Expert Information
Currently engaged in clinical practice: Yes
Degree:
Specialty / Subspecialty:
- Vascular Surgery
- Surgery (General Surgery)
Area of Expertise: Aortic aneurysms, Peripheral vascular disease, Carotid artery disease, Thoracoabdominal aneurysms
Year of Medical Training Completion: 2007
City of Practice: Brookfield
State of Practice: Wisconsin
Previous Experience As Expert Witness: No
Type of Practice: Academic
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
- $150
- $500
Independent Medical Examination:
Independent Medical Examination with written report
- Per Hour: -
Deposition in office:
Deposition: Discovery/Evidence
- First two hours: -
- For each Additional hour or any portion thereof: -
- Retainer (due 14 days prior to scheduled disposition): -
- Cancellation fee (less than 7 days notice): -
Trial (InState):
- Initial day: -
- Cancellation fee (less than 72 hours notice): -
- For each additional day: -
- Cancellation fee (less than 72 hours notice): -
- Retainer (due 14 days prior to scheduled trial): -
Trial (Out of State):
- Initial day: -
- Cancellation fee (less than 72 hours notice): -
- For each additional day: -
- Cancellation fee (less than 72 hours notice): -
- Retainer (due 14 days prior to scheduled trial): -
Case Responses
left carotid endarterectomy results in stroke (Case #114)
- Medical Probability: 6 / 10
- Medical Error Summary: Stroke can occur after any CEA - risk is about 1.5% in asymptomatic patients and may or may not be reduced when pt has an intraoperative shunt What is unclear in this case is why 2 hours elapsed fr...
- Causation Probability: 3 / 10
- Causation Summary: Stroke can happen with any CEA. Time elapsed from abnormal neuro exam to stroke team activation requires more investigation.
- Expert Summary: I do a lot of CEAs and carotid stents and have published about carotid disease in peer reviewed journals.
- Similar Summary: Uncommonly as my personal stroke rate with CEA is well less than 1%
"Subclavian" port-a-cath is placed in the thoracic aorta (Case #130)
- Medical Probability: 7 / 10
- Medical Error Summary: If anatomy is normal, there is not a situation where a line should go through-and-through the subclavian vein into the aortic arch. The question to be answered is whether an anatomic variant exists t...
- Causation Probability: 8 / 10
- Causation Summary: It is hard to envision a situation where the line placement was incidental to/unrelated to the complication described; but again, I would need to perform a detailed review of the patient's radiology s...
- Expert Summary: I have personally treated this complication, which is extremely rare; and repair of vascular access complications is a very common part of my practice.
- Similar Summary: I have only seen this case once before, which I successfully treated with endovascular techniques and not open surgery. This complication is very rare and in normal human anatomy should be a never ev...
Failure of femoral to femoral bypass graft resulting in death (Case #135)
- Medical Probability: 7 / 10
- Medical Error Summary: Disruption of a vascular anastomosis within 24 hours of surgery, generally speaking, is almost always a technical error (either too much tension on the anastomosis, bites too small on graft or artery,...
- Causation Probability: 7 / 10
- Causation Summary: Had the operation not been performed, the patient would not have suffered these complications. However, I lack the complete data set to say this within a reasonable degree of medical certainty.
- Expert Summary: This is an operation that I perform on a weekly, if not daily, basis. There may be more to this case than meets the eye. WRT the other questions above: 1. There is no “standard of care” re...
- Similar Summary: I perform the described operation quite routinely. I have never experienced this complication in elective surgery - I have seen it once in a patient with Marfan syndrome undergoing emergency surgery,...
- Medical Probability: 4 / 10
- Medical Error Summary: Impossible to tell without review of images from preop CT, intraoperative angiograms, and postoperative CT. I have seen plenty of cases where there was pre-existing renal artery stenosis that was sim...
- Causation Probability: 4 / 10
- Causation Summary: Renal artery stenosis would be nearly impossible to cause during EVAR absent covering the artery with the stent graft, or causing severe injury with a wire, both of which would be immediately noticeab...
- Expert Summary: I am a very busy vascular surgeon (professor and division chief at a major academic center) and aortic, renal and mesenteric arterial surgery is the majority of my practice; I have a referral practice...
- Similar Summary: Never in my own patients that I am aware of, but I treat renal artery disease and aortic disease routinely, and I have reviewed similar cases for both plaintiffs and defendants in the past. I do appr...
- Medical Probability: 8 / 10
- Medical Error Summary: Aorta can't be injured during initial port placement without some sort of error.. Hard to say definitively without review of medical records.
- Causation Probability: 8 / 10
- Causation Summary: Patient had an aortic injury during port placement; by definition an error that resulted in injury.
- Expert Summary: Rescue of patients from surgical misadventures is a substantial part of my practice as an academic vascular surgeon at a quaternary referral center.
- Similar Summary: Trocar/port placement misadventures resulting in vascular injuries occur 1-3 times/year in our facility, and we have patients transferred to us from other hospitals at least 2=3 times a year for simil...
