Expert Information
Currently engaged in clinical practice: Yes
Degree: M.D.
Specialty / Subspecialty:
- Internal Medicine - Medical Oncology
- Internal Medicine - Hematology
Area of Expertise: Lung cancer, Colon cancer, breast cancer, head and neck cancer, clotting disorders, lymphoma, general hematology
Year of Medical Training Completion: 1991
City of Practice: RICHMOND
State of Practice: Virginia
Previous Experience As Expert Witness: Yes
Type of Practice: Non-Academic
- Deposition(s) Given For the Defendant: 2
- Deposition(s) Given For the Plaintiff: 2
- 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
- $500
- $2000
Independent Medical Examination:
Independent Medical Examination with written report
- Per Hour: -
Deposition in office:
Deposition: Discovery/Evidence
- First two hours: $1000
- For each Additional hour or any portion thereof: $500
- Retainer (due 14 days prior to scheduled disposition): $1000
- Cancellation fee (less than 7 days notice): $2000
Trial (InState):
- Initial day: $4000
- Cancellation fee (less than 72 hours notice): $4000
- For each additional day: $4000
- Cancellation fee (less than 72 hours notice): $2000
- Retainer (due 14 days prior to scheduled trial): $2000
Trial (Out of State):
- Initial day: $4000
- Cancellation fee (less than 72 hours notice): $4000
- For each additional day: $4000
- Cancellation fee (less than 72 hours notice): $2000
- Retainer (due 14 days prior to scheduled trial): $2000
Case Responses
Delay in diagnosis of squamous cell carcinoma (Case #238)
- Medical Probability: 9 / 10
- Medical Error Summary: In the earliest photo shown, from 3/14/11, the ulcer does not have the appearance of a venous stasis ulcer. These types of ulcers are usually shallow, fairly round or symmetrical with smooth edges. Th...
- Causation Probability: 7 / 10
- Causation Summary: As early as 3/14/11, this ulcer looks like a cancer and should have been biopsied. However, there is the question of whether at that time, the cancer was so invasive and so much tissue would need to b...
- Expert Summary: I have 30 years of experience in general medicine, hematology, and general oncology. My expertise is not focused in one small area of oncology or one protein or procedure. While have been in academic ...
- Similar Summary: Fortunately similar cases are rare where I work as the dermatologists are quick to suspect cancer and do a biopsy. Sometimes patients progress despite the best of care and sometimes they are slow to p...
Diagnosis of HCC (Case #250)
- Medical Probability: 8 / 10
- Medical Error Summary: I would have to see the images before being certain that there was an error. Although I am not a radiologist, I require in such cases that I can be clearly convinced that a finding was missed. Then it...
- Causation Probability: 5 / 10
- Causation Summary: At first blush it seems obvious that this patient would have done better with earlier treatment in 2014. However, that would require a significantly better therapy than the transarterial chemoemboliza...
- Expert Summary: I have extensive experience over the past 30 years in treating patients with cancer and thrombocytopenia. I am board certified in oncology and hematology. I work in close collaboration with surgeons a...
- Similar Summary: I see patients frequently with thrombocytopenia, cirrhosis, and varices. I see patients occasionally with hepatocellular carinoma. I do not specialize specifically in liver tumors.
Questions about use of Eliquis (Case #262)
- Medical Probability: 7 / 10
- Medical Error Summary: This is our issue. The administration of Eliquis stopped in the hospital during the 1/7/19-1/17/19 admission. However, the patient had an active prescription for Eliquis at home, filled on 1/2/19. I ...
- Causation Probability: 7 / 10
- Causation Summary: I cannot tell without reviewing the medical records. I cannot tell if the patient was anticoagulated or not. It depends upon what the medication list shows he was treated with in the hospital. It depe...
- Expert Summary: I have reviewed many cases that hinge on the communication between and among staff and patient and family. I also have struggled in my own practice with the difficulties of medication reconciliation, ...
- Similar Summary: With regard to issues of medication reconciliation, whether a patient is on a certain drug or not, when a patient should stop Eliquis before surgery, why a patient bled during surgery - daily. With re...
Missed abdominal mass causes 5-week delay in diagnosis of Burkitt lymphoma (Case #267)
- Medical Probability: 10 / 10
- Medical Error Summary: Of course review of all the pertinent records is always necessary before rendering a full opinion in a case. Here it is a given that a mass was missed on the CT scan. This was an error, unless perhaps...
- Causation Probability: 2 / 10
- Causation Summary: Depending on the size of the mass and its location, it may not even have been causing his symptoms, unless it was obstructing his bowel and surgery was needed to relieve the patient's symptoms, but th...
- Expert Summary: I have been practicing clinical oncology for 35 years. I have been a generalist most of that time, though I spent 7 years in academic practice focusing on chest malignancies. My broad experience in tr...
- Similar Summary: I have treated as many Burkitt's patients as most any other adult oncologist - 2. Pediatric oncologists treat Burkitt's much more commonly, but they are not involved in the initial evaluation of adult...
Failure to diagnose and treat hypodense lesion in liver consistent with metastatic disease (Case #313)
- Medical Probability: 10 / 10
- Medical Error Summary: It is unclear from this summary who ordered the CT scan in the fall of 2021, though it is likely to be the oncologist. NCCN guidlines recommend CT imaging every 6 to 12 months for 5 years after surger...
- Causation Probability: 6 / 10
- Causation Summary: This is a closer call. Most oncologists accept the idea that early treatment is better for metastatic colon cancer than waiting until symptoms develop. This has not been proven in the era of modern ch...
- Expert Summary: I have 30 years of clinical experience in managing patients with complicated medical problems. I am always aggressive when there is a chance for cure or long term survival, but carefully to evalua...
- Similar Summary: Every 1-3 months, in different formats - colorectal, rectal, other diseases, young or old. I always make sure I have all the data, I am skeptical of vague reports or uncertainties because I never want...
- Medical Probability: 6 / 10
- Medical Error Summary: In my opinion, this patient did not die of tumor lysis syndrome. He died of acute lymphoblastic leukemia complicated by sepsis. This was also complicated by volume overload. There are two potential me...
- Causation Probability: 6 / 10
- Causation Summary: See above for details. Even with early antibiotics and early chemotherapy, this patient still could easily have died. He was critically ill when he came to the emergency room and he had a very aggres...
- Expert Summary: I have trained or practiced at 3 major medical centers in the country. I have been in practice for 30 years, including a time when I was younger and took care of many critically ill patients in the IC...
- Similar Summary: Not so much anymore. I only have one ALL patient that I still follow - I treated him 15 years ago and he is cured. I now see only adults and we send our acute leukemic patients to the medical center. ...
Elevated INR results in CVA and Death (Case #369)
- Medical Probability: 7 / 10
- Medical Error Summary: There is not enough information included to make a definitive statement about an error or about causation. Here are my questions that would have to be answered with a complete review of the records: ...
- Causation Probability: 6 / 10
- Causation Summary: This question is more difficult. Again, all of the information is not here. A thorough review of the records needs to be done. It appears that she died of a thrombotic stroke, caused by her underlying...
- Expert Summary: I have been practicing hematology and oncology for over 30 years. I am board certified in both. I have reviewed 80 medical-legal cases in the past 5 years. I continue to practice 4 days a week. I have...
- Similar Summary: I adjust patient's warfarin daily. I decide what anticoagulation regimen a patient should get daily. Fortunately I have only seen such disasters a few times in my career. I have had several patients w...
- Medical Probability: 3 / 10
- Medical Error Summary: I am not convinced there was a medical error here. Pregnancy places women at a very high risk for thrombotic events. Not all women who have a pulmonary embolism during pregnancy require life-long ant...
- Causation Probability: 6 / 10
- Causation Summary: See above discussion. See above discussion.See above discussion.See above discussion.
- Expert Summary: I have been practicing clinical hematology for 35 years, including making decisions about who stays on life-long anticoagulation and who comes off.
- Similar Summary: Every week. Every week.Every week.Every week.Every week.Every week.Every week.Every week.
Hemorrhagic stroke and death (Case #501)
- Medical Probability: 6 / 10
- Medical Error Summary: This is a difficult case. Here are some of my thoughts. 1) Generally, one would not prescribe a full dose of heparin to a patient already anticoagulated on Eliquis. I would want to know when the pat...
- Causation Probability: 6 / 10
- Causation Summary: Explained above. Potential double anticoagulation with Eliquis and heparin. Potential decreased excretion of Eliquis given the renal infarct and possible chronic renal insufficiency from HTN. Also INR...
- Expert Summary: I have been a hematologist for 35 years. I have taken care of many high-risk individuals and many patients on anti-coagulation. I have reviewed a number of coagulation cases in my expert witness pra...
- Similar Summary: I will be honest, not often. This is a very unique case.
