Expert Information
Currently engaged in clinical practice: Yes
Degree: M.D.
Specialty / Subspecialty:
- Internal Medicine - Critical Care Medicine
- Internal Medicine - Neurocritical Care
Area of Expertise: Stroke, Neurocritical care, Traumatic brain injury, Cardiac arrest, seizures, vascular neurology, medicine, critical care medicine
Year of Medical Training Completion: 2010
City of Practice: PHILADELPHIA
State of Practice: Pennsylvania
Previous Experience As Expert Witness: Yes
Type of Practice: Academic
- Deposition(s) Given For the Defendant:
- Deposition(s) Given For the Plaintiff: 2
- Testified in a Trial For the Defendent:
- 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: U. Militar
Year of Completion: 1996
Residency: Columbia-Presbyterian NYC
Year of Completion: 2005
Fellowship: Columbia-Presbyterian NYC
Year of Completion: 2008
Academic / Leadership Information
Highest Academic/Leadership Position Achieved: Professor
Current Academic Affiliation: Rowan School of Medicine
Distinguishing Achievements
Awards: FCCM
Number of Publications on PubMed: 60
Professional Organizations: SCCM AHA NCS
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: $500
- Retainer (due 14 days prior to scheduled disposition): $3000
- Cancellation fee (less than 7 days notice): $1500
Trial (InState):
- Initial day: $5000
- Cancellation fee (less than 72 hours notice): $5000
- For each additional day: $5000
- Cancellation fee (less than 72 hours notice): $2500
- Retainer (due 14 days prior to scheduled trial): $5000
Trial (Out of State):
- Initial day: $5000
- Cancellation fee (less than 72 hours notice): $5000
- For each additional day: $5000
- Cancellation fee (less than 72 hours notice): -
- Retainer (due 14 days prior to scheduled trial): $5000
Case Responses
Failure to adequately monitor for increasing intracranial pressure following intracranial bleed (Case #280)
- Medical Probability: 6 / 10
- Medical Error Summary: to answer your questions: 1. The patient was monitored in NeuroICU setting for ICP using a clinical exam. Doubt INVOS would have made a difference in the progression. 2. Depends on the degree of...
- Causation Probability: 7 / 10
- Causation Summary: Failure to maintain eunatremia, would be associated with more cerebral edema. Failure to recognizes hydrocephalus to initiate external ventricular drainage. Since there was no re-bleed, the potenti...
- Expert Summary: Neurocritical care Neurology Vascular neurology
- Similar Summary: daily basis. we see a lot of ICH, AVM, SAH, stroke in the neuro ICU at my academic center.
Neurosurgery departure (Case #284)
- Medical Probability: 8 / 10
- Medical Error Summary: Failure to identify sepsis and treat it with the proper dose of ABS Failure to perform source control
- Causation Probability: 8 / 10
- Causation Summary: Acute myelopathy, spinal cord compression from an abscess, sepsis,s eptic shock
- Expert Summary: Neurocritical care Critical care medicine
- Similar Summary: Daily basis Re: IVDA, chronic back pain, elderly with invasive steroid, analgesic injections in outpatient setting HIV, immunosuppressed chronic cancer patients, etc.
Delay in diagnosis and treatment of ANCA-associated vasculitis (Case #292)
- Medical Probability: 4 / 10
- Medical Error Summary: Appropriate empirical treatment with i.v. Steroids were given to the patient while awaiting ANCA serologies.
- Causation Probability: 4 / 10
- Causation Summary: I do not see injury stemming from a lack of therapy. The ANCA vasculitis had caused lung and renal injuries. However, these recovered based on the story provided. The providers started immunosuppressi...
- Expert Summary: Critical care specialist with >10 years of experience. Vascular neurologist used to treat vasculitis from many etiologies including ANCA.
- Similar Summary: Vasculitis isa rare condition. We see at least one or two per year in the ICU with primary CNS involvement or systemic involvement as in this case. We treat empirically before obtaining serologies an...
Delay in Diagnosis and Treatment of Herpes Encephalitis (Case #306)
- Medical Probability: 10 / 10
- Medical Error Summary: This patient had meníngeo encephalitis . The most treatable cause of encephalitis is HSV-1. Since the acyclovir was ordered empirically for viral meníngeo encephalitis, which was right decision, and...
- Causation Probability: 6 / 10
- Causation Summary: Untreated HSV -1encephalitis. Goal of sepsis treatment is source control and delivery of Antibiotics. In this case delay in AB treatment and/or continuation was associated with poor source control.
- Expert Summary: years in clinical practice, almost two decades and serving as expert almost. a decade.
- Similar Summary: Infrequently as these are rare. But as we are a referral center, then we see couple in a year.
Post cervical laminectomy, possible delayed diagnosis of CSF infection (Case #441)
- Medical Probability: 4 / 10
- Medical Error Summary: There is no CSF leak, and it does not appear that he was treated for one; there is a post-op infection, though.
- Causation Probability: 4 / 10
- Causation Summary: Infection is a common complication of surgery.
- Expert Summary: Neurocritical care, over 20 years of experience managing post-op neurosurgical complications
- Similar Summary: Infrequently, since these are rare complications, we see a bunch of sepsis post-op and CSF leaks.
59yo F Pipeline Stent Complication Causing Bilateral Blindness (Case #520)
- Medical Probability: 4 / 10
- Medical Error Summary: The patient appeared to have followed a perioperative clearance scheme where she was evaluated for this type of elective neurosurgical intervention.
- Causation Probability: 4 / 10
- Causation Summary: There appear to be no deviations from standard care. The patient was evaluated perioperatively and cleared for this type of surgery. The physician evaluated and optimized the medical variables that w...
- Expert Summary: Expert Experience and Case Review Clinical Background I have more than 20 years of experience treating patients with acute and chronic neurological injuries that arise from traumatic events, neurova...
- Similar Summary: clinically unusually, ther eis a risk inherent to these procedures
