Win a 1964 Rolling Stones Vinyl  45 signed by Mick Jagger, Keith Richards, Brian Jones, Bill Wyman and Charlie Watts–It is yours if you can show physician health program director Dr. Luis Sanchez committed fewer than 3 felonies!

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via Win a 1964 Rolling Stones Vinyl  45 signed by Mick Jagger, Keith Richards, Brian Jones, Bill Wyman and Charlie Watts – just detect fewer than 3 felonies in the attached documents.   

It has been almost 1.5 years since I offered over $25 thousand dollars in cool prizes to anyone who could show that past president of the Federation of State Physician Health Programs (FSPHP)  and Medical Director of Physician Health Services, inc. (PHS) Dr. Luis “the dirty” Sanchez did not commit multiple felonies  (December 9, 2016).  All of the the prizes can be seen below.

I am Offering Over $25,000 in cool prizes to anyone who can show past FSPHP President Sanchez did not commit at least 3 felonies based on documentary evidence alone! I claim the documents show direct evidence of multiple serious crimes –prove me wrong and the whole lot is yours!

Perhaps the booty isn’t good enough so I added a 1964 Decca  7″ 45 RPM original pressing of Little Red Rooster  (A) and Off the Hook (B) on vinyl signed by Mick Jagger, Keith Richards, Brian Jones, Bill Wyman and Charlie Watts.  . All anyone has to do is look at the documents and show how Sanchez committed fewer than three felonies. If Sanchez committed only two felonies you win!  If Sanchez committed just one felony you win!  Simple enough? Should be easier than HQ.

Dr. Sanchez machinations and misconduct can be seen here.  It took a formal complaint with the College of American Pathologists to get the truth out.  More of this fiasco can be seen here and here.   What Sanchez  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 in fact indefensible on all levels (procedurally, ethically, and legally).  So too are the actions of Board attorney Deb Stoller (who not only covered it up forensic fraud but was complicit in it) and those of Assistant Attorney General Bryan Bertram (who is continuing to participate in a cover-up of a cover-up) in violation of ethics and professional conduct. In a perfect society Sanchez would have his medical license revoked and the other two would have been disbarred by now.  In a perfect society all three would be held accountable for crimes.  Does Bertram’s superiors know what he is doing? I don’t think so.  They will at some point.

I think everyone would agree that there should be zero-tolerance for forensic fraud and cover-up and cover-ups of cover-ups in positions of power.    Any person of honor and civility would agree. The documentary evidence shows with clarity that this subterfuge and chicanery was not accident or oversight.  It was intentional and purposeful misconduct.  It is indefensible. Attorneys cannot ignore the obvious.

Transparency, regulation, and accountability are necessary for these groups.

To be fair if Sanchez  can give any  procedural, ethical, or legal explanation for his actions then I stand corrected.  Same applies to his apologists, lackeys and  morally challenged counterparts Stoller and Bertram.  Just one will suffice.  I’ll erase my blog and vanish into oblivion.  No questions asked. Into the woodwork.  But If this trio  cannot then this malfeasance needs to be addressed openly and publicly.   It is their agencies responsibility to correct this –however late the hour may be.  My suspicion is that all of this has been blocked from going upstream.

Forensic fraud has grave and far reaching effects and in this case has severely impacted many people and includes patient deaths. Perhaps this trio needs to take a “moral inventory” and see that this this type of behavior causes real damage to real people and put a faces on it.  The increasing comments on Pauline Anderson’s latest Medscape article would be a start.

Perhaps Sanchez, Stoller and Bertram  need to be asked these questions by an  investigative reporter. Direct and simple questions deserve direct and simple answers.  “Not my department” and “no comment” are no longer acceptable.  We need to demand answers.

It is people just like this who are killing physicians across the country.   The body count is vast and multiple. This type of behavior is directly and temporally related to the recent epidemic of suicides in doctors.  They have removed themselves from conventional accountability by withholding information and suppressing facts. No longer.  The sympathizers and apologists who refuse to acknowledge or investigate wrongdoing will be held to account. Sanchez, Stoller and Bertram believe they are beyond reproach; complacent in the belief they are protected from harm and insulated from investigation.   The evidence, however, is not going away. Neither am I. Neither are the growing legion of ethical individuals who want to drain this swamp.

Corruption is misuse of entrusted power.  It occurs when those who have been given authority to carry out expected goals instead use their position and power to benefit themselves and others close to them. Abuse of power is particularly egregious when that person is doing the opposite of what he or she is supposed to do.

Accountability is necessary to prevent corruption and necessitates both the provision of information and justification for actions;  what was done and why?   The other defining factor of accountability is the ability of outside actors to punish and sanction those who commit misconduct or wrongdoing.    Without these constraints corruption is inevitable.

This is corruption plain and simple and  The doctors and patients of Massachusetts and the doctors and patients of this entire country deserve better than this.

As no checks and balances exist I am offering 25K in prizes and now adding a 1964 45″ signed by the Rolling Stones; Mick Jagger, Keith Richards, Brian Jones, Bill Wyman and Charlie Watts.  One of the problems in this system cognitive dissonance and the belief that there must be something more to it.  There isn’t.  Fact is I could offer you my car, everything I own or my very soul and you would still not be able to disprove that Sanchez committed multiple felonies, that Stoller not only  covered it all up but was complicit and that Bertram is engaging in a cover-up of a cover-up by misusing administrative law and is in violation of the rules of professional conduct and basic ethics and morality. So here’s the ticket.  Either come get the prizes or help me get this exposed and dismantled.  Either defend them or help me hold them accountable. Silence is not an option.

Source: Adding 1964 Rolling Stones Decca 7″ 45″Off the Hook” Vinyl signed by Mick Jagger, Keith Richards, Brian Jones, Bill Wyman and Charlie Watts to 25 K in prizes previously offered to the first person who can disprove FSPHP President did not commit multiple felonies!
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Article from The Valley Patriot Newspaper: “State Auditor’s Office Protects The Big Swamp From The Law.”

The article below by Dr. Bharani Padmanabhan was published in The Valley Patriot  in print in April.  Will update when it is available online.

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State Auditor’s Office Protects The Big Swamp From The Law

Bharani Padmanabhan MD PhD

People on food stamps are the lowest rung on the economic ladder, people who need charity just to eat. Going after poor people helps bureaucrats pretend they care about taxpayers. By targetting people on assistance, the state auditor’s office fools everyone by deflecting attention from its refusal to audit high crimes by the ‘elite’ reptiles in control of the Massachusetts swamp.

This week the state auditor’s office preened itself on identifying $10.7 million of Medicaid fraud. In absolute terms this $10.7 million is a hill of beans given that we lose $4 billion annually to healthcare fraud nationally. Given that Massachusetts’ fiscal 2018 healthcare budget is $21.7 billion, this $10.7 million is a convenient farce. Almost a rounding error at 0.049% of annual state health costs and 0.27% of the annual national fraud.

The auditor’s enabling statute, MGL ch. 11 § 12, declares: “Section 12. The department of the state auditor shall audit the accounts, programs, activities and functions directly related to the aforementioned accounts of all departments, offices, commissions, institutions and activities of the commonwealth, including those of districts and authorities created by the general court and including those of the income tax division of the department of revenue.” Note it says SHALL, not may if you feel like it.

The state auditor’s office goes after poor people to conceal the fact that the vast majority of our ‘departments, offices, commissions, institutions and activities’ go totally unaudited. As a matter of common sense, where do you think the vast majority of the money disappears? Naturally we didn’t hear about the invisible State Police salaries from the state auditor either.

For three years now Dr Michael Langan and I have been trying to get the state auditor’s office to audit the state medical board and its illegal kickback relationship with the Massachusetts Medical Society. This effort involved emails and meetings in person with Deputy Auditor Ken Woodland and with Director William Keefe, who is with the Bureau of Special Investigations and allegedly the point person to combat white collar crime. As with everything to do with state government, reality is a bummer.

Dr Langan presented Keefe with hard evidence that showed Board lawyer Robert Harvey fabricated a false document to serve as a pretext for suspending a doctor’s license as punishment for refusing to pay extortion money to the medical society. A classic protection racket with license suspension as the Board’s form of breaking the victim’s leg. At a minimum it was Keefe’s duty to report Harvey to the SJC’s Bar Overseers for violating its Rules on Professional Conduct. Keefe did not.

Dr Langan presented Keefe with hard evidence that showed Asst. AG Bryan Bertram consciously lied to the court and concealed evidence of forensic fraud and obstruction. Exactly like the state lawyers did in the Sonja Farak case. At a minimum it was Keefe’s duty to report Bertram to the SJC’s Bar Overseers for violating the Rules and obstructing justice. He did not.

Dr Langan presented Keefe with hard evidence that showed a long-running procurement fraud and kickback scheme between the medical society and Board lawyers that involved hundreds of thousands of dollars. It has been three years and the auditors have refused to audit, let alone report crime.

Two years ago I presented Deputy Auditor Woodland in person with documents showing the renting out of the Board by its lawyers to other doctors in order to ‘take out’ their competition. I also gave him documents showing the parking of tax dollars by the Board in a private foundation invisible to the public. A secret slush fund.

Here is Keefe’s response today (4/4/18): “Sir, As Ken and I have discussed with you and Michael, we will be looking into your concerns when we audit the agency. Bill Keefe.” So, when I report a crime, it is merely ‘my concern.’

It is very difficult to collect the documentary evidence but Dr Langan has done it. And the auditors are angry because now they cannot say they do not know.

Henry Morgenthau proved that everyone at the State dept. knew about the holocaust as it was unfolding and concealed the facts to avoid public pressure to save the Jews. Everyone at the state auditor’s office is no better.

The auditors know that these crimes by Board lawyers and the medical society caused numerous doctors to commit suicide in the prime of their life. These suicides occurred because the state auditor knew about the crimes and ongoing deaths of despair and did nothing. Same as the diplomats at State during the holocaust.

(Bharani Padmanabhan MD PhD is a multiple sclerosis neurologist. On July 12, 2017 the state medical board stole his license because he reported Medicaid fraud to the government. scleroplex@gmail.com)

Senate Bill 286 attempts to rein in dictatorial actions of State Board of Medical Examiners, runaway investigators

This is tomorrow and the link below contains ALL the committee members emails:

http://house.louisiana.gov/H_Cmtes/HealthAndWelfare.aspx

Remember, this has already passed the FULL Senate UNANIMOUSLY (NON-PARTISAN), but the house may be a harder sell.

Our opponents are going to make a big charade. A shit show of logical fallacy and spin. Propaganda, threats and misinformation. During the European witch-hunts the legal notion of crimen exceptum (an exceptional and most dangerous crime] allowed for the suspension of the normal rules of evidence to punish the guilty. Same premise. Sanctimony, feigned piety and hypocritical devoutness will all be used to justify torture and torment. After all that’s a small price to pay when it comes to protecting the public from drug addled doctors throwing opiates out like candy from a parade float.

“Witch hunting,” wrote the historian Rossell Hope Robbins, “was self-sustaining and became a major trade, employing many people, all battening on the savings of the victims.” Same applies to these asshats so if you have not place your vote in this 11th hour then please do so now. Make it short and sweet. Quick and to the point.

I am in FAVOR of SB 286, The Physician’s Bill of Rights

I am a ______ healthcare professional who has been a victim of laws which have provided me no due process. Ordinary procedures are enough to assure the safety of the public without risking the destruction of the lives of good doctors unduly. There is no place in our country for any person or class of persons to be denied due process, period.

For what it’s worth (and sadly) these matters are often decided by the number of FOR letters any given voter has vs. AGAINST letters they have.

Louisiana Voice

Physicians Health Foundation (PHF), which for years has abetted the Louisiana Board of Medical Examiners in targeting vulnerable medical practitioners in a manner reminiscent of the tactics employed by the Louisiana State Board of Dentistry, now finds itself in the crosshairs of State Sen. John Milkovich (D-Shreveport).

Both boards have for years flown under the radar of governors, legislators and the media but more and more, attention is being given to their near-autonomous rule by intimidation and extortion.

PHF, also known as the Healthcare Professionals’ Foundation of Louisiana (HPFL), is located on Bluebonnet Boulevard in Baton Rouge and it currently is about halfway through a three-year, $1.35 million contract with the Board of Medical Examiners to run a “Statewide Operations of Physicians Health Program.”

And, since the Board of Dentistry has been mentioned, it might be worth noting that PHF also is just over a year into a three-year, $287,000…

View original post 1,009 more words

Federal Judge Allows Class Action to Proceed Against Michigan’s Professional Health Program in Groundbreaking Decision

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Via: http://www.thehealthlawfirm.com/

Wednesday, April 25, 2018

By George F. Indest III, J.D., M.P.A., LL.M., Board Certified by The Florida Bar in Health Law

On April 1, 2018, U.S. District Court Judge Arthur J. Tarnow approved a crucial step in a class action lawsuit filed against the Michigan Health Professionals Recovery Program (HPRP) brought by a group of medical professionals.An Abuse of Power?

The Michigan HPRP was originally designed to monitor health care professionals suffering from a mental health or substance abuse impairment that affected their ability to safely work in their chosen medical profession. A group of health professionals filed suit and claimed the program was abusing its authority and demanding medically unnecessary treatment backed up with the threat of license suspension. The Defendants filed a motion to dismiss which was denied in part and granted in part in a recent federal court ruling.  To read the order denying HPRP’s motion to dismiss, click here.


Groundbreaking Ruling.

Judge Tarnow found that Michigan health professionals were intended beneficiaries of the state contract for HPRP.  Therefore, they could, in fact, sue to enforce the terms of the contract as third party beneficiaries. This decision is groundbreaking because it is the first time that a federal judge has found that physician health program (PHP) participants are intended beneficiaries of a state physician health program’s contract. Currently, most states do have some form of PHP.  However, there are allegations that many are plagued with mismanagement and abuses, including conflicts of interest and being operated to make a profit. As a result of the judge’s ruling, health professionals may have added leverage to demand strict enforcement of their State’s PHP contract.

Additionally, Judge Tarnow found that health professionals with substance abuse issues or those who are falsely believed to have substance abuse issues qualify for protection under the Americans with Disabilities Act (ADA).  This move is favorable for the health professional community, especially those individuals facing addiction issues.  It sends a clear message to PHPs that they cannot breach their contracts or engage in disability discrimination without being held accountable for their actions.

To read the class action complaint filed against HPRP, click here.

To learn more about how The Health Law Firm can assist you in situations like this, please visit our Areas of Practicepage on our website.

Click here to read one of my prior blogs about the Professionals Resource Network (PRN) Evaluation for all Applicants with History of Mental Problems or Substance Abuse.

The Florida Department of Health‘s (DOH) “impaired practitioners program” is administered by the Professionals Resource Network (PRN) and the Intervention Project for Nurses (IPN). IPN is responsible for all nurses and works with and through the Florida Board of Nursing. The Florida Board of Medicine and all other professional licensing boards in the DOH have contracted with and use the services provided by Professionals Resource Network (PRN).

There have been criticisms aired in the media regarding these programs.  In order to be sure you are fully aware of all sides of the situation, you may want to review these, at:
www.wptv.com/longform/are-fl-doctors-and-nurses-being-sent-to-rehab-unnecessarily
and
www.nbc-2.com/story/33043200/nbc2-investigators-nurses-sent-to-rehab-whether-needed-or-not
Contact a Health Law Attorney Experienced in the Representation of Health Care Providers in Board of Pharmacy Cases.

The Health Law Firm and its attorneys are experienced in dealing with the Board of PharmacyPRN, and licenseapplications.  Our attorneys can help you get your application and supporting documentation together and present it to the Board in the most effective way possible.

Our firm has extensive experience in representing physicians, nurses, pharmacists and other professionals accused of drug abuse, alcohol impairment, mental impairment and sexual boundary issue, as well as in dealing with the Professionals Resource Network (PRN), its advantages and disadvantages, its contracts, its personnel, and its policies and procedures.

For more information please visit our website at www.TheHealthLawFirm.com or call (407) 331-6620 or (850) 439-1001.

Sources: 

“Federal Judge Gives “Green Light” On Class Action Against HPRP, Michigan’s Professional Health Program (PHP).” Chapman Law Group. (April 1, 2018). Web.

“The Americans with Disabilities Act (ADA).” ADA. (April 23, 2018). Web.

About the Author: George F. Indest III, J.D., M.P.A., LL.M., is Board Certified by The Florida Bar in Health Law.  He is the President and Managing Partner of The Health Law Firm, which has a national practice.  Its main office is in the Orlando, Florida, area.  www.TheHealthLawFirm.com  The Health Law Firm, 1101 Douglas Ave., Altamonte Springs, FL 32714, Phone:  (407) 331-6620.

 

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As Louisiana dentists testify to the rank corruption of the Louisiana Dentistry Board, Inspector General Street’s investigation is revealed to be so easily dismissive that a former Dental Board executive had to be reminded that he even conducted an investigation at all.

Sound Familiar?

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Via:  Sound Off Louisiana 

Louisiana Inspector General Stephen Street

On Wednesday, April 4, 2018 at the Louisiana Senate Commerce Committee, several dentists and a former Louisiana Dentistry Board (LDB) executive, Diana Chenevert, testified to the rank corruption which has plagued the LDB for years.  They were testifying in favor of SB-260 by Sen. John Milkovich (D-Shreveport).  The bill would allow a person who has a disciplinary action brought against him by a professional licensing board or commission to elect to have the matter moved to the Louisiana Division of Administrative Law for a disciplinary adjudication by an administrative law judge.  Highlights of testimony are provided in the following video:

Highlights of testimony at Louisiana Senate Commerce Committee meting on SB-260.

Especially noteworthy entailing the preceding video is Senate Chairman Martiny asking Ms. Chenevert whether she reported the contents of her testimony to law enforcement (see from 19:27 – 19:59 mark of the video).

Ms. Chenevert first indicated, “no,” (i.e. that she had not reported the alleged criminal activity to any law enforcement agency); however, upon Dr. Ryan Haygood stepping out of his seat on the first row and whispering in her ear, she corrected her testimony to indicate that she had in fact reported the alleged criminal activity to Louisiana Inspector General Stephen Street.
Long-time subscribers to Sound Off Louisiana are well aware of our extensive efforts to demonstrate Street’s extensive historical financial difficulties (Federal tax liens and occupational license tax liens) which demonstrate that he is in no way financially independent as he portrays.
 Street has also been quite sensitive to our questioning of him regarding his independence of the Governor of Louisiana.  Most recently, we revealed former Alcohol and Tobacco Commissioner Murphy Painter’s efforts to strip Street’s Inspector General Office of its law-enforcement status.Over two years ago, we at Sound Off Louisiana were told by several dentists that they had met with Street and that his office had “assured without any doubt that arrests and prosecutions are going to arise from all that has transpired at the Dentistry Board.”  Well, despite all of the alleged criminal acts depicted in the video above, the following letter from Inspector General Street to Sen. Barrow Peacock dated January 25, 2018 demonstrates that, even with all of that alleged criminal activity, Street managed to find a way to “close our file.”:

 

Finally, Stephen Street is required by statute to report instances of potential criminal activity to the appropriate Federal, State, or local law-enforcement agencies.  That fact is evidenced in the following highlighted statute:

We’d love to see evidence of Street having done so regarding the activity described in the above video, but as he will quickly tell you, all of the Inspector General’s records and work papers are privileged.  Our money is on him never having done so, and it provides yet one more reason why his office needs to be abolished just as Corey delaHoussaye called for over two years ago.

If you would like to be added to the Sound Off Louisiana email list to be notified of future Sound Off posts, simply supply your email address within the box located at the lower-right of this post, and we’ll get you signed up!! If you are using a mobile device and the sign-up box doesn’t appear, CLICK HERE and we will be happy to enter your email address for you (you’ll need to confirm via an automated email Word Press will send to you).

Louisiana Needs to Rein in Unaccountable Medical Board, States AAPS — AAPS | Association of American Physicians and Surgeons

The Louisiana legislature is considering a bill that would give physicians the same due process rights as citizens accused of a crime, instead of treating them as guilty until proven innocent, states the Association of American Physicians and Surgeons (AAPS). Senate Bill 286 by Sen. John Milkovich, D-Shreveport, would assure that physicians have the right […]

via Louisiana Needs to Rein in Unaccountable Medical Board, States AAPS — AAPS | Association of American Physicians and Surgeons

The Louisiana legislature is considering a bill that would give physicians the same due process rights as citizens accused of a crime, instead of treating them as guilty until proven innocent, states the Association of American Physicians and Surgeons (AAPS). Senate Bill 286 by Sen. John Milkovich, D-Shreveport, would assure that physicians have the right to know their accusers and have access to all the evidence and documents acquired in the investigation.

“Medical board proceedings are not like a court of law, where the accused has to be proven guilty before a jury and an unbiased judge,” states AAPS director Jane M. Orient, M.D. “It’s a form of administrative law, where an unaccountable government agency is prosecutor, judge, jury, and executioner. Physicians have little opportunity to present a defense.”

“Sanctions imposed by the board can be the equivalent of a professional death sentence,” she said. “And actual deaths through suicide have occurred, as in the case of a doctor who found that his livelihood was destroyed despite reinstatement of his license.”

There is a nominal (and expensive) right to a review in court, but the Louisiana State Board of Medical Examiners has reportedly not lost a review in 20 years. “Courts typically rubber-stamp the decisions of ‘expert’ boards,” Dr. Orient stated. “Proposed legislation would give a physician the right to a de novo trial, in which the court would look at the evidence first-hand for itself.”

In Texas, where a physician got a rare favorable decision from an administrative law judge, she noted that the judge was forced to resign under pressure from the Texas Medical Board.

Public Citizen opposes the law because it would supposedly “hinder the conduct of LSBME investigations” and thus somehow impede its ability to “protect the public from dangerous doctors.” It especially objects to allowing physicians to request that an investigator be replaced for being “biased, hostile, or unfair.”

“Public Citizen, which styles itself as a ‘consumer advocacy group,’ rates medical boards based on the number of doctors they punish,” states Dr. Orient, “without regard to justice. Truly questionable doctors may get complaints dismissed, while good doctors are ruined, perhaps because they reported a patient safety issue and incurred the displeasure of a politically well-connected entity.”

“The public would not be made safe from criminals by imprisoning people based on anonymous complaints without proof of guilt. Doctors are citizens too, not Public Enemy Number One,” she concludes.

The Association of American Physicians and Surgeons (AAPS) is a national organization representing physicians in all specialties, founded in 1943.

Webinar: The Perilous Physician Licensing Landscape–Kernan Manion, M.D.

Screen Shot 2018-04-25 at 2.14.02 AM.pngA week ago, I presented a live webinar “The Perilous Physician Licensing Landscape” to over 50 physicians with guest panelist Dr. Michael Langan.

Here’s a link to the replay and the handout. You’re welcome to share it with whomever you feel might benefit.

Free webinar: “The Perilous Physician Licensing Landscape”

It’s understandable why so many physicians registered. Because the problem is huge. The numbers of complaints that medical boards receive and investigate (a significant number anonymously) is staggering. And too many physicians are put through a needless “guilty until proven innocent” ordeal costing them tens of thousands of dollars in legal fees and even lost practice income. And that doesn’t even include the financial and immense psychological costs incurred if you’re sent to a Physicians Health Program for “assessment.”

While the threat of a malpractice suit is ever-present, and sadly too many of us know the hazards of being named a defendant, fewer physicians are exposed to the challenge of getting entangled in a medical board investigation, a mandatory PHP assessment or a hostile peer review.

You or a colleague may be amongst them. If so, you’re in that select group of physicians who have to get up to speed quickly in dealing most effectively with these challenges. We can help.

And we know – all too well – that most physicians really have no idea how nasty and complex things can become in these dealings.

Both Michael and I have delved pretty intensively into understanding these entities, their unchecked power and the mind-boggling cost and effort required to challenge their sovereignly immune deliberations, preserve all of one’s due process and civil rights, while maintaining one’s practice and protecting one’s patients from dangerous and unwarranted interruption of care.

Too often, and too late, one may discover that notions of due process are little more than apparitions. That perhaps is the most shocking realization at the outset.

And it really derails most docs.

In our thousands of hours of case consultation and study, we came to some startling conclusions about these processes which we share in our webinar.

We’ve also seen how each physician so ensnared has had to fight their battle as though she or he and their counsel were the only ones who’ve ever travelled this path.

With the overview you’ll get from our webinar, and further the wealth of insight and strategy considerations we offer in consultation, you’ll discover that you and your colleagues don’t have to face this battle alone, using up your life savings and psychological reserves to engage in costly and nearly inevitably futile legal battles.

It’s vital to realize: the decisions you make from the outset of engagement with these entities will set you on a pathway that, unexamined, WILL extremely limit your subsequent courses of action. Bottom line, you’ve got to become fully educated about the territory and the choices you’re given and actively involved in the process. In these cases, ignorance, brashness and passivity spell disaster.

And that’s why we offered this webinar and why we’ve embarked on providing in depth case consultation, guidance and support.

We’re staunch physician advocates who know the territory and who insist on fairness and transparency.

This isn’t about ignoring bona fide issues of legitimate concern. We don’t believe in skirting issues. If a physician or other healthcare provider has a bona fide impairing mental illness or substance abuse problem or significant behavioral disorder (e.g. legitimately assessed “disruptive physician” et al.), we believe they ought to – and need to – address these issues in the most straightforward and ethical manner possible.

But we also believe that EVERY PHYSICIAN and healthcare provider under the jurisdiction of a state occupational licensing board and a so called “Physicians Health Program” not only deserves but is entitled to due process and respectful, professional and ethical treatment.

We know the pain and we know the cost of being ensnared in these potentially career-ending proceedings. We’ve borne witness to hundreds of physicians’ and other healthcare professionals’ stories and offered countless hours of support and guidance.

We have many insights to share about this danger-laden territory, in fact too many to compress into this 30 minute webinar. But we wanted to make sure we provided an overview in the most concise way possible. We believe that this knowledge could mean the difference between returning to practice and having all that you’ve worked for taken away.

Here’s the link again to our free webinar:

“The Perilous Physician Licensing Landscape”

You may also have colleagues who could greatly benefit from this ground-breaking webinar. We welcome getting the word out so we can help guide many more physicians – naive, vulnerable and overwhelmed – through these dangerous straits. So feel free to pass this along. We’re confident they’d appreciate knowing about it too.

Kindest regards,

Kernan Manion, MD

p.s. by the way, we offer all viewers a free 30 minute “case scenario” confidential discussion. The direct link to schedule that is in the replay email you’ll get as soon as you register.

via Webinar: The Perilous Physician Licensing Landscape–Kernan Manion, M.D.

Webinar: The Perilous Physician Licensing Landscape–Kernan Manion, M.D.

Screen Shot 2018-04-25 at 2.14.02 AM.pngA week ago, I presented a live webinar “The Perilous Physician Licensing Landscape” to over 50 physicians with guest panelist Dr. Michael Langan.

Here’s a link to the replay and the handout. You’re welcome to share it with whomever you feel might benefit.

Free webinar: “The Perilous Physician Licensing Landscape”

It’s understandable why so many physicians registered. Because the problem is huge. The numbers of complaints that medical boards receive and investigate (a significant number anonymously) is staggering. And too many physicians are put through a needless “guilty until proven innocent” ordeal costing them tens of thousands of dollars in legal fees and even lost practice income. And that doesn’t even include the financial and immense psychological costs incurred if you’re sent to a Physicians Health Program for “assessment.”

While the threat of a malpractice suit is ever-present, and sadly too many of us know the hazards of being named a defendant, fewer physicians are exposed to the challenge of getting entangled in a medical board investigation, a mandatory PHP assessment or a hostile peer review.

You or a colleague may be amongst them. If so, you’re in that select group of physicians who have to get up to speed quickly in dealing most effectively with these challenges. We can help.

And we know – all too well – that most physicians really have no idea how nasty and complex things can become in these dealings.

Both Michael and I have delved pretty intensively into understanding these entities, their unchecked power and the mind-boggling cost and effort required to challenge their sovereignly immune deliberations, preserve all of one’s due process and civil rights, while maintaining one’s practice and protecting one’s patients from dangerous and unwarranted interruption of care.

Too often, and too late, one may discover that notions of due process are little more than apparitions. That perhaps is the most shocking realization at the outset.

And it really derails most docs.

In our thousands of hours of case consultation and study, we came to some startling conclusions about these processes which we share in our webinar.

We’ve also seen how each physician so ensnared has had to fight their battle as though she or he and their counsel were the only ones who’ve ever travelled this path.

With the overview you’ll get from our webinar, and further the wealth of insight and strategy considerations we offer in consultation, you’ll discover that you and your colleagues don’t have to face this battle alone, using up your life savings and psychological reserves to engage in costly and nearly inevitably futile legal battles.

It’s vital to realize: the decisions you make from the outset of engagement with these entities will set you on a pathway that, unexamined, WILL extremely limit your subsequent courses of action. Bottom line, you’ve got to become fully educated about the territory and the choices you’re given and actively involved in the process. In these cases, ignorance, brashness and passivity spell disaster.

And that’s why we offered this webinar and why we’ve embarked on providing in depth case consultation, guidance and support.

We’re staunch physician advocates who know the territory and who insist on fairness and transparency.

This isn’t about ignoring bona fide issues of legitimate concern. We don’t believe in skirting issues. If a physician or other healthcare provider has a bona fide impairing mental illness or substance abuse problem or significant behavioral disorder (e.g. legitimately assessed “disruptive physician” et al.), we believe they ought to – and need to – address these issues in the most straightforward and ethical manner possible.

But we also believe that EVERY PHYSICIAN and healthcare provider under the jurisdiction of a state occupational licensing board and a so called “Physicians Health Program” not only deserves but is entitled to due process and respectful, professional and ethical treatment.

We know the pain and we know the cost of being ensnared in these potentially career-ending proceedings. We’ve borne witness to hundreds of physicians’ and other healthcare professionals’ stories and offered countless hours of support and guidance.

We have many insights to share about this danger-laden territory, in fact too many to compress into this 30 minute webinar. But we wanted to make sure we provided an overview in the most concise way possible. We believe that this knowledge could mean the difference between returning to practice and having all that you’ve worked for taken away.

Here’s the link again to our free webinar:

“The Perilous Physician Licensing Landscape”

You may also have colleagues who could greatly benefit from this ground-breaking webinar. We welcome getting the word out so we can help guide many more physicians – naive, vulnerable and overwhelmed – through these dangerous straits. So feel free to pass this along. We’re confident they’d appreciate knowing about it too.

Kindest regards,

Kernan Manion, MD

p.s. by the way, we offer all viewers a free 30 minute “case scenario” confidential discussion. The direct link to schedule that is in the replay email you’ll get as soon as you register.

Related:   Guest Post: “The Perilous Physician Licensing Landscape” by Kernan Manion, MD

Guest Post: “The Perilous Physician Licensing Landscape” by Kernan Manion, MD

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Over the years, many have visited Michael’s audacious blog as he’s dared open eyes about concealed abuse by medical boards, physician health programs and hospital-based peer review committees. 

Through shared experience, Michael and I have been studying these issues for nearly a decade. We are amongst a handful of physicians nationally who get the big picture and know the career-threatening challenges one faces in responding to and interacting with medical licensing boards, PHPs and related entities.

In fact, we’ve been founding members of a study group loosely referred to as the Coalition for Physician Advocacy (which I’ve cross linked to from here on occasion). Amongst the members of that think tank are a major writer-advocate of PHP reform; an MD JD whose focus is on disability law, mental health issues and litigation stress; a former vice chair of psychiatry at a well-recognized academic center; and an established addictions psychiatrist who is multiply boarded and is also a retired brigadier general. All have come together to address what we collectively feel are major abuses of privilege by a significant number of state medical boards and PHPs. We have observed the remarkable similarity in many of these due process deprived dealings to that of sham peer review. 

You would likely recognize our Coalition members’ names from their prominent articles and comments on many blog pieces over these last several years in Medscape, KevinMD, Medical Economics; Journal of Addiction Medicine; et al. Just look anywhere where Michael or I have posted comments. And with each gathering comment bearing witness to these gross abuses, we are gaining immense strength.

Michael encouraged me to convey through this guest post that we’re offering a free informational webinar “The Perilous Physician Licensing Landscape” on Monday 4/16 at 8pm EDT specifically pertaining to the issues. 

You can register here: http://bit.ly/LicensePeril

Over the years, we have collectively spoken with hundreds of physicians who have shared their stories of abuse at the hands of these agencies and the harm that has ensued to their practices, their careers and their patients. Of course, throughout this ordeal, their personal and family lives have been thrown into turmoil as well.

This concise webinar will provide not only an overview of these key issues and what we’ve learned through hundreds of consultations but also some very practical “do’s and don’ts” in dealing with medical boards and PHPs. And these pertain not only to physicians and all others in healthcare – both with degrees and still in preparation – but to their families and even their counsel. 

We’ve heard many heart-rending stories of immense suffering and injustice meted out by these unregulated entities. Many have been badly traumatized, so much so that they fear retribution and further harm if they dare speak out.

And it’s our goal to use our expertise to help our fellow physicians negotiate their way through these very dangerous waters.

Be sure to join us Monday 4/16 at 8pm EDT for The Perilous Physician Licensing Landscape.”

Register here: http://bit.ly/LicensePeril

And even if you can’t make it, be sure to register in order to get the replay link and any handouts.

I can’t close without offering tribute to Michael’s perseverance in the face of all adversity. He’s continued to expose these abuses, and suffered greatly for it. I am confident, in significant part due to his relentlessly hard-hitting well researched essays, that national exposure is growing, that journalists are taking note and the powers that have so menacingly operated like demonic Wizards of Oz are now having to examine their vulnerability to their reckless sadism being exposed. 

On behalf of Michael and myself, I hope this finds you well and that you’ll be able to join us for the webinar.

Kernan Manion, MD

p.s. In the event that you know of colleagues who might benefit, please share this invite – just copy the url of this webpage and paste it in an email.

p.p.s. And … if you’re on any social media or physician discussion groups (e.g. Sermo, Doximity, LinkedIn et al.), just copy and paste this link below into your post inviting people to attend. Knowledgeable career-saving help is available. You don’t need to face it alone. Learn what you can and need to do to protect your career in the event that your license is jeopardized by these entities. Here’s the link again: http://bit.ly/LicensePeril

Bob Dyer: Fallen physicians are sometimes bullied

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All the way up in British Columbia, Dr. Louise B. Andrew could feel the pain of an Akron nurse who was being financially gouged by a Summa Health rehabilitation program. The internationally known physician/attorney read my column about Brian (his last name was withheld), who was participating in a program for medical professionals who had run into trouble with alcohol and/or drugs and were trying to regain their licenses. Brian was among eight fellow nurses, physicians and pharmacists who were paying $457 each for a 60-minute group therapy session every week. Private half-hour sessions were billed at $247, and each urine drug screen was $150. But Dr. Andrew says that, in the overall scheme of medical professionals trying to work their way back into action, Brian’s financial pain was the equivalent of a boo-boo.

“While the price charged to your Brian was excessive for outpatient group therapy and urine testing, it pales in comparison to what physicians are typically charged for ‘specialized’ ‘rehab services,’ ” Andrew wrote in a lengthy email.

“Physicians are almost always sentenced to 90 days inpatient stay in one of a handful of ‘preferred’ facilities … [a designation based] primarily on the willingness of the facility to tailor the diagnosis according to the recommendation of the PHP [Physician Health Program].”

“The ‘specialized’ ‘services’ provided at these facilities are AA meetings run by high-school-educated recovering addicts. The costs can typically be in the range of $1,000 to $1,500 per DAY. They’re not covered by insurance (avoids the possibility of insurance fraud) and typically must be paid in cash up front.

“Physicians are told that their license is worth re-mortgaging their homes, sacrificing their children’s educational or their own retirement funds. If the physician refuses, he or she is reported to the medical board as being ‘in denial’ — even when there is little or no evidence of substance use or abuse — and the typical result of such reporting is licensure loss.

“I know this from consulting with numerous physicians across the country who have been subjected to this scheme, resulting in bankruptcy, homelessness and, in some cases, suicide.”

In addition to writing and lecturing, she uses her law degree to assist physicians who need legal help.

Andrew runs a number of websites (among them: http://www.mdmentor.com and http://www.physiciansuicide.com.) and is highly involved in suicide prevention for doctors — a bigger problem than you might guess.

Oddly enough, Andrew was originally a big fan of PHPs, saying they were a safe alternative to suffering in silence. But as a recent article in Clinical Psychiatry News pointed out, after serving as the liaison from the American College of Emergency Physicians (ACEP) to the Federation of State Medical Boards from 2006 to 2014, she had a major change of heart.

Today, she is worried that PHPs “may have taken on the role of what is more akin to ‘diagnosing for dollars.’ ”

In a column for Emergency Physician’s Monthly, she wrote, “My convictions have changed dramatically. Horror stories that colleagues related to me while I chaired ACEP’s Personal and Professional Well-Being Committee cannot all be isolated events.

“For example, physicians who self-referred to the PHP for management of stress and depression were reportedly railroaded into incredibly expensive and inconvenient out-of-state drug and alcohol treatment programs, even when there was no coexisting drug or alcohol problem.”

(If you want to know more about this, Andrew goes into great detail at http://bit.ly/PHP_MLB)

To be sure, nobody wants to be treated by a doctor who is suffering from drug and/or alcohol problems.

But if we really believe addictions are diseases, rather than criminal activity, and if we believe that rehabilitation is possible, these physicians ought to have a path back that has a lot less to do with lining pockets and a lot more to do with healing.

Bob Dyer can be reached at 330-996-3580 or bdyer@thebeaconjournal.com. He also is on Facebook at http://www.facebook.com/bob.dyer.31

Source: Bob Dyer: Fallen physicians are sometimes bullied