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Expert Information

Currently engaged in clinical practice: Yes

Degree: M.D.

Specialty / Subspecialty:

  • Otolaryngology  -  Neurotology

Area of Expertise: OTOLARYNGOLOGY, NASAL SINUS, OTOLOGY, HEAD AND NECK CANCER, AIRWAY

Year of Medical Training Completion: 1986

City of Practice: GORHAM

State of Practice: Maine

Previous Experience As Expert Witness: Yes

Type of Practice: Non-Academic

  • Deposition(s) Given For the Defendant: 1
  • Deposition(s) Given For the Plaintiff:
  • Testified in a Trial For the Defendent:
  • 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

  • $650
  • $6500

Independent Medical Examination:

Independent Medical Examination with written report

  • Per Hour: $750

Deposition in office:

Deposition: Discovery/Evidence

  • First two hours: $1700
  • For each Additional hour or any portion thereof: $850
  • Retainer (due 14 days prior to scheduled disposition): $8500
  • Cancellation fee (less than 7 days notice): $8500

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

Diagnosis of Tonsillar Cancer (Case #134)

  • Medical Probability: 4 / 10
  • Medical Error Summary: The pt presented with a short history of throat symptoms. Exam as reported was consistent with inflammatory process. Treatment was appropriate at that time. The crucial issue is in this history prov...
  • Causation Probability: 3 / 10
  • Causation Summary: As noted above, this case is dependent upon the update provided, the followup plans and the duration of symptoms pt had before returning to evaluation and care.
  • Expert Summary: 38 years of experience and expertise in Otolaryngolgoy- Head and Neck Surgery in both academic and clinical settings in the USA and overseas, has given me a awareness of the Standard of Care,the reaso...
  • Similar Summary: Often enough to be fully versed and fully comfortable in an assessment of this clinical case.

Failure/Delay in Diagnosis of Adenoid Cystic Carcinoma (Case #165)

  • Medical Probability: 6 / 10
  • Medical Error Summary: The central questions are: Who, meaning what type of Physician or Provider, was directing the evaluation to this woman's "ear and facial pain.? Was the ear examined by an ENT Surgeon and/or an Oto...
  • Causation Probability: 5 / 10
  • Causation Summary: If the final definitive diagnosis is as listed, Adenoid Cystic Carcinoma, presumably of a Ceruminous Gland of the External Ear Canal (and not Parotid Gland?) that presented with ear and facial pain, t...
  • Expert Summary: 38 years of both Academic and Clinical Otolaryngology and now Attending Surgeon in Otology.
  • Similar Summary: As described, this is a rare case, a very rare case indeed.

43yo M has ethmoidectomy/nasal septoplasty for chronic nasal issues. 2nd opinion claims unnecessary procedure. (Case #391)

  • Medical Probability: 2 / 10
  • Medical Error Summary: In reading the history provided, along with two CT SCAN reports, clearly read by different r adiologists given style, pt had successful endoscopic nasosinus surgery, i.e. the diseased L max sinus muco...
  • Causation Probability: 2 / 10
  • Causation Summary: no injury or post op complication noted.
  • Expert Summary: Performed thousands of FESS/SINUS CASES in academic(MEEI; UMASS) and community settings.
  • Similar Summary: this case presentation, assessment, and treatment are everyday seen in my practice.

Delayed Diagnosis/Treatment of Parotid Cancer (Case #424)

  • Medical Probability: 10 / 10
  • Medical Error Summary: Pt presented with L perimandible findings. Exam noted does not indicate angle of mandible? UTZ noted mass/abnormal. CT 6/2021 image quality poor but abnormality noted. Radiology report as given in e...
  • Causation Probability: 10 / 10
  • Causation Summary: For the reasons noted above, the delayed/missed diagnosis went on for quite some time with enlargement of mass into adjacent structures resulting in increase magnitude of surgical resection. There is...
  • Expert Summary: 44 years of experience in diagnosis and management of many head and neck masses, both benign and malignant, in both academic and clinical settings. Faculty, past Head and Neck Service Mass Ey...
  • Similar Summary: was regular occurence to diagnosis parotid and skull masses

Need a Head and Neck Surgical Oncologist. Delay in diagnosing & treating CA of the parotid gland. (Case #522)

  • Medical Probability: 6 / 10
  • Medical Error Summary: Good afternoon. A complex, multispeciality case in a man with many co-morbidities. To respond fully would require more detailed medical data/fact/records. Causation and timeliness of complex ca...
  • Causation Probability: 6 / 10
  • Causation Summary: Best response is a given in my reply to the question above.
  • Expert Summary: 45 years of Head and Neck Surgery Cancer experience and teaching.
  • Similar Summary: Complex Head and Neck Cancer cases, particularly of major salivary gland, a regular part of practice. Have dealt with nearly similar case by the case presentation here.

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?

Please email us at admin@kalivar.com

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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