Areas of Specialization & Expertise
EW #388 has extensive experience as a practicing physician, expert witness and consultant, and in that capacity he has provided case analysis, depositions, trial testimony, hazard analysis, cause and effect relationship, forensic examination, and scientific evidence in the following areas of his expertise:

Internal Medicine
Heis Board-Certified in Internal Medicine and provides medical opinion in regards to all issues covering the essentials of primary care internal medicine which incorporates an understanding of the physiology and pathology of internal organs, with the medical diagnosis and treatment of organs. Because internal medicine is expansive, hehas continually updated his knowledge in many areas including allergy, blood diseases, cancer, diabetes, digestive diseases, diseases of the heart and blood vessels, infections, respiratory disorders, hormonal disorders, liver disease, and arthritis..

EW #388 can provide expert medical opinion in regards to the following, among others:
Cardiovascular Disease
Gastroenterology
Allergy / Immunology
Cerebrovascular Incidents
Building-Related Illness
Fibromyalgia
Hypertensive Disease
Diabetes Mellitus
Coronary Artery Disease
Autoimmune Disorders
Upper Respiratory Tract System
Central Nervous System
Peripheral Nervous System
Blood Vessel Disorders
Liver (Hepatic) Disease - Liver Failure, Hepatitis A, B & C, Cirrhosis, etc.
Pulmonary Diseases - Pulmonary Fibrosis, Interstitial Lung Disease, RADs, COPD, Asthma, etc.

Drugs of Abuse & Alcohol Abuse Effects
Hehas extensive teaching, treating, and consulting experience in regards to the evaluation, analysis, and interpretation of urine drug/alcohol tests, drug/alcohol concentrations in the blood, and forensic pharmacokinetics of drug and alcohol related findings. Hecontinually expands and updates his knowledge of forensic pharmacology in regards to issues relating to drug and alcohol abuse effects findings in blood and urine Samples. Hehas provided expert medical opinion in regards to the following, among others:

Blood/Urine Alcohol Concentrations - Interpretation & Time Profiles
Blood/Urine Drug Concentrations - Interpretation & Time Profiles
Probable Impairment by Alcohol and/or Drugs
Potential Effects of Alcohol and/or Drugs
Assessment of Driving Under the Influence of Alcohol and/or Drugs
Toxicity of Alcohol and Drug Concentrations - Blood/Urine
Interpretation of Ante-Mortem & Post-Mortem Drug/Alcohol Blood/Tissue Test Results
Interpretation and Analysis of Blood/Urine Test Results for Alcohol, Marijuana, Cocaine, Methamphetamine, Amphetamine, Opiates, & Other Drugs of Abuse

Medical Malpractice / Standard of Care
EW #388provides expert medical opinion in regards to whether the standard of medical care for medical decision making and informed consent has been met by both the treating physicians, nurses, managed care organization, and other healthcare professions. Heperforms an extremely detailed review of records which is orientated towards the issues of each case, and then researches each issue so that he can provide an expert medical opinion which is substantiated by the medical records and current scientific literature. Hecan assist you with the following, among others:

Define Deviations From and Adherence to Standards of Care
Analysis of the Performance of Physicians, Nurses, and Other Healthcare Professionals
Identify and Analyze Related Evidence and Its Source
Answer Critical Medical Negligence Questions
Quickly Determine Case Merits Across Medical Disciplines
Determine Standard of Care and Medical/Legal Issues
Assist With Deposition & Trial Preparation in Regards to Opposing Experts

Environmental Toxicology (Toxic & Chemical Exposures)
As an expert witness, EW #388can provide expert medical opinion in regards to health effects, causation, and future medical monitoring related to toxic & chemical Exposures. Hehas testified as an expert witness and provided scientific evidence as to the cause and effect relationship between exposure and health effects, including, but not limited to:

Exposure to Toxic & Irritant Chemicals
Upper & Lower Respiratory Tract Symptoms (Asthma, Reactive Airway Disease, Pulmonary Fibrosis), Kidney Failure, Liver Damage, Cardiovascular Effects, Central & Peripheral Nervous System Symptoms, Gastrointestinal Manifestations, and Metabolic Effects.

Exposure to Carcinogenic
Agents Leukemias, Lymphomas, Myelomas, Myelodysplasias Lung Cancer, Mesothelioma, Stomach Cancer, Bladder Cancer, Kidney Cancer, Liver Cancer, and Brain Cancer.

Due to the ever changing regulations, re-classification of chemical hazards, recently discovered health effects, and newly published information, EW #388has kept himself abreast of the current developments and recent peer-reviewed publications, and is continuously expanding his knowledge. He has extensive experience in providing expert medical opinion regarding the forensic, occupational, clinical, and environmental aspects of exposure to the following toxics, among others:

Gasoline
Diesel
Benzene
MTBE
Ammonia
Solvents
Manganese
Lead
Hydrochloric Acid
Asbestos
Chromium
Cadmium
Carbon Tetrachloride
Molds
Fungus
Latex
Formaldehyde
Trichloroethylene
Pesticides
Herbicides
Perchloroethyhlene
PAH's
Drinking Water Contamination
BTEX
(Benzene, Toluene, Ethyl Benzene, & Xylene)

Clinical Pharmacology
EW #388is an expert in the science of drugs, including their composition, mechanisms, uses, interactions, contraindications, and effects. As new products come on the market and/or old products are recalled/removed/replaced, hecontinually updates his pharmacological database of information so that he is better prepared to treat and answer his patients questions with the most current and accurate Data.EW #388can provide expert medical opinion in regards to following, among others:

Toxic Drug Reactions
Adverse Drug Reactions
Multi-Drug Interactions
Drug Overdose
Herbs & Dietary Supplements
Drug Withdrawal Syndrome
Diet Drugs - Fen-Phen u Standard of Care
Drug Toxicokinetics & Pharmacology
Nursing Home / Standard of Care

As an expert witness, EW #388 can assist you with applicability of the complicated laws, regulations, and standards of care surrounding Skilled Nursing Facilities, Residential Care Facilities, and Acute Hospitals. Hisextensive background and experience in this area (ongoing patient care, membership in hospital peer review and care committees) allows him to identify the breaches of standard of care and failures so that he can outline and address the relevant issues in a clear, concise manner which will stand-up to the rigors of court. Hecan assist you with the following issues, among others:

Failure (or Absence of) to Provide Medical Care for Physical Needs
Failure to Protect From Health & Safety Hazards
Failure to Prevent Malnutrition
Failure to Prevent and/or Treat Decubitus Ulcers
Medication Errors Including Under-Medication, Over-Medication, Incorrect Medication
Standard of Care for Administrators, Nurses, Physicians, and all Other Personnel
Review Facility Policies & Procedures for Appropriate Content & Completeness
Nephrology

EW #388is Board-Certified in Nephrology, and as such can provides expert medical opinion pertaining to the field of nephrology including hypertensive renal disease, chronic and acute renal failure, hemodialysis, peritoneal dialysis, glomerulonephritis, acid base disturbances, and fluid & electrolyte management. Hecontinually reviews up-to-date scientific literature in regards to the advancements and discoveries which are made in the understanding, diagnosis, treatment, and epidemiology of nephrological disorders. EW #388has provided expert medical opinion in regards to the following, among others:

Acute/Chronic Kidney Disorders
Acute/Chronic Urinary Tract Disorders
Nephrotoxic Injury/Damage
Fluid & Electrolyte Disorders
Acid Base Disorders
Glomerular Disease
Tubulointerstitial Disease
Nephrolithiasis
Hematuria
Proteinuria
Polycystic Kidney Disease
Hypertensive Renal Disease
Management & Complications of Dialysis
End-Stage Renal Disease
Drug Pharmacokinetics in Hemodialysis & Peritoneal Dialysis