Which Profession is Held to the Lowest Discipline Standards? You Tell Us

How does Obama Care address this American embarrassment? It doesn't

How does Obama Care address this American embarrassment? It doesn’t

The first time cardiologist Robert Graor lost his Ohio license to practice medicine was in 1995, after he was convicted of 10 felony theft counts for stealing $1,000,000 from the Cleveland Clinic and sentenced to three years in jail.

The second time was in 2003, after he’d won back the license following his release from prison. This time, the Ohio Board of Medicine found he repeatedly misrepresented his credentials over a two-decade period and permanently barred him from practicing medicine.

That didn’t stop Graor from participating in Medicare, the government’s health insurance program for the elderly and disabled. In 2012, Medicare paid $660,005 for him to treat patients in New Mexico, which gave him a license to practice in 1998.

In the Ohio case, state officials gave the doctor a second chance after he stole $1,000,000 in research funds from the Cleveland Clinic, where he was chairman of vascular medicine. His wife testified the money was used to restore their home.

In 2002, the board determined that Graor had repeatedly lied to employers that he was board certified in internal medicine. It found that Graor took the exam administered by the American Board of Internal Medicine in 1981, but failed.

In 2003, his Ohio license was permanently revoked.

“Doctor Graor obviously did not learn his lesson, as he continued to engage in lies and deceit,” wrote Ohio Common Pleas Court Judge David Cain in upholding the board action. “This time around, the Board had no reasonable choice but to permanently revoke his certification.”

Graor obtained his New Mexico license in 1998, after his release from jail but before Ohio officials gave him his license back in that state. When notified Ohio had permanently revoked his license in 2003, New Mexico officials placed Graor on probation. In 2008 the New Mexico medical board ended his probationary period and he has no restrictions on his license today.

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At least seven doctors who lost a medical license because of misconduct collected a total of $6,500,000 from Medicare in 2012, according to federal data. The list includes physicians guilty of gross malpractice; a brutal sexual assault; violating prescription drug laws. Their continued participation in the $600,000,000 program reflects an insane tolerance of allowing providers with criminal backgrounds to bill taxpayers at their discretion.

“The situation is absolutely ridiculous,” says Sidney Wolfe, the physician who founded Public Citizen, a Washington consumer-advocacy group. “When doctors are thrown out of one state, that should be enough to exclude them from Medicare.”

The federal Centers for Medicare and Medicaid Services, which administers Medicare, released details of its payments to doctors earlier this month for the first time in 30 years. So far, only 2012 payment data has been released. Officials said they hope that making the information available will enable private researchers and the public to help ferret out fraud in the system.

And Lord knows the system needs help.

The state of California revoked the license of Doctor Sean Steele in February 2012 after his guilty plea to battery against a woman, a sexual assault in the back seat of his chauffeured car in Las Vegas. He was ordered to pay a $1,000 fine and complete impulse-control counseling.

The judge who heard the board’s case against Steele in California said the doctor “savagely” attacked the woman and called his actions “extremely egregious.” The judge said Steele lied throughout the case.

The woman, an attorney who met Steele through an online dating service, suffered severe injury to her genitals, according to the California board decision.

Steele is still in good standing with Medicare, which paid him $394,660 for his services.

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Surgeon Swaroop Nyshadham lost his licenses in Alabama and New York following charges of shoddy patient care in a case in which a woman died. He continues to practice in Georgia and Medicare paid $22,134 for his work in 2012.

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Doctor Alexander T. Kalk surrendered his Missouri license in a settlement agreement with the state Board of Registration for the Healing Arts. He now practices in Illinois. Medicare paid him $3,500,000 for his services in 2012.

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We are indebted to investigative reporters David Armstrong in Boston and Caroline Chen in New York for their outstanding research in this story.

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Michael Jackson Died Five Years Ago . . .

MJ & Conrad Murray

The Perfect Storm

Loyal fans of Michael Jackson continue their reverent parade into Forest Lawn this week, placing flowers at the famed entertainer’s mausoleum on the fifth anniversary of his death. And the train-wreck of a physician who killed him continues to yammer his “innocence” in the homicide, to anyone foolish enough to listen. And CNN certainly was.

“I am very remorseful that Michael has passed,” was Conrad Murray’s response to a CNN reporter.

Of course he is remorseful. Thanks to his egomaniacal “treatment” and inane carelessness, his lab-coat blundering cost him a $150,000 a month job.

Murray, now age 61, convicted in Los Angeles of involuntary manslaughter over Jackson’s 2009 death, voiced sadness but insisted he was not to blame.

Who wouldn’t be sorry?

As many of us can recall, Jackson was found dead on June 25, 2009, of what turned out to be a clinical overdose of the surgical anesthetic drug propofol, which slows the activity of the brain and central nervous system. Massive amounts of the drug were administered by his doctor to help treat insomnia as the singer prepared for the “This is It” performances in London.

Like many sedating anesthetics, propofol lowers the patient’s blood pressure and suppresses breathing. Any doctor smarter than a 5th grader knows, therefore, that the EKG and breathing of a person under propofol need to be closely monitored. Which is exactly why the protocol is to not leave your patient alone, not even 10 seconds. Did Murray make sure that Jackson was connected to a heart monitor at the time? Did he administer oxygen?

Of course not. That would be . . . you know . . . real patient care. Michael Jackson was not a patient. He was a wealthy client drugged into a deliberate stupor. And compulsive womanizer Murray thought that was the perfect time to go off to a quiet room and chat with at least three of his six baby mommas.

And what did Murray do when he did find his “patient” not breathing? Well, he cleaned up the room of all the propofol bottles and waited an hour and 22 minutes before making the 911 call.  And when L.A. fire medics arrived, Murray lied to them repeatedly as they asked their lifesaving questions.

Because that’s what competent physicians do, isn’t it?

Murray, who functioned at the time as Jackson’s live-in  drug dealer in the rented mansion at 100 North Carolwood Drive, Los Angeles, was found guilty in the death in 2011 and jailed for a whopping 730 days.  Why only two years? Because physicians in the United States are held to the lowest level of criminal discipline. Courts   (occasionally, not usually) spank their sassy butts. But not too hard. Judges save the real punishment for street dealers who don’t hold medical degrees.

Prior to even meeting Michael Jackson, Conrad Murray had managed to accumulate an impressive track record of personal and professional recklessness. His million-dollar Las Vegas mansion was in foreclosure; his medical practice faced $630,000 in court judgments. The man had federal tax liens, lawsuits and unpaid child support to a string of unwed mothers of his children – all of which haunted him right up until he was offered a $5,000 per day job to provide drugs to the most famous drug addict in the world. So Murray was the perfect patsy, and pop star Jackson had finally found a medical professional who would do what so many others refused to do: drug him up and keep their mouths shut.

After the infamous death, investigators discovered more than 20 prescription bottles inside the rented mansion, including methadone, fentanyl, percocet, dilaudid, and vicodin. Some were shamefully prescribed in the names of his own small children. The fact was Michael Jackson, who looked like death warmed over even on good days, was a walking corpse in the weeks of his attempted come-back.

In his defense, Conrad Murray has always pointed to his suspicion that Jackson was ingesting unknown drugs prescribed by other doctors  – and he is right. The only drug by another MD that Murray did know about was the skin bleaching crème Benoquin, prescribed by Jackson’s longtime dermatologist, Arnold Klein. But Klein’s nurse was injecting their famous client with pharmaceutical heroin three times per week, and those needle marks were obvious. Which is precisely why Murray – had he possessed at least five active brain cells – would have been running routine blood tests on his famous client. Lab results would have allowed Murray to know exactly what drugs were in his client’s system, and in what amounts.

Nearly as sad as an unnecessary death is the childlike “love” so many of Jackson’s fans continue to profess. Many thousands refuse to believe their hero was ever a drug addict, including the hundreds who gathered at the doorstep of Arnold Klein’s medical office at 435 North Roxbury Drive in Beverly Hills three days per week. In the months before he died, Jackson’s narcotic injection visits became so regular the fans could nearly set their watches on his clinical appearances.

In the end, the take-aways from this tawdry tale are many. Here are but three:

1. Physicians have always made terrific back-door drug dealers as long as their patients don’t . . . you know . . . die.

2. Conrad Murray now joins the 250,000 other wayward doctors listed in the National Practitioner Data Bank – an extraordinary number of whom were also guilty of professional prostitution.

3. Doctors who kill patients out of carelessness and incompetence can expect to be lightly punished, if at all.  They subsequently go right on with their lives and continue treating unknowing patients behind closed doors for fun and profit.

And we can promise you this: Conrad Murray will move from California and be quietly reissued another medical license by another medical authority.

Any chance that he could be deported? Not on your life. The United States does not deport homicidal physicians.

mj dead

We relicense them.

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Here is an excellent investigative report on the subject of relicensing medical miscreants:

http://www.stltoday.com/news/opinion/columns/the-platform/state-licensing-boards-must-get-serious-about-felony-convictions/article_8322692c-eeb8-11df-bf8b-00127992bc8b.html

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“Doctor Criminal Background Checks Are a Disgrace”

(An open letter to the  Medical Miscreant website)

Dear Mr. McDonald:

It is outrageous, if not surprising, that the Maryland Board of Physicians, still afflicted with the arrogant, cover-our-behinds God complex that still seems to come with many medical diplomas, doesn’t do criminal background checks on physicians before granting them a license to treat people in Maryland (“State likely didn’t know doctor it licensed was guilty of rape,” June 5). In fact, according to reporter Scott Dance’s excellent story, the docs have actively resisted numerous calls to begin doing these checks.

Dr William T Dando

Dr William T Dando

The result of their foolishness? According to Mr. Dance’s story, a doctor convicted of armed rape who served a prison term in Florida, was granted a license in Maryland just a few years after getting out of jail. Now, he is accused of assaulting a woman in an urgent care examining room. Board officials are quoted saying they may start doing the checks — next year!

I hope the victim sues both the state and the walk-in clinic firm for millions. If she gets before a jury, she’ll get it.

Thank you so much for the work you do.

Larry Carson, Columbia Maryland

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We thank Larry Carson for his informative letter. Here is another look at this jaw-dropping case:

http://articles.orlandosentinel.com/2014-06-02/news/os-doctor-rape-william-dando-20140529_1_ocoee-home-ocoee-woman-assaulting-patient

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Doctor Duped by D-Cups Pleased to Hear of Their Arrests

Dr Zyad K Younan

Dr Zyad K Younan

A Holmdel New Jersey physician is pointing to the arrests of several Manhattan nude dancers, as proof that he was taken advantage of at a night club as he had reported to  police.

Doctor Zyad K. Younan, age 41, accused the women of spiking his drinks and then running up expenses on his credit card while he was too spifficated to stop them.

Blame it on the Bossanova

Blame it on the Bossa Nova

According to New York City investigators, the scam may have originated with four women prowling bars to seduce wealthy, intoxicated men. The story is they would arrange for follow-up dates and then secretly mix methylone or the tranquilizer ketamine, into the men’s drinks.

It was during this stupefied state that the swacked Doctor Zyad Younan believes he was driven to a strip club called Scores, where his credit card was used to run up charges as high as $135,000.

When Younan isn’t spreading the love with naked ladies, he works as a heart specialist at Robert Wood Johnson University Hospital. He also treats patients at Bayshore Community Hospital.

Younan’s lawyer, Michael Weinstein, said this: “My client was preyed upon by these women. He was not responsible for this.”

Really.

Here’s another view of this tawdry tale:

http://www.usatoday.com/story/news/nation/2014/04/26/doctor-strip-club-visit/8187787/

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Our Observations:

So let’s see if we’ve got this straight. Goofy Younan’s contention that he was drugged and therefore could not have authorized the credit card charges might make some semblance of sense, had the “seduction” happened once. Unfortunately for the doctor, he is seen on nightclub security video flirting with the nude dancers for hours, on the evenings of November 17, November 23, November 26 and November 28, according to investigators.

Our question: dear doctor loony tunes: you were drugged and taken advantage of one night, and so you went back for the abuse three more times?

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Pennsylvania Physician Confesses to Child Pornography Charges

Dr Mark Janosko

In the Pittsburgh suburb of McCandless a general practitioner has pleaded guilty to possessing more than 600 images of child sexual activity in his home.

According to Allegheny county investigators, Doctor Mark Janosko, age 48, had downloaded a vast collection of pornographic images of children as young as five years. Many of the photos depicted nude children undergoing sexually sadistic stimulation.

U.S. District Judge Mark Hornak will have the option of imposing significant prison time due to the extreme nature of the photos.

Janosko was employed by West Penn Medical Associates in Pittsburgh before the case broke open last July. According to the Pennsylvania Department of State website, his medical license has been suspended.

The wayward MD is scheduled to be sentenced in October.

Here’s more:

http://cranberry.patch.com/groups/police-and-fire/p/north-hills-doctor-to-stand-trial-on-child-pornography-charges_bec5e284

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Doctor in Aspen Colorado Admits Murdering his Landlady

Dr William Styler

Dr William Styler

In the wealthy resort enclave of Aspen a retired physician has changed his “not guilty” plea to “guilty” to the murder of the heir to the famous Buttermilk ski slope area.

Doctor William Francis Styler, age 66, admitted in a Denver criminal court that he killed well-known resident Nancy Pfister by beating her to death with a hammer in her home in February.

Investigators discovered her body stuffed into a wooden cupboard in her home.

Nancy Pfister

Nancy Pfister

Ms. Pfister, who was 57 at the time of her death, had agreed to rent her home to Styler and his wife while she traveled overseas. The Stylers had relocated to Aspen following the Denver anesthesiologist’s retirement and were supposedly looking for a permanent home.

Investigators discovered that there had been a series of angry exchanges between the Stylers and Nancy Pfister over money that was apparently owed for the rental of the home.

According to Aspen law enforcement, this is the first known homicide in the city since October 2001.

Sheriff Joe DiSalvo said, “I loved Nancy. Everybody did. She was a wonderful person just trying to help people.”

Nancy Pfister was the daughter of Art and Betty Pfister, a prominent local couple who played a significant role in the development of the Aspen ski resorts.

Pitkin County District Attorney Sherry Caloia reported the doctor will be sentenced to 20 years in state prison.

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Our Observations:

Public records reveal that William F. Styler graduated from Oklahoma State University College of Osteopathic Medicine in 1979.

Our guess is madman Styler is not OSU’s favorite alumnus.

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