Expert Information
Currently engaged in clinical practice: Yes
Degree:
Specialty / Subspecialty:
- Vascular Surgery
Area of Expertise: Aortic Aneuryms, Peripheral arterial disease, Cerebrovascular
Year of Medical Training Completion: 2019
City of Practice: Richmond
State of Practice: Virginia
Previous Experience As Expert Witness: Yes
Type of Practice: Academic
- Deposition(s) Given For the Defendant: 2
- Deposition(s) Given For the Plaintiff: 2
- Testified in a Trial For the Defendent: 2
- 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
- $650
- $3000
Independent Medical Examination:
Independent Medical Examination with written report
- Per Hour: -
Deposition in office:
Deposition: Discovery/Evidence
- First two hours: -
- 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: -
- 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
Bypass graft complications (Case #331)
- Medical Probability: 7 / 10
- Medical Error Summary: So in general, it is not unreasonable to perform percutaneous access on femoral vessels that have a bypass, but access is the key. It sounds like perhaps the access went thru the bypass and then the d...
- Causation Probability: 7 / 10
- Causation Summary: I think given the temporal relation to the bypass going down, it is likely the procedure was the cause of his bypass occluding. As above, it would be interesting to see what the pictures and full oper...
- Expert Summary: I am a board certified vascular surgeon trained at Stanford now practicing in academic medicine in VA. We perform a high number of percutaneous interventions along with bypass surgeries for PAD, carot...
- Similar Summary: Percutaneous interventions on patients with existing bypasses are not very rare. We perform I would estimate at least one a month if I had to guess. There are certain nuances and considerations for th...
Hypoglossal nerve injury requiring suture repair during carotid endarterectomy (Case #332)
- Medical Probability: 9 / 10
- Medical Error Summary: All vascular surgeons that are trained and board certified are taught to identify and preserve the hypoglossal nerve. That being said it does happen, anywhere from 2-4% in the literature. It appears t...
- Causation Probability: 9 / 10
- Causation Summary: The patient is expected to have dysphagia and dysarthria after transection of the hypoglossal nerve. Those symptoms are directly related to hypoglossal nerve injury.
- Expert Summary: I perform open CEA and TCAR on a routine basis. I also am RPVI certified to evaluate the duplex and assess the degree of stenosis if patient truly needed an operation. I have also authored papers in v...
- Similar Summary: We do approximately 20-30 open CEA operations a year in our practice. With the introduction of TCAR the numbers have come down some to 20-30 and prior we probably did more. This is a fairly common cas...
bleeding from external iliac artery following endovascular procedure (Case #347)
- Medical Probability: 6 / 10
- Medical Error Summary: Based on the brief narrative, there is a possibility of an inaccurate puncture or high puncture under the inguinal ligament. It would be instrumental to see if an ultrasound was used for guidance as t...
- Causation Probability: 6 / 10
- Causation Summary: Based on the brief narrative, there is a possibility of an inaccurate puncture or high puncture under the inguinal ligament. It would be instrumental to see if an ultrasound was used for guidance as t...
- Expert Summary: I am a board certified vascular surgeon that routinely performs angiograms for peripheral arterial disease. I have reviewed and consulted on many peripheral arterial cases before and would love to be ...
- Similar Summary: quite frequently. I have just performed 5 lower extremity angiograms in the last week. We routinely cannulate the opposite groin for angiograms. Although I cant say we have no complications we like to...
- Medical Probability: 5 / 10
- Medical Error Summary: So I think there is something to clarify here. The question is is the renal artery covered by the endograft or is there native vessel stenosis. I think there is more of a case if the endograft is cove...
- Causation Probability: 5 / 10
- Causation Summary: Again I think as mentioned above this is dependent on if there is radiographic evidence that the endograft is covering the renal orifice. I think if that is the case then there is more of a basis for ...
- Expert Summary: I believe I would be a good reviewer for this case for multiple reasons. My fellowship in vascular surgery was completed at Stanford University where I placed over 100 of aortic endografts and am well...
- Similar Summary: I have had cases where the endograft has encroached or covered a renal artery. We have been able to recannulate with a variety of different techniques and stent in various parallel configurations to e...
Large AAA in 56yo male, possible delay in intervention, resulting in rupture and death in hospital. (Case #434)
- Medical Probability: 10 / 10
- Medical Error Summary: I completed my fellowship at Stanford where we specialized in treatment of complex aortic aneurysms. I furthermore completed an additional aortic fellowship in China. One of the tenants of aortic aneu...
- Causation Probability: 10 / 10
- Causation Summary: Please see above however the patient ruptured the aneurysm in the time that was a delay to the operating room. If this was fixed expeditiously, he would not have ruptured.
- Expert Summary: I have done countless number of endovascular aortic repairs for aneurysm and dissection. I have testified previously in these cases as well. I have a second non acgme fellowhsip for advanced endovascu...
- Similar Summary: As mentioned above, I routinely perform operations on these types of cases. We do anywhere from 30-50 a year and a mix of symptomatic/asymptomatic/ruptured. I have done hundreds in my career and would...
63yo Right Lower Extremity Vascular Disease, Failed Bypass Procedures, and Eventual Amputation (Case #549)
- Medical Probability: 5 / 10
- Medical Error Summary: This is a difficult case to tell. It really depends at rehab what is the reason the VAC was not applied and which medications was he not recieving. What was the documented reason for this? 1st. I ...
- Causation Probability: 7 / 10
- Causation Summary: Likely in the sense that if his VAC and medication delay did not have a valid reason that would potentially lead to graft failure.
- Expert Summary: I have reviewed peripheral arterial cases for quite some time now. I am happy to send CV. I think in general this is a difficult case for the plantiff given comorbidities. Likely would hinge on if the...
- Similar Summary: I just did a distal redo bypass last week. We also had a separate patient this week we debrided a wound after bypass and sent home with wound vac therapy. This is often a common scenario in our practi...
