Expert Information
Currently engaged in clinical practice: Yes
Degree: M.D.
Specialty / Subspecialty:
- Pediatrics - Neonatal-Perinatal Medicine
Area of Expertise: Neonatology, Neonatal Resuscitation, Neonatal Sepsis, Necrotizing Enterocolitis, Neonatal Ventilation, Neonatal Nutrition
Year of Medical Training Completion: 1985
City of Practice: BALTIMORE
State of Practice: Maryland
Previous Experience As Expert Witness: Yes
Type of Practice: Non-Academic
- Deposition(s) Given For the Defendant: 9
- Deposition(s) Given For the Plaintiff:
- Testified in a Trial For the Defendent:
- Testified in a Trial For the Plaintiff:
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
- $1000
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: -
- Retainer (due 14 days prior to scheduled disposition): -
- Cancellation fee (less than 7 days notice): -
Trial (InState):
- Initial day: -
- 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): -
Trial (Out of State):
- Initial day: $4000
- 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
Failure to resuscitate in NICU (Case #276)
- Medical Probability: 4 / 10
- Medical Error Summary: Antenatal betamethasone is given to mature lung function. Without additional information it appears the obstetrician appropriately began antenatal steroids. Infants born at this gestational age are a...
- Causation Probability: 3 / 10
- Causation Summary: As described above. Need more details about neonatal course not provided here.
- Expert Summary: I am a board certified neonatologist with over 38 years of clinical experience. I have been medical director of 2 Level III NICUs and was a regional trainer of NRP.
- Similar Summary: Not infrequently. We cared for about 75 infants below 1500 grams at birth and all gestational ages as low as 23 weeks.
Failure in NICU (Case #279)
- Medical Probability: 4 / 10
- Medical Error Summary: It would require an obstetrician to opine on timing of delivery. The presence of a pediatrician or NICU personnel at delivery is dictated by local standard of care/hospital policy. Regardless, the...
- Causation Probability: 4 / 10
- Causation Summary: Initial blood gases appear reasonable. The infant is evaluated for possible sepsis because of maternal chorioamnionitis with a short NICU stay. Is there other evidence of organ system dysfunction?
- Expert Summary: I am a board certified neonatologist with over 38 years experience. I have directed two Level III NICUs.
- Similar Summary: Chorioamnionitis is not uncommon. The management of infants born to women with chorioamnionitis is variable.
An incapacitated minor (Case #318)
- Medical Probability: 2 / 10
- Medical Error Summary: Infant presented with respiratory depression and signs of encephalopathy. The baby had profound anemia with metabolic acidosis. Because of the progound anemia there is low oxygen content available for...
- Causation Probability: 3 / 10
- Causation Summary: One question is whether there would be an I dication for earlier delivery given mother's report that infant wasn't moving. An OB expert is needed to answer that question.
- Expert Summary: I am a board-certified neonatologist with over 38 years of clinical experience. I directed two Level 3 NICUs and have provided direct medical care for infants with encephalopathy, seizures, and .anemi...
- Similar Summary: We cared for 4-6 infants each year with HIE receiving therapeutic hypothermia. I have cared for a handful of infants presenting with profound anemia.
Premie Blindness Due to Severe Glaucoma (Case #343)
- Medical Probability: 4 / 10
- Medical Error Summary: The AAP Guidelines for examination for ROP call for examination in infants below 1500 grams or 30 weeks. This infant MIGHT qualify as he was 31 weeks and received oxygen for a period of time of more t...
- Causation Probability: 2 / 10
- Causation Summary: As above. The AAP ROP Guidelines make recommendations for which neonates should be examined by an ophthalmologist.
- Expert Summary: I am a board certified neonatologist with over 39 years experience in tertiary level NICUs.
- Similar Summary: Currently Emeitus Neonatologist. Our NICU which cared for infants of all gestational aged and birth weights had a fairly low incidence of ROP.
- Medical Probability: 8 / 10
- Medical Error Summary: Grunting and retraction are not normal in a well newborn. Why many neonates may have transient tachypnea of the newborn, this typically resolved quickly. The vital signs do not show evidence of tachy...
- Causation Probability: 8 / 10
- Causation Summary: Lack of exam and laboratory, x-ray studies and initiation of antibiotics in an infant with persistent grunting is problematic. Findings at autopsy demonstrated infection. This might have been prevente...
- Expert Summary: I am a board certified neonatologist with over 40 years of experience.
- Similar Summary: Now Emeritus status, but saw this type of presentation not infrequently.
Premature child has necrotizing enterocolitis after rapid advancement in feeding schedule. (Case #462)
- Medical Probability: 3 / 10
- Medical Error Summary: While a gradual feeding schedule is often utilized, there is no good evidence to support this. Recently there have been studies showing that a more rapid advancement is well tolerated by preterm infan...
- Causation Probability: 3 / 10
- Causation Summary: It has not been demonstrated that a faster rate of feeding or earlier fortification of human milkvis associated with necrotizing enterocolitis.
- Expert Summary: I am a board certified neonatologist with over 40 years of clinical experience and have directed two Level 3 NICUs.
- Similar Summary: I have seen NEC develop in infants at 32 weeks on occasion. The incidence is really more a concern in smaller infants. Was this a small for gestational age infant? Infant of a diabetic mom? Other ris...
5yo M Delayed Appendicitis Diagnosis, Rupture, Resection (Case #524)
- Medical Probability: 2 / 10
- Medical Error Summary: The initial presentation is commonly seen with viral syndrome. Of greater interest is what occurred over the next e days.
- Causation Probability: 2 / 10
- Causation Summary: Same reason as above. Not all cases that present as initially require the workspace that occurred subsequently.
- Expert Summary: I'm a board certified pediatrician and a board certified neonatologist.
- Similar Summary: Now retired as an Emeritus neonatologist.
