Pulmonary, Critical Care, & Sleep Medicine

Specialties & Experience of this Expert Witness

Additional Information

Baylor College of Medicine & Harvard-trained, board-certified Pulmonary, Critical Care, and Sleep Medicine physician with over 22 years of active clinical practice and extensive institutional leadership experience. Maintains high-volume outpatient practice (400+ monthly encounters) with oversight of AASM-accredited sleep laboratory. Recognized repeatedly as Best Pulmonologist and Top Doctor in The Woodlands region. First twice-elected Chief of Staff and served 18 years as ICU Medical Director, establishing the region's first closed-ICU model exceeding IHI/Leapfrog benchmarks. Hospital Board Trustee since board inception. Extensive Medical Executive Committee experience leading credentialing, privileging (FPPE/OPPE), peer review, and quality investigations for 500+ physician health system. Direct experience defining and enforcing institutional standards of care, evaluating individual provider performance, and analyzing systems-level failures. Core Clinical Expertise: Pulmonary Medicine: Advanced COPD and asthma management including biologic therapies, chronic cough, bronchiectasis, oxygen therapy and home ventilation, aspiration events, diagnostic delays, occupational lung disease, pulmonary nodule evaluation, respiratory failure Critical Care Medicine: Sepsis and septic shock, mechanical ventilation and weaning protocols, ARDS, multi-organ failure, ICU triage and resource allocation, ventilator-associated complications, shock states, critical care rescue failure Sleep Medicine: Obstructive and central sleep apnea, OSA-related motor vehicle accidents, FMCSA commercial driver medical qualification and fitness-for-duty, narcolepsy and hypersomnolence disorders, fatigue-related liability, CPAP/BiPAP therapy selection and troubleshooting, adherence assessment, sleep laboratory operations and quality standards Hospital Operations, Standards of Care & Systems Analysis: Specialized expertise in cases involving hospital credentialing disputes, staffing adequacy, escalation pathway failures, protocol adherence, medical staff bylaws interpretation, and institutional standard-of-care benchmarking. Able to distinguish individual clinical decision-making from systems-level institutional factors. Available for record review and early case merit assessment, medical causation analysis, affidavit/declaration, deposition, and trial testimony in Texas and nationally.