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20 November 2007
at 12:27 a.m.
cont'd: PART 2
(1) Not having dictated a history and physical (H&P); the dictation system was not working so I documented by hand. The executive committee missed this detail, and sent me notification indicating that I did not dictate an H&P, so I then dictated from my hand-written note, and now the Executive committee is questioning the “timeliness” of my dictation.(2) Giving an anemic terminal patient her usual standard daily liter of I.V. fluid “to make her look anemic”, and that giving her a blood transfusion (to improve her quality of life) was not protocol.(3) On another occasion, upon dictating a procedure, I included my name along with Dr. Told's name in the same space as the surgeon instead of the assistant (I indicated a medical student's name in the dictation as an assistant). I had not yet reviewed and signed the chart before they brought this to my attention. The matter was then resolved by a formal meeting of the administration, executive committee, Dr. Told and me, where after a “tense” meeting we all agreed that I would amend the dictation to state Dr. Told as the surgeon and myself as the assistant. I complied and signed the chart and then received a letter stating “this would go no further” and is now included in a formal review.None of these are medical decision-making issues, and clearly administrative ones which should be readily resolved by following appropriate administrative policies and procedures, and not create animosity among professionals.
20 November 2007
at 12:25 a.m.
I have heard that many people would like to read Dr. Miller's resignation letter. Here it is posted in portions:
November 5, 2007George Rohrich, CEOThe Memorial Hospital
Dear Mr. Rohrich,Since I began working at The Memorial Hospital in March of 2003, I have witnessed TMH (i.e., the Board of Directors and Administration) demonstrate a behavior less than a model of professionalism, which I can only articulate as petty and mean-spirited. This treatment is a byproduct of a history of hostility expressed toward my associate, Dr. Tom Told. Dr. Told has had a thriving practice in Craig for over three decades and has been embraced by the community, evidenced by the endurance of grass roots support. Tom has continually sought to improve the quality of care in Craig and Moffat County. It is in my opinion that Tom has been subject to this hostility because he has been the most outspoken about a primary care over specialist model. Over the years, Dr. Told has had numerous partners in his practice, and not one has endured tenure for an extended period of time. This has been in large part due to undeserved harassment by the TMH; and I have not been an exception to this rule. I personally have been subject to mistreatment on several occasions in my five-year tenure at TMH.I have been targeted and reviewed for several cases mostly involving documentation, none of which involved actual medical decision-making, and in one case, I was written up for dressing up like a clown on Halloween (petty). I was also suspended from working in the Emergency Department, a violation of the contract between TMH and myself, with no substantiated grounds for suspension. I have been subject to examination by lawyers and a peer review panel, again only to be found that my medical decision-making was held appropriate. And now, I am again under fire. This time involving several cases in which my medical decision-making has been called into question; all ridiculous accusations which include: (cont'd)
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