Peer Review Problems & Solutions

by Dr. Richard B. Willner, Executive Director, Center for Peer Review Justice

Center for Peer Review Justice Supports Coalition to Preserve Patient Choice

Revision of the Any Willing Provider law continues to be the most important statewide legislative issue we face.

It is critical that we maintain our support for legislative action that will return the original law to its original intent to protect the private practice of medicine in Idaho.

The current law has been interpreted to allow closed physician hospital networks to grow and thrive. If allowed to continue unabated, this network mania could have the sobering effect of putting most of us out of business.

Our efforts to introduce legislation this past session to “fix” the Any Willing Provider statute were unsuccessful. This must not happen again.

Our second concern is the threat of re-introduction of the Hospital Immunity Bill. This Bill would have given hospitals the unprecedented ability to singlehandedly terminates physician’s privileges without recourse.

We thought we had successfully modified this bill at the IMA meeting last summer. Unfortunately the revisions that were passed at the annual meeting were not included in the final bill. This must not happen again.

The undersigned have elected to call a special meeting of independent physicians to discuss our legislative agenda for next year.

Message To All Physicians: Action Is Needed!

There was a time not so long ago when Doctors could have disputes with hospitals and simply move on. Nowadays, the hospital uses a fraudulent peer review to destroy the doctor’s career.

The reason for this is to control the health care dollar and to diminish the bond of trust between physicians and patients and sell the snake oil of falsified hospital quality ratings to the public.

The parties who have become the defector credentialing authorities of physicians are corporate lawyers whose firms represent banking, insurance, cigarette companies, asbestos manufacturers and other gross offenders of health and well being of ordinary people in the pursuit of profit.

These law firms comprise the roster of the Health lawyers association, and they are accomplished defenders of pseudoscience to serve their clients bottom line so the psycho babble of the quality movement is right up their alley.

We are way beyond the tipping point. But, sadly individual Physicians are too overwhelmed with caring for forced over-documentation, complying with too many Federal organizations who will fine or put a doctor in jail, and when they have time, caring for the sick.

Doctors are fixated at Obama care for a very good reason. It is beyond horrible and only understood by those who read the Law and know that the hundred thousand pages of Regulations will follow.

They don’t understand there are no “appeal rights” for the patient. And, it is Government and they will control everything in its sight “to death”.

Government has no feeling. If an expensive Medicare patient should die a month early, well, I can see the Government accountants dancing in delight!!

How wrong Doctors are to ignore today’s battles at the state level. Doctors don’t care as “it does not affect me”. In time, the losses that physicians and surgeons suffer in one state gain speed and arrive in ALL states. And, when it is at your state, it is too late.

No Physician organization is fighting these battles that can be won. Often, battles are won by just one man who can persuade legislators on what the real issues are and how their ideas destroy the patient-doctor relationship. The issues are Big Money, Big Power and Big Control.

It is all about our special idealism that kept us going in Med School and in our Residency. It was our overwhelming desire to be the absolutely best doctor we could be.

We weren’t driven by money but to excel in the care for one patient at a time. We wanted to be perfect even at our 36th hour awake. Our focus was super-human. We gave up our lives to learn our craft.

There is no question that the doctor no longer controls the “patient experience”.

But, if we want to win the big war, we can start by winning each small battle.

And this is a war that we must win as America trusts their precious health not to the suits or Government but to…. American Physicians

Celexa Warning

High doses of the antidepressant Celexa can cause abnormal heart rhythms, leading federal regulators to issue a new warning.

Celexa should no longer be prescribed at doses that exceed 40 mg per day.

According to a drug safety communication issued by the FDA on Wednesday, Celexa side effects can cause prolongation of QT intervals, interrupting the regular electrical activity of the heart.

This may lead to a serious and potentially fatal abnormal heart rhythm, including Torsade de Pointes.

Patients with low potassium and magnesium are at increased risk of the serious heart problems from Celexa, the FDA warned.

Celexa warnings will now include information about the potential heart rhythm risks, as well as the new dosage recommendations.

The FDA did not provide any information about reports of serious illnesses or deaths associated with the Celexa heart problems.

Patients have been advised to talk to their health care provider if they have been prescribed a daily dose of Celexa exceeding 40 mg.

They were also warned to seek immediate medical attention if they experience irregular heartbeats, shortness of breath, dizziness or fainting while taking Celexa

SEE YOUR DOCTOR AT ONCE!!!!

CONSULT YOUR PHARMACIST AT ONCE!!

Editor’s Note:  Richard Willner is President of the Exemplary Project of the Center for Peer Review Justice http://www.peerreview.org / or at info@PeerReview.org 504-621-1670

Honorable Doctors Helping Honorable Doctors

I have had the pleasure of helping and advising Dr. Richard Willner with technical issues and watching as he repeatedly helps doctors salvage their reputations and save their careers. His ability to figure out how a doctor has been unfairly slandered is excellent, and every physician I’ve known him to work with has pretty obviously undergone a terrible injustice. The medical system needs more people like Richard.

–Dean E., Detroit MI

Modern Peer Review Is Often A Sham!

There was a time not so long ago when Doctors could have disputes with hospitals and simply move on. Nowadays, the hospital uses a fraudulent peer review to destroy the doctor’s career.

The reason for this is to control the health care dollar and to diminish the bond of trust between physicians and patients and sell the snake oil of falsified hospital quality ratings to the public.

The parties who have become the defector credentialing authorities of physicians are corporate lawyers whose firms represent banking, insurance, cigarette companies, asbestos manufacturers and other gross offenders of health and well being of ordinary people in the pursuit of profit.

These law firms comprise the roster of the Health lawyers association, and they are accomplished defenders of pseudoscience to serve their clients bottom line so the psycho babble of the quality movement is right up their alley.

We are way beyond the tipping point. But, sadly individual Physicians are too overwhelmed with caring for forced over-documentation, complying with too many Federal organizations who will fine or put a doctor in jail, and when they have time, caring for the sick.

Doctors are fixated at Obama care for a very good reason. It is beyond horrible and only understood by those who read the Law and know that the hundred thousand pages of Regulations will follow.

They don’t understand there are no “appeal rights” for the patient. And, it is Government and they will control everything in its sight “to death”.

Government has no feeling. If an expensive Medicare patient should die a month early, well, I can see the Government accountants dancing in delight!!

How wrong Doctors are to ignore today’s battles at the state level. Doctors don’t care as “it does not affect me”. In time, the losses that physicians and surgeons suffer in one state gain speed and arrive in ALL states. And, when it is at your state, it is too late.

No Physician organization is fighting these battles that can be won. Often, battles are won by just one man who can persuade legislators on what the real issues are and how their ideas destroy the patient-doctor relationship. The issues are Big Money, Big Power and Big Control.

It is all about our special idealism that kept us going in Med School and in our Residency. It was our overwhelming desire to be the absolutely best doctor we could be.

We weren’t driven by money but to excel in the care for one patient at a time. We wanted to be perfect even at our 36th hour awake. Our focus was super-human. We gave up our lives to learn our craft.

There is no question that the doctor no longer controls the “patient experience”.

But, if we want to win the big war, we can start by winning each small battle.

And this is a war that we must win as America trusts their precious health not to the suits or Government but to…. American Physicians

Editor’s Note: Richard Willner, President of the Exemplary  Project of the Center for Peer Review Justice http://www.peerreview.org/ or at info@PeerReview.org  504-621-1670

Message from Dr. Willner

Friends,
One day I decided to share with you some of the letters that I have received.   I do so to give one “hope” during the darkest hour of one’s career.
I want to remind you that it is most difficult or impossible to “fix” any problem even remotely associated with a Sham Peer Review.  There are many websites that focus on these problems.
Like the surgeon who has the Informed consent that lists every bad thing that can happen, I remind you that there are no guarantees or assurances to any advice or assistance that I offer.  Past success has no relationship to a current case.   In fact, if a lawyer is present and if he does not want my assistance, because of the lawyer-client privilege, I can not help at all with the matters that he is assisting on.
I am available to discuss the details of any case or answer questions.
-Rich

I know you have your heart and soul in what you do

Thank you for all your hard work.  I know you have your heart and soul in what you do.  It is clear to me you give everything a great deal of thought and you are always working on your cases, day and night.  I know what you do doesn’t happen without a tremendous amount of caring as well as a keen intelligence.  I have been so grateful you have been there for me so many time.  It is very overwhelming going through all the changes and to work through all the uncertainty it brings to one’s life.  I am confident if there is anyone who can help me it is you.  My very best to you for your dedication and unyielding desire to help those of us who find ourselves in what feels like an insurmountably array of difficulties that come with a scam peer review.

KS in Massachusetts (email May 2, 2011 6:03 PM)

Thank You

Richard,

I really want to thank you for helping me throughout this nightmarish process, especially today. I am extremely concerned about my future, or lack there of, and reassurance today went along way to allaying some of my fears. You are truly a dimond in the rough.

Rick, MD  (email January 29, 2011 12:08 PM)

Recommendation letter

1/17/05

To Whom It May Concern:

It is with great pleasure and a sense of gratitude that I recommend Richard Willner and his Center or Peer Review Justice to you.

I was fortunate to have come to know Dr. Willner shortly after I became involved in seemingly insurmountable difficulties regarding my medical practice.  I can truly say that Richard was a real life saver for me.

At a time when my world seemed to be crashing down on my head, Richard Willner was sent like an angel to help me in my fight for justice.

It was very lucky for me that Dr. Willner and his Center for Peer Review Justice were involved in the areas of Peer Review, Licensing and Data Banking and has carved out a niche in which he utilizes extra legal and extra judicial defenses to come to the aid of doctors who are paralyzed by a legal morass in which the other side seems to have all the protection and there is not the legal protections that we expect in America.  The fact is that Boards and Review Panels do not work under the premise that you are innocent until proven guilty.  They see their role as one to protect the public even if it means that the professional is wrongly convicted or restricted.  Sometimes they have other less noble motives.

In a field where the success rate is very low because the other side has immunity, he seems to win for his clients.

He gives lectures to healthcare lawyers and is well respected by his peers.  Each case is different.  There are different situations and different players, so he develops creative solutions which change the playing field.  Don’t expect a cookie cutter job.  He won’t tell you what he is going to do.  He gets to the bottom of things and gets results one step at a time.

Over the last two years, I have seen his clients have satisfactory results time and time again.  Often the wins are very quiet.  Sometimes, I have seen where he has toppled a corrupt board and its lawyer or mounted a legislative battle to result in a win.  Richard knows how to utilize the media to your best use.  Most wins are much lower key.  He has been a trial consultant and keeps up with cases all over the country.

He is intensely focused with your winning and staying in practice, whether it is making some behind the scene calls or working to get data bank information changed to better reflect a situation.  Sometimes he is just there to support you emotionally so you have the strength to win the game.

Richard Willner started the field of extra legal and extra judicial defense with his Center for Peer Review Justice.  He affordably provides things that lawyers are unable to do.  Certainly, you may need to have expert legal advice as well.  Dr. Willner balances your defense with an offense which the system is not expecting.

I might liken using a legal defense to playing piano with only the white keys.  Dr. Willner’s extra legal defense, rounds out your program with the black keys… The sharps and flats that are needed to get you through a perilous situation.

I would heartily recommend Dr. Willner to most people wanting to have a full defense.

Philip J. Leonard  MD

Thanks

Rich,

You are dedicated and wonderful.  You work and answer calls 24/7.  You even have been working on my case after midnight on a Saturday night and leaving on Sunday.  Thank you!

DL, MD  (3/27/11)