Home subscribe manage Las Vegas Review-Journal
  Jobs Cars Homes Shopping Travel Weddings Golf Best of Las Vegas Photo   Search:

RECENT EDITIONS
Sun Mon Tue Wed Thu Fri Sat

News


TRAUMA DEPARTMENT: Doctor challenges UMC

Physical confrontation leads to restriction of medical privileges

A respected surgeon who allegedly became involved in a physical confrontation with family members of a University Medical Center patient has been barred from seeing trauma patients at the hospital.

In an Aug. 8 letter to Dr. John J. Fildes, medical director of UMC trauma services, hospital CEO Kathleen Silver said she became aware of allegations that Dr. James Tate was involved in the physical altercation. She went on to say that Tate might pose an "unreasonable danger to UMC patients, visitors, employees and medical staff."

Newsvine Digg Fark Technorati reddit StumbleUpon del.icio.us Slashdot Propeller Mixx Furl Twitter MySpace Facebook Google Bookmarks Yahoo! Bookmarks Windows Live Favorites Ask MyStuff myAOL Favorites

Most Popular Stories
  • NORM: Penthouse wants piece of the Strip
  • RAMPAGE ENDS IN SUICIDE: Man runs amok in Las Vegas
  • ROBBERY-HOMICIDE CASE: Juror sent flirtatious messages
  • Father mourns his daughter
  • NORM: 'Joe the Plumber' too booked for LV
  • Judge asks court to release son arrested after crash that killed girl
  • NORM: Strip club owners, 'Vinny' part ways
  • Anger over cuts reaches fever pitch
  • Working beneath Lake Las Vegas
  • DISCIPLINE COMMISSION: Halverson removed from bench



  • To minimize the chance of placing others in harm's way "if the allegations against Dr. Tate are true," Silver asked Fildes to remove Tate from the trauma department call schedule. Fildes acted upon Silver's concerns the same day, taking him off the call schedule.

    Tate, who has worked at UMC for more than 20 years, is irate. He said 70 percent of his income comes from seeing trauma patients.

    "Haven't they ever heard of due process?" said Tate, who is still allowed to do general surgery at the hospital. "The UMC administration hasn't even talked to me. The patient's family began the physical altercation, and I simply pushed them away. UMC didn't like that."

    UMC spokeswoman Cheryl Persinger said Monday that hospital administrators could not comment either on the actions taken against Tate or on letters sent to him, which he made available to the Review-Journal.

    Tate raised another possibility for the hospital's action.

    "I came out so strong against (Dr. Dipak) Desai and now this is payback."

    Tate has been one of the few physicians in Las Vegas to be openly critical of Desai, whose clinics have been linked to a cluster of hepatitis C cases in Southern Nevada.

    Tate told the Review-Journal in March that only an independent agency from outside Nevada could be trusted to do an investigation because of Desai's "network of influential relationships."

    Desai and his gastroenterology group received a $1 million contract in 2007 to direct UMC's gastroenterology department, more than quadruple the $210,000 they had received for the same work at UMC in 2006.

    UMC canceled its contract in March with Desai.

    "The top UMC administrators loved Desai," Tate said. "They gave him whatever they wanted and now they're embarrassed."

    Dr. Maurice D. Gregory Jr, a vice president of the local chapter of the Association of Black Physicians, said Monday that what happened to Tate constitutes "a modern-day lynching."

    "He should never have been suspended from the trauma schedule," Gregory said in a written statement to hospital officials. "Any/all suspension or privileges limitations should always be in effect after proper medical executive committee review due process."

    In his letter to Tate informing him of his removal from the trauma department call schedule, Fildes noted he was doing so because of Silver's account.

    The physical confrontation involving Tate occurred the day after he first treated a teen victim of an auto accident.

    According to Tate, on Aug. 5 the father and grandmother of a 14-year-old boy wanted to begin skin grafts immediately on skin ripped on pavement during the auto accident. Tate said he told the family it would be better to see how the "road burns" healed and that grafts may not be necessary.

    He said he did tell the family, however, that the nursing staff could put him in touch with burn care specialists.

    As Tate was leaving the room, he said the boy's father was very agitated and yelled: "This is my child."

    Tate said he then replied: "Yes, I understand that's your child, but do you really think your behavior right now is helping your child?"

    After he had walked about 20 feet down the hallway, Tate said, the boy's father used an obscenity to refer to him, also calling him "ignorant and arrogant."

    "Yo' mama," Tate said he replied.

    Tate said the father rushed down the hall toward him, his chest bumping Tate's chest.

    "He was less than 1 inch away from my face and was touching me. I told him, 'You really ought to back off.' He refused, so in a defensive movement I pushed him away from me. That is a right I reserve to defend myself against anyone who attacks me."

    Tate said the boy's grandmother then bumped him "and she was pushed back also."

    "At this point, one of the nurses who had not bothered to intervene previously decided to get in between the two of us and the resident and I continued our departure," Tate said.

    At noon Monday, four of Tate's supporters met with him at the Seven Seas Restaurant and Lounge owned by Louis Conner.

    Conner and his wife, Judye, along with businessmen John Edmond and Asfaw Tesfay were astounded that UMC brass hadn't met with Tate before taking a job action.

    "You always have to get both sides of a story," said Edmond.

    Tate thinks he knows why UMC administrators didn't want to meet with him.

    "I told them I'd meet with them any time as long as my attorney was present," he said. "They didn't like that. But I think in this country that's my right."

    Contact reporter Paul Harasim at pharasim@reviewjournal.com or 702-387-2908.



    Leave Your Comment 77 Reader Comments
    Terms & Conditions
    The following comments are provided by readers and are the sole responsiblity of the authors. The reviewjournal.com does not review comments before publication nor guarantee their accuracy. By publishing a comment here you agree to abide by the comment policy. If you see a comment that violates the policy, please notify the web editor.

    Some comments may not display immediately due to an automatic filter. These comments will be reviewed within 48 hours. Please do not submit a comment more than once.
    Current Word Count:

    Correction wrote on August 29, 2008 05:14 PM: Cynical Observer made some incredibly ill-informed observations in your comments dated 8/20/08.

    First, you are completely wrong about the law and the facts. Dr. Tate's license to practice medicine is granted by the state, not Clark County. Second, Kathy Silver cannot revoke his license, and she didn't revoke his license. If you has half a brain, you would know that since Dr. Tate continues to practice on the general surgery call at UMC.

    Second, all that happened to Dr. Tate was that he was removed from the call schedule. His license and medical privileges are not altered.

    Third, you claim (based on your prior erroneous assumptions) that Dr. Tate is entitled to a due process hearing. Courts have held that due process is involved where there is a property right. Call schedule does not involve a property right. Thus, with no property right involved, no due process hearing is required. If no due process hearing is required, then there was no violation of Dr. Tate's civil rights.


    Fourth, you make a baseless claim that Dr. Tate has a libel claim against Ms. Silver. However, there are no facts to even remotely suggest that Ms. Silver knowingly made a false statement about Dr. Tate.

    Finally, the only one that "is profoundly stupid in terms of . . . knowledge about doctors' rights to practice at the hospital, and requirements for due process" is the person who tried to play lawyer called Cynical Observer, who hasn't even the slightest clue about the law or hospitals.


    westside ignorance wrote on August 26, 2008 03:56 PM: How do you know the family isnt black?


    Westsides answers wrote on August 26, 2008 10:12 AM: Security was right there as well as multiple nurses.They all made statements. The family did ask for another Dr (a burn specialist because the burn nurses said that he needed to be re-admitted even though Tate had sent him home) when Dr. Tate came to the burn cleaning room he tried sending the boy home for the 2nd time! (THE morning AFTER Dr. Tate released him the 1st time 2 days after he was dug under a car for 41 ft and is STILL IN THE HOSPITAL with NO SET RELEASE DATE) that is when Dr Tate became aggressive insisting that he was above any burn Dr and he knows what he is talking about.The father told Dr Tate that he wanted a specialist and that is when his smart comment of GO F*** YOUR B**** OF A MOTHER came out of Tates mouth. The parents/grandparents never insisted on skin grafts because at this point they didnt even know that he had to have them. The Father nor grandmother ever laid a finger on Tate he pushed the grandmother. This story will soon all come to life. THE TRUTH WILL COME OUT.This story that Tate has made about race,Dr Desai and the Hep-C cases is totally absurd in every way possible This is about his traumatic actions against a family who are going through a hard enough time as it is without the stress of a Dr. trying to release their son when he is in obvious need of long term hospital care. And assualting a Grandmother who is only wanting a second opinion as to whether her grandson should be sent home. To much of a blow to Dr. Tates ego I guess.


    Westside wrote on August 26, 2008 09:45 AM: Are you telling me that this doctor just assaulted this family and jumped on this grandmother. Please.

    You say don't bring in race but where was security? I've been to UMC and you better believe if there is a black family in a room the security staff knows about it.

    Where were the nurses? Where did the altercation take place? Why didn't the family ask for a different doctor?

    You know the family? What the hell does that mean. (There not like that!) Isn't that what you say before you stick it to the black community.

    Fern, says let's bless this little boy. Fern with all your experience I am sure you have seen doctors accused of things that didn't happen? What are you ashamed of that the doctor advised caution before performing skin grafts or that he pushed someone who was committing assault?


    fern wrote on August 25, 2008 07:34 PM: What a sad and disturbing story. A young teen horribly injured, a family traumatized by his accident and now by the treatment of his physician. As a nurse who has many years of experience in critical care and emergency medicine in a busy urban hospital, I have never been so embarrased by the behavior of a physician. May God bless this boy as he heals, and may God forgive the shameful behavior of the "good doctor".


    D & J wrote on August 23, 2008 08:31 PM: we are family to this little boy and dr. tate has lied to the rj and las vegas. to ever bring race into this is absurd in everyway! he abused the boys grandmother and there's proof! and the "yo,mama" reply to the boys father was the short version.... add "go f**k yo' to momma" is actually what he really said. professional??? please! the boy, three weeks later, is still in the hospital and not set to be released yet but tate tried to release him two days after?? and the boy was screaming in pain from the horrid road rash which is now 3rd degree burns and he is still currently on morphine. this dr. sent him home with broken ribs and burns all through his upper body with a bottle of percocets! let me run you over, dr. tate, on 150 degree black top then send you home with a bottle of percocets and have your burns cleaned out with no ample pain killers! talk about a modern day lynching! and to the person who said the parents were at the bar taking shots at 10 am before they went to the hosptial!! Come on! to throw stones like that when you don't even know the family is ignorant! their kid just got hit by a truck and almost died. how stupid and horrible can you be? I applaud UMC for doingwhat was right. he was suspended because of this incident and nothing to do with the hep-c case! Dr. tate is just worried about how he is going to make his mortgage payments on 30% of his salary. next time you should think before you act, Dr. tate! our family is going to see this through and prevail!


    DeAnna wrote on August 23, 2008 08:06 PM: anyone who is routing for this doctor will soon be putting their tail between their legs when then they find out the truth about this doctors verbal and physical abuse on the 14 year old boys, GRANDMOTHER! the boys father didn't touch him but doctor Tate did put his hands on the grandmother of the injured boy. In the hospital it is a felony it put your hands on a doctor, signs say that everywhere. So if doctor tate is telling the truth why wasn't the parents and grandparents arrested? because tate was the one at fault and he was the abuser. He has a bad rep at the hospital and all this will soon be aired out. IM FURIOUS THAT THIS DOCTOR WOULD BE SO IGNORANT TO FABRICATE SUCH A BOLD FACE LIE THE REVIEW JOURNAL. YOU SHOULD BE ASHAMED OF YOURSELF!!!!!


    joe mama wrote on August 23, 2008 03:24 PM: Dr. Maurice D. Gregory Jr, a vice president of the local chapter of the Association of Black Physicians, said Monday that what happened to Tate constitutes "a modern-day lynching."

    LYNCHING??? REALLY???

    Again, leave it to a black to capitalize on his race and use it to defend himself as once again, "another victim of the whiteman." This incident has absolutely nothing to do with Dr. Tate's race. He is a black community activist with ties to the black panthers and has before used racism to defend Assemblyman Wendell Williams. Again... it had nothing to do with race. I have had some interaction with Dr. Tate on numerous occasions and I can say that he is extremely arrogant and talks down to everyone beneth him, nurses, other doctors, paramedics, etc.


    <> wrote on August 22, 2008 03:28 PM: Yo Mama?????????


    ........................................................... wrote on August 22, 2008 03:11 PM: :( sad day


    Read All Comments