Provides specific consultation in Medical Toxicology, and Occupational & Environmental Medicine. He evaluates patients by physician referral, or for medical-legal issues by your attorney. For workers' compensation issues, he is available to claims representatives and for AME and IME evaluations.
Birth date/place: November 9, 1950, San Francisco
Mailing Address: P.O. Box 2289, Aptos, California, 95001(larger packages or UPS to me at1144 Riverside Road, Watsonville, Ca., 95076)
Phone: 831-596-3583 (cell); Landline office phone/FAX 831-620-1156
High School Education: Lowell High School-Spring 1968San Francisco, California
Undergraduate Education: BA, 1972, Northwestern University,Evanston, Illinois
Postgraduate Education: MS, 1972, Northwestern University
Medical Education: University of Southern California, School ofMedicine, 1972-76; Clinical Training – LosAngeles County/ USC Medical Center
Foreign Clerkship: Family Practice, Dr. Deborah Bradley-Moore,The Surgery, Thatcham, Berkshire, England,1976
Internship: Santa Clara Valley Medical Center, Flexible 1976-77
Residency: Emergency Medicine/Surgery, San Francisco General Hospital, UCSF, 1978-80
Hospital Affiliations: Active Staff -Dominican Santa Cruz Hospital (ER & Tox.); Courtesy Staff-SantaClara Valley Medical Center (ER); HonoraryStaff-Watsonville Community Hospital (Tox.); Honorary Staff-CHOMP (Tox.)
Academic Titles and Affiliations:
Staff Physician Emergency Department Dominican Hospital/ CHW
Medical Director, Occupational Health Center, Dominican Hospital/ CHW; 1990-2007
EXPERIENCE SPECIFIC TO EMERGENCY MEDICINE:
- Physicians and Surgeon's California G34228;
- National Boards 169442;
- P.A. Supervisor Ca. SA12654;
- Disaster Service 9074;
- BCLS; ACLS Provider; ATLS; NPI# 1174667075; UPIN# A45835
Board Certification: American Board of Emergency Medicine 1981;Recertified 1990-2000; Recertified 20002010; Recertified 2010-2020 on 11/15/10
Contract Experience: Santa Cruz Emergency Physicians MedicalGroup, Inc. 1992-2011; CEP America 2012(at Dominican Santa Cruz Hospital/CHW)
Other Appointments: State Department of Industrial Relations –Qualified Medical Examiner for EmergencyMedicine and Medical Toxicology 1992-2012;Certification Examination 6/29/94;Qualified Expert Reviewer Medical Board ofCalifornia 1996-2012 (2 year reappointments)
EXPERIENCE SPECIFIC TO MEDICAL TOXICOLOGY AND OCCUPATIONAL MEDICINE
Clinical Training and Experience:
Over 30 years of Clinical Toxicology in the Emergency Department and multi-level interactions with Regional Poison Control Centers; Preceptorship in Medical Toxicology, San Francisco Regional PoisonControl Center and SFGH/UCSF 1985-1987;Toxicology Fellowship, April 1987;Consultant to SJ Poison Center 1993; MedicalDirector, Dominican Occupational Health Center 1991-2007.
Board Certification: American Board of Medical Toxicology 1987(Lifetime) American Board of Emergency Medicine-Medical Toxicology Subspecialty Certification 1999-2009; Recertified 2008-2018
Other Certification: Medical Review Officer by MROCC 1996-2001 Certification in the Occupational and Environmental Medicine Series-UCSF 1997
Special Honors: Salerni Collegium (1976); Lifetime member Alpha Gamma Chapter-Phi Lambda Upsilon National Honorary Chemical Society
Community Service: President Santa Cruz County Medical Society2001-2002; Community Member – Santa Cruz County Integrated Pest Management Departmental Advisory Group 2001-2002; President, Santa Cruz Community Health care Network Corp. 2001-2005; Co-sponsor and Panelist at the Summit on the Uninsured (CFSCC) 6/02; Physician support Big Kahuna Triathalon 9/02; Heightened Surveillance Committee, Monterey County Health Dept. 2002-2005; Chemical Hazards Forum, Cabrillo College, 10/04; SCCMS Mediation Committee 20072012; SC County Medical Reserve Corps 2007-2012 Volunteer, Big Sur International Marathon 2012;UCSC Biology and Health Careers Panel, 5/2012
Academic Research: Alternate Synthesis of Santonin, Master's Thesis, Northwestern University 1971 Hydroxocobalamin Cyanide Antidote Study (part of a multicenter national study) 1990-1994.Associate Investigator, Intravenous Silibinin Legalon®SIL for Amatoxin Induced Hepatic Failure, Started July, 2009-2012ClinicalTrials.gov, ID# NCT00915681
Academic Appointments: University of Utah School of Medicine and Teaching Department of Family and Preventive Medicine; Volunteer Clinical FacultyAppointment for the Rocky Mountain Centerfor Occupational and Environmental HealthOccupational Medicine ResidencyPreceptorship –2000-2003; Member UCSC Institutional Bio-Safety Committee 2003-07
Affiliations: California Medical Association, Committee on Environmental and Occupational Medicine 1986-1990; American Academy of Clinical Toxicology 1988-2012; Tri County Hazardous Materials Advisory Council 1988-1996; ACEPToxicology Section 1990-1999; American College of Occupational and Environmental Medicine 1991-2007;The British Toxicology Society 1992-2010; Member International Commission on Occupational Health1993-07; American College of Medical Toxicology 1993-12; Aerospace Medicine Assn. (Space Medicine Branch) 1993-2012; Western Occupational and Environmental Medical Assn.(WOEMA) 1992-07; American College of Legal Medicine 1996-12
Lectures Given: Prior to 2001 on request –Toxicology Update, ROP Paramedics –4/01,11/01,4/02,11/02,3/03,10/03,4/04,11/04,4/05,11/05,4/06,11/06,3/07,11/07,4/08,12/08,4/09,11/09,4/10,11/10,3/11,11/11,4/12,12/12; Cancer/Firefight, Aptos LaSelva FD for Comm. T.V. of S.Cruz Cty 3/01;Grand Rounds Dominican, Chemical Terrorism-Sarin VX Poisoning in Japan, 11/01 also at GrandRounds CHOMP, 12/01; Healthcare Access Santa Cruz-Scotts Valley Rotary 9/02; Workers’ Comp.-MD’s Viewpoint, Matrix Lecture, San Jose, 3/04;Black Widow Spider, DSCH Grand Rds, 12/06; Amanita Phalloides Poisoning, DSCH, 1/07; DSCHGrand Rds, Update Poisoning & Drug Overdose, 2/08.
CMEs: Prior to 2000 on request: CMA Bioterrorism Conf., S.C. 11/01;QME CMEs 7/02; BCLS and ACLS 2002; Recert. ATLS 2003; PainCMEs (list available on request-12.5 Cat. I credits)1/04;Mark I EMS Training 4/04; ACOEM Practice Guidelines, SF,6/04; SB899 WC System in Calif.Conf., Watsonville, 6/04;Elliot-Lopez QME reviews, 6/04; AMA Guides 101, CWCI, SF,10/04;UCOP Risk Summit on WC, 3/05; AMA Guides, AAEME and UC,SF,7/05; Western Occup. Health Conf., Monterey 9/05; ER Airway Mgt, Med America, DH/CHW, 9/05; Rheumatoid Arthritis,MMC, Aptos, 10/05; NACCT SF, 10/06; ACLS 12/06; Agitated Delerium, SC Sheriff’s, 4/07; OP Poisoning 8/08; Botulism, Monterey Cty. Health, 10/08; NIH Protecting Human Res., 9/09 UCSF, Northern California Emergency Ultrasound, 3/10; Beacon Collaborative 2010 Annual Conference “Spotlight onthe patient”, 4/10; ACMT, Forensic Toxicology: Ethanoland Marijuana, 12/10; UCSF High Sierra WildernessMedicine, 3/11; 16th Annual Pediatrics Symposium –Dominican Hospital/CHW, 4/11; ER Ultrasonography course, Highland Hospital, Alameda County Medical Ctr, 6/11;CEP Northern California Conf., 4/12
Publications: "Naloxone Use: Side Effects May Occur" Annals of Emergency Medicine 1988; 17:7, 765; "Cyanide Toxicity" Annals of Emergency Medicine 1989;18:11, 1257; "Amanita Poisoning" American Journal of Medicine 1989; 87, 702; "Saliva Teststrips for Alcohol Testing" Annals of Emergency Medicine1990; 19:3, 342-343; "The Osmolal Gap" Hospital Physician 1990; 26:3, 8 (correction 26:4, 11);"Occupational Dermal Myiasis" Journal of Occupational Medicine 1992; 34:9, 872-873;"Extensive Palm Thorn Hematoma With Associated Hematuria" American Journal of Emergency Medicine1994; 12:2, 259-260; ‘Methyl Bromide-An Issue ofRisk/Benefit” SCCMA 4/97; 3:4, 16-19; ‘Benzene’,In: Olson KR, ed. Poisoning &Drug Overdose, 3rd Edition. Appleton & Lange, 1999 104-105;“Excuses for Marijuana Smokers” Forensic DrugAbuse Advisor 1999; 11:1, 7; “Mephenytoin Overdose-Phenytoin Poisoning Incognito? Case Report and Mephenytoin/Phenytoin Comparison”Journal of Toxicology-Clinical Toxicology 2000;38:7, 781-785; “Intentional Overdose of DMSA inthe Course of Treatment for Arsenic Poisoning”Journal of Toxicology-Clinical Toxicology 2001;39:1,113-114; “Letter to the Editor-Marijuana Patch” FDAA 2001;13:2, 16; “Late Confirmation of Acute Methyl Bromide Poisoning Using S-Methylcysteine Adduct Testing” Veterinary and Human Toxicology 2001; 43:4, 208-211; ‘Copper’,In: Olson,K ed. Poisoning & Drug Overdose, 4rd Edition. Appleton & Lange, 2004, 175-177;“Poisoning by an Illegally Imported Chinese Rodenticide Cont. Tetramethylenedisulfotetramine-New York City, 2002”, MMWR 3/14/03, 52(10);199201, data Acknowledgment; ‘Copper’, In: Olson, K ed. Poisoning & Drug Overdose, 5th Edition. Appleton & Lange, 2007, 174-176 and 6th Edition, 2012, 185-187;“Serum Copper Elevation from From Estrogen effect,Masquerading as Fungicide Toxicity” Journal of Medical Toxicology, Vol 4,#1, 3/08, 30; “Spurge Contact Dermatitis” Journal of Emergency Medicine, Epub 9/16/09; hard copy 40(6),6/11, 680-681; 2012 Spring Qtr. CEP Toxicology Review, 4/12
Journal Review: Expert reviewer for the Journal of MedicalToxicology, 2009-2012.
Legal Experience: (Depositions and Trial only -tracking from 2001)
- Med.Malpractice Deposition (as expert ER, Plaintiff) Cranmer v. Kaiser 6/28/01
- Civil Deposition (as expert tox.,plaintiff)Kennebeck v. Hall 7/12/01 (arsenic and OPs)
- W.C. Deposition (as treating MD) Applicant v.WMA/Octagon 39876-13-178, 2/5/02
- Louise Bowman v. Kaiser – MedMal Deposition (as ER expert, Plaintiff, 9/12/03
- Paul Yago, Santa Cruz Superior Court(as treaterin ER) Civil case, 2/4/04
- Vasquez v. Freightliner – Deposition for Plantiff, Civil case, 2/20/04; Trial AlamedaSuperior Court, 4/6/04
- Bettencourt v. Carson Develop. – Deposition (as prior Consultant/ Tox. Expert),Civil case,11/05
- Chavez v. E. Lamazor & A. Uyeno – DepositionMedMal/ER expert, Plantiff, 10/18/07
- Lee v. UC Davis – Deposition WC AME Tox.,11/10/09
- Gomes v. Cook, et al – Deposition, Tox. Expert, Plantiff, 11/11/09
- Marrs v. Kaiser – Deposition, ER and Tox. Expert, Plaintiff, 11/19/09; Arbitration12/9/2009
- Zhu v. Ketcham – Deposition, Tox. Expert, Defense, 8/13/2010
References (Medical/Legal, since 2006):
- Harold J. Truett, III; Winchell & Truett, 207 Powell Street6th Floor, San Francisco, Ca., 94102 (Plantiff)
- James Rumm, Law Offices of Federico Castelan Sayre, 900 N.Broadway, 4th Floor, Santa Ana, Ca., 92701 (Plantiff)
- Susan Blitch, Monterey County District Attorney, 1200Aguajito Road, Room 301, Monterey, Ca., 93940 (Defense)
- John Garvey, III; 10 Almaden Blvd., Suite 1250, San Jose, Ca.,95113 (Plantiff)
- Stephen Gorog, 180 Montgomery St., Suite 940, San Francisco, Ca., 94104 (Plantiff)
- Michael Ng, Kerr & Wagstaffe, 100 Spear St., Suite 1800,San Francisco, Ca., 94105 (Defense)
- Medical Consultant Services, Inc., 2377 W. Foothill Blvd.,Suite 9, Upland, Ca., 91786 (Defense)
- Barry Marsh; Hinshaw, Draa, Marsh, Still & Hinshaw, 12901Saratoga Ave., Saratoga, Ca., 95070 (Defense)
- Edward Lemons; Lemons, Grundy & Eisenberg, 6005 Plumas St.,3rd Floor, Reno, Nevada, 89509 (Defense)
- Jon Giffen; Kennedy, Archer & Harray, 24591 Silver Cloud Ct.,Suite #200, Monterey, Ca., 93940 (Defense)
- James Sarrail and Monica Castillo; Sarrail, Castillo & Hall,700 Airport Blvd., #420, Burlingame, Ca., 94010 (Defense)
- Fulvio Picerno and Barbara Schafer; Jackson, Jenkins, RenstromLLP, 55 Francisco Street, 6th Floor, SF, 94133, (Defense)
- James Anwyl and Kerri Rollins; Anwyl, Scoffield & Stepp, LLP,3043 Gold Canal Drive, Suite 100, Rancho Cordova, Ca., 956706129 (Defense)
- Joseph Appel, Appel Law Firm LLP, 1 Walnut Creek Ctr., 100Pringle Ave., #730, Walnut Creek, Ca., 94596 (Plantiff)
- David Fulton, Cartwright, Scruggs, Fulton & Walther, 340Soquel Ave., #215, Santa Cruz, Ca., 95062 (Plantiff)
Hobbies/Sports: Veteran Foil Fencer with 25 years experience; USFA National rating C-11; Gold medal age-group Men’s Foil, Canadian American Veterans Cup,Kingston, Ontario, May 2011; Silver medal,Veteran’s Mixed Foil, Pacific Coast Championships, San Rafael, May 2011; Goldmedal, Veteran’s Mixed Foil, UFF Summer Nationals, Las Vegas, June 2011; Lt. Col. DonAppling Veteran’s Foil, 2011 Champion-Gold Medalist, Honolulu, Hi. October 2011; 8th place Duel in the Desert, Vets. Foil, LV, Jan. 2012;6th place medal, ROC Stro Memorial Vets. Foil, Pasadena, April 2012; Bronze medal Senior Foil and Silver medal, HIFA Team Foil, Hawaii State Fencing Championships, Waikiki, May 2012; Silver Medal, Lt. Colonel Don Appling Veteran Foil, October 2012.
General Engagement Details:
Lien arrangements not accepted.
Retainer required; minimum retainer is $2,500 for any case.
General Rate: $295/hr;
Deposition/Court Rate: $495/hr;
Travel Rate: $125/hr.
Travel costs related to Deposition or in Court dates must be prepaid, or Deposition must occur in Santa Cruz or Monterey County.
Charge for appointments missed without a 24 hour cancellation notice will be $295.00.
No insurance accepted.
*** Detailed Fee Schedule sent on request
Updated: December 2012