The state must interview physicians and other personnel involved in quality control. What have they been doing? Personnel entrusted with quality control ,are people who work in the system (hospitals), which generates their income. Obviously, they have a bias towards not reporting events which hurt hospitals reputation.
There are prominent people in town who provide personnel to hospitals for quality control. These people generate large income from basically playing the game which hospital CEO's want them to play i.e ., not report incidences or under report. The hospitals reputation is maintained, which generates income. Quality control personnel get paid. So everybody is happy.
Where you find a quality control person who is doing his or her job, diligently, rest assured this person will not be doing quality control for long. Do it hospitals way, i.e., not report or under report, or be on your way, highway. People need work, have income to provide for their families, so they compromise.
There is also a culture in hospitals, kill the messenger, where conscientious physicians / nurses, who stand up to the hospital and complain about poor quality care are reprimanded. Most physicians/nurses know about such behavior by hospital authority, and so keep their mouth shut and do what they can on a personal level for their patients. Unfortunately, there is only so much they can do.
On the whole what Mr. Marshall Allen writes is factual, in this article as well as the one's in the past.
I am sure most articles written by Mr. Marshall, have been anonymously helped and supported by physicians/nurses, yet Mr. Allen has never thanked them in his articles. I would like to see Mr. Allen, thank people who provide him quality information. He could say at the end of his article, I thank all persons or physicians/nurses etc who have helped provide information for this article.
Mr. Allen may have thanked them personally, but to thank them in public, even though keeping them anonymous, has another meaning.
There are physicians/nurses and other people, who want the culture of neglect in our health care system be stopped, this is why these health care personnel speak to journalists.
Acknowledging them also informs the public that all in our health care system is not bad, there are people who care enough, to enlighten public through journalist like Mr. Allen, at times at great risk to themselves, so that pressure be brought upon hospitals to improve quality of care.

Nevada is one of the two states which have the strictest scrutiny prior to authorizing licence to doctors. Doctor's who come to Las Vegas, are ethical and moral doctors, hence they pass through the licence scrutiny.

What happens to some of these doctors when they start practicing in Las Vegas? God only knows would be a good answer and a good scapegoat. Not only does god know, so do Board of Medical Examiners and other monitoring agencies in Nevada. If you ask these agencies, the obvious answer would be the same as Division of Health gave regarding abuse of foreign doctor's, we did not know abuse of foreign doctors existed. Lies, lies and blatant lies. When these agencies are pinned down and cornered, they hide behind the same answer, we do not have money, manpower etc resources to monitor. Than, what are these monitoring agencies there for. Tax payer's money is used to finance these organizations. Waste of our hard earned money

Many persons who are supposed to monitor, live in the same community they are supposed to monitor. So the logic that they do not know what is going on in Nevada does not hold. The logic that they close there eyes and ears and turn their heads away holds.

Division of Health, Board of Medical Examiners and Pharmacy Board cannot truly deny there knowledge of abuse of foreign doctors, Dr. Desai's practices and narcotic abuse in Las Vegas, respectively.

I hear of ethics committee meeting headed by Mr Larry Mathies, where 40 or more personnel have come together to educate medical personnel of Las Vegas about ethics. I am sure Mr Matheis has good intentions and wants to see ethical conduct by medical personnel in Las Vegas.

My advice to Mr. Matheis:
Start with educating people about ethics within the organizations present at the meeting. Only than can they talk about ethics and morality to other's. THEY NEED TO PRACTICE WHAT THEY PREACH.

On a wider scale, the culture of corruption is very much part of Las Vegas society. What happens in Las Vegas, stays in Las Vegas, is our shameful motto. Our sin city and sinful corruptions are legitimized by our motto. Corruption is tolerated for sake of money, more money and more money. This culture needs to be changed. Such change can happen, only when, ethical and moral politicians, community leaders, religious leaders, teachers, people in community etc., set up moral and ethical campaign to cleanse Las Vegas of corruption but then Las Vegas may cease to exist as immorality finances existence of Las Vegas..

Mr. Larry Matheis, keep it up. You have an uphill task.

Mr / Ms Editor
The editorial, Staggering use of pills... is itself a complaint, as were the articles on abuse of foreign doctors, Dr. Deepak Desai or, shall I say Dr. Death's blatant practices were to the Board of Medical Examiners. Will bureaucracy of Board of Medical Examiners, Pharmacy Board and Division of Health, listen to you and I. I doubt. But we as members of Las Vegas society must continue to highlight corruption in medical practices and other practices in our city.
THE PATH TO GOODNESS IS TOUGHER AND UPHILL THAN THE PATH TO CORRUPTION. PERSISTENCE PAYS IT'S DIVIDEND

Corruption, Corruption, Corruption

1. Will the Division of Health monitor J1 employers or hide behind, we do not have resources to monitor all employers of J1. My guess is, this is exactly, what is going to happen. Little or no monitoring will be done and so after few months or years, when things have died down, J1 employers will start their corrupt practices once again.
2. What is the penalty when J1 employers abuse foreign doctor’s? The answer is none. Previous abusers of foreign doctor, who fulfill paper obligations of the Division of Health, will now be provided with foreign doctor’s. The J1 employers rejoice as, instead of being penalized for breaking State and Federal regulations, things have turned around once again in their favor.
3. Abused J1 doctors now find themselves in a mix. If they complain, nothing happens to the employers and if they do not, they suffer. So how does Division of Health expect J1 doctors, present and former to come out and complain? As one employee of Division of Health said, and I quote, ‘The J1 employers are prominent members of the community, we cannot investigate them’, unquote. I guess if you are a prominent member of the community, you can get away with breaking Federal and State regulations.

I naively thought, in United States of America, such corruption does not prevail, but it does. If you are prominent member of community, go ahead and break laws, nothing will come of it. To employers of J1 doctors, feel free to break laws, as America does not care about foreign doctors. GOOD LUCK TO ALL J1 DOCTORS

With employers of J1 doctors using cultural pressures of servitude and visa status as threat on the J1 doctors, it is true J1 doctors did not sign by choice, they have no choice. I have been told, the employer mentioned in the article above has told some of the J1 doctors working with him at present, if you do not sign the document, referring to the document mentioned in the article above, than you will have to repeat your J1 waiver once again. This is a major threat to all J1 doctors. Who in their mind would want to repeat 3-5 years of work in poorly organized, ill managed, below standard under-served clinics. This is one example of manipulation and exploitation J1 doctors have faced, and to have it even now, when this employer is in limelight, shows arrogance and confidence this employer has, that he can once again get away with his exploitation

First thing which went wrong, unfortunately, whatever be the reason was that ambulance was not used.
Advantages for using ambulance: 1. Patient is quickly assessed by emergency trained personnel and made comfortable 2. Information about the condition of the patient is conveyed to the nurses and doctors of the receiving hospital. This gives a head start to the medical personnel in the receiving hospital and as soon as the patient arrives at the hospital, medical personnel, with background information, quickly start the process of taking care of the patient. Quick and immediate resuscitation greatly increases recovery and survival rate.

Second issue is of the triage nurse. A triage nurse is a person who is placed in this service because of his/her knowledge, skill and experience. The knowledge, skill and experience renders him/her the ability to quickly and urgently assess a patient’s clinical status and send the patient to the appropriate area of care.

Assuming that the triage nurse fulfilled the above criteria, than the question arises, what was the reason that the nurse did not send this patient to the resuscitation area, rather take the patient to triage area. Was the patient taken to the triage area as a matter of hospital policy or the nurse failed to assess the urgency of the patient’s clinical status or nurse could not transfer the patient to a bed, as non emergency patient beds or resuscitation area beds were not available. For all of the above, hospital must be held responsible.

Nurse doing the work of a receptionist: Nurses and other medical staff, including at times doctors, are placed in an awkward situation by the nursing administration, of taking on work of others. If cooperation is not provided than the nursing administration/ hospital administration personnel start talking about how uncooperative this or that nurse / personnel is or was. This kind of pressure brought on by the nursing administration and hospital administration is particularly hard on the nurses. Cooperation to perform non nursing jobs is taken as somebody who is a nice person, a nice cooperative nurse will go a long way than somebody who would rightfully refuse to do such non nursing jobs. So most nurses, thinking of future gains and preventing immediate and future wrath of nursing administration and for the sake of peace compromise and comply. In other words, nurse is distracted.

Trust me, ‘If we do not take care of ourselves, nobody will take care of us’. I say this, as I have learn't from experiences of life.

Wake up, people of Las Vegas

It is important that the people in Las Vegas demand of their prominent members of the community to take health care provision seriously. It is these prominent members of the community who come to you when they need you help i.e., vote. At that time they promise you health care, the sun and the moon. Go to the prominent members of this society and ask them to put right, the wrong which has been going on for many years in Las Vegas

Let me also advice, you the readers, that the health care situation in Las Vegas is so dire, that until and unless we as citizens of Las Vegas stand up and demand the care we deserve, of which we pay through our tax dollars, we will not get this care.

The article, ‘Patient’s paper work came first’, was a tragedy waiting to happen. The medical care in Las Vegas is full of complacent and irresponsible nurses, doctors and other medical staffing. The CEO’s, administrative staff and insurance companies sole purpose is to make money by cutting corners. Their day to day decisions, does not and never did, take in to account patient care. It is money that is counted at the end of the day.

Nurses do not provide the care they are trained for, doctors provide, looks good from the door, (more commonly called LGFD in medical community in Las Vegas) consultations. This associated with complacent, irresponsible medical staff, money making schemes of the CEO’s and insurance companies, at the expense of patient care, is a time bomb waiting to explode. There are many such time bombs exploding, if not frequently, it is also not infrequent. It is just that 90% of such incidences are not reported in the news.

To the people of Las Vegas, medical care is your right. Get up there and demand it. The experience of Schienbaum’s is not the first of it’s kind, neither is it the last. We need to stop such injustices.

I have many examples of the way hospitals, doctors, nurses etc., conduct their business, that without exaggeration I could write a book on this topic. Believe me that if I write such a book, the powerful medical mafia in Las Vegas will see to it that I be put down, as many will be exposed.
Good Luck

OPENING OF PANDORA’S BOX

And I naively thought, servitude and slavery was abolished in USA

I must commend Mr. Marshall Allen for unearthing what was well known suspicion of the collusional approach the Division of Health of Nevada, (DHN),(collusion with the employers of foreign doctors), knowingly neglecting the plight of foreign doctors.

The employers of foreign doctors are citizens of America, who have, time and again broken laws, and gotten away with it. Not only have these employers gotten away with abuse they met out, they have been rewarded with more foreign doctors by DHN, as if to say, here are some more foreign doctors for you to abuse.

The DHN is responsible for placement of foreign doctors to under-served areas of Nevada, and it is also their responsibility that such placements be made to employers who fulfill all regulations prior to and after recruiting USA trained foreign doctors.
Unfortunately, DHN has not fulfilled it’s responsibilities. But than this is no surprise, as America does not care about foreign doctors nor, does it care about medically needy under-served populations. Hence abuse persists.

Open Secrets of Las Vegas, Nevada
First open secret was abuse of foreign doctors, more commonly referred to as J1 doctors, second open secret, hepatitis scare and third, narcotic abuse. All of the above has happened under the eyes and knowledge of our population. Shameful
I must commend Mr. Marshall Allen and other Las Vegas Sun journalists who have brought these open secrets of Las Vegas to light.
Prior to regular narcotic prescription a diagnosis of the condition for which the narcotic is being prescribed, is the absolute responsibility of the doctor and associated medical staff. Once doctor has a diagnosis, than prescribing and monitoring patient response and monitoring patient attitude to narcotics could be very easily done.
In all fairness, it is not only doctor’s responsibility to check narcotic abuse, the pharmacies, hospital’s and clinics are responsible too. It is also the responsibility of officials who monitor narcotic prescription and dispensing of such, to implement monitoring of abuse. Abuse happens when monitoring agency fails to implement monitoring. Laws are not broken if the agency which monitors such laws perform. Narcotic abuse is a multi dimensional issue. Lack of monitoring patient’s who abuse, unscrupulous doctors, nurses, pharmacy personnel and medical facility employees, allows abuse to continue and proliferate.
I read with interest of the fear that monitoring and implementation of laws would make it more difficult for patients to get their medication. I do not see this happening. Patient’s who deservedly need narcotics will get their prescriptions. Monitoring narcotic prescriptions would make doctors, pharmacies, hospital and clinic very aware of the consequences of unscrupulous actions. All in all monitoring narcotic prescriptions will result in significant decrease in abuse. The question is, are the monitoring agencies willing to implement the present laws and/or future laws?