Nephrology Expert Opines on Dialysis Patient’s Life Expectancy
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Case Overview
This case takes place in Massachusetts and involves a middle-aged male patient who required hemodialysis after multiple rounds of treatment and tumor cryoablation for cancer. In addition to problems with his kidneys, he had a complex medical history with many comorbidities. At the time of the incident in question, the man was receiving treatment in the hospital, where he had been receiving heparin in order to guard against the formation of blood clots. He was walking to another location in the hospital with the assistance of hospital staff and a walker for dialysis when he tripped and fell. The patient fell to the side and struck his head on the floor, sustaining a visible laceration. Within minutes, the patient was unresponsive with fixed and dilated pupils. The injury was felt to be catastrophic and the patient would not benefit from surgery or medical therapy. The patient expired shortly thereafter. It is alleged that the patient would have lived for several decades longer, in spite of his need for dialysis, had it not been for this unfortunate accident.
Questions to the Nephrology expert and their responses
Do you routinely treat patients similar to the one described in the case?
I do see many patients with similar conditions to the patient described. I am the Medical Director of the largest dialysis unit in my state. I personally have one of the largest panels of peritoneal dialysis patients in our state. I have been exposed to a great variety of dialysis patients during the past 10 years.
Can you determine what the patient's potential life expectancy would have been given his past medical history and ongoing dialysis treatment?
I would be able to estimate this patient's life expectancy based on my experience caring for folks in similar condition. Despite the multiple comorbidities present with this patient it seems probable that his life expectancy could reasonably have been several decades longer had he not died in this hospital.
About the expert
This highly qualified and board-certified nephrologist received his M.D from Rutgers New Jersey Medical School. He went on to complete residency in Internal Medicine and a Fellowship in Nephrology at Boston Medical Center. He is certified in Internal Medicine and Nephrology by the American Board of Internal Medicine. This expert is a member of several professional organizations including the International Society of Nephrology, American Society of Nephrology, Renal Physicians Association, National Kidney Foundation, American College of Physicians, and Massachusetts Medical Society. He has authored 15+ publications in the field. Formerly he was an attending physician at Jewish Memorial Hospital, Brockton Hospital, Quincy Medical Center, as well as the Medical Director in the Acute Hemodialysis Unit at Boston Medical Center. Currently he is Assistant Professor of Medicine at a high ranking university and the Clinical Director of the Renal Section and Medical Director, Acute hemodialysis at a major university affiliated hospital.

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About the author
Joseph O'Neill
Joe has extensive experience in online journalism and technical writing across a range of legal topics, including personal injury, meidcal malpractice, mass torts, consumer litigation, commercial litigation, and more. Joe spent close to six years working at Expert Institute, finishing up his role here as Director of Marketing. He has considerable knowledge across an array of legal topics pertaining to expert witnesses. Currently, Joe servces as Owner and Demand Generation Consultant at LightSail Consulting.
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