Pediatric Pathology Wrongful Death Nuclear Medicine Birth Injury Expert Witness

Is prepared to opine and give expert witness testimony in the following topics


Board Certified Pediatric Wrongful Death, Board Certified Pediatric, Clinical Pathology, Anatomic Pathology, Nuclear Medicine, Birth Injury, Pediatric Wrongful Death, Pediatric Wrongful Death Causation, Wrongful Death Merit, Product liability, Criminal Defense, Sudden Infant Death Syndrome, Poisoning, Subdural Hematoma, Injuries,

California


Expert No. 3107

California

Board Certification

  • American Board of Pathology–Pediatric Pathology, August 1999
  • American Board of Nuclear Medicine, September 1986
  • American Board of Pathology–Anatomic and Clinical Pathology, June 1984

Post Graduate Medical Training

  • Pediatric Pathology Fellowship: State University of New York, Downstate, Brooklyn NY; 1999
  • Nuclear Medicine: University of California at Davis/Martinez Veterans Administration Medical Center, (UCD/MVAMC), Martinez, CA; 1984–1986
  • Anatomic & Clinical Pathology: UCD/MVAMC, Martinez, CA; 1980–1984
  • Pediatric Internship: University of California San Francisco (UCSF), SF, CA; 1979–1980
  • Pediatric Gastroenterology Research Fellowship (NIH funded): UCSF, CA; 1978–1979

Education

  • MD University of California at Davis, (UC Davis); 1978
  • BS University of California at Berkeley; 1974. Double Major: Nutrition and Food Science & Biochemistry; Honor Roll

Experience

Assistant Clinical Professor UC Davis Sacramento, CA; 2014 to present
Teach Pediatric and Placental Pathology to Residents in Pathology, Surgery, Ob/Gyn and Pediatrics including Lecture Topics such as: Children are not just Small Adults: an Introduction to Pediatric Pathology; Embryology to Teratology; Sudden Infant Death; Stillborn Work-up and Overview of Pediatric Tumors 
Present cases at Pediatric Tumor Board
Consult on Pediatric and Placental Cases 

Consultant, Moraga, CA; 2000 to present 

  • Governmental Consultant: Northern California SIDS Council; California SIDS Council; Berkeley Public Health, Maternity & Child Health Consultant; Berkeley Substance Abuse Task force and Low Birth Weight Prevention Team; Fetal and Infant Mortality Review (FIMR) teams including Contra Costa, Alameda, Sonoma, Kern Counties
  • Autopsies; placental pathology; re-examination of placenta, autopsy and surgical pathology slides 
  • Examined hundreds of consecutive placental slides from a medium sized hospital
  • Lectures at Community Hospitals: e.g. Perinatal Grand Rounds on Stillbirth Etiologies; Obstetric Infections

Medical Legal Consultant & Expert Witness: Types of Cases and Sample Topics Include:

  • Medical Malpractice- Plaintiff and Defense
  • Poor Perinatal Outcome
  • Deaths before, during and after Birth
  • Hypoxic Ischemic Encephalopathy (HIE)
  • Cerebral Palsy and Delayed Development
  • Delayed C-section
  • Pathology, Acute or Chronic
  • Diabetes
  • Abruption

Adult

  • Toxic Shock Syndrome
  • Subdural Hematoma

Standard of Care Pathology Diagnoses: Pediatric and Adult
Criminal

  • Pediatric: SIDS v Homicide

Fatal Auto Accidents: Description and Mechanism of Injuries

  • Child Custody
  • Non-accidental Trauma
  • Medical Child Abuse
  • Product Liability: Product Caused Necrotizing Enterocolitis in Infants
  • Toxic Tort: Teratogenic Effects on Fetus
  • Wrongful Death: Lethal Drug Side Effect

Medical Director, Employment Development Department, Disability Insurance Branch, Sacramento, CA; 2012-2013 

  • Handled workplace health issues for 13,000 employees statewide
  • Determined appropriate time for disability by ICD9 diagnosis
  • Educated physicians about Disability Insurance, Paid Family Leave and SDI Online with multiple lectures
  • Developed and delivered medical training for examiners

Temporary and Part-Time Positions; 2000 to present

Positions in Anatomic (Surgical & Cytopathology) and Clinical Pathology including: 
Pathlab, Tauranga, New Zealand
Contra Costa Medical Center, Martinez, CA
Pathology Services, Sebastopol, CA
Kaiser Santa Teresa, San Jose, CA
Sutter Santa Rosa Medical Center, CA
Mendocino Coast Hospital, Fort Bragg, CA
SW Washington MC, Vancouver, WA
Doctors Hospital, San Pablo, CA
Premier Pathology; Porterville, CA 

Major Positions

Laboratory Director: California Medical Facility, Vacaville, CA; 1997-2001 
Oversaw quality control in clinical laboratory. Conducted quality assurance on surgical pathology specimens sent out. Performed and read bone marrows. Provided in-service training on quality control procedures and other topics for laboratory technologists. Handled FDA inspection.

Assistant Laboratory Director: Pediatric, Anatomic and Clinical Pathology, Children’s Hospital.
Oakland, Oakland, CA; 1995–2000  
Supervised clinical and anatomic laboratory. Handled children’s tumor specimens giving primary diagnoses and preparing specimens for multiple special studies including cytogenetics. Read flow cytometry. Read unusual hematology smears of malignancies and infectious diseases. Interfaced with clinical physicians regarding laboratory tests, results, and specimens. Lectured to hematology oncology fellows and staff physicians. Resolved blood bank problems including transfusion reaction work-ups and antibody identification. Served as member of Quality Assurance Committee that ensured appropriate procedures following deaths.

Associate Pathology and Nuclear Medicine Physician: St. Luke’s Hospital, SF, CA; 1992–1994  Served as assistant director of medium-sized hospital clinical laboratory. Performed anatomic pathology: frozen sections, surgical pathology, autopsies and cytology. Directed blood bank. Developed Concurrent Blood Usage Program with immediate physician feedback and education, which received praise from Joint Commission for the Accreditation of Hospitals (JCAHO). Oversaw quality control processes for the lab: hematology, microbiology, chemistry. Interfaced with physicians. Read Nuclear Medicine scans. Honored with invitation to serve on overall hospital Quality Assurance Committee.

Laboratory Director: Joint Venture between Damon Clinical Laboratories and Mt. Zion Medical Center/University of California, San Francisco, San Francisco, CA; 1991–1992
Co-directed several laboratories including Damon satellite facility in Stockton, East Bay Hospital in Richmond and multi physician group laboratories in the Central Valley. Chaired Blood Utilization Committee and sat on Patient Care Committee with all other chairs of committees and departments. Oversaw quality control, quality assurance, managed physician questions. Set up new Damon Lab, College of American Pathologists (CAP) certified, in Pleasanton, CA.

Associate Pathologist, NorthBay Medical Center, Fairfield, CA; 1989–1991
Directed mid-size medical laboratory. Established quality control system for blood glucose testing. Worked with nurse managers to ensure their understanding of system. Introduced state-of-the-art breast tumor marker testing.

Medical Director: Meris Laboratories, San Jose, CA; 1988–1989
Directed operations of regional reference laboratory. Prepared lab for first CAP inspection, working with supervisors of five lab sections to meet CAP standards. Supervised upgrade of procedure manuals.

Associate Pathology and Nuclear Medicine Physician: Marshal Hale Memorial Hospital, San Francisco, CA; 1986–1988
Chaired Infection Control Committee as it introduced Universal Pathogen Precautions and when it merged with Children’s Hospital of San Francisco. Chaired Tissue Committee. Served on Utilization Review Committee.

Medical Organization Affiliations 
Fellow, College of American Pathologists (CAP)
Fellow, American Society of Clinical Pathology (ASCP)
United States and Canadian Academy of Pathology (USCAP)
South Bay Pathology Society (SBPS)
California Society of Pathologists (CSP)
Society for Pediatric Pathology (SPP)
American Medical Women’s Association (AMWA)
National Treasurer and Executive Committee; 2010-2014
National Board of Directors; 2008-2014 

Research Topics include:

  • Search for mutations in the tryptophan pathway of Neurospora
  • Suppressor cells and cytokines in in vitro murine splenic tissue culture systemTolerance of rats to ketamine
  • Preparation of individual tumor vaccines from human renal cell carcinoma
  • The effect of nutrition on the immune response
  • The effect of nutritional status on antibody dependent cell mediated cytotoxicity in human surgical patients
  • The use of exhaled hydrogen to assess for lactose intolerance in children (gc/mass spec)
  • Bacterial overgrowth of the gut in children
  • Prediction of necrotizing enterocolitis in premature infants
  • Assessment of gut blood flow in puppies
  • Correlation of histologic placental patterns of chronic hypoxia with clinical risk factors in mothers and infants

Presentations and Publications include:
Available Upon Request

Forensic Pathology and Medical Legal Continuing Medical Education includes:

  • National Association of Medical Examiners annual meeting, Portland, OR; 2014
  • College of American Pathologists, Chicago, IL; 2014 courses on Expert Witness skills
  • Expert Witness Issues: Forensic Expert Witness Association, San Francisco, CA; 2013
  • Video Depositions: Forensic Expert Witness Association, San Francisco, CA; 2011
  • Medico Legal Pediatric Issues, USCAP Washington DC; 2010
  • Pediatric Forensic Pathology Institute of Pediatric Medical Education (IPME), Orlando, FL; 2006
  • CAP 2006 Conference, Courses attended included medical-legal issues, San Diego, CA; 2006
  • Pediatric Forensic Pathology IPME, Orlando, FL; 2005
  • Pediatric Forensic Pathology, IPME Education, Orlando, FL; 2002

Perinatal & Pediatric Pathology Continuing Medical Education includes:

  • CA Society of Pathologists: Placental Pathology Symposium, San Francisco, CA, 2016
  • Society for Pediatric Pathology (SPP), Boston, MA; 2015
  • CA Society of Pathologists: Twin Placentas, Trophoblastic Disease, San Francisco, CA; 2013 
  • College of American Pathologists: Placental Pathology, Orlando, FL; 2013 
  • SPP, Washington DC; 2010
  • The Fragmented Fetus, USCAP, Washington DC; 2010
  • Fetal Death: Principles and Pathology, Harvard Boston, MA; 2009
  • SPP, Endocrine; Transfusion & Coagulation. Denver, CO; 2008
  • SPP, Perinatal Course, Phoenix, AZ; 2007
  • SPP, Phoenix, AZ; 2007
  • College of American Pathologists: Pediatric Autopsy & Placental Pathology, Chicago, IL; 2007
  • Perinatal Pathology Course: SPP, Boston, MA; 2005
  • Soft Tissue Tumors and Placental Pathology Courses, Pediatric Lung Development Symposium, SPP, Spring Meeting, Vancouver, BC; 2004
  • Placental Pathology Video Microscopy by Dr Geoffrey Machin, California Society of Pathologists, San Francisco, CA; 2003
  • Lysosomal Storage Disease: Therapeutics Symposium. Pediatric Pathology Courses, SPP, Fall Meeting, Cincinnati, OH; 2003
  • Pre-eclampsia, Society for Pediatric Pathology–Perinatal Symposium. Cincinnati, OH; 2003
  • Pediatric Tumors. Institute of Pediatric Medical Education, Aspen, CO; 2003
  • Biochemical & Molecular Basis of Pediatric Disease Symposium, SPP, Fall Meeting, Dallas, TX; 2002
  • Developmental Biology of the Placenta, SPP Perinatal Symposium, Dallas, TX; 2002
  • Perinatal Pathology, IPME, Snowmass, CO; 2002
  • Placental Pathology course given by Robert Redline, American Society Clinical Pathology Weekend of Pathology, Santa Monica, CA; 2002
  • Congenital Heart Disease, SPP, Spring Meeting, Chicago, IL; 2002
  • Pediatric Pathology Symposium, Society Pediatric Pathology Meeting; Providence, RI; 1999
  • Prenatal Screening, Diagnosis and Fetal Therapy, Society for Pediatric Pathology–Perinatal Symposium, Providence, RI; 1999
  • Cystic Renal Disease Symposium, Society for Pediatric Pathology, Spring Meeting, SF; 1999
  • Pediatric GI Pathology course, US College of American Pathologists, San Francisco, CA; 1999
  • Pediatric Tumors, Pediatric Hepatology, and Liver Transplantation, IMPE, Aspen, CO; 1998
  • Pediatric Pathology, Pediatric Gastroenterology, and Nutrition, IPME, Aspen, CO; 1997

General Pathology Continuing Medical Education includes:

  • South Bay Pathology Society, Monterey, CA 2017
  • South Bay Pathology Society, Monterey, CA 2016
  • USCAP annual meeting, Boston, MA; 2015
  • South Bay Pathology Society, Monterey, CA; 2015
  • Ex Vivo Real Time Microscopy, UC Davis. Sacramento, CA; 2014
  • Endometrial Carcinoma in Situ, UC Davis, Sacramento, CA; 2014
  • College of American Pathologists: courses on genomics, GI, etc. Chicago, IL; 2014 
  • Pulmonary Pathology, South Bay Pathology Society, Monterey, CA; 2014
  • CA Society of Pathologists, Pulmonary: Breast, GI, microbiology and genomics, San Francisco, CA; 2013
  • College of American Pathologists: Genomics, breast, cervix, Orlando, FL; 2013
  • Lymphoma. South Bay Pathology Society, Monterey, CA; 2013
  • Prostate Pathology, USCAP, San Francisco, CA; 2013
  • GI Pathology, USCAP, San Francisco, CA; 2013
  • South Bay Pathology Society, monthly CME Palo Alto, CA; through present
  • Oregon Pathology Association (OPA): quarterly CME, Portland, OR;  through 2012
  • Borderline Tumors, South Bay Pathology Society. Monterey, CA; 2011
  • Immunohistochemistry, South Bay Pathology Society, Monterey, CA; 2009
  • USCAP Practical Pathology, San Francisco, CA; 2009
  • USCAP Molecular Pathology, GI Pathology, Inflammatory Dermatoses. Denver, CO; 2008
  • CA Tumor Tissue Registry, San Francisco, CA; 2007
  • ASCP Conference, New Orleans, LA; 2007
  • CAP Chicago, IL; 2007
  • OPA Endometrial Carcinoma & Molecular Studies. Portland, OR; 2007
  • Pathology Business Retreat, Pathology Services Associates, San Antonio, TX; 2005 
  • Bone and Soft Tissue Tumors, South Bay Pathology Society, Monterey, CA;  2005
  • Genitourinary Tumors, South Bay Pathology Society, Monterey, CA; 2004
  • Molecular, Anatomic and General Lab Inspector Training, College of American Pathology, San Jose, CA; 2004
  • Rational Use of Molecular Studies in Leukemias and Lymphomas, Stem Cell Research and various courses and lectures, USCAP, Vancouver BC; 2004
  • American Pathology Foundation, Las Vegas, NV; 2004
  • Breast Pathology, Liver Pathology Video Microscopy, Forensic Pathology and various courses and lectures, California Society of Pathologists, San Francisco, CA; 2003
  • Coagulation Disorders, New Clinical Laboratory Tests, the Pathology of Infectious Diseases and various courses and lectures, CAP ’03, College of American Pathologists, San Diego, CA; 2003
  • American Pathology Foundation, Orlando, FL; 2003
  • Malignant Lymphoid Tumors: Hodgkin Disease and non-Hodgkin Lymphomas WHO Classification, Pattern Diagnosis, American Society of Clinical Pathology, Las Vegas, NV; 2003
  • Head and Neck Pathology, South Bay Pathology Society, San Francisco, CA; 2003

  

Date State Testimony Type
July, 2014 KY trial
August, 2014 CA trial
November, 2014 CA deposition
April, 2015 CA/LA deposition
December, 2015 LA hearing with Special Master
June, 2016 CA/MS deposition
October, 2016 FL deposition
March, 2017 FL deposition
March, 2017 FL deposition
April, 2017 CA deposition
June, 2017 CA deposition
July, 2017 DC hearing with Special Master
August, 2017 MS trial
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