Foreign MDs Pour into the USA; Rob Foolish American Taxpayers Blind

Dr Joseph Megwa

Dr Joseph Megwa

In the Dallas suburb of Arlington Texas a doctor named Joseph Megwa was found guilty of massive health care fraud just before Christmas. He was sent to federal prison for 10 years, and ordered to repay $5,470,000.

Megwa, age 61, is a Nigerian immigrant who treated hundreds of home health care agency patients. He was convicted in May on three charges of Medical Fraud; Conspiracy and four charges of lying, by saying he had treated Medicare patients at their homes when he had not.

Following the Guilty verdict U.S. District Court Judge Ed Kinkeade sentenced Megwa to 120 months in prison.

As previously reported by Medical Miscreants, Dallas Texas records some of the highest home health Medicare spending in the U.S. And according to Fraud investigators, the home health business is as corrupt as any aspect of healthcare.

An inordinate number of home health care businesses in the Dallas area are operated by Nigerians, and the appalling volume of health-related scams has stunned the community.

In the timespan of 2006-2012, according to investigative agencies, more than 200 Dallas-area home health care businesses sent “patients” to Megwa to approve $100,000,000 in unnecessary treatments. The operator of the largest home care agency in the case, Nigerian Ferguson Ikhile of Irving, pleaded guilty to Health Fraud and Conspiracy.

Dr Jacques Roy

Dr Jacques Roy

In another case, more than 500 Dallas-area home health care agencies are accused of sending patients to a scam physician named Jacques Roy for fraudulent treatments. Prosecutors believe Roy billed Medicare for nearly $375,000,000 to care for more than 10,000 non-legitimate patients.

Cyprian Akamnonu

Cyprian Akamnonu

Nigerian Cyprian Akamnonu of Arlington, who operated the largest home health agency who worked with Roy, has already confessed to massive health care fraud. He was sentenced to 10 years in prison and ordered to repay $25,000,000.

Roy is scheduled to stand trial June.

Here’s another look:

http://www.justice.gov/opa/pr/dallas-based-physician-and-home-health-agency-director-nursing-convicted-3-million-medicare

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Free In-store Automatic Blood Pressure Tests? Forget ‘Em

 

B/P machines are notoriously inaccurate

Automatic B/P machines are notoriously inaccurate

    Everybody loves to get something for nothing. But one particular freebie – the blood pressure machines found in pharmacies, supermarkets, and other public places – may be hazardous to your health because they often give false readings, say experts.
    The main problem is the one-size-doesn’t-fit-all arm cuffs. If the cuff is too small, you’ll get an artificially high reading. If it’s too big, you’ll get a falsely low reading.
    But even if you have an arm that correctly fits the machine, you may still get an inaccurate reading.
   The reason: public machines get a lot of use. Unless they’re tested twice a year and recalibrated if necessary – which most aren’t – they will give inaccurate results.
    “People need to realize that there are limitations,” says Mary Ann Bauman, M.D., national  spokesperson for the American Heart Association. “That’s why it’s worthwhile to be cautious about those readings.”
    One recent study from the Mayo Clinic shows that in-store machines are more accurate for people with average-size arms than for those with small or large-size arms.
    Other studies show that such machines tend to underestimate blood pressure, especially systolic pressure (the top number). Normal blood pressure is considered 120/80 or lower, prehypertension is 120-139/80-89, and high blood pressure or hypertension is defined as 140/90 or higher.
    Nearly one in three U.S. adults has hypertension, a condition that often shows no symptoms. Uncontrolled hypertension increases the risk of heart attack, strokes, heart failure, kidney failure, and death.
    Instead of relying on a free blood pressure machine, Dr. Bauman recommends investing $30 to $70 on a home monitor, which will give you more accurate readings.
    “Use one with an upper-arm cuff,” she tells Newsmax Health. “The ones with wrist or finger cuffs are not accurate.”
 
    In general, you should measure blood pressure in your non-dominant arm. If you find that the pressure is consistently greater in your dominant arm, however, you should use that arm instead.
    Here are tips from the AHA to ensure accurate readings:
 
• Make sure the cuff fits. Measure the circumference of your upper arm and choose a monitor with a correct-size cuff.
 
• Be still. Don’t smoke, drink caffeinated beverages, or exercise within 30 minutes of measuring your blood pressure.
 
• Sit correctly. Sit with your back straight and supported and your feet flat on the floor. Don’t cross your legs or ankles. Support your arm on a flat surface with the upper arm at heart level.
 
• Take multiple readings. Take two or three readings one minute apart and record all the results.
• Measure at the same time daily. It’s important to take the readings at the same time each day, such as morning and evening, or as your healthcare professional recommends.
 
• Record all your results. Record all of your readings, including the date and time taken. Share your blood pressure records with your healthcare team. Some monitors have built-in memory to store your readings. Some monitors may also allow you to upload your readings to a Website. Another good way to save your readings is to use a phone app. Blood Pressure Companion, which costs 99 cents, is a popular one. It charts your readings, allowing your doctor to see trends regarding your blood pressure.
(We thank health reporter Rick Ansorge for the valuable article)
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Joan Rivers’ Daughter Sues Medical Clinic Over Mom’s Death

“What did they do as she was dying? The doctors actually posed for ‘selfies’ with their famous patient as her condition deteriorated.”

Melissa & Joan Rivers in happier times

Melissa & Joan Rivers in happier times

    The only child of comedienne Joan Rivers filed a malpractice lawsuit yesterday in New York Supreme Court, against the New York medical center that performed surgical procedures on her mother just days before her death. The suit also names the clinic’s parent company and five physicians as responsible for the death of the patient:
>    Doctor Gail Korovin
>    Doctor Renuka Bankulla
>    Doctor Robert Koniuta
>    Doctor Suzanne Scarola
>    Doctor Lawrence B. Cohen
    In a written statement, Melissa Rivers said this: “The level of medical mismanagement, incompetence, disrespect and outrageous behavior is shocking and frankly, almost incomprehensible.”
Yorkville Endoscopy Clinic

Yorkville Endoscopy Clinic

    Joan Rivers, who was 81 at the time of her death, underwent procedures to examine her throat and vocal chords at the Yorkville Endoscopy Center in New York City. She fell into a coma and died a week later. The cause of death was determined to be “loss of oxygen to her brain” while doctors were examining her throat.
    According to the lawsuit, the physicians involved were not properly trained to recognize and manage an “emergency airway obstruction” and they for some reason failed to recognize that her vital signs were deteriorating at the time.
    The lawsuit explicitly states also that the Yorkville Endoscopy Center allowed an unauthorized doctor to conduct procedures that Rivers had not agreed to – namely – a “trans-nasal laryngoscopy,” when a scope is passed through the nose into the back of the throat.
    It was during the second of the two procedures, the lawsuit says, that Joan Rivers’ blood pressure and heartbeat dropped to dangerous levels and that she could no longer breathe.
    It was at this time that one doctor actually took out his cell phone and snapped photos of himself and another physician as they treated the unconscious patient, the lawsuit states.
    Investigators learned that as Rivers’ condition grew worse and doctors eventually noticed her failing condition, the physician who conducted the procedure quickly left, because “she knew she was not supposed to be there and wanted to avoid getting caught,” according to the complaint. The suit also claims the medical staff was far too reluctant to call 911.
    Earlier this month the Center for Medicare & Medicaid Services found the Yorkville Clinic guilty of failing to follow standard protocols during the medical treatment of Rivers, including some of the behavior specified in the lawsuit.
    The clinic was given 90 days to correct its deficiencies or face revocation of its accreditation and funding.
    Here’s more:
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Another “Doctor Craigslist” Nabbed as a Sexual Predator

Dr Brian Mitchell Lee

Dr Brian Mitchell Lee

In the Pensacola Florida area a physician was found guilty last week of traveling to meet a minor to engage in a sexual relationship.

The criminal case unfolded  last year when Doctor Brian Mitchell Lee, age 43 at the time, was tracked by detectives, who happened to be monitoring the MD’s Craigslist ad, which sought sex with “younger fit men.”  From late December 2013, through early January 2014, the wayward doctor engaged in sexually-explicit email exchanges with police, whom he believed to be a 14-year-old boy. On January 2, 2014, Lee went to a local bowling alley for the purpose of engaging in sexual conduct with the “teenage boy.” Lee was arrested upon his arrival by detectives with the Internet Crimes Against Children Taskforce.

Escambia County Circuit Judge Terry Terrell also found Lee guilty of using a computer to solicit a child.

The doctor will be sentenced on February 23 and registered as a sexual predator.

Here is an earlier article regarding this case:

http://www.atmorenews.com/2014/01/03/pensacola-physicain-arrested-in-child-sexual-predator-sting/

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And You Wonder Why Paramedics Call Them “Third World Assassins”?

Dr Ehab Mohammed and patient Sharon Nicholson, now dead

Patient Sharon Carpenter Nicholson and Dr Ehab Mohamed, who killed her

In the city of Los Angeles another foreign-born physician has been convicted of “accidentally” killing a patient.

Doctor Ehab Mohamed, a 49-year-old OB/Gyn specialist who dabbled in cosmetic surgery just enough to be totally dangerous, was found guilty in the death of patient Sharon Carpenter Nicholson four years ago, when she died on the operating table during an all-day liposuction procedure in the doctor’s office.

According to the testimony of LAPD homicide detective Joel Price, this was the worst case of medical malpractice he had ever seen.

“I have not – in more than 30 years in law enforcement – ever seen anything like this.” As lead investigator in the case against the incompetent MD, Price testified that, “this doctor did not even have basic life support equipment where such a serious operation was going on.”

According to court records, L.A. Fire Department paramedics pronounced Ms. Nicholson dead at 12:50 a.m., but Mohamed, in a panic, refused to accept her death and continued trying to save her for another 35 minutes. The coroner’s office determined that her death was caused by “lidocaine, Fentanyl and oxycodone toxicity.”

Doctor Mohamed, who faces a 5-year state prison term, was also found guilty in an unrelated Elder Abuse case.

He is scheduled to be sentenced in the first week of February.

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http://www.myfoxla.com/story/27915157/california-surgeon-convicted-in-liposuction-death-case

Here is the California State Medical Board assessment of this case:

http://df7s0hkt8o8r9.cloudfront.net/media/english/pdf/sanctions/HGPY23510B6684261690902212013.pdf

And here is an earlier story:

http://patch.com/california/encino/former-encino-cosmetic-surgeon-pleads-not-guilty-to-manslaughter

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Our Observations:

This particular lab coat lunatic is an Egyptian national who attended Ain Shams University Faculty of Medicine. He graduated in 1990; emigrated to the U.S. and within a decade started his string of criminal behavior. Consider this:

Doctor Ehab Aly Mohamed called himself a “cosmetic surgeon” when in fact he has no formal training in cosmetic or plastic surgery. No medical board has ever certified him.

He was found guilty in the 2010 death of a liposuction patient. He has also been accused of charging outrageous prices for procedures, with some costing up to $650,000. He is believed to have sedated patients and then had them agree to additional surgical procedures. He is charged with forgery; false advertising; lying to patients about his operations being a part of a “Harvard Study” and illegally buying and selling medical equipment. He once botched a hernia repair that he performed on himself and had to be rushed to the emergency room.

As with other “bad doctor” cases, fellow surgeons had warned the medical board of Mohamed’s behavior. After 10 years of garbage healthcare, the state Medical Board finally decided to act.

God save us all from these greed-driven, lets-rob-America-blind, totally unsupervised clinical cretins.

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“Paramedic Heretic” Book Highlights One Rescuer’s 30-year Adventures with Strange Doctor Behavior

What do most EMS rescuers have to say about criminal physicians? Nothing.

What do most EMS rescuers have to say about criminal physicians? Nothing.

(Excerpt):

Massacre at McDonald’s

It was 3:58 in the afternoon on the 18th day of July when a madman calmly walked into a South San Diego McDonald’s and opened fire on a room full of diners. For an hour and nineteen minutes he continued his rampage. It would finally come to an end when SWAT sniper Officer Charles Foster, positioned on the rooftop of a post office nearby, stopped the insanity by firing one shot from his high-powered rifle through a gaping hole in the restaurant window.

James Oliver Huberty, a 41-year-old misfit, would vent his rage at society for more than an hour before his life would come to an abrupt end at 5:17pm. Before our day ended, however, we would tag 21 men, women and kids dead as they lay and treat 19 folks with gunshot wounds.

And tomorrow we would learn that what we had all just experienced was the single worst civilian massacre in modern U.S. history.

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