To continue the fight on Disrupted Physician I urgently need funding and support-Please donate!

Please donate to my fund at:   https://www.gofundme.com/PHPReformWe have dealt some significant blows and I would like to keep throwing some direct punches at the enemy but at this point it is getting difficult as financial issues…

Source: To continue the fight on DisruptedPhysician.com I urgently need funding and support-Please donate to help me keep throwing some direct punches at the enemy. At this point I need your help and rest assured it will not be forgotten!

Snakes in Smocks: Unrecognized Corporate Psychopathy in the Medical Profession

These programs are a funnel for sociopaths and without restarting the problem will only get worse.  This is what John Nash described would happen without counter-forces to keep their numbers low.

Source: Snakes in Smocks: Unrecognized Corporate Psychopathy in the Medical Profession

Disrupted Physician Listed Among Top 70 Physician Blogs of 2016-2017 by HealthcareAdministrator.Org

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DisruptedPhysician.com was listed among the top 70 physician blogs of 2016 -2017. The list was created by Healthcareadministrator.org after “through scrutiny and deep research” to “settle with only the best bloggers.” You can get all of the information and see the full list at “Healthcare Aministrator top-70-physician-blogs.”

Please help me keep the momentum going and donate to Disrupted Physician at https://www.gofundme.com/PHPReform

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Source: Disrupted Physician Listed Among Top 70 Physician Blogs of 2016-2017 by HealthcareAdministrator.Org

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Disrupted Physician Listed Among Top 70 Physician Blogs of 2016-2017 by HealthcareAdministrator.Org

DisruptedPhysician.com was listed among the top 70 physician blogs of 2016 -2017. The list was created by Healthcareadministrator.org after “through scrutiny and deep research” to “settle with only the best bloggers.” You can get all of the information and see the full list at “Healthcare Aministrator top-70-physician-blogs.”

Please help me keep the momentum going and donate to Disrupted Physician at https://www.gofundme.com/PHPReform

screen-shot-2016-10-10-at-7-37-29-pm

Source: Disrupted Physician Listed Among Top 70 Physician Blogs of 2016-2017 by HealthcareAdministrator.Org

Disrupted Physician Listed Among Top 70 Physician Blogs of 2016-2017 by HealthcareAdministrator.Org

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DisruptedPhysician.com was listed among the top 70 physician blogs of 2016 -2017. The  list was created by Healthcareadministrator.org after “through scrutiny and deep research” to “settle  with only the best bloggers.”  You can get all of the information and see the full list at “Healthcare Aministrator top-70-physician-blogs.”

 

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Please help me keep the momentum going and donate to Disrupted Physician at https://www.gofundme.com/PHPReform

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Need Allies and Funding. Please Donate!

Link to GofundMe  here.

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

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.

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

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

Defending MA BORM Deb Stoller’s Five-Year Concealment of Fraud–Nothing Left but Logical Fallacy and Lies

Lord Acton warned that we should not make moral allowances for powerful people just because they are powerful. If a common man murdered someone, Acton explained, he should hang. But when a king or queen murders, we make allowances for it. “I would hang them higher than Haman, for reasons of quite obvious justice, still more, still higher, for the sake of historical science” Acton wrote.  The same dynamic applies here.One thing is for certain.  There should be zero-tolerance for forensic fraud perpetrated by those in positions of power.   This is  worse than Annie Dookhan as her victims were abstractions.  She did not see the damage that resulted from her laboratory misconduct.And as far as I can find, these documents are the most elaborate and complete representation of the mechanics of forensic fraud available and show the sequential steps between the requesting party and complicit lab.   The documents also show how easy laboratory misconduct is accomplished as well as the moral detachment of the involved parties.

Source: Defending MA BORM Deb Stoller’s Five-Year Concealment of Fraud–Nothing Left but Logical Fallacy and Lies

Need Funding and Support! Please Donate

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Please donate at:  DisruptedPhysician Gofund

https://www.gofundme.com/PHPReform

We have dealt some significant blows and I would like to keep throwing some direct punches at the enemy but at this point it is getting difficult as financial issues have become a critical issue and I urgently need funding and support.As this is critical and I want to do everything I possibly can to make this happen please let me know what I can
do in return and I would like to throw this out.Anyone who donates to my fund can consider me available for consultation anytime 7 days a week and 24 hours per day indefinitely and that’s a promise.  Unlike the groups we are dealing with here I keep my word.

Source: To continue the fight on DisruptedPhysician.com I urgently need funding and support-Please donate to help me keep throwing some direct punches at the enemy. At this point I need your help and rest assured it will not be forgotten!

To continue the fight on DisruptedPhysician.com I urgently need funding and support-Please donate to help me keep throwing some direct punches at the enemy. At this point I need your help and rest assured it will not be forgotten!

Please donate to my fund at:   https://www.gofundme.com/PHPReform

We have dealt some significant blows and I would like to keep throwing some direct punches at the enemy but at this point it is getting difficult as financial issues have become a critical issue and I urgently need funding and support.

As this is critical and I want to do everything I possibly can to make this happen please let me know what I can do in return and I would like to throw this out.

Anyone who donates to my fund can consider me available for consultation anytime 7 days a week and 24 hours per day indefinitely and that’s a promise.  Unlike the groups we are dealing with here I keep my word.

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Anonymous referrals to state PHPs can result in loss of careers, families and even lives.   I have heard from doctors targeted due to age , religion, sexual preference , nationality, political stance and appearance.  Referred to the  state PHP with an anonymous complaint of “alcohol on breath” or “anger issues,” these good doctors were removed from practice under the guise of protecting the public.   By claiming a doctor has a  “potentially impairing illness” and falsely labelling him or her with a substance use or behavioral disorder they are able to remove due process and remove any doctor from practice. The system is designed to give the appearance of legitimacy.   It is not.  The stories I have heard and continue to hear from doctors  and medical students are as horrific as they are heartbreaking.  I have heard from female doctors who refused to go out on a date with, spurned sexual advances and even been raped by other doctors who then reported them to their state PHP for damage control.   I have heard from many doctors who discovered misconduct such as insurance or Medicare fraud who were promptly reported to their PHP and doctors who were reported by competitors for patients.   I have heard from doctors reported out of jealousy, anger, racism and bigotry.    Some of these storied can be seen on who have thwarted sexual advances and even been raped who were reported to their state “letters from those abused and afraid

My work in physician health reform has resulted in some significant gains.  For example the Medscape article  Physician Health Programs- More Harm Than Good? by Pauline Anderson was the result of  Medscape Editor taking an interest in my tweets about a year earlier and contacting me and taking an interest in my blog.  Physician Health Programs- More Harm Than Good?    broke new ground as it was the first mainstream medical article critical of PHPs. This was read by British Medical Journal Editor Jeanne Lenzer and this led to “Physician health programs under fire.”    In this article published in the BMJ she takes on the financial conflicts of interest, abuse and fraud in PHPs and the FSPHP’s response to direct and specific questions revealed what an irrational and illegitimate authority they are.   They cannot provide direct and simple answers to direct and simple questions and remain tongue tied to this day.

By all counts their days are numbered and the articles mentioned above and more to come are the direct result of bottom-up activism.  So too is a forthcoming audit by Massachusetts state Auditor Suzanne Bump whose office has already interviewed enough abused doctors to warrant an investigation which will hopefully look into the misconduct and fraud being perpetrated by the Massachusetts PHP in collusion with a specific group of attorneys within the medical board that blocks due process and conceals evidence to protect the PHP and harm innocent doctors.

It took 25 years for the FSPHP to rise.  Let’s hope their demise is much quicker.  They need to be named as the enemy and addressed on a state by state basis.  We have dealt some significant blows and I would like to keep throwing some direct punches to the enemy but at this point it is getting difficult due to financial matters and I urgently need funding and support.

As this is critical and I want to do everything I possibly can to make that happen so just let me know what I can do in return.   What I would like to offer  is this.

Anyone who donates to my fund can consider me available for consultation at anytime 7 days a week and 24 hours per day indefinitely.

The need for allies and funding is urgent as time is critical.  We have to expose this group as an illegitimate and irrational authority, expose their fraud and scams and expose the backgrounds of some of the individuals involved.    Physician health programs should not longer be considered the elephant in the room.  All you have to do is look at documentary facts  and evidence to see what is happening and any ignorance at this point would have to be deemed willful ignorance.  You cannot continue to ignore the obvious.  To those within the PHPs and their sympathizers and apologists your silence speaks volumes To save American Medicine it is essential this be exposed, investigated and the perps held accountable.  Silence is no longer an option.

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