Wednesday, June 26, 2013

Redrum Pathology

The death of his father seemed so miserable that it would simply what Roger felt never seemed to dissipate. Always thinking about it. He couldn't quite figure it out that what had happened to his father was seemingly all neatly put away and it was business as usual. A law suit was filed; and the money decided, but this case revealed something more than a slip of the scalpel. A single fact was that the primary physician was advised to unleash the hardware that was compressing the major cervical spinal cord before the damage occurred. In the chart were several doctors notes accurately outlined the areas of mal hardware, there was also a lack of documentation by Dr Thames. Nerves can rejuvenate even after compression for a certain amount of time; being totally severed is terminal for most nerves. Dr Thames maintained that screw compression wasn't involved and the neurological deficits seen immediately post surgically would clear when the swelling went down. Bill became paralyzed, and the confusing part was that progression was slow and, overall one could assume Thames was correct. Time ultimately demonstrated an incredible path of failure with seemingly no effort towards correction. Legal issues wrangled on for several years, but Thelma, the matriarch, eventually settled out of court but was never the same; so much went towards prior success to fall prey to such an unusual man. The Isaac Thames issue was a mix of everything bad and everything good. With time and investigation the events bent the mind of a normal thinking person. As one William Thurman was not unique, as unique as to its discovery? So along comes another and so on. You become a machine that was broken by a system that continues to damage, and the past just couldn't be undone. Thelma moved on but Roger didn't. Although blood relatives, Rogers' anger grew, and Thelma seemed more comfortable to the point that she resolved to adapting. Thelma was accepting of politics that people with money and power achieved; she herself was the sister of a man doing life in prison that everybody swears was a fraud. Thelma remained active in the church and was frequently assisting others in life. Roger on the other hand had taken a different view. His life was very well maintained through an understanding that playing within the rules simply seems to turn events, at least not in the wrong way. Roger was well aware, particularly at the present that not everybody played by the rules. It was also an understanding that many of these rule breakers were very good at covering just about anything they did, or in some cases what they didn't do. Dr. Isaac Thames was in fact a licensed physician with no sanctions, at least known about. Roger learned the nature of social pathology to which he had taken an interest in. The mystery of it all. Roger felt Dr. Thames was a social pathological personality. That is a category to which a unique set of behaviors become attached to a personality. It would have to be a split personalty. Many are in custody and behind bars. Many are not. The ability for the social pathological personality to deceive others is why these personalities live. Although they do fetch-up in life's works all the time. As Roger felt it, it was fetch-up time. That epic sense came soon after Roger developed new investigative skills as researching court docs. The reality of witnessing the witnesses. Having the time and the ability to do so created the knowledge just exactly where the surgical map to greed would lead to. More importantly, the ability to continue on to additional surgical failures with almost identical failures, was not monitored. The remorse or concern for the victims is non-existent to which that personality brand thrives inside the pathological personality.
Although Roger and his family were originally from the Chicago area, and William his father, died in Chicago, Roger had lived in and around the Boston area for many years. He had planned a life of fishing in retirement as the waters in New England and the Atlantic coast were popular for what he wanted. A fishing life interrupted by the strangest death.
Who truly was a brain surgeon? How well do you really know anybody; perhaps your spouse? Well discovery would show the cracks in the veneer that caused injuries. And more importantly, an unabated avenue of cash. The volume was substantial and profit companies boomed. Without ado it was easy money for some, although getting to that position in life may have been difficult, or who really knows?
Isaac Thames came to United States to study at the university in Illinois in the early 60s. A good time to be a young African student and learning the ways of civil rights. United States was Isaac's living dream, and he dated young women to which everything would fall to in the end.

Friday, September 14, 2012

Til Death Due us Part.

Escaping life's' pitfalls sometimes means confronting the horrors that you can and coming out the other side in reasonably stable condition. The pitfalls are sometimes bad luck and truly happen in different degrees to everybody. Bad luck can happen in the strangest of ways; sometimes it would easily been seen as somebody else was negligent with malice aforethought. An unusual event that truly is bad luck and perhaps the spin of the bottle away from death itself. And I wonder Victim#?? of our great medical system would think about actual murder. Actual murder seems such a bad business trait, but the world sometimes rolls onward without taking a full look at what we've done. And William Turner of Chicago could reflect to you the sense that what happened to him was that unusual departure from this world, through the medical community. And depart he did in a long and slow death.A 68 y.o. man with arm and shoulder discomfort for a long time and seem to have faith in the surgical skills of a team that had a good storefront for spinal surgery. Perhaps people just don't want to shop around or wait to try a medical regime of physical therapy and maybe a change of life style. For whatever reasons few can imagine after the damages what it would be like to have that choice again, and Bill was not much different than prior victims of surgical mishaps, and neglect.
Directly post operative Bill was confronted with the eventual fact that his surgeon had erred and compressed a major nerve in his neck rendering him paralyzed less than four weeks after the surgery. His surgeon had the chance to reduce the compression had he listened to the other neurologists; eventually a slam dunk lawsuit, as may have pleased those left behind as it was hefty enough to get some attention, although not enough to equal a life lost to 4 months of  dying in a narcotic haze. The mental anguish is a conviction toward death that few can emulate. Having a leg paralyzed, or even two legs is not quite the same as being totally paralyzed. Staring at that dirty ceiling in an extended care center that was also designed to make money by a once avid mountain hiker was time stand still.
On those days from his bed could he could see his caregivers tending to others not unlike himself, was alert enough to know that there was good and bad in the world and could the bad be ever stopped
Bills' son, Roger, a mature and well conditioned man would visit him once and sometimes twice a week, especially when his work as a lawyer would bring him close to his. There was a county courthouse not far off and Roger sometimes had to appear there.
Roger had great respect for his father. A hard working man that seem to always be there. The honesty of his life and his work simply to lie in the fact of what he did, he basically helped people and pursued those things in life that money couldn't buy. The earth always was interesting and one need only to wander around it to understand. Rogers' Dad spent his grown adult years working every day and raising a family now in the Chicago jungle of the South Side to which so much crime had been centered around that in the 70s it surely was well established hell zone for drugs and crime today. A testament to the life of Roger Thurman was what he did with his life, and what he learned from his Dad, no matter where he lived. He survived well, now today in perhaps the simplest terms of living a normal successful life without major catastrophes before the the age of 45. Despite a life of accuracy in the field of commercial fishing, charter captain, salvage diver with operating deep sea rig and a ivy league education to fly into most flames, the cure for emotional pain he now felt had escaped him. Nothing he accomplished could shore him up. He found to involve himself closely with his fathars' care was also not to dwell on this demonstration of devotion to family. It was what he felt compelled to do. Other family members came and visited but recent lifestyles were not acceptable to Dad. Marriage on paper existed but Mom and Dad had split long ago and both realizing they could both go separate ways and keep the real estate out of simplicity. It all moved and few missed a beat in the daily lives of stable, African-American working families. These times of Dads' devastating illness and what now looks like an unavoidable deterioration will add stress of a new kind. The sense of death.
Roger was such a rare bird in that he remained mostly rogue through out his life in spite of his ability to perform successfully through a long time frame of working about life without major interruptions such as jail, divorce and unemployment. His bout with alcoholism was evident but under control now for many years with a stable life of being sober and not drinking. The stable life, late family, present today wasn't an argument for Roger; he was happy with sobriety and oddly not a difficult standard to live up to once the alcohol was gone. His life at 42 years of age has been remarkable in that his life has been a mission of serenity and almost waiting.
From the age of eighteen Roger began his military career out of the simplest desire to get out of the south side of Chicago. He joined the U.S.M.C. and entered basic training at Paris Island in South Carolina. A reserved but ambitious personality got him the notice to separate him from the run of the mill recruit, if there is such a thing. The Marine Corps training makes most recruits similar in many ways. Roger had all of those attributes as well as high intelligence which was evident to most in those close quarters.
Roger did two hitches with the corps and with broken service at which time he received a college education in Boston on the G.I. Bill from his first four years. Although his one and only relationship went bad during that time frame it became an instrument for understanding a world to which could not be understood, only diagnosed to avoid repeats. And Roger remained unmarried throughout his lifetime, at least up until now. And now was 2004 and traveling to this skilled nursing facility to visit his father was extremely difficult for him. It seemed that the ability of the medical staff here was certainly adequate but it was doubtful it could overcome the intrinsic mental anguish his father was going through. The entire issue of a paralyzed body was more emotionally pain than death. Every day was a massive depressive experience, and would not subside.
The life Roger lived at this time was dedicated to help his father in whatever way he could. Roger, now 40 yrs old was in very good health because he worked out a physical exercise program daily. Being an alcohol abstinent individual allowed him to maintain his weight around 170lbs and muscular. He frequently offered his father to come home with him and he could assist in his custodial care, as he was fit, and wanted to help his Dad. Bill was a stubborn man and said it would be not a meaningful or dignified death. And a constant feeling of doom is how Bill felt for a long time; when it became evident he'd never walk again, or even move his arms; simply straight up death was his every thought.
Bill would frequently talk about his situation and how it was so strange that the physician whom had put him in this situation was still operating, as if nothing happened. The surgeon although experienced quite a career downturn because of what he did to Bill. Or more accurately, what he didn't do. It was hard to understand why the surgeon refused to accept the opinions of his own colleagues. What was clear was that had the surgeon followed the advice of two other physicians Bill would be walking now, and not facing a life of dying in the tombs of life in this nursing home for the horribly afflicted and that's precisely what he was. Horribly afflicted and he raged on the inside, as it was ignorance that put him here. Its a strange world this medical community, sometimes its pure crime. However, it was a case that didn't bring Dr Isaac Thames a wave of greatness. After the news of the reason for Bills' total paralyzation was known, Isaac's career tumbled with insurance liability being so costly he couldn't afford private insurance. The university where he was an associate professor of surgery decided anybody who would make the kind of decisions that causes these kinds of mistakes certainly better find employment elsewhere. Other cases caused further failure which ultimately required the physician to be hired at a reduced rate of pay, where he was insured by a large group. Essentially away from the well known and successful.  Roger had done research to find the so called good doctor was relegated to some desert nothingness in Arizona somewhere. Bill would rage on and on about this doctor and curse him, and sometimes this would go on for hours. Roger came to feel a reasonable feeling that his father was simply right and this physician was a menace. It seemed that the system protected this man as his error was so egregious any reasonable person would consider it time to put up the scalpel. Compressing a major nerve was bad enough, but refusing to remove the screw causing the compression out of ego protection his plain criminal. Roger also felt his father was a crime victim. The lawyers helped themselves with the case and no doubt put a dent in this hacks' style but its not too much longer that the same surgeon is in another state, doing the same thing. Roger was very well aware of the crime it was, but now only focused on making the end of life as best he could for his father. They would have long periods of conversations related to his earlier life and how it was such a struggle at times. Roger frequently spoke about how both his mother and father were good role models. Real parents with jobs and who stood up to responsibility needed at anytime. At anytime.
Towards the end of his physical being and connection with living tissue Bill experienced deep insight into his situation. He became paralyzed because of not only what a surgeon did, but at the same time that same physician was notified well in advance that removal of a wrongly place screw would still save his spinal cord. The surgeon refused and discharged him while he still could move. By the end of two weeks he could not walk or feel anything from his mid chest, down, nothing. Although he did have head control, and breathing ok, he still could not take in a full deep breath. The catastrophe was experienced by everyone. Although the surgeon continued operating he eventually was forced out as other cases showed medicalmal. However, he popped up in a desert Colorado river area.  
Roger clearly remembers that day close to his Dad's death that he spoke for a long time with such clarity and articulation. He seemed to have periods of depression although never complained, at least not openly. His depressive periods turned him almost mute and he refused to talk, or eat. One physician called him borderline catatonia. Roger frequently would visualize these times at home and would have nightmares about his father suffering so much. Medication of several types were tried, but Bill eventually refused all medication, and resolved himself to death by his own hands, through starvation. Those end of days was brutal. Towards that last few weeks of his life he remained lucid and alert, and alert enough to go on and on about the doctors who did this to him. Roger had to frequently remind him that it was really only one doctor, in that there were several others whom did a lot to help him. However, he himself could not see his way clear of wondering about the process that brought his Dad to die this way. A truly horrible way to die.  He eventually died during an infection that he got from infected wounds from lying in bed, and unable to move. These kinds of wounds were sometimes related to poor nursing care and stated by professionals to be an event that is reportable to the authorities for neglect. However, Bill was non compliant and his poor nutritional intake was noteworthy for those to understand the state he was in. Trying to blame somebody was realistically not the fault of his present day caregivers. Bill had asked Roger to see if he could fix it so the doctor who did this to him could be stopped. Roger didn't respond during these tirades; just to be there for his Dad was all he wanted to do.
The end for Bill was assisted with the help of large doses of narcotics and could be considered assisted suicide. Be that as it may the demons of death were easily passed from father to son. There was business to attend to, before events in Rogers' life changed drastically. And on that rainy afternoon visual fixation on that winning numbers ticket worth after taxes 750,000 was not deterred by any pleasurable thoughts. Only that the financial foundation was growing and at times on luck. Roger was perhaps later effected more by his fathers' death, than even winning the lottery could sum up any emotion. His fathers' words would roll through his mind many times, with many vivid memories. Roger came so close to drink.

Wednesday, March 28, 2012

The ride from Bullhead City, Az. to Las Vegas generally takes about 2hrs, although many make in far less. Along that well traveled, desert highway are the views of virtually no trees and long views into the lower Sierra Mtn range protruding between Arizona and Nevada. Traveling from the tri-state area of Laughlin, Nv. to Las Vegas takes about 90 mins. depending upon how fast you want to go. It is a trip that Isaac and is girlfriend would take about once a month to visit their close family members and to check on their million dollar estate at Lake Las Vegas. An area where many a celebrity has come and gone. Not all of the well to do stay well to do their entire lives. That flashy Vegas style sometimes creates bottoms that will fall out.The world and time will eventually get its due rewards and bust everybody, but in the mean time we'll make the dollars in ways the general public can only suspect. Isaac was a surgeon from a much earlier time working in a rare field of which solidified his high priced income. However Isaac was never the ideal surgeon, although perhaps his girlfriend pretended for the record, and Isaacs' employer picked up the tab on his failures. Significantly noted through career scrutiny and insurance rejections Isaac history was pretty bad. He worked regularly and often, often as an associate, and or associate professor, which frequently took the heat directly off of him. Isaac was a master of disguise when it it came to record keeping, and not disclosing everything. Many of his victims knew him for the true criminal he was. Not all surgeons are created equal, and Isaac was the gold standard when it came to successful fraud. He loved the American style of success breeds money.
The trip to Las Vegas was a common source of pleasure for both he and his girlfriend Teresa. Teresa, a nurse of much younger age than Isaac and one of his surviving victims to which she exalted him to the highest level, she thinks he saved her life in a dire brain surgery event of which the real facts never made to the record. A common fact in his history. How do they do it? They deny and don't write down the actual events. It would not make common sense for success to follow this line of behavior as word would travel, and it does, and it has. But in the field of medicine its not too difficult to ward off the truth. However, there is somebody who always knows. Jumping the state you just killed people in, and having close relatives in local law enforcement it became very easy to buy oneself out. Not all medicalmals are easy to bring forward. Although some of the evidence is clearly in the felonious section of treatment failures, surviving family members frequently take the immediate cash. Without legal deposition in a court of law, medical boards dismiss behaviors of horrible medicine. Like they won't even look at it. But somebody else does.
Lake Las Vegas sprawls out of Las Vegas to the western side of the Lake Mead. The water connection breaths human life into an otherwise bone dry useless piece of real estate. Isaac And Teresa loved escaping who they really were and coming to Las Vegas to spend time. It was nice to go out to the exclusive restaurants and be treated like the royalty they each felt they deserved; having worked so hard at the profession of always being there for people in pain was such a daunting task. It was so relaxing to sit by the pool, that was truly all ours and someday they could totally be free of all those ill at health people whom had spent years of poor self-care. Teresa was much younger than Isaac and knew he was rapidly approaching the end of his career. It was very important at this point to be garnishing as much money for retirement to be as comfortable as possible. She was well aware of the fact that a neurosurgeons' peak years was long ago for Isaacs' present age, but with the group he was now in, it simply didn't matter. Just about any issue was dealt with from internal sources whom had the deepest of pockets which could assist with any problems that could arise. Those days of independent responsibility were now finally gone. From those dark dingy, South African huts to now being waited upon by the poor white trash of Las Vegas was the life Isaac so dreamed of. He really loved America, even after being rejected for residency because of Howard Universitys' inferior academia status, he still so much enjoyed his life now. There were just so many back doors to success, and Isaac knew so many. And so many at Howard would go on to super careers, therefore saying an inferior status of education doesn't truly fly. As we all know, it is who you are that makes the person fly well in the world, outside academia. Escaping responsibility for out actions sometimes is simply unintentional, and sometimes it is planned. White collar crime has learned that without the document, in the world of paper there just maybe no crime. Isaac had learned that fact from a town and culture whose entire being was about record keeping. Washington, D.C.

Monday, August 29, 2011

They Walk Amongst us

Whether the president is your man or not the fact he presented the biggest issue in this country first on his agenda at the start of his administration sets the door open to the information and evidence of the health care economic failure. The numbers associated with this debacle are staggering. How did we get here. The story you are about to read is true, and there are more, spinoffs of this episode and the people, and even more of the same.
Thelma Davis, not her real name, 46 y.o., has spinal neurological symptoms needing surgery, or so claims the man who referred her to a surgeon. That man, a licensed physician in the state of Arizona, is well known to me and up until this incident was a man in good standing with my opinion. Thelma has the first surgery, alograft cervical fusion, which really isn't major surgery. This surgery entails removing subjects' own bone from a nearby source and attaching so the involved vertebrae to grow and make the vertebrae immovable. A bright idea of neurosurgeons whose end results have always been questionable. Whatever is done to one spinal vertebrae, affects every vertebrae as the columne sits atop one another and moves when the body moves. The theory is to prevent the vertebrae from upsetting the spinal cord which is in  close proximity. A disaster to which this very surgeon is very well aware. The success of this procedure is trumpeted as it stops additional migration of the vertebrae. What the doctors don't tell you is that there are other ways of treating this situation, but they don't get paid for that. Thelma reasonably well for 5-8 mos until she looses the ability to feel or move her left arm. This is the other part of the surgery the doctors don't tell you about; a majority of this cases fail, or simply don't work at all. Its a winner to them as the patient is still moving.Thelma has further surgery to repair the damages created by this procedure; a much more invasive surgery to remove the vertebrae and replace it with systems and implants. After this procedure Thelma never ever does well and suffers from difficult swallowing, monstrous weight loss, swelling and seizures as a result of respiratory insufficiency. The surgeon denies there is anything wrong and thinks she needs a psyche consult. She continues on in this manner until she looses 45lbs, and she is tall and skinny to start with. The doctors are forced to act, and act they do by looking down her esophagus to find that the curvature of the spine is so grossly distorted it is wearing a hole in her esophagus. The scope used for this procedure adds further injury to the area by completing the damage the misplaced implants started. Her subsequent life is dismantled with infection many surgeries, financial ruin, job loss, miserable pain; and of course, emotional pain as a result of being lied to and watching others who love her loose stability. She eventually recovers a few years down the road. The sad part about this episode isn't the above story. The real fraud, or incompetence, lies in the examination of her records. As they say the devil is in the details.
Her very first MRI revealed 'mild' neuropathy. A surgeon makes the decision to cut and bipasses the common approach of physical therapy, a treatment known to work well in this age group. Even in post he can give valid reasons for his choice. Not so in older individual. The surgeon put her on the operating table in less than three weeks after first seeing her. It was all downhill from there. Now under scrutiny her very first xray, before any surgery, shows a mangled, arthritic cervical spine. The only problem is this film is of a 75 y.o. man. Nancy Drew could figure out the forensics on this. These are the Obama files. Much of this story is not told, but subsequent evidence involves pimps, cops and panderers.
If you pulled this stuff in the U.S. Navy you would only do it once. These people are still doing it, and being paid well. I think we can get much more for the amount we're sinking into health care. Obama should fire the entire system and SOMEHOW control these greedy little incompetent pricks, we can do better than this.
The facts in this case are undisputed, revealing real names and places would create a sercurity problem for me, even more of a problem than already exists.