A doctor's license does not always prevent a doctor from practicing. The doctor can easily switch to another state.
Lou Saldivar, Milwaukee Journal Sentinel

In Louisiana, Larry Mitchell gave Isaacs his driver's license after removing an allegedly healthy kidney during an alleged bowel operation.

In California, he accidentally removed the fallopian tube of a woman. There followed more surgeries on the woman, including one in which he had allegedly left her intestine unconnected. In view of state sanctions, he gave his license there as well.

In New York, where regulators were acting on the basis of his problems in California, he also agreed to give up his license.

But in Ohio he did so found a home.

His medical license remains flawless so Isaacs can work in an emergency care clinic in the Oakley area of ​​Cincinnati.

The transfer of a license is often in the face of overwhelming evidence of unprofessional behavior. 19659008] States may act against doctors on the basis of license surrenders in other places. But as with other things in the broken world of medical discipline, such a step is spotty. Some states do not even search a national database of doctors with riots.

In addition, voluntary license transfers may mean that the public has no access to information about the events.

More than 250 physicians who have given a medical license were able to practice in another state, found an investigation by the Milwaukee Journal Sentinel, USA TODAY and MedPage Today.

"There seems to be an inconsistency and danger. As a doctor, I want our patients to be safe, and I do not want those people to practice, "said John Harris, an assistant professor of medicine at the University of Pittsburgh Medical Center, who has researched the discipline of Doctors by State different from state. [19659008] In one-third of the 250 cases, physicians who had issued their licenses could practice without restriction or disclosure in other places by simply changing their address.

The analysis was based on the data provided by TruthMd Information to physicians from thousands of sources, such as. For example, government medical committees and local courts. The analysis was limited to physicians recorded since 2013 by a state agency.

Isaacs claimed to have abandoned his licenses in California, Louisiana and New York to avoid costly litigation. In defending his actions, he provided letters from other doctors who said he had acted appropriately.

"I did not do anything wrong anywhere," he said.

The secret system hides problems

Surrenders can be secretive – leaving patients in the dark, what has happened.

Cyril Raben left a trail of dead or injured patients throughout the Midwest.

Jerry Evans died in Ohio in 2012 following Raben's spinal surgery. Donna Marie Oeltjenburns lost more than 2.5 liters of blood and bleed when an artery was accidentally cut in 2009 during an operation in Minnesota. Terry Paulino was paralyzed from the chest after spinal surgery in Arkansas in 2007.

Ravens agreed to surrender to his Ohio license in the face of state discipline. What he did to initiate the action is not clear. The medical department of Ohio will not publish the documents.

Lacking a hearing, the details of his case must remain legally confidential, said Ohio Board spokesperson Tessie Pollock.

"Permanent surrender is an effective and definitive instrument to get doctors out of the field immediately," she said.

Other states revoked his license, but Ravens continued to practice in Arkansas. He died last year.

In California

begins the state leap began in California.

On May 4, 2009, a woman identified as a "GG" with abdominal pain was admitted to the Henry Mayo Newhall Memorial Hospital in Valencia.

Isaacs suspected that she had appendicitis document says he did not perform the proper diagnostic tests.

In fact, GG did not even have an attachment.

Isaacs instead took down an oviduct, according to documents. Four days later, she was released from the hospital. 196590 08] On February 6, 2010, she returned to the hospital and complained again of abdominal pain. CT scans showed that she had two hernias.

Isaacs underwent surgery.

Six days later, radiographs in the same region showed a hernia. The documents say there was either another, undiagnosed hernia, or Isaac's previous surgery was inadequate.

Again he operated on.

Over the next few days, CT scans showed that Isaacs had not connected part of their intestines. In documents, it was important to create an environment in which infection was possible.

Finally, on March 2, the care of GG was transferred to another surgeon. The California records do not show what happened to G. G.

. Isaacs said she was fine. He admitted that she later sued him for $ 310,000 in compensation. He told the insurance company to settle down.

In 2014, GG's case came before the California Medical Board when Isaacs was charged with gross negligence and incompetence.

Isaacs only admitted that the records were inadequate. He agreed to submit his California license in 2016.

In January 2012, when Isaacs was exposed to potential disciplines in California, he moved to Bastrop, La., And worked as a surgeon at the Morehouse General Hospital.

Shortly thereafter, Isaacs informed the Louisiana Board that a state hospital had revoked his privileges.

The Louisiana Board of Directors finally accused Isaacs of not recognizing that he had taken a healthy kidney from a patient during bowel surgery.

Isaacs denied the claim. In fall 2013, however, he agreed to give up his license for Louisiana.

He told the chamber that he had moved to New York. He gave his license there in 2017.

Isaacs now works at Tri-State Urgent Care on Ridge Avenue in Oakley.

Tessie Pollock, a spokeswoman for the Ohio Medical Board, would cite the confidentiality rules has not acted against him.

In an interview and in emails, Isaacs offered a detailed defense of his behavior in the three states where he is no longer allowed to practice.

He said a big reason to give up his licenses In California, Louisiana and New York were the cost of defending against the allegations, including paying lawyers who had charged hundreds of dollars per hour. He also claimed that the system had been manipulated against him.

He said he had not left the gut of Californian patient, G.G, untouched, as the medical panel claimed. He said the seams had collapsed, causing the bowel to leak.

The settlement of the lawsuit of GG?

He said it was therefore difficult to sue, as many of the jurors were Hispanic and identified with the patient.

In the Louisiana case, Isaacs denied the allegations of the Chamber and said that he had illegally dictated the operation to medical records. Had he dictated it correctly, he said, it would have been clear that removal of the kidney is required.

Isaacs said Ohio is the only state that fully investigates all cases, and concluded that he should practice. [19659008Accordingtothisstatementnomoreoperations

"That was my last stop," he said. "I will be 64 years old. I only work as a doctor and try to live my last years in peace. "

John Fauber is a reporter for the Milwaukee Journal Sentinel. Matt Wynn is a reporter for USA Today. This story was narrated as a collaborative project by the Journal Sentinel and MedPage Today, which provides physicians with a clinical perspective for breaking medical news on

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