Richard H. Lockwood MD
Re: Anne Woodlen
As you are aware, Ms. Woodlen was a resident for approximately 2 weeks at Iroquois Nursing Home. She is diagnosed with severe Borderline Personality Disorder. This is well documented by Dr. Falci of psychiatry in his consult note which was performed at Crouse Hospital. While at Crouse, she decided and agreed she would be comfort care and refused treatment for her medical conditions including Insulin Dependent Diabetes and hypothyroidism. At the strong urging and request of Crouse Hospital Administration she was transferred to Iroquois Nursing Home despite our reservations of our ability to manage her condition. We were reassured by the Crouse Administration that they would accept her back to their facility if we were unable to manage her care.
Again, as you are aware, we primarily care for: dementia patients who are at risk to elope on a locked unit, short term rehabilitative patients, end of life palliative care patients and long term elderly residents who require a higher level of care. We are NOT a psychiatric care unit. We do not have ready access nor have on the premises psychiatric services. While I am an Internist I am not specifically trained to manage severe psychiatric conditions.
Ms. Woodlen as you may understand has severe psychiatric behavioral problems. You again can refer to her hospital chart for details. While at Iroquois she was verbally abusive to the staff, to me and extremely disruptive to other residents due to her yelling profanities and behaviors.
She is a pathological liar who manipulates those around her for her satisfaction.
In view of the lack of psychiatric support services, the abusiveness to staff and ultimately and most importantly her disruptiveness to other residents she was not and is not appropriate for placement at Iroquois Nursing home. It is quite evident that she has no confidence in the care she was receiving at Iroquois and that there will an inability of the staff to trust Ms. Woodlen. This is not a good place for either Iroquois or Ms. Woodlen to be at.
[Richard H Lockwood signature]
Richard H. Lockwood MD
Medical Director Iroquois Nursing Home
July 30, 2013
I spent about two weeks on the Rehabilitation Unit of the Iroquois Nursing Home with Richard Lockwood, M.D., attending. Almost every day I asked to see Lockwood to discuss pain medication for emotional distress. He did not see me even once. Then he used my behavior when suffering extreme pain as justification for kicking me out of the Iroquois. Lockwood is also the attending physician for the 40-bed dementia unit.
First, note that Richard Lockwood spent about 90 seconds with me the day I was admitted and less than six minutes with me the last day I was at the Iroquois; in between, he spent no time with me at all. His comments are based on less than ten minutes of direct contact.
Second, I do not have borderline personality disorder. Psychiatrist Dr. Thomas Falci spent one hour interviewing me at Crouse Hospital, from which he produced a five-page, single-spaced typewritten note. (See attached Falci Interview and Note.) For starters, he did not note that the interview was conducted while my blood sugar was over 400, which was relevant to Falci’s issues with my organization and presentation.
Dr. Falci’s note was incomplete, inaccurate and so appallingly wrong that I wrote a partial counter-note pointing out some of the errors. My note was supposed to go wherever Falci’s note went. There is no indication that Lockwood read it. Lockwood did not interview me; he relied solely on a disputed source.
Psychiatrist Dr. Nasri Ghaly (who saw me last week) gives me the diagnosis of “mood disorder NOS, no other psychiatric disorder.” Psychologist Dr. Katherine Lewis has been seeing me for about two years; her diagnosis is depression, no other disorder. These diagnoses are both consequent to chronic hyperglycemia. (To be continued)