The disgraced exit of medical board chair Dr. Candace Lapidus Sloane: alarmed lawyers ask board members to publicly disavow, claim “all members of the bar should be alarmed”

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Lawyers Weekly Article and Letters to the Editor August/September 2020

August 3, 2020 Massachusetts Lawyers Weekly front-page article Decisions show overreach of M.D. licensing board: Defense Lawyers: DALA  rulings part of larger pic by LW reporter Kris Olson.

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AUGUST 13, 2020 LETTER TO THE EDITOR FROM EX-BOARD CHAIR DR. CANDACE LAPIDUS SLOANE, M.D. : DISPLEASED WITH STORY ON M.D. LICENSING BOARD
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8/27/2020 LETTER TO THE EDITOR FROM ATTORNEY W. SCOTT LIEBERT IN RESPONSE TO SLOANE LETTER :  LAWYER TAKES ISSUE WITH COMMENTS OF MEDICAL LICENSING BOARD CHAIR
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9/10/2020 GROUP LETTER TO THE EDITOR FROM 25-DEFENSE BAR ATTORNEYS IN RESPONSE TO SLOANE LETTER :  REMARKS OF MEDICAL LICENSING BOARD’S EX-CHAIR ALARM LAWYERS
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Remarks of ex-medical board chair alarm 25-lawyers, “incumbent on present board members to publicly disavow” her approach: The disgraced exit of Dr. Candace Lapidus Sloane

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Lawyers Weekly Article and Letters to the Editor August/September 2020

August 3, 2020 Massachusetts Lawyers Weekly front-page article Decisions show overreach of M.D. licensing board: Defense Lawyers: DALA  rulings part of larger pic by LW reporter Kris Olson.

This image has an empty alt attribute; its file name is screen-shot-2021-02-19-at-9.43.43-pm.png
This image has an empty alt attribute; its file name is screen-shot-2021-02-18-at-6.59.50-pm-1.png
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This image has an empty alt attribute; its file name is screen-shot-2021-02-18-at-6.45.35-pm.png

AUGUST 13, 2020 LETTER TO THE EDITOR FROM EX-BOARD CHAIR DR. CANDACE LAPIDUS SLOANE, M.D. : DISPLEASED WITH STORY ON M.D. LICENSING BOARD
This image has an empty alt attribute; its file name is screen-shot-2021-02-18-at-7.24.22-pm-1.png

8/27/2020 LETTER TO THE EDITOR FROM ATTORNEY W. SCOTT LIEBERT IN RESPONSE TO SLOANE LETTER :  LAWYER TAKES ISSUE WITH COMMENTS OF MEDICAL LICENSING BOARD CHAIR
This image has an empty alt attribute; its file name is screen-shot-2021-02-18-at-6.24.22-pm.png


9/10/2020 GROUP LETTER TO THE EDITOR FROM 25-DEFENSE BAR ATTORNEYS IN RESPONSE TO SLOANE LETTER :  REMARKS OF MEDICAL LICENSING BOARD’S EX-CHAIR ALARM LAWYERS
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Physician Suicide and Organizational Justice: The Role of Hopelessness, Helplessness and Defeat

Physician Suicide and Organizational Justice: The Role of Hopelessness, Helplessness and Defeat

Michael Langan, M.D.

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They can be a terror to your mind and show you how to hold your tongue
They got mystery written all over their forehead
They kill babies in the crib and say only the good die young
They don’t believe in mercy
Judgement on them is something that you’ll never see
They can exalt you up or bring you down main route
Turn you into anything that they want you to be–Bob Dylan, Foot of Pride

In  F. Scott Fitzgerald’s  The Great Gatsby, Nick Carraway observes that “the loneliest moment in someone’s life is when they are watching their whole world fall apart, and all they can do is stare blankly”      In 1896 Émile Durkheim described “melancholy suicide” as being “connected with a general state of extreme depression and exaggerated sadness, causing the patient no longer to realize sanely the bonds which connect him with people and things about him. Pleasures no longer attract.”     Heightened perceptions of defeat and entrapment are known to be powerful predictors of suicide. According to the “Cry of Pain” model people are particularly prone to suicide when life  experiences are interpreted as signaling defeat, defined as a sense of a “failed struggle.” Unable to find some sort of resolution to a defeating situation, a sense of entrapment proliferates and the perception of no way out provides the central impetus for ending one’s life.

Although no reliable statistics yet exist, anecdotal reports suggest a marked rise in physician suicide in recent years. From the reports I am receiving it is a lot more than the oft cited “medical school class” of 400 per year.

This necessitates an evaluation of predisposing risk factors such as substance abuse and depression, but also requires a critical examination of what external forces may be involved.  What acute and cumulative situational and psychosocial factors are involved in the descent from suicidal ideation to planning to completion?   What makes suicide a potential option for doctors and what acute events precipitate and trigger the final act?

Depression and Substance Abuse no Different from General Population

The prevalence of depression in physicians is close to that of the general population1,2 and, if one looks critically at the evidence based literature, substance abuse in medical professionals approximates that of the general population.  Controlled studies using DSM diagnostic criteria indicate that physicians have the same rates (8-14%) of substance abuse and dependence as the general population,3 and slightly lower rates compared to other occupations.4,5  Epidemiological surveys reveal the same. Hughes, et al.6 reported a lifetime prevalence of drug or alcohol abuse or dependence in physicians of 7.9%, markedly less than the 14.6% prevalence reported in the general population by Kessler.7

Job Stress and Untreated Mental Illness Risk Factors

Job stress coupled with inadequate treatment for mental illness may be factors contributing to physician suicide according to one recent study. Using data from the National Violent Death Reporting System, Gold, Sen, & Schwenk, 2013 8 compared 203 physicians who had committed suicide to more than 31,000 non-physicians and found that having a known mental health disorder or a job problem that contributed to the suicide significantly predicted being a physician.

Physicians were 3.12 times more likely to have a job problem as a contributing factor. In addition, toxicology testing showed low rates of medication treatment.  The authors concluded that inadequate treatment and increased problems related to job stress are potentially modifiable risk factors to reduce suicidal death among physicians. They also warned that the database used likely underestimated physician suicides because of “underreporting and even deliberate miscoding because of the stigma attached.”8

Few studies have evaluated the psychosocial stressors surrounding physician suicide but there is no reason to believe they are any different from the rest of the population. Although the triggering life events and specific stressors may vary outside, the inner psyche and undercurrent of thoughts and feelings should remains the same.   Perhaps the same drivers of suicide identified in other populations are contributing to physician suicide.

Continue reading →

If you like this blog please donate $5 to buy me a coffee so I can continue producing updated and important content!

Donate $5 to buy me a coffee so I have the fuel I need to keep producing up-to-date and important content!

Disrupted Physician was started in 2013 as an informational website, discussion forum and blog focused on the systemic and unchecked fraud and abuse reported by physicians referred to state physician health programs (PHPs). I created this website to: 1. Expose the fraud and abuse 2. Act as a resource for physicians who may find themselves experiencing PHP fraud and abuse. Since 2013 over 1200 physicians, residents, medical students, nurses and a dozen or so airline pilots have contacted me seeking guidance, discussion and advice. I have had many call in crisis and some suicidal. Many have told me the website saved their lives and in two cases literally. Both were feeling hopeless, helpless and defeated and having gone through suicidal ideation and planning they were close to completion when they discovered the website and changed their minds. They called to tell me the website had just stopped them from ending their lives and say thank you. Finding out they were not alone was enough to instill hope. Disrupted Physician may have started as an informational website, discussion forum and blog but as it has evolved it has become a sort of makeshift crisis management/suicide hotline niche service for physicians, medical students and others who may find themselves coerced into the so-called medical-regulatory-therapeutic complex (MRTC). Disruptedphysician.blog is a one-person voluntary unfunded endeavor. So please buy me a coffee so I can renew and revitalize the website and start adding new content. The donation button below is for just $5.

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Post scriptum (P.S.)to Disrupted Physician

Disrupted Physician Stats 2020

The latin term “post scriptum” (P.S.) literally means “written after” as in that which is after the writing.

This postscript to Disruptedphysician.com is 14-months after I abandoned the website and blog because of the abysmal support of those requesting guidance.

. I have not visited this website during the year 2020 but 9,608 visitors have visited the abandoned blog. In February 2021 many of them contacted me in a flurry of concerned calls, texts and phone calls. The website for Disrupted Physician no longer existed and the 448-blog posts on Disruptedphysician.blog were vanishing into oblivion within days. The domain for Disruptedphysician.com was lost but the blog-posts are intact. The website needs work and would also like to update this blog and keep it up to date. Am going to request donations and have set up below.

I am repeatedly told the website is saving lives and a valuable service to the community. I have been told by many people the website saved their lives and a few from imminent suicide yet no one was donating?

If that is the case why was no one donating? I am requesting donations to support this blog. PLEASE MAKE DONATION BELOW.

March 2013 > December 20, 2019 (448-Blog posts over 5 yrs 9 months) Status = Active Blog.

Disrupted physician was created in March. 2014 to shine a light on physician health program (PHP) abuse and because I created it those abused shine a light on me. Disruptedphysician.com = informational and discussion website and blog. Rapid following by physicians, medical students and others from around country and Disruptedphysician.com >”Go to Guy”for PHP issues. From 2015 > 2019 I am contacted by 4-6 new people seeking help.

Medscape Editor takes interest in website and blog > 2015 Medscape article Physician Health Programs- More Harm Than Good?  which broke new ground as the FIRST article critical of PHPs in the mainstream medical news. Medscape then opens door for BMJ article “Physician health programs under fire” and others. Disruptedphysician.com directly sparked the Medscape article and acted as catalyst for all that followed. Disruptedphysician.com caused 2015 article that broke new ground.

I start a GoFundMe to help support Disruptedphysician.com but > 95% of those seeking assistance do not contribute anything. In 4-cases I was able to help medical students and physicians circumvent the PHP and avoid signing a contract and not one of these individuals ever contributed a dime to my fund.

December 20, 2019 Disruptedphysician.com is abandoned as no support from those seeking help. Deadbeat group.

Blog-post published on December 20, 2019 requesting donations to GoFundMe. No response to my requests. I ask a physician who had contacted me 2-weeks earlier and had spent a considerable amount of time hearing his story in addition to several conference calls with his lawyer and others. He said no and I asked him “so you can’t contribute 20 bucks to this fund?” to which he replied “no, were all in the same boat.” That is when I said “F’ this” and abandoned disruptedphysician.com.

February 2021– Abandoned blog for 14-months. Disrupted physician website no longer exists as lost domain.

I receive flurry of concerned messages and phone calls informing me that the website Disruptedphysician.com no longer exists and Disruptedphysician.blog will no longer exist in 2-days if do not pay fees. They all offer support and offer to pay and blog is safe for now.

I am told this website is invaluable and saving lives and must be kept up. Need to improve Need funding.

Please Donate Below

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Donate $5 to buy me a coffee so I have the fuel I need to keep producing up-to-date and important content!

Disrupted Physician was started in 2013 as an informational website, discussion forum and blog focused on the systemic and unchecked fraud and abuse reported across the country by physicians referred to their state physician health programs (PHP) I started this website to: 1. Expose the fraud and abuse ( have made significant progress but a long way to go) 2. Act as a resource for those referred to or having problems with their state PHP Since over 1200 physicians, residents, medical students, nurses and a dozen or so airline pilots have contacted me seeking guidance, discussion or advice. I have had many call in crisis and some suicidal. Many have told me the website saved their lives and in two cases literally. Both were feeling hopeless, helpless and defeated and having gone through suicidal ideation and planning they were close to completion. They were having serious problems involving a common setback with their PHPs and when searching for answers on the internet came across the website and changed their minds. They called to tell me the disruptedphysician.blog had just literally stopped them from ending their lives and say thank you. Finding out they were not alone was enough to instill hope. So please buy me a coffee so I can renew and revitalize this website and start adding new content.

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This is an Important Public Service Announcement (PSA): Physician health programs (PHPs) are not causing physician suicides: Illegitimate authority is.

Illegitimate power and abusive authority cannot be bargained with.  They must be called out and removed.  As one of my personal hero’s Dietrich Bonhoeffer said:

“We are not to simply bandage the wounds of victims beneath the wheels of injustice, we are to drive a spoke into the wheel itself.”

So here is the deal–I want to keep this up and I want to keep doing this.  I have gotten this far but without your help but it all vanishes very soon and a lot of other bad things are going to happen. So if you have enjoyed reading my blog, or if I have ever helped you in the past or if you want to help remove this illegitimate power currently controlling the profession of medicine and help me finish what I started then please contribute! The link is below:

gf.me/u/w5u9gky