4AM
I have told myself that I need to get back to the blog. I have not written in a while and I am going to do my utmost to try to post something at least two or three times a week. I will do my best to get back to this as I feel some of the information that I pass long can be helpful.
As I write this, it's currently before 4AM on a Saturday early morning. I have been unable to sleep as I am still very angry and upset from an ISC that occurred for one of clients on Friday. I obviously cannot go into any real details regarding the case. However, I can say that I one point I told the Board members present that my client was afraid of the Board. One of the members told me that my client should not be afraid. The Board's role was to protect the public and to make my doctor the best doctor possible. The Board wanted to make this matter (for which we had three experts that said the client was within the standard of care) was an educational experience to improve the skills of my client. The client expressed gratitude and only wanted to provide the very best for his patients. When we returned the Board recommendation was to suspend my client for 30 days! Of course, I told the Board this was wholly unacceptable. Clearly, his fear of the agency was justified.
The odds are this case is going to litigation; which is a shame.
I am upset for a number of reasons that I cannot go into at this time. For the last several hours I have been de-constructing the hearing to see what went wrong. I see some things that could have been do better; but the long and short seems to me that all the information we provided, which included our expert reports, journal articles supporting the care and multiple statements regarding the care; were not considered equal to the Board's consultant report, which was unsupported by peered review statement and rather unspecific. Moreover, the Board member disagreed with the client's approach to the patient, thus it was a violation of the standard of care.
My feeling is you 10 doctors in a room, you're going to get 10 different ways to handle a problem. Different approaches do not necessarily equal a violation of the standard of care.
I'm just frustrated by this approach. I do not believe we received a fair hearing as we were not heard. I feel that had we done nothing, the outcome would have been the same.
I may be wrong about this...I just can't sleep.

