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Expert Information

Currently engaged in clinical practice: Yes

Degree: M.D.

Specialty / Subspecialty:

  • Orthopaedic Surgery  -  Surgery of the Hand

Area of Expertise: orthopaedic surgery, hand surgery, microsurgery, nerve surgery, elbow surgery, shoulder surgery, fracture surgery, wrist surgery

Year of Medical Training Completion:

City of Practice: NEWTON

State of Practice: Massachusetts

Previous Experience As Expert Witness: No

Type of Practice: Academic

Available to Review Cases: Yes, only for the defendant

Available to Be Deposed: Yes, only for the defendant

Available to Testify In Trial: Yes, only for the defendant

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

  • $400
  • $2500

Independent Medical Examination:

Independent Medical Examination with written report

  • Per Hour: -

Deposition in office:

Deposition: Discovery/Evidence

  • First two hours: $1200
  • For each Additional hour or any portion thereof: $600
  • Retainer (due 14 days prior to scheduled disposition): $1200
  • Cancellation fee (less than 7 days notice): $1200

Trial (InState):

  • Initial day: $5000
  • Cancellation fee (less than 72 hours notice): $5000
  • For each additional day: $5000
  • Cancellation fee (less than 72 hours notice): $3000
  • 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

60yo M chronic Dupuytren's contracture, has excision procedure, claims was improper and hand is significantly worse. (Case #420)

  • Medical Probability: 1 / 10
  • Medical Error Summary: From the operative report it appears the surgeon appropriately released the dupuytrens fibromatosis and contractures and then assessed the feasibility of wound closure. The skin was able to be closed ...
  • Causation Probability: 1 / 10
  • Causation Summary: Some patients have a propensity to form significant scar tissue post operatively, particularly patients with dupuytrens disease. The post operative course is not secondary to medical malfeasance.
  • Expert Summary: I am a board certified hand surgeon.
  • Similar Summary: As a board certified orthopedic hand surgeon I see surgical as well as non-surgical patients with dupuytrens disease many times per month. I have been in practice doing hand surgery exclusively for 7 ...

Ultrasound guided carpal tunnel surgery (Case #492)

  • Medical Probability: 10 / 10
  • Medical Error Summary: Ultrasound guided carpal tunnel release surgery is a new technology and has now been adopted by non-surgical physicians. This has been promoted by the company Sonex who owns and sells the technology/d...
  • Causation Probability: 10 / 10
  • Causation Summary: From the above history, it seems it’s clear there is causation. Prior to the procedure. The patient had a chronically compressed, median nerve at the wrist, consistent with carpal tunnel syndrome, b...
  • Expert Summary: I am orthopedic surgery trained, hand surgeon, and who has completed a hand surgery fellowship and is board certified in both orthopedic surgery and hand surgery. Carpal tunnel release surgery is my ...
  • Similar Summary: Thankfully, I have not personally ever had this complication. I have had colleagues who have seen this injury as a second opinion.

Patient V. Physician: Failed R scaphoid excision and capitolunate arthrodesis and partial wrist fusion; both staples pulled through in 14 days (Case #557)

  • Medical Probability: 3 / 10
  • Medical Error Summary: Without visually seeing the intraoperative x-rays, it is hard for me to definitively say there has not been medical error. However, loss of fixation in these small carpal bones is a known complication...
  • Causation Probability: 3 / 10
  • Causation Summary: Hardware failure in scaphoid excision and capitolunate fusion is a known complication of surgery. These carpal bones are small and pull out of the hardware is a known issue. Without the radiographs to...
  • Expert Summary: I am a double board certified orthopedic surgeon who frequently performs this procedure
  • Similar Summary: Cases with the initial presenting diagnosis are common occurrences in a busy Hand Surgery practice. Failure of fixation is rare but is known to occur and is certainly not out of the typical standard o...

Right Middle Finger Metacarpophalangeal Joint Arthroplasty Complications with Recurrent Dislocation, Staphylococcus aureus Surgical Site Infection, and Carpal/Cubital Tunnel Syndrome with Axonal Loss (Case #578)

  • Medical Probability: 2 / 10
  • Medical Error Summary: It sounds like the indication for the initial operation of the metacarpal phalangeal joint arthroplasty, metacarpal phalangeal joint arthritis, was appropriate. Instability following surgery is a kno...
  • Causation Probability: 2 / 10
  • Causation Summary: As above, I do not think a medical error led to the outcome in this case. Instability post op is a known complication as is infection. Also, the carpal and cubital tunnel syndrome is not related.
  • Expert Summary: I am a board certified orthopedic hand surgeon who frequently takes care of both finger arthritis and carpal and cubital tunnel syndrome, both with surgery and without.
  • Similar Summary: I operate on carpal and cubital tunnel syndrome 10-20 times a month. I see patients with finger are arthritis 10-15 times a week.

Our Fees

Attorneys:

  • Two preliminary opinions on a case: $400
  • Three preliminary opinions on a case: $500
  • Introduction to a physician through our platform: $500
  • Direct introduction to a physician without a case posting: $1000
    • Please reach out to: somer.saour@kalivar.com

Contact Us

Have a question about Kalivar?

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We look forward to hearing from you!

About Us

Kalivar represents a new concept in medical-legal consulting.

Kalivar was founded by two physicians and a lawyer who believe that the medical legal industry deserves an upgrade.

The current state of affairs:

  • Not infrequently doctors are unjustly accused of negligence. At the same time, malpractice victims do not always receive the compensation they deserve.
  • Many doctors are reluctant to serve as an expert witness and do not have time for extensive reviews of medical records. Choosing sides in a dispute between a patient and a peer may be uncomfortable, especially when doctors be deposed or required to provide testimony.
  • The few doctors who serve as expert witnesses often charge high fees to attorneys for an initial opinion. As a result, many attorneys, whether they are representing the plaintiff or the defendant, tend to rely on the opinion of a single expert as the foundation for their case. When that single initial opinion is questionable, significant funds are incurred unnecessarily in legal cases that should never have been initiated, or that instead should have settled immediately.

There is a better way.

We have created an on-line community where doctors can provide anonymous opinions on medical cases, and have the opportunity to be retained as an expert.

Kalivar allows doctors to provide unbiased opinions, as we do not disclose their identity, and we are unaware of whether an opinion is being requested by a defendant or a plaintiff. With only a short event summary to read, busy clinicians can find a few minutes during their day to leave a comment in our social media-like platform (and potentially be compensated for their time!).

Kalivar allows attorneys to obtain diverse opinions from different experts across multiple specialties, for very limited costs. Attorneys will have greater insight into a case before embarking on a long and expensive process that may be unnecessary to begin with.

We hope that you will help us improve the medical-legal industry and join the Kalivar community.

Thank you for your help!

The Kalivar Team: Mark, Paul, Meir

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