Thursday, September 06, 2007

The Rule Of Law....9/30

“There is no such procedure in Texas and federal jurisprudence for what is taking place in this case. I find no legal authority for a subscriber having to take part in this action. I challenge anybody involved in this case to show any precedent for employing such a procedure as this.” ...Letter from James Rodgers to the court.

The lawsuit and the third-party disclosure order were two parts of a back-door attempt at ascertaining my identity and silencing the blog. The HIPAA 'violation' was used to justify the disclosure order, even though this was a civil matter. The cited US Code was plainly meant for criminal cases.

The 'two law firms' mentioned in the post, How Essent Really Feels, probably thought that their level of expertise would bulldoze the court into over looking the very law that they were utilizing in a perverted manner. From the article in the Snooze, it didn't happen, and that was due to James Rodgers. I'm feeling fortunate.

While this battle is stalemated, the war goes on.

I would guess that with the last vascular certified ultrasound tech giving notice, they would have to go back to a locum...or not be able to bill for services.... How many US techs have left this hospital since Essent took over, anyway? Bonus points given for this answer....

Second question: The Snooze used another direct quote from the letter, what consequences could that portend?

The fighter might not be appropriate, but the comments that surround it are (click on it and see what I mean.) I thank the men and women of the armed forces of our country for the freedoms which we enjoy and for the existance of the rule of law that protects us.


Anonymous said...

i know of at least 2 possibly 3 US techs that have left PRM shiot!!!! Good Luck CHIC!!!!!

Anonymous said...

Do you think that since E$$ent has been shot down in finding another to blame for their poor business tactics, they will proceed to (we can only hope) change their ways and begin trying to serve the people of the Paris community--the way they initially stated they would do when the bought into this hospital?

fac_p said...

To the best of my knowlege, the actual hearing is today, and nothing is a done deal. Would love to be the fly on the wall...rather than in the ointment...for this one....frank

Anonymous said...

heard rumor today that a er doc refused to let a helicopter land with a critical patient. rumor has it that the helicopter was trying to land due to bad weather and was told that they could not land with the the patient. has this doctor lost his mind? did he forget about the golden hour?

fac_p said...

While early emergency care increases survivability, the Golden Hour has its naysayers.

An arbitrary time span is just that, arbitrary. There are some things, however, that time is critical for--stroke without a bleed is a prime example. But, it isn't as simple as that. You reach a point after which the treatment is ineffective, but even prior to that there is damage.

We also don't know what the patient was suffering from, and was it treatable here. Staffing, and acuity would play into the consideration.

That's one call that it is real hard to second guess without all the facts.

Anonymous said...


the pt was a child with open ortho injuries (femur and arm) and i believe the ortho/surgery team was already at the hospital putting together another pt. just what i heard thur the grapevine.

Anonymous said...

Ah yes, is that an F-4c? Proof positive that you can fly a brick with enough thrust behind it!

Anonymous said...

To prevent "patient dumping" from one hospital to another, the law says the receiving physician must agree to accept the case before the patient is transported. If this didn't happen, the physician sending the patient off to any other hospital without making prior arrangements would be open to law suits on several fronts.

IF the helicopter pilot had an emergemcy situation with the aircraft, or bad weather, or a patient dying on-board, no "arm-flapping er-doctor" could shoo me away from a helipad on hospital properity.

However, I suppose there might be some er-physicians that are able to fly helicopters and "god" enough to own a private helipad on hospital grounds, able to tell my aircraft is not in trouble, determine the weathwer is not all that bad, and the patient will survive. Lawyers just love this stuff.

screwed at baylor plano said...

just wanted to let you know that not all is grand at baylor plano as everybody thinks it is. i was transfered to baylor plano by ground ambulance due to the fact that my doctor said i had to go by ambulance. i told him that i would rather let my wife drive me. the cardio doc advised me that a ambulance would be the best deal. he said that they could monitor my heart, blood pressure, etc. and if anything should go wrong-they could intervene. The medics did monitor my heart, blood pressure, and gave me some oxygen. my gripe is that the cardio doc told me that they could not do the routine cabg at prmc. that is a bunch of BS. i received my ambulance bill for the ride to plano which was denied due to the fact that the procedure could have been done at prmc. if was a emergency the insurance would have picked up the tab. but since it was a non-emergency transfer for a consultation for a cabg per the cardio doc, my insurance denied. after 3 days of staying at baylor plano and having the procedure, i received a bill about 2 weeks later. holly BS! my cardio doc told me that this would all be covered by my insurance-WRONG. i wish that the advance heart group could be truthful and honest to patients that are on fixed incomes. it will take me forever to pay the bill off. i will probably die before i get it paid off. i will never use advance heart group again. for future references get a second opinion or check you insurance before anything transpires and you won't be stuck with these enormous bills. thank you

Anonymous said...

Let the Doc be stuck with the bill!

screwed at baylor plano said...

Advance Heart Group will not return my phone calls. I guess there to busy screwing someone else out of money so that they can buy stock into baylor plano and drive the fancy cars. i am pissed!!!!!!

Anonymous said...

Why are you bashing Baylor Plano? They treated you. Get upset with the ones that misinformed you.

Anonymous said...

Although coronary artery bypass surgical procedures are improved from the past, using the word "routine" with it is still quite a stretch.

"Screwed at Baylor-Plano" (12:45), failed to mention what reason was given in that the procedure could not be done at PRMC. There will be hospital records, from both hospitals, documenting the reason.
These records are available to the patient and their attorney. If these reasons will be challenged, one or both hospital may conduct a peer review of theses physicians and case circumstances

Due to substantial billing errors in the healthcare industry, the itimized hospital bills should be obtain and gone over item by item.

Insurance companies, as well as Medicare/Medicade take a dim view of inappropriate and unstantiated charges on patient bills and have been known to completely deny ALL charges on these some cases.

Anonymous said...

Speaking of hospital charges. I have a friend that recently had surgery that the hospital billed at almost $12,000. The insurance company paid the R&C charge of just less than $2,000. So does this mean that someone without insurance would have been screwed for an dditional ten grand? What a rip-off!

Anonymous said...

You mean to tell me that PRMC could not do a routine CABG? Or is it because the AHG doesn't want to do the procedures at PRMC, instead do them at Baylor Plano. I believe the AHG docs have stock in the Baylor Plano gig? Sounds fishy. I think that Medicare,Medicaid, and other Insurance companies need to take a look into the AHG. Hell, I may contact the Texas AG office and see what can be done. Something is not right when a doc tells you that the "routine" procedure cannot be done local, instead send you off to there pride and joy. Then your insurance denies because they are going to pay what they want to pay. What a shame. Shame on you AHG.

The Baylor Heart Center is owned jointly by physicians and Baylor. It would seem that they do more of their surgeries at that location, but put yourself in their place: They know that the facility is up to date. They know that the staff is first rate--since they raided other hospitals for them. They know the equipment is well maintained--because it's less than a year old and they have a stake in it.

There may be a tendancy to funnel patients to the facility--and if so, and it violates CMS regulations, then let them be investigated, and pay the piper....frank

Anonymous said...

>I have a friend that recently had surgery that the hospital billed at almost $12,000. The insurance company paid the R&C charge of just less than $2,000. So does this mean that someone without insurance would have been screwed for an additional ten grand?

How much one is charged depends upon:
* Who is paying;
* How they are paying;

Your uninsured person would have been billed a minimum of fifteen thousand. And fifty thousand is not out of the question.