Expert Information
Currently engaged in clinical practice: Yes
Degree: MD
Specialty / Subspecialty:
- Obstetrics and Gynecology - Gynecologic Oncology
Area of Expertise: Gynecology, Gynecologic oncology
Year of Medical Training Completion: 1994
City of Practice: LITTLE ROCK
State of Practice: Arkansas
Previous Experience As Expert Witness: Yes
Type of Practice: Academic
- Deposition(s) Given For the Defendant: 8
- Deposition(s) Given For the Plaintiff: 5
- Testified in a Trial For the Defendent: 3
- Testified in a Trial For the Plaintiff: 2
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
- $300
- $2500
Independent Medical Examination:
Independent Medical Examination with written report
- Per Hour: $300
Deposition in office:
Deposition: Discovery/Evidence
- First two hours: $500
- For each Additional hour or any portion thereof: -
- Retainer (due 14 days prior to scheduled disposition): $500
- Cancellation fee (less than 7 days notice): $2000
Trial (InState):
- Initial day: $5000
- Cancellation fee (less than 72 hours notice): -
- For each additional day: $2500
- Cancellation fee (less than 72 hours notice): -
- Retainer (due 14 days prior to scheduled trial): -
Trial (Out of State):
- Initial day: $5000
- Cancellation fee (less than 72 hours notice): -
- For each additional day: -
- Cancellation fee (less than 72 hours notice): -
- Retainer (due 14 days prior to scheduled trial): -
Case Responses
- Medical Probability: 8 / 10
- Medical Error Summary: In a situation where patient has not had prior extensive surgery or evidence of either pelvic inflammatory disease or endometriosis, the ureter should be relatively easy to protect when doing a hyster...
- Causation Probability: 10 / 10
- Causation Summary: Clearly the ureter was transected during the surgery by mistake and this led to all of the subsequent problems.
- Expert Summary: As a gynecologic oncologist I am intimately familiar with the retroperitoneal anatomy, the course of the ureters, how to recognize a ureteral injury, as well as how to repair ureteral injury.
- Similar Summary: In terms of performing hysterectomies, I perform approximately 3 to 5 per week.
Death of 66 y.o. Woman for Hemorrhagic Shock after TAH-BSO for Stage I Endometrial Ca (Case #407)
- Medical Probability: 9 / 10
- Medical Error Summary: When a post-operative patient becomes hypotensive it is incumbent on the medical staff to assess for possible bleeding. At minimu, a CBC should have been ordered. If a large drop in hgb was noted comp...
- Causation Probability: 4 / 10
- Causation Summary: The description given here for securing the vascular pedicles is within standard of care. The bleeding most likely began sometime after the morning of POD 1.
- Expert Summary: I have performed thousands of hysterectomies by laparotomy. I work on a busy service and we are presented with postoperative hypotension fairly often and I am well versed on evaluating these patients.
- Similar Summary: Probably two-three times a month we evaluate for post- op hypotension. Identifying significant bleeding occurs about 4 times per year. Some of those cases require immediate return to the operating roo...
Young woman with pelvic mass, rupture during removal, multiple complications. (Case #435)
- Medical Probability: 2 / 10
- Medical Error Summary: Patient was a young woman with excessive pain and required prompt intervention. While germ cell tumor should be considered in this situation, the appropriate treatment initially is to remove the mass ...
- Causation Probability: 2 / 10
- Causation Summary: As above. The chemotherapy was necessary for this tumor and caused the pulmonary damage. The teratoma syndrome appears to also be a consequence of the chemotherapy.
- Expert Summary: 33 years experience as a gyn oncologist with treatment of germ cell malignancies both surgically and with chemotherapy.
- Similar Summary: About 1-2 germ cell malignancies per year.
8-month delay in diagnosing carcinoid tumor of the ovary/fallopian tube (Case #545)
- Medical Probability: 8 / 10
- Medical Error Summary: A Gyn mass in a 78 year old woman must always be taken seriously. Ultrasound cannot distinguish a benign from malignant tumor. I am assuming from this presentation that the ovary contained a carcinoid...
- Causation Probability: 8 / 10
- Causation Summary: As above, delay in removal of the mass led to release of vasoactive substances from the tumor that affected her heart.
- Expert Summary: 35 years experience as a Gyn oncologist dealing with ovarian tumors including primary carcinoid of the ovary.
- Similar Summary: These are rare tumors. I have probably dealt with about 20 over my career. However I have dealt with hundreds and hundreds of ovarian tumors in postmenopausal women.
