In every house where I come I will enter only for the good of my
patients, keeping myself far from all intentional ill-doing . . . .
If I keep this oath faithfully, may I enjoy my life and practice my art,
respected by all men and in all times; .......
but if I swerve from it or violate it, may the reverse be my lot.
The Hearing Committee in this case found that the Petitioner had met its burden of proof in establishing that the Respondent had been convicted in Superior Court for second degree murder (nine counts), aiding and abetting the unlicensed practice of medicine (five counts), conspiring to practice medicine without a license (one count), preparing fraudulent insurance claims (nineteen counts), presenting fraudulent insurance claims (ten counts), preparing fraudulent documents (seven counts), grand theft (two counts), and perjury (two counts), murder (8 counts), Grand Theft, Perjury, Conspiracy and Fraud (2 counts)
The Hearing Committee revoked the ob/gyn’s license to practice medicine, noting his many convictions, including second-degree murder; aiding and abetting the unlicensed practice of medicine; conspiring to practice medicine without a license; preparing fraudulent insurance claims; presenting fraudulent insurance claims, grand theft and perjury, and responsibilities to a person not qualified by training, experience or license.
The Hearing Committee determined that the Respondent’s mishandling of his medical cases fraudulently practicing with gross negligence and negligence on more than one occasion, being convicted of a crime in another jurisdiction, aiding unlicensed practice, failing to comply with state laws governing medicine, immoral practices alleged that the Respondent’s conduct repeatedly and improperly failed to manage his cases.
The Hearing Committee also concluded that the Respondent’s conduct constituted professional misconduct.
The Hearing Committee sustained the Specifications from peers about inadequacies in his practice; omitting or misrepresenting material information about his professional standing,sophistication of his practice and patient options; and, disregarding repeatedly warnings discussion indicated that the Respondent had maliciously caused the deaths of nine infants he had delivered by: ignoring obvious basic indicia of high risk pregnancies and failing to monitor the risks properly;
The Department of Health revoked the ob/gyn’s license to practice medicine, noting his many convictions, including second-degree murder; aiding and abetting the unlicensed practice of medicine; conspiring to practice medicine without a license; preparing fraudulent insurance claims; presenting fraudulent insurance claims, grand theft and perjury.
References: Associated Press, August 9, 1995; HLI Newswire, August 11, 1995; State of New York Department of Health. "Monthly Report on Professional Misconduct and Physician Discipline," April and May 1996.
The medical practices (atrocities) of one Dr. Milos Klavana of Valencia CA, bear an erie resemblance to the infamous Dr. Daniel Kruschinski of Germany!
Both were born in a country plagued with atrocities against it's people, and into families steeped with dysfunction. Both secured their medical licences as Ob/Gyn's but shrouded with disciplinary actions and questionable means. Both practiced medicine in countries other then their own, both were thrown out of facility after facility, yet were able to re-invent themselves over and over again using false documentation. Both created false documentation for other persons they chose to "assist" them in their immoral practices, a way to keep these assistants under their control! Both set up "PRIVATE PRACTICES" advertising themselves as "specialists" with a long history of experience and good standing! Both would be virtually unmonitored for years as they abused, maimed and in one of the cases, killed their patients! Both Dr.'s would be shown to possess the ability to see their patients as something other then "people!" Both were 100% self serving as they pursued their medical careers without compassion, concern or interest in the needs of their patients. Both did not see that their immoral, unethical and illegal actions were wrong!
Two major differences in these two cases is that:
1.) One Dr. "killed innocent babies" he delivered, and in doing this he inflicted the families of these infants with emotional damages they would never heal from. He claimed did these things because no one told him not to do them!
2.) The other Dr. would "maim and experiment" on his patients, claiming his behaviors were the result of his upbringing under a father who was in "Auschwitz Concentration Camps in Poland during WWII," which is true, however, another truth is that the father was NOT a prisoner in that camp!!
In IHRT's opinion, the difference of "murder verses maiming" is but a small one being that Dr. Kruschinski inflicted many of his patients with lifelong, non-reversible physical injuries that will impact their lives with pain and suffering forever!
In IHRT's opinion, these patients would agree that ~~~
"Some things are worse then death!"
For you patients to the fictitious "Institute of Endogyn" if you received any improvements there, you were just plain LUCKY! IHRT says that you should NOT go out and buy a lottery ticket, ever, as your luck was used up when you went under Danile Kruschinski's scalpel!
*** If you think that the information and material exposed in IHRT is fictitious, you are wrong!
*** If you think ithese things have never happened before Endogyn, your wrong!
*** If you think these types of atrocities cannot happen again with the medical community of progressive countries, your wrong!
READ ON IF YOU DARE!
On December 18, 1989, Milos Klvana was convicted on nine counts of second degree murder. Klvana obtained his medical degree in 1967 in Czechoslovakia. After failing, due to poor performance, to complete a residency in obstetrics and gynecology in New York, and after being forced to resign a residency in anesthesiology at Loma Linda University upon the discovery that he was responsible for a patent's death, Klvana embarked on a private practice in the Los Angeles area.
While on probationary status with the California Medical Board for misdemeanor convictions of 26 counts of prescribing controlled substances without a good faith examination, Klvana applied for staff privileges at various hospitals, often failing to disclose his probationary status and misrepresenting himself as “board eligible” in obstetrics and gynecology. Dr. Klavana even forged documents in an attempt to show that his "assistance" was a practicing nurse, and on more then one occasion, she was listed as his "assistant" surgeon! Delores Doyle, the "assistant" to Klavana was neither, never having had any type of medical training prior to meeting Klavana.
During his six-month trial, experts revealed the way Klvana's conduct fell egregiously below the standard of care. This testimony included his failure to monitor the conditions of the mothers during delivery, his disregard of signs of infant stress, including the presence of meconium, his absence during delivery, and his disregard of infants' exhibitions of obvious danger signs, including difficulty breathing, as well as his failure to perform high-risk deliveries in the hospital.
Through the lens of Dr. Klvana's conviction, it becomes easier to distinguish his level of culpability from the culpability of a nurse who failed to notify a physician with a change in a patient's condition in a timely manner, or a physician who confused sepsis with dehydration in an eleven month old child.
Nine babies died before this doctor was stopped. (Milos Klvana) http://www.accessmylibrary.com/coms2/summary_0286-30996432_ITM
Medical Economics Oct 1 , 1990
**Nine babies died before this doctor was stopped!
Though his gross incompetence was obvious, even in residency. In one of the worst-ever failures of self-policing in California, this Dr. managed to keep practicing.
California's medical-licensing board, once feared and criticized by doctors as a harsh and overzealous disciplinarian, has been under fire for a very different reason since last December. That's when Valencia GP Milos Klvana was convicted on nine counts of murder in the deaths of newborn infants delivered under his care. The board (then known as BMQA, for Board of Medical Quality Assurance) already had Klvana under scrutiny for prescribing violations when the first infant died, in 1982. And although at least two more of the deaths were brought to its attention, BMQA took no action. Instead, it shortened his probation on the prescription charges by more than a year.
To the board's critics, the bungling of the Klvana case proves that self-policing doesn't work. Even Klvana himself, upon being sentenced to 53 years in prison, said BMQA should share the blame: "They never told me, `Hey, Dr. Klvana, you are a killer. Stop practicing.'" The California legislature recently enacted tougher disciplinary laws, but skeptics inside and outside medicine wonder whether that will close the loopholes Klvana slipped through. Here's a look at what went wrong:
**A long history of incompetence according to prosecutors and his own attorneys:
Questions about Klvana's suitability for a medical career arose early and often.
After getting a medical degree in his native Czechoslovakia, Klvana interned in Norfolk, Va., then entered an OB/GYN residency in New York City. There, however, attendants became increasingly concerned about the quality of his care, noting, among other problems, a tendency to induce labor without first checking a mother's pelvic adequacy. In May 1975, after a poor performance on his third-year residency exam, Klvana was denied the post of chief resident for the following year. That fall, he decided to switch specialties, and applied for an anesthesiology residency in California. By way of credentials, he presented two letters of recommendation from friends in the New York OB/GYN program. Apparently that was enough for hospital officials, who didn't look into his medical background any further.
** Klvana's performance problems followed him across the country, and across specialty lines.
During his first year in the new training program, a young woman undergoing tendon repair died after suffering an adverse reaction and slipping into cardiac arrest--unnoticed by Klvana, who was supposed to be monitoring her condition. At the end of the year, Klvana's supervisors rated him "exceptional," meaning “exceptionally bad."
Klavana was rated as close to zero as you could possibly get," says Brian R. Kelberg, the Los Angeles County deputy district attorney who prosecuted Klvana in the murder cases.
Klvana resigned from the program and set up practice in Valencia as a GP.
**A prescribing conviction leads to probation;
Several hospitals soon granted him privileges. But one, perhaps the only facility that bothered to contact officials in the anesthesiology program, turned him down.
(IHRT comment: Not unlike the "wise " Rothmuster in Passau!)
Klvana apparently practiced without incident until 1978, when he had his first run-in with the law, and, subsequently, with BMQA. Snared in an undercover sting in which he provided drugs to detectives without requiring even a cursory medical exam, Klvana pleaded guilty to 26 counts of improper prescribing.
His case was referred to the state board, which placed him on five years probation, limited his prescribing privileges, and required him to meet regularly with a physician consultant to the board. In 1980, Klvana asked the consultant whether resigning from a hospital staff prior to being formally disciplined could prevent a report to BMQA.
**It wasn't an idle question:
A southern California hospital had told Klvana it planned to review his privileges. Under California law, any adverse decision stemming from hospital peer review must be reported to the board. The consultant informed Klvana that hospitals are also required to report forced resignations.
In practice, however, many such cases go unreported, and Klvana latter attempted to hush up pending disciplinary actions at several different hospitals by quitting the staffs. But he didn't resign from this hospital, which ultimately revoked his privileges and filed a report with BMQA. Meanwhile, Klvana complained to the BMQA consultant that the terms of his probation were forcing him to do out-of-hospital deliveries. These births took place in his own offices, which he advertised as "birthing centers," although they lacked such basic equipment as a fetal monitor or an infusion pump.
**In 1981, Klvana formally petitioned BMQA to ease the restrictions on his license:
His application was accompanied by two letters of recommendation containing virtually identical statements and marked by his own peculiar phraseology and errors of syntax.
"They appeared to have been written by Klvana himself," district attorney Kelberg says, "using the same defective typewriter he used to prepare his BMQA petitions." But after contacting the doctors who'd signed the letters, BMQA granted Klvana's request, restoring some of his prescribing privileges. A short time later, Klvana asked the board to lift its sanctions altogether. His success with BMQA notwithstanding, Klvana found his practice increasingly restricted. Shortly after his probation was eased, a second hospital suspended his privileges. A third, which had granted him a temporary place on its medical staff, moved to dump him when it discovered that he was on BMQA probation--a fact he'd failed to mention on his application.
**Klvana threatened to appeal, but instead struck a deal in which the hospital let him resign and agreed not to report the incident to the medical board. Despite two infant deaths, an early end to sanctions.
In late 1982, with his petition for an early end to his BMQA probation pending, Klvana presided over the birth--and death--of a baby in Simi Valley, northwest of Los Angeles. With the mother in the early stages of labor, Klvana sent an unlicensed midwife to her home on Nov. 9. The midwife informed Klvana that there was meconium in the fluid. Nonetheless, Klvana told the mother that she could rest at home while her labor progressed, or she could come to his office. She chose to stay home.
The following day, the midwife arrived just as delivery was occurring. Finding the newborn in severe respiratory distress, she called Klvana, who arranged for the father to pick up an oxygen tank from a chiropractor. The tank turned out to be empty, though, and the midwife called another doctor, holding the baby up to the phone so he could hear the infant's labored breathing. The alarmed FP promised to get the baby into a neonatal ICU, but before he could, the child stopped breathing. According to Kelberg, medical experts later testified that the infant died of RH incompatibility, a complication that Klvana should have discovered and addressed before delivery.
The parents, who later had a second baby die under Klvana's care, didn't blame him for what happened. "In fact, they were incensed that I prosecuted him, and they even wrote to the judge accusing me of harassing him and them," Kelberg recalls.
( IHRT comment: This is the very same behavior that, in IHRT's opinion, is seen in Karen Stewart, Helen Dynda and a handfull of other Kruschinski "sympathizers." People who simply want to believe what is not true, but rather choose to look the other way when dangerious behaviors coming from very dangerious behaviors are exhibited by the peorson who showered them with much craved attention! This "manipulation" of persons with emotional dysfunctions is part of these Dr.'s profile!)
**The parents' support for Klvana helped keep word of this first death from reaching BMQA until much later.
But the board quickly discovered other incidents, including one in which a baby died after being delivered in Klvana's office on Dec. 24, 1982. This time, Klvana had induced labor, with the father holding the Pitocin bag. (The office lacked an I.V. pole.) The mother had such fierce contractions that oxygen to the baby was apparently cut off. Still, she delivered vaginally, and Klvana sent her home with the infant. The following day, when the baby appeared to be having seizures, the mother tried repeatedly to contact Klvana. According to Kelberg, Klvana finally called back late in the day and advised her to give the baby sugar water. "He specifically told her not to take the baby to a hospital because they'd just do the same thing, and charge a lot of money for it," Kelberg says.
The parents, seeing the infant worsen despite their efforts, called paramedics. The baby was pronounced dead at a nearby hospital.
**A couple of weeks earlier, Klvana had botched another delivery that, though not fatal, did result in Erb's palsy.
This delivery occurred in a hospital, and officials there reported the incident to BMQA. They accused Klvana of failing to seek adequate neonatal and obstetrical backup despite knowing the child was in a breech position. "Incredibly, though reports on all of these incidents were on file at BMQA, none was brought before the board when it considered whether to terminate Klvana's probation," says Kelberg. The board granted Klvana's petition in March 1983.
**More deaths finally lead to an arrest But Klvana's troubles--and his patients'--were far from over.
In October 1983, another induced labor--again in Klvana's office --resulted in another death. According to Kelberg, the parents accused Klvana of suggesting that they bury the baby in their back yard and take a Hawaiian vacation with the money they saved by not having an autopsy. The incensed parents not only complained to BMQA, but also sued, eventually being awarded more than $1 million, including $800,000 in punitive damages. They collected nothing, however, since Klvana had few assets and no malpractice insurance.
**In July 1984, Klvana's primary hospital restricted his privileges after citing him for performing too many C-sections, among other problems.
In August, yet another infant died during a Pitocin-induced delivery at his office. He offered to dispose of the body, filed no birth or death certificate, and kept no medical records of the case. Later, when the mother requested these documents, Klvana implored her to keep quiet about the whole affair.
(IHRT comment: Many patients to Endogyn could NOT secure thier medical/operative reports from Kruschinski, others received reports with WRONG information in them!)
**Meanwhile, back in January 1983, the hospital where the breech birth had occurred decided to review Klvana's privileges.
Klavana resigned, apparently to prevent having an adverse decision reported to BMQA. In November, he also gave up his privileges at his primary hospital.
In February 1984, when still one more infant died following an induced delivery in Klvana's office, the hospital where the child was pronounced dead notified police, who reported the death to the Orange County district attorney's office.
Meanwhile, according to Kelberg, his predecessor as deputy DA informed the police that he couldn't prosecute the previous October's death without two experts who would testify that Klvana's care had been criminally negligent.
**The board physician who investigated the case sought the opinion of an OBG specialist, and his damning report concluded that Klvana's treatment "didn't differ from Third World care," according to Kelberg.
Nevertheless, despite the candid language, the consultant decided Klvana was not guilty of criminal negligence. The BMQA investigator ultimately recommended "closing the case with merit." "That phrase points to an absurd inconsistency in how the board operates," says Kelberg. "It means that while the complaint has merit, the board doesn't believe it warrants formal disciplinary action. Klvana had a number of cases closed with merit."
**Kelberg began investigating Klvana in August 1984, after police reported what was the seventh infant death to occur under his care.
Before the doctor was arrested on Oct. 31, 1986, at least two more babies had died.
A murder conviction sparks outrage toward BMQA
Klvana's bail was set at $1 million and later reduced to $750,000, but he remained in jail for more than a year.
Then his attorney asked for a further reduction, assuring the court that Klvana wouldn't practice medicine if released on bail.
On Nov. 22, 1987, he posted $200,000 and was released.
**At the time, lawyers in the California attorney general's office, working with BMQA officials, began proceedings toward a temporary restraining order to ensure that Klvana couldn't practice. But they didn't press their request, and, in violation of his attorney's representation, Klvana resumed seeing patients.
**On Feb. 16, 1988, less than three months after his release, he was taken back into custody. During Klvana's nine-month trial, his lawyers conceded that his care was sub-standard and admitted the possibility of manslaughter in some of the deaths. But they argued that Klvana didn't know that his vastly inadequate care was likely to cause patient death--a prerequisite for a murder conviction. Nevertheless, in December 1989, the jury found him guilty of nine counts of second-degree murder. He was also convicted of insurance fraud, for filing false claims in some of the cases, and of perjury, for lying to BMQA in his applications to have his probation modified and then ended.
***************************************
In the wake of Klvana's conviction, more and more people began to ask why such an obviously incompetent doctor had been allowed to continue to practice. "Some jurors came to me after the trial and asked me to prosecute the medical board," says Kelberg. And in sentencing Klvana to 53 years in prison, presiding judge Judith C. Chirlin lambasted the BMQA's "abject failure," which "allowed these crimes to be committed." Following the sentencing, BMQA officials announced that an internal investigation had found few problems in the board's handling of the Klvana case. But Chirlin wasn't impressed. "To me, it looks as if the board did an even worse job of investigating itself than it did investigating Dr. Klvana," she said. All of this was widely publicized. A "code blue" emergency in medical discipline for the state board and California doctors, the timing of Klvana's conviction couldn't have been worse.
When asked to comment on the Klvana case, board president J. Alfred Rider, a San Francisco gastroenterologist, replied, "That's ancient history. No one on the board now was even around then. That subject's been chewed over and over. authority. You need board members who are willing to inflict a little pain."
California legislation would not do anything to encourage residency programs or licensing agencies to put an early end to the careers of doctors whose incompetence becomes obvious during training. And it doesn't address a big loophole through which Klvana kept practicing--the fact that while California licenses and inspects hospital maternity wards and birthing centers, it has no separate licensing laws governing free-standing birthing centers.
Prosecutor Kelberg, who also fears that the reforms will have little impact, blames physicians for the Klvana debacle, and believes there needs to be a basic change in doctor attitudes. "This case highlights, in dramatic fashion, the flaws in medical self-policing," he says.
"From the beginning of his career, we see two customs at work. First, doctors are unwilling to cut off another doctor's right to practice. Instead, they try to get him into a lesser specialty where he can't do so much damage. Klvana was pushed out of OB, into anesthesiology, into general practice, and finally, out of the mainstream and into doing non-hospital deliveries. "Second, there's this mentality in training programs and hospitals: `As long as I can get him off my premises, I don't have to worry about full disclosure.' That's particularly so these days, with peer reviewers and hospitals so concerned about retaliatory lawsuits."
Convicted of a string of fatally botched deliveries, Milos Klvana was sentenced to 53 years in prison. J. Alfred Rider, head of the renamed medical board, insists that reforms have invigorated the licensing body.
State Sen. Robert Presley thinks the Klvana verdict helped cinch passage of his tough doctor-discipline bill.
M. Carroll Thomas WEST COAST EDITOR
Daniel Kruschinski got caught for "Tax Evasion" and many other crimes perpetrated against humanity! These words are fact, it is happening NOW!
Daniel Kruschinski deserves everything that "HIS" lot brings him!
Peter J. Maher, ISGE (Australia)Stefano Bettocchi, ISGE (Italy) Ellis Downes, ISGE (UK) Massimo Petronio, SEGi (Italy) Fulvio Zullo, SEGi (Italy) Mauro Busacca, SEGi (Italy) Massimo Moscarini, AGUI (Italy) Giovanni Monni, AOGOI (Italy)Giovanbattista Serra, FIOG (Italy) Local Scientific CommitteeLuigi Selvaggi (Bari, Italy)Sergio Sch̦nauer (Bari, Italy)Giuseppe Loverro (Bari, Italy)Ettore Cicinelli (Bari, Italy)Oronzo Ceci (Bari, Italy)Mario Vicino (Bari, Italy)Attilio Di Spiezio Sardo (Naples, Italy)Luigi Nappi (Foggia, Italy) Scientific SecretariatMaria Teresa Achilarre (Bari, Italy)Giovanni Pontrelli (Bari, Italy)Lauro Pinto (Bari, Italy)Clementina Cantatore (Bari, Italy)Anna Franca Laera (Bari, Italy)Alfredo Costantino (Bari, Italy) Department of Obstetrics and Gynecology - University of Bari Policlinico, Piazza Giulio Cesare 11, 70124 Bari, Italy Bluevents srlVia L. Bodio, Segreteria Organizzativa SEGi Bari, Italy for the World Congress of Gynecologic Endoscopy Р17thAnnual Congress of the International Society for Gynecologic Endoscopy and SEGI Annual Gynecologic Endoscopy University of Bari International Reference Centers Prof. Stefano Bettocchi Prof. Luigi Selvaggi ISGE PresidentPeter J. Maher Annual Scientific Meeting of the International Society for Gynecologic Endoscopy SEGi PresidentMassimo Petronio Sheraton Nicolaus Hotel CIC SUD Centro Italiano Congressi World Congress of Gynecologic Endoscopy - 17th Annual Congress of the International Society for Gynecologic Endoscopy Women's Health World Congress European Accreditation Council for Continue Medical Education Italian National Accreditation Commission for Continuing Medical Education Women s Health from Diagnosis to Treatment CENTRO ITALIANO CONGRESSI CIC SUD
No comments:
Post a Comment