Police: Doctor hunted ex-colleague before Bronx hospital shooting rampage

bronx lebanon hospital shooting nypd policePolice officers using all the Tactical Response Unit line up outside Bronx Lebanon Hospital after a gunman opened fire subsequently took his own life there on Friday, June 30, 2017. Associated Press/Mary Altaffer

NEW YORK (AP) — A physician mad that his career was derailed at a new york hospital toted an assault gun beyond security seeking a colleague he was likely to hold accountable. When that person was not there, he opened fire anyhow, murdering a physician who was there covering a change as a favor, authorities said Saturday.

The new particulars of Dr. Henry Bello’s rampage appeared together with the email rant against colleagues he blamed for forcing him to resign in Bronx Lebanon Hospital amid sexual harassment allegations two decades earlier. The email was delivered to the New York Daily News just two weeks before the shooting Friday afternoon that left six other people wounded and Bello dead from a self-inflicted shot.

“This hospital terminated my street to your licensure to practice medicine,” the email said. ” First, I was told it was because I always kept. Then it was due to the altercation with a nurse.”

In addition, he blamed a physician for obstructing his chances at practicing medicine.

Bello had cautioned his former colleagues when he was pressured in 2015 which he would return to kill them.

A law enforcement official told The Associated Press which Bello arrived at the hospital using the assault rifle hidden beneath his lab coat and requested for a particular physician whom he blamed for his having to step, but the physician was not there at the time. The official spoke on anonymity because the person was not authorized to talk about an ongoing investigation.

It was not clear if Bello knew Dr. Tracy Sin-Yee Tam, 32, who was killed in the shooting on the 16th and 17th floors of the hospital was, like him, a family medicine physician. Hospital officials said that Tam generally worked in one of the hospital’s satellite clinics and was covering a change in the main hospital as a favor to somebody else.

“It gets you believe anything could happen to anyone,” said Tam’s neighbor, and Alena Khaim, 23, who watched Tam’s sister outside the house overcome with grief, shaking and not able to walk. “She was a sweet woman. You would never think something like this would happen but it occurred.”

The six other people who were hurt — a patient, two health care students and three physicians — mostly suffered gunshot wounds to the chest, torso and stomach. 1 physician remained in critical condition and the remainder were secure, officials said Saturday.

bronx hospital shooter ar-15 assault rifleThis Friday, June 30, 2017 photo released by the New York Police Department reveals the AM-15 assault rifle used by Dr. Henry Bello at a shooting Bronx Lebanon Hospital in New York. NYPD through Associated Press

Hospital vice president Errol C. Schneer said his team responded heroically.

“Many of our staff risked their own lives to save sufferers,” Schneer told colleagues at the hospital in which the 16th and 17th floors remained shut, along with staffers were still recovering in the rampage that shipped people begging for cover and huddling in patients’ rooms while the gunman was on the loose. Adding to the madness, authorities said, was a fire alarm that went away when Bello tried to place himself ablaze, the flames extinguished by sprinklers, shortly before he shot himself.

Detectives searched the Bronx house where Bello was most recently living and discovered the box where the gun came out. Investigators were checking serial numbers and trying to determine where it was purchased.

His former co-workers explained a guy who was aggressive, loud and threatening.

“All of the time he was a problem,” said Dr. David Lazala, who trained Bello as a family medicine physician. When Bello was driven outside from 2015, he delivered Lazala an email requesting him for its dismissal.

Dr. Maureen Kwankam told the New York Daily News that “he promised to return and kill us”

Based on New York State Education Department documents, Bello graduated from Ross University and needed a permit to practice within a global medical graduate which was issued on July 1, 2014, and died last year on exactly the exact same day.

In 2004, the physician pleaded guilty to unlawful imprisonment, a misdemeanor, after a 23-year-old girl told police Bello grabbed her. He was detained back in 2009 on a complaint of unlawful surveillance, after two distinct women reported he was attempting to look up their sleeves using a mirror. That case was eventually sealed.

Schneer told the New York Times that the hospital did not understand regarding Bello’s criminal history when he was hired.

“At that time, and as a consequence of a human assets and safety department history check, which includes fingerprinting, there wasn’t any record of any conviction for sexual abuse,” he said.

Associated Press writers Larry Neumeister, Rebecca Gibian, Steve Peoples and Karen Matthews contributed to the story.

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Questioning Diabetes Standards of Care

Hey, All — if you’ve got questions about life with diabetes, then you’ve come to the ideal place! That could be our weekly cardiovascular information column, Request D’Mine, hosted by veteran type 1 diabetes, diabetes author and clinical professional Wil Dubois.

Last week, Wil responds to your question about all those “standards” established by medical professionals about how we ought to be handling our diabetes therapy. No real surprise that Wil has any pointed remarks on this!

Dan, type 1 in Washington, writes: each time that I go to the doctor, they always say to me the insurance provider gets on them whenever they don’t put a type 1 diabetic on a statin and a blood pressure pill. However, as a patient, I do not take pills for prevention of illness unless I could find evidence, beyond a reasonable doubt, the pill is effective and not dangerous. That’s, I don’t have kidney disorder and that I don’t have cardiovascular disease. I don’t have elevated blood pressure. I have type 1 diabetes (35 years) and that is it. By the way, my A1C is always around 5.5.   My cholesterol is 200 and LDL is 125 and HDL 60.

Once I examine the research, there is only marginal improvement in taking a statin (which is, it takes 100 individuals to be treated to prevent 1 heart attack), if you believe the studies all done and paid for by the drug companies that make this stuff. Additionally, the Framingham Heart Study showed over half those who had a cardiac event had NORMAL cholesterol levels.

Why are people type 1 diabetics told that regardless of what, you need to take this? I’m tired of these doctors acting as if I have a disorder I don’t own and telling me about insurance companies and the way they get in trouble. And I am honest: I’d an innovative cholesterol assessment done that shmade my LDL is that the large fluffy kind (design A) and not the tiny dense LDL (pattern B). Even so, I get plagued every time that I see my general practitioner along with my endocrinologist.   Is all this really going on (insurance companies pressuring doctors to carpet bomb most type 1 diabetics with statins and blood pressure pills at the lack of clear cut research, replicated a couple of times, proving advantage)?   I’m tired of being treated for an illness I do not have by pills with demonstrate evidence they actually stop anything.   

Wil@Ask D’Mine replies: Confession: I am a heretic.

Needless to say, I wasn’t always a heretic. I was a True Believer. A believer at the standards of care. I believed that wiser folks than me, using scientific evidence, had carefully created diabetes therapy algorithms which could assure long life, joy and health. All I needed to do was follow the principles.

I am not sure when I began losing my diabetes maintenance faith. It arrived in baby steps. But I think the very first thing was baby ibuprofen. Once I was diagnosed, I had been placed to a statin, an ACE, and a baby aspirin. All standards of care. As soon as I began working in diabetes therapy, one of my jobs was to ensure those damned noncompliant diabetics took their statins, ACEs, and aspirins.

Like any good zealot, I strongly urged for your trio. I set a fantastic example by accepting myself, though I did not need them, and encouraged, cajoled, and silenced my own patients to do exactly the same. I created a cute visual help using a toy medieval armor place where sword had been diabetes meds, so the statin was the breastplate, the ACE was the protector, and the baby aspirin was the helmet.

And then one day the priests said, “Uh… never mind about that aspirin thing we’ve been pushing you for a long time. It out does not help. Our poor. But keep taking each of the other things we told you to choose.”

Along with the real Believer entertained his very first doubt.

Time, wind, and rain plantations hills. The more I worked at the area, the longer fallible I understood the priesthood was. The standards of care weren’t carved in stone. They have been created from Playdough. Each year they changed. Part of this was the truth that knowledge changes, but that which I came to understand was that there was more politics than science involved in establishing standards.  

Speaking of mathematics, I think I completely lost my faith when I was included in a college “scientific” study that allow me to see up close and personal badly conducted these investigations could be. The lead investigator conducted out of time, but needed a certain continuing volume of printed works for job safety in the dog-eat-dog academic universe. Exhausted and fearing occupational effects, this individual simply fudged the lost data.

I was really horrified. Appalled. Knowledge wasn’t the goal. Successful publication was.

Heresy EverywhereBut I half-heartily peddled the conventional drugs at work. It had been within my own job description, even though it was no more in my center. Ironically, I lasted taking them from habit than anything else. Subsequently, worn down and worn out myself, one day that I had a hissy fit and stopped taking all of my drugs — vitamins — except for my own insulin along with my thyroid pill.

Within days I felt 100% better. Ten years younger.

Officially, I am still supposed to advocate for the standards. I mention what the standards are, and the way they are made, but I don’t expend much energy.

Along with the drama armor is no more in my office.

Do the insurance companies irritate us because of our lackluster use of standards of care? That depends on how you define “hassle” Historically we receive three dimensional letters list their members who don’t appear to be toeing the line in regards to standards, but that’s about it.

On the other hand, the times they are a’changin’. These auto insurance companies which will not pay for test strips are beginning to place their money where the standards are. More importantly, docs have been bribed to make certain their diabetes sufferers meet the standards. In case their diabetes patients act, docs qualify for benefits. As in additional cold, hard cash incentives.

In the future, things look grimmer.

We’re in a significant state of turmoil in healthcare, and a model for the future which gets kicked around a lot is pay for functionality. Whether this model is broadly adopted, docs would not be compensated for what that they perform, but rather they’d be compensated for exactly what you do. They’ll be penalized if you don’t toe the line.

I am able to see a world where non-compliant diabetics like me and you will probably be discharged from care because doctors will not have the ability to be compensated for taking care of us. Regardless of how healthy we are.

Then what? Well, there may come a day after, so as to keep your healthcare coverage, you may have to fill out the prescriptions to the standards and create the copay. But in the solitude of your bathroom, nobody will know whether you take the pill flush it down the toilet.

Needless to say, I never said that, also certainly will deny stating it if asked. This column will probably self-destruct in five seconds.

Meanwhile, calmly and logically explain to your staff the way you feel, and request they quit hassling you. When they don’t, for now, you have the choice of searching around. Healthcare is still a consumer market. You’re the client.

Find someone who’s still promoting the sort of healthcare you want.

This isn’t a medical advice column. We are PWDs publicly and publicly sharing the wisdom of our collected experiences — our been-there-done-that knowledge in the trenches. But we’re not MDs, RNs, NPs, PAs, CDEs, or partridges in pear trees. Bottom line: we are just a little portion of your total prescription. You still need the professional advice, therapy, and care of a licensed medical practitioner.

 

Disclaimer: Content Made by this Diabetes Mine team. For more details click here.

Disclaimer

This content is made for Diabetes Mine, a user health blog centered on the diabetes area. The content is not medically reviewed and doesn’t stick to Healthline’s editorial directions. To find out more about Healthline’s partnership with Diabetes Mine, please click here.

Composed by on Nov  24,  2017  

Composed by on Dec  11,  2017  

Composed by on Dec  11,  2017  

Composed by on Dec  22,  2017  

Source

https://www.healthline.com/diabetesmine/ask-dmine-diabetes-standards-care-and-my-heresy

Doctor who won’t use a computer loses her medical license

NEW LONDON, N.H. — Anna Konopka, a doctor in New London, New Hampshire, refuses to practice exactly what she calls “electronic medicine.” She doesn’t understand how to use a pc, and she handwrites her patient documents and keeps them into file cabinets.

Why? “Since electronic medicine is for the machine, not to its patients,” stated the 84-year-old, who’s originally from Poland. “The machine is destroying human relations between the doctor and the patient.”

Konopka’s refusal to keep digital records, however, has played a part in a judge denying her request to regain her license to practice, which she voluntarily surrendered in October after allegations of misconduct were brought against her, as stated by the judge’s ruling.

In his ruling on November 15, Merrimack County Superior Court Judge John Kissinger dismissed a case brought by Konopka to regain her license. Konopka said she had been pressured to surrendering her license and had been advised if she did not, she’d have it removed.

The allegations against Konopka started in October 2014 when a complaint brought to the New Hampshire Board of Medicine accused of “improper prescribing practices” about a child, based on this nation. After an investigation into the allegation, the board reprimanded Konopka in May.

After Konopka consented to this reprimand, the board medical record subcommittee received further complaints about her, according to Kissinger’s ruling. He said from the ruling that the allegations encircle her record, prescribing clinics and medical decision making.

Konopka, that denies misconduct, signed a voluntary surrender of license in September, where she consented to give up her license effective October 13, allowing her time to “offer emergency and scheduled treatment,”based on this surrender.

In early October, Konopka requested an injunction from the court in hopes of continued her practice, saying she kissed her license under duress. Kissinger stated in his ruling which Konopka didn’t reveal she had been pressured to surrendering the license.

“Her purpose to seek out an injunction allowing her to continue to practice comes from a sincere desire to keep up to assist her patients,” he wrote. “Under these conditions of the case, however, Dr. Konopka has failed to show the extraordinary remedy of an injunction allowing her to continue to practice medicine is suitable. To hold otherwise would be to dismiss the procedure established by the Legislature to regulate the practice of medicine in this state.”

Not giving up the struggle

Konopka filed a motion on November 22 asking Kissinger to rethink and has filed affidavits from 30 of her patients talking on her behalf.

“I can’t get too mad,” she said regarding the ruling. “I am not devastated with that. I think folks are doing particular things against me. They’re a part of the political strategy, you understand. I am working with the machine.

“If you’re unfamiliar with platform, the system considers that you enemy of program, since you’re out of this machine. Therefore, as enemy of this machine, you’ve got to be destroyed.”

Until Kissinger reverses his decision, Konopka won’t have the ability to see the 20 to 25 patients each week that was able to come to her practice, where she works alone and charges patients 50. She said her low prices make it difficult for her to afford a lawyer.

She had been represented by legal counsel at the time she signed the surrender, also Barbara McKelvy, among Konopka’s patients, said she’s working to obtain a pro bono lawyer for Konopka.

Konopka said patients favor her practice when compared with large hospitals because of the individual attention they get.

Doctors at hospitals seem at computers all of the time, Konopka mentioned, and rely upon them, instead of their wisdom, for investigations and guidelines to prescribing medications. She predicted that system costly and detrimental to patients. The physicians don’t have any contact with the patients, ” she said.

“They practice electronic medicine, I practice medical art,” she said. “I treat the patient. And I am not likely to compromise the individual’s life or health for the machine.”

Jill Beaudry, among Konopka’s patients that wrote to the courtroom, told CNN Konopka is affectionate and enthusiastic about her patients also doesn’t care about the cash. She also added that Konopka is among the best physicians she has been around.

“My older physicians they had their heads shoved into their own computers. It was not personal with you. They never even looked at you,” Beaudry said. “With her, she is 100% concentrated, and I hate when the physicians are utilizing computers such as that, because that is not medicine.”

As Konopka waits to hear by Kissinger, she stated she plans to use a pc for minimum tasks such as staying up-to-date on whether she regains her license to practice. She won’t, but give in to practicing “electronic medicine.”