Expert Information
Currently engaged in clinical practice: Yes
Degree: M.D.
Specialty / Subspecialty:
- Internal Medicine - Medical Oncology
Area of Expertise: Hematology, Oncology, Breast cancer, Colon cancer, Leukemia/Lymphoma, Clotting, Bleeding, Prostate cancer
Year of Medical Training Completion: 1995
City of Practice: FAIRFIELD
State of Practice: Connecticut
Previous Experience As Expert Witness: Yes
Type of Practice: Non-Academic
- Deposition(s) Given For the Defendant: 1
- Deposition(s) Given For the Plaintiff: 1
- Testified in a Trial For the Defendent:
- 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
- $800
- $3000
Independent Medical Examination:
Independent Medical Examination with written report
- Per Hour: $800
Deposition in office:
Deposition: Discovery/Evidence
- First two hours: $1400
- For each Additional hour or any portion thereof: $700
- Retainer (due 14 days prior to scheduled disposition): $3000
- Cancellation fee (less than 7 days notice): $1000
Trial (InState):
- Initial day: $6000
- Cancellation fee (less than 72 hours notice): $3000
- For each additional day: $6000
- Cancellation fee (less than 72 hours notice): $1000
- Retainer (due 14 days prior to scheduled trial): $6000
Trial (Out of State):
- Initial day: $8000
- Cancellation fee (less than 72 hours notice): $4000
- For each additional day: $8000
- Cancellation fee (less than 72 hours notice): $2000
- Retainer (due 14 days prior to scheduled trial): $8000
Case Responses
Delay in diagnosis of squamous cell carcinoma (Case #238)
- Medical Probability: 9 / 10
- Medical Error Summary: If not only was wound not responding, but rather getting worse, further investigation should have taken place: biopsy and culture. Just observing a worsening condition and continuing with same treat...
- Causation Probability: 10 / 10
- Causation Summary: Earlier diagnosis of aggressive cancer of skin could have been treated with extensive resection or radiation, and strong likelihood for better outcome-- sparing amputation.
- Expert Summary: Medical oncologist for 25 years, several times a year sees chronic skin infections and several times over a career, have diagnosed aggressive skin cancer in patient with nonhealing ulcer.
- Similar Summary: Probably once every 3-4 years, in hospital, with either aggressive anal cancer under treatment, or chronically ill patient with decubitus ulcer, nonresponsive to typical therapy.
Questions about use of Eliquis (Case #262)
- Medical Probability: 2 / 10
- Medical Error Summary: One. I don’t think Eliquis could’ve contributed to the micotic aneurysm. This is clearly a not uncommonly seen complication of infective endocarditis. Anticoagulation in the setting of infective e...
- Causation Probability: 1 / 10
- Causation Summary: I think patient had a bad outcome because he had infective endocarditis that led to a mycotic aneurysm in the brain which likely ruptured and caused bleeding. I don’t see how him not taking Eliquis ...
- Expert Summary: I am a hematologist/oncologist who has been in practice for greater than 25 years. I am frequently called upon by surgeons to help manage coagulopathy, thrombosis, and bleeding issues in preoperative,...
- Similar Summary: A serious issue such as this, with possible need for reversal of anticoagulation while on a directoral anti-thrombin inhibitor is unusual. I may see two or three cases a year.
Missed abdominal mass causes 5-week delay in diagnosis of Burkitt lymphoma (Case #267)
- Medical Probability: 8 / 10
- Medical Error Summary: Yes, if indeed the abdominal mass was missed during the first emergency room visit and scan on 8/27/2021, this 5-week delay would absolutely be a medical error, and it would absolutely impact patient'...
- Causation Probability: 7 / 10
- Causation Summary: Because Burkitt lymphoma is an aggressive and rapidly growing tumor, this patient may very well have been harmed because of missing the diagnosis for several weeks and having a chance for increased di...
- Expert Summary: I am a hematologist/oncologist who has experience in treating Burkitt lymphoma.
- Similar Summary: I see all types of lymphoma, and have been treating hematologic malignancies for about 30 years. Burkitt lymphoma is not very common, but I see 1 or 2 cases every few years.
Failure to diagnose and treat hypodense lesion in liver consistent with metastatic disease (Case #313)
- Medical Probability: 10 / 10
- Medical Error Summary: Clearly, the October 2021 scan was abnormal and was not followed up on. She should’ve been contacted to work this up in October. KARAN colleges, in April 2022 also did not note the recent scan and ...
- Causation Probability: 6 / 10
- Causation Summary: It appears that there was a delay of about nine months, from time of abnormal scan in October 21, till definitive work up was begun on July 2022. Clearly the tumor had grown by the time they performed...
- Expert Summary: I am a medical oncologist with about 30 years experience, who sees many people with metastatic colon cancer.
- Similar Summary: I often see patients with colon cancer, both early stage, or localized, and patients with metastatic disease, whether they present at the time of diagnosis with Metz, or recurrence later. Also, much o...
- Medical Probability: 5 / 10
- Medical Error Summary: Patient had ALL I needed acute intervention. The procedure is to make the definitive diagnosis including bone marrow biopsy, as well as to start treatment as soon as possible, such as vascular access ...
- Causation Probability: 4 / 10
- Causation Summary: See above. Patient came in acutely ill, with diffuse, infiltration of acute leukemia. I think appropriate measures were performed. Patient suffered, poor outcome, mainly because of biology of the dise...
- Expert Summary: I am adult hematologist/oncologist. I do see patients with acute leukemia’s, but seldom do I see 15 year olds.
- Similar Summary: Patients with acute lymphoblastic leukemia usually are seen in our hospital one to two times a year. When they come in, they are almost always quite ill. I know that children with a Hill I’ll do bet...
Delayed diagnosis of lung mass (Case #361)
- Medical Probability: 10 / 10
- Medical Error Summary: Large lesion on chest x-ray, not found until 10 1/2 months later. This lesion was proven to be a cancer, hence it had time to grow for 10 1/2 months before addressing it. Clearly, there is a relation...
- Causation Probability: 9 / 10
- Causation Summary: Lung cancer, when smaller, has increased, survival with proper treatment. A delay in diagnosis, with increasing size, makes it much more likely metastatic spread can occur, which decreases chance for ...
- Expert Summary: I am a medical oncologist, practicing for over 25 years. I see many lung cancer, patients, and make therapeutic decisions based on staging. I take part in weekly tumor boards, where we review, along w...
- Similar Summary: I see new oncology patients virtually daily, about 15% of which have lung cancer. I have many patients in my practice that present with lung masses, where I am responsible for the work up and treatmen...
Elevated INR results in CVA and Death (Case #369)
- Medical Probability: 6 / 10
- Medical Error Summary: From the data given, it appears that she was not adequately monitored or at least may not have been given recommendations to lower dose while on Coumadin. It appears that she often had higher than rec...
- Causation Probability: 6 / 10
- Causation Summary: If there was not another explanation for SDH, such as obvious trauma, then the elevated INR alone may have caused the bleed.
- Expert Summary: Heme/Onc for over 3 decades. I have monitored and managed anticoagulation for many patients with thrombophilia. I have managed Coumadin, Eliquis, etc. Please note, I am boarded in internal medicine a...
- Similar Summary: A few times a year, we are called in consultation for over anticoagulation and complications.
