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Expert Information

Currently engaged in clinical practice: Yes

Degree: M.D., MBBS

Specialty / Subspecialty:

  • Internal Medicine  -  Cardiology
  • Internal Medicine  -  Interventional Cardiology

Area of Expertise: Interventional cardiology, Cardiology, Internal medicine, heart failure, advanced heart failure, medical imaging, cardiac imaging

Year of Medical Training Completion: 2012

City of Practice: WORCESTER

State of Practice: Massachusetts

Previous Experience As Expert Witness: Yes

Type of Practice: Academic

  • Deposition(s) Given For the Defendant: 1
  • Deposition(s) Given For the Plaintiff: 1
  • 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

  • $500
  • $3000

Independent Medical Examination:

Independent Medical Examination with written report

  • Per Hour: $500

Deposition in office:

Deposition: Discovery/Evidence

  • First two hours: $1000
  • For each Additional hour or any portion thereof: $600
  • Retainer (due 14 days prior to scheduled disposition): $3000
  • Cancellation fee (less than 7 days notice): $1000

Trial (InState):

  • Initial day: $5000
  • Cancellation fee (less than 72 hours notice): $3000
  • For each additional day: $5000
  • Cancellation fee (less than 72 hours notice): $1000
  • Retainer (due 14 days prior to scheduled trial): $3000

Trial (Out of State):

  • Initial day: $8000
  • Cancellation fee (less than 72 hours notice): $5000
  • For each additional day: $6000
  • Cancellation fee (less than 72 hours notice): $2000
  • Retainer (due 14 days prior to scheduled trial): $4000

Case Responses

Failure to properly read CT Angiogram leads to unnecessary surgical procedure (Case #258)

  • Medical Probability: 4 / 10
  • Medical Error Summary: The coronary CT angiogram provides different information than the invasive coronary angiogram. In the CT , the wall of the vessel can be visualized and frequently coronary artery disease can be notice...
  • Causation Probability: 2 / 10
  • Causation Summary: No. The medical error did not result in injury. The person making the decision to proceed with the heart catheterization made the judgment call and we many times do not proceed with cardiac catheteriz...
  • Expert Summary: I am currently appointed as co-director of cardiac imaging and have training in Cardiac CT and MRI. I work in an academic institution where we read several hundreds of CT scans every year and therefor...
  • Similar Summary: We frequently encounter this in our practice. This is not an uncommon scenario.

SFA reocclusion with amputation (Case #288)

  • Medical Probability: 8 / 10
  • Medical Error Summary: This is an 81 year old female who has been developing recurrent SFA disease managed by the interventional cardiologist from 2018 - 2022. Over the course, it appears that the interventional cardiologis...
  • Causation Probability: 9 / 10
  • Causation Summary: 1. The indication for starting IV heparin therapy is not clear. 2. There is delay in obtaining imaging and evaluation of the limb
  • Expert Summary: I will make a good expert because 1. I am interventional cardiologist with experience in treating the patients with vascular disease 2. I believe that patient or doctor should be properly represent...
  • Similar Summary: This particular occurrence is a rare occurrence however, many of these peripheral disease patients around 5-10% would develop acute limb thrombosis like this patient did. The degree of bleeding on hep...

64yo M elective peripheral angiogram, had arterial injury that req repair. Had CVA and other multiple complications. (Case #392)

  • Medical Probability: 10 / 10
  • Medical Error Summary: Documentation confirms the placement of a 7 F sheath in the severely diseased common femoral artery. Initial diagnostic imaging was performed using 4 F sheath which is a much smaller sheath and was ap...
  • Causation Probability: 10 / 10
  • Causation Summary: Yes, causation is evident in this case. During the diagnostic angiogram, the operator observed significant disease. However, they focused solely on addressing the inflow disease while neglecting the d...
  • Expert Summary: I am an interventional cardiologist with vascular training. I have performed these procedures and have been working as an interventional cardiologist for 6+ years.
  • Similar Summary: I often encounter such cases in my practice.

52yo F with previous TAVR, has failed valve and becomes symptomatic. Possible delays with abnormal EKG in office and heart cath, dies following day. (Case #422)

  • Medical Probability: 10 / 10
  • Medical Error Summary: In January, the patient's echocardiogram showed abnormal valve gradients that were already quite high. It’s unclear why there was a delay in evaluating the patient until March. By March, the records...
  • Causation Probability: 10 / 10
  • Causation Summary: There was a delay in this patient's management and treatment. The treatment depends on the symptoms of the patient. If there is documentation or evidence that the patient was symptomatic at the time ...
  • Expert Summary: I regularly perform TAVR procedures as well as coronary angiogram/coronary artery stents. I have been doing them since 2017.
  • Similar Summary: This situation is not unusual when a patient first shows signs of severe disease who has not been following up with a heart doctor for a while. According to current guidelines, the valve should be mon...

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

Have a question about Kalivar?

Please email us at admin@kalivar.com

We look forward to hearing from you!

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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