I've had this happen to me from a professional standpoint--I heard the rumors when I was the new manager of a couple of units, so I came in at 3:30a.m. when this doc started his rounds. I stayed just out of his line of sight while he "rounded" on one unit. "Rounding" consisted of the charge nurse following him around with the chart rack, his standing in the doorway of the patient's room and asking his awake and alert patients, "How are you doing?" He never put a stethescope to anyone's chest, touched a single patient or reviewed a single chart. His famous trick was to do his rounds and then demand that the nurses run the charts over to his office in the next building in batches after he was finished. And IMAGINE.......his charts had a complete assessment documented! He could auscultate lung sounds from the hallway! SUPERDOC!!!!!!!!!
Imagine the look on his face when I showed up for "rounds" when he arrived on the next unit!!!!! He looked dumbfounded and asked me what in the name of hell I was doing there at that hour. I just smiled and told him that being new in my role, and with him being the primary physician admitter to my units, that I wanted to have the opportunity to make rounds with him.
During my brief stay at this hospital, I saw him actually making patients ill and then "curing" them--he'd bring in a well patient for a "physical" but chart that they had chest pain. He'd make them NPO, do a cardiac workup which would be negative, start a full GI workup, load 'em with IV fluids for dehydration, put them into overload, dry them out with Lasix, make them hypokalemic, replace their K+, and discharge them. This was generally a 10-14 day process. He could also schedule and see 50 patients in 3 hours in his clinic--how can that be done?
I reported him to administration, but it was a good old boys club, and he was the big admitter to this hospital--not to mention "one of da boyz". I got them through a JCAHO survey and then they let me go without notice......there's a surprise, huh? As soon as I left the region, I reported him to Medicare and the State Board--don't know what happened, but hopefully he's no longer practicing medicine. Scary situation to say the least..........