Jump to content
Anonymous865

Anonymous865

Member Member
  • Joined:
  • Last Visited:
  • 458

    Content

  • 0

    Articles

  • 10,483

    Visitors

  • 1

    Followers

  • 0

    Points

Anonymous865's Latest Activity

  1. In April, May, and August of 2019 CMS cited MDAnderson for a lot of things one of which was similar to what you describe. In May CMS said that deficient practices in Patient Rights, Infection Control, and Surgical Services posed an Immediate Jeopardy to patient health and safety. CMS implemented more aggressive oversight of MDAnderson. On their tour of the surgical area they went into the Anesthesia workroom and found surgeries displayed on monitors in the room. They said patients had not consented to having their surgeries displayed on monitors in other areas. They also pointed out that materials management, housekeeping, etc. could see these patients' surgeries. That was a violation of patient rights. CMS said that MDAnderson failed to "provide privacy to its patients in their surgical suites without fully disclosed consent, displaying electronic monitoring of surgical areas on monitors in the anesthesia workroom in POD A and POD B of the surgical area." Look at pages 17, 42, and 56 https://www.scribd.com/document/433442798/450076-md-anderson-a-2567#from_embed
  2. Anonymous865

    To vaccinate or not to vaccinate, that is the question

    I want to start with saying I agree vaccines have improved and extended lives. I got my 2nd shingrix vaccine yesterday. You have to recognize that a percentage of the population does not trust the CDC, so telling people to read the pink book and trust the experts is not going to convince them People have legitimate reasons not to trust the CDC specifically and the medical community in general. A few that I can think of include: 1. The Tuskegee Syphilis Study run by the US Public Health Service and the CDC. Black men were told they would be receiving medical care and instead were used to study untreated syphilis. The study began in 1932. By 1945 it was clear that penicillin was the best treatment for syphilis. They were not offered treatment. Instead CDC and USPHS worked to prevent them from receiving treatment. In 1969 the CDC reaffirmed the need for the study and gained local medical societies’ support (AMA and NMA chapters officially support continuation of study). The study wasn't halted until 1972 when someone leaked information about the study to the press. Public outrage stopped the study. There have been many, many studies published on the effect this had on trust in the medical community. It's still affecting trust in the medical community. 2. In 1955 200,000 children received the Salk (injected) polio vaccine. 4000 (20%) of them contracted polio from the vaccine. The Salk vaccine was a killed virus. There was a problem in the manufacturing process at Cutter Laboratories, so the virus wasn't killed. Many researchers trace the beginnings of vaccine hesitancy to this incident. 3. From 1963 to 2001 the US used the Sabin (oral) polio vaccine. This was a live, but attenuated virus. One in 75,000 children receiving their 1st oral polio vaccine contracted polio from the vaccine. That was 8-10 children each year. The virus in the oral vaccine can revert to the wild type and cause polio. The injectable vaccine was less likely to cause polio, but the oral vaccine was cheaper. "When eight to 10 children a year contracted polio, and millions of others were protected, “my feeling was it was a small price to pay,” Walter A. Orenstein, who was director of the U.S. immunization program at the CDC from 1988 to 2004, recalled Friday in an interview." The father (a lobbyist) of one of the affected children lobbied the CDC to use the injectable vaccine or at least use the injectable vaccine as the first dose. Since 2001 the US has used the injectable vaccine. 4. Then there is how you still can be enrolled into a research study without your knowledge or consent. http://blogs.einstein.yu.edu/minnesota-case-demonstrates-continuing-erosion-of-informed-consent/ "A board that approves research at Minnesota's largest safety-net hospital failed to follow federal rules designed to protect patients when it fast-tracked studies on powerful sedatives, including ketamine, according to inspection reports from the Food and Drug Administration (FDA). The Institutional Review Board (IRB) at Hennepin Healthcare expedited approval for at least four studies between 2014 and 2018 that did not require patients to consent beforehand, even though they included a likelihood of using "vulnerable subjects."" http://www.startribune.com/fda-hennepin-healthcare-flouted-patient-safety-rules-in-sedation-studies/498891251/ Researchers are also using "passive consent." The patient is handed some information to read. If they don't object, they are enrolled in the study. No one makes sure they understood the material. They don't even make sure they can read. An IRB can decide the risk is minimal, so passive consent is fine.
  3. Anonymous865

    To vaccinate or not to vaccinate, that is the question

    They would have been at risk of shingles if they had been vaccinated. "About 91 percent of U.S. children are vaccinated against chickenpox, according to the most recent National Immunization Survey data, but that does not necessarily mean they cannot get shingles. The chickenpox vaccine is made with the live attenuated (weakened) varicella virus, so “not surprisingly, it can also become latent after vaccination,” explains Anne A. Gershon, a professor of pediatric infectious disease at Columbia University. “The virus has been altered so the vaccine rarely causes symptoms, but once you’ve been immunized and after the natural infection, you carry the virus in your neurons for the rest of your life They could have avoided chickenpox had they received the vaccination. Their risk of shingles would have been lower (after age 2), but they still could have shingles.
  4. Anonymous865

    Manager wants me to force prn pain meds

    HCAPPS has removed the questions about pain management from the survey. "On July 31, 2018, in the CY 2019 OPPS Proposed Rule, CMS proposed a plan to remove the HCAHPS Survey's Communication About Pain items (questions 12, 13 and 14 on the HCAHPS Survey). The recently released CY 2019 OPPS Final Rule requires that the pain items must be removed from all surveys beginning with patients discharged on October 1, 2019 and forward. This change affects all survey translations and all survey modes." This is from https://www.hcahpsonline.org/en/whats-new/ You can see the survey here. https://www.hcahpsonline.org/en/survey-instruments/
  5. I didn't know that. That is very interesting.
  6. To me what shows a tremendous disconnect is the photo she chose for her gofundme page. She is all dolled-up and sitting in her husband's lap at a party/celebration. She is trying to raise money to defend herself after killing Charlene Murphy. Sam Murphy will never again touch his wife of 50+ years. Even after more than a year Sam Murphy "is too upset to talk about his wife" with reporters. She and all her supporters seem to have forgotten Charlene, Sam, and their family. A less festive photo for her gofundme page would have been more appropriate and respectful.
  7. CORRECTED to add NOT
  8. You are right. The letter said it did not merit further action. I couldn't download the PDF document from the document cloud. I instead downloaded the Txt document from their document cloud. Apparently when it was converted to a txt document it left out the not probably because the not was underlined. Now I can't go back and fix the post.
  9. Just curious - Why do you think there is bad blood between Mr. Funk and Ms. Welch?
  10. That's the article. Here's the letter for anyone who can't access it. STATE OF TENNESSEE DEPARTMENT OF HEALTH DIVISION OF HEALTH LICENSURE AND REGULATION OFFICE OF INVESTIGATIONS Metro Center 665 Mainstream Drive, Second Floor Nashville, TN 37243 615-741-8485 or 1-800-852-2187 Antoinette.Welch@Tn.gov October 23, 2018 PERSONAL CONFIDENTIAL 7005 3110 0001 7274 7346 Radpmda Vaught a Re: Disposition of Complaint No. Dear Ms. Vaught, Thank you for the work you have done with us through this necessary process. A complaint, which was filed against you, was forwarded to the Board Consultant for disposition after investigation. After a review by the Board's Consultant and a staff attorney for the Tennessee Department of Health, a decision was made that this matter did merit further action. The purpose of this letter is to inform you of the outcome. This is not a disciplinary action, and no record of it will appear in your licensure file. As you can appreciate, this Office has the statutory duty to investigate any allegation received against a practitioner licensed and/or certified under Title 63 of the Tennessee Code Annotated. The purposes for the investigative process are to maintain the administration and enforcement of the laws regulating your practice and to ensure that the citizens of Tennessee receive good quality health care from all practitioners. Please accept our sincere appreciation for your cooperation in the resolution of this matter. Sincerely, Antoinette Welch, Esq. Director Office of Investigations Tennessee Department of Health AW: be Complaint No,
  11. Apparently in Tennessee it's really, really, really hard to lose your license. What is really scary - if the board decides not to take action, the complaint is never made public. There is no way to know how many similar or even worse nurses were reported and the board decided not to take action. I've been reading through their Disciplinary Action Reports. Cynthia Leigh Clemons APRN, RN and Courtney Newman APRN, RN were indicted in 2016 for being part of the region's largest drug distribution and money laundering ring. The ring made $21 million in profit during just 4 years. The ring is accused of distributing "billions of opiates." https://www.knoxnews.com/story/news/crime/2018/01/19/rico-indictment-opiate-pill-mill-east-tennessee/1049174001/ Both appeared before the board in 2018, because they didn't report their indictment to the board. The board fined one $50 and the other $100. They put restrictions on their licenses - They can't work in a pain clinic and they can't prescribe controlled substances. Both are still working.
  12. You just have to look at the way hospitals and medical boards protect physicians who sexually abuse patients to see that. They don't care if they are abusing children or women. https://www.medpagetoday.com/publichealthpolicy/generalprofessionalissues/76948 Apparently voters don't care if physicians commit sexual misconduct either. https://www.timesfreepress.com/news/local/story/2012/nov/16/scott-desjarlais-supported-ex-wifes-abortions/92999/ The board fined him $250 for each patient he had sex with.
  13. A few nurse examples would include: Genene Jones Charles Cullen John Meehan (a.k.a. “Dirty John”)
  14. Next look at Dr. Michael Anthony Lapaglia. Lapaglia first came to the attention of a medical board in 2002 when he was a psychiatric resident in NC for having an “inappropriate relationship” with an inpatient psychiatric 16 year old female patient. This relationship continued after the patient was released. He also tested positive for marijuana. The contested charges were eventually dismissed without prejudice in 2005 (3 YEARS LATER), because his resident training license became inactive before the case was adjudicated. This allowed him to move to another state and apply for a license with a clean record. He did an emergency medicine residency from 2004-2007 in Hershey, PA He shows up in Tennessee in 2007 and begins to practice as an emergency physician. The first the public hears of him is in 2011 when the newspaper reports that Anderson County law enforcement officers have been transporting drug suspects to the ED at Methodist Medical Center in Oak Ridge (a city in Anderson County). Lapaglia has been doing cavity searches for them without patient consent or a warrant. In at least 3 cases Lapagalia sedated, paralyzed, and intubated these patients without their consent in order to facilitate his drug search. Lapaglia found drugs in only 1 person. This case went to trial and the courts threw it out as a 4th amendment violation and stated that Lapaglia’s actions “shocked the conscience.” Two individuals sued Lapaglia, the hospital, Lapaglia’s employer, the county, and others. The suit was settled and the terms of the suit were confidential. Lapaglia next shows up in the news in 2013 when Knox County law officers are called to his home on a domestic disturbance complaint. His girlfriend reported that Lapaglia had threatened to use his medical knowledge to kill her and dispose of her body. When officers entered his home, they foundd more than two pounds of high-grade marijuana in various strains; 52 diazepam (Valium) pills; 24 oxycodone pills; 22 amphetamine pills; 11 vials of Xylocaine; seven vials of succinylcholine; two bottles of propofol; two vials each of Marcaine and Lydocaine; and one vial each of bupivacaine, flumazenil, midazolam, fentanyl, and morphine. Because he was a physician, the DA allowed the medical board to handle his discipline. His license was suspended for 6 months while he received inpatient drug treatment. Then he was allowed to return to practicing medicine. They did restrict him from prescribing controlled substances. He’s back in the news in November of 2018 when he is arrested for selling prescriptions for a 1 month supply of the controlled substance of your choice for $300. Lapaglia was seeing “patients” at his home, the patients’ homes, MacDonald’s parking lot. How is this possible, since he no longer had a DEA certificate to prescribe controlled substances? Well his buddy Charles Brooks, MD was giving him blank signed prescriptions. Lapaglia was giving Brooks $150 of the $300 he was making on each prescription. Dr. Brooks had also been before the Board of Medical Examiners in the past. Also note that the arrest of Drs. Brooks and Lapaglia occurred at the same time the Vanderbilt made the news.
  15. I would say that Tennessee DAs have a legitimate concern that hospitals and professional boards are not protecting the public. Consider a few cases that have been in the news recently (warning this is long). Christopher Duntsch Christopher Duntsch (a.k.a. “Dr. Death”) – got his MD/PhD and did his neurosurgery fellowship at University of Tennessee Health Sciences Center (UTHSC). He moved to Texas and proceeded to maim and kill patients. He was so incompetent that a surgeon in Texas called UTHSC to find out if he really had completed neurosurgery training. When the Texas surgeon was assured by UTHSC attendings that Duntsch did complete training, the surgeon faxed a photo of Duntsch to his attendings at UTHSC. The Texas physician felt sure Duntsch was an imposter. He wasn’t. The UTHSC attendings told the Texas physician that Duntsch was great! Brilliant! Texas wasn’t any better than Tennessee. The board got at least a half dozen complaints from physicians and lawyers begging them to do something about Duntsch. They didn’t. One hospital would fire him, and he would just move to another hospital. He was eventually tried and sentenced to life in prison. News organizations investigated Duntsch and talked with neurosurgeons. Neurosurgeons stated that a neurosurgery trainee should participate in at least 1800 surgeries in order to complete their training. Documentation showed that Duntsch was actually IN an OR for only 100 surgeries while at UTHSC. (He wasn’t necessarily even PARTICIPATING in those surgeries. UTHSC still said he successfully completed his training.
  16. What you are saying is that medical professionals should not be subject to the same laws that govern every other person in the US. The purpose of professional boards is to define the professional standards that members of that profession must adhere to. They were never intended to exempt members from the state and federal laws and make them only accountable to the professional board. If you don't like the reckless homicide law, you can try to repeal it, but as long as there is a reckless homicide law, it should apply to everyone in exactly the same manner.