Expert Information
Currently engaged in clinical practice: Yes
Degree: M.D.
Specialty / Subspecialty:
- Dermatology - Micrographic Dermatologic Surgery
Area of Expertise: Mohs surgery, Dermatologic surgery, Cosmetic dermatology, Scars, Complications of Mohs surgery, Squamous Cell Carcinoma, Basal Cell Carcinoma
Year of Medical Training Completion: 1984
City of Practice: Lewisville
State of Practice: Texas
Previous Experience As Expert Witness: Yes
Type of Practice: Non-Academic
- Deposition(s) Given For the Defendant: 3
- Deposition(s) Given For the Plaintiff: 1
- Testified in a Trial For the Defendent: 2
- 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
- $800
- $2500
Independent Medical Examination:
Independent Medical Examination with written report
- Per Hour: -
Deposition in office:
Deposition: Discovery/Evidence
- First two hours: $575
- For each Additional hour or any portion thereof: $525
- Retainer (due 14 days prior to scheduled disposition): $4500
- Cancellation fee (less than 7 days notice): $2000
Trial (InState):
- Initial day: $5000
- Cancellation fee (less than 72 hours notice): $3000
- For each additional day: $4500
- Cancellation fee (less than 72 hours notice): $250
- Retainer (due 14 days prior to scheduled trial): $5000
Trial (Out of State):
- Initial day: $5000
- Cancellation fee (less than 72 hours notice): $3000
- For each additional day: $4500
- Cancellation fee (less than 72 hours notice): $500
- Retainer (due 14 days prior to scheduled trial): $5000
Case Responses
Delay in surgery for squamous cell carcinoma? (Case #304)
- Medical Probability: 10 / 10
- Medical Error Summary: The Mohs surgeon was within the standard of care to try non-surgical measures for perhaps one attempt. Given the size and persistence of this squamous cell carcinoma, he had an obligation to stop acq...
- Causation Probability: 10 / 10
- Causation Summary: The extensive tumor invasion of the squamous cell carcinoma when finally excised is a direct result of the delay in standard-of-care treatment - excision or radiation therapy
- Expert Summary: I am a fellowship trained Mohs surgeon, have performed over 30,000 Mohs surgery cases, and have expertise in managing complications associated with Mohs surgery. I have testified in court for a Defen...
- Similar Summary: I have encountered thousands of cases of facial squamous cell carcinoma and keratoacanthoma, including a great many that were large facial lesions. In nearly all cases, it was the referring dermatolo...
Failure to timely diagnose and treat Kaposi sarcoma. (Case #436)
- Medical Probability: 9 / 10
- Medical Error Summary: The case chronology and progressive clinical presentation of the lesions on the patient's left foot and leg in the January 2022 photographs is highly consistent with Mediterranean-type Kaposi's sarcom...
- Causation Probability: 7 / 10
- Causation Summary: The degree to which the delayed diagnosis caused injury depends on when the KS could have been diagnosed and treatment initiated. Localized KS can be treated with local treatments including cryothe...
- Expert Summary: I have seen and treated multiple cases of Mediterranean KS. Most were during my residency and when I was in charge of the dermatology section at the La Jolla VA hospital. I saw and treated additiona...
- Similar Summary: Later in my career, my practice was devoted to skin cancer, so recent experience is limited.
Skin lesion ruled out cancer w/ Dermtech. 5 months later, invasive stage 2 melanoma. (Case #466)
- Medical Probability: 10 / 10
- Medical Error Summary: The photographs provided depict a "classic nodular melanoma", so characteristic that they could serve as examination material for dermatology board certification, with the overwhelming consensus respo...
- Causation Probability: 8 / 10
- Causation Summary: The degree of damage will depend on the likely changes that can be attributed to the 5-month delay in diagnosis. 1) The most likely damage would result from the melanoma increasing in thickness. ...
- Expert Summary: I have treated hundreds of melanomas, participated as an expert witness in 66 cases, been deposed 11 times, and testified in court 6 times. I have co-authored the following peer-reviewed publicat...
- Similar Summary: The presentation of an advanced melanoma is rare in a Mohs surgery/dermatologic surgery practice. I would estimate 2-5 times per year.
