Persistance and Tenacity, requires a new chapter, a new beginning....

Tuesday, April 27, 2010

Dr. Nadler of the Rural Health Clinic: Your patient is ill because she is being beaten up, do you have no training?

I got a phone call over the weekend from a woman I hardly know, and may have talked to five times in five years. Why she called me I'm still not sure, but people trust me, and she needed to talk to someone.

Though I had showered and prepped to get to the store I decided to answer the phone, but quickly.

This was not a short call, and in the end, I made a decision to act on the information.

The reason I'm shooting this story from the blog is that it is another example of the nightmare here in the KRV, called the Rural Health Clinic.

She really likes Dr. Nadler

When she told me her wounds, her broken limb, was from an altercation with her boyfriend, I asked her who her doctor was and she told me, my former doctor Nadler.

I said he didn't know that these wounds were from abuse?

She said, "no, I didn't tell him."

Regardless if she told him, he should have had some training. Most battered women lie to everyone because they are afraid and have no where to go.

She is a completely textbook case. Being beaten with nowhere to go.

Apparently, she likes Dr. Nadler, but not enough to trust him with this information. But he should know better.

In less than five minutes on the phone it was obvious she has been through a lot of violence, and is nervous admitting to the reality of it, so she lies. Victims lie a lot, out of fear.

Tonight I spoke with my stepfather who has lymphoma and is battling cancer. He told me as a man that in his life he has encountered many doctors who still think women's illnesses are in "their minds." I explained I had recently dumped Dr. Nadler because of that same complaint, not necessarily misogyny, but lack of respect, a real Freudian model, of women's health.

Example, when I first saw him in 2007, I complained of Insomnia, palsy of the hands, hair loss, shortness of breath, and weight loss. I was prescribed Prozac. He explained my "personality" which obviously bothered him, away with drugs.

Now, I see clearly from the case of this beaten and broken female patient, that he ignored her obvious problem, being accident prone. Gosh, that would be nice.

If a man saw him regularly with bruising, breaks, and other things, he might have wondered. But apparently he can let overt abuse come in and out of the office for years!

Again, there's no bond money for people who treat patients like this. The boy's club at this hospital. Just for my information is this perception everywhere in medicine still?

It must be as they only started talking breast cancer, ovarian cancer, different heart attack symptoms, regarding women in the past few years.

I just didn't see it clearly until this phone call. Yes, I experienced it, as Dr. Nadler could not handle any emotion, especially mine. So, I got referred a few times so he didn't have to hear it.

And now I will be meeting with Greg Davis the manager of this clinic on Friday to discuss my care and how that will be corrected so my health is better and not worse. Dr. Nadler, as is expected, chooses not to address this situation and will be hiding in the other room while we discuss his malpractice.

I'll give a full report as I'm quite concerned what is going to happen to this woman. More later in the week...(RHC Product Review...no stars)

Thursday, April 8, 2010

A month of the bumps at KVHD

After the CCO quit smoking, she lit up the P&P

There have been a lot of rumor and innuendo thrown about recently, and I'm not talking about my standard "highly theoretical suppositions" such as the one about the less than open, board meeting with two board members.

I retracted the opinion that a highly suspicious meeting was held without the knowledge and or invitation to the other board members making it an actual meeting, special, urgent, or otherwise.

However, it's true the Brown Act, which lists the laws by which a public board must conduct itself, is rarely, if ever, supported by the Grand Jury, or county prosecutors.

Tricky stuff when two board members start talking about a general obligation bond which may be voted upon at sometime in the near future.

But we have put that behind us, and hope that the rest of the communications remain out in the open for the public to digest as they are just learning thru my survey phone calls what KVHD is: your hospital in a public district where board members are voted in.

And what a GOB is: a general obligation bond spread out over thirty years where homeowners would pay off this debt with property taxes limited to such amounts like $100 for every 100K of assessed value.

Levy a tax: because the hospital is public, in a public district, built with public monies, partially funded by community property tax dollars, the hospital could raise money it needs* by raising this tax for a few short years rather than 30 or maybe 60 or even 90...

sound crazy? What if they need another bond. If we are comparing ourselves to other hospitals and districts like Tehachapi, then you see that one bond may not be enough. And they will come crying back to us because they have not taken care of the money they have.

But they start by taking the first GOB, and then if they can successfully build something or create services that fit this community and are not the type which will create lawsuits, then they may have saved the day.

If for some reason, anything, and I mean anything happens and that money the community is paying up is misspent or not built or not as it was described in the brochure: this place will go down. So, I would think they would want this process to be precise and open, backed by leaders like Assemblywoman, Jean Fuller, and overseen and scrutinized by county supervisor, Jon Mcquiston, who represents our district.

When will we see either of these two or Kevin McCarthy, still scrapping away about federal healthcare reform, but not here where we are the people who vote for him.

This whole process should have started last year as I kept crowing there were serious financial problems and we needed to get on it. Nobody did anything. And the CFO lied on tape on camera that everything was fine, we were putting away all our money we owe, nothing unusual.

Then "BOOM" we're in trouble, help us, we need volume, we sold our mammography, we can't afford to run the district properly. This is practically criminal.

Flashback to Measure M 2006

Same time, same channel it seems, we are late for the party and have no real data and don't have an architect or a serious financial advisor (and I'm not talking about the financial manager Chet Beedle whose recent success was in obtaining a credit card to pay for the pharmacy stock to the tune of 90K. Go Chet.)

We did the exact same thing in 2006 and lost the election. And we had an architectural plan which wouldn't work, would cost more than the 12.5 million the community was to pay, and while we were being lead by Pam Ott to do this GOB, the nursing center and our residents there were allegedly being quieted as they didn't need any problems while they tried to get their general obligation bond.

Coincidence or not?

Now we are doing it again. Still with Chet Beedle, though he will not be in charge of the monies if indeed it is a bond we want and not to simply raise taxes for a few years. But Chet will be in charge of some of that money and that should be looked into very closely by this board of directors.

And if there is a fair and just system, which there isn't, maybe we will get a couple new board members who aren't afraid to give the boot to a financial guy who would actually agree to a "time and material" contract which gave a company more than two million.

How do I know? Because I have the receipts. And I still can't tell what we paid for. And we didn't get what we wanted which was a clean bill of health for the nursing center.

After millions were spent on the nursing center, and criminal charges were filed, and civil suits are waiting in the wings, we go to the community and say: Hey, what else are you going to do? You have to have a hospital. Pay up or dry up the whole valley.

Next up: A few clarifications

I was told in detail by the former CCO, Cynthia Burciaga, that CEO, Tim McGlew told her about private information regarding my healthcare at the Rural Health Clinic. I challenged the situation with the CEO, and was told that he didn't do this.
Okay.
Then I was told that the maintenance man that appeared suddenly at the September board meeting and began hassling us about our camera. He told our cameraman he couldn't film.

I told him we would film, and we did. I made a remark on this blog about how strange it was that suddenly this person was giving me problems. I was told that he was there for some reason from the past, and to help with the microphones. Funny enough that very night the microphones were off, and I said to this guy why don't you go fix the microphones and quit worrying about what I'm doing.

It's on the blog that I said this and then seven months later I hear that it was purposeful that he was brought to that meeting, from the former CCO.

Okay.

What am I supposed to do. Nothing.

In all of these cases there is no agency that really fulfills it's obligation to not just write laws but to actually provide oversite and penalty. Nothing like that happens, it's a lie. This situation at the KVHD is an example of how the government pretends to work.

Jerry Brown, the California Attorney General, who wants to trade in his Prius for a Hummer, is currently the example of justice in this state. Question is what kind of justice is he hawking?

With the wave of his hand he could clean up our hospital, the situation between our hospital and Cal Mtg., demand the county begin an oversight committee to go along with the hospital which may or may not be here in a year or so.

Justice costs money

We all know that justice costs money. We have to gather the attorneys who get paid to stare at the walls, it's all about money. Big money.

Is the Kern River Valley worth as much as Goonies gone wild on pills? Or my favorite the urgent press conference regarding the tragic overdose of that example of saline implants and botox showers, Anna Nicole Smith, who was not a victim, but simply someone who chose to use drugs, lots of them.

The attorney general has a budget and if they don't see some benefit in your case, they aren't going to spend the money. Anna Nicole was famous and Jerry Brown is ready to call a moving company to the Governor's mansion, so she won out.

When will we win out?

I've not even begun to tell you what has happened to others at our hospital, ER, and Rural Health Clinic. I've been collecting stories for years and now we will finally get down to business: protecting the public, stopping the prejudice and getting them to walk the walk.

I know there are good people in this hospital and they would do a wonderful job if only they could. But with money misspent, lies to cover the dire situation which actually exists, board members (well, some are trying, just not quite strong enough to wield an axe and that is what is needed) willing to look away and be non-confrontational, nothing will change except the rapidity of the down hill slide.

Get past the finger pointing

With all sorts of stories cropping up, a rather thoughtless remark made at the last board meeting which ended up in the local "noose" paper.

Whoever is telling the truth or hiding the partial truth I don't care about it's too small to pick up with boxing gloves on. I do care about the employees at the pharmacy, the way money is monitored and spent, and the possibility of a 30 year obligation on this community; those are my concerns.

And as you found out, my concerns are for the health and safety of the patients including myself.

This is a business where cutting back or constantly using the CT scan or the inability to act as if we are "neighbors and friends" not judge harshly anyone who may be a junkie. If they are a junkie, hide your prescription pad, and shut up, it's their life. If they have children though, definitely report that situation.

The room for improvement is the largest room in the world-anonymous

Coming up: the April 6 board meeting. Pictures and quotes.

Wednesday, April 7, 2010

The race is on: Cal mtg. takeover vs. KVHD bond measure or tax increase...oooh it's going to be close

My money is on Cal Mtg.

Since I have recently discovered or had the epiphany that nobody can really understand this "can of worms" or as some call it around here, "Pandora's box," my blog, full of far too much information.

But there are people who know exactly what I'm talking about. They are the board members at KVHD, the administrators, the government entities who play dumb and keep the public confused and unable to sort through the facts, or more so the evidence.

Currently, keeping you up to date, the hospital would really like it if you and you and you and heck, all of you in the Kern River Valley, would pledge to pay off a 30 year bond, worth about 20 million to the hospital. It will be about $100 per 100K of assessed value. Or option two comes with three suitcases and a carry on, and only costs $90 extra dollars per 100k of assessed value.

Now what they are going to do with the money ( is any one's guess, probably run) is pay off that debt from 20 years ago which is a great story for a party with alot of alcohol available as that is what you'll need to get anyone dumb enough to believe the story.

It started out at 22 million to build on to the existing hospital worth maybe 3 million. Cal Mtg. a cunning California plan devised to actually make money insured it would be done and accepted the backwoods plan to make this hospital hum.

We use their credit and Cal Mtg. insures our loans or revenue bonds. But if you don't pay Cal Mtg. they come in and take your hospital or clinic or even Home for Jewish Parents which has 118 million in debt covered by Cal Mtg.

Why do we care about that?

Because the CEO of our hospital, Tim Mcglew, worked there and was part of the 118 million dollar solution and obviously knows quite a bit about Cal Mtg.

And some members of the community may remember that Cal Mtg took over this hospital one hot summer day ( or cold winter morn') and discharged the CEO and chairman of the board, with a snap of the fingers and appeared a line of polyester suits waiting to be paid to fix the failing hospital.

One of the people who came to us around that time, is the current cheif financial officer, Chet Beedle. He started off as a part time kid, then, suddenly full time, even though the hospital had a controller and still has a financial consulting firm which could have handled everything.

Beedle is suspect to me as last year on tape, on video, he told this community there were no problems financially and my proposal to Cal Mtg. was totally unnecessary. Yes, we could have tried to wheel an deal but nobody had the proper sports car, especially Mr. Beedle.

Also, Beedle is known to have a lucrative contract with this public healthcare district where he resides in Apple Valley, but is allowed free rent to live during the week in the valley.

His salary, his benefits are over the top for a modest or bargain type healthcare district.

People who complain about administrative costs at your banks, at Wal Mart, should look around your own corner and quit staring at the TV.
Right in your own backyard.

General obligation bonds

If the hospital somehow convinces the voters of the valley to go ahead and give them 20 million and it happens, what happens if there's another circumstance where the community would need money?

What I'm saying is that if we take out this GOB and suddenly we need another one to save a school or maybe fix the damn, we will still be burdened for thirty years paying off this bond.

It's a consideration that there are a lot of needs for bonds, schools, recreation, potentially fixing the dam, or a great big outdoor theater with acoustics which are like none ever heard (it could be urgent).

The hospital had a lot of chances

If Cal mtg. comes in because we can't pay our way, oh well. This district has had a lot of chances to try and run itself, voters you voted these folks in who made the decisions that lead to this dead end. We have criminal and civil lawsuits, but never an apology from the people who allowed this to happen.

Forget the apology, I believe most should be charged or used as a witness.

Let Cal Mtg. run the hospital. If they want it take it, it's not working anyway.

Then if a private hospital comes along, they could see an excellent opportunity to make a dollar up here. If you're the only game in town and you still can't make it, what exactly does that say about you?

Come on over Cal mtg. I can't wait...

I'd have a veritable ball if Cal Mtg came here and took over the hospital. I would probably live here the rest of my life because of it.

Imagine, Don Morey, could visit all the time, with Gary Evans, and we could drink some beers over at the cove. I know we would be great friends, as I love government agencies who take advantage of small town folks for big money, and then threaten to take over.

We will have a ball. Trust me.

Next idea: could taxes be a better solution?

Monday, April 5, 2010

Comments to KVHD under Fire!

I realize that small comment remark at the end of the posts has been overlooked by many, including me. And I appreciate the fact that people take the time to write directly to me and let me know how they feel.



As I've said before I don't want this blog to look like the "website of the damned" on the Kern Valley Sun Newspaper website.



When I'm depressed I'll sometimes look at that site and realize, thanks, I'm okay and even the weirdest of my Friends are okay in comparison to the lackey's who "express" themselves on that forum.



Since the survey and the general obligation bond, healthcare reform, I've had quite a few remarks I am going to post.



Some contain bad language, but I will edit it. I'm sure it's just my macaw and I who appreciate such vulgarity.



RE GOB:



"Are they crazy? I'm not paying them a dime, in fact I'm getting out the ads and moving. There's no jobs here, no decent people I can see, and these backward ^&*)*^*&^)- morons couldn't build a *&^%" with the best company in America." (that was edited for space and obviously language)



"I'll pay for my kids education that is no problem but I'm not paying for the political crap that has gone on for years and I mean years at that hospital. We need school monies, teachers, so those supposed doctors can be trained properly and stop selling their souls to the pharmaceutical companies."

(edited for space, spelling)



"My mother died in that nursing home, but she was treated well. The nurses were sweet and attentive, she had good years while she was there. That is why I'm so concerned about what is going on now. My mother died six years ago before the police found out what is going on. If they hurt these people they should be in jail for good."

(I agree, but who should be in jail? everybody? the newspapers, the radio, the board of directors, the nurses, the CEO, The CFO, the CNO, DON, Social Services, Staffing coordinator, human resources, the secretaries, anyone involved? We will find out soon)



"Good job to all at the pharmacy in Mountain Mesa. Thank you everyday for doing your job even with the hospital going bankrupt. These are good employees who should be appreciated, really I hope they are.)

(made a slight grammatical correction)



Not all agree with me there is one person who likes to tell me off and I have to admit, I don't mind, and often get a big laugh out of it. At least if people have an opinion they are using their brains for more than a paper holder.

I've been the bad guy for years now and truthfully, as much as I am criticized and judged, I know most of the people around me could never hold up to this sort of attack. I know I'm made for this kind of job, it has been in the cards all my life.



We all have a raison d'etra.



As I told an old friend, "if you stick with the truth, you will remain standing." Then I pointed at my new 20 pounds of weight, and noted to her, "I'm still standing and I'm still here."



I told her its the runners and hiders who are scared and the very reason nothing changes in this world: but I'm not one of them.



She smiled, kind of bewildered, and then said, "you're right, you didn't run like the rest or hide." I must say it's nice to see people finally "get it."



So, again, anyone planning on picketing the hospital? Or maybe a "sit in?" or "tea party" or something really American. We are not quite yet the desperate souls of the middle east, we can do it our way, and still make progress.

If you are waiting for yet another statistic about how well the economy is coming back so you can relax in your tent city, you will get one. The last thing the government wants is for the American people to get educated and vote. Yeah, that's sad, but the rich want to be richer, and the only thing you have is your vote.

I suggest you use it wisely.