Forensic Neurologist, Expert Witness
Neuroscience Practice Institute, PLLC
Dates Employed Mar 2006 – Present
Clinical Neurology: 2006 - 2011
Forensic Neurology: 2008 - Present
Forensic Neurologist & Expert Witness providing comprehensive neurological history and physical examinations, quantitative and qualitative anatomical imaging studies (e.g., quantitative/volumetric MRI analyses and conventional MRI interpretations), functional imaging studies (e.g. SPECT, PET and fMRI scan studies), quantitative medical and mental health record review and analyses, complex case evaluation, case research and consulting services in criminal, medical malpractice, and personal injury cases.
• Over 15 years of Expert Witness experience as Forensic Neurologist; approximately 250 casesActive Florida Medical Doctor License
Active NeuroQuant® MRI Quantitative Volumetrics License
Active Drug Enforcement Administration License
Active DEA Buprenorphine License
Certified Florida Forensic Examiner, Clinical Competency Assessment Procedure (CCAP)
Licensed Operator of University of Washington Seattle’s FASD (Fetal Alcohol Spectrum Disorders) Facial Analysis Software
Emphasis on objective/quantitative assessments, minimal opinion/speculation, through use of user-independent studies such as NeuroQuant, (expert in radiographic densitometry since 1994), quantitative record review/objective data “extraction, independent laboratory assessment, independent neurophysiological assessment (EEG, Visual Evoked Potentials, Brainstem Auditory Evoked Potentials, Somatosensory Evoked Potentials)
Expertise in developmental dysmorphisms, e.g., the facial phenotype of FASDs with use of objective/quantitative diagnostic software for analysis/diagnostic confirmation
Expertise in Neurodevelopmental genetic disorders
Expertise in toxins and infections of the Central Nervous System
Comprehensive history and physical examinations with targeted use of ancillary testing
Critical review and analysis of medical records, depositions, testimonies and related documentation
Known for identifying rare, frequently overlooked and obscure neurological disorders
Qualified in court as expert in all aspects of human behavior and behavioral disorders, both acute and chronic, PTSD, Genetics, Immunology, Infectious Disease, and Neuroimaging
Rigorous analytical skills and practice of logical interpretation, presentation and argument
Thesis on mind/body dualism (the correlation between the mind and the physical body/brain), free will and moral responsibility started at Oxford University in 1988, completed 1990; sole recipient of Thesis Honors
Clinical Neurologist
Collier Neurologic Specialists, Naples, FL
Dates Employed: August, 2004 – December, 2005
Large multi-specialty (neurology, neurosurgery, neuropsychology, neuro-interventionalist) group.
Outpatient and inpatient care of chronic, acute and emergency neurological disorders.
Outpatient care included but not limited to management of epilepsy, headache disorders, cognitive disorders, mood disorders, movement disorders, diseases and disorders of the spine, spinal cord, nerve roots, peripheral nerves and muscle.
Inpatient care included but not limited to emergency stroke/vascular management including administration of IV TPA, thromobolytics, antiplatelet agents, anticoagulation, and related agents, meningitis/encephalitis, traumatic brain and spine injuries and toxic exposures.
Notable cases include recognition and direction of treatment for atypical presentation of bacterial endocarditis in unresponsive patient (diagnosis missed by E.R., cardiology and ICU physicians), recognition and treatment of HSV encephalitis within 20 minutes of first encountering patient in E.R, CJD prion disease, frontotemporal dementia and other neurodegenerative diseases.
Internship/Residency
Jackson Memorial Hospital, Miami, FL
Dates Employed: June, 2000 – August, 2004
Intensive and extensive training at one of the largest/busiest hospital systems in the United States, providing tertiary/quaternary care for the Southeast United States, Latin America and the Caribbean.
Diagnosis and treatment of rare neurological conditions such as CJD, PSP, FFI and atypical and/or severe presentations of relatively more common autoimmune, infectious, vascular, neoplastic, paraneoplastic, neurodegenerative, acquired, toxic and traumatic disorders
Post-graduate/residency training under the directorship of Walter G. Bradley, M.D. (lead author of Neurology in Clinical Practice), William Sheramata, M.D. (internationally recognized expert in multiple sclerosis) and Rodrigo Kuljis, M.D. (internationally recognized expert in neurodegenerative diseases)
Provided consulting services to all admitting disciplines (e.g. internal medicine, cardiology, OB/GYN)
Admitted directly to neurology service
Provided consulting services at Ryder (Level I) Trauma Center
Recognized throughout hospital system as exceptionally skilled at lumbar puncture, able to acquire CSF through clinical approach in patients for whom fluoroscopic-guided lumbar puncture was unsuccessful
Notable cases include recognition and treatment of ciguatera toxicity, atypical meningitis admitted by stroke team attendings as basilar artery thrombosis
Neurological Trauma Consultant
Ryder Trauma Center, Jackson Memorial Hospital, Miami, FL
Dates Employed: June, 2000 – August, 2004
Neurology Consultant For Traumatic Injuries to the brain and spine.
Triage vehicular accidents (motor vehicle, watercraft, aircraft) and non-vehicular trauma.
Admit to appropriate service: neurosurgery, neurology, IHI (Intermediate Head Injury).
On-call management for IHI service admission patients.
Staff Research Associate
University of California, San Francisco
Dates Employed: January, 1993 – August, 1996
Study coordinator for several large, multi-center international trials in which changes in subjects' bone mineral density (BMD) over time were measured via dual-energy x-ray absorptiometry (DXA) and analyzed for statistical significance along with fracture incidence and morbidity/mortality data for the assessment of medical therapies for osteoporosis and related demineralizing bone diseases.
● Member of Society for Clinical Densitometry since 1994
● Certified Operator of Hologic QDR-1000 DEXA Bone Densitometers
● Certified Operator of Lunar DPX DEXA Bone Densitometers
Education
University of Miami Leonard M. Miller School of Medicine
Postgraduate Work: Internal Medicine Internship, Neurology Residency
Years Attended: 2000 – 2004
University of California, Davis - School of Medicine
Degree Name: Doctor of Medicine (M.D.)
Attended: 1996 – 2000
University of California, Berkeley
Field of Study: Calculus
Years Attended: 1994 – 1995
City College of San Francisco
Field of Study: Physics
Years Attended: 1993 – 1994
George Washington University
Field of Study: Organic Chemistry
Years Attended: 1992 – 1993
University of the District of Columbia
Fields of Study: Biochemistry, Inorganic Chemistry, Physics, Biology, Embryology, Biostatistics
Years Attended: 1990 – 1993
Activities and Societies: Beta Kappa Chi Scientific Honors Society
Vassar College
Degree Name: Bachelor's degree
Major: Philosophy
Dates Attended: 1985 – 1990
Activities and Societies: Phi Beta Kappa, Cum Laude Honors.
Focus of Study: Mind/Body Dualism, Ethics, and Nature of Consciousness,.
Thesis on Mind/Body Dualism Honors
Department Intern Award & Monthly Stipend: Served as Substitute Teacher to Fellow Undergraduate Students
Oxford University
Field of Study: Philosophy
Dates Attended: 1987 – 1988
Focus of Study: Mind/Body Dualism, Nature/Origin(s) of Consciousness, Behavioral Disorders and Ethics.
Activities and Societies: Oxford University Parachuting Club