, M.D., Dr. Calvin C. Kam, Dr. Calvin Kam (neurosurgery, neurosurgeon)**
Anthony J. Mauro, M.D., aka Anthony Mauro, M.D., Dr. Anthony J. Mauro, Dr. Anthony Mauro (neurology, neurologist, internal medicine, internist)** (Dr. Mauro is considered by some as an "insurance doctor of last resort" - and has been used to even overcome prior pro-claimant reports by other insurance company doctors!)
Ronald H. Kienitz, DO., aka Ronald Kienitz, DO., Dr. Ronald H. Kienitz, Dr. Ronald Kienitz**
Chet Nierenberg, M.D., aka Chet Nierenberg, M.D., Dr. Chet Nierenberg, Dr. Chet Nierenberg (Dr. Nierenberg is the director of the misnamed Honolulu Sports Medical Group, Inc. which might be more accurately named the "Honolulu Insurance Company Doctors Group". He trains doctors in how to be convincing before juries at trial and he gives talks to insurance personnel with titles like "10 WAYS to GET A BETTER IME (How to get the most Bang for your Buck)")**
Kenneth K. Nakano, MD aka Kenneth Nakano, MD, Dr. Kenneth K. Nakano, Dr. Kenneth Nakano (neurology, neurologist)**
Bruce Hector, MD aka Dr. Bruce Hector (unknown specialty)**
(For an examination of the kind of damage these Insurance Doctors can do- take a look at
Chung v. GTE Hawaiian Telephone Co., Inc., Intermediate Court Of Appeals No. 25220 (Sept. 9, 2004) which required 4 years and an appellate court decision to reverse the impact of Dr. Hector's anti-patient "IME") (This was an unpublished opinion.)
Robert L. Smith, MD aka Robert Smith, MD, Dr. Robert L. Smith, Dr. Robert Smith (orthopaedic surgeon, orthopedic surgeon, orthopod)**
Leonard N. Cupo, MD aka Leonard Cupo, MD, Dr. Leonard N. Cupo, Dr. Leonard N. Cupo (internal medicine, internist)**
Jon (nmn) Streltzer, MD aka Jon Streltzer, MD, Dr. Jon (nmn) Streltzer, Dr. Jon Streltzer (psychiatry, psychiatrist)**
Martin (nmn) Blinder, M.D., Martin Blinder, M.D., Dr. Martin (nmn) Blinder, Dr. Martin Blinder (psychiatry, psychiatrist)**
James (nmn) Pierce M.D. aka James Pierce M.D., Dr. James (nmn) Pierce, Dr. James Pierce (neurology, neurologist)**
Kent (nmn) Davenport M.D, Kent Davenport M.D, Dr. Kent (nmn) Davenport, Dr. Kent Davenport (orthopaedic surgeon, orthopedic surgery)
Ramon H. Bagby, M.D, Ramon Bagby, MD, Dr. Ramon H. Bagby, Dr. Ramon Bagby (orthopaedic surgeon, orthopedic surgery)
Clifford (nmn) Lau, M.D., Clifford Lau, MD, Dr. Clifford (nmn) Lau, Dr. Clifford Lau (orthopaedic surgeon, orthopedic surgery) (regarded by some as a doctor consistently favoring the State of Hawaii).
Stephen M. Hirasuna, MD, Stephen Hirasuna, MD, Dr. Stephen M. Hirasuna, Dr. Stephen Hirasuna (orthopaedic surgeon, orthopedic surgery)
Jon H. Scarpino, MD, Jon Scarpino, MD, Dr. Jon H. Scarpino, Dr. Jon Scarpino (orthopaedic surgeon, orthopedic surgery) (According to some reports Dr. Scarpino is getting better.)
Insurers who insist on using biased medical examiners in an effort to routinely deny insurance benefits to injured people do have some risk. In Hangarter v. Provident Life and Accident Ins. Co., 373 F.3d 998, 1010-1011 (9th Cir. 2004) the 9th Circuit Court of Appeals noted that Provident had used the same medical examiner at least 19 times over the past 5 years. Moreover, in 13 of 13 claims for disability insurance coverage the medical examiner rejected the total disability claim each time. The Court asserted that the repeated use of a biased medical examiner overcomes any presumption that a carrier's denial of a claim is a "genuine dispute". Instead such a practice constitutes evidence of bad faith on the part of the carrier and may give rise to an independent cause of action against the insurance carrier. Unfortunately, very few courts to date have publicly recognized the extent of this common insurance company practice which seeks to deny policyholders and claimants the very benefits for which the insurance was purchased.
Doctors Who You May Wish to Avoid- Other Reasons
General practice and all alleged specialties
Sharon S. Lawler M.D, aka Sharon Lawler, M.D., Dr. Sharon S. Lawler, Dr. Sharon Lawler (internist, internal medicine) (Medical record problems and lack of responsiveness to medical information requests have been reported)
Susan M Cauley M.D, aka Susan Cauley, M.D., Dr. Susan M Cauley, Dr. Susan Cauley (Medical record problems with lack of responsiveness to medical information requests have been reported)
For more information about Defense Medical Exams, Insurance Company Doctors and the Rules which such doctors are supposed to follow, you may wish to visit:
Defense Medical Exams - Hawaii.