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  • 6 30 05 To 8 30 05 Poley Emails CBX 0204 Pam - Poley@calbar - Ca.go

    Загружено:

    DoTheMacaReno
    12 просмотров4 страницы
    Kellie M. Condon, Ph.D., Chair Philip F. Belleville, J.D. James E. Blancarte, J.D. Lyman Boynton, M.D. Richard Carrillo Richard Ewaniszyk, J.D. David S. Hobler, J.D. Stewart Hsieh, J.D. John H. Shale, M.D., J.D. Dorothy Tucker, Ph.D., Ph.D. Janis Thibault, M.F.T., C.A.D.C., Director Richard Carlton, M.P.H., Deputy Director LAP News to Use Saving Careers, Saving Lives . . . One Attorney at a Time Volume 2, Number 1 · Winter 2006 Richard Carlton, Editor 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 s

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    6 30 05 to 8 30 05 Poley Emails Cbx 0204 Pam.poley@Calbar.ca.Go

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    Kellie M. Condon, Ph.D., Chair Philip F. Belleville, J.D. James E. Blancarte, J.D. Lyman Boynton, M.D. Richard Carrillo Richard Ewaniszyk, J.D. David S. Hobler, J.D. Stewart Hsieh, J.D. John H. Shale, M.D., J.D. Dorothy Tucker, Ph.D., Ph.D. Janis Thibault, M.F.T., C.A.D.C., Director Richard Carlton, M.P.H., Deputy Director LAP News to Use Saving Careers, Saving Lives . . . One Attorney at a Time Volume 2, Number 1 · Winter 2006 Richard Carlton, Editor 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 s

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    12 просмотров4 страницы

    6 30 05 To 8 30 05 Poley Emails CBX 0204 Pam - Poley@calbar - Ca.go

    Загружено:

    DoTheMacaReno
    Kellie M. Condon, Ph.D., Chair Philip F. Belleville, J.D. James E. Blancarte, J.D. Lyman Boynton, M.D. Richard Carrillo Richard Ewaniszyk, J.D. David S. Hobler, J.D. Stewart Hsieh, J.D. John H. Shale, M.D., J.D. Dorothy Tucker, Ph.D., Ph.D. Janis Thibault, M.F.T., C.A.D.C., Director Richard Carlton, M.P.H., Deputy Director LAP News to Use Saving Careers, Saving Lives . . . One Attorney at a Time Volume 2, Number 1 · Winter 2006 Richard Carlton, Editor 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 s

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    RE: Questions

    From: Poley, Pam (Pam.Poley@calbar.ca.gov) You moved this message to its current
    location.
    Sent: Tue 8/30/05 4:13 PM
    To: zachcoughlin@hotmail.com
    I confirmed that your PP will go out tomorrow.

    Pam

    From: Zach Coughlin [mailto:zachcoughlin@hotmail.com]


    Sent: Monday, August 29, 2005 1:21 PM
    To: Poley, Pam
    Subject: Questions

    Hello Pam,
    I just wanted to ask a quick question. Can you let me know when I might be getting something from LAP outlining the
    conditions I need to comply with during the evaluation period? I want to be sure to do everything that is required and it
    would help to have something to refer to so I can be sure I am in compliance.
    I appreciate your help in this regard.
    Thank You,
    Zach Coughlin

    RE: Questions
    From: Poley, Pam (Pam.Poley@calbar.ca.gov) You moved this message to its current
    location.

    Sent: Mon 8/29/05 3:30 PM


    To: zachcoughlin@hotmail.com

    Sure. I imagine the Participation Plans will be typed this week and go out by the end of the week. It shouldnt be any
    surprises as to the content as the EC specified everything while you were there.

    Pam

    From: Zach Coughlin [mailto:zachcoughlin@hotmail.com]


    Sent: Monday, August 29, 2005 1:21 PM
    To: Poley, Pam
    Subject: Questions

    Hello Pam,
    I just wanted to ask a quick question. Can you let me know when I might be getting something from LAP outlining the
    conditions I need to comply with during the evaluation period? I want to be sure to do everything that is required and it
    would help to have something to refer to so I can be sure I am in compliance.
    I appreciate your help in this regard.
    Thank You,
    Zach Coughlin

    RE: Signed and completed LAP documents


    From: Poley, Pam (Pam.Poley@calbar.ca.gov) You moved this message to its current
    location.
    Sent: Mon 6/20/05 4:57 PM
    To: zachcoughlin@hotmail.com
    Zach,

    As I indicated to you previously, I need you to complete a phone intake with me. Once done, I will present you with the
    necessary documents for signature. You cant sign these documents before youve even entered our program. I am available
    at 10:00 am or 2 pm on Wed if you would like to talk then.

    Please stop trying to do this your way or your attorneys way. We have a protocol that we need to follow, as does the CBX.
    Please let me know if Wed. will work for you.

    Pam

    From: Zach Coughlin [mailto:zachcoughlin@hotmail.com]


    Sent: Monday, June 20, 2005 2:35 PM
    To: Poley, Pam
    Subject: Signed and completed LAP documents

    Dear Pam,

    Here are the signed and completed (i.e., with checkmarks next to the types of information subject to disclosure)
    documents that LAP provided to me. I am including the originals to you in hard copy and sending them via U.S. mail as
    well. They will go out today.

    I called and left a voice mail for you one day last week. Your message indicated that you had moved your office. The
    address I have listed for you is:

    Lawyers Assistance Program


    1451 River Park Dr. Ste 196
    Sacramento, CA 95815

    Please let me know if I should update your address.


    My daytime phone number is 775 348 2667. My cell is 775 338 8118.
    Sincerely,
    Zach Coughlin

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