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Expert Information

Currently engaged in clinical practice: Yes

Degree: MD

Specialty / Subspecialty:

  • Anesthesiology  -  Critical Care Medicine

Area of Expertise: Anesthesiology, Critical Care Medicine, Cardiac Anesthesia, Vascular Anesthesia, Extracorporeal Life Support, Intensive Care, Airway, Vascular

Year of Medical Training Completion: 2012

City of Practice: Virginia Beach

State of Practice: Virginia

Previous Experience As Expert Witness: Yes

Type of Practice: Non-Academic

  • Deposition(s) Given For the Defendant:
  • Deposition(s) Given For the Plaintiff: 2
  • 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

  • $600
  • $2400

Independent Medical Examination:

Independent Medical Examination with written report

  • Per Hour: $400

Deposition in office:

Deposition: Discovery/Evidence

  • First two hours: $750
  • For each Additional hour or any portion thereof: $500
  • 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

Intra-operative hypotension resulting in decreased spinal cord perfusion and paraplegia (Case #136)

  • Medical Probability: 8 / 10
  • Medical Error Summary: Cases, where the spinal cord is being compressed with physical deficits blood pressure, must be maintained within 20% of baseline and augmented pharmacologically when deviations occur. An arterial lin...
  • Causation Probability: 9 / 10
  • Causation Summary: As stated above. Duration and magnitude of hypotension are linked to poor neurological outcome.
  • Expert Summary: I am board certified in Anesthesiology and Critical Care Medicine. I have taught at a major university and have special training and experience in cardiovascular medicine, physiology, and pharmacology...
  • Similar Summary: As above I encounter these cases regularly.

Endocarditis and lumbar osteomyelitis after epidural steroid injections (Case #180)

  • Medical Probability: 6 / 10
  • Medical Error Summary: While epidural steroid injections are common and safe, typically they are given in 3 to 6 month intervals for two reasons. 1) Pain relief typically is prompt and lasts for 3-5 months if administered ...
  • Causation Probability: 6 / 10
  • Causation Summary: A breach of the standard of care (instrumenting the spine more frequently than a reasonable practitioner would, and administering a total cumulative dose of steroids higher than reasonable increases t...
  • Expert Summary: Not only do I have extensive experience reviewing medical malpractice cases, I also am a full-time clinician current and up to date on all the latest standards. I have taught at a majority of medical ...
  • Similar Summary: This complication is rare. I have seen it several times in my practice and reviewed a few cases similar to this. I am perfectly comfortable reviewing and rendering a confident opinion based on the fac...

Missed Intubation attempt led to Cardiac Arrest (Case #430)

  • Medical Probability: 10 / 10
  • Medical Error Summary: An esophageal intubation should be recognized quickly by the absence of continuous end tidal carbon dioxide. Either the CRNA wasn't using capnography or was not paying attention for it to progress to ...
  • Causation Probability: 10 / 10
  • Causation Summary: A failed intubation is the obvious cause of the hypoxia that led to arrest.
  • Expert Summary: I am board certified in critical care, anesthesiology and have been an expert witness in these fields for 7 years. I have also taught anesthesiology for 10 years.
  • Similar Summary: I have encountered at least a dozen cases with failed airway management and related complications.

Failure to secure IV, monitor, and assess patient in prone position on OR table. (Case #432)

  • Medical Probability: 9 / 10
  • Medical Error Summary: It sounds like the IV infiltrated. Very concerning that patient awareness may have been ignored
  • Causation Probability: 9 / 10
  • Causation Summary: Failure yo recognize awareness under anesthesia
  • Expert Summary: I am board certified in anesiology and critical care medicine. I am an expert in these areas and have taught these specialties for ten years.
  • Similar Summary: This is common, IV infiltration can be recognized earlier

66 year old women with significant comorbidities including prior heart infarct and lung process, dies during non-emergent exploratory laparoscopy for bowel obstruction. (Case #445)

  • Medical Probability: 7 / 10
  • Medical Error Summary: The deterioration occurred in proximity to the surgeon placing the trocar/needle, the patient was previously stable.
  • Causation Probability: 6 / 10
  • Causation Summary: It is possible the "needle" or trocar was placed too hight, above the diaghphram, Insufflation in that case would have collapsed the lung.
  • Expert Summary: I am board certified in anesthesiology and critical care medicine. I have been an expert witness for 8 years.
  • Similar Summary: I encounter them all the time. Hundreds a year.

57yo MRSA Vertebral Osteomyelitis, Septic Shock, Cardiac Arrest, and Hypoxic Brain Injury (Case #588)

  • Medical Probability: 7 / 10
  • Medical Error Summary: It is difficult to say but the timeline suggest that things were missed. It would be unusual for a 57 yo to progress from mild back pain and mild disability to significant osteo and sepsis resulting i...
  • Causation Probability: 7 / 10
  • Causation Summary: Omission also points to causation however difficult to opine without full record.
  • Expert Summary: Perioperative expert and critical care trained and boarded.
  • Similar Summary: spine degeneration, diabetic ulcers, osteomylitis, sepsis. With great frequency

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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