Expert Information
Currently engaged in clinical practice: Yes
Degree: MD
Specialty / Subspecialty:
- Urology
Area of Expertise:
Year of Medical Training Completion: 1991
City of Practice: PALO ALTO
State of Practice: California
Previous Experience As Expert Witness: No
Type of Practice: Non-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
- $400
- $1500
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
Urothelial carcinoma with lymph-vascular invasion (Case #141)
- Medical Probability: 5 / 10
- Medical Error Summary: From a surgical perspective the treatment was correct and standard of care. Although there is high grade large volume disease there is no standard of care for adjuvant chemotherapy after nephroureter...
- Causation Probability: 4 / 10
- Causation Summary: With high grade urothelial tumor in upper tracts the outcome is poor in general and adding chemotherapy for curative therapy cannot be proven beneficial except for a few small patient studies in the l...
- Expert Summary: I have been a urologist in practice since 1988. I have given up full time practice as I turn 64 but have seen a lot of patient care action for my entire practice career. I am Board certified .
- Similar Summary: These are not often seen cases I have a couple of recent patients who received neoadjuvant chemotherapy for high grade upper tract tumors with nodal involvement and they did well for a period of time...
61yo Female has pyeloplasty for UPJ obstruction, has stent migration and eventually loss of kidney. (Case #378)
- Medical Probability: 6 / 10
- Medical Error Summary: No issues with surgery. In my opinion evaluation and procedure done correctly I did them open but robotic acceptable alternative. Stent migration not uncommon and I have done the same thing by taki...
- Causation Probability: 6 / 10
- Causation Summary: The medical error in my opinion is not getting an upper tract study earlier especially if patient had flank pain The procedures were performed correctly
- Expert Summary: Although I am retired from full time practice I have 35 years of Urology experience and have seen similar results.
- Similar Summary: Not often where loss of function requiring nephrectomy occurs. Rare ID of recurrent stenosis resulting in redo pyeloplasty
Acute scrotal swelling (Case #480)
- Medical Probability: 2 / 10
- Medical Error Summary: Assuming patient not a diabetic, positive UTI by UA (I assume a culture ordered) and maybe some scrotal wall inflammation, he was started on an antibiotic appropriately. No evidence of a fever from a...
- Causation Probability: 2 / 10
- Causation Summary: The 2 events do not seem to be related. I do not see evidence of sepsis from the note. I do see a likely UTI which may or may not be related to scrotal swelling. Possible early epididymoorchitis?
- Expert Summary: Urologist for 37 years although mostly retired from practice I still assist my partners in surgery. I have seen a lot.
- Similar Summary: I have seen lots of scrotal swelling and UTIs but not related to heart valve issues
- Medical Probability: 6 / 10
- Medical Error Summary: I am not an AquaAblation expert but with any Trans urethral surgical treatment, if the sphincter is damaged then the resection had come out too distal so an error by the surgeon or by the device would...
- Causation Probability: 7 / 10
- Causation Summary: As above any damage to the sphincter with any modality can cause stress incontinence. Urge incontinence is generally a temporary side effect of a trans urethral procedure. In AquaAblation the surge...
- Expert Summary: Although mostly retired now, I was a Board certified Urologist for 35 years. I am not an expert in AquaAblation so that may disqualify me for advice but my answer reflects general injury to the exter...
- Similar Summary: In my practice I never encountered an AquaAblation injury but have seen a number of sphincter injuries from TURP,Laser PVP, microwave treatment for BPH. Any damage to the sphincter mechanism can resu...
