Expert Information
Currently engaged in clinical practice: Yes
Degree:
Specialty / Subspecialty:
- Internal Medicine - Medical Oncology
- Internal Medicine - Hematology
Area of Expertise: hematology, medical oncology
Year of Medical Training Completion: 2009
City of Practice: peabody
State of Practice: Massachusetts
Previous Experience As Expert Witness: Yes
Type of Practice: Academic
- Deposition(s) Given For the Defendant: 10
- Deposition(s) Given For the Plaintiff: 2
- Testified in a Trial For the Defendent: 11
- Testified in a Trial For the Plaintiff:
Available to Review Cases: Yes, for either the defendant or the plaintiff
Available to Be Deposed: Yes, for either the defendant or the plaintiff
Available to Testify In Trial: Yes, for either the defendant or the plaintiff
Training and Additional Credentials
Medical School: -
Year of Completion: -
Residency: -
Year of Completion: -
Fellowship: -
Year of Completion: -
Academic / Leadership Information
Highest Academic/Leadership Position Achieved: -
Current Academic Affiliation: -
Distinguishing Achievements
Awards: -
Number of Publications on PubMed: -
Professional Organizations: -
Fee Schedule
Medical Record Review:
Review of Medical Records, Review of Additional Materials, additional office consultation
- $600
- $2500
Independent Medical Examination:
Independent Medical Examination with written report
- Per Hour: $500
Deposition in office:
Deposition: Discovery/Evidence
- First two hours: $2000
- For each Additional hour or any portion thereof: $750
- Retainer (due 14 days prior to scheduled disposition): $2500
- Cancellation fee (less than 7 days notice): $3500
Trial (InState):
- Initial day: $7500
- Cancellation fee (less than 72 hours notice): $6000
- For each additional day: $7500
- Cancellation fee (less than 72 hours notice): $6000
- Retainer (due 14 days prior to scheduled trial): $3500
Trial (Out of State):
- Initial day: $7500
- Cancellation fee (less than 72 hours notice): $6000
- For each additional day: $7500
- Cancellation fee (less than 72 hours notice): $6000
- Retainer (due 14 days prior to scheduled trial): $7500
Case Responses
Delayed diagnosis of GIST (Case #108)
- Medical Probability: 4 / 10
- Medical Error Summary: he is already on Gleevec to reduce his risk of recurrence. if his cancer will recur in 3 yrs, there is a chance that he could have benefited from earlier result however, its not always the case. a lot...
- Causation Probability: 7 / 10
- Causation Summary: If his cancer will recur in 3 yrs, there is a chance that he could have benefited from earlier result however, its not always the case. a lot of these cases take a long time to go for trial. I do not ...
- Expert Summary: I have done a similar case. if his cancer will recur in 3 yrs, there is a chance that he could have benefited from earlier result however, its not always the case. a lot of these cases take a long tim...
- Similar Summary: 2-3 times in my practice to understand how GIST are treated.
Osteosarcoma (Case #133)
- Medical Probability: 10 / 10
- Medical Error Summary: In 2016, it is difficult to make a good decision unless a CT or an MRI was done. However, in May 2017, it should have been investigated. We know the common sites of involvement of osteosarcoma are t...
- Causation Probability: 9 / 10
- Causation Summary: Patient would have got neoadjuvant treatment with radiation to downsize the tumor followed by resection. The patient missed the chance for possible early resection.
- Expert Summary: Clearly there was deviation due to the fact, the patient was not appropriately investigated. from causation, patient definitely would have had better survival.
- Similar Summary: I have done cases with missed diagnosis of lung lesion which developed into lung cancer.
Delayed Diagnosis of high grade pleomorphic sarcoma (Case #138)
- Medical Probability: 3 / 10
- Medical Error Summary: The patient presented in August 13 cm cystic mass which grew to about 14.2 cm in size. Even, if she was diagnosed in September 2019, her outcome would be the same due to the high-grade nature of Pleom...
- Causation Probability: 4 / 10
- Causation Summary: In January 2020, surgical resection showed margin free from tumor. So there is no causation. it is the natural progression of the disease.
- Expert Summary: I have done work on both the plaintiffs and the defense side. it is difficult to pinpoint that size will make a difference as we look into the biology of the tumor which is high grade making her risk ...
- Similar Summary: I do see a fair number of soft tissue sarcoma. I have 12 patients currently undergoing treatment.
Massive DVT resulting in death (Case #181)
- Medical Probability: 4 / 10
- Medical Error Summary: The patient was already on 2 modalities of DVT prophylaxis. She was on injections q 8 hourly, most likely heparin and second pneumatic compression device.
- Causation Probability: 4 / 10
- Causation Summary: The patient had failed 2 modalities of DVT prophylaxis. there is no 100% protection. if there is a massive DVT, the nurse should have at least checked the pulse, if she could check the calves with ...
- Expert Summary: I have done several cases of defense and plaintiff work in MA, NH, NY, and FL.
- Similar Summary: at least 4 of them. over the past 6 years.
Misdiagnosis of a stage IV cancer (Case #225)
- Medical Probability: 3 / 10
- Medical Error Summary: She had a mammogram on 10/2020. it was BI-RADS 2which is a benign category in breast imaging reporting and data systems. There is unlikely to have missed it if mammogram done in 2019. we also do not d...
- Causation Probability: 3 / 10
- Causation Summary: Breast cancer, hormone-positive can come back anytime. guidelines do not recommend CT scans. a screening mammogram is the best option. she had a BIRADs-2 in 2020.
- Expert Summary: I have done defense work and have been deposed on trial on 4 defense trials.
- Similar Summary: not routinely. we do not see this commonly for breast cancer
Diagnosis of HCC (Case #250)
- Medical Probability: 7 / 10
- Medical Error Summary: In 2014, the size of the lesion was 2.5 cm. typically it would be amenable to surgical resection if the cirrhosis was not advanced like in 2015. I did not see any comments on the liver in the CT scan ...
- Causation Probability: 7 / 10
- Causation Summary: she would be amenable to surgical resection or liver transplant.
- Expert Summary: I have been on 4 cases on a trial stand and 3 depositions. I have done HCC reviews on 3 occassions.
- Similar Summary: i have reviewed cases on HCC on 3 occassions
Elevated INR results in CVA and Death (Case #369)
- Medical Probability: 9 / 10
- Medical Error Summary: We do not combine Eliquis and Coumadin. We combine Heparin and Coumadin for it to be therapeutic. This led to a CVA - bleeding with a hematoma and mass effect, which led to her death.
- Causation Probability: 9 / 10
- Causation Summary: Using apixaban together with warfarin may increase the risk of bleeding, including severe and sometimes fatal hemorrhage. reference: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9556604/
- Expert Summary: I have done trial work, testified on the trial, and done deposition.
- Similar Summary: Not often at all. I do not see physicians combing Eliquis with Coumadin
- Medical Probability: 6 / 10
- Medical Error Summary: Here, her PE could be from the hypercoagulable state of pregnancy. Why did she also have splenic thrombosis? Did they do a PNH clone testing evaluation? It is idiopathic thromboembolism and she shou...
- Causation Probability: 6 / 10
- Causation Summary: We do not have a good understanding of her splenic vein thrombosis, which increased her risk for clots. Her PE could be from her pregnancy.
- Expert Summary: I have done depositions and testified at trial.
- Similar Summary: Not seen commonly except in one case.
- Medical Probability: 10 / 10
- Medical Error Summary: The patient had a nonclear cell type. It depends on the type of non-clear cell. Clear cell renal carcinoma (ccRCC) is the most common histopathological subtype and accounts for approximately 75–80%...
- Causation Probability: 10 / 10
- Causation Summary: If it were diagnosed in the early stage, he would have a better 5 yr OS.. It is my opinion, to a reasonable degree of medical certainty, that the radiologist significantly deviated from the standar...
- Expert Summary: I have testified in 8 trials and done 4 depositions for the defense. I have done plaintiff's work and have opined a similar case of RCC which was settled.
- Similar Summary: This is a rare mutation. Non-clear cells are rare, and we do not encounter them routinely. When we see one, we remember one.
44yo F getting serial iron infusions/Venofer for 6 months for IDA, develops bleeding stomach mass. (Case #394)
- Medical Probability: 4 / 10
- Medical Error Summary: Her ferritin is very low at 3. She had heavy menstrual bleeding and a recent pregnancy. This was in March 2023. However, there was minimal improvement, and she was still anemic in August 2023. At thi...
- Causation Probability: 4 / 10
- Causation Summary: Her pathology does not suggest lymph node or liver involvement. from a causation point of view, I do not see any change in prognosis.
- Expert Summary: I have done trial work. I have done depositions and testified on the stand in 8 cases.
- Similar Summary: often, but there is no causation.
Stage IV Diffuse Large B-Cell Lymphoma dx with possible different treatment options (Case #443)
- Medical Probability: 10 / 10
- Medical Error Summary: He was only treated with R-CHOP. This is high-risk DLBCL, which should have been treated with R-CHOP along with high-dose methotrexate for CNS prophylaxis with alternate cycles. Also now data is repla...
- Causation Probability: 10 / 10
- Causation Summary: he was inadequately treated only with R-CHOP. He recurred, as this is a high-risk DLBCL. Also, there was a delay in starting his bispecific or CAR-T therapy. If there was a delay in getting CAR-T, he ...
- Expert Summary: I have testified on the defense side in 8 cases and done 5 depositions.
- Similar Summary: this is a rare case. I have treated testicular DLBCL.
**Req IM practicing as Primary Care expert** Questionable finding on ultrasound not investigated. (Case #465)
- Medical Probability: 9 / 10
- Medical Error Summary: here, he was not investigated for a possbile malgnancy. Head and Neck cancer or a lymphoma. It needed to be investigated
- Causation Probability: 7 / 10
- Causation Summary: we do not have info if this is a HPV+ ve cancer. itf so, there is a a big causation. If it is HPV neg, they tend to recur in about 40% mainly to lung. So either way there is causation
- Expert Summary: I am an expert in Head and Neck cancer. I have testified for defense and reviewed cased for Plaintifs
- Similar Summary: it is quite often as I do a lot of Head and neck cancer and I do review cases
Failure to identify/report visible abdominal metastasis (Case #475)
- Medical Probability: 8 / 10
- Medical Error Summary: If this is colon cancer, it is definitely a deviation from the care, as it was an oligometastatic disease, and you can do metastatectomy.
- Causation Probability: 7 / 10
- Causation Summary: we do need to know the type of cancer. if this is colorectal cancer, it should have been picked up for surgical resection. Definitely, there is a deviation from the standard of care. for causation, w...
- Expert Summary: I have testified in court in MA and CT as well as in NH. I have done depo in CT, OH, IL, NH
- Similar Summary: it is not uncommon. it should have been reported
Standard of care for management of immune toxicity during administration of Carbo/Pemfexy/Keytruda. (Case #484)
- Medical Probability: 6 / 10
- Medical Error Summary: It depends on whether she was appropriately treated for autoimmune nephritis. if not, there is a case.
- Causation Probability: 6 / 10
- Causation Summary: We do not have enough information with regard to her immune-mediated nephritis
- Expert Summary: i have tesfied in 9 cases on trial
- Similar Summary: rarely. we do not see that often
- Medical Probability: 10 / 10
- Medical Error Summary: PATIENT HAD A breast lesion which should have been investigated with ultrasound and a biopsy.
- Causation Probability: 10 / 10
- Causation Summary: this lead to a stage IV disease. Even though it is the HR receptor-positive patients who do well, she will need to be on lifelong treatment, dealing with side effects.
- Expert Summary: I have testified in court but all on defense side
- Similar Summary: This is not uncommon. we do see dealy in diagnosis
Hemorrhagic stroke and death (Case #501)
- Medical Probability: 8 / 10
- Medical Error Summary: 1. Hematology or vascular medicine referral will be helpful 2. This is the part which is gross deviation of SOC. Hearin is not reasonable, as the patient is on Eliquis and has an INR of 1.9 and a PT...
- Causation Probability: 8 / 10
- Causation Summary: Blood pressure parameters should have been established and actively managed during heparin administration, especially in a high-risk patient with elevated BP (193/101 on admission, rising to 202/106)....
- Expert Summary: I have testified in 10 trials and done 9 depositions. This is a clear case of gross deviation.
- Similar Summary: It does come on occasion. We definitely have clear protocols with heparin to mitigate the hypertension and BP control.
- Medical Probability: 6 / 10
- Medical Error Summary: Low dose CT scan screening are primarily designed to detect lung cancer, but they can occasionally identify esophageal cancer as an incidental finding. While not a dedicated, highly sensitive diagnost...
- Causation Probability: 7 / 10
- Causation Summary: if scan shows esophageal thickening, then definitely yes. It would have be diagnosed at Stage I where in we could go directly for surgery without chemorad.
- Expert Summary: I have done trial work mainly defense. testified on trial 11 times - all defense. done 12 depo- 10 defense/ 2 plaintiffs
- Similar Summary: i do encounter for missed lung nodule
