As the Medical Review Officer (MRO) for the Massachusetts state Physician Health Program (PHP), Physician Health Services, Inc. (PHS, inc.), Dr. Wayne Gavryck’s responsibility is simple. He is supposed to verify that the chain-of-custody in any and all drug and alcohol testing is intact before reporting a test as positive.
Dr. Gavryck evidently did not do that here. In fact for more than a year he helped cover up an alcohol test that was intentionally fabricated at the behest of PHS Director of Operations Linda Bresnahan (who told me when I confronted her with the fact that I have never had or ever even been suspected of having an alcohol problem “you have an Irish last name–good luck finding anyone who will believe you!”
What Gavryck and his co-conspirators did is egregious and ethically reprehensible. It shows a complete lack of moral compass and personal integrity. What was done from collection to report to coverup and everything in-between is indefensible on all levels (procedurally, ethically, and legally).
The documentary evidence shows with clarity that this was not accident or oversight. It was intentional and purposeful misconduct. I think everyone would agree that there should be zero-tolerance for forensic fraud in positions of power. Any person of honor and civility would agree.
Transparency, regulation, and accountability are necessary for these groups. It is an issue that needs to be acknowledged and addressed not ignored and covered up.
If Dr. Gavryck can give a procedural, ethical, or legal explanation of what was done then I stand corrected. Just one will suffice. I’ll erase my blog and vanish into the woodwork. But If he cannot then this needs to be addressed openly and publicly. And whether he was involved in the original fraud or not is irrelevant. As the MRO for PHS it is his responsibility to correct it–however late the hour may be.
Perhaps Dr. Gavryck needs to see some of the damage he has caused in order to take this responsibility. Known as a “bag man” who simply rubber stamps positive tests at the request of Sanchez and Bresnahan (much like Annie Dookhan) he does not see the damage that is caused. Forensic fraud has grave and far reaching effects and in this case has severely impacted many people and include patient deaths.
Perhaps Dr. Gavryck needs to take a “moral inventory” and see that this this type of behavior causes real damage to real people and put a face on it.
Perhaps Gavryck needs to be asked these questions directly from an investigative reporter.
It is people just like this who are killing physicians across the country. The body count is vast and multiple. This has recently been underscored by the horror stories mounting in recent Medscape and KevinMD articles associating PHP programs like this one with the recent epidemic of suicides in doctors.
These people have removed themselves from accountability. One way they do this is by withholding information and suppressing the truth. This is facilitated by willing sympathizers and apologists who refuse to acknowledge or investigate wrongdoing. Gavryck believes he is beyond reproach and is complacent that his friends will protect him and insulate him from harm. The evidence, however, is not going away. Neither am I.
Those who are caught doing dirty deeds such as this need to be held accountable. This requires the provision of information, justification for actions and the ability to be punished by outside groups.
I have the information. Gavryck needs to provide justification for his actions and held accountable for them. Perhaps an investigative journalist could interview him and ask him directly.
Help me get this exposed, corrected, and rectified. The doctors of Massachusetts and the doctors of this entire country deserve better than this.