Sunday, February 22, 2015

Protection - what's not to like?


Monday, February 2, 2015

Dr. Charles "Oops" Johnson, DO

 
click here for link to original story.








Back-Alley Butcher?


'Script Peddler?


Or Family Practitioner?


You be the judge.

















Dr. Charles L. Johnson practices in Colorado, and has been repeatedly in trouble with the medical board. His original disciplinary actions were regarding abortion patients. Evidently he decided that he was getting into to much trouble as an abortionist. He opened a family practice.


********

The medical board faulted Johnson with his care of a patient they identify as "B.H." To avoid depersonalizing her, I'll refer to her as "Brandy".

Brandy was 32 years old and 22 to 23 weeks pregnant when she underwent an abortion by Johnson on February 5, 1990. Johnson did not discuss Brandy's medical history with her, nor did he obtain informed consent. He didn't record observations of Brandy's pre-operative emotional or mental state. He didn't perfrom an ultrasound, a physical examination, blood or other testing, or take Brandy's vital signs prior to the abortion. He didn't discuss the risks of general anesthesia, but recommended it based on the gestation age.

Brandy was ill the day of the abortion. Johnson didn't record the method used to dilate her cervix, nor did he record the dosage or type of anesthesia. He didn't record who administered the anesthesia, or if there was an IV in place. There was no record of Brandy's vital signs during the abortion.

Johnson's notes did indicate that he chose a suction aspiration method for Brandy's abortion, which is an inappropriate method for a 22-week pregnancy.

The post-abortion note indicates uterine atony and a blood pressure of 90/60 -- but doesn not note the time this was observed. Brandy's pulse was recorded as 100, but again there was no mention of the time or of who made this observation.

Brandy was discharged before her vital signs could be documented as normal and stable. Brandy was bleeding profusely and was unable to walk unaided to the car.

Though Johnson knew that Brandy was returning by private car to Florence from Colorado Springs (circa 40 miles by map), he failed to provide written post-operative instructions or emergency contact persons.

Brandy arrived at an emergency room at 1:40 am with profuse bleeding. She was in shock, with no measurable blood pressure. Brandy treatment including four units of blood. (Stipulation and Final Agency Order; complaint by Attorney General of Colorado)

********

The medical board also faulted Johnson for his care of a patient they identify as "J.T." I'll call her "Jolene".

Jolene underwent an abortion by Johnson on February 20, 1990. The health history form, presumably completed by Jolene, indicated a history of high blood pressure, headaches, dizziness, toxemia and C-section in prior pregnancy. There was no record that these conditions were noted elsewhere or discussed with Jolene prior to proceeding with the abortion.

Jolene's pregnancy was determined to be 22 weeks by date. Johnson's records do not show counseling or informed consent or observation of pre-operative mental or emotional state. Johnson did not perform an ultrasound, physical examination, or blood and other tests. There was no note that Jolene's vital signs were taken prior to the abortion.

Jolene's pre-operative, intraoperative, and post-operative charts were incomplete and inadequate. Johnson failed to note the method of dilation of Jolene's cervix, dosage or type of anesthesia, personnel administering anesthesia, and whether an IV was in place. There was no note of the identity of nurses or other assisting personnel.

The records indicate that Johnson performed a suction abortion, which was an incorrect method for a 22-week pregnancy. The records document a cervical tear and repair, but fail to record the amount of blood loss. Johnson likewise failed to record the time or duration of post-abortion observation or by whom Jolene was observed> There were no readings of vital signs during the post-operative period.
Jolene was discharged without any recorded follow-up or emergency care instructions, and without noting vital signs stable and normal.

The next day Jolene was taken by ambulance to a hospital, in shock secondary to blood loss post-abortion. Doctors diagnosed tachycardia (racing pulse) and hematoma. Hospital staff noted laceration of Jolene's uterus, extended deep into her pelvis. The end of Jolene's ovarian vein was lacerated and tied. Hospital staff also noted kinking of Jolene's ureter by the suture Johnson used to repair her cervix. (Stipulation and Final Agency Order; complaint by Colorado Attorney General)

********

Regarding abortion patients B.H., J.T., V.F., I.M., and K.S., treated during 1990-91: the medical board "possesses a prima facie case that certain aspects of Respondent's care ... constitute two or more acts or omissions which fail to meet generally-accepted standards of medical practice." (Stipulation and Final Agency Order)

"For the year 1990, respondent reports three complications for 134 second trimester abortions performed. His major complication rate ... is approximately 10 times the standard of care for this procedure." Johnson was placed on probation by the medical board from August 21, 1992 until May 31, 1995 due to complaints of acts or omissions failing to meet generally-accepted standards of medical practice. (Complaint by Attorney General; Stipulation and Final Agency Order, Colorado Board of Medical Examiners)

********

The medical board faulted Johnson for his care of a woman they identify as "Patient A". I'll refer to her as "Arlene".  Arlene was a patient at Johnson's Family Medicine Practice. Arlene was given numerous prescriptions for medications including Diazepam, Flurazepam, Xanax, Morphine, Oxycodone, Hydrocodeme, Tylenol with Codeine, Paxil, Celexa, and Soma. "These drugs, with varying regularity, were prescribed for at least thirteen and one-half months, January 2003 through February 2004" by various doctors at Johnson's office. For all these prescriptions, Arlene was seen only once by Johnson and five times by other doctors in the practice. Johnson's name was on 27 of the prescriptions, almost all of which were refills or renewals of previous prescriptions.

In October of 2003, Dr. C., one of the doctors in Johnson's practice, got a call from Arlene's daughter, informing him that Arlene had been hospitalized for three weeks in August and September, and was put in a nursing home for a short time, due to a possible overdose of her medications. Dr. C. put a note that Arlene wasn't to be given any more prescriptions for Valium or pain medication until she was seen again in the office.

Johnson last saw Arlene on January 28, 2004. He noted that she was being treated for major depression, but there was no note of a psychological examination, her psychiatric history, or notes about whether she was suicidal. Johnson's last contact with Arlene was a phone call on February 17, 2004. At that time, Johnson prescribed Soma, a muscle relaxant.

Arlene died February 20, 2004, from mixed drug intoxication from prescription medications.


********































 

Monday, January 26, 2015

Sibylline Spydra

Centuries ago,
Concurrent with the 50th Olympiad
Not long before the expulsion of Rome's kings
An old woman
"Who was not a native of the country"
Arrived incognita in Rome.
She offered nine books of prophecies to
King Tarquin
And as the king declined to purchase them
Owing to the exorbitant price she demanded,
She burned three and offered
The remaining six to Tarquin
At the same stiff price
Which he again refused
Whereupon she burned three more and
Repeated her offer.
Tarquin then relented and
Purchased the last three
At the full original price
Whereupon she
"Disappeared from among men."

Friday, January 23, 2015

In Iambic Octameter

originally published 5/7/11


Embrace ye not the deceivers
And pay the liar no homage;
Tear off the linsey-woolsey suits
Of the sheep’s clothing worn by wolves.

Milquetoasts take warmth and soft comfort
In lives of quick and sure safety;
But heroes do not hesitate
To pay Freedom's steep, hoary price.

Friends, citizens and countrymen,
The moment of truth approaches:
On that day's dark, awful dawning,
Which way do you think you will choose?




the 2008 ad campaign


The definition of SCION

  • a detached living portion of a plant (as a bud or a shoot) joined aerially to a graft
  • aristocratic descendent
    • scion of a railroad empire











Merely some fractured fairy tale?
Or could it mean something much more?
See for yourselves, and then discern.


They always go green in the end.

* * * * * * * *

this post shall serve as preamble
to one sibyl's sober portent

Friday, April 25, 2014

Mom & Dad love Ben & Liz



We love these two people more than any words can say, and pray they are safe with family, rather than endangered by their dysfunctional EPCDHS representative/caseworker Teryl Vogler.

Kids, we love you so much and pray the Lord to protect and deliver us.


Monday, April 21, 2014

Ben Ten


Happy 10th Birthday 

Benjamin Chad Leslie Lawson

...anmanmore...

chuck e cheezin' it


Keep On Keepin' On

With Yo Badself

Monday, April 14, 2014

aftertaste


"Bitterness is like cancer. It eats upon the host.
But anger is like fire. It burns it all clean."
-
Maya Angelou 


the taste in my mouth that comes after being wrongly accused by those who would bear me false witness is horrible and gangrenous

I forgive those who would conclude or consider that my son’s illness is all in his head, or worse yet, that I somehow deliberately sickened my son

but I shall never forget that awful aftertaste in my mouth, hard though I might try to swallow…

or the faces of our accusers, though my tears blink to wash their memories away

Thursday, April 10, 2014

No never-events





So I can already hear your quizzical tone:  um...yeah...so, say, Spydra...do you wanna maybe share your latest linguistic invention with the rest of us?  Lay it on us already -- wtf is a "never-event", you wacky eccentric bitch?

<object width="480" height="360"><param name="movie" value="//www.youtube.com/v/cinz3h5REkI?hl=en_US&amp;version=3&amp;rel=0"></param><param name="allowFullScreen" value="true"></param><param name="allowscriptaccess" value="always"></param><embed src="//www.youtube.com/v/cinz3h5REkI?hl=en_US&amp;version=3&amp;rel=0" type="application/x-shockwave-flash" width="480" height="360" allowscriptaccess="always" allowfullscreen="true"></embed></object>

After having read the whole report, and marveling at the crazy value it enjoys as a enjoys as a tool -- nay, a sledgehammer -- for anyone remotely contemplating a claim of medical malpractice, any question of who to thank for this li'l gem cleared up faster than a splash of Visene on a dry blodshot eye.  Verily and most deservedly do all acclaim and accolade reflect and echo the bon vivant author that conceived it, penned it and gave it its first utterance: that Juggernaut of creative genius and enlightened braintrust that is the United States Department of Health and Human Services. 

So, you see, Friend Reader, that a "never event" is a blanket term for an error of so great a magnitude, and at the same time, so utterly preventable that even the powers that be can make no apology for it...an event that simply ought "never" happen -- in other words a boner, a blunder, a gigantic fuck-up of such magnitude that even those charged with its cover up consider inexcuseable, an event that just should not ever have happened; hence, a "never event."

See now how the term's syllables roll so easily off the tongue.  I admit to having found comfort in the Department's acknowledgement of how common the incidence of never-events among the indigent poor suckers who fill its trial-by-error learning labs, languishing in pain and suffering dehumanized detatchment, breezy condenscension and the bored, incurious glance of the medical professionals they themselves have vetted; a great big calcified mass that coalesces to form a gigantic undead monster that lumbers and shambles along in a jerky slow-motion.  

<p  style=" margin: 12px auto 6px auto; font-family: Helvetica,Arial,Sans-serif; font-style: normal; font-variant: normal; font-weight: normal; font-size: 14px; line-height: normal; font-size-adjust: none; font-stretch: normal; -x-system-font: none; display: block;">   <a title="View ADVERSE EVENTS IN HOSPITALS: NATIONAL INCIDENCE AMONG MEDICARE BENEFICIARIES on Scribd" href="http://www.scribd.com/doc/217409916/ADVERSE-EVENTS-IN-HOSPITALS-NATIONAL-INCIDENCE-AMONG-MEDICARE-BENEFICIARIES"  style="text-decoration: underline;" >ADVERSE EVENTS IN HOSPITALS: NATIONAL INCIDENCE AMONG MEDICARE BENEFICIARIES</a> by <a title="View Spydra Webb's profile on Scribd" href="http://www.scribd.com/spydraw"  style="text-decoration: underline;" >Spydra Webb</a></p><iframe class="scribd_iframe_embed" src="//www.scribd.com/embeds/217409916/content?start_page=1&view_mode=scroll&access_key=key-gcglwzwchxckp3dp34y&show_recommendations=true" data-auto-height="false" data-aspect-ratio="0.772922022279349" scrolling="no" id="doc_43024" width="100%" height="600" frameborder="0"></iframe>