Scribd Logo
Upload

Welcome to Scribd!

  • 8 24 16 Letter To LAP Carlton Re Discrepancies in 4 7 06 LAP Letters CBX 13755 FW - Materials To Be Provided Today and Tomorrow..

    Uploaded by

    DoTheMacaReno
    25 views4 pages
    Disrupted Physician The Physician Wellness Movement and Illegitimate Authority: The Need for Revolt and Reconstruction MENU SKIP TO CONTENT Letters From Those Abused and Afraid Letters From Those Abused and Afraid images-2I get many e-mails, letters and phone calls from doctors, nurses and others who have been abused by “professional health programs” (PHPs). Most are anonymous. Afraid of being identified and punished by the PHP, very few leave comments on my blog revealing their names or potentially identifiable information. This is understandable. By simply reporting “noncompliance” to the medical boards a state PHP can end their careers. As it was with the Inquisition this system relies above all else on silence and secrecy. Speaking out can result in “swift and certain consequences.” They are afraid. Some are undoubtedly suffering from PTSD. Most have developed a “learned-helplessness” Many have reported abuse and even crimes to their medical societies, medical boards, law enforcement, the media and others only to have the door slammed in their faces.-myself included.. They have no advocacy or support and feel no one cares. Their locus of control, identify and self-worth have been suddenly ripped from them without recourse. There is no lifeline. Attempts at justice are often undermined by a concerted defiance of the truth by their medical boards and even the attorneys who are purportedly working for them but will not “bite the hand that feeds.” PHPs are ostensibly Employee Assistance Programs (EAPs) for doctors in both mechanics and mentality. EAPs assist employees with substance abuse, personal problems and other issues. They do not diagnose or treat “patients” but refer to outside professionals who do. The critical difference between EAPs and PHPs is PHPs have mandated all assessment and treatment be done by their own. These “PHP-approved” facilities are economically and ideologically intertwined with the PHP. The conflicts of interest are serious and many. PHPs also use non-FDA approved junk-science drug and alcohol testing they introduced. The procedural safeguards most EAPs use to protect the donor ( certified labs, FDA-approved validated tests, split-specimen, strict chain-of-custody, MRO review) have been reviewed. Unvalidated “personality” assessments they also introduces are being used in “disruptive” physician evaluations guaranteed to find “character defects” to justify monitoring contracts. They implement polygraphs despite the AMAs previous conclusion they are scientifically unsupportable. It is an institutionally unjust system of coercion, control and abuse that is unregulated, opaque and protected. There is no answerability and they are accountable to no one. But regulatory agencies have readily adopted policies not only unsupported by science and evidence-based research but outside the normative principles and practice of medicine. Granting PHPs authority to limit assessments and treatment to their own facilities offends the fundamental rights of the individual. Informed consent (or refusal) constitutes a basic rule of the lawfulness of medical practice according to national and state medical practice acts governing the profession. It is a basic principle of all published principles of medical ethics. Involuntary treatment is motivated by either potential harm to others (for the good of society) or by need for treatment and/or potential self harm. Involuntary treatment should be a confined to those gravely disabled by psychiatric disorders or substance abuse. It necessitates reflection under the ethical principles of autonomy and beneficence. A single DUI, transient psychological issue such as grief or anxiety, and even sham peer-review can easily land a doctor into forced assessment and involuntary treatment at a “PHP-approved” facility. Involuntary assessment and treatment involves legal, clinical ethical, and deontologica

    Original Title

    8 24 16 Letter to LAP Carlton Re Discrepancies in 4 7 06 LAP Letters CBX 13755 Fw_ Materials to Be Provided Today and Tomorrow..

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    Disrupted Physician The Physician Wellness Movement and Illegitimate Authority: The Need for Revolt and Reconstruction MENU SKIP TO CONTENT Letters From Those Abused and Afraid Letters From Those Abused and Afraid images-2I get many e-mails, letters and phone calls from doctors, nurses and others who have been abused by “professional health programs” (PHPs). Most are anonymous. Afraid of being identified and punished by the PHP, very few leave comments on my blog revealing their names or potentially identifiable information. This is understandable. By simply reporting “noncompliance” to the medical boards a state PHP can end their careers. As it was with the Inquisition this system relies above all else on silence and secrecy. Speaking out can result in “swift and certain consequences.” They are afraid. Some are undoubtedly suffering from PTSD. Most have developed a “learned-helplessness” Many have reported abuse and even crimes to their medical societies, medical boards, law enforcement, the media and others only to have the door slammed in their faces.-myself included.. They have no advocacy or support and feel no one cares. Their locus of control, identify and self-worth have been suddenly ripped from them without recourse. There is no lifeline. Attempts at justice are often undermined by a concerted defiance of the truth by their medical boards and even the attorneys who are purportedly working for them but will not “bite the hand that feeds.” PHPs are ostensibly Employee Assistance Programs (EAPs) for doctors in both mechanics and mentality. EAPs assist employees with substance abuse, personal problems and other issues. They do not diagnose or treat “patients” but refer to outside professionals who do. The critical difference between EAPs and PHPs is PHPs have mandated all assessment and treatment be done by their own. These “PHP-approved” facilities are economically and ideologically intertwined with the PHP. The conflicts of interest are serious and many. PHPs also use non-FDA approved junk-science drug and alcohol testing they introduced. The procedural safeguards most EAPs use to protect the donor ( certified labs, FDA-approved validated tests, split-specimen, strict chain-of-custody, MRO review) have been reviewed. Unvalidated “personality” assessments they also introduces are being used in “disruptive” physician evaluations guaranteed to find “character defects” to justify monitoring contracts. They implement polygraphs despite the AMAs previous conclusion they are scientifically unsupportable. It is an institutionally unjust system of coercion, control and abuse that is unregulated, opaque and protected. There is no answerability and they are accountable to no one. But regulatory agencies have readily adopted policies not only unsupported by science and evidence-based research but outside the normative principles and practice of medicine. Granting PHPs authority to limit assessments and treatment to their own facilities offends the fundamental rights of the individual. Informed consent (or refusal) constitutes a basic rule of the lawfulness of medical practice according to national and state medical practice acts governing the profession. It is a basic principle of all published principles of medical ethics. Involuntary treatment is motivated by either potential harm to others (for the good of society) or by need for treatment and/or potential self harm. Involuntary treatment should be a confined to those gravely disabled by psychiatric disorders or substance abuse. It necessitates reflection under the ethical principles of autonomy and beneficence. A single DUI, transient psychological issue such as grief or anxiety, and even sham peer-review can easily land a doctor into forced assessment and involuntary treatment at a “PHP-approved” facility. Involuntary assessment and treatment involves legal, clinical ethical, and deontologica

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    25 views4 pages

    8 24 16 Letter To LAP Carlton Re Discrepancies in 4 7 06 LAP Letters CBX 13755 FW - Materials To Be Provided Today and Tomorrow..

    Uploaded by

    DoTheMacaReno
    Disrupted Physician The Physician Wellness Movement and Illegitimate Authority: The Need for Revolt and Reconstruction MENU SKIP TO CONTENT Letters From Those Abused and Afraid Letters From Those Abused and Afraid images-2I get many e-mails, letters and phone calls from doctors, nurses and others who have been abused by “professional health programs” (PHPs). Most are anonymous. Afraid of being identified and punished by the PHP, very few leave comments on my blog revealing their names or potentially identifiable information. This is understandable. By simply reporting “noncompliance” to the medical boards a state PHP can end their careers. As it was with the Inquisition this system relies above all else on silence and secrecy. Speaking out can result in “swift and certain consequences.” They are afraid. Some are undoubtedly suffering from PTSD. Most have developed a “learned-helplessness” Many have reported abuse and even crimes to their medical societies, medical boards, law enforcement, the media and others only to have the door slammed in their faces.-myself included.. They have no advocacy or support and feel no one cares. Their locus of control, identify and self-worth have been suddenly ripped from them without recourse. There is no lifeline. Attempts at justice are often undermined by a concerted defiance of the truth by their medical boards and even the attorneys who are purportedly working for them but will not “bite the hand that feeds.” PHPs are ostensibly Employee Assistance Programs (EAPs) for doctors in both mechanics and mentality. EAPs assist employees with substance abuse, personal problems and other issues. They do not diagnose or treat “patients” but refer to outside professionals who do. The critical difference between EAPs and PHPs is PHPs have mandated all assessment and treatment be done by their own. These “PHP-approved” facilities are economically and ideologically intertwined with the PHP. The conflicts of interest are serious and many. PHPs also use non-FDA approved junk-science drug and alcohol testing they introduced. The procedural safeguards most EAPs use to protect the donor ( certified labs, FDA-approved validated tests, split-specimen, strict chain-of-custody, MRO review) have been reviewed. Unvalidated “personality” assessments they also introduces are being used in “disruptive” physician evaluations guaranteed to find “character defects” to justify monitoring contracts. They implement polygraphs despite the AMAs previous conclusion they are scientifically unsupportable. It is an institutionally unjust system of coercion, control and abuse that is unregulated, opaque and protected. There is no answerability and they are accountable to no one. But regulatory agencies have readily adopted policies not only unsupported by science and evidence-based research but outside the normative principles and practice of medicine. Granting PHPs authority to limit assessments and treatment to their own facilities offends the fundamental rights of the individual. Informed consent (or refusal) constitutes a basic rule of the lawfulness of medical practice according to national and state medical practice acts governing the profession. It is a basic principle of all published principles of medical ethics. Involuntary treatment is motivated by either potential harm to others (for the good of society) or by need for treatment and/or potential self harm. Involuntary treatment should be a confined to those gravely disabled by psychiatric disorders or substance abuse. It necessitates reflection under the ethical principles of autonomy and beneficence. A single DUI, transient psychological issue such as grief or anxiety, and even sham peer-review can easily land a doctor into forced assessment and involuntary treatment at a “PHP-approved” facility. Involuntary assessment and treatment involves legal, clinical ethical, and deontologica

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    of 4
    ara016 Fw: Materials tobe provided today and tomorrow. Zach Coughiin Fw: Materials to be provided today and tomorrow... Zach Coughlin AP barcagov Dear Mr. Carlton, Do you have any record of me meeting with the Evaluation Committee at any point? Do you have a copy of the alleged "event" of 3/8/06 purporting to communicate some 3/28/06 deadline for a response from myself? How was such deadline communicated to me? How does such related to the correspondence from myself to LAP of 2/2/06 found below? Was I ever provided a copy of the document you just sent me dated 4/13/06 titled Termination Review Form Coughlin Zachary 4-13- 06? The altered version (it differs from that introduced at trial by the Office Chief Trial Counsel) of an alleged letter of 4/7/06 you recently provide me, interestingly, reads: "In anticipation of the report to the Committee of Bar Examiners (CBX), on February 16, 2006, the LAP Evaluation Committee met to review your participation. At that time, your participation did not warrant a favorable report to CBX and you were given a period of time to explore arrangements that might allow you a more favorable outcome. You have chosen instead to have the LAP send the report, by way of a copy of this letter. The LAP Evaluation Committee has determined that you have not successfully complied with their recommendations and appear not to have gained insight regarding your alcohol abuse. In addition, your participation in the LAP has been terminated." The version of such 4/7/06 letter from LAP to the applicant introduced as a trial exhibit by the OCTC reads: "In anticipation of the report to the Committee of Bar Examiners (CBX), on February 16, 2006, the LAP Evaluation Committee met to review your participation. At that time, your participation did not warrant a favorable report to CBX. You were given a period of time to explore arrangements that might allow you a more favorable outcome. To date, we have not received any information from it must report t ‘BX. The LAP Evaluation Committee has determined that you have not successfully complied with their recommendations and appear not to have gained insight regarding your alcohol abuse. In addition, your participation in the LAP has been terminated." Can you explain these discrepancies, especially in light of my correspondence to LAP of 2/2/06 found below? Does this strike you as a case of LAP claiming that the applicant failed to fulfill the hnpeiastok.ve.com/oway?viewmodel=ReadMessagetom temID=AGMKADAWATEXAGESNWAINGM¢MIMIMTKILTAWADWMAGARGAAATHZYIOIRHIBg... 14 enacore Fw: Matra to be provid today an tomoran.- Zach Cousin terms of an agreement where the applicant merely failed to agree to the LAP changing the agreement after it was entered, and then misrepresenting to the CBX why the applicant's involvement with LAP, finally, came to a conclusion? Is it your position that a letter or any communication was sent to the applicant on 3/8/06 or thereabouts communicating something to the applicant or requesting something? Respectfully, Zach Coughlin From: Poley, Pam Sent: Thursday, February 2, 2006 7:20 AM To: zachcoughlin@hotmail.com Subject: RE: Materials to be provided today and tomorrow... Zach, 11 look forward to receiving your documents in the next couple of days. 'm very sory to hear of the loss of your grandfather and all of the difficulties and health problems since than. 1, too, have been trying to reach Jerry Fishkin but have been unsuccessful. | have had 2 women from his office contact me and attempt to speak to me on your behalf, However, bic the release you signed is only for Jemy, | refused to speak to them We have scheduled you to meet with the EC on Feb 16 at 10:45, You will receive a letter confirming this appointment in the ext day or two. Pam From: Zach Coughlin [mailto:zachcoughlin@hotmail.com] Sent: Thu 2/2/2006 5:35 AM To: Poley, Pam Subject: Materials to be provided today and tomorrow... Hello Pam, Thave waited until now to send in the materials required as I have finally received all of the items from the respective doctors, pharmacy, ete... and will be sending these to you today via fax and hnpeiattookve.com/oway?viewmodel=ReadMessagetomtemID=AGMKADAWATEXAGESNWAINGM¢MIMIMTKILTAWADWMAGARGAAATHZYIOIRHIBg... 24 azaz016 Fw: Materials to bo provided today ad tomorrow... Zach Coughlin priority mail. I apologize for the delay in providing all of these materials, however, I thought that sending them all in at once would help avoid any further confusion arising out of my providing the required materials. I apologize for the delays caused by mydelays or confusion. Thave messages in to several addictionologists in Reno, however, to use my insurance I must procure a referral from my primary care physician, whom I am scheduled to see tomorrow. I will update you as soon as I have an appropriate review completed. Apparently, Jerry Fishkin was in trial for an extended period of time, and is now on vacation, I believe, so my ability to communicate with counsel has been slowed somewhat, which is not usual at all in my dealings with Mr. Fishkin’s office, i.e., I believe they are quite busy right now. However, I have been contacted by personnel from the firm and we are getting communications for the attorney client relationship in order. However, recently, my Grandfather in Dayton, Ohio passed away and I was unavailable for communications for an extended period while travelling to and attending my grandfather's funeral in Dayton, Ohio. This included a day and a half stay at Chicago O'Hare's snow covered airport. Also, during and following this trip I developed a severe stomach flu and was quite ill for an extended period of time, thus, I apologize for the delay on my part with respect to delivering the materials discussed in our last telephone conversation. Please look for these materials today or tomorrow at your convenience. Sincerely, Zach Coughlin From: *Poley, Pan" “To: Subject: RE: a few notes Date: Wed, 25 Jan 2006 14:15:00 -0800 Zach, It does not appear from Dr Wong's limited biography that he is an addictionologist. Physicians who specialize in addiction ‘medicine can be found on the following website: hilp://www.csam-asam.ora/find csam physicians vo.himl While this contains info on CA does, there is a link for other states as well Here is a perfect example in your area: Amy Khan, MD, MPH 34 Reservation Road Reno, NV 89502 Phone: (775) 329-5162 x227 Fax: (775) 785-9160 amykhan@ihs.gov Primary Specially: Addiction Medicine ‘Family Practice Second Specialty: Epidemiology Clinical Specialist Consultant, Indian Health Service, Reno-Sparks Tribal Health Center Certified by ASAM in 1994 {have contacted Jerry Fishkin a number of tes and while he is returning my calls, we appears (?) reluctant o leave any kind of word fon your drug testing on my voicemail. I've also tried to set up an appointment to speak to him buthaven't been successful | spoke to your therapist the other day and reviewed your Participation Plan w/ him. He is now aware of what you need to accomplish tobe considered compliant, Perhaps he can help you as wel Ihave yet to receive the ROI (release of information) back that | sent to you for your Wall Being Monitor. Please decide who you want to Use, sign the form and send itback to me. | will then contact that person and make sure they understand their role and are an hnpesiattookve.com/oway?viewmodel=ReadMessagetom temID=AGMKADAWATEXAGESNWAINGM¢MItIMTKILTAWADWMAGARGAAATHZYIOIRHIBg... 34 arano16 Fw: Materials tobe provided today and tomorrow. Zach Coughiin appropiate envi Thanks Pam From: Zach Coughlin {mailto:zachcoughlin@hotmail.com} Sent: Tuesday, January 10, 2006 1:07 PM To: Poley, Pam Subject: a few notes Thanks Pam, T appreciate your sending this form and for helping me understand everything that I need to do or correct in reference to the packet I sent in late December. I am tending to all the matters we discussed on the phone (Dr. Rasul report, Dr. Wong check for licensure in addictionology, Dr. O'Gara report, Updated Pharmacy Report with check on best form for production-most official and complete, well-being monitor report complete with authorization-roi), Dr. Wong's website page is pasted below. I do not believe it speaks to whether he is licensed in addictionology. T researched addictionology briefly though and it seems that there might be more than one licensing body for that, field (as is the case with many specialities). Is there a certain body that the license in addictionology should be from, or is any widely recognized body sufficient? I have several messages into Dr. Wong's office and some of the addicionology licensing organizations for the purpose of determining whether Dr. Wong is qualified to submit an addiction evaluation. Tam working diligently on these matters and will have them to you as soon as possible. I apologize for my confusion and the delay. Sincerely, Zach Coughlin Dr. Wong's website page is pasted below: http://www.asanr.com/dyn_news.asp?area=fullNews@&newsID=73&iefix=75872440 From: *Poley, Pam’ To: Subject: ROT Date: Tue, 10 Jan 2006 11:37:44 -0800 Here's the ROI for your new well-being Pam Poley, et, cance Case Management Supervisor Lawyer Assistance Program 1010 Hurley Way, Suite 110 Sacramento, ca 95825 Telephone: (916) 564-5183 Fax: (916) 564-5214 pam.poley@calbar.ca.gov This e-mail may contain confidential and privileged materials forthe sole use of the intended reciplent(s). Any review, use, distribution or disclosure by others is strictly prohibited. If you are not the intended recipient (or authorized to receive for the recipienl), please contact the sender by reply e-mail and delete all copies of this message. Thank you. ><< ROI-General.doc >> hpediastok.ve.com/oway?viewmodel=ReadMessagetomtemID=AGMKADAWATEXAGESNWAINGM¢MIMIMTKILTAWADWMAGARGAAATHZYIVOIRHIBg... 44

    You might also like