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KimC

The story below, (names and locations replaced with an "X") appeared in today's local paper. (As a side note, the cardiologist in question misdiagnosed me, did not return urgent phone calls, nor tell my OB to make any special prep for my son's birth in 2003. By the grace of God, an alert anesthesiologist discovered I was crashing at the onset of labour, and ordered a shot of ephedrine before I fainted. I had several shots that night).

I was shaking after reading the article, and contacted the chief of our paper who's asking me to write to the state medical board. The paper's doing everything it can to make sure that the cardio never practices again, but the politics are sticky: the card paid-off a state judge to cover up a DUI which left two people seriously injured and stranded roadside.

The cardio's unauthorized therapeutic caths, Tenet claiming it had no knowledge of it, (the president of the hospital was recently fired), the state's passivity and the story re the aortic dissection below are enough to make anyone's hair curl!!!

I'm going to share it all with Dr. Pepine, who may be able to help in some way. (He was the president of the ACC).

The cardio's famously lavish lifestyle includes a black Porsche, multi-multi-million dollar homes, boots and a long black cashmere coat worn in the off-season. (We live on an island in the South, remember). He left four very young children to remarry his nurse.

I posted about this narcisstic ass awhile back -- he's the card who lied re his US residency and medical schooling.

Here's the story ...

Cardiologist Expects to Return to Practice

July 10, 2005

Local cardiologist James X is seeking permanent residency in the United States after marrying an American citizen, according to court documents.
X also states in the documents that he expects to resume the practice of medicine after completing an inpatient alcohol abuse treatment program. In an April 17 affidavit, he said he was "on the verge of completing my treatment program."

X Regional Medical Center, where X worked, said it had no comment on whether the hospital would reinstate X's privileges to practice there.
"The hospital will not comment on speculation," said spokeswoman Kelly X.

X agreed last October to stop practicing medicine until he successfully completed treatment for alcohol abuse, according to the court documents. They were filed in 14th Circuit Family Court in connection with X's effort to reduce child support and alimony payments to his former wife, Lynn K. X.

X says in the documents that he cannot continue to make the payments, which total $10,500 per month, because he has no income.

Exacerbating his financial problems are legal fees he is paying to lawyers, his affidavit states. He is paying lawyers to defend him against federal immigration charges that he falsely posed as a United States citizen when he actually is a Canadian citizen. He was indicted by a federal grand jury in X last year and has pleaded not guilty to the charge.

In addition, he said, he is faced with legal expenses resulting from his efforts to become an American citizen and to get his medical license reinstated by the state Board of Medical Examiners.

X remarried this spring -- his new wife is a U.S. citizen, court documents state -- and he has filed an application with the immigration service to remain in this country.

"At the present time, it does not appear that I am in imminent risk of being deported or forced to leave the United States," X states in the April 17 affidavit. He said proceedings that could result in his deportation "are 'on hold' and I am pursuing avenues that may allow me to remain in the United States."

X's Atlanta-based immigration attorney could not be reached for comment Friday.

His problems with the state Board of Medical Examiners over alcohol abuse reached a critical point last year when a nurse at X Regional Medical Center reported that he appeared to be intoxicated late one night when he arrived in the emergency room to treat an 82-year-old heart attack patient.

As a result, X is no longer part of an island cardiology practice, court documents state. His former medical partners have reorganized the practice and he doesn't expect to receive any further income from it, X's affidavit states.

Nevertheless, he said he will seek a return to medicine.

"Upon completion of this treatment program, I will be eligible for reinstatement of my privileges to practice medicine," his affidavit says. "Upon resolution of my INS proceedings, I will be able to obtain employment again here, in my field."

In a separate matter, X has denied allegations that a patient in his care died because the patient was not transferred to a better-equipped hospital quickly enough, according to a May 9 filing in the 14th Circuit Court of Common Pleas.

Sixty-one-year-old Terrence L. X began suffering severe chest pains that radiated into his left leg and arm, and he arrived at X Regional Medical Center at about 4:45 p.m. Jan. 24, 2003, according to court documents. He spent more than three hours at the hospital before being taken to St. X System in X, where he died.

His widow, Dorothy X, is suing X and X Regional Medical Center for medical malpractice on behalf of her late husband. She is seeking $10 million plus additional damages to be determined by a jury.

An ER doctor was the first to examine X at the X emergency room, seeing him at about 5 p.m., the suit claims. The doctor diagnosed him with a possible aortic aneurysm, a dangerous ballooning of the main artery leaving the heart. At about 5:10 p.m., X consulted with (a large regional hospital), which agreed to accept X as a patient.

Shortly after speaking to (the large regional hospital), the suit states that X spoke to (the cardiologist in question), who said he would take over treatment and told the ER not to transfer X to (the larger regional hospital). X arrived at the emergency room at about 6:41 p.m. but should have arrived within 30 minutes, according to the suit.

X finally left the island for (the larger regional medical center) at about 8 p.m., according to the suit, after (the cardiologist in question) diagnosed him with an aortic dissection, a condition that occurs when blood leaves the inner channel of the blood vessel and goes between the layers of the blood-vessel wall.
 
Yikes!!!

That's way too close to home for you Kim. I can understand why you're shaking about it. It's unbelievably scary that this man went on and on. I'm sure others saw things and never reported them. I hate that. Doctors have to police their own. They are in a position to see their colleagues and know when something is horribly wrong. Instead many of them never say a word and let the patients suffer the consequences.

We never know when we're stepping into an abyss.
 
I notice that Tenet is apparently involved in this ("Tenet claiming it had no knowledge of it ....").

Here in CA Tenet Healthcare has been involved in some major scandals involving unneccesary heart operations for which they allegedly fraudulently billed government programs like Medicaid, Medicare and Tricare. Tenet didn't admit it had done anything wrong but paid up $54 million to settle claims -- a "strategic business decision."

<<Tenet to Pay $54M to Surgery Settle Probe
AP - JESSICA BRICE

08/07/03 - Tenet Healthcare Corp. will pay $54 million to settle allegations that at least two of its doctors subjected patients to unnecessary heart operations and defrauded government insurance programs.

The settlement covers heart procedures performed between 1997 and 2002 at Redding Medical Center in northern California. The money will reimburse Medicare, Medicaid and the military's Tricare program that were billed, U.S. Attorney McGregor Scott said Wednesday.

The $54 million is a record for federal medical fraud settlement involving unnecessary tests, lab reports and surgeries, the Justice Department said.

As part of the settlement, Tenet and Redding Medical Center avoid further civil or criminal charges, but agreed to change its operations. Among the measures will be a new, outside auditor to conduct random checks of Redding's cardiology program and agreeing not to perform unnecessary operations.

Tenet didn't admit wrongdoing in the settlement, and chief executive Trevor Fetter said the company made a strategic business decision to put the matter behind it.

Tenet, the hospital and doctors still face scores of lawsuits filed by former patients.

"Tenet Healthcare and Redding Medical Center have been in a constant state of denial, indicating there was nothing wrong with their heart program," said Robert Simpson, an attorney representing more than 100 former patients. "If you're not wrong, you don't pay."

The company also agreed to cooperate in related civil and criminal probes.

Federal and state authorities launched an investigation last fall into allegations that two doctors at the Redding hospital were operating unnecessarily to boost earnings.

FBI agents raided the offices of Dr. Chae Hyun Moon, who was director of cardiology, and Dr. Fidel Realyvasquez Jr., who was chief of cardiac surgery, after a healthy Catholic priest misdiagnosed in Redding nearly underwent triple-bypass surgery in Las Vegas.

Between July 2001 and June 2002, the two doctors were among the highest paid by Medicare in the state, both charging more than $3.5 million to the program.

The FBI said it was investigating whether they committed health care fraud, made false statements and conspired to commit fraud. They allegedly performed needless catheterizations, angioplasty and open heart surgeries.

Both doctors suspended their practices in February. Moon said he couldn't get malpractice insurance and his license to practice was suspended in June.

Medicare records show 167 patients treated by the physicians in a 3 1/2-year period died, but it was not clear if that number was unusual based on the amount and type of operations performed.

While the settlement prevents further civil or criminal action against the hospital or its parent company, the same does not apply to the doctors. No charges have been filed against Moon or Realyvasquez.

"The doctors are not in any way, shape or form affected by this settlement," Scott said.

The medical center, 180 miles north of Sacramento, was among Tenet's most profitable hospitals, largely because of its extensive cardiac program. After news of the investigation, patient revenue plummeted 33 percent and the hospital said it would have to lay off 150 of its 1,200 workers.

Santa Barbara, Calif.-based Tenet, the nation's second-largest hospital chain, owns and operates 114 hospitals in 16 states.

The settlement was reached between the government, Tenet Healthcare Corp., the medical center and Tenet HealthSystems Hospitals Inc.

Tenet also has been struggling since last October under a federal audit of its Medicare billing practices. The company's stock has plunged along with its revenue as it adopted new guidelines severely restricting supplementary payments, called "outliers," that it would accept as reimbursement for costs normally covered by Medicare.

The troubles led to the resignation in May of longtime chief executive Jeffrey Barbakow. >>
 

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