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PUBLIC HEALTH CRISIS: Medical board defends efforts

Letter a response to criticism from Gibbons, four lawmakers

Responding to criticism brought last week, the president of the state Board of Medical Examiners told Gov. Jim Gibbons and Nevada lawmakers Monday that the regulatory agency is diligently investigating doctors' culpability in the hepatitis C outbreak.

The medical board's Investigations Division is " vigorously, urgently and professionally pursuing its investigation ... following every lead, interviewing every witness that will talk to them and cooperating fully with law enforcement," said a letter signed by board President Javaid Anwar.


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  • His letter was a response to a missive sent Thursday by Gibbons and four lawmakers who contended there was a lack of communication with new board members regarding the investigation involving unsafe medical practices at the Endoscopy Center of Southern Nevada.

    Gibbons and the legislators also said the medical board's executive director, Tony Clark, had been unwilling to "vigorously handle the matter."

    He did not write the letter, but Anwar said Monday he checked its content and signed it before it was sent to Gibbons, Sens. Steven Horsford, D-Las Vegas, Randolph Townsend, R-Reno, and Joe Heck, R-Henderson, and Assemblywoman Sheila Leslie, D-Reno.

    The letter said that the medical board has scheduled a Wednesday meeting with its five adjudicating members to discuss the replacement of Donald Baepler as chair overseeing the hepatitis C investigation. Baepler died May 25.

    Health officials have linked seven cases of hepatitis to the Endoscopy Center's Shadow Lane facility and continue investigating hundreds of other clinic patients who have tested positive for the blood-borne disease. Last month, the Southern Nevada Health District announced that 77 patients with hepatitis C might have contracted their disease at the clinic.

    Anwar, who has recused himself from matters concerning the hepatitis C outbreak because of a relationship with the center's majority owner, Dr. Dipak Desai, said in a telephone interview that the medical board is being unfairly targeted because it licenses physicians.

    On Monday, Anwar defended Tony Clark, the medical board's executive director, and the board's investigation.

    The letter said that Clark "has been actively pushing the board's investigative process since the board was first made aware of this crisis situation on Feb. 28.''

    The letter also said that the three board members brought on to replace Anwar and two other board members who resigned because of business relationships with Desai cannot yet receive evidence in the case. "Triers of fact must not be tainted or receive any evidence or information outside the judicial, or in this case, quasi-judicial, hearing process.

    "As evidence is obtained and developed, additional formal disciplinary complaints will be filed against other licensees involved with Endoscopy Center," the letter said, noting the process has been "slowed considerably" since law enforcement agencies have confiscated the clinic's records.

    Heck said the letter answered most of his concerns about the medical board's investigation. He said the agency needs to do a better public relations campaign.

    "The board is progressing, but none of this information is being made public,'' he said. "Everybody needs an update. We understand there is due process and the medical board has to act accordingly, but our constituents, those impacted by this, want answers.''

    Leslie disagreed with the medical board's response that it has acted diligently.

    Leslie is still calling for an independent investigator.

    "This pace has absolutely produced nothing,'' she said Monday. "I don't think we're going to get anywhere with them. ... The medical board has made it quite clear that it is going to conduct its investigation the way it wants to and at its own pace.''

    Gibbons' office said it had yet to see Anwar's response.

    "We believe there is a clear need for action on this issue by the board, and we hope the letter ... outlines the steps the board plans to take to protect public health and restore public faith in the healthcare system of Nevada," Gibbons' press secretary, Ben Kieckhefer, said in an e-mail.

    An investigation by health authorities that began in early January led to the largest patient notification of its kind in U.S. history. About 50,000 former patients of the Shadow Lane facility are being urged to get tested for hepatitis and HIV. About 400 people have tested positive for hepatitis.

    Investigators have blamed the infections on unsafe injection practices by the nurse anesthetists, including reusing syringes and single-use vials of anesthesia.

    Contact reporter Annette Wells at awells@reviewjournal.com or 702-383-0283.

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    the realist wrote on June 03, 2008 07:30 PM: Take it easy responsibleone. I want Obama to win just as much as you, but we both know that taunting white people isn't going to help his cause.


    responsibleone wrote on June 03, 2008 06:29 PM: Look at the white people getting Hemorrhoids.......You rule Obama.It's your time.


    the realist wrote on June 03, 2008 04:20 PM: Booker T and the MG's, he certainly did not think that racism was NOT a problem (which is what the quote below suggests). He felt that, in the long run, it would be better for blacks to accomodate whites, and that the playing field would level as a result of education and assistance from reasonable whites. While quotes like the one below suggest that Washington thought blacks had nothing to complain about, that most certainly is not what he thought.

    I agree with Washington that education is the key to leveling the playing field. While conditions have clearly improved since this quote was spoken/written, they have not improved enough. If you think that blacks and whites have an equal opportunity to succeed, you have not had any experience in a predominantly black school district.

    I agree that, at times, complaints about racism are not warranted. However, if you've read enough posts on this or just about any other website, you have to realize that race is still an important issue. Blacks have more of a reason to complain, because racism from whites has a greater impact on society, as people in leadership roles (in both the government and corporate America) are usually white. Racism from blacks may be annoying, but it does not have the same effect as racism from whites.


    booker t and the mg's wrote on June 03, 2008 03:46 PM: Well you may guess correctly that I haven't read quite a bit ABOUT him, but I have READ him (Up From Slavery) in college and I still don't see your point. Because I know why he made "statements like that." Please enlighten me.


    the realist wrote on June 03, 2008 03:05 PM: Jack. Good enough. I may not agree with your politics, but you seem like a reasonable guy. I'm not so sure that the civil war era was a peaceful time, but I understand your point.

    I assumed from your emphasis of Hussein in your first post that you were a racist. I appear to have been wrong about you. But I think that such an assumption would prove true with respect to many of the other people who post on this site.

    Have a good one.


    Jack wrote on June 03, 2008 02:51 PM: Realist, if my history reads correctly, the Moors, (black) conquered Southern Spain along with part of Southern Europe and enslaved everyone they could get their hands on. I think the difference is that instead of requiring centuries of warfare, eight, and losing several battles at the expense of countless millions, The US got rid of slavery through peacful means and of our own volition. My ancestors are Spanish, I do not hate black people for what they did to my ancestors. Indeed, we are such a melting pot here that its hard to find a major metropolis that is not very mixed. We have all been on the top, we have all been at the bottom. Might be time to realize that our shared culture and way of life is threatened with extinction. I will vote and if Obama wins I will not start a civil war, I will not talk of murdering people and I will not call for revolution. That is the difference between the US and most other countries.


    the realist wrote on June 03, 2008 01:37 PM: To booker t and the mg's:

    I read the quote. I've also read quite a bit about Booker T. Washington. I'm guessing that you haven't. If you did, you would understand the reason he made statements like this.


    the realist wrote on June 03, 2008 01:35 PM: Jim shoes. Of course some blacks are racist toward whites. If their ancestors enslaved your ancestors, you might have a little animosity yourself. Am I correct?

    So your saying that, since slavery was okay in Africa, it was okay here?

    When exactly did blacks "take over"? This is history according to Jim shoes . . . never mind . . . that statement is so incredible, there is no reason to respond to it.


    John O'Neill wrote on June 03, 2008 12:54 PM: Attention RJ: STOP lying and calling this a "Crisis".

    Look up the definition.
    68K people dead in China, New Orleans, Hugo, These are examples of a "Crisis".

    IDIOTS!


    Jim shoes wrote on June 03, 2008 12:54 PM: Obama is white and black and his ancestors owned slaves. My sperm did not arrive in this country until 1887. The realist listen to your words on racism and you will find that blacks are more offensive on racism than whites. Listen to BET, blacks use many racism words yet are not punished like all CAUCASINS. Slavery is alive today where it all started in AFRICA by the KING now the president. I hear nothing about all blacks burning down homes, farms, hanging, shooting, decapitating Caucasian owners of businesses in Africa. Caucasians were growing there foods in fields yet blacks took over and now they have starvation. The NAACP motto is keep my people down.


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