Standard of Care Expert Witnesses, Page 4

William Santoro, MD is board certified in Addiction Medicine and board eligible in Family Medicine. He is the Chief of the Section of Addiction Medicine at Tower Health and was the Medical Director at the Reading Hospital & Medical Center detoxification/rehabilitation program. Dr. Santoro was also the Medical Director at a Methadone Treatment center for 22 years, until 2021, where he is responsible for prescribing methadone to approximately 950 opiate dependent patients.

Dr. Santoro is the Addictionist on staff at The Reading Hospital & Medical Center within the Department of Family and Community Medicine. He is consulted by hospitalists to care for patients admitted to the hospital with addiction complicating their condition. Dr. Santoro runs an outpatient program treating over the 300 patients with buprenorphine (Suboxone/Sublocade) or Vivitrol maintenance. With an interest in Sports Medicine in 2001, he served as a volunteer physician for the U.S. Olympic Training Team in Lake Placid, New York.

Dr. Santoro has been deposed more than a dozen times in the past several years. He has testified in court numerous times on behalf of the plaintiff as well as for the defense. He has testified in Federal Court and been involved in cases concerning the pharmaceutical industry.

Areas of Expertise:

All aspects of Addiction Medicine
Medication Assisted Treatment (MAT)
- Buprenorphine
- Naltrexone
- Methadone
Dual Diagnosis Pain/Addiction

View Dr. Santoro's Consulting Profile.

• Curriculum Vitae

Victor L. Mandoff, BSc, MBBS, is a Board-Certified fully practicing Professor of Anesthesiology at a teaching hospital. With 17 years of experience in Anesthesiology and 10 years in Critical Care Medicine, his training keeps him current in the knowledge and practice of Evidence Based Medicine (EBM). Evidence Based Medicine is the integration of individual clinical expertise with the best available research evidence from systematic research and the patient's values and expectations.

UAMS Medical Center provides care to the highest acuity patients from the state and surrounding areas. It is the only level-one trauma center in Arkansas and the only one that does liver transplantations. Dr. Mandoff provides anesthesia for a variety of cases like liver transplants, kidney transplants, vascular surgery, thoracic, obstetric, neurosurgical, ENT, outpatient, GI, radiology, Cath Lab, Electroconvulsive therapy, etc.

Litigation Support - Dr. Mandoff offers expert witness services to attorneys for plaintiff and defendant. Services include medical record review, thorough reporting, depositions, and trial testimony.

Areas of Expertise:

Acute Pain Management
Regional Anesthesia
Transplant Anesthesia
NORA (Non-OR Anesthesia)
Difficult Airways
Critical Care Medicine
ACLS

BLS
Code Blue Emergencies
Level 1 Trauma Management
Narcotics
Neuromuscular Blockers
Simulator Training
Moderate Sedation

Dr. Mandoff is the director of MOCA Simulation for Anesthesiologists, the Assistant Medical Director of the Simulation Center, and the Director of Liver Transplant Team and Transplant Anesthesia at the University of Arkansas for Medical Science. He is an award-winning educator who feels privileged to teach medical students, nurses, residents, SRNAs and junior faculty, and other faculty using simulation training. Dr. Mandoff has won many teaching awards, including “Golden Apple Award,” “Red Sash Award,” and “Educational Excellence Award,” presented by residents, students, and the College of Medicine.

Dr. Mandoff is a Fellow of the American Society of Anesthesiologists (FASA). The FASA designation is the “highest acknowledgment that recognizes years of dedication to exceptional education, leadership, and commitment to the specialty” as per the American Society of Anesthesiologists website. He is also Critical Care Fellowship trained at the Cleveland Clinic Medical Foundation, Critical Care Board Certified, and practiced Critical Care Medicine from 2006 to about 2016.

An Oral Board Examiner for the American Board of Anesthesiology, Dr. Mandoff has been named in Arkansas Times Best Doctors in Arkansas list in both Anesthesiology and Critical Care Medicine.

• Dr. Victor Mandoff's Curriculum Vitae

James W. Lovely, BBA, MBA, JD, is an experienced provider of expert witness testimony, case analysis and consulting advice. He has more than 30 years of business and legal experience in the financial markets with particular expertise in:

Complex financial products, including swaps, swaptions, options, futures, repurchase agreements, foreign exchange, commodities, prime brokerage arrangements, securitizations, structured notes and municipal bonds;
Secured commercial lending and hedging arrangements often (but not exclusively) involving those complex financial products; and
U.S. commercial, commodities, securities and banking law and regulations governing those financial products; and
LIBOR transition to SOFR, Ameribor and other rates.

Mr. Lovely is adept at simplifying or clarifying complex financial products and disputes and translating between a client’s legal team and its executive/financial officers while delivering insightful analysis and persuasive testimony. He is a very capable writer and public speaker and currently maintains his own consultancy in the above-described areas of expertise. He is intimately familiar with ISDA, NAESB, EEI, ICOM, IFEMA and SIFMA financial product documentation, forms and protocols.

Recent Expert Witness Engagements:

Analysis of documents, opposing expert’s report, and damages, and deposition testimony in NY case re: $500 million municipal bond repurchase agreement, interest rate derivatives, and municipal bond securitizations.
Analysis of transaction documents and opposing expert’s report, preparation of rebuttal report, and deposition testimony on $17 million aircraft loan, related guarantees, and swap documentation and sales practices in Federal case.
Preparation of expert rebuttal report and deposition testimony in a U.S. Federal District Court case involving claims of wrongful registration of transfer of securities under the UCC and refuting fiduciary duty and negligence claims asserted against the issuer defendant.
Analysis of trading activity and millions in losses in an NFA arbitration involving an agricultural futures and options account of a U.S. grain farmer and claims due to discretionary trading in a non-discretionary hedging account.

View James Lovely's Consulting Profile.

• James Lovely's Curriculum Vitae

Megan M. Hamilton, MS, CCC-SLP earned her Master of Science degree from Marquette University and holds a lean six sigma green belt from Purdue University as well as a Certificate of Clinical Competence from the American Speech Language and Hearing Association (ASHA). Megan currently provides consultation to hospital speech language pathology and serves as a forensic medical SLP throughout the United States. Megan has held positions as direct care provider, site manager, regional vice president, and division manager of clinical education for national rehabilitation providers in long term care, sub acute, and pediatric care. She brings over 30 years of experience to her clients.

Litigation Support - No healthcare provider can prevent aspiration and/or choking for all patients at all times, but all SLPs can be expected to practice within accepted standards of care. Megan's exhaustive review of case materials can determine whether diagnosis, evaluation, recommendations and discharge determination were based upon sound clinical reasoning to mitigate adverse outcomes and facilitate improvement. If standards of care were met, Megan provides evidence-based opinions of such. When care failed to meet accepted standards, Megan can illustrate how the SLP provider deviated from standards. She can assist in determining if substandard care contributed to negative outcomes including suspected choking event, aspiration, dehydration, health decline or death.

Areas of Expertise:

Speech Therapy
Speech Language Pathology
Swallowing
Oral Dysphagia
Pharyngeal Dysphagia
Esophageal Dysphagia
TBI
Expressive Language
Receptive Language
Parkinsons
Choking
Cognition
Dehydration
COVIDs impact on communication, dehydration and swallowing

Dementia
Diet Texture
Liquid Viscosity
Aphasia
Apraxia
Dysarthria
Developmental Disabilities
Stroke
CVA
Aspiration
Aspiration Pneumonia
End of Life Nutrition
Executive Skills
Standards of Care

Megan has been an instructor in the areas of cognition, dysphagia / swallowing, end of life nutrition, and Medicare regulatory compliance. She has presented at conferences for the American Occupational Therapy Association and local Speech Language Hearing Associations as an employee of national Rehab companies.

The Lios Manhe (pronounced LIZ munee) mission is to be a trusted partner to plaintiff or defense by providing thorough analysis and independent opinions supported by science and based upon evidence collected.

• Megan M. Hamilton's Curriculum Vitae

• Professional Services

• Testimonials

8/18/2025 · Speech-Language Pathology

Resuscitative Efforts Can Mimic a Choking Death