A TBI case is not a stroke case is not a neurocritical care case — the relevant literature, the governing standards of care, the diagnostic windows, and the causation questions are different in each. The practice is organized around the clinical domains in which I actively practice and publish, rather than around every neurological condition I could conceivably review.
I review for plaintiff and defense counsel on an independent basis.
Clinical Domains
TBImTBIDIFFUSE AXONAL INJURY
Brain Injury
Traumatic and non-traumatic injury, across the severity spectrum. Most contested cases turn not on whether injury occurred, but on its mechanism, its severity, and what the record can fairly say about lasting impairment.
ISCHEMICHEMORRHAGICSAH
Stroke & Vascular Neurology
Ischemic, hemorrhagic, and vascular disease. The medicine is largely settled; the dispute is usually about timing, systems of care, and what could be done within the window.
HIBIBRAIN HERNIATIONSTATUS EPILEPTICUS
Neurocritical Care
ICU-level neurological disease, where the governing standards belong to neurocritical care as a subspecialty rather than to general critical care or general neurology.
GBSMSENCEPHALITIS
Autoimmune & Inflammatory Neurology
Immune-mediated disease of the nervous system — the shape of the case is set early, by what was recognized, by what was tested, and by how quickly treatment followed.
Engagement
The specific form of engagement depends on where a case is in its trajectory and what counsel needs to move it forward.
- Pre-retention case consultation — a structured early conversation before formal engagement.
- Records review with written analysis — structured review and written analytical summary.
- Independent medical examination (IME) — in-person or video examination, conducted under ABIME standards, with a structured written report.
- Expert report — formal written expert report suitable for disclosure.
- Deposition and trial testimony — testimony consistent with the written record.