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Expert Information

Currently engaged in clinical practice: Yes

Degree: M.D.

Specialty / Subspecialty:

  • Orthopaedic Surgery  -  Surgery of the Hand

Area of Expertise: Hand Surgery, Peripheral Nerve Surgery, Elbow Surgery, Shoulder Surgery, Shoulder Reconstruction, Orthopaedic Surgery

Year of Medical Training Completion: 2014

City of Practice: WASHINGTON

State of Practice: Washington DC

Previous Experience As Expert Witness: Yes

Type of Practice: Non-Academic

  • Deposition(s) Given For the Defendant: 50
  • Deposition(s) Given For the Plaintiff: 1
  • Testified in a Trial For the Defendent: 15
  • 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

  • $1500
  • $1500

Independent Medical Examination:

Independent Medical Examination with written report

  • Per Hour: $1350

Deposition in office:

Deposition: Discovery/Evidence

  • First two hours: $2000
  • For each Additional hour or any portion thereof: $1200
  • Retainer (due 14 days prior to scheduled disposition): $2000
  • Cancellation fee (less than 7 days notice): $2000

Trial (InState):

  • Initial day: $9999
  • Cancellation fee (less than 72 hours notice): $9999
  • For each additional day: $9999
  • Cancellation fee (less than 72 hours notice): $9999
  • Retainer (due 14 days prior to scheduled trial): $10

Trial (Out of State):

  • Initial day: $9999
  • Cancellation fee (less than 72 hours notice): $9999
  • For each additional day: $9999
  • Cancellation fee (less than 72 hours notice): $9999
  • Retainer (due 14 days prior to scheduled trial): $9999

Case Responses

Possible lunate injury from chondroplasty - caused CRPS? (Case #298)

  • Medical Probability: 6 / 10
  • Medical Error Summary: There is a large defect in the lunate and in the lunate facet of the radius. Cannot say how it got there, but it would not be standard for an arthroscopy to produce this defect. Need to see the CT ...
  • Causation Probability: 6 / 10
  • Causation Summary: Again, cannot determine without seeing the radiographs/CT prior to the wrist arthroscopy. I cannot think of a situation where that degree of bony debridement would be appropriate. Would also need to r...
  • Expert Summary: I am a fellowship trained hand surgeon with extensive experience treating TFCC tears and performing wrist arthroscopy. Was the chair of the ASSH Evidence Based Practice committee for several years.
  • Similar Summary: Radius fractures? Several per week. TFCC tears, weekly. I perform wrist arthroscopies 1-2x/month on average.

Orthopedic surgeon (upper extremity specialist) failure to perform proper physical assessment or MRI (Case #300)

  • Medical Probability: 2 / 10
  • Medical Error Summary: MRI is NOT indicated as a first or second line study for shoulder pain. XR, physical exam and PT are standard and appropriate responses. Only were PT to fail would an MRI be indicated. The fact that t...
  • Causation Probability: 1 / 10
  • Causation Summary: see above. There is no medical error, so there is no injury related to this supposed claim, unless there are significant details in the history that have not been provided.
  • Expert Summary: I treat these injuries on a daily basis, have assisted in creating and vetting all of the AAOS Clinical Practice Guidelines and Appropriate Use Criteria, for rotator cuff injuries among other topics.
  • Similar Summary: Frequently. I perform distal biceps repairs and shoulder arthroscopy and rotator repairs routinely and treat patients with similar presentations on a daily basis.

Partial left hand amputation post IV extravasation (Case #324)

  • Medical Probability: 4 / 10
  • Medical Error Summary: A terrible outcome, but hematoma at the site of an IV with someone with history of thrombotic disease now on anticoagulation is not uncommon, nor is it an error. You needed an IV. The bleed was probab...
  • Causation Probability: 4 / 10
  • Causation Summary: Again, this patient had a longstanding history of difficult IV sticks with multiple failed IV's. She's a vasculopath. Another IV getting blown is an eventuality more than a possibility.
  • Expert Summary: I am a hand surgeon who sees compartment syndrome often.
  • Similar Summary: Leading to amputation? Rarely. Compartment syndrome and rule-out compartment syndrome - every few months.

60yo M chronic Dupuytren's contracture, has excision procedure, claims was improper and hand is significantly worse. (Case #420)

  • Medical Probability: 2 / 10
  • Medical Error Summary: In severe contracture, full extension of the PIP joints is unlikely to be achieved, and certainly is not a given. When the patient has chronically stretched out extensors from contracture, there will ...
  • Causation Probability: 2 / 10
  • Causation Summary: There is no injury and no violation of standard of care that you have identified.
  • Expert Summary: I am an experienced medical expert, a national expert in evidence based medicine, Section Leader for Clinical Practice Guideljne development at AAOS, on the Editorial Panel for the AMA Guides to the E...
  • Similar Summary: I see 10-15 Dupuys patients a week and operate on 30-40 a year in addition to extensive use of needle aponeurotomy and Xiaflex.

Right Middle Finger Metacarpophalangeal Joint Arthroplasty Complications with Recurrent Dislocation, Staphylococcus aureus Surgical Site Infection, and Carpal/Cubital Tunnel Syndrome with Axonal Loss (Case #578)

  • Medical Probability: 4 / 10
  • Medical Error Summary: Instability/dislocation of a silicone MP arthroplasty is not uncommon. If it were ignored or improperly treated, that would potentially be below the SOC. Here, it seems like the surgeon managed it app...
  • Causation Probability: 4 / 10
  • Causation Summary: Instability/dislocation of a silicone MP arthroplasty is not uncommon. If it were ignored or improperly treated, that would potentially be below the SOC. Here, it seems like the surgeon managed it app...
  • Expert Summary: 15 years of experience as a hand surgeon. Performed dozens of silicone arthroplasties. Experienced arthroplasty surgeon. Expert in evidence-based hand and upper extremity surgery, former chair of the ...
  • Similar Summary: Weekly. I see carpal and cubital tunnel multiple times a day, same with MP joint arthritis.

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

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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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