Expert Information
Currently engaged in clinical practice: Yes
Degree: MD
Specialty / Subspecialty:
- Ophthalmology
Area of Expertise: Cataract Surgery, LASIK, Refractive Surgery, PRK, Phakic IOL
Year of Medical Training Completion: 2001
City of Practice: Lacey
State of Practice: Washington
Previous Experience As Expert Witness: Yes
Type of Practice: Non-Academic
- Deposition(s) Given For the Defendant:
- Deposition(s) Given For the Plaintiff:
- Testified in a Trial For the Defendent:
- 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
- $750
- $2500
Independent Medical Examination:
Independent Medical Examination with written report
- Per Hour: $1500
Deposition in office:
Deposition: Discovery/Evidence
- First two hours: $2500
- For each Additional hour or any portion thereof: $1000
- Retainer (due 14 days prior to scheduled disposition): $3500
- Cancellation fee (less than 7 days notice): $2500
Trial (InState):
- Initial day: $9000
- Cancellation fee (less than 72 hours notice): $4500
- For each additional day: $7500
- Cancellation fee (less than 72 hours notice): $2500
- Retainer (due 14 days prior to scheduled trial): $9000
Trial (Out of State):
- Initial day: $9000
- Cancellation fee (less than 72 hours notice): $4500
- For each additional day: $7500
- Cancellation fee (less than 72 hours notice): $2500
- Retainer (due 14 days prior to scheduled trial): $9000
Case Responses
Cataract surgery with no cataracts? (Case #317)
- Medical Probability: 5 / 10
- Medical Error Summary: The documentation of "mild nuclear sclerosis" indicates that the physician did notice some early cataract formation. Nuclear sclerosis is the aging type of cataracts, and can often be seen in patient...
- Causation Probability: 5 / 10
- Causation Summary: The surgery performed could be a cause of injury, but that is a known risk of surgery. If informed consent was obtained, and the patient understood the risk of surgery, then it would be unlikely that...
- Expert Summary: I have performed over 20,000 vision correction surgeries. I specialize in Refractive Lens Exchange and evaluate patients daily who are asking for glasses independence, very similar to the patient des...
- Similar Summary: I encounter several patients daily who are being evaluated for glasses independence and are in the 40 - 60 age range. I often perform lens replacement on these patients with excellent results. The p...
Loss of vision post corneal transplant (from donor) and Endophthalmitis, bacterial infection. (Case #382)
- Medical Probability: 6 / 10
- Medical Error Summary: As a cornea surgeon, I am concerned about the two main items. Obviously, the mishandling of the prepared tissue on the back table needs to be explored further. The explanation that the anterior port...
- Causation Probability: 6 / 10
- Causation Summary: This case sounds like endophthalmitis following DSAEK surgery for endothelial dystrophy. This is usually a very successful surgery, but does have the risk of infection. However, the possible contami...
- Expert Summary: Cornea Fellowship trained, performed about one hundred DSAEK procedures.
- Similar Summary: DSAEK has been the most popular cornea transplant procedure over the past decade. While I no longer perform the procedure, its "sister" procedure (DMEK) has taken over the bulk of the cornea transpla...
- Medical Probability: 7 / 10
- Medical Error Summary: Unfortunate case, but should be easily resolved. Of course, we have limited chart notes here. It appears that the original lens selection was a multifocal IOL (Panoptix), that was then subsequently ...
- Causation Probability: 8 / 10
- Causation Summary: System procedure failure with patient IOL selection change. Hard to tell if medical error with regard to surgery itself.
- Expert Summary: I am a Refractive Cataract Surgeon, practicing for 25 years, implanting hundreds of multifocal lens implants every year. My preferred lens choice for patients is the Panoptix. I have been using the ...
- Similar Summary: Fortunately, we use a software system that does not eliminate wrong lens problems, but significantly reduces the chances of this happening. We have had to do lens exchanges over my 25 year career, bu...
Delayed Diagnosis of Retinal Detachment/Tear (Case #427)
- Medical Probability: 5 / 10
- Medical Error Summary: I believe the first MD should have had a little closer follow up for the patient following his initial exam. The "cloudy vision with black spots" complaint is very normal. It sounds like a normal ex...
- Causation Probability: 4 / 10
- Causation Summary: RD symptoms were discussed, exam was normal, aside from PVD, with good vision. It is possible he missed a retinal tear, but hard to say without finding of blood in vitreous. These types of patie...
- Expert Summary: General ophthalmologist for 24 years, busy practice, seeing 50-100 patients per day. These symptoms are very common, and aside from an earlier f/u (which would have missed the RD as well), I would h...
- Similar Summary: Blurred vision with floaters are a daily occurrence. Very rarely do they turn into an RD.
Cataract procedure, IOL placed with known cortical material not fully removed. (Case #460)
- Medical Probability: 5 / 10
- Medical Error Summary: The decision to perform cataract surgery on a mature cataract (needing trypan blue) in a patient with small pupil is a difficult one. While pupil expansion devices (Malyugin ring, etc) often make the...
- Causation Probability: 4 / 10
- Causation Summary: we really need much more information to make a decision about causation. Residual cortical material in itself is not typically met with such a tumultuous course. I do not believe the cortical materi...
- Expert Summary: 25 years of premium cataract surgery, performing over 20,000 cases. Practiced with several retina surgeons who performed PPV/lensectomy surgeries. they also were very comfortable performing PPV with...
- Similar Summary: Small pupil cases are routine. With the use of flomax in many senior male patients, we are very aggressive with pupil management. With that being said, residual cortex is not an unheard of result. ...
