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Expert Information

Currently engaged in clinical practice: Yes

Degree: M.D.

Specialty / Subspecialty:

  • Thoracic and Cardiac Surgery

Area of Expertise: adult cardiac surgery, cardiology, transcatheter procedures

Year of Medical Training Completion: 2016

City of Practice: NEW YORK

State of Practice: New York

Previous Experience As Expert Witness: No

Type of Practice: 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

  • $1000
  • $4000

Independent Medical Examination:

Independent Medical Examination with written report

  • Per Hour: $2000

Deposition in office:

Deposition: Discovery/Evidence

  • First two hours: $3500
  • For each Additional hour or any portion thereof: $1500
  • Retainer (due 14 days prior to scheduled disposition): $5000
  • Cancellation fee (less than 7 days notice): $4000

Trial (InState):

  • Initial day: $9000
  • Cancellation fee (less than 72 hours notice): $5000
  • For each additional day: $5000
  • Cancellation fee (less than 72 hours notice): $7500
  • Retainer (due 14 days prior to scheduled trial): $5000

Trial (Out of State):

  • Initial day: $9500
  • Cancellation fee (less than 72 hours notice): $8000
  • For each additional day: $8000
  • Cancellation fee (less than 72 hours notice): $7500
  • Retainer (due 14 days prior to scheduled trial): $5000

Case Responses

CABG complications and bacteremia death (Case #203)

  • Medical Probability: 8 / 10
  • Medical Error Summary: The reason for the drop in hemoglobin on POD1 should have been addressed earlier, The hemothorax was a sign of active bleeding and the patient should have been explored and the problem solved. The acc...
  • Causation Probability: 7 / 10
  • Causation Summary: As explained above, I should have more tools to understand the chain of events, but likely the patient's problems should have been addressed more aggressively
  • Expert Summary: I operate on patients like this and I take care of them in the ICU after surgery. I know what to do
  • Similar Summary: CABG cases are very common, management of these cases like the one described are not frequent in my practice

Death from CAD after CABG postponed (Case #210)

  • Medical Probability: 8 / 10
  • Medical Error Summary: young man with recurrent chest pain, unstable angina and multivessel disease. it was appropriate to stent the first coronary (circumflex) the first time, but if there is recurrent ischemia associated ...
  • Causation Probability: 8 / 10
  • Causation Summary: Not revascularizing surgically the patient to me was a big mistake. The coronary disease progresses and most likely the patient had in-stent thrombosis of the DES previously placed.
  • Expert Summary: I'm a cardiac surgeon and perform CABGs on a daily basis. I follow my patients before and after the procedure as well.
  • Similar Summary: This is a common problem (recurrence of ischemia and progression of coronary disease associated with failure of percutaneous strategies). When a patient comes back with involvement of the left main, e...

Coronary AV fistula after CABG x4 (Case #261)

  • Medical Probability: 10 / 10
  • Medical Error Summary: Multiple mistakes in this case. First: by standard of care, the left internal mammary artery (LIMA) is anastomosed to the left anterior descending artery (LAD). That gives the best long term prognosi...
  • Causation Probability: 10 / 10
  • Causation Summary: The bypass graft to the wrong coronary doesn't supply blood to the area of the heart that is underperfused. If the bypass goes to a vein, the situation is even worse because creates a V-A shunt with r...
  • Expert Summary: I perform CABG on a daily basis. This is one of the most common procedures a heart surgeon performs. I work in a high volume coronary center in which I participate as primary or secondary operator to ...
  • Similar Summary: I saw cases in which a bypass was performed on wrong ARTERIAL coronary vessel. I heard cases like the one reported above in other centers, but never happened in my Institution. This is a bad and silly...

25yo F dx inappropriate sinus node tachycardia, undergoes thoracoscopic ablation. Has complications, req pacemaker. (Case #417)

  • Medical Probability: 4 / 10
  • Medical Error Summary: That is the reason why ablations are performed, to suppress sinus or nodal activity. The fact that she was bradycardic postop certifies the fact that the ablation was successful
  • Causation Probability: 4 / 10
  • Causation Summary: Same as above. One of the “complications” of ablations is excessive suppression of the electrical activity thus necessitating a PPM
  • Expert Summary: I perform surgical ablations and I’ve been involved in transcatheter ablations as well
  • Similar Summary: When I do an ablation, I always tell my patients there is a risk of requiring a PPM

Mitral Valve procedure w/ extended clamping/bypass time and multiple complications. (Case #457)

  • Medical Probability: 7 / 10
  • Medical Error Summary: If there were so many complications, it's evident that there was a medical error. Nevertheless, it happens that a mitral repair fails and the valve needs to be replaced. I believe the surgeon did the ...
  • Causation Probability: 7 / 10
  • Causation Summary: several issues since the beginning of the case caused a cascade of events that lead to poor outcome. There were: poor drainage failed repair of the mitral valve inappropriate de-airing
  • Expert Summary: I perfom open heart cases on a daily basis in a busy NY Institution
  • Similar Summary: Cases with so many issues are infrequent to encounter. But it happens,

77M, IVC tear during CABG (Case #472)

  • Medical Probability: 3 / 10
  • Medical Error Summary: The pursestring in the IVC caught the frail tissues of a 77yo patient and tore the vessel, in addition to most likely negligent handling of the cannula itself that probably traumatized the IVC
  • Causation Probability: 3 / 10
  • Causation Summary: traumatic and poor purse-string placement and cannulation technique led to injury to the IVC
  • Expert Summary: I perform cardiac cases routinely and I never experienced such a significant injury to the IVC that required patch repair and circulatory arrest.
  • Similar Summary: very very rarely I encounter injuries of this magnitude

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

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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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