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Les Trachtman, EE, JD, MBA

As Managing Director of Purview, Les Trachtman drives Purview’s shared mission to improve medical outcomes and access to quality medical expertise for millions of people, regardless of geography. Les is a seasoned entrepreneur, educator, and author with over four decades of experience in strategy, consulting, and start-ups. Les is also an adjunct instructor at the Johns Hopkins University Carey Business School, where he shares his years of experience and insights with the next generation of business leaders. He is a frequent guest lecturer at Harvard Business School, MIT and other academic institutions, as well as a board member of The Metro Group. Les is also known as the author of the Amazon bestseller "Don't F**K It Up, How Founders and Their Successors Can Avoid the Cliches that Inhibit Growth", and a blogger on founder succession and other topics. He is passionate about sailing, traveling, and challenging the status quo.

Reflections from the American Association of Legal Nurse Consultants 2026 Annual Conference in Orlando

I recently had the opportunity to attend and present at the annual AALNC conference in Orlando, and it proved to be an experience well worth the trip.

With approximately 225 attendees, the conference struck a great balance: large enough to feel energetic and diverse, yet intimate enough to foster meaningful conversations and real connections. The audience was predominantly female, which shaped both the tone and content of several sessions. A handful of presentations leaned heavily into women-focused topics, occasionally edging into territory that felt a bit awkward for the fewer than dozen male attendees in the room; but it was all part of understanding the unique culture and priorities within the Legal Nurse Consultant (LNC) profession.

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How Legal Nurse Consultants Transform Cases

When medical complexity meets the law, misunderstandings can easily happen. That’s where Legal Nurse Consultants (LNCs) step in. These professionals combine clinical expertise with legal insight to help attorneys navigate the often-confusing world of healthcare. More than record reviewers, LNCs serve as the vital bridge between medicine and litigation, ensuring that medical facts are accurate, complete, and strategically understood.

In high-stakes cases such as medical malpractice, wrongful death, and catastrophic injury, the difference between winning and losing often comes down to whether the medical story has been told correctly. Legal Nurse Consultants make sure it is.

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How Animalius Grew—and Why They Switched to Purview

When Dr. Zoe Lenard, radiologist and co-founder of Animalius in Perth, Australia, talks about her work, her passion is unmistakable. A self-described “vocational veterinarian,” she knew from an early age that she wanted to dedicate her life to veterinary medicine. Her journey began on a small Angora goat farm in rural Australia, with dreams of becoming a country vet. But during her training in Sydney, she discovered radiology through specialists who seemed to effortlessly decode complex images. That spark led her to pursue a radiology residency in Perth, become a registered specialist at just 30 years old, and eventually co-own her first referral practice.

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Why Payers and Employers Invest in Second Opinions for High-Stakes Medical Decisions

When a patient faces a major diagnosis—like cancer, cardiac surgery, complex autoimmune disease, or neurological disorder—the treatment choices that follow are often life-changing and expensive. For insurers, these are the moments when clinical accuracy and cost discipline intersect most critically. That’s why forward-thinking employers and payers, including both traditional health insurers and stop-loss carriers, are increasingly investing in second medical opinion programs.

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The Imaging Access Problem That Slows Down Subspecialty Care

As subspecialists, we all rely on radiology to inform our clinical decisions. Whether it’s an oncologist staging a tumor, an orthopedist assessing a fracture’s healing, or a neurologist evaluating subtle changes on an MRI, imaging often holds the key to diagnosis and treatment planning.

But for many of us, the greatest hurdle isn’t interpreting the images—it’s simply getting them in the first place.

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