Almost Addicted

The slippery slope of recreational drug use

Help for Doctors With Substance Use Disorders

Doctors who are unsafe to practice medicine ought to be prevented from doing so, but every doctor who seeks evaluation and/or help--whether voluntarily or otherwise--should be treated respectfully and fairly, monitored appropriately, and have legitimate avenues of appealing decisions about their care. Read More

Fraud, abuse, and physician suicide

State PHPs have been taken over by the FSPHP because there was no protection. The current PHP system is undermining what they were originally started for. Irrational and unqualified authority is now at the helm. These are ASAM Physicians and despite all the marketing and deceptive public relations claiming to be experts they have no expertise and this needs to be addressed directly. The only accepted board certification is addiction psychiatry. WE CANNOT LET THE ASAM ACHIEVE ABMS STATUS--it makes a mockery of real medicine. The ASAM is primarily composed of ex addicts and drunks who had their licenses revoked and only got them back because they pleaded with the boards that they have changed and want a second-chance and most of them feigned this phony 12-step facade.

In contrast to these accepted board credentials, ABAM certification requires only a medical degree, a valid license to practice medicine, completion of a residency training in ANY specialty, and one year‘s full time involvement plus 50 additional hours of medical education in the field of alcoholism and other drug dependencies.

Somewhere there may be doctor with no post-graduate training in surgery wielding a scalpel and calling himself an expert surgeon, but it is difficult to imagine that he is a very good one.
When society gives power of diagnosis and treatment to individual within a group schooled in just one uncompromising model of addiction with the majority attributing their very own sobriety to that model, they will exercise that power to diagnose and treat anyone and everyone according to that model. And unfortunately forcing 12-step ideology and using threats, coercion, and control can kill. The rise of the FSPHP to power corresponds to the increase in physician suicide.

We need to get rid of the FSPHP on the State level. N.C. showed abuse can occur but be hidden. Same system in Massachusetts and there is evidence of the abuse including documented conspiracy to commit fraud with third parties. There should b e zero tolerance for forensic fraud and there are documents showing the operational manager of PHS, inc. is engaging in fraud and the groupthink supports it. Need state AUDITOR Suzanne M. Bump to do an investigation. Let's request this. If the MA PHP has nothing to hide then they should not be worried. An ombudsman system needs to be put in place int the interim to listen to valid complaints. Need oversight, regulation, and transparency. Current system has zero of this.

link goes to groups for professionals

The link in my name will take you to a list of groups that specifically help people in different professions. Doctors, psychologist, clergy, even airline pilots, but I have never found any groups for MDs.

I do know that AA some some professional groups too. Intergroups can probably help a doctor find what they need.

If their groups do not work then they really need something that does. Doctors also may not want to go on record at their hospittal with their problem. If they have a malpractice case open and they admit to being a drunk (even if they were sober and in good shape at the time) it could be devastating.

PHS, inc. audit -expose the ASAM/FSPHP/LMD rehab racket

I just signed this petition - will you join me?

Need state audits of these programs state by state. Let's add Massachusetts to N.C. as there is documented abuse, fraud, civil rights violations, Establishment clause violations, forensic fraud ala Annie Dookhan, and more. Need full measure exposure

http://www.avaaz.org/en/petition/Commonwealth_of_Massachusetts_State_Aud...

PHPs, Boards and the security of your career

As concerning as Dr. Boyd's observations here and in his "PHP Ethical Considerations" article are, I believe he underplays the depth, complexity and urgent gravity of the problem. And as you will see below, this is not just about physicians but all professionals including psychotherapists.

PHPs were initially envisioned to be benevolent outreach programs to physicians (by physicians) who are grappling with substance abuse issues. They then were assigned – or began assuming – new content areas, e.g. evaluating complaints of alleged boundary violations and disruptive behavior. They then began marketing themselves as the one stop remedy for all non-medical maladies that physicians might be encountering, even including garden variety depression, and occupational stress and burnout.

While this expansive outreach may appear benevolent on the surface, the reality is that some if not all PHPs are conducting illicit diagnostic "fitness for duty" evaluations often prompted by an anonymous complaint to the corresponding medical board, the content of which PHP refuses to share with the subject physician. Upon a board order to appear for such a PHP examination, one is subjected to an order for a monitored urine specimen for unclear purpose and with no justifying protocol. The physician is refused feedback about the diagnostic conclusions of the evaluation, refused access to a report of the evaluation and refused access to the laboratory examination results, and even the nature of the tests conducted. Worse, when demanding a copy of one's evaluation record, the physician is told that what was conducted was not really a diagnostic evaluation (despite the evaluation being explicitly ordered as such by the medical board) but was "peer review." However, this is no "peer review" that follows any known and established protocol as defined by federal law, e.g. HCQIA (USC 42-11101 et seq.). in fact, it is not "peer review" at all but more like a rigged assessment conducted by a single PHP employee (sometimes not even an MD) without any legitimate authorization and done in the name of an organization (a "Physicians Health Program") which itself is conducting such professional services under the false rubric of being a non-profit "charitable organization" which receives contributions that are tax deductible to the donor and tax exempt to the receiving organization (i.e. a "501(c)(3)").

This is particularly problematic because a) being organized as such a "public charity" corporate entity, PHPs are eligible to receive contributions from the very programs to which they refer for "independent evaluation" and ""specialized treatment for professionals." (The institutions to which they refer happen, ironically, to be members of FSPHP. Any chance there might be a conflict of interest there?)

And b) as such a "public charity," they maintain no malpractice insurance. None. In fact, they use this very circular argument to deny that they conduct diagnostic evaluations at all. "We're a nonprofit public charity, therefore, we can't possibly have conducted a diagnostic evaluation and treatment referral; therefore, there's no ' patient record' and there can't be any malpractice."

Even more concerning, the medical boards with which they are allied ("joined at the hip" might be more accurate) and with whom they enjoy "sovereign immunity" adamantly refuse to investigate the illegality of such professional healthcare services being delivered under such a false corporate identity. This is certainly most curious, given that most if not all states' Medical Practice Acts indicate that it is a felony to practice medicine – whether individually or as a group – without an appropriate license.

In North Carolina, the state auditor was compelled to undertake a comprehensive performance audit of the NCPHP after receiving multiple physician complaints about markedly abnormal and unfair procedures conducted there. What the auditor found was shocking – over the course of the last 10 years, NCPHP (by its own reporting) has evaluated 1140 physicians. (Other sources indicate that that figure is more likely twice that.) (see: http://www.ncauditor.net/EPSWeb/Reports/Performance/PER-2013-8141.pdf)

In "auditor language," there have been no internal or external controls to ensure provision of due process and prevention of conflicts of interest and severe damage to one's reputation and career. It found that neither the NC Medical Board nor the NC Medical Society which were explicitly charged with oversight of this agency had exercised any such oversight. In normal language, what this means is that NCPHP has likely violated the due process rights of at least 1140 physicians over the study period of the last 10 years and has exercised exclusive and concealed evaluation and referral patterns which have not only contained severe conflicts of interest, these conflicts of interest referrals to NCPHP's "preferred institutions" have resulted in confirmatory diagnoses (of PHP's initial hypothesized diagnosis contained within its sham "peer review") which are inherently biased and which have cost physicians an average of $50,000 per unjustified referral for evaluation and extended treatment. This dollar figure does not even begin to estimate the total financial damage and harm to physicians subjected to this abuse. Consider for example what three months of lost income means. (Not the focus here, but consider the detrimental impact to patient care from such unwarranted interruption of one's practice.) The legal costs of trying to defend against the false allegation are exorbitant, if not bankrupting. The reputational damage is extensive and irreversible. The psychological damage is profound and immeasurable.

Imagine for a moment what it would be like to have no patient or colleague complaint or concern (or reason for such) and suddenly be falsely accused via an "anonymous concern" of having manifestations of some psychiatric malady or addictive disorder and, despite explicit evidence provided by contemporaneous evaluation by independent experts to the contrary, to be utterly powerless to challenge the infallibility of a PHP diagnostic pronouncement, given the Board's imprimatur, yet masquerading itself as a "peer review."

You should find it as alarming as we did upon learning, per the chairman of NCPHP's board, that he was told by one or more NCMB personnel that NCPHP needed to diagnose more physicians. This was told to four senior psychiatrists who were meeting with the chair and vice-chair of NCPHP to apprise them of their grave concerns about NCPHP's reckless behavior.

I believe the abuses manifested here in North Carolina by this Physician's Health Program are of profound severity and are a replica of the Soviet-style abuse of psychiatry we were aghast at learning about during the Cold War.

Lest nonphysicians think that they are safe from this twin-headed Gestapo cabal, PHPs have their eyes on promoting their remarkably effective "rehabilitative methodology" to a wide swath of other professionals. In North Carolina, NCPHP already exercises its virtual police powers over physicians, physician assistants and veterinarians. It uses various trumped-up FSPHP and ASAM authored studies to justify its extraordinary measures of evaluation (such as using out-of-state programs featuring polygraph experts), non-validated laboratory testing (e.g. PEth et al.) and thoroughly medically unjustified lengths of stay (three months!) exclusively at programs on NCPHP's concealed referral list which it adamantly refuses to divulge (which accept "cash only") and punitive monitoring periods (five years! with extra time added if you balk … and you get the label "non-compliant" and "disruptive").

Clearly, with vested interests and potentially lucrative returns (and, of course, targeted physicians pummeled into brokenness and submissive silence), it will be a breeze to outcompete other professional health services programs presently operating outside of the FSPHP web. You can be assured that psychologists, psychotherapists, dentists, nurses, chiropractors, pharmacists, lawyers, teachers, pilots and all other manner of professionals will soon come under their jurisdiction.

Please understand – the above are just my opinions, based exclusively on my personal experience and my intensive study of this organization over the preceding three years. But, I can tell you from speaking extensively with over 20 other physicians here and around the country, this is a very dangerous movement that does not have physician (or any professional) well-being as its core value. (Well, excepting those carefully selected approved "preferred" providers.) As a result of my experience, and already having been coaching physicians on stress, burnout and career redesign, I began coaching other physicians (and their counsel) on the nuanced complexities of effectively and definitively responding to their Board and PHP directives so as to preserve their livelihoods – and their sanity. (Without a well-thought-out approach and fully knowledgeable and assertive counsel, you should plan on walking away $100,000 lighter, at that still with the likelihood of hanging your license up for good, or being held in PHP's "non-advocacy" limbo indefinitely.)

I personally believe that as we investigate this malignant and unchecked movement further, we will see the catastrophic stress impact this joint Medical Board – PHP enterprise has had on physicians subjected to their cruel and illegal harassment. I fully anticipate that we will learn of physician suicides which have been directly related to the inordinate stress of this clearly out-of-control regulatory apparatus. I believe that it is not only in the interest of but the moral duty of every physician to take an active role in examining this movement and seeking to initiate an independent audit by their state auditor of their Physicians Health Program, specifically to evaluate their program's adherence to due process, evaluative independence, internal and external oversight and absence of conflict of interest.

Help Needed for Timid Monitors of the Physician Substance Abuse Program

"Help for Doctors with Substance Abuse Disorders" is a misleading title for this informative article. It seems to imply that all doctors inducted into the PHP program for rehabilitation have substance abuse disorders or near disorders -- only they may not be treated with sufficient respect, or their needs may exploited.

Unfortunately, as many examples attest, doctors with no substance abuse problems whatever have been funneled into this system by parties with ulterior motives. The PHP program is easily turned to the purpose of threatening, discrediting, or disabling whistle blowers and moral dissidents in the medical profession. Especially in this era of economic pressures on physicians to withhold serious diagnoses and timely treatment from combat veterans, the malfunctions of the PHP program can be criminal.

The PHP program needs savvy, independent, courageous monitors with deep and unannounced access.

Massachusetts Irony

It is interesting that Massachusetts, the "medical hub" of the US, has one of the worst PHPs in the Country. It is common knowledge among those in the know at the major hospitals (BI, Brigham, MGH, etc.) NOT to refer doctors with substance abuse problems. If a doctor presents to the department of psychiatry or employee health (providing no issues with patient care, the law, or public safety) they will be told to take a leave of absence and be treated at a facility outside the reach of the PHPs and then be monitored "under the table." Those in the know realize that referring a doctor to PHS is like throwing them to the wolves as it is top-down corruption from the program manager who manages incompetents. Like many in the FSPHP the MRO for PHS is an ex-drunk with a history of major malpractice--a bottom of the barrel doctor who had no power prior to going through the program himself who now is able to wield his power in the program over doctors of real accomplishment and scholarship. It is a joke putting people like this in power. A real joke.

Greg Skipper-Hall of Shame

Greg Skipper, M.D. introduced the Etg, EtS, PEth and other tests as LDTs with no evidence base to support it. He then had the labs promote and advertise these tests as highly accurate in specificity and sensitivity to convince regulatory boards to use them for testing on physicians in the State PHPs. So he introduced it to the labs then licensed it back to his group nationally. Unfortunately the kickback schemes in drug testing are pretty easy and that is what is happening.

Countless people lost nursing and medical licenses, lost custody of children, went back to jail, were deported and so forth. God knows how many committed suicide. And the tests are easily manipulated to create positives and that is what they are doing across the country to doctors and nurses.

The only populations these tests are being used in are where the test orderer has complete power and the test taker has none.

In reality the drug testing market is wide open for corruption and kickbacks. He introduced these to the labs and they are committing fraud.

Since Skipper pitched the LDTs to the labs and they are making money hand over fist and throw the human cost to the curb they are willing to falsify and fabricate tests.

But in Massachusetts it has been revealed they are sending specimens as clinical to bypass forensic protocol and they just got caught.

How ya gonna explain away that one Wayne Gavryck--should have promptly admitted your wrongs and made amends cuz I think you might have to explain clinical lab fraud./

I am now succumbing to the

I am now succumbing to the power and fear that the PHP has over physicians. I am not even board certified yet. I have finished my internship and moved to PA to finish my second and third year of a FM residency. I actually planned on coming here much sooner for residency but they wanted legal documents regarding a felony for falsifying a police report. Long story short I was a victim of an armed robbery and shot. The detective on my case had a personality conflict with me and found anything he could charge me with so he found discrepancies in my story. Granted I was interviewed in the ER after being shot with pain medications on board. No telling what I said. After much legal advice, it was decided to wait until the charge had been expunged in order to proceed. After the expungement, I reapplied checking NO to the box that states have I ever been convicted, etc of a crime. They worked off of my old application. I had already committed to a program so I sent them the letter stating that the charge had been expunged. On that letter it stated that I was originally charged with possession of a handgun while under the influence which was dropped in court secondary to lack of evidence. They now have made me go and have an evaluation for substance abuse. I have now had 2 urine tests that were negative but they decided to do a Peth test which I am sure will be positive because of the literature I have read. Just 7 ETOH drinks in one week will create a positive result. I am now in limbo awaiting my fate from this evaluation. Has anyone had any success stories fighting these giants or will I just have to kneel and take the lashes?

Greg Skipper-the Modern Day Witch Pricker

We can thank Greg Skipper for the PEth. With no formal training in toxicology or research pharmacology Dr. Skipper, an ex-felon who had his license taken away in Oregon twice!, introduced the EtG test as a sensitive and specific marker for the detection of alcohol use.

He did this by taking advantage of a loophole. Up until this time all forensic testing went through the FDA approval process and was regulated by the FDA. Skipper bypassed the FDA by introducing it as a Laboratory Developed test or LDT. LDT's are not held to the same standards as Federal Drug Testing rules (SAMHSA) and the approval process does not even require in vivo testing for it to be approved. It is an "honor system" where you have to show that some sort of internal standards are being followed but in reality to get an LDT approved you do not even have to show that the test is detecting what you are saying it is!

With weak science and absolutely no evidence base Skipper and Fred Wurst (who holds the patent) chose an arbitrary cutoff level of 100, introduced it to NMS labs as an LDT, promoted, and commercialized the test. Unbeknownst to physicians in PHP’s they used the test on them in violation of the Nuremberg Code of Ethics, and published favorable studies to promote its use.

They have collaborated with U.S. Drug testing companies including Quest and NMS to promote junk science all based on non-blinded, non-controlled, small number studies under the veil of "research"

Quest Diagnostics advertised “EtG is not detectable in urine unless an alcoholic beverage has been consumed.”

The study most often cited as proof that there is 100% accuracy in EtG testing proving alcohol consumption involved a mere 35 forensic psychiatric patients in Germany. Another article summarizing the pre-marketing testing and studies done on EtG leads to one conclusion: If you consume alcohol, you will test positive for EtG. We know nothing about EtG when there is no alcohol consumption. Dr. Greg Skipper, who brought the test to the U.S. for commercialization, conducted his own study, testing the validity of EtG in determining alcohol relapse in his own program participants. While the results appear valid, the study involved a total of 12 subjects, all of whom were male. Interestingly, the vast majority of claimed false positive EtG's is comprised of women.

EtG testing is currently in widespread use in monitoring healthcare professionals in diversion programs. Participants with a history of alcohol and substance abuse are allowed to utilize their license while under strict monitoring provisions, including a "zero tolerance" alcohol abstinence policy.

They have now introduced the PEth test in the same manner.
If you look at the literature base the evidence is absent.
Dr. Skipper notes no conflicts-of-interest but his ties to the drug testing industry are clear.
Below is a quote from Soberlink website. Imagine if this was a statin and the JAMA article was about cholesterol. Yet he declares no COI.
He has also made a cottage industry of testifying for both sides as an expert witness on Etg testing (Although he will not if the test was done by PHS).
Rest assured EtG, PEth, and the Soberlink device will be part of any random drug testing program for physicians.

" SOBERLINK appears to be the most user-friendly, sensitive and specific way to monitor alcohol abstinence. My prediction is that SOBERLINK will soon replace all other forms of alcohol monitoring. "

The June 2013 journal “Alcoholism: Clinical and Experimental Research” contains an article coauthored by Skipper and DuPont , Greg Skipper and Robert Dupont looking at 18 “subjects” who tested positive for EtG and concluded that “positive PEth testing following positive EtG/EtS results confirm recent drinking.” Although they were unaware of it, these “subjects” were physicians enrolled in the Physician Health Program.

- Dr. Gregory Skipper, Director of Professionals Health Services at Promises Treatment Centers
The absence of critical review in the medical literature of the junk science and flawed studies is concerning. Why no Cochrane review or other evidence-based criticism of the Physician Health Program study. This is what is most worrisome--

PHPS FSPHP Corruption

If you are in Pennsylvania you are in better shape than many. Although most states are under the FSPHP they are varied in terms of how deeply infiltrated they are by the groupthink, corruption, and indoctrination the FSPHP imposes.

Remember the FSPHP physicians are just ASAM (not recognized by ABMS) physicians and the majority of these physicians are "board certified" by the ABAM. It is a phony specialty and ABAM certification amounts to little more than a "diploma mill." A rule of thumb is that the percentage of of ASAM/FSPHP physicians/sympathizers/apologists within a PHP is inversely proportional to quality of care and ethics. The PA PHP is a mixed bag so you do have a chance if you can get one of the non-FSPHP members to hear you you may be able to have an evaluation at a non "PHP-approved" facility and get a fair shake. How the scam works is that all of the "PHP-approved" facilities have "like-minded docs" as medical directors. They can all be seen on the list at "Like-minded docs.com." If they try to send you to a facility with a name on this list you will automatically be admitted for 3 months or more followed by a five year monitoring contract with the state PHP. It is rehab fraud. It is systemic corruption.

But in PA you still have a chance. In places like Massachusetts, Florida, Arkansas, North Carolina and Alabama where the FSPHP has completely taken over there is no chance for a physician. It is basically state sanctioned organized crime. And it is killing doctors. The Board and the Medical Societies have no oversight. There is no regulation, no audits, no transparency. They can do whatever they want to you while those who should be concerned look the other way. Take a look at the North Carolina Audit. That was all swept under the table. The FSPHP represents the 12-step assessment and treatment centers and the drug and alcohol testing industry. They are a front group plain and simple. Tea bagger based medicine in 2014.

Thank you so much for the

Thank you so much for the response. Besides reading online I have been in the dark about this situation. After looking at the likemindeddocs.com my evaluator was on there so in other words I am screwed. They were very nice and said they wanted this behind me but I feel after the get the results from this PeTH test that will quickly change. And I am only here for 2 years so how would I be in a 5 year program? I do not care to stay and practice here in PA. Should I get legal representation? I do not have an ETOH problem. First of all my charge was dropped in court and now is expunged so I do not see how this is happening. I am so worried. I have no ideal what to do or who to turn to. I am actually re-evaluating my career in medicine. I cant afford the treatment for one but if I quit then how do I manage my loans and this will go into the NPB, according the State Board. I mean it was 1500 dollars just to see these guys. 4 percent of my salary!

Thank you so much for the

Thank you so much for the response. Besides reading online I have been in the dark about this situation. After looking at the likemindeddocs.com my evaluator was on there so in other words I am screwed. They were very nice and said they wanted this behind me but I feel after the get the results from this PeTH test that will quickly change. And I am only here for 2 years so how would I be in a 5 year program? I do not care to stay and practice here in PA. Should I get legal representation? I do not have an ETOH problem. First of all my charge was dropped in court and now is expunged so I do not see how this is happening. I am so worried. I have no ideal what to do or who to turn to. I am actually re-evaluating my career in medicine. I cant afford the treatment for one but if I quit then how do I manage my loans and this will go into the NPB, according the State Board. I mean it was 1500 dollars just to see these guys. 4 percent of my salary!

Attorneys and the PHPs

The PHPs are wolves in sheep's clothing pretending to be your best friend. Part of the fraud involves giving physicians a list of 3 or 4 attorneys who will help you "navigate" your case with the board. Like the "PHP-approved" facilities it is all a shell game. See

http://disruptedphysician.com/2014/03/16/three-shells-and-a-pea-asam-fsp...

These attorneys rely on referrals from the PHP and many of them are also "like-minded" in recovery. They are working for two masters and will only work within the framework imposed by the PHP. They will badger you to comply with any and all of the PHP requirements including 12-step attendance and payment of your lab fees but they will not even address the "PHP-approved" facilities fabrication of tests to show denial and cognitive impairment or the laboratory fraud going on between the PHPs and the commercial labs (although the PHPs are monitoring agencies doing "forensic" testing the labs are willing to analyze them as "clinical" samples to bypass chain-of-custody requirements. If a PHP wants to nail someone with a positive test they simple let an EtG sit for a couple days or draw a PEth in a red top tube using an alcohol wipe and throw it in the corner for a week. Presto-instant positive and there ain't nothing you can do about it. These attorneys will not even contact the labs to get your results for you let alone help defend you. In fact there is a real need for attorney's to enter this area as it has been monopolized by the shell game players. Trouble is the PHP scam involves criminal/civil rights/administrative/and civil law so the majority of attorneys don't know how to handle these cases. Law students need to realize there is an entire new niche.

Who is the LMD on the list. You can just send his initials if you want.

Also check out ElizaBlackwell on FB and @wmullaney on twitter

So I have my lawyer back home

So I have my lawyer back home I am working with but he isnt much help here you know? I did contact 2 lawyers here before hand but I thought I could handle the evaluation on my own. Dumb mistake but I dont know who to trust now. The LMD was JG. I think I made things worse too. After the evaluation I went home and read all about the PeTH test. From what I read I figured I was screwed so I wrote his associate BH an email stating that 2 weekends ago I went to Pittsburgh for an engagement party and had more than a couple of drinks. I read that binging could spike the PeTH. I would not consider my drinking a binge but it was more than normal. I wanted to be honest to help my situation but now I feel it was made worse. Have you heard of success stories with lawyers?

Greg Skipper-the Modern Day

Greg Skipper-the Modern Day Witch Pricker. I cannot believe the injustice that is happening to physicians. I have spent countless hours trying to find evidence based literature showing the results of these tests with not much luck. This is a huge problem and where is our voice!

I dont know if my last

I dont know if my last comment posted or not. I am on an ancient computer right now. The LMD was JG. I checked out both Elizablackwell and @mullaney on twitter. Now I dont know who to trust. I trust my lawyer back home but he cannot do so much up here ya know?

typo

Sorry it is @warrenmullaney1 and not the other. Let me check out what I know on JG. There are a few problems here 1: the FSPHP is unregulated, unaudited, accountable to no one. i.e. absolute power. 2: the medical establishment is blinkered for a confluence of reasons ( fear, ignorance, priorities, "those hippies deserve it." 3: politics, the "drug war," being on the right side of political correctness. 4: the barriers the ASAM and FSPHP have put in place as far as regulatory, legal, and administrative self serving machinations 5: the fact that "regulatory agencies" are not typically staffed by the critical thinkers and open minded majority of doctors but usually by the blinkered and sanctimonious with an ax to grind. To combat the FSPHP it has to be at a state level.

The whole premise of the FSPHP is this. Once you sign on the dotted line it is to do anything and everything we say or you are done. Period. We will financially, reputationally, professionally ruin you unless you do everything and anything we say including telling anybody what sociopathic pricks we are. Outward appearance of benevolence. Shut up the inmates. Widen the net. They use AA as a psychological social tool to suppress dissent. "you are all helpless addicts in denial" witchpricker inquisitioners.

And like the Inquisition they rely on secrecy and silence. The only way to fight them is through exposure. Who they are. The B.S. of their research. All of it.

Full measure as Mike would say in "Breaking Bad." And that is what we need to do!

J.G.

J.G.'s history can be seen here.

http://psychsearch.net/psychs/pa/02-53-03609.pdf

Like most of the "like-minded docs" he had his license revoked and then reinvented himself as an addiction medicine physician. "clean slate." Most of these guys probably thought "whey the Hell didn't I think of this before. Perfect milieu for sociopaths. Neither you nor I would ever dream of replacing a cancer patients morphine drip I.V. with saline. It is against our constitution as physician healers. J.G. like many of the LMD did just that. Sociopathic? yes.

By using the "salvation" card they convinced their state medical boards that it would be a win-win situation. "I was helpless to alcohol and drugs." "i've found my way." B.S.

Just as 1% of the population are psychopaths yet they represent 15-20% of prisoners the FSPHP/LMD over-represents those without conscience. Better to rule in hell then serve in heaven like what do you think is the final common pathway for sociopaths in medicine. Well I'll tell you-it it is the FSPHP/LMD vat. Sociopaths exist in every profession. In the medical profession those who have gotten by on their dissembling charm and wit get ensnared the same way J.G. did. They are risk takers who get away with what they can but once they gain access to drugs as we do as doctors the risk increases, they get caught, and they are then given a choice of PHP or loss of licensure. As manipulators in any given situation these drek have taken over by pretending to be ardent 12-step zealots. It is all a front. Some of them may be but for most it is just a facade. Boondoggled the board. Know what the first order of business was for the FSPHP? They voted not to test themselves any longer. Party on!

Petition

Oh, please sign the petition and you should start your own in PA. It is easy. These guys histories have been "off limits." It just so happens that J.G. withdrew morphine from other patients I.V. bags (i.e that is all that is documented, i.e what he got caught with) and abuse opiates for a year while practicing medicine (tip of the iceberg i am sure) yet he claims the one he finally got nabbed with was being used to commit suicide. Poor me. I was helpless. B.S. It was another "fix" and that's it. He just got caught and played the sympathy card. Harsh? maybe. But the only way to stop this runaway train is by exposing the individuals within. So far it has been off limits. "just benevolent doctors protecting the public and helping colleagues." B.S. The average medical director salary of an LMD is 600K. And that's not including the kickbacks from the drug testing companies and referrals!

Re: Petition

I agree completely with WM. We need to become vocal as a group. Stand up for what is right!!

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Wes Boyd is on faculty at Harvard Medical School and is an Attending Psychiatrist at Cambridge Health Alliance and Children’s Hospital Boston.

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