morph wrote on August 11, 2008 11:47 AM: The sad thing is Las Vegas has become a popular place to practice for foreign medical graduates. Just open the phone directory and try to pronounce just a quarter of the physicians names.
Third world medicine is alive and well in Vegas.

LM wrote on August 05, 2008 02:48 PM: As a CRNA who has practiced for over 25 years, I know and others should also, that you do not reuse needles or syringes and you wipe off ports with alcohol.

However, medical boards do not discipline doctors if they can find a way around it. Their job is to protect their fellow doctors at all costs. They do not get rid of bad doctors unless there is simply no other alternative. Appointing doctors to medical boards is like having the fox guard the hen house. So the State of Nevada is failing the citizens of Nevada. However, they are not alone. Other states are equally as derelict since they all think doctors are sacred cows.

The suggestion to have a healthcare board is great, but must have a great number of lay persons and also have short overlapping terms so you do not get a "good ole boy" process going.

NOTHING WILL CHANGE TILL VOTERS DEMAND IT !!!

Carl O wrote on August 04, 2008 12:30 PM: Although I am not a close friend of Dr. Young, I have met him on several occasions. He is a very nice person and according to reports from co-workers and staff this was not normal proceedure.
I do agree that there should be consequences for his actions, but after a thorough investigation (at his expense) he should be able to continue to practice medicine.

Cyn wrote on August 04, 2008 10:36 AM: People will continue to go out of Nevada for medical care (I use St. George and Mayo Scottsdale) until the medical board shows they are sincere about removing doctors hat don't make the grade. So far, they've not done so.

Jon H. wrote on August 04, 2008 09:01 AM: Good questions that deserve an answer. My suggestion, do what historically has worked in the past, make the process transparent, and keep each profession responsible for judging its own practices. How? By creating at the government level the equivalent of a Quality Assurance manual that provides a guideline that will be used by the professional groups to create their own equivalent of a Quality Control manual, specifically for their own profession. Government’s only involvement would be to audit the professional groups QC manual, and to determine if it is being followed. Thus, we get government out of the day to day business of the professional organization, and eliminate the government type cronyism that often does occur. The courts could be used to settle disputes, between the state auditor and the professional organization.

Thus, we start with a uniform system that defines the fundamental ethics and culture that will be acceptable for each of these self regulated organizations. Perhaps, they would have five members on each of these boards, where each will be randomly selected from a qualified pool of applicants for this honorable part time service. Then each will serve for five years. The first year as apprentice, then as the line moves, after five years, the chair of the committee. To be fair, perhaps a person should only be allowed to serve on this line once, but this is another matter altogether. The courts could be used to settle disputes, between the professional organization and a member.

When you consider how the first codes were administered in our country, such as the ASME boiler codes then the building, plumbing and electrical codes. This type of active participation by those who do the work does make sense, and it does work.

Think of it as a professional guild.

JC wrote on August 04, 2008 08:18 AM: "If wanting bad doctors, whether MDs or DOs, to be disciplined is a "political agenda," then Tarno is right." Sure Jane. That is why we have heard so much from you about the pending Medical Board investigation of your salon buddy and purjuror Dr. Benjamin Venger.

Cindy wrote on August 04, 2008 07:54 AM: And the State Medical Board and Southern Nevada Health District wasnt to regain people's trust. Are you freaking kidding me. I would not let any doctor in this state touch me.

joe wrote on August 04, 2008 07:26 AM: There are crucial questions here.

1. How does the state modify its oversight on medical and health care professionals to conform with the best practices in the USA? Moving NV from the bottom to a top ranked state for oversight and licensing is the way forward here.
The story of Dr. Hack, a very qulaified Gastro is a perfect case in point here. We can and should have an attractive licensing and practice environment in our state for all, including to the 70% of the economy on LV beyond gaming and entertainment --why not healthcare and science based---the licensing oversight is a facilitator to general good instead of the embarassment and disease risk to so many brought on us by the Gastros in the Dr.Desai and partner facilities.

2. How does the State assure the public that corruption and cronyism doesn't limit access of patients to quality medicine and avoid the 'steering' by cronyism and corrupt practices such as those exhibited by Dr. Desai et al. This is seperate from malpractice at the Endoscopy Centers that he and his partners owned and 'practiced' in. How do we assure that MDs are not referring patients to centers that they benefit from the prifts that they generate, where the motivations that Drs. exhibited were to run the patients through quickly and at lowest cost. This is what leads to the Hep C/HIV/Hep B exposures at clinics. Dr. Young was part of this low cost and weak sterility practices as well.

3. How do we build a Healthcare infrastructure that provides the State with highly rated Hospital Services? (instead of not being mentioned at all in USA wide quality rankings--this is directly linked to 1-2 above.)

MJ wrote on August 04, 2008 07:17 AM: Dr's in general are heave contributors to re-election campaigns so there is no way the Legislature or the Love Gov will do anything to fix the problems which is not cosmetic. Business as usual in Nevada. Big mouth legislators will continue to make big statements but in the end they will do nothing as usual. The Medical Board will remain a sacred cow

BR wrote on August 04, 2008 07:05 AM: Dr Young's office is at 620 Shadow Lane.
Dirty Desai's office was at 700 Shadow Lane.

Other anathesiologist working with Dr Young at the 620 Shadow Lane office are:
David Adams
Edwin Adolfo
Bahbak Adrangi
Thomas Barson
Hans Berndes
Cameron Bird
Michelle Bischoff
Scott Boman

These people were Desai's neighbors and fellow professionals.
It is unreasonable to think they don't know about the Desai case.
It is also reasonable to think they may have been reusing syringes
and vials too.

I'm making a note of these people. I will never allow them anywhere
near me. I think I'll expand that list to include other health care workers.
I'll use Google searches since the medical boards hide complaint records.

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