Expert Information
Currently engaged in clinical practice: Yes
Degree: MD
Specialty / Subspecialty:
- Vascular Surgery
Area of Expertise: Aortic disease, Peripheral Vascular disease and intervention, Mesenteric disease, DVT, Carotid disease, AV access for dialysis, Visceral Aneurysms
Year of Medical Training Completion: 2005
City of Practice: JACKSONVILLE
State of Practice: Florida
Previous Experience As Expert Witness: Yes
Type of Practice: Non-Academic
- Deposition(s) Given For the Defendant: 6
- Deposition(s) Given For the Plaintiff: 10
- Testified in a Trial For the Defendent: 1
- Testified in a Trial For the Plaintiff: 1
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
- $750
- $5000
Independent Medical Examination:
Independent Medical Examination with written report
- Per Hour: $750
Deposition in office:
Deposition: Discovery/Evidence
- First two hours: $1500
- For each Additional hour or any portion thereof: $650
- Retainer (due 14 days prior to scheduled disposition): $2500
- Cancellation fee (less than 7 days notice): $1000
Trial (InState):
- Initial day: $3500
- Cancellation fee (less than 72 hours notice): $2000
- For each additional day: $1750
- Cancellation fee (less than 72 hours notice): $750
- Retainer (due 14 days prior to scheduled trial): $2500
Trial (Out of State):
- Initial day: $5000
- Cancellation fee (less than 72 hours notice): $3000
- For each additional day: $2500
- Cancellation fee (less than 72 hours notice): $2500
- Retainer (due 14 days prior to scheduled trial): $2500
Case Responses
Bypass graft complications (Case #331)
- Medical Probability: 6 / 10
- Medical Error Summary: Answers to posed questions: -Mynx relies on a "plug" of PEG to seal. Whether this was the "best" closure choice is really a matter of debate, as there are no clear "absolutes" in that choice. The r...
- Causation Probability: 7 / 10
- Causation Summary: Once infected, despite multiple attempts at debridement, thrombectomy and antibiotic beads with muscle flap coverage, the graft was destined for removal. Alternate conduit with autologous vein from t...
- Expert Summary: I am a practicing vascular surgeon of 20 years and the senior surgeon of a group of 6 (not including our 10 CT partners), who performs dozens of these endovascular and bypass procedures annually.
- Similar Summary: Graft infections are thankfully rare for my practice--within the 1-6% mentioned in the literature for prosthetic bypass placement. I access prosthetic grafts for various reasons multiple times a year...
Hypoglossal nerve injury requiring suture repair during carotid endarterectomy (Case #332)
- Medical Probability: 4 / 10
- Medical Error Summary: The hypoglossal nerve takes a variable course relative to the carotid bifurcation. While the location is not typically dictated, those with an obvious HG nerve in the operative field that requires ge...
- Causation Probability: 7 / 10
- Causation Summary: Obviously, the recognized injury was treated , but the expected neuropraxia was acknowledged.
- Expert Summary: I am a board certified senior vascular surgeon who performs dozens of these procedures a year.
- Similar Summary: I have seen three episodes of traction injury, and have seen actually transection by another colleague only once in the last 15 years.
bleeding from external iliac artery following endovascular procedure (Case #347)
- Medical Probability: 6 / 10
- Medical Error Summary: This determination will depend on site of access (external iliac is too high) and whether or not US (ultrasound) was used to achieve initial access.
- Causation Probability: 7 / 10
- Causation Summary: If the access was too high, then yes, there is causation.
- Expert Summary: I perform well over 500 of these endovascular procedures a year and have extensive experience in US guided access..
- Similar Summary: Many times a year. Perhaps not with such drastic outcomes, but I suspect the delay in presentation was due to a late failure of the closure device with subsequent hemorrhage.
- Medical Probability: 8 / 10
- Medical Error Summary: The IFU for most of these devices require a 15mm infrarenal neck length for seal. At 18mm, the anatomy here appears to be amenable to endovascular aneurysm repair (EVAR) BUT REQUIRES ACCURATE PLACEM...
- Causation Probability: 7 / 10
- Causation Summary: Itb is important to review the images to ensure that the renals were seen clearly (imaging with adjustment for parallax must be done to avoid missing encroachment. Additionally, guidelines recommend ...
- Expert Summary: I have 20+ years of EVAR casework, and have instructed others in proper placement and management of secondary complications.
- Similar Summary: At least 2 to 3 time a year I'll have a case with a marginal neck where aggressive placement at the renals are required. Surgical tenets demand that ALL infrarenal aorta should be covered by the endo...
Large AAA in 56yo male, possible delay in intervention, resulting in rupture and death in hospital. (Case #434)
- Medical Probability: 10 / 10
- Medical Error Summary: This patient has a large, essentially symptomatic aneurysm. That is considered a surgical emergency and needs repair immediately. The request for cardiac "clearance" is a stalling tactic. The sur...
- Causation Probability: 10 / 10
- Causation Summary: Delay in repair = randomized to chance. Rupturing a symptomatic aneurysm IN THE HOSPITAL is inexcusable.
- Expert Summary: I am a managing partner in a CT and Vascular practice with 24 years experience. I repair 50 to 60 aneurysms a year, both open and Endovascular. I am happy to discuss this case in more detail at you...
- Similar Summary: We treat 4 or 5 symptomatic aneurysms each year. In each case, the patient is treated on the day of diagnosis. We consider this standard practice for our hospital systems.
