Well, guess what, folks? It appears that Richard Lockwood, M.D., has a long-standing practice of admitting patients to Iroquois Nursing Home, not doing a physical examination or medical assessment, but entering in the patient’s charts fabricated notes indicating that he has examined and assessed the patient.
This is, first, morally wrong; second, an ethical violation of medical standards; third, a violation of NYS Dept. of Health regulations, and fourth, Medicare and Medicaid fraud.
7/11 To Barbara
This morning the hotline–Alice, in the DOH Case Resolution Unit–that the Iroquois is refusing to take me back because I have not had the psych eval. Alice says that Dr. Lockwood called the ER, spoke to a doctor, and requested the psych eval, and that Lockwood and the Iroquois have done nothing wrong. When I asked what reason Lockwood gave for wanting the evaluation, she said that was not a question for her to ask. I maintain that Lockwood ordered the psych eval without good or sufficient cause. Nursing Supervisor Sue Greer told me it was “because, by your admission, you had a complete meltdown on Saturday.”
To which I replied, “Today is Wednesday.” (It is a gross abuse of the emergency department to send a patient there for something that happened four days previously.) Greer then gave as her reason, “This morning you raised your voice, and used swear words.” That, also, is no reason to request a psych eval. In fact, psychologist Dr. Katherine Lewis (Psychological Health Care, Inc.) had seen me on Tuesday at the Iroquois, and had called and spoken to the nurse manager in the evening. I am becoming increasingly suspicious about Greer’s role in all of this.
She is rigid and judgmental, and has aggressively defended the institution, to the point of refusing to talk about my requests to see Dr. Lockwood. Question: what is the pathway by which patient requests reach the physician? I asked aides, nurses, nurse managers, the nursing supervisor and the director of social work. Who told Dr. Lockwood and when? Was Greer in a singular position to block my requests? Greer stated that on Saturday she had several “very very long conversations” with the nurse manager, who had been trying to pressure me into taking insulin.
She wanted me to have two finger-sticks a day with coverage, and said that I wasn’t taking proper care of myself, and used blaming language to me for refusing to be put yet a fourth insulin trial. I basically ignored her. What matters of substance could result in multiple “very, very long conversations?” I would expect the supervisor to tell the nurse manager, “She’s here for palliative care. There will be no insulin. Move on.” And why would a nursing supervisor find these very, very long conversations so satisfying that she would engage in them on her day off?
I want to see documentation of Dr. Lockwood’s reasons for sending me for a psych evaluation, and I want to know if the suggestion originated with Greer. Alice tells me that if the Iroquois refuses to take me back, then they have to give me a discharge notice, which can be appealed. Also, if I am admitted to Crouse then Medicare and Medicaid will not pay to hold my bed at the Iroquois. An Iroquois staff member told me that sometimes doctors there only do chart reviews and do not sit with the patient. It appears that is what Dr. Lockwood did.
None of the mess we’re in today would have occurred if Dr. Lockwood had sat with me the first Friday. BTW, no physical was ever done at the Iroquois.
7/11 From Barbara
Thank you for keeping us in the loop about your conversations with the Case Resolution Unit. We are scheduled to have a phone conference this morning with representatives from Iroquois at 11am.
As you know, you were evaluated in the ED and the physician there did not find cause for a psychiatric evaluation. We are going to approach Iroquois with an open mind and see what we can do to advocate for your interests. I will let you know the outcome.
7/11 To Rosemary
On June 27 I was discharged from Crouse and admitted at the Iroquois Nursing Home. Regulations are that the physician–Dr. Richard Lockwood–should have done a physical and medical evaluation on June 28. He did not. I had multiple critical situations regarding psychiatric medication, and I have immune dysfunction (caused by unmonitored lithium). It is hard and dangerous to prescribe for me, and the doctor would not meet with me.
Lockwood persisted in not seeing me until yesterday, July 10. On Monday I called the DOH Nursing Home hotline and now have a case open in the Case Resolution Unit with Alice as the case reviewer. The Case Unit phone is (518) 402-5447. Yesterday they sent me to the Crouse Hospital ER for a psych evaluation because that morning I had “spoken loudly and used swear words.” The ER chief found no reason to call a psychiatrist.
The Iroquois has not provided appropriate care under state regulations. I complained, so they shipped me out in retaliation.
Now, if Crouse admits me then that effectively lets Iroquois off the hook. I have not received a discharge notice, nor the right to appeal.
HELP! I need a lawyer to enforce the regulations!