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Expert Information

Currently engaged in clinical practice: Yes

Degree: MD

Specialty / Subspecialty:

  • Orthopaedic Surgery

Area of Expertise: Total ankle replacement, Foot fractures, Ankle fractures, Bunions, Hammertoes, Foot and ankle arthritis, Foot and ankle sports injuries

Year of Medical Training Completion: 2017

City of Practice: SPRINGFIELD

State of Practice: Massachusetts

Previous Experience As Expert Witness: Yes

Type of Practice: Non-Academic

  • Deposition(s) Given For the Defendant: 1
  • Deposition(s) Given For the Plaintiff: 4
  • Testified in a Trial For the Defendent:
  • 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

  • $800
  • $800

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

Total Ankle Replacement Followed by Two Revisions Complicated by Unplanned ORIFs & Severe Neuropathic Pain and Gait Disturbance (Case #309)

  • Medical Probability: 6 / 10
  • Medical Error Summary: The iatrogenic fracture of the talus, which required intraoperative fixation, was a medical error. It was appropriate to fix this talar fragment rather than excising it. On many occasions, the medial ...
  • Causation Probability: 5 / 10
  • Causation Summary: It is not clear to me that an "injury" was caused by the above medical errors. The iatrogenic talar fracture was a medical error but was immediately addressed at the time of surgery. A thinned medial ...
  • Expert Summary: I have performed total ankle arthroplasties (replacements) for the last 9 years. I have experience with primary and revision procedures, including revision total ankle, polyethylene exchange, gutter d...
  • Similar Summary: I encounter approximately 5 cases of gutter impingement per year. I encounter several painful total ankles per year, which require further treatment, including surgery.

TKA Revision causing popliteal artery occlusion requiring suction thrombectomy and stent placement. with angioplasty (possible injury to popliteal artery by prosthetic) (Case #362)

  • Medical Probability: 8 / 10
  • Medical Error Summary: Based on the fact that the popliteal artery thrombosis/injury occurred directly posterior to the revision total knee components, it is very likely that medical error caused this event. This was confir...
  • Causation Probability: 8 / 10
  • Causation Summary: Yes, the surgeon performing the revision total knee arthroplasty very likely made this medical error which caused the popliteal artery thrombosis/injury.
  • Expert Summary: I am an orthopedic surgeon who is dual fellowship-trained in orthopedic trauma and orthopedic foot and ankle surgery. I have a thorough knowledge of lower extremity anatomy and regularly perform joint...
  • Similar Summary: Cases of arterial injury associated with total joint arthroplasty and revision total joint arthroplasty are uncommon but do occur. They are more likely to occur in the setting of joint contracture an...

61yo F Left Total Hip, has severe pain and possible delay diagnosis nerve injury and leg length discrepancy. (Case #385)

  • Medical Probability: 5 / 10
  • Medical Error Summary: Some degree of lengthening is very common following total hip arthroplasty. A leg length difference can be determined with physical exam and full length lower extremity x-rays. Limb lengthening cannot...
  • Causation Probability: 5 / 10
  • Causation Summary: Again, some degree of lengthening is common after total hip arthroplasty and this can put some stretch on the LFCN. I would be much more concerned if there was a sciatic nerve injury/palsy and this do...
  • Expert Summary: I am a board certified orthopedic surgeon who has been practicing for 9 years. I specialize in lower extremity surgery and have treated patients following total hip arthroplasty.
  • Similar Summary: I frequently see patients who have experienced some degree of lengthening following total hip arthroplasty.

55yo Male missed/delayed Lisfranc Dx in R foot leading to multiple complications. (Case #387)

  • Medical Probability: 10 / 10
  • Medical Error Summary: The patient suffered a proximal variant Lisfranc injury (widening of the Lisfranc interval with Lisfranc ligament injury and medial cuneiform-navicular dislocation. This diagnosis was missed despite b...
  • Causation Probability: 8 / 10
  • Causation Summary: The injury was not caused by medical error but the injury worsened over time as a result of the diagnosis not being made immediately and treated promptly.
  • Expert Summary: I am an orthopedic foot and ankle specialist who frequently diagnoses and treats these injuries with surgery.
  • Similar Summary: I see several Lisfranc injuries per month.

57yo Male has multiple failed ankle OPs over 3 years. Continued problems currently. Question concerns plan of care. (Case #389)

  • Medical Probability: 5 / 10
  • Medical Error Summary: It is difficult to fully comprehend the patient's treatment course without a complete medical record. The attached operative reports are incomplete. I suspect some of your dates are off in terms of th...
  • Causation Probability: 5 / 10
  • Causation Summary: I believe this client was more likely than not treated appropriately for a complex orthopedic foot and ankle problem. My question would be whether or not an infection was confirmed prior to explant an...
  • Expert Summary: I am an orthopedic foot and ankle surgeon who frequently performs triple arthrodesis and total ankle arthroplasty.
  • Similar Summary: I perform multiple triple arthrodeses and total ankle arthroplasties per month on average.

Sciatic Nerve Injury post total hip, full loss of function (Case #446)

  • Medical Probability: 9 / 10
  • Medical Error Summary: I believe the sciatic nerve was injured at the time of acetabular revision surgery and also by the malpositioned acetabular component putting pressure on the sciatic nerve.
  • Causation Probability: 9 / 10
  • Causation Summary: I believe the sciatic nerve was injured during revision surgery based on the operating report, postop CT scan and EMG.
  • Expert Summary: I have been doing expert medicolegal work for approximately 8 years and am a full time practicing orthopedic surgeon who frequently treats patients with foot drop..
  • Similar Summary: I see cases like this approximately 5-10 times per year.

Nicked lung during Kyphoplasty procedure. (Case #449)

  • Medical Probability: 9 / 10
  • Medical Error Summary: Given the fact that the lung was punctured during the kyphoplasty procedure causing a hemothorax and pneumothorax, I believe there was a medical error.
  • Causation Probability: 9 / 10
  • Causation Summary: Again, the medical error (puncturing the lung) led to the lung injury.
  • Expert Summary: I am experienced in medical malpractice work and am a practicing orthopedic surgeon.
  • Similar Summary: Lung injury is a rare complication of lymphomas surgery, which is why this case is an example of negligence.

Ankle pseudoaneurysm after surgery (Case #502)

  • Medical Probability: 10 / 10
  • Medical Error Summary: The anterior tibial artery travels anterior to the ankle joint capsule. The anteromedial and anterolateral arthroscopy portals are carefully placed medial and lateral to the anterior tibial artery, re...
  • Causation Probability: 9 / 10
  • Causation Summary: As above, damage to the anterior tibial artery during the arthroscopic debridement most likely led to the pseudo aneurysm.
  • Expert Summary: I am an experienced orthopedic foot and ankle surgeon who has been in full time practice since 2015 and I have significant experience reviewing medical malpractice cases as an expert.
  • Similar Summary: I perform ankle arthroscopy procedures weekly. As above, I have never seen this complication in my patients and have only seen it happen once after an ankle arthroscopy performed by another surgeon.

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

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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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