Whistle-blowers sue VA, claim reprisal
Posted : Wednesday Jan 11, 2012 10:05:24 EST
After Wilmington, Del., VA Medical Center therapist Michelle Washington decided to testify before Congress last November about treatment delays at her facility, she said she received her first-ever negative performance review and was demoted.
Six civil lawsuits filed by a D.C.-based law firm against the Veterans Affairs Department show that Washington isn’t alone. The Employment Law Group has filed claims on behalf of VA whistle-blowers who allege they were fired or harassed for speaking out about problems affecting patient care.
The suits allege that from Northport, N.Y., to Houston, employees were pressured to cover up mistakes, rush patients through care or practice in dangerous working conditions.
TROUBLE IN NEW YORK
A medical technologist employed as a supervisor for 25 years at VA Medical Center Northport, N.Y., was exposed to high doses of radiation after she was ordered to use equipment she was not trained on — one of several problems uncovered during a federal investigation into the facility’s nuclear medicine program.
The U.S. Office of Special Counsel announced in November that Northport ran an unauthorized nuclear medical program for three years, training physicians and technologists after it relinquished its accreditation in 2007.
The problems came to light only after whistle-blower Dr. Colin Clarke filed a complaint with the office.
The Office of Special Counsel said 4,000 patients received care in Northport’s unauthorized department but there was “no indication any patient was harmed.”
The investigation is one of several into VA nuclear medicine programs, which are subject to regulation and inspection by the Nuclear Regulatory Commission.
During a November hearing of the House Veterans’ Affairs Committee, Rep. Bill Johnson, R-Ohio, quizzed former Miami VA Healthcare System Director Mary Berrocal about an incident at her facility involving unsecured nuclear material.
“How is it that a radioisotope could be left out in the open?” Johnson asked.
In Northport, a doctor was fired for filing a complaint that the VA Medical Center was running an unauthorized nuclear medical facility. In late November, the U.S. Office of Special Counsel substantiated the allegations, but Dr. Colin Clarke still isn’t back on the job.
“The special counsel herself went out of her way to praise [Clarke’s] courage in a press release,” Employment Law Group attorney David Scher said.
The grievances filed through Scher’s firm date to 2008:
In Martinsburg, W.Va., pathologist Dr. Ning Shen said she received negative performance reports and was fired because of a personal dispute with her supervisor — a work environment in which the supervisor refused to read Shen’s malignant biopsy reports, forcing them to be sent elsewhere for further review.
In Houston, nuclear medicine specialist Dr. Shanker Raja alleged he received poor performance evaluations after refusing to provide case summations and imagery for a supervisor’s private website. He also raised concerns that patients received incorrect doses of radiation for imagery tests conducted by that supervisor.
At VA Medical Center North Texas, emergency room physician Dr. Carolyn Gaston was suspended after she began practicing triage in an understaffed emergency room, seeing critical patients first and making those with nonthreatening illnesses wait. Gaston’s suspension has been overturned.
Scher said such management problems are rampant throughout VA. “Supervisors either don’t know the rules, they don’t follow the rules or they don’t care,” he said.
While none of the cases has been proved harmful to patient care, signed affidavits point to questionable practices that delayed treatment or negatively affected patients.
In Shen’s case, delays with lab results slowed cancer treatment.
In Houston, a patient was notified of accidentally receiving a two-day dose of radiation even though only a one-day test was necessary.
“Does it affect patient care? Absolutely,” said Washington, who is not involved in any of the current lawsuits. “If you are under stress, you might be distracted and you might miss something.”
VA spokesman Josh Taylor said the department could not comment on ongoing litigation.
During a November hearing on management problems at the Miami VA, House Veterans’ Affairs Committee chairman Jeff Miller, R-Fla., urged VA to monitor its facilities and enforce its regulations
“More than once, VA has come to us and said problems at its facilities are fixed and all is well,” Miller said. “More than once, that has been shown not to be the case.”
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