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Bill Cooney
@cooney21
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12. stu |
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Of course, that's not how it should be, but that's the way it is. A major reason why: the state medical boards that regulate physician licensure are entirely reactive and not proactive, and seem far more interested in protecting physicians than in protecting the public. #i2
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Bill Cooney
@cooney21
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12. stu |
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Consider that, 35 years ago, Dr Perwaiz was the subject of this notice: dhp.virginia.gov/Notices/Medici… alleging 17 separate instances in 1982 alone of "poor clinical judgment, unnecessary surgery, lack of documentation, and discrepancies in record keeping." #i2 @ACOG #MedEd #MedTwitter
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Bill Cooney
@cooney21
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12. stu |
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They include 10 hysterectomies allegedly performed "without appropriate medical indications." Given the allegations of "lack of documentation," the record of discipline by the Va. Board of Medicine is ironic, i.e., this sloppy, terse, 4 sentence letter: dhp.virginia.gov/Notices/Medici…
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Bill Cooney
@cooney21
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12. stu |
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Bill Cooney
@cooney21
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12. stu |
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When the state medical board doesn't understand the difference between "censored" and "censured," they are probably better off just writing "The physician's wrist was duly slapped." #i2 @ACOG #MedEd #MedTwitter #ethics #bioethics @ACOGAction #ACOG20 #consent @ACOGevents
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Bill Cooney
@cooney21
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12. stu |
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Dr Perwaiz was also "censored for lack of judgment in regards to a sexual relationship with a patient and that you use more discretion in the future." And of course, by "use more discretion" they didn't mean "don't sleep with your patients" but "don't get caught doing it." #i2
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Bill Cooney
@cooney21
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12. stu |
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Given the supposed concern about Dr Perwaiz' "lack of documentation" and the need for "accurate records," the complete lack of ANY record as to whether Dr Perwaiz was either exonerated or disciplined in respect of the allegedly unnecessary 1982 hysterectomies is alarming. #i2
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Bill Cooney
@cooney21
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12. stu |
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In 1996, Dr Perwaiz pled guilty to 2 felony counts of signing & filing false tax returns. That results in mandatory license revocation, but the medical board almost immediately reinstated it at Dr Perwaiz' request. When he failed to timely complete required community service...
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Bill Cooney
@cooney21
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12. stu |
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...the board simply gave him more time to complete it, rather than force him to face any real consequences. But of course, no one should really be surprised that state medical boards fail to take seriously allegations that MDs perform unnecessary medical procedures. After all...
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Bill Cooney
@cooney21
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12. stu |
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The most common surgery in the US is nontherapeutic infant #circumcision - the only "elective" surgery that the patient never "elects." It's little wonder, then, that the US medical profession treats the informed #consent of patients as if it doesn't matter. And until the public
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