A 21st Century Whodunit?!?!

Last night, in response to this article I received this comment.

Due to some involvement in the ongoing lawsuit by Kevin against Emory, I am unable to reveal my name but was interested to see what was going on with the case. I never knew there was so much publicity surrounding the case and it was interesting to read about both sides for once. I believe in due justice but wanted to clarify a few things.1. Although I am unable to give details, Kevin's pattern of behavior should have led to his expulsion way before his senior year. This went beyond "simple" things as tardiness and even plagurism. Unfortunately for other Emory grads, there were other students displaying "unprofessional" behavior at the same time and they were treated the same. I agree the timing of his expulsion raises some eyebrows, but nothing that he "revealed" was a secret.

2. Speaking of which, Kevin loved to exaggerate the truth and was a great story teller. At no time at the VA was he left unsupervised. The events did happen, but it was residents (who are always there) that "saved" the patients. No one used an unsterile chest tube nor did he give life-saving blood. In fact, students can't even write orders at the VA due to their computer systems (which if any of you actually worked in that system would know immediately that nothing can be done without entering orders on the computer). Oh ya, forgot to mention that students don't work overnight, as the time frame in the blog indicates.

3. Grady is essentially our charity hospital but people don't realize that Emory and Morehouse have a dedicated staff just for Grady. True, some depts like psychiatry and dermatology cover all of the hospitals due to the low volume individually at Emory, VA, Crawford, and Grady, but then again they wouldn't have sick patients on their service and nor would he be on a service like that as a medical student. As for subpar care, I agree, but that is the function of not having any money and the patient population. It is in fact amazing what Grady can do with the resources available to them and Americans should be ashamed that we have to do this living in this country. But that is another topic and regardless of how you look at it, we will always have to cut corners at Grady in order to do what is right for the patient and have been doing so for years. Kevin was not a whistle blower; he just timed it perfectly to make him seem like one.

4. I am extremely disappointed in how Emory has dealt with the other cases involving professors, faculty members but I cannot comment on those as I do not know the details. Emory has made several bad judgments and I believe they'll be punished in the long run. It's disappointing though when someone like Kevin manipulates the media to look like a saint even when he has acknowledged to committing unprofessional behavior. Btw, is anyone actually reads the medical conduct code at Emory, it states that a student can be expelled for the "first" offense. It's sad that he was expelled after 4 years when in reality he should have after the 1st year, but overall he has destroyed the credibility of all of the wonderful doctors (well some aren't but that's life) and could result in even more people with no access to health care.

I personally don't care if Kevin wins or not, but consider if you would want someone like him to be your doctor?

There is a lot that needs to be said about this comment, so I will start at the beginning. Kevin Kuritzky is a former Emory University medical student that was expelled from medical school 41 days prior to graduation. He claims it was retaliation while the school claims it was behavioral reasons. Grady Hospital is in the middle of a desperate crisis both fiscal and otherwise that has occurred as a result of a complicated set of events that I detailed and summarized here. Kevin has become my source on some of the material that I have prepared on this matter, but not on all, and at this point not even close. In fact, my biggest source so to speak is Google.com. Unlike this ANONYMOUS poster, Kevin uses his name and he gives detailed and specific accounts. Furthermore, his accounts are verified not only by other sources but frankly from internet research.

Now, this ANONYMOUS poster claims that Kevin is lying and that Grady is not as bad as I am making it out to be. What is first most interesting is that I earlier received another ANONYMOUS comment in response to the same article that started like this...

A judge ruled in Emory's favor on this one (See mention below from a highly regarded education publication). The Atlanta community needs to stay focused on the larger issues of how to transform Grady so that it can become solvent. ALLEGED NEGLECT: A lawsuit filed by a former medical student at Emory University who alleged that it neglected patients at its two teaching hospitals was dismissed last month by a Georgia judge who ruled summarily for the university. The former student, Kevin D. Kuritzky, was dismissed from Emory's medical school 41 days before he was scheduled to graduate, in 2005.

Now, the problem for these two ANONYMOUS posters is that while they both attack Kevin they give divergent information. One ANONYMOUS commenter claims that they would be more specific if they weren't party to a lawsuit, and the other claims that Kevin can be marginalized because the law suit is over and Emory won. It is one or the other. (The details of the case might even bore a lawyer however I wrote about its exact disposition here.)

Furthermore, The Emory Wheel, the Emory University student newspaper wrote this,

A lawsuit filed against Emory by a former student was dismissed last week, affirming the University’s right to expel a student based on conduct violations.

Now, either this is very shotty reporting, this person didn't reveal the truth and allowed this story to be published, or this person is lying, or maybe all of the above.

Fortunately, through the wonders of modern technology, I have been able to identify the IP address that I am certain is the one used by the person that wrote this anonymous piece.

It is...71.56.116.54. The host is...c-71-56-116-54.hsd1.ga.comcast.net.

This IP originated from Atlanta, Georgia. This computer came on my blog four times starting at 8:48 PM Central Time and finishing at 9:39PM Central and even had a stop at 9:33 PM Central time at roughly the exact moment the comment was published. Now, since this is my whodunit, it is time for me to list my most likely suspects and give evidence why I think they might be guilty.

It might be this man. As head of Public Relations for Emory University, he is of course responsible for their image. Kuritzky's accusations are quite incendiary and it is in Emory's best interests to see Kuritzky marginalized. I doubt very much that trolling through blogs and writing anonymous comments would be part of his job description, especially from home which would appear is where this originated from, however it is possible that he felt it part of his duties. Much of the evidence against this man is what we would call circumstantial. He has been identified as the most frequent guest to my site. Other strange occurrences have been identified on the internet after he has visited my site. Finally, I have attempted to make contact with him by email and he has not responded and while this is pure conjecture, maybe this is his response.


It could also be this man. As head legal counsel for not only Emory University but the Emory Wheel specifically, it would be absurd and laughable if he were the culprit. After all, he would have had to know about the story published in the Wheel. The evidence against him is also circumstantial however there are some peculiarities that make him a suspect in my mind. First, his main role is head legal counsel for Emory University. I have gathered information that leads me to conclude that he has taken on an active role in the operations of the Emory Wheel that I believe is peculiar given his main duties. For instance, I believe that in many ways he is the unofficial de facto Head of H.R. for the Wheel. Second, I already pointed out that he announced that he is not only lead general counsel for Emory University but the Emory Wheel. Now, this seems redundant to me since it would be assumed that the lead general counsel of the school would be the ultimate lawyer for the newspaper, if necessary, however he actually announced it.

Furthermore, he has a long history with Kevin Kuritzky which I detail in the link, It could also be this man. He also has history with me. I recently pointed out something that he co wrote in the Atlanta Journal Constitution that is not only absurd but probably illegal. He has plenty of motivation to not only marginalize Kevin but this blog.

It could also be someone on the staff here. The reason they are all suspects is that I reached out to them recently in hopes of making them my allies on this story. Based on their work currently regarding this Grady mess, they have currently given me the impression that they are nothing more than a mouthpiece for the administration which they are entrusted in being a watch dog for. I pointed out one article in the Wheel that had errors, and now look at another one.

After a two-month recess, Grady’s board of directors has finally agreed to cede power over to a non-profit organization. Such a move follows the recommendations made to the hospital months ago by state politicians, area businesspeople and Emory itself and will allow the hospital to seek funding more easily from outside sources, not just Fulton and DeKalb counties.

But the changeover comes with a catch: The board will allow the new management to take charge only if the Georgia legislature and local business leaders pledge in writing to raise nearly half a billion dollars for Grady — $50 million of which would be due before the board changes power. The legislature will be required to pledge an additional $30 million annually to help keep the hospital up and running. Of particular note to Emory, which along with Morehouse supplies the doctors who work at Grady, the board also wants to freeze current staffing levels at the hospital.

More money for Grady isn’t a bad thing. With funding like that requested, the hospital could pay back its debts, including nearly $45 million in labor costs owed to Emory. Unfortunately, now is not the time for ultimatums from the hospital’s directors. State officials have made it clear they aren’t willing to be told what to do by the governing board of a hospital. If the board can’t reach an agreement with the legislature and other sources of funding, then they say there may be no restructuring, and Grady will be back to square one, struggling to stay afloat...

This article commended moves by the board at Grady. They called them baby steps on a long road to recovery. What is laughable, tragic, and absurd about the article is that not a week later, the JCAHO threatened to remove Grady's accreditation. This is only the second time in the entire history of JCAHO that it has come this far. The only other time was at King Drew Hospital and the chilling abuses there should give everyone nightmares. While we don't know the specifics, since the report has not been made public, we can assume that things at Grady are just as disastrous. In other words, commending baby steps for a hospital in this much turmoil is the height of journalistic irresponsibility. It could be that the student author is just not up to the job to find the truth in this matter or it could be something else. I don't know and that is why everyone at the Emory Wheel remains a suspect.

Finally, among the list of most possible suspects, there is Jonathon Leake. In the discovery phase of Kuritzky suit with Emory, it was revealed that Leake made several incendiary, threatening, as well as racist comments toward Kevin. Since his whereabouts are unknown to me, at least, the evidence against him ends here.

I know what some of you are thinking. This is rather flimsy evidence against everyone. That is true, and my purpose wasn't to present a strong case against anyone. My purpose was to get your attention. The IP address speaks for itself and someone out there can figure out how to identify the exact location and then we will have our culprit.

For an updated summary of the whole series of events that this particular piece is merely a small part of please go to this link.

To see the recommendations that I along with mostly my colleagues on this case have come up with for saving Grady Hospital please go here.

The Changing Political Dynamics Surrounding Grady Hospital

From a purely political junkie level the current dynamics surrounding Grady Hospital are absolutely fascinating. Here is a quick run down. Late last month, the board at Grady Hospital approved a plan to go quasi private and asked, or demanded depending on your perspective, for roughly half a billion dollars in order to stay solvent. Then, not two weeks later, the JCAHO threatened to cut off Grady's national accreditation. Now, let's take each one at a time and then look at them together.

I believe the board is playing a huge political game of chicken with the Georgia legislature. I believe this plan does NOT have the best interest of the hospital in mind whatsoever. While that is certainly important, it is unfortunately a side issue in this political battle. As a friend of mine once put it

Grady can't shut down because who would take care of all the poor folks then

Without the money called for in this plan, Grady WILL shut down. The powers that be know this, and I have said as much. While Grady Hospital has had a long history of corruption and mismanagement, much of the power structure has continued to boldly and brazenly manage it in much the same way that has landed it in its current state. The reason for this is of course quite complicated, however it is due in no small part to Grady's vital role in Georgia health care system and society at large. Remember, Grady Hospital is among the largest in the world and is overwhelmingly responsible for taking care of most Georgia's poor folks. Without it all of the many "nice" hospitals in the area would have to take care of those folks.

I have fallen in love with the Latin phrase, Res Ipsa Loquitur. (The facts speak for themselves) Given Grady's long and sordid history with corruption and mismanagement, the fact that most of the power structure in Georgia never tried to really stop it tells me that most people don't much care as long as some other entity was taking care of those that no one else wanted to take care of, THE POOR. I believe the powers that be are counting on the exact same dynamic now. I believe the only thing most of the power players in Georgia want to avoid is for the poor folks to be dropped on the rest of the health care system. As long as they are Grady's problem, in my opinion, most everyone else turns a blind eye.

Thus, we have this game of chicken. The legislature doesn't want to hand Grady Hospital anymore money. They must know that the systemic problems currently going on at Grady aren't going to be solved with this plan, however without an infusion of cash, Grady shuts down. The powers that be at Grady are counting on the legislature blinking first. The legislature meets again in January so, for now, that part of the story is on hold.

Enter the JCAHO. Just last week they publicly threatened to revoke the accreditation of Grady Hospital. To put this move in perspective only one hospital, King Hospital in California, has ever actually lost their accreditation. Many of allies on this story have extolled this move as pivotal. I am a lot more skeptical. There must have been the same kind of excitement when State Senator Charles Walker was convicted of 127 felonies at Grady and beyond. Yet, he, along with his daughter and the companies they ran, were the only ones that were convicted, and of course he got the absurd sentence of ten years. In 2004, the department of Health and Human Services conducted an investigation that concluded this...

the conditions at Grady Hospital pose a serious and immediate threat to the health and safety of the patients

That was pretty damning however besides the then CEO, Dr. Andrew Agwunobi, no one lost their job as a result of this report and the power structure stayed in place despite its damning findings.

Even in the late 1990's, Georgia Attorney General found Grady Hospital guilty of Medicare fraud. All of these were opportunities lost to clean up the corruption at Grady Hospital. The reason it didn't happen is also quite complicated, however I believe much of the blame goes to the media in Atlanta, headed by the Atlanta Journal Constitution.

In each of these stories, the truth is quite complicated and it was never fully explained to the citizens of Georgia. For instance, in the case of the HHS report, the report itself was damning, however how many people know the specifics of the report? Four departments were singled out: oncology, cardiology, General Surgery, and obgyn, in the report. Each of these departments had heads. None of these people lost their jobs because the specifics of the report weren't ever reported properly in the media. Furthermore, the heads of these departments had one boss, the Chief Medical Officer. His name is William Casarella and he has since been promoted within Emory University. This also happened because the media didn't properly report the specifics of the case. All people knew, if anything, about the investigation was the conclusion. While that was damning enough blame was impossible for a layman to determine without understanding the specifics as I now explain them.

In the case of Medicare fraud in the late 1990's, three departments were also identified: cardiology, obgyn, and oncology. Again, these departments have heads and a Chief Medical Officer above them. All of them including the CMO should have been and would have been fired if the media had properly exposed that case. As you can see the same departments are now coming up in multiple reports. No one outside the Grady structure knows this because the media, either through incompetence or worse, doesn't report the specifics of each case.

There is one other case that the media did an atrocious job of reporting. That is the case of Dr. Sam Newcom. He was for about a year, the head of Oncology at Grady Hospital and Emory University Professor. He tried to speak out about the corruption and poor patient care at Grady Hospital and he was fired and ultimately paid off and silenced, but before that he wrote an article entitled Fighting Class Cleansing at Grady Memorial Hospital. You won't find this article in any mainstream Atlanta publication. As head of Oncology, you would be right in concluding that much of his indictment centered on his own department. In other words, oncology is the subject of a great deal of indictment from people of varying motivations and knowledge.

Nothing much has happened to clean up the oncology department and that is because the media has been asleep in reporting the specifics of what is going on at Grady.

Then, there is Emory University. When the heat gets hot on Grady, Emory does a great job of distancing itself. In fact, they are doing their own disappearing act now. The truth is that they are for all intents and purposes one and the same. Each of these departments indicted by several different groups was run and almost fully staffed by staff at Emory University. The Chief Medical Officer, Dr. William Casarella, during much of this malfeasance has since been promoted within Emory. In other words, when there is sytemic problems at Grady Hospital, the blame must be laid at Emory University since it is staffed overwhelmingly by Emory professors and students. When Dr. Newcom indicted oncology, he was indicting his own colleagues since oncology is overwhelmingly staffed, like most of Grady Hospital, by Emory University personnel.

Now, what about the JCAHO findings? We know they are threatening to cut off accreditation however why? That, we don't know because for reasons unknown (I plan on calling the JCAHO on Monday for further explanation) the specifics of the findings aren't known. We can assume that multiple specific departments are the cause of it. It might be oncology, General Surgery, obgyn, cardiology, etc. The heads of any of the departments involved must be removed. If your department contributed to an investigation that ultimately lead to the accreditation of your hospital being threatened, THAT IS GROUNDS FOR REMOVAL, in my opinion at least. The current chief medical officer, Curtis Lewis, must be removed. If you are overseeing a hospital and the hospital is threatened with the removal of its accreditation, THAT IS GROUNDS FOR REMOVAL. The Current CEO of Grady Hospital is Otis Story, Sr. He must be removed for the same reasons. In fact, the entire board ought to be removed, however the board is overseen by Vernon Jones, and anyone that knows anything about Jones knows not to expect that to happen. Of course, how many Georgia folks know the real story behind Vernon Jones? That would require the media in Georgia to actually competently report the whole truth.

This whole case proves why the first amendment, the free press, is first not second or tenth. I hope everyone sees what happens when the media itself cedes its own freedoms and doesn't bother to report the whole truth. In order for this cycle to stop, the whole truth of the JCAHO findings must be reported by the media in Georgia. The media must keep the pressure on until all parties are held responsible. That is what has to happen.

Here is what will probably happen. There will be no more then a few more articles in the AJC about this report. Anymore reporting will be on the eventual deal made between Grady and the JCAHO, a deal that will no doubt be made in some back room. The major media in Georgia will NOT reveal the specific departments responsible for this latest investigation. They won't name names and they won't demand for heads to roll. Finally, they won't call Emory out when they distance themselves. Emory University will throw its significant weight around the Georgia Legislature and no one will report it. Grady will be given a golden parachute and none of the obvious systemic problems I have pointed out will ever be reported on or addressed. I hope I am wrong and I will be watching.

For more information on this case, please read this article. Also, please read the recommendations that my colleagues have come up with and compare them to the current plan.

What Does the Administration at Emory Get Paid For? (UPDATED)

Introduction: Yesterday, I published this piece. It is a detailed summary of the continued and growing scandal going on at Grady Hospital in Atlanta, Georgia. If you are unfamiliar with the details I suggest that you check out link.

Also, I have a stat counter on my site. It allows me to track in detail who, identified by IP address, comes, where from, which of my pieces they read, and all sorts of other details that turns it into Proprietor Nation's version of big brother.

The following piece is in regards to the aftermath of that piece (which received a fair amount of traffic) and one specific IP address that I have been able to identify. So, without further adieu...



I am not sure however if today is like other days then they are paid to surf the web. I know this because IP address, 170.140.62.42 (administration's IP address, probably this man) has been on my site for hours today. In fact, this IP address is by far my biggest fan. I know this because they check with me usually at least once a day, however today they have taken an unusually large interest. (I wish they would click to Amazon once in a while and buy one of their fabulous books though) Here is a run down of today's activities...




28th November 2007
09:16:51
No referring linkProprietor Nation
29th November 2007
11:01:22
No referring linkProprietor Nation
29th November 2007
12:52:22
No referring linkProprietor Nation
29th November 2007
12:52:29
proprietornation.blogspot.com/Proprietor Nation: An Updated Summary on the Fiasco at Emory, Grady, and Beyond
29th November 2007
13:04:31
No referring linkProprietor Nation
29th November 2007
13:04:34
proprietornation.blogspot.com/Proprietor Nation: A Murder, A Suicide: Connecting More Dots in the Culture of Corruption
29th November 2007
13:04:35
No referring linkProprietor Nation
29th November 2007
13:04:45
proprietornation.blogspot.com/Proprietor Nation: The Incredible Disappearing Story... (UPDATED WITH A VERY SPECIAL SHOUT OUT)
29th November 2007
14:55:47
No referring linkProprietor Nation
29th November 2007
14:58:32
proprietornation.blogspot.com/Proprietor Nation: Emory University
29th November 2007
15:00:01
proprietornation.blogspot.com/search/label/Emory%20UniversityProprietor Nation: Who Is The Real Sociopath??
29th November 2007
15:07:39
blogs.creativeloafing.com/freshloaf/2007/10/09/emorys-skeletons-in-the-closet/Proprietor Nation: The Fox Guarding the Hen House
29th November 2007
15:07:53
blogs.creativeloafing.com/freshloaf/2007/10/09/emorys-skeletons-in-the-closet/Proprietor Nation: Corruption
29th November 2007
15:08:23
proprietornation.blogspot.com/search/label/CorruptionProprietor Nation: A Plea to John Sugg of Creative Loafing



Let me explain what all of these names and numbers mean. This is the full detail of the IP address I spoke of (170.10.62.42). If you click the link it is identified and also identifies its server, Emory University. Everytime anyone visits here the date and time (Central time that is) is recorded. Those are what the dates and times mean. If a link was used to come to my site, that is also identified (for instance the one starting blog.creativeloafing is a site from which this IP linked from). If no link was used, then the words, no reference link appear. (this generally indicates the the address was typed out by the party using the computer. Thus it was likely that http://www.proprietornation.blogspot.com/ was entered into the address field in order to reach my site.) The specific web page is the web page that the party landed at. Sometimes, a party will travel within my site and so if you see two proprietornation pages, that means th party went from one page to another.

As you can see, not only is this IP visiting my site, but they are they are also visiting this story from October. (this is another story that doesn't necessarily paint Emory U in the best light)

The ongoing Grady Memorial Hospital crisis is bringing to the surface many complaints about Emory’s medical school role. In the past, Emory’s response to internal criticism has been to bully and crush the critics, and then try to keep the records sealed.

The latest on the blogosphere is about the persecution of Kevin Kuritzky, who was 41 days from graduation when Emory expelled him from the medical school. Kuritzky claims Emory was retaliating for his blowing the whistle on patient safety — or the lack thereof.

Now, I can assume that as the head of PR, one must know what is being said about their school, however isn't the work of the AJC, the New York Times, where they would want to spend their time predominantly. If I am getting this much traffic from PR, they frankly have very little time left for the AJC et al. Either that or the PR department is now exclusively focusing on surfing the internet for stories related to Emory. Why is my blog, with only several hundred hits daily, getting so much attention in the PR Department at Emory (if it isn't the PR person then frankly they really need to be fired because they are just surfing the internet to waste time then)?



I have already concluded that the powers that be at Emory removed a story from the internet archives at the AJC. I pointed out in a previous diary that this article, and more importantly Emory's response, was damning to Emory in three serious ways. (I won't rehash the story so please go to the links to catch up) I know that the article was removed in the aftermath of me publishing the piece because it is no longer there. I also know that reference to the same article was also removed from a page on Emory's own medical school site. (go to this google link and click on the top link found and see for yourself)



Now, I know that part of PR is damage control but isn't removing archived stories and web pages taking damage control a bit too far. I know that in PR you must know what the media is saying about you, but isn't obsessing about what a small blog says also taking things a bit too far. Unless of course, what that small blog is saying is true, and in that case, you probably would be obsessed. I have recently fallen in love with the phrase Res Ipsa Loquitor (the facts speak for themselves). You can call me crazy, an ego maniac, or suffering from delusions of grandeur, but I believe the fact that Emory's admin IP has become my biggest fan, shows that they know what I am saying is true.



If that is the case. Let's review what that means. Emory is operating as an all powerful sociopathic entity. They are criminally liable in providing medical services to poor folks at Grady Hospital and veterans at the VA hopsital and they have expelled a student, 41 days prior to graduation, for daring to expose their criminality. They have also paid off multiple professors with their silence who also tried to expose the corruption. Furthermore, since Grady Hospital, the subject of much of this corruption, is a public hospital that means that ultimately Emory University has committed all of these crimes and lapses in ethics and morality on the public.



Now, all of this is my supposition only, however, if my supposition is lunacy, why is the admin spending so much time on my blog? Don't take my word for it go and ask the admin yourself. I have provided the link and it has said person's email. See, what they have to say about all of this.

UPDATE:

170.140.62.42 is back. It is nothing short of surreal to update a piece about a party as that party is reading the piece themselves, however that is how it is in the internet age. Here is an updated link to what the stat counter calls the magnified user, a detailed summary of the movements of this particular IP address on my site (including the most recent and probably current visit) The only other thing I will point out is that while I have had much traffic from this IP there has been no contact by email or otherwise. There have previously been some peculiar anonymous messages, however anonymous speaks for itself, and it was also before I became savvy enough to track things down.

UPDATE:

I realize that if someone were to pick up this story somewhere in the middle they would get lost in its many mazes. Thus, if the first story you read regarding Grady Hospital is this one, you are probably confused. So, I have put together a summary of the entire fiasco that tries to put all of its moving parts together in one piece. Please read it for guidance. Also, please check out the recommendations that I and my colleagues have put together for fixing Grady Hospital.

An Updated Summary on the Fiasco at Emory, Grady, and Beyond

I just realized that anyone that picks up this story in the middle would get lost in its many mazes and connections. If anyone reads every single story in the Emory University tag, they would get a full picture, however that maybe beyond reason. First, I must disclose some things. There are things that I can prove. There are things I can assert and there are things that I believe. Finally, there are things that follow the Latin phrase, Res Ipsa Loquitor (the facts speak for themselves). I use different language for each.

So, let's start at the beginning. Emory University's Medical School runs a network of hospitals in the Atlanta area. There are five in all if my facts are right. Three are actually owned by Emory and service predominantly the affluent making them quite profitable. The other two are public hospitals and Emory has sort of contracts to staff them with their professors and students. This is no different than many teaching hospitals and if there are any ER fans, the fake hospital in that show runs in a similar manner.

That said, I want to focus a bit more on the two public hospitals with little profit potential. The first is the VA since veterans get set bills, and the second is Grady. Grady is a hospital for the indigent or very poor. Since poor folks rarely have money or insurance, it is much more difficult to make a profit on them. Grady is also a public hospital meaning that the tax payers ultimately are the ones that finance it. (as most indigent hospitals would be for the reasons that I mentioned. No one is going to want to bankroll a hospital that has no hope of making any real money so it is left to the government) Grady is also massive, one of the biggest hospitals in the country, and so while it provides little profit, it provides a bulk of the training.

Here is where things get interesting. Emory enjoys a lucrative relationship vis a vis Grady (I will explain as I go along how that relationship get consummated so to speak). For instance, they get a fat yearly fee of about 50 million dollars to provide staffing at Grady. Keep in mind that Grady is the training vehicle for most of its medical students. Emory already charges its medical students tuition and uses Grady for a lot of the training that this tuition is supposed to go for. Many people refer to this as double dipping. In other words, Emory University has one of the premiere medical schools in the country and one of the main reasons is their association with Grady Hospital, one of the largest hospitals in the country. Thus, Grady provides just as much to Emory is Emory does to Grady. Furthermore, since Grady is a public hospital it is ultimately the tax payers that are stuck with the bill that Emory charges Grady yearly. Also, Grady Hospital pays for Emory's malpractice insurance. It goes without saying that such a relationship invites exploitation.

Exploitation and corruption is what you have at Grady in my opinion, and I really only need to do a Google search to provide plenty of evidence. For instance, Grady Hospital settled a case for Medicare fraud in the late 1990's for about 5 million dollars. A few years later former State Senator Charles Walker committed so much criminality at Grady and beyond that he was ultimately convicted of 127 felonies. (you can click this link for a full write up of the case including its particulars and most importantly what each hero and villain wound up receiving from Grady and Emory) In 2004, the Dept. of Health and Human Services conducted an investigation of Grady Hospital and here are the conclusions,

there is a serious and immediate threat to the health and safety of the patients

That is frankly the equivalent of a builder building you a house that falls down on top of you when you move in. (Only one person was let go in the aftermath, Dr. Andrew Ogwunobi, who has continued to travel an interesting path. You can find his full dossier here. It is important to note that the Chief Medical Officer of Grady Hospital, William Casarella, was cited most often in the actual report. I point this out because Casarella has since been promoted within Emory University. This is important for several reasons not the least of which because it goes to show that in many ways I believe the two entities cross over whenever it suits the powers that be)

Finally, currently Grady is in such financial turmoil that is about to be shut down unless there is a huge infusion of cash, about a hundred million minimum by my estimation. There were also other investigations that started and stopped like an interesting one conducted by the NIH in 2000. While there was ultimately no damning conclusions to those reports, I have my suspicions about how it was exactly that they ended. (for more information on that report and more importantly the role of Kent Alexander, Chief Legal Counsel for Emory University, please go this link. This is probably my most incendiary piece and illicited a flurry of looks from the Emory admin IP upon publishing)

This body of evidence is in my opinion an example of Res Ipsa Loquitor.

Now, while Grady is staffed by almost entirely Emory faculty, it is still a public hospital. It has a board and a CEO. The board chooses the CEO, and the board is chosen by the CEO of Dekalb County. The current CEO of Dekalb County is Vernon Jones. He is an elected official with a remarkable knack for thriving in what I would think are dicey political situations. (when I say dicey I mean things like rape accusations, shady land deals, and all sorts of malfeasance by those close to him Just like everything else, I have written a full write up of Jones as well. Jones is I believe the link between the corruption at Grady and the corruption that infects much of Georgia. We have a running debate about who the ultimate ringleader is and one theory is the Dixie Mafia, and you can vote in my fun poll after getting the full scoop)

Now, the problem as I see it is summed up by this cliche, the fox guarding the hen house. The board is supposed to oversee the CEO who is supposed to oversee the staff, and the CEO of Dekalb County is supposed to oversee all of them. The problem is that all the entities, in my estimation, are corrupted. From Jones, to the board, to the CEO, to the staff, the foxes are guarding the hen house so to speak. For instance, one very prominent member of the board was until two years ago Robert Brown. Robert Brown also runs an architecture firm. Three guesses which firm gets many of the most lucrative contracts for Grady expansion. If we dig deep enough, I have no doubt that there would be an almost endless amount of transactions with really or perceived conflicts of interest.

Enter, whistleblower Kevin Kuritzky...first, there is full disclosure here. Kevin and I have developed a tight relationship, and I have even done a radio show with. (It is linked at the end of my piece on Kent Alexander. Kevin is the calm one and I am the hyper one) I have never claimed traditional journalistic objectivity, and I am not a traditional journalist. I believe the quality and accuracy of the information I have provided speaks for itself. Every piece of data has been double and triple sourced minimum. I have hard copies for anything I don't link to like the aforementioned HHS report. (I can email or fax to anyone upon request)

Kevin has made some incendiary accusation about the quality of patient care at Grady Hospital. He claims that Emory staff goes to one of their for profit hospitals when they are supposed to be at Grady and many times he claims they leave medical students unsupervised. (In fact, in this piece I give an example that was verbalized to me by Kuritzky that is frankly straight out of a bad nightmare.) It goes without saying that his accusations, if true, amount to not only an obscene violation of several laws but frankly every doctor's oath. Kuritzky was expelled from medical school with forty one days remaining. (That is in a four year program) Kevin believes the charges are trumped up and he is now in the middle of a law suit. The Emory Wheel inaccurately reported that Kuritzky's case has been dismissed. It hasn't Kuritzky's side has lost a motion that is being appealed. (again, I have seen the disposition of this motion and it is NOT a dismissal) This was inaccurately reported in a trade journal for academics. (The fact that this was written in a trade journal for academics obviously raises all sorts of issues and I explored them here)

Finally, I have counted four former Emory professors that have been paid off for silence. I have only seen the settlement agreement for one pay off. That is for Dr. Jim Murtaugh. He was paid off right around the time that the NIH investigation was happening and he was paid off along with another person, Diane Owen (though her agreement I haven't seen) Murtaugh's settlement has been the subject of much media buzz because State Senator David Shafer has lead a group of state senators who have demanded that it be unsealed (and one main reason why I was able to see the agreement. (If you go here I explore the case of his records being unsealed. Interestingly enough, certain links disappeared in the aftermath of me publishing that, and I explored that here) (also, the Shafer link has some interesting information about who did and didn't approve his settlement so I encourage you to link there)

Now, why should you care? If you are a resident of Georgia, then it is your tax dollars that will ultimately go to fund something you should see is totally corrupt. This corruption is in my opinion part of even bigger corruption that I probably don't even have the full story to. If you are an Emory student, then your tuition, and likely your parent's money (who are you kidding), is contributing to this corruption. Furthermore, if Kevin really was only expelled because he dared blow the whistle on this, what is to stop Emory from targeting someone else. What if you become a threat to them for this or for anything? Clearly, if you believe my assertions, Emory eliminates all threats to them. They pay some off and they expel others. If you believe Kevin, then he had his life ruined for daring to the right thing. (he often tells me that his friends still in the medical school tell him that he should have kept his mouth shut and graduated and moved on) Furthermore, if you believe Kevin, then your school exhibits the traits of the common sociopath. Sociopaths with power is the worst combination you can have. If you are a citizen, then you should want that all corruption be dealt with appropriately and people be held responsible.


(UPDATE)

Some of you may be wondering where the media in Atlanta fits into all of this. This piece should drive home how the media's coverage, or rather lack thereof, fits into this whole story. This piece contrasts the Atlanta media with another situation in which the media actually did its job. Finally, here is an example of the sort of reporting you will find at the AJC.

The Incredible Disappearing Story... (UPDATED WITH A VERY SPECIAL SHOUT OUT)

I want to direct everyone to three different web pages. Two of them are attributed to me. The third is a Google search. The reason that I direct you to a Google search is because the site I wanted has been removed. Don't believe me, click the top link (Emory WHSC Grady in the news statements mislabel role) and see what happens. A site initially pops up, it says this page has been moved, and then it disappears and then the main page pops up. Try it and see. So, why am I being so machiavellian? Well, I believe that a story has been removed from the AJC. I believe that this story and its response can ultimately be used to damage the reputation of Emory University and the worst part, from the perspective of Emory University, is that the initial damage was self inflicted. Thus, I believe they have moved heaven and Earth to remove all of evidence of this little piece of malfeasance. (They of course will have a much harder time hiding their overall malfeasance which can be explored in my tag Emory University)

First, here are excerpts from the two stories,

Rather than await a court order, Emory and Grady ought to open the records for public inspection immediately. Emory, which supplies most of the attending physicians and residents-in-training at Grady, has already indicated it is willing for the full file to be unsealed if Murtagh, who no longer is employed by Emory, agrees.

Grady, which turned down Shafer's request for the records several weeks ago, should follow suit. If Grady is concerned that patient records might become public as a result, it can ask that those specific records be exempted or redacted.

Murtagh apparently sued Emory and Grady several times in 2000, alleging, among other things, that Emory broke a deal to name him chief of the pulmonary department. He also alleged that Emory and Grady conspired to defraud Medicare and Medicaid in how the two government health insurance programs compensated Grady and the medical school doctors for patient care at thehospital. Murtagh said he was cooperating with federal investigators, but no apparent federal action was taken against Grady or the medical school.

In response, Kent Alexander and Tim Jefferson, both legal counsels for Grady and Emory, wrote this

The AJC's Oct. 5 editorial "Come clean on lawsuit" resurrects (and misstates) old charges of conspiring to misuse government funds, charges the government reviewed seven years ago and declined to pursue. This has the devastating effect of casting public suspicion on two entities -- Grady Memorial Hospital and Emory University -- that are working together in an increasingly challenging environment to meet the health needs of the most vulnerable members of our society.

The editorial surprisingly calls on Emory and Grady to open the sealed settlement and court records in a case involving Dr. James Murtagh. For the record, Emory and Grady did not move to seal the record; Murtagh did. Emory had already supported unsealing the proceedings -- the complete, entire record -- as had Grady. We simply awaited the doctor and court's approval.Judge Wendy Shoob has since unsealed the record, which is now of course fully open to the public. The real victim in all of this is Grady, the largest public health hospital in the Southeast. Grady is struggling to survive while misinformation circulates that, unintentionally or intentionally, diverts attention from the real issues.

(Unfortunately, since the link is the first part of the article I can't copy that. Go to my initial link and try and link to the link and watch yourself go to a blank page. I know try saying that five times, and you are very confused and you don't see the point. The point is that there is a link that goes to nothing and just accept that for now)

The second article is more clear...

Friday, October 19, 2007

Emory
University: Unraveling Sealed Records
On
October 5th, the AJC wrote this editorial,

Rather than await a court order, Emory and Grady ought to open the records
for public inspection immediately. Emory, which supplies most of the attending
physicians and residents-in-training at Grady, has already indicated it is
willing for the full file to be unsealed if Murtagh, who no longer is employed
by Emory, agrees.

Grady, which turned down Shafer's request for the records several weeks ago, should follow suit. If Grady is concerned that patient records might become public as a result, it can ask that those specific records be exempted or redacted.

Murtagh apparently sued Emory and Grady several times in 2000, alleging, among other things, that Emory broke a deal to name him chief of the pulmonary department. He also alleged that Emory and Grady conspired to defraud Medicare and Medicaid in how the two government health insurance programs compensated Grady and the medical school doctors for patient care at the hospital. Murtagh said he was cooperating with federal investigators, but no apparent federal action was taken against Grady or the medical school.

In response, Kent Alexander and Tim Jefferson, both legal counsels for Grady and Emory, wrote this

The AJC's Oct. 5 editorial "Come clean on lawsuit" resurrects (and misstates) old charges of conspiring to misuse government funds, charges the government reviewed seven years ago and declined to pursue. This has the devastating effect of casting public suspicion on two entities -- Grady Memorial Hospital and Emory University -- that are working together in an increasingly challenging environment to meet the health needs of the most vulnerable members of our society.The editorial surprisingly calls on Emory and Grady to open the sealed settlement and court records in a case involving Dr. James Murtagh.

For the record, Emory and Grady did not move to seal the record; Murtagh did. Emory had already supported unsealing the proceedings -- the complete, entire record -- as had Grady. We simply awaited the doctor and court's approval.

Judge Wendy Shoob has since unsealed the record, which is now of course fully open to the public. The real victim in all of this is Grady, the largest public health hospital in the Southeast. Grady is struggling to survive while misinformation circulates that, unintentionally or intentionally, diverts attention from the real issues.

These articles are of course identical and what we bloggers call cross posting. The important part is that every link I provided leads to nowhere (except those that lead to Amazon.com products which I very much encourage you to link to and buy no explanation needed there). Now, and most of my friends will agree with this, I may just have been a total idiot and provided the wrong link. Or, the link I provided was removed after these pieces were published.

Now, the article that I firmly believe once existed in the AJC website was actually an editorial that urged that Grady and Emory unseal the records of the settlement between them and Dr. Jim Murtaugh. Now, this Emory can't hide. I have seen the settlement. Murtaugh was paid 1.6 million dollars and then both parties were told to shut up entirely including the media. In fact, in the settlement, if either party even gets subpoenad, they must first appear before the judge so that the other party has a chance to quash the subpoena. Now, where I come from, when you are paid a lot of money and told to be quiet, that is called hush money.

The reason this is important is because the response, which no longer exists, claimed that it was Murtaugh, not Emory and Grady, that insisted that the records remain sealed. Now, I will again make the same point that I made in the piece that I have linked. It is patently ridiculous to say that the one being hushed is the one that insists on keeping everything quiet. Second, since Emory knows that Murtaugh must remain silent, since they paid to silence him, he is an easy target. Finally, this non lawyer, believes that by simply speaking out Emory and Grady (represented by their dual counselors Tim Jefferson and Kent Alexander) have each violated the very agreement they helped craft.

As you can see, this is, if true, is quite damaging to the two entitities. Thus, they have every reason to get rid of the evidence.

I know what many are thinking now. Michael, you have delusions of grandeur. Emory doesn't care what some nothing blogger says about them. Au contraire. According to my stat counter, the Emory University faculty IP, 170.140.62.42 (one I now know will never be used again to check my site) is my biggest fan. I know this because someone on that IP address visits my site at least once a day and then it gets up to ten hits in a day whenever a story related to them gets published. (Yes, I know big brother, but it is great when you are the big brother.)

Now, I will also say that I firmly believe that the powers that be will very possibly reverse coure again, and suddenly, the story will be back up on the site and the page will be back up. That is why I hope people check this out now and see for themselves before courses are reversed. In fact, I predicted part of the current course in a previous piece.

So, what does all of this mean? It may mean nothing, but why doesn't the audience indulge my own delusions of grandeur and allow me to state what I believe happened. I believe that Grady and Emory tried to do damage control to an ever growing situation with what can only be described as an absurd response to an editorial in the Atlanta Journal Constitution. The powers that be at Emory read my nothing blog and realized that if my nothing blog every became something, their unbelievable fraud, arrogance, and corruption would be available for everyone. Thus, the powers that be needed to remove all evidence that linked my assertion to them. It was easy since the AJC has a plethora of Emory alum and thus plenty of influence. The article was removed however in their own carelessness they forgot that they themselves linked to the same article from their own site. When I published the second piece, I just linked, they realized their second error and removed that as well. Thus, they have made it look as though I am an incompetent computer novice that can't link straight and thus can't be taken serious.

In other words, if I am right, then in the words of Daniel Caffee (that's A Few Good Men for all you movie novices)

you mean they can make an entire flight disappear

Yes, that's right, and they will to hide their own malfeasance, unless you stop them. Please link to the powers that be and ask him yourself why these pages are missing. Finally, if I am right, then we have incontrovertable evidence that the AJC isn't just tacitly involved in the corruption but frankly an active participant. If you believe me, please go here and ask the AJC where this article went.

UPDATE:

I would like to welcome the administrators at Emory University. According, the my stat counter the aforementioned IP address just visited at 9:16:51 (Central Time, give or take a tenth of a second) I also fully expect that at least their own site, Emory Woodruff Health Sciences Center, they will fix the slight error. Currently, as I said, the site that has been removed pops up for a split second and then disappears. Please follow this google search. Pick the top search, Emory WHSC Statements mislabel role, and you will see what I mean. For now at least. Please leave comments letting me know if your search yielded the same results. If they did, please ask the powers that be why the web page was removed.

UPDATE: Well, the page has been permanently removed or somehow Emory got Google to remove the link. Either way, the page has now disappeared. If you are reading this story too late, you will just have to take my word for it. If you don't believe me, so be it, it is probably the intention of the powers at Emory. Just keep in mind that while they can remove a page from a web site, they cannot remove the entire fiasco. Please read below for the summary of the entire fiasco.

UPDATE:

I realize that if the first exposure to this story comes somewhere in the middle, you may get very confused. Thus, if you this is the first story related to Grady that you are reading, you should be confused. As such, I have put together a summary of the entire fiasco that tries to put all of its moving parts together in one piece. Please read it for guidance. Also, please check out the recommendations that I and my colleagues have put together for fixing Grady Hospital.

Who Is The Real Sociopath?? (UPDATE)

Introduction: For anyone who hasn't been following my work, let me give you a quick recap. A few weeks back I passed along a story about purported corruption at Grady Hospital with the potential of Emory University staff, who account for all of Grady's staff, being in the middle of it. After that story was published, I was contacted Kevin Kuritzky. He maintains that he blew the whistle on much of the corruption at Grady Hospital and beyond. He was expelled from Emory Medical School with forty one days left. He claims it was in retaliation and Emory claims it was due to tardiness and other offenses. He has a civil suit against Emory University currently in the appeals court. I should point out that Kevin has been at least a source for several stories and I have also done a radio show together with Kevin Kuritzky.

While I in no way hide whatever biases I have, I believe that in the case of what follows the latin phrase, Res Ipso Loquitor (the facts speak for themselves), applies.

A couple of weeks ago I received this UNSOLICITED email.

Mike, Just wanted to let you know that you shouldn't get taken in by Kevin Kuritzky. The guy is a pathological liar and I have personally been taken in by his stories only to realize that he was flat out lying. I also know numerous other people who have experienced the same. It is quite sad because he is a very charming, intelligent person. He just uses these skills to manipulate people. Don't get taken in by him.

Mike--

Michael Ward MD,

MBA

Resident Physician

Department of Emergency Medicine

University of Cincinnati

So, who is Michael Ward MD etc, etc...and what is he talking about? According to the chic professional networking site, Linked In, Michael Ward MD etc., etc... is in fact a member of the staff at the University of Cincinnati. It appears that his path crossed with that Kevin Kuritzky a few years back at medical school at Emory University. If what Dr. Ward says is true, it makes the basis of a lot of my reporting suspect to say the least. In fact, my first comprehensive piece on this subject was based largely on the testimony of Kevin Kuritzky. I say this so that my natural biases are clearly laid out as I continue with my analysis.

The reason that I reveal this email now about three weeks after I got it originally is because through the grapevine I am told that I am told the P.R. arm of Emory University has been making similar claims to Mike King of the AJC. (in that case I believe the word sociopath was used in describing Kuritzky) It is also consistent with the comments of the mysterious pseudonym John in response to this story.

I was in Kevin’s class at Emory (well at one point as it took him several years to complete one academic year), and the allegations by Emory concerning his behavior, ethics and morals are accurate. He should not be taking care of patients plain and simple.

Ironically enough, the term sociopath is one which most of my friends have told me I have a disturbing and obscene fascination with. (Given that two of my favorite shows, 24 and The Sopranos, each delved into the topic at roughly the same time, "I had no choice" (or I just couldn't help myself, potato...) but to get interested in it) Anyone who has read my work knows that I have had personal contact with my fair share of sociopaths and and I see several of the world leaders and our enemies as sociopaths as well. While this by no means makes me an expert, I will use my experience with the phenomenon to try and separate fact from perception in this situation.

One thing is clear. There is no doubt that one of these two side is certainly sociopathic, which in simplest terms is an individual devoid of empathy (in other words they are so selfish that nothing but their own self interest becomes relevant to them). Either Kevin Kuritzky has decided to lie pathological for his own self interest or his opponents want to paint him as such for theirs. Since, in this story, there is no middle ground we are absolutely dealing with sociopathology on one person's part.

If Kevin Kuritzky is himself a sociopath, then his compulsive lying would be a standard trait. There could be several reasons of self interest for his lying. He may have decided to get revenge at Emory for real or perceived wrongs. He may have thought that given the incendiary nature of his lies that they would bring him fame, or money, or both. There are in fact any number of self interest reasons for Kuritzky lying in this case.

On the other hand, if Emory University and their cohorts are sociopathic, they would look to smear Kevin because they know he is a threat. If in fact what he says is true, then their own sociopathic nature would have every reason to eliminate him. Remember, if Kevin is telling the truth, he is a hero. He is then trying to expose some of the worst corruption, leading to fraud, horrible patient care, and outrageous waste of tax payer money. Emory University along with several other people and group are the targets of his accusations. If he is telling the truth, then a sociopath would have every motivation to use every single means available to eliminate, marginalize and demean him.

Obviously, knowing the truth beyond all doubt is impossible, however in this case, it is my opinion that the truth beyond all reasonable doubt is pretty easy to decipher.

First, we know that Grady Hospital is now in such financial turmoil that it will likely need hundreds of millions to survive. We know that State Senator Charles Walker used Grady Hospital and other entities to commit an obscen amount of corruption. (He was charged with 137 felonies, convicted of 127, flipped on no one, and yet only got ten years in jail. Oh, and no one else, besides his daughter and the companies they ran were even charged) We know that in the mid and late 1990's Grady Hospital was the subject of an investigation and ultimately prosecution and settlement for Medicare fraud.

We know that in the mid and late 1990's Grady Hospital was the subject of an investigation and ultimately prosecution and settlement for Medicare fraud. We know that in the beginning of this millenia Grady was subject to an NIH investigation. While the investigation ultimately didn't lead to any arrests, fines or convictions, we do know that four Emory professors were ultimately paid off for their silence. We also know that 2004-2005 HHS conducted its own investigation. Here is the conclusion of that investigation.

there is an exteme and immediate threat to the health and safety of the patients

There is even evidence that in the case of one paid off professor, Dr. Jim Murtaugh, Emory and Grady paid him off without receiving permission from the board of trustees. Finally, even in the current civil case between Emory University and Kevin Kuritzy there is some questionable behavior on the part of Emory University. Court records show that Emory University couldn't produce hundreds if not thousands of documents in the case. In many instances, Emory even admitted to destroying certain documents.

The problem for Emory University, in my mind, is these are all clear characteristics of sociopathic behavior. Sociopaths remove every threat in the way of their goal. Between paying people off, expelling others, destroying documents, I believe they have exhibited that behavior in their goal of running a corrupt hospital. Given all of this evidence it makes Kuritzky's claims well within the pattern of evidence that anyone can discover by simply mastering the art of google.com. The only evidence that Kuritzky is a sociopath come in the accusations of Emory and their cohorts.

Even in the case of the email of Michael Ward, MD, etc, etc, there are no specific accusations. In our exchange by email upon receiving it, I invited Ward to give me specifics and I even emailed him my cell phone number. He never responded with any examples. In the case of the mysterious John it is also vague and unspecific allegations. Emory many times points to Kuritzky being expelled as evidence. Keep in mind it was Emory that expelled him. If they are the sociopaths, his expulsion would fit the behavior pattern of a sociopath to a tee.

In order for Kuritzky to be a sociopath, the pattern of behavior that Grady and Emory exhibited (keep in mind while the two entities are separate Grady is almost entirely staffed by Emory personnel and in many cases Grady higher ups move onto positions with Emory a la William Casarella) was either an anomaly or either a condition that was fixed in a few short years between the events I described and the time period of Kuritzky's accusations. Even that would be hard to believe because the HHS report coincided with the time period of Kuritzky's investigations. If you were to believe that, you would then have a very hard time explaining the current financial crisis at Grady Hospital.

Thus, in conclusion, those that I am accusing can say I have a bias, however I believe I have laid out a solid case for who is the sociopath here. While I must admit that I enjoy an obscene and disturbing amount of fun in delving into the condition of sociopathology, this question is central to what is going on. If Kuritky is the sociopath, then we need not worry about infusing Grady with more money because their administration is fit to receive it. If, on the other hand, it is Emory, Grady and beyond, that are the real sociopaths, then it is time for full fair and open hearings before even one cent is dolled out to what would be the very people that caused the mess.

If my supposition is right, then the likes of Kent Alexander, William Casarella, Ed Renford, Robert Brown, Vernon Jones, (and maybe even State Senator Charles Walker if that can be arranged) as well as those that would be the heroes in this mess: Kevin Kuritzky, Ron Marshall, Dale Cardwell, Joyce Harris and even all those that were paid off, need to be put under oath, on television, to answer truthfully their involvement in this crisis.

Finally, I invite the powers that be at Emory, Mike King, Dr. Ward, and even the mysterious John to respond at their leisure if they feel I have been inaccurate.

UPDATE:

If you are picking up the story of the Grady Hospital crisis anywhere in the middle, you are likely to get quite confused. This maybe happening if this particular story is your first exposure to the crisis. Thus, I have put together a summary of the entire fiasco that tries to put all of its moving parts together in one piece. Please read it for guidance. Also, please check out the recommendations that I and my colleagues have put together for fixing Grady Hospital.

A Plea to John Sugg of Creative Loafing (UPDATED)

(For reference on this story simply hit the Emory University tag at the bottom and you can read everything that I have written so far)



Here is what I have learned so far about the corruption at Emory University, Grady Hospital, and the Atlanta area in large: a man of questionable character and/or competence is currently running the Florida bureau that specializes in providing health care to poor folks, a man of questionable character and/or competence is now running for Senator of the United States in Georgia (and leading in the Dem primary from what a few people tell me), Grady Hospital was home to an obscene amount of corruption that was only matched by the disposition of the case that followed, and and finally there is eye witness testimony to not only continued corruption at Grady, but tragically sub standard care and dangerous conditions.



As far as my own feelings, I feel that I have only scratched the surface on the curruption that goes on at Grady, Emory and beyond. How can so much corruption go on and no one know it? I firmly believe that much of the media is either in the tank for much of this, too scared, or maybe just too incompetent to report on it. Case in point: State Senator Charles Walker...he was convicted on 127 felonies, he received 10 years in jail without flipping on anyone, and finally no one but him, his daughter and the companies they ran were charged or convicted. Does this seem possible? Yet, very little has been said about this peculiar set of events in the media in Atlanta.



Here is another case in point. Here is a response by Kent Alexander and Tim Jefferson to an editorial by the AJC.

The AJC's Oct. 5 editorial "Come clean on lawsuit" resurrects (and misstates) old charges of conspiring to misuse government funds, charges the government reviewed seven years ago and declined to pursue. This has the devastating effect of casting public suspicion on two entities -- Grady Memorial Hospital and Emory University -- that are working together in an increasingly challenging environment to meet the health needs of the most vulnerable members of our society.

The editorial surprisingly calls on Emory and Grady to open the sealed settlement and court records in a case involving Dr. James Murtagh. For the record, Emory and Grady did not move to seal the record; Murtagh did. Emory had already supported unsealing the proceedings -- the complete, entire record -- as had Grady. We simply awaited the doctor and court's approval. Judge Wendy Shoob has since unsealed the record, which is now of course fully open to the public. The real victim in all of this is Grady, the largest public health hospital in the Southeast. Grady is struggling to survive while misinformation circulates that, unintentionally or intentionally, diverts attention from the real issues.

Now, what they are referring to is Jim Murtaugh and a suit in which Grady and Emory paid Murtaugh about 1.6 million dollars and he along with Emory and Grady each had air tight language in which no one could talk to anyone. Now, when someone gets paid off and told to keep quiet, where I come from that is hush money. According to Jefferson and Alexander it was Murtaugh, not their side, that wanted to records from the case sealed. Obviously, it is ludicrous to believe that the person being hushed is the one pushing to keep the records sealed. Furthermore, since they know that he has to stay quiet he is an easy target. Finally, since the agreement calls for both sides to keep mum, it is this non lawyer's opinion that this response breaks the very agreement that they are referring to. There's more.



Now, do you want to know how corrupt the media is? That editorial as well as the response is no longer available on the AJC's site. (Don't believe me click the link and then click the link that says, Come Clean on the lawsuit, you will get to an empty page) In fact, the response I found is on a site run by Emory and no doubt that will be eliminated as soon as Emory gets wind of this piece. (I referenced the editorial at least twice and the link leads you nowhere each time. It also leads you nowhere from the Emory site I found that currently though I suspect not for long still has their response to the now absent editorial.)



I was told that there maybe a beacon of independent journalism in Atlanta. There maybe one news organization that is more interested in the truth than making friends and contacts and limiting powerful enemies. I was told that news organization was Creative Loafing. I was even heartened when they wrote a piece that referenced my blog. Unfortunately, since then they have remained quiet despite breaking news by me, State Senator David Shafer, and frankly the growing chorus of concern about Grady Hospital (which may go under and will certainly need up to nine digits in tax payer money to stay open).



Thus, I was moved to write this to the editor, John Sugg,

Mr. Sugg,

My name is Michael Volpe and I am writing to you regarding coverage of the corruption at Grady Hospital. A few weeks back your online arm wrote an article about Kevin Kuritzky. That article referenced a piece on my blog, http://www.proprietornation.blogspot.com/. I received a fairly large amount of traffic coming over from your site. I was glad to see that there was an outlet in Atlanta that had the courage to bring this story in the open. Since then, I have broken several pieces of important information on my own blog. Senator David Shafer broke some important information as well, and your paper has not followed up at all.

With all due respect, it is NOT good enough to simply go through the motions on this story but to take it wherever it leads because its tentacles are everywhere. Did you know that the former CEO of Grady Hospital, Dr. Andrew Agwunobi, the same CEO that was employed when an HHS report was issued saying this, “the patients at Grady are in serious and immediate danger”, is now head of the AHCA in Florida? Did you know that prior to that he was on the board at WellCare? Did you know he cashed out one million bucks worth of options after only six months? Finally, did you know that his bureau, the AHCA, is among several currently investigating WellCare? Guess what, the stock plummeted right after he cashed out.

If you publish one story about the terrible plight of Kevin Kuritzky, pat yourself on the back for standing for the little guy and then move on, that is frankly not good enough.

I hope you will take a minute and read my latest piece. I hope after reading it you
appreciate just how deep the corruption most likely goes and then realize that the only way to break it all, is for non stop and intense media coverage.

http://proprietornation.blogspot.com/2007/11/murder-suicide-connecting-more-dots-in.html

I firmly believe that those involved in the corruption at Grady and beyond it are bad, really bad, and they aren’t going to give up power without the biggest battle they can put on. Putting out one article and then going away does nearly nothing. Kevin told me that he believed your organization to be a model of independent and uncorrupted journalism in Atlanta. I believe that is rare if non existent in your city. You can prove me wrong by following this story wherever it leads not merely popping your head up to report a small bit and going away.

Now, I call on everyone else to help me fight this battle to expose what is really going on. Everyone that reads please send Mr. Sugg an email here and insist that Creative Loafing be the model of independent, fair and honest journalism in Atlanta. Demand that Creative Loafing take this story wherever it goes not just where they want to lead it. A lot of people have sacrificed a lot, some with their lives, in trying to expose and root out the corruption that is going on. The powers that be won't go down without a fight and they won't go down if they know the media is in their back pocket. So far, the evidence I have seen tells me at least that the media is, however Creative Loafing can change that and you can help them do it.

(UPDATE)

I realize that anyone that picks up this story at any of its individual part like this particular piece will likely be confused. Thus, I have put together a summary of the entire fiasco that tries to put all of its moving parts together in one piece. Please read it for guidance. Also, please check out the recommendations that I and my colleagues have put together for fixing Grady Hospital.

Kent Alexander: Power Broker (UPDATED)

There is a name that lurks behind the scenes in much of the scandal and corruption associated with Emory University and Grady Hospital and that person's name is Kent Alexander. It should be noted that there is little or no evidence ties Alexander to any wrongdoing on his own part. What is peculiar is how often he finds himself in the middle of scandal at Grady, Emory and beyond.

Kent Alexander first burst on the scene as the son of legendary Atlanta area attorney Miles Alexander. His first brush with fame came in the mysterious case of money laundering by BNL Savings, an Italian government run bank, to the government of Iraq on the eve of the first gulf war. The case is detailed in depth in the book, The Shell Game by Peter Mantius. At the time, Alexander was assistant U.S. Attorney for the Northern District of Georgia. He was the lead attorney for the U.S. on the case. At the time, King and Spaulding, arguably the most powerful and prestigious law firm in Atlanta, represented BNL. According to The Shell Game, Alexander met with an MI6 agent who told him of obscene amounts of corruption. The agent implicated the entire structure of the bank, and they claimed that for political reasons the intelligence apparatus of Italy, the U.S. and Britain looked the other way. The book claimed that the agent provided documentation of all the assertions.

For whatever reason, according to the book, Alexander left the meeting and decided to pin the entire scandal on the bank manager Christopher Drogoul who was in his twenties at the time. Drogoul was prosecuted and eventually convicted and upon his conviction the entire case was closed. This of course made the clients of King and Spaulding happy as well as the rest of the bank was spared prosecution. This was of course curious because of the sheer size and frequency of the crimes. This case also has some troubling parallels to another case I have referenced, State Senator Charles Walker. More than a decade later, while Alexander was now Emory General Counsel, State Senator Charles Walker was convicted of 127 felonies. He was the only one convicted and that case was also wrapped up after his conviction. Of course, it should be noted again that despite not flipping on anyone Walker received the outrageously light sentence of ten years for 127 felonies.

On the strength of the Drogoul along with other good deeds, Alexander was eventually promoted to U.S. Attorney a couple years later. (for reference this is the equivalent of posts once held by both Rudy Giuliani and Elliot Spitzer in their own districts) In the summer of 1996 Atlanta held the Olympics. The sad and ultimately tragic case of Richard Jewell is well documented and it doesn't need to be repeated. While the media has portrayed his role in the affair in a variety of ways, (he meaning Alexander himself) the facts stand out to me at least. He was the lead prosecutor. Jewell was under suspicion for almost ninety days and everyone agrees that ultimately there was absolutely no solid evidence against him.

About a year later, Alexander resigned from the U.S. Attorney's office. He landed on his feet with a cushy position with King and Spaulding. That would be the same King and Spaulding that was the fortuitous recepient of Alexander's narrow investigation of BNL. King and Spaulding is also the firm on retainer for one Emory University.

Alexander moved over to lead general counsel at Emory University in 2000. The two met each other at a fortuitous time because Grady, the hospital Emory helped run, was under investigation by the National Institute of Health. That investigation ultimately lead nowhere however four people that I have found were silenced with regards to the investigation: Dr. Sam Newcom, Dr. Jim Murtaugh, Dr. Diane Owens, and Dr. Jeffrey Sonnenfeld. Dr. Jim Murtaugh's case has recently had some new developments. Here is what State Senator David Shafer was able to recently discover.

Former Grady trustee Bill Loughrey tells me that the settlement with Dr. Murtagh was never approved or even accurately described to Grady’s board of trustees. He says that he was stunned to learn that tax dollars were paid to Dr. Murtagh, conditioned on his silence. He thinks the agreement is invalid and that the judicial process has been misused.

Let me explain for everyone. Dr. Jim Murtaugh settled with Emory University and Grady Hospital right around the time that this investigation was going on. He settled for roughly 1.6 million dollars and each side was under total communication lockdown. In fact, the lockdown was so extreme that even if either side was subpoened the court would need to be notified and there was time available for the subpoena to be quashed. This is of course important because it is very likely that Murtaugh had information relevant to the NIH investigation and this agreement allowed Grady and Emory stop Murtaugh from testifying. Furthermore, as lead counsel Alexander would be in control of the negotiations for his employer. He was in so much control that it is his signature next to Murtaugh's in the ultimate agreement.

Now, what Shafer is saying is that the board of trustees at Grady were never notified of the settlement. This is important because Grady is a public hospital and thus their portion of the settlement would then be tax payer money. As lead counsel, Alexander would be responsible for every bit of the agreement.

By 2004, Grady was again in the middle of another scandal. This one involved State Senator Charles Walker. Again, despite being convicted of 127 separate felonies, Walker was the only one charged and convicted in the case. Not only is it logical to think that it is impossible to commit this much crime on your own, one only needed to be in the courtroom hear of other's involvement. The lead prosecution witness, Joyce Harris, accused much of the higher ups at Grady of all sorts of wrong doing: from witness tampering, intimidation, and kickbacks. Despite it not only making no sense that one person could commit so much crime on their own, and having the star witness accuse others, somehow the powers that be wrapped up their investigation by only convicting Walker himself, and he got only ten years for all those counts.

Now, you might be saying well that's Grady and Alexander was employed by Emory. That is true however the entire Grady staff was Emory faculty and most of the Grady upper level management was also employed by Emory. Thus, while they may seem to be two separate entities to some they are in reality quite interlocked.

Alexander then resurfaces in the case of whistleblower, Kevin Kuritzky. Kuritzky was expelled several months after another investigation of Grady was completed. This one was done by the Center for Medicare and Medicaid Services of the Department Health and Human Services. The conclusion of that report was scathing.

an immediate and serious threat to the health and safety of the patients

is what HHS concluded. Emory maintained that Kuritzky was expelled for missing required clerkship training involving patient care, lying to his professors, and engaging in other unprofessional, dishonest and unethical conduct, while Kuritzky maintains that it was retaliation for blowing the whistle on many of the same type of practices mentioned in the report. While Emory outwardly maintains even today that his expulsion had nothing to do with any incendiary charges on his part, I have found an email from Alexander to the then assistant U.S. Attorney that indicates otherwise.

Amy (Amy Kamenshien then Assitant U.S. Attorney for the Northern District of Georgia) as you know we have had several discussions in the past regarding Dr. Murtaugh and his allegations regarding Emory/Grady. Recently he has had contact with former medical student Kevin Kuritzky. You may in the near future be hearing from Kuritzky or his attorneys and I would advise not pursuing it further. Hope all are keeping well,

Kent.

Clearly, Alexander expected that Kuritzky was going to say something and he moved to pre empt the investigation. Kuritzky ultimately ended up pursuing his case civilly and that is still pending.

Alexander had one more run in with Kuritzy of note. According to Kuritzky just as the legal process for his civil case was starting, (Before any formal paperwork was even filed) Alexander arranged a meeting between Kuritzky, his attorneys and Emory attorneys, headed up by Alexander of course, and finally a mediator. According to Kuritzky, at this meeting Alexander addressed Kuritzky in this manner,

if you pursue this further, we will smear you so badly that even North Korea won't touch you

According to Kuritzky this was said in front of his attorneys and the mediator who went to the third grade step of calling a timeout in its aftermath. The parties were separated into two different rooms so that everyone could cool down, however Alexander wasn't formally reprimanded for this statement.

The last notable moment in Alexander's tenure came last month when he responded to an Atlanta Journal Constitution editorial regarding unsealing the records of the Dr. Jim Murtaugh case. ( those records have been unsealed and of course I even referenced them earlier)

The AJC's Oct. 5 editorial "Come clean on lawsuit" resurrects (and misstates) old charges of conspiring to misuse government funds, charges the government reviewed seven years ago and declined to pursue. This has the devastating effect of casting public suspicion on two entities —- Grady Memorial Hospital and Emory University —- that are working together in an increasingly challenging environment to meet the health needs of the most vulnerable members of our society.

The editorial surprisingly calls on Emory and Grady to open the sealed settlement and court records in a case involving Dr. James Murtagh. For the record, Emory and Grady did not move to seal the record; Murtagh did. Emory had already supported unsealing the proceedings —- the complete, entire record —- as had Grady. We simply awaited the doctor and court's approval. Judge Wendy Shoob has since unsealed the record, which is now of course fully open to the public. The real victim in all of this is Grady, the largest public health hospital in the Southeast. Grady is struggling to survive while misinformation circulates that, unintentionally or intentionally, diverts attention from the real issues.

This statement is absurd on its face (and I should note never countered by the AJC). Murtaugh was paid a huge sum of money (1.6 million dollars) and then told to shut up. That is hush money. It is unlikely that he would be the one that would try and keep those records sealed. It was after all Emory and Grady that paid him not the other way around. They paid him and he was silenced. You do the math. Second, since he was silenced, making this bold face lie is easy since they know he is under order to remain quiet no matter what. Finally, while he was paid the money both parties agreed to a total media blackout. Again, I may not be an attorney however it appears to me that Alexander just violated the terms of the very agreement he helped broker.

The case of Kent Alexander is much like everything about Emory and Grady. There are more questions than answers. Did Alexander receive his cushy position from King and Spaulding as a result of his favorable prosecution in the BNL case? Did he use his influence to squash the NIH and Walker investigations? Did he knowingly violate the policy of the Grady Trustees when he entered into an agreement with Dr. Jim Murtaugh? Did he try to intimidate Kevin Kuritzky?

Only the powers that be know the answers to these questions, however I do know that Grady Hospital may collapse. I know that there needs to be a huge infusion of cash in order for it to survive, and it appears to me that the same people that put it into this position continue to call the shots. I know that if I were a tax payer that was ultimately flipping the bill I would want all of the questions I raised answered, under oath, by Alexander himself, before even one more dime went into Grady Hospital.

For further information on Kent Alexander and this scandal in its entirety, please follow this link to listen to my buddy Snooper discuss this matter further.

UPDATE:

For the most part, if you find your way to one of the stories regarding the Grady mess, you will likely get lost in its many mazes. I actually don't believe that this is one of them. I believe that this story speaks for itself, and no matter your incoming knowledge you should be able to follow. If not let me know. That said, you should also know how Alexander fits into the overall scheme of things. Thus, I have put together a summary of the entire fiasco that tries to put all of its moving parts together in one piece. Please read it for guidance. Also, please check out the recommendations that I and my colleagues have put together for fixing Grady Hospital.