James Karamanis, the founder of the law firm Barney & Karamanis LLP, has long been regarded as an experienced attorney specializing in medical malpractice and personal injury cases. He has built a public persona based on trust, competence, and legal expertise. However, beneath the polished surface lies a different and far more troubling reality. While his reputation suggests that he fights relentlessly for his clients, the truth is that many of those who have sought his help have found themselves on the losing end—financially, emotionally, and legally.