Lisa Zenzen Baker, 1961-2003

E-mail: davidfbaker@duck.com

Monday, June 05, 2023

ER staff sued

 Alleged spinal injury brings lawsuit
 against Samaritan Hospital

By David Baker

Posted June 5, 2023  

   A Rensselaer County man who went to the emergency room at Samaritan Hospital in Troy, N.Y. with stomach pain and vomiting has filed a lawsuit alleging that he was damaged when a tube that was passed through his nose into his stomach allegedly causing spinal fluid and air to enter his brain.

   The patient, William Kramek, was then transferred by ambulance to Albany Medical Center Hospital, where a patch was placed to stop the leak of spinal fluid.

   The complaint says that “..as a result of defendants’ negligence, Plaintiff was cause direct trauma from insertion of the nasogastric tube resulting in him becoming diaphoretic [sweating excessively], eyelids dropping, seizure activity and leaking cerebral spinal fluid through his nose.”

   The complaint names Samaritan Hospital, St. Peter’s Health Partners - and 10 entities that provide physicians under contract to work in emergency rooms, some of the entities apparently owned by the hospital operator itself.

   The lawsuit was filed on May 31, 2022 but is now on hold  after one of the contracted entities, Envision Healthcare Corporation, filed for Chapter 11 bankruptcy protection in May, reportedly owing $7.7 billion to dozens of other organizations. 

   The filling comes five years after Envision was taken private by the private equity group KKR in a deal valued at $10 billion.

   In addition to Envision Healthcare Corporation the complaint lists as defendants two other entities that appear to be associated with and perhaps owned by Envision Healthcare and share the same Florida address: Envision Physician Services, LLC; and Emergency Medical Association of New York P.C. 

   Another two entities under contract with the hospital, Emergency Medical Associates and Emergency Medical Associations PLLC, share an address in Parsippany, N.J. One of them appears to have been set up by a doctor, Stanley W. Docyk of Ballston Spa, N.Y., which then contracted to provide Docyk’s, services to the hospital.

  Four of the 10 corporations are apparently owned and operated by St. Peter’s Health Partners: St. Peter’s Health Partners Medical Associates; St. Peter’s Health Partners Emergency Associates; and Manning Emergency Medical Associates all list 315 S. Manning Boulevard in Albany - the address of St. Peter’s Hospital - as their address. Another defendant, Emergency Medicine Physicians of Samaritan, PLLC, lists 2215 Burdett Ave. in Troy - Samaritan Hospital’s location - as its address.

   Press reports on Envision’s bankruptcy filing suggest passage in 2020 of the federal No Surprises Act impacted Envisions’s revenues. The act restricts how doctors who work in a hospital but are employed by an agency can bill patients whose insurance was not accepted by the outside physicians. Before the passage of the act patients who often had no idea that the doctor treating them was not an employee of the hospital and did not accept their insurance were getting billed for thousands of dollars - and getting sued when they were unable or unwilling to pay the surprise bill.

   The lawsuit, which also name Kramek’s wife Anne as a plaintiff,  was filed by the Troy law firm E. Stewart Jones Hacker Murphy. 

  Representing Samaritan Hospital, St. Peter’s Health Partners and St. Peters’ Health Partners Medical Associates is  the Albany firm Thorn, Gershon Tymann & Bonanni. 

   Manning Emergency Medical Associates PLLC, Envision Healthcare Corporation , Envision Physician Services LLC, and Emergency Medial Association of New York are represented by O’Connor, O’Connor, Breese & First of Albany.

   A check of the Albany Timers Union archives produced no story about the Kramer lawsuit. As has been reported on this page, TU publisher George Randolph Hearst III has a seat on the St. Peter’s Health Partners’s board and has raised millions of dollars for the company. 

   Over past 26 years the paper has ignored dozens of lawsuits alleging wrongful death and serious injury filed against hospitals and other facilities now operated by St. Peters Health Partners.

****


George Randolph Hearst: Opinion: A duty abandoned. 

Physicians' hidden employers

 In this ER, the doctors don't work for the hospital

   For years, hospitals and nursing homes have filled open nursing shifts with people from staffing agencies. A nurse might work a singe shift or cover it for a week. But the rest of the nurses would be employees of the facility.
   But, as the complaint described in the story above reveals, at Samaritan Hospital in Troy, most, if not all the physicians in its emergency room are employees not of the hospital but of a separate legal entity.
   And not just one agency. In the lawsuit filed by William and Anne Kramek, there are 10
legal entries listed as defendants. Five of them appeared to be wholly owned by one company, Envision Healthcare Corporation.
   And more puzzling is that another four are evidently creations of St. Peter’s Health Partners - which owns and operates another of the defendants, Samaritan Hospital, where William Kramek alleges his injury occurred. 
    In May, citing debts of almost seven billion dollars, and after missed an interest payment, Envision Healthcare Corporation filed for protection under the bankruptcy laws. The company says it will continue to operate during the bankruptcy proceeding. 
   Not clear is why a hospital a would have some, maybe all its emergency room physicians employed by a separate legal entity. And if, every unwell person who arrived St. Peter’s Health Partner ERs prior the implementation of the No Surprises Act was told and clearly understood that their health insurance might not be accepted by the entity paying the physician, and that they, the patient, would be responsible for physicians’ bills.

—David Baker

   

Tuesday, March 07, 2023

Justice denied

Answers for Lisa:
 First the web page. Next: the book


The extraordinary story of one avoidable hospital death and

 the people who helped those responsible avoid accountability 


By David Baker

   This year it is two decades since my wife Lisa Baker’s totally avoidable death while she was in the care of Samaritan Hospital in Troy, N.Y. 

   For the hospital’s management, it was just another medical malpractice claim for its attorneys to fight. Then it was over. The hospital took the $73,000 it was paid to treat Lisa in its ICU for the ultimately fatal injuries she had received at its hands and moved on; another plaintiff  beaten off by an army of lawyers funded by an immensely wealthy insurance company.

   While nothing can bring back a person whose life is taken by a hospital’s negligence, when it happens most family members want two things; first, a full explanation of what happened

   And second, an assurance that it will never happen again.

   But in Lisa’s case no credible explanation has ever been offered. Rather, the hospital repeatedly claimed that even some entries in its own records were wrong, such as Lisa’s almost non-existent glucose level when she was found in her hospital bed near death. 

   And as for never happening again: Just five months after Lisa died, another Samaritan patient, Alec MacKenzie - who also had diabetes - died after once again nurses ignored a physician’s specific order that they follow the  hospital’s written instructions if MacKenzie’s blood glucose level dropped.

   But with no acknowledgement that the hospital staff had caused a patient to lose her life - and, therefore, no assurance that steps would be taken to prevent it happening again - there has been no moving on for me.  Add to that the extraordinary events surrounding the legal claim against those responsible for Lisa’s safety and the matter is still open, as painful now as it was in 2003.

   So the law didn’t hold them accountable. But I can - with an almost permanent account of what happened. 

   I am writing a book.

   Sites on the internet can disappear. But paper books are distributed to and can remain in homes, libraries and on-line book stores for decades. (All four of my mother’s books can still be purchased, via the internet, more than 60 years after the first one was published.) 

   Here then is a summery of the main players in the saga that is Lisa Zenzen Baker vs Samaritan Hospital -  that also led to the publication on my web page and this blog of stories about dozens of lawsuits filed against Capital Region medical providers that since 1998 the area’s media outlets have ignored to protect a steady stream of revenue from some of their biggest advertisers.

*****


Matthew Leinung. A doctor at Albany Medical Center Hospital who provided an affidavit in support of Samaritan Hospital’s motion for summary judgement dismissing the lawsuit, in which he stated that nurses who ignored a physician’s written order to follow the hospital’s printed protocol for treating hypoglycemia did not depart from the standard of care.  He also claimed to know, four years later, that Lisa’s blood-glucose level when she was found in her hospital near death was actually a safe 80 mg/dL - not the 2 mg/dL recorded in her medical chart.  This despite that fact that Lisa was immediately treated for low blood glucose, and that her death certificate listed as a cause of death, “profound hypoglycemia.” Leinung’s extraordinary paid opinion allowed the hospital to avoid any responsibility for Lisa’s totally avoidable and excruciatingly painful death. 


Cynthia LaFave.  Incompetent attorney who took on but later abandoned without notice Lisa’a wrongful death claim.

 

Stephen Coffey.  A lawyer at the Albany law firm O’Connell & Aronowitz who called and offered to consider taking over Lisa’s lawsuit from LaFave without disclosing that his firm was representing Samaritan Hospital, then embarked on a calculated effort to get the claim dismissed. He later wrote an angry response to my detailed letter describing his efforts to destroy the case as ”…an assault on me and my office.”  But his letter didn’t deny or even address the accusations against him. 


James K. Reed, M.D.  Former president and CEO of St. Peter’s Health Partners and before that CEO of Northeast Health prior to its merger with SPHP.  During his tenure hundreds of lawsuits alleging avoidable deaths and injuries were ignored by the Times Union while the newspaper ran a steady stream of ads for the healthcare companies. It was during Reed’s time in charge that, five months after Lisa Baker was fatally injured when nurses ignored a physician’s direct order to apply written  instructions for treating hypoglycemia that another patient with diabetes, Alec MacKenzie, died when nurses again ignored a physician’s order to use the instructions, revealing Reed’s callous disregard for the safety of patients in his hospital that bordered on the criminal. 


Akiva Abraham.  Former gynecologist, sued by a patient who made the unusual claim against Samaritan Hospital of ‘negligent credentialing’, alleging that the hospital granted and repeatedly renewed Abraham’s privileges despite overwhelming evidence that he was medically and morally unfit to practice.  The lawsuit, settled in 2012 after six years of litigation, alleged that Abraham performed an unnecessary procedure he was not authorized by the hospital to perform on the patient’s breast without her knowledge or consent that left her disfigured. The lawsuit was never reported by the Times Union, even as it published a dozen stories about Abraham’s arrest and conviction for insurance fraud stemming from an arson; his bankruptcy filing; and the revocation of his medical license.


Stephen Ferradino. State Supreme Court judge who made no effort to hide his basis against a self-represented litigant, refusing to order Samaritan Hospital’s attorneys to produce a highly relevant medical record that could have changed the outcome of the lawsuit that clearly was being withheld.  Self-represented, litigants  are usually afforded extra latitude but not in Ferradino’s court: During a conference in chambers and over my objection he gave the hospital’s attorneys far more time to respond to a motion than they had asked for, while, on another issue, strictly enforcing the rules on me.  Ferradino retired in June 2014 after 20 years as a state Supreme Court justice.  He died in July 2022.


Kathleen M. Ryan.  Attorney defending Samaritan Hospital. During a conference in the judge’s chambers, Ryan said her clients were prepared to settle the lawsuit. Before doing so, though, she said the insurance carrier wanted a “final review.”  But as later became apparent, that was a lie to buy time; the weeks-long delay was really so Ryan could continue looking for a doctor who would provide an affidavit in support of a motion for summary judgment dismissing the claim.  Evidently, none of those she had approached were prepared to say what Ryan wanted. Until Matthew Leinung of Albany Medical Center Hospital, disregarding the most basic care required for a patient with diabetes, agreed to make the outrageous claims described in the first item above.


George Randolph Hearst, lll, Publisher and CEO of the Albany Times Union, who raised millions of dollars for St. Peter’s Health Partners. He was then appointed to a seat on the hospital operator's governing board, which in 2011 named an addition to its main Albany hospital the Hearst Pavilion.


Rex Smith. Editor of the Times Union from 2002 to 2021, and before that managing editor, news, years during which the paper ignored dozens of medical-malpractice lawsuits against a hospital operator that ran a constant stream of ads in the paper.  Smith did not respond to requests for comment on this glaring abandonment of journalist ethics.


New York state Department of Health.  After a staff member initially said in a phone call responding to a letter describing what had happened to Lisa in the early hours of November 11, 2003 that there appeared to have been serious negligence, the agency later turned the file over to an outside organization for a review.  And apparently using only the medical chart - no interviews of those involved - the anonymous reviewer dismissed all the evidence of negligence in a single paragraph - a decision that shocked at least one staffer in the DoH office in Troy.  But the department was overruled; case closed.  And efforts to get more information on the outside organization’s stunning determination met a brick wall. Even Richard Gottfried, then chair of the state Assembly health committee, could get no answers.  And Kemp Hannon, then chair of the Senate’s health committee, didn’t even try.

So for Samaritan Hospital, no penalty, not even a slap on the wrist.

Five months after Lisa’s death, another patient died in Samaritan after documented negligence shockingly similar to that which had cost Lisa her life - making the state health department partly responsible for this second avoidable death.


Gloria Cooper. Trudy Lieberman. Greg Marx.  The emails tell the story.  In 2006, Cooper, then deputy executive director of the Columbia Journalism Review, respond to my correspondence by asking for and receiving extensive printed material from me documenting the absence of news in Albany media about lawsuits filed against medical facilities that were big advertisers  - and then, without explanation, abandoned the story.  Nine years later, Trudy Lieberman, a CJR contributor, also responded to my email, and did two brief telephone interviews with me and was given links to the dozens of stories about medical malpractice lawsuits by then on my web pages, but made excuses for three and a half years  - and never published a single word. Finally CJR staff writer Greg Marx suggested that a comparison with news coverage in other cities was relevant, rather than how the Albany media handles similar claims against advertisers and non-advertisers - such as jails. He, too, showed no further interest  - and CJR has never mentioned this wholesale suppression of news, the publication of which is clearly in the public interest.

 ****

A publication date for my book will be announced here and posted on social media.

Thursday, December 22, 2022

Infant injured

Lawsuit alleges wrong shot
given to newborn baby

By David Baker

Posted Dec. 22, 2022

   The parents of a baby born in St. Mary’s Hospital in Troy in 2010 have filed a lawsuit alleging a nurse gave the child an injection of Methergine, which is given to a woman to stop bleeding after childbirth, instead of a routine shot of vitamin K.

   The wrong shot allegedly caused permanent injuries, pain and suffering.

   Because the chid survived, this page is withholding the identity of her and her parents.

   Named as defendants are the hospital; St. Peter’s Health Partners; Samaritan Hospital; Seton Health System - which operated St.Mary’s at the time; a doctor, Melinda Mantello; and Clifton Park Pediatric Center, where Mantello was employed.

  According to the complaint, Dr. Mantello failed to recognize the symptoms of the negligently injected Methergine, and to promptly transfer the child to an intensive care unit for treatment of the incorrect shot.

   The complaint was filed in May 2020 by Martin, Harding and Mazzotti of Latham, N.Y.

***


   St. Peter's Health Partners CEO James K. Reed is retiring at the end of the year after more than three decades in various positions with the healthcare company, and people in the organization are singing his praises. But during his tenure, lawsuits prompted by dozens of preventable deaths and injuries were ignored by Capital Region newspapers that ran countless ads for the St. Peter’s Health Partners and its predecessor company, Northeast Health.

   Coming up: A look at the consequences, on patients, their families and the public of that unhealthy alliance.

****

Thursday, November 10, 2022

Low blood count

Former nursing student dies 
after visit to Samaritan Hospital
 

By David Baker

November 11, 2022

The husband of a woman who graduated in 2010 from Samaritan's nursing school is suing the hospital after she was sent home by Samaritan Hospital doctors with low white blood cell and blood platelet counts and was pronounced dead back at the hospital three days later.

  The patient, Melissa McMahon had two children. She was 31 years old.

   The lawsuit was filed in July 2020 by Sean McMahon of Pittstown, Rensselaer County. 

   The lawsuit alleges “…that on August 1, 2018 laboratory testing revealed that the decedent had a low white blood cell count of 2.8 and a low platelet count of 126. Notwithstanding, the defendants herein negligently and improperly discharged the decedent from the hospital and sent her home. [And] that on August 3, 2018, the decedent suffered cardiopulmonary arrest at her residence and was brought to Samaritan Hospital for continued care and treatment, however could not be resuscitated and was pronounced dead.”

   According to the complaint, the cause of death was “…a significant hemorrhage in her gastrointestinal tract.”

   The complaint names as defendants Samaritan Hospital; St. Peters’s Health Partners; and two companies that provide physicians and other staff to medical facilities.. 

   In July 2021, attorneys for the hospital served subpoenas on the New York State Police seeking records of its investigation of an autopsy, and on Rensselaer County for copies of audio recordings of 911 calls on August 3, 2020.

    An obituary published on August 7, 2020 says Mellisa McMahon graduated from Lansingburgh High School in 2004, earned a Bachelor Degree from SUNY at Albany in 2008 and a nursing degree from Samaritan Hospital School of Nursing in 2010. It says she then worked as a nurse, but it could not be determined where she was employed.

***

NEXT: Wrong injection leaves a baby with permanent injuries.

Wednesday, May 25, 2016

A simple question


The newspapers' missed news   



By David Baker
Posted Wednesday, May 25, 2016
534 words

A story in Sunday’s Albany (N.Y.) Times Union lists the many players reportedly under scrutiny by the office of U.S. Attorney Preet Bharaha in what appears to be an investigation of possibly improper lobbying by individuals and companies that have made large contributions to Gov. Cuomo’s campaign accounts.
   It’s a complicated and confusing picture, which may become clear only if criminal proceedings are brought against one or more people.
   But the case against the Times Union - as well as the area’s other two daily newspapers, the Record and the Gazette - is much easier to understand.
   For more than a decade, all three papers have ignored dozens of lawsuits filed against capital region medical providers alleging preventable deaths and serious injuries.
   At the same time, these newspapers have benefited from a continuous advertising campaign that has brought hundreds of thousands of dollars each year into their coffers.
   So, are all these lawsuits being ignored because they would subtract from the rosy image the advertisers are paying to present to the public?
  In other words, are the management of these newspapers corrupt?
  The answer to that question - which essentially is, are these advertisers buying not just ad space but also control of the news pages - depends on the answer to another question: 
   Are none of the many lawsuits described on my web page newsworthy?
   These include:

   * A now now-settled case in which a woman with a history of heart problems died just after she was sent home from an emergency room following a very brief exam - and the doctor who did it later lost his license in part because of his negligence that day. 

   * A lawsuit - settled on the first day of trial after six years of litigation - that made the unusual claim that a hospital was negligent when it repeatedly granted privileges to a physician with a history of disciplinary problems with other employers, and two other active lawsuits against him alleging negligence.

   * An admission by two nurses in transcripts of sworn deposition testimony that they told a patient’s family that he had a bedsore when in fact he had received a serious burn on his back when a cooling pad filled with very hot water was placed under him - itself a violation of the hospital’s protocol.   

   * A claim that hospital managers retaliated against an emergency room employee after she complained that a co-worker was sexually harassing her - harassment that allegedly included him showing her a video of him having sex with another woman.

 These lawsuits are among dozens described in stories posted since 2008 on my blog.
  But not one of them has been reported by the area’s newspapers.
  So if you believe that none of them are of public interest, then you can conclude that there is no connection between the cash pouring into the newspapers’ bank accounts and the absence of news about all these lawsuits.
  But if you think that details of at least some of these claims should be published by the area’s newspapers, then you can conclude that these managers are just as easily bought as the public officials they lecture to about the need to address the  corrupting influence of money.


Wednesday, December 02, 2015

Lisa - left us December 2, 2003


Thursday, August 27, 2015

Quote



"News is what somebody somewhere

wants to suppress; all the rest is advertising."

- Lord Northcliffe,  British newspaper publisher