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Governor John Kasich
Governor John Kasich State Medical Board of Ohio ?confidential Medical Board case files from false unresolved Medical Board cases from previo
15th of Jun, 2011 by User604601
Rule #1 of State Medical Boards: When you cant resolve a case in 19 years, even after cheating TWICE, there is something wrong with the case. Rule #2 of State Medical Boards: Always allow the physician care-to-function as the cause of the 'bone pain' is usually in the blood work if you do it. Rule #3 of State Medical Boards: nothing can be ?confidential, and anonymous physician complaints dont work. Rule #4 of State Medical Boards: always have a procedural way out to drop/dismiss a case, without liability for the state, before 19 years. Rule #4 of State Medical Boards: don't kill the physicians - you might need them - it's a hard and expensive training to throw away. Governor Kasich needs to step up to the plate of MEDICAL BOARD REFORMS IN OHIO, as every other State Governor has had to do, ie medical mistake laws, transparency, care-to-function for physicians (good care for physicians is a measure of the health care quality in a state), third-path options to resolve care practice questions or differences in a timely manner, and last of all fairness so that physicians feel that they can practice medicine and not be unnecessarily accused, harassed, and bothered by a State Medical Board looking for statistics or issue photo-ops. Medical care is a private thing. Medical Boards should not be a French Revolution style 'Reign of Terror' - most physicians are trying in a difficult practice environment these days. BUT: Governor Kasich you need to OPEN the 'confidential' files from the Celeste administration unresolved cases no Ohio Republican administration is responsible for these false physician cases, suspensions & disciplines at State Medical Board not a Kasich problem. Only a Kasich problem in that Rick Whitehouse has refused to clean up the mess and clear the problems off the records. Problem: No current way to undo false cases and get the physicians back to work under current procedural rules at the State Medical Board of Ohio six evaluations of a woman physician who just objected to the wrong fracture care for herself are not the answer 19 years later. She wasnt hysterical, seductive, crazy, or inappropriate with patients - she was trying to work and get married - but not get involved with Dr. Nice. The lies are outrageous in many of the cases; no rules of evidence, anonymous hearsay, and outright misinformation. However, this cannot be solved by on-line accusing DISCUSSION NEEDED GOVERNOR KASICH. Mr. Whitehouse has to sit down with each of these physicians, the ?confidential file, and legal counsel to work out the problems and resolutions. The physicians CANT SUE THE STATE AT THIS POINT MR. WHITEHOUSE HAS ADMITTED THAT. Dr. Resnick cant solve this he wasnt involved in the bad care decisions, or the bad Medical Board decisions he can only GUESS, or theorize, what happened = wont work. Two out-of-state experts involved are still in practice one is the best US personality problem expert, co-writes the DSM he just needs the ?confidential file to write the final report. He trumps Dr. Resnick in credentials for this situation. The Ohio Court of Appeals in 1993 - after requesting the 'confidential' and being unable to get the document - then told the NEW RIGHT attorney for the State Medical Board that this case was not her problem. Because it was assessed a physician-physician disagreement over care standards, the Board should try to resolve in another non-courthouse/non-discipline way like with Charlie Sheen and his producers. Discussion & arbitration options are needed at the State Medical Board - when cases don't concern the patient care of the physician, rather the physician being the patient and being unable to get care because of Ohio medical politics. What was needed: clarification of how orthopedics were to handle wrist fractures in Ohio? There was a problem in the early 1990s with a way of thought that wrist fractures could be handled by not casting but no evidence that this worked. So the Medical Board of Ohio needed to clarify = thats what my ?fight was about, ie that Dr. Nice felt that he didnt have to cast wrist fractures anymore basically, and Dr. Keith thought he could do ?experimental casting in the confusion of the orthopedic literature at the times. It was ah-ha, here's a woman MD patient, she's a good 'guinea pig,' as she won't be able to sue if things don't work - the code of silence. All that was wanted was the ?old casting treatment, a workup as to why the fracturing was happening, get the fractures healed, and to get back to work. That didnt happen for months as the fracture problems went into a painful reflex sympathetic dystrophy (RSD) where I kept sending notes to Dr. Keith that I couldnt handle the pain & work, and could we finish the workup and do an EMG? Dr. Keith bailed, but wouldnt refer to Dr. Lacey at University Hospitals. This was the disagreement, in brief, but the orthopedics lied about my being ?seductive, ?crazy, not using the University Hospital splint that disintegrated within 3 hours, etc. - wore the Mayo Clinic splint for a year & that was talking-point of Dr. Keith in his testimony. It was really really stupid - badly mishandled. Governor Strickland did not want to ?open this case up, except in a limited way, because he wanted to be re-elected. The ?confidential file is crucial in my case, as it is the case, and no evaluation or resolution, can be legally accepted for any medical license return, medical fellowship training job, or malpractice situation without all the pieces of paper and my answers to the accusations so that the problems are resolved, and so that ?piece of paper wont be used again to go after me - no more GOES at me. Further, the ?confidential has to be opened so that the public can know that it does not contain anything that I did wrong in relation to patient care, to have confidence in my ability to practice medicine. No Medical Board can have ?confidential files on a physicians practice abilities anymore. No other state accepts ?anonymous physician complaints anymore. Ohio is just out-of-date under Governor Kasich and he should check with other Governors on this point - in between photo-ops. The ?confidential file on me, and in every other unresolved case at the State Medical Board of Ohio, has to be opened in 2011; you cant have ?secret files on physicians as to impairments or problems, and the names of who is accusing have to be out there also do they have personality or impairment problems? The source(s) of all physician accusations has to be checked out publicly any sexting etc. These ?cases were in a Tom Dilling, former Executive Director of the Medical Board, stack at the Medical Board in 1999 - labeled probably innocent ?open for reforms there were no patient errors, mistakes, or complaints involved. My case was at the top of the list as just a community problem where I had sought care for fractures, the care went bad, and the orthopedics involved complained when my family & I wanted explanations. The one guy was a neighbor, and he shouldn't have been involved in my care anyways - he couldn't be objective and he couldn't refer - guys get this way when challenged that they shouldn't be involved in a certain case. The one orthopedic had ?hit on me, for whatever personal/professional he could get, but felt that it was acceptable to do that at the time not harassment and he refused to refer. The second orthopedic, got the case too late, but tried an experimental casting that didnt work and again refused to refer to a colleague when he was asked, and had me roughed up in his office for trying to confront him. Both probably would have referred if Ohio had MEDICAL MISTAKE LAWS allowing no-fault referrals of medical cases early on for 'unanticipated results.' Ohio still does not have medical mistake laws, Harvard & 40+ other states have them. Read the New England Journal of Medicine at the country club. The offer to ?open for reforms was accepted in 1998-9 and then taken back for another ?go at me so far there have been 5 ?goes. The State Medical Board of Ohio has allowed on two ?goes that their experts ?cheat: (1) A Rorschach test, not a reliable test for anything, was ordered at a suburban Cleveland shopping mall, and the answers ?lost. The test was interpreted as ?abnormal because I had disagreed with the orthopedics about my care, ie about referring me. (2) In 1995-6, the Columbus Board expert was allowed to make up a psychiatric diagnosis that didnt exist, and treatment for this non-existent disorder the Board used taxpayer monies to pay him, and has continued to quote this evaluation on their website. Given that the Ohio Medical Board can cheat on ?goes, it is not practical that a sixth ?go at me will solve anything. The Medical Board was told in 1996 by the US expert on personality disorders, Dr. Andrew Skodol, that they could not continue to order ?goes on me without causing emotional damage that couldnt be predicted - that was after the third evaluation. Dr. Skodol did every psychiatric test on me in existence, and every test in the pipeline at Columbia-Presbyterian Hospital in NY they are all on file in his office there. No less that three outside expert opinions, in two other states, have cleared me of any problem for patient care, while admitted that the problems I faced in getting orthopedic care in Ohio were sad, abusive, part jealousy and part negligence, and that it was not a good situation there for me to practice in that I needed to start again ?outside of Ohio was admitted in 1995-6. For one year, while I tried to apply for re-licensure, so that I could resign my Ohio license and move on, this opinion was accepted by the State Medical Board of Ohio. The American Medical Association admits that each physician has to find the practice situation into which he/she fits, and that this process is not easy and doesnt mean that anyone has a personality disorder; just that certain personalities fit with certain states, hospital systems, and the other practice personalities in the group or at the hospital. Certain types of personalities fit certain job situations. When you dont ?fit in, this is many times interpreted as ?whistleblowing, when in fact it is just that the job situation doesnt work for that MD, DO or DPM and their values or training. The way medicine is practiced in NE Ohio doesnt work for me. This is Person-Environment Fit Theory (PE Fit Theory), and means that to resolve the issues why I didnt fit in that the ?confidential has to be opened and the issues discussed in person in a room with Mr. Whitehouse and an attorney as witness. The public doesnt have to know all the details, but public airing of insults is not ok or professional. Certainly, neither I nor my family deserves this, and to be fair & frank, the Ohio Medical Board usually operates in a better mode but not in this situation and we all need to get beyond it and start acting like MD/DO/DPMs again. My personality has never been called into question EXCEPT when I have to disagree with another professional or Board. RESOLUTION: The ?confidential has to be opened at the State Medical Board of Ohio, the issues are not psychiatric ie fracture casting, the resolution needs to be dismissal and an accepted way for me to get back determined, ie with another physician checking my skills, and my retaking my Boards in Internal Medicine. A well-certified friend, with the credentials for this in another state, has offered to do this. This would enable all OHIO talk of fracture care, Drs. Nice & Keith, and the Ohio Medical Board problems to stop and thats what needs to happen - for me to practice in another state & the Medical Board to shut-up and stop the postings. Ohio needs to accept this was not their best administrative hour, and move on. Most other states, at a hospital system level, have a way for a physician to unofficially get problems resolved with another physician, or to get a practice care clarification, without the hospital complaining to the State Medical Board. Hillcrest Hospital, Dr. Suppes, and Dr. ODay were at fault in this regard. Online chatting, publishing of letters stating the problems & asking for meetings, etc is not fair to the public, nor going to accomplish any resolution. Please cease this, and use the phone Mr. Whitehouse you have my number. Finally, as a physician it has been emotionally, and physically painful, in an era of bone density determinations, and a huge pharmacopoeia of bone strengthening drugs, to watch my own bone density go to ?severe osteoporosis in 1999, and then continue to fracture as minimal care was given to stabilize the situation. All of my Cleveland Clinic physicians were afraid of their own medical licenses, and didnt care as long as it wasnt them. How can I advocate for better care of women patients, when women professionals are so badly misassessed and mistreated medically? Again, the MEASURE OF A STATE'S QUALITY OF MEDICAL CARE IS HOW THE PHYSICIANS GET CARE IN THAT STATE. From 1992-7 there was no ob-gyn care as I was ordered to evaluation after evaluation to try to prove that my bone pains were exaggerated and psychiatric that I was just ?making too much of the boys being boys care that goes on in Ohio. It is almost impossible to get medical care when the State Medical Board of Ohio publishes that you dont ?deserve care, and that you just need a new RIGHT OHIO psychiatrist PER REPRESENTATIVE/STATE SENATOR GRENDELL. In 1995, Dr. Andrew Skodol, a nationally known psychiatrist from Columbia-Presbyterian Hospital, asked that he be allowed to do a medical workup on me before he testified about ANYTHING psychiatric he was refused the time needed or to be able to include that information in his testimony or report. Anita Steinbergh DO had much to do with this decision. Every psychiatric test was done on me, just no blood work - that never needs to happen again. Dr. Wulf Utian, always in the limelight, knew of the neglect of my ob-gyn care, and refused to say anything to the State Medical Board I wasnt Jewish. Dr. Chad Deal was approached at a Cleveland Clinic Womens Conference in 2000, to please do an objective review/workup of the bone situation - as the bone density had seriously worsened. His answer that if the boys & the Board thought that this was just my being paranoid, exaggerating, or my personality that he would just say that without further investigation or workup; he didnt care to bother or get involved. Dr. Licata has helped me for the last 5 years, but refused any real treatment of the bone condition, despite 4 more fractures occurring. Hes now retired, but his main worry was that the State Medical Board had not admitted that I have a bone problem that needs treatment. It is my thought that First Lady Karen Kasich should try the Ohio fracture care, and try not having any ob-gyn care for 5 years while trying to undergo no less than 4 lengthy psychiatric evaluations in two states because the Ohio State Medical Board has to legalize 'bad boy care.' She should try having every date that she ever had in public records, along with her PAP smear, and not being able to work at the professional career that she trained in - her parents sacrifices gone-to-ground. No doubt, Karen Kasich wants much better, for herself and her daughters, than the woman MD treatment. In Medical School at CWRU, nothing improved things for women on the wards until one of the Deans daughters went through her clerkship clinical rotations then the sparks flew because his wife got into it - the sleeping arrangements, the hours, and the housekeeping issues. Karen Kasich I challenge you to 'sit in' on the Medical Board proceedings, as things are now happening, and see if you as a woman MD could take this if you were an MD - the language, the behaviors, the total lack of common sense, and the ridiculous rulings.

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