Thursday, April 09, 2009

Exhibit D: From Dr. Nancy Toy, Fomerly Of Central Carolina Women's Center

Moving on along with the Exhibits . . .

As a recap, here's A (Robert Scott) , B (Randy McVeigh), and C (Laurie Anderson).

Now, for your perusal, we have Exhibit D, dated October 30, 1998, from Dr. Nancy Toy:

Dear Sir or Madam:

It is great pleasure that I write a letter of reference for Mary H. Johnson, M.D. I have had the privilege to work with her both as a colleague, as her physician, and as a Mother of two of her patients. I have known her for over three years.

I find Dr. Johnson to be of the highest moral character, with good physical stamina for her demanding job as a Pediatrician. She is by far one of the best Pediatricians that I have ever seen to deal with the sick neonate. As an Obstetrician, I feel confident in her abilities to care for any baby who needs critical care during the first hours of life. Our practice consulted her frequently and routinely referred patients to her.

It has been a joy to work with her.

Dr. Johnson's decision to relocate is a genuine loss to Asheboro and Randolph County. Her patients and their parents are extremely devoted to her. I, too, have decided to relocate. After December 1, I can be reached at the practice and phone number provided below.

If I can provide any other information, please do not hesitate to let me know. It is without any reservation that I recommend Dr. Mary Johnson to you.

Sincerely,

Nancy Toy, M.D.

Nancy Toy and Laurie Anderson were my dearest friends in Asheboro (well, apart from the YaYa Sisterhood). Nancy was my physician in Asheboro, and actually still is. I see her at least once a year. We catch up on her kids and my adventures. I am glad she found happiness and stability. Asheboro's loss was truly Hickory's gain.

In fact, in 2006, I drove back and forth to Hickory on a very bumpy Interstate 40 (more of an issue on the ride home . . . as a passenger) when I had my hysterectomy.

Nancy was one of the doctors who saw Mike Bridge's "letter of warning". She immediately judged it to be both (1) full of exaggeration and/or just in-your-face lies, AND (2) fundamentally amoral/unethical (in terms of putting me in a box from which no physician with a conscience could practice).

She confronted Bob Morrison about the warning/its conditions (before I was fired) and reported back that Bob was furious I had shared it with her.

It was just another nail in my pre-measured coffin. I was talking out-of-school. I was supposed to stay in the box. Bob ruled.

Of course, Nancy had confronted Bob Morrison before. About a year before everything went to hell, she asked me to go with her as she met with "the King of everything" in his spacious office at Randolph. At the time, Nancy had a lot on her plate . . . including an OB partner who was just out-of-control . . . someone the local good-ole-boys were not reigning in . . . and she was really wrestling with the decision to stay in Asheboro or leave. She wanted to stay. And I wanted her to stay. So I gladly went with her.

The meeting was called to make it clear to Morrison just how conflicted Nancy was . . . and how things at the hospital had to change in order for her to stay. She was pleading for help.

Of course, Morrison said all the right things during the meeting.

Then, like the medically-clueless/over-rated weasel he is, he and his minions (I believe he calls it a "team") proceeded to methodically destroy any reason Nancy had left to remain in Asheboro.

Nancy did not take my termination lying down. She immediately drafted a letter to Morrison, co-signed by Craig Gaccione (we'll get to him in a minute), questioning the wisdom of the decision to fire me.

That letter will probably be worked into this series at another time.

Breton Juberg, her aforementioned senior partner at Central Carolina Women's Center, refused to sign the letter.

You see Breton was pissed-off because shortly prior, in private correspondence, I had challenged his behavior at the hospital . . . way unacceptable/unprofessional conduct for which he was ultimately disciplined by the N.C. Medical Board (see the previously linked consent order on the NCMB's website). As a result of the disciplinary action, he relinquished both his privileges at Randolph and his partnership position at CCWC.

I still have that letter as well. It's probably not appropriate to publish. It was blunt - and personal.

Breton and I were "classmates" of sorts at NCBH (in residency at approximately the same time), and I thought very highly of his clinical skills . . . indeed, he was one of the reasons I decided to chance coming back home. I considered him a friend and an ally. I begged Breton to think about what he was doing and why . . . and the effect it was having on his colleagues (especially the female nurses and doctors he wasn't sleeping with) . . . and the damage it could ultimately do . . . which, of course, it ultimately did do.

As far as I know, no male on the medical staff called Breton on the carpet - at least before the carpet was pulled out from under him. Classic medical GOB wink and nod.

When Breton scoffed at signing Nancy's letter of support, it was like taking a knife in the chest - after all of the times I had come in - without hesitation or question - when he called. I took it as a huge betrayal of our professional and personal relationship, and a massive slap in the face. But at the time, Breton was living in his own little world where he was an "OB god" and the rest of us were dirt. I had crossed him, and I could rot.

Much later, my life still in shambles, and while rebuilding his own in another state, he apologized . . . the only person in Asheboro who behaved badly towards me who ever did. I respect that . . . much more so than the determined silence & apathy of high-minded "honorable" men like Kinlaw, Stout, etc. Breton made a mistake. A big one. He paid the price.

The reformed Dr. Juberg even had the cheek to offer me a job in his new location. I accepted his apology, and passed on the job. I only blog about this now because it's part of the story . . . and public record.

Anyway, when Eblin got Nancy & Craig's letter, he immediately called a meeting of the OB's to smooth their ruffled feathers. He asked the OB's to "trust" his judgement (I wonder how that's worked out for them?).

And that's when the immortal line, "Good Pediatricians are a dime a dozen" was uttered.

Let's be clear where I stand on this: Steven Eblin, Vice President of Randolph Hospital, really is an oily, beyond-clueless, warped piece of work.

Finally, let's move on to Craig Gaccione, who in the years since my departure, has done very well for himself in Asheboro.

Like Mick Irwin, he got to rotate through Randolph Hospital's Chief of Staff job.

Now, when "Dukie" Craig first came to town, he was not as concerned about Pediatric resources as he was about having Anesthesia at his beck and call. It has always amazed me at how some OB's can be so dismissive and unappreciative of the Pediatric part of the equation. Oftentimes, we're treated as if we're there just to dry off the baby.

The baby I intervened to rescue belonged to one of Craig's patients. It was a baby he delivered - the child of a fertility patient. And the baby clearly got very sick, very fast. But Dr. Gaccione did not heed the nurses' rumblings that maybe Mick Irwin (so NOT the "Chief of Neonatology at Randolph Hospital) was not the man to manage the case . . . or their suggestions that maybe he (as OB) needed to consult Dr. Johnson.

If that baby had died, both Craig Gaccione and Mick Irwin would have been in malpractice court. Indeed, if that baby had died after I intervened, we ALL would have been in malpractice court.

But I took the risk anyway.

(And, of course, the North Carolina Medical Board does not really care . . . or do . . . anything about anything unless someone dies. Filing a complaint against Mick Irwin over his management of that baby was tantamount to spitting in the wind . . . because I had rescued his ungrateful butt and the baby survived without permanent sequelae. THE CHILD LIVED SO IT WAS EASIER FOR THE MEDICAL BOARD - AND EVERYONE ELSE - TO LOOK AWAY AND LET DR. JOHNSON'S DREAM DIE. But that's a subject for a future post.)

After Dr. Johnson cleaned up the mess, and the caca flying from the fan inexplicably turned in her direction, all Dr. Craig Gaccione could be troubled to do was sign a letter someone else wrote. Nothing else.

Nothing.

Moreover, not so very long ago . . . after I figured out just how badly I had been swindled by Morrison & Eblin's perjury & fraud (and Schmidly's negligence) . . . while Craig Gaccione was Chief of Staff at Randolph Hospital . . . a real "honorable" . . . I sent him a letter.

I never got a response. Craig could not be bothered.

I do not respect that at all.

For at some point, you need to step up and be a man instead of a mouse. Of course, this is true of a number of the VIP physicians at Randolph Hospital . . . physicians who accepted my help (and got it whenever they asked) . . . physicians who said they were grateful for it . . . but did not offer me any help when I needed it most.

Okay. That's it for today. I have several more letters/exhibits to publish over the weekend, but apart from that, unless something catches my eye, I plan to take a break from active posting until after the holiday . . .

. . . yet another Easter . . . my niece's first . . . in which I cannot be home with my friends and family . . .

. . . because, for eleven years, I've been on the receiving end of a fricking truckload of "unprofessional conduct".

This fire burns deep.

P.S. I quite frankly don't care anymore if any of my former medical "colleagues" are put out because I'm talking openly about all this now.

They've had a long time to step up, denounce (or apologize for) what happened and fix this.

0 comments: