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
- 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.
- 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...
- 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.