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HEPATITIS OUTBREAK: Medical board assailed

License of ex-colleague of Desai to be reinstated







He'll pay a fine and be on probation, but a doctor linked to a hepatitis outbreak can once again treat patients in Nevada.

The state Board of Medical Examiners lifted the 13-month suspension of the medical license of Dr. Eladio Carrera, a unanimous decision that infuriated both an infected patient and a state lawmaker.


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  • "The board isn't taking this seriously at all," said 61-year-old Gwendolyn Brown, one of Carrera's patients who became infected with hepatitis C. "You can't believe what you have to go through when you get hepatitis. Don't they realize how sick people get?"

    Lyn Beggs, the board's general counsel, said the infections of Carrera's patients "most likely" occurred outside his presence. Carrera was merely the co-owner of the clinic, without control over any policies and procedures that put patients at risk, she said.

    "What we're asking you to do is to recognize that Dr. Carrera is not the person who is really responsible for what happened," Beggs told the board.

    Under an agreement approved by the board, Carrera will receive 24 months of probation, a public reprimand and a $15,000 fine. If he practices gastroenterology, he needs "an appropriate level of control regarding practices and policies which affect patients."

    He also must testify in other malpractice cases filed by the board against Dr. Dipak Desai, the principal owner of the Endoscopy Center of Southern Nevada, and Dr. Clifford Carol, who practiced there.

    Assemblywoman Sheila Leslie, D-Reno, whose committee investigated the outbreak in Las Vegas, called the board's action "outrageous."

    "The only way to fix the medical board is to shut it down and start over with brand-new people," she said. "There's a culture within the medical board that protects doctors and not the public. They should resign for the good of Nevada."

    Board members with identified conflicts have recused themselves on matters related to the outbreak.

    Authorities investigating a cluster of hepatitis C cases observed clinic nurses reusing syringes in a manner that contaminated vials of medication and, they believe, infected patients. This dangerous practice, according to city investigators, was done at the direction of Desai and other administrators.

    Nine hepatitis C cases have been definitively linked to the clinics, and another 105 cases are possibly related. Tens of thousands of Nevadans were advised by authorities to get tested for hepatitis and HIV, the largest notification of its kind in the history of the United States, according to the Centers for Disease Control and Prevention.

    A year ago, Southern Nevada Health District officials used genetic testing to trace infections, linking three to Carrera. Though board members Robert Wiencek and Ronald Kline, both physicians, wondered aloud at the meeting about Carrera being "the captain of the ship" in the operating suite, they were part of the unanimous vote for the settlement.

    Wiencek, a cardiovascular surgeon, questioned to what degree a physician can avoid accountability.

    "If something happens in the room, I take responsibility," he said. "How far can you step back and not take responsibility?"

    Also voting for the settlement were Renee Wester, Van V. Heffner and Dr. Beverly Neyland.

    Though his client was a co-owner of the clinic, said David Mortensen, Carrera's attorney, he didn't have any managerial control over employees. He also said that any behavior at the clinic that resulted in infections "occurred outside his presence and knowledge."

    Begs and Mortensen said at the meeting that Carrera didn't know what practices might have caused the infections. But Begs said Carrera could be a "definite asset" in the ongoing investigations and "provide much needed context."

    Medical Board investigators have had trouble finding witnesses to talk to them because of ongoing civil lawsuits and criminal investigations, Beggs said.

    Carrera was not present for the special meeting, called by the board on short notice.

    Mortensen said Carrera faced upcoming deadlines regarding his medical privileges at local hospitals and his liability insurance, so he needed a decision on his medical future.

    The attorney said Carrera was on a "medical mission" to Uruguay. Silvana Montes-de-Oca, press officer for the Uruguayan embassy in Washington, D.C., said Carrera "was not on an official mission" sponsored by the government. She also said that Carrera's license suspension in Nevada did not hinder his ability to practice medicine in the South American country.

    In May of last year, Clark County District Judge James Bixler blocked Carrera from practicing medicine, issuing a temporary restraining order pending resolution of a board complaint against the gastroenterologist.

    Desai's license had been suspended earlier. Board action against Desai was delayed after he suffered a stroke.

    Mortensen said his client has been unable to defend himself because the Southern Nevada Health District has sealed the depositions of its employees.

    Mortensen said he has reviewed medical records and documents and come up with an alternative theory as to how the hepatitis C virus was spread at the clinic. He didn't provide details.

    "We believe the health district is abjectly wrong," he said.

    Mortensen said Carrera wants to serve primarily Hispanic patients, probably in North Las Vegas.

    Gerald Gillock, an attorney for former patient Brown, said what the board did makes as much sense as "give Bernie Madoff one year probation for what he did." But he said the financier did not do anything as serious as what the medical team at Desai's clinics did.

    "We're talking about doctors taking away people's health here, not their money," he said.

    Las Vegas police officials contacted Wednesday said the criminal investigation into the outbreak is still ongoing.

    The state attorney general, the FBI and the IRS also are still investigating.

    Said Brown: "I pray somebody does something."

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

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    Disgusted wrote on July 06, 2009 08:18 AM: It's not just the overseas nurses that you can't understand but also the doctors. When I had family members in the hospital here; they had doctors assigned to them that I could't understand because of thick accents.


    k wrote on July 05, 2009 10:56 AM: Board or no Board. Doctors or Civilains. The only ones who suffers is the "Patient". It is a shame that all that matters is "how much money can I make off the patient and their Ins Co". No compassion at all for the sick and dying. Not all doctors are this way, but at this Endoscopy clinic they are!! To all Patients and future patients, please, do a quick search on the back ground of the doctor that you want to treat you. If something big is listed, move on. You will find a good doctor, but it will take some time and research. Like the nurse said, who works in Nevada, go to another state to get treated. Las Vegas hospitals are the same in bad patient care in hiring over seas nurses that you can barely understand their english. These hospitals are not about good patient care. They too are only out for the money. They can hire a over seas nurse and pay them a lot less then to hire a nurse trained and worked here in the USA. Shame on the State of Nevada!! I have a dear friend who works in a Las Vegas Hospital,and says patients complain all the time about these over seas nurses. Shame, Shame, Shame!!!


    E wrote on July 03, 2009 12:14 PM: I find RateMDs.com a helpful site to check out or comment on doctors or dentists. You need to take what people are saying with a grain of salt but it gives you some idea of the doctor or dentist's practice.


    tellthetruth wrote on July 03, 2009 04:52 AM: Nevada medical board is really a rubber stamp of incompetence. when will they get it that lives are at stake here. other doctors have gotten worse punishment for lesser offenses. they will allow another money hungry doctor practice his trade knowing that his former patients have a death sentence from the hepatitis virus. Nevada medical board members should resign and new members be brought in.


    Get out if you can wrote on July 02, 2009 06:50 PM: I am a nurse in this town. Leave the state for your medical care if you can. It is worse than you even know!


    MM wrote on July 02, 2009 06:48 PM: I wish the NEVADA STATE BOARD OF MEDICAL EXAMINERS a lot of sleepless nights in preparation for there infinite stay in HELL!


    Greg wrote on July 02, 2009 05:47 PM: How about a Michael Clayton moment.

    Lawyers on legal row in downtown Vegas have been making big money on med mal for years in Southern Nevada. Didn't Bob Vannah alleged state, while allegedly wired, that he made over 100 mil in one year, with influence over some (undisclosed who) Federal District Judges in Nevada. That was reported in the public domain (Las Vegas Weekly, Medical Mafia story).

    These crap stories like Endoscopy Center of Nevada just put money in their pockets, and they get to wear the white hats and make the feel good statements, publicly.

    But privately, they know the people of influence-control in Nevada healthcare, some are good friends, and everybody goes home happy, well kept.

    There are no white hats in this story, none.

    Then there's Dr. Anwar ("Dr. NO"), who has excused himself from the board for whatever action the board takes on this matter.

    Low cost reimbursement structures, which build a protective fence from new healthcare provider competition, creates a feeding frenzy for med mal cases.

    Then there are the gaming companies, which chose to provide self-funded, self-insured, in-house healthcare to their employees, whch they lack the expertise to do. So, they contract the expertise, from the same insider circle of doctors and consultants.

    Attorneys are afraid of them unless there is a BIG payoff, which there never is because corporations won't risk the big stuff. The corporations bide their time waiting for federal solutions with federal funding, what they say, while practicing cost containment when they see a clear opening (legally) on employees case to case who have no idea how to read an insurance clause.

    It's a fiefdom circle. The best thing that can happen is there is federal government action against these doctors, or civil appeals at least make it to San Fran.


    ashley sue wrote on July 02, 2009 05:31 PM: v sharma and clifford carroll are making all their money at the valley health systems doing egd and coloscopies.. they don't care one bit about this and i am sure they will get off scott free. they are probably putting away money and nothing will become of this.


    kate wrote on July 02, 2009 05:27 PM: Dipak Desai, Eladio Carrera, Clifford Carol, Vishvinder Sharma, Dipesh Banker, Snehal Desai, Frank Faris, Carmelo Herrero, David Manuel, Albert Mason, Ranadev Mukerjee, Sanjay Nayyar, Shahid Wahid, Nicolae Weisz. and v sharma is still out there working with the rest of them , in the hospitals i see v sharma and carroll doing alot of EGD's and coloscopys.. these docs don't give a crud about this, they are making lost of money and probably hiding it ... v sharma and carroll work in all the valley hospitals , nothing is going to happen to them... i promise you


    Vince wrote on July 02, 2009 04:35 PM: Tripple....you got it down pat. The nurses did this all on their own. Yeah...that's what she wants us to believe...sure they did.

    Carrera pays the rent, owns the business, hires and fires people but he doesn't know anything. He at least should be charged with stupidity.

    I wonder how that flies with the IRS. I wonder if he can give them that excuse too. "I didn't know what was happening."

    The REAL corruption here is in the Board. You can't have people in the practice overseeing their peers. A civilian review board is required. And I volunteer.

    I was one of the people who got the letter to get tested for AIDS or HIV. I did and thankfully it was negative but some people didn't turn out as well.

    And the Board allows him to practice after that.....it's truly absurd.


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