AIM DocFinder - Association of State Medical Board Directors
It is an unfortunate fact of life that medical whores exist, and in alarming abundance. They are an embarrassment to the profession and should be routed from it; yet, they are not. To do so legally is almost impossible. In some of the more outrageous cases, the medical whore is known throughout the local medical profession, the legal profession, and are even a laughing stock of of the local judiciary. They are, of course, the spawn of insurance companies.
If you are sent, by an insurance company, to an "Independent Medical Evaluation" (IME) - that's what they call it - nine times out of ten you will be sent to one of the insurance company's medical whores. The purpose of the alleged "examinations" is to provide the insurance company with a good excuse not to make good on it's contract. (oops - pardon me: your insurance policy is not a contract; it used to be.) The insurance scam is that your state essentially puts a gun to your head, forcing to you purchase (specifically automobile) insurance policies. The insurance companies then collect the payments but then try to find every way, legal or illegal, but dishonest, *not* to pay you in the event of an accident. It used to be called "highway robbery", now in doublethink, it's called insurance, an oxymoron under current conditions, if there ever was one.
Government and insurance have forced their way into every aspect of your life. Physicians must carry malpractice insurance which is outrageously overpriced. Many "physicians" of middle grade find lucrative positions functioning as the whores for insurance companies. No matter how personable they may appear, they are not your friends. They are the worst of scum, not deserving of the title "physician".
Insurance companies have now developed a new way to crucify you. Take a large semirural area that depends heavily on one urban center that is not too large. Asheville in Western North Carolina happens to be perfect. Many people from WNC and from the foothills area rely on Asheville for specialized medical services. Insurance companies can buy off physicians or groups of physicians in the urban area, providing them with the names of people with claims against the given insurance company. You, then, are referred to some specialist or group of specialists quite unwittingly by a known and perfectly fine physician. You go to the specialist who then, because your name is on the list, writes a typical whore's report. Note that you have gone to this specialist as a patient, and been betrayed professionally; this is *not* an IME. The insurance company now has something better than its own IME, to use against you: your own physician.
There is a large nest of neurologists here in Western North Carolina, headquartered Asheville, who are servants of at least one insurance company known to me. I am in litigation against this particular insurance company. I unwittingly sought a neurological exam from one of the nest's neurologists. This particular neurological whore was highly recommended by several physicians whom I trusted regarding knowledge and integrity. Their recommendations were, I'm sure, based on technical grounds; I'm equally sure they had no idea of the total absence of integrity, morals or just common decency of the whore in question.
My partner made the first appointment for me. Oddly, *his* name was in their computer and it was so announced. Explanation: he received a fairly rude demand for an IME about a year ago. But, the space for who had requested the IME was left blank. Being in no condition to play games, he simply forwarded all material to his attorney, and forgot about it. He is also in litigation against the same insurance company as I am; in fact, the cases have been joined.
Guess what came back from my "own" neurologist? A report that is exactly what my insurance company would have wanted. The earmarks listed below were all present, right down to the outright lies of what actually happened, and what was said, as well as the inconsistencies of position. This particular medical whore then actually saw me under false pretenses, outwardly pretending to see me as a patient, while secretly treating my visit, to be paid by Medicaid, as an IME for State Farm "Insurance". The exact same kind of fraud and report was perpetrated on my partner. We immediately sent Certified Letters, RRR , revoking all authorizations for the release of any information to anyone. I've planned an endless slow sequence of punitive measures to be taken against the entire nest. Stay tuned. The essence of attack is surprise.
You MUST protect yourself, since the laws of our supposedly free and fine country are designed to aid and abet the outright thievery by the insurance industry, whose only interest is greed, and with a complete disregard for human life. You attorney will not always be there to advise you, even if he is a really good one; he does, after all, have other cases, some may be even worse than yours.
Understand that the following is a set of suggestions. Insurance law differs from state to state, so, check with your attorney before actually following any suggestions.
How to defend yourself against the medical whore in an IME 1) [Check with your attorney] In most states you may not refuse a medical examination out of hand, but you may refuse a SPECIFIC physician. Check around. The medical profession pretty well knows who the whores are. Nurses are often more knowledgeable and forthcoming than physicians. The closed club still exists to some extent. 2) Bring a friend who can attest to the time spent in examination, and what actually happened and what was said. No matter what, is said or done, this person is *not* to leave your side. Be as insistant as necessary. Take notes with times, or have your witness do it. Use an audio tape recorder. 3) If possible, bring someone to record and video tape the entire procedure. If the videotaping is refused, make sure you get the the refusal on tape. 4) Do not be afraid of of offending the IME "physician"; they're out to crucify you in any event. Ask questions, especially if you are taping the event. These are not Gods but human filth and should be treated accordingly. 5) When asked a question, answer only the question, no more. The whore will make up answers for you anyhow. Give as little information as possible. Whatever you do or say will be twisted and perverted to be used against you. Volunteer nothing. 6) If you have had enough torture, or most especially if the examiner is actually hurting you, announce that the examination is over and leave. When it comes to this, make sure that the announcement is being taped and your reason is stated. 7) Spend the time and effort to get examinations by truly competent and conscientious physicians. They are becoming scarcer and harder to find. Rule of thumb: genius recommends genius. But, people change and this is not failsafe, but it's the best you can do, unless you know an appropriate one personally. 8) Some medical whores have, by their consistent outrageousness, become known throughout the medical and legal profession, and even become known by judges who will dismiss them, or laugh them out of a courtroom. In this case, your defense has already been made for you. This is all too rare. The obvious cannot always be counted upon.Top of Page
The Earmarks of a Whore's "Narrative" and "Examination" 1) It will *almost* conform to the truth. but, over all, it will be inconsistent with itself and with known and measurable fact. 2) It will not read like what you remember from the examination. The actual examination will be perfunctory and short, including a few attacks with pins and hammers to make it look official. The report will call this a "complete neurological examination". Radiologicals will be gone through quickly and casually. Radiologists' reports will be criticized, their findings declared unimpressive or inconclusive, and dismissed. No conclusive tests will be either recommended, suggested or ordered. Often they will even be advised *against*. This is a new trick tacked onto a diagnosed "somatoform" disorder (not even recognized as a disease!) that claims the patient suffers greatly (AND MUCH MONEY IS SPENT) in seeking further physiogenic causes for your problem. This seeking is, of course, "typical" of someone diagnosed with a somatoform disorder. Documenting the abuses of logic and statistics required to use this whorish reasoning could fill a multitude of very thick volumes. [See below in 11) on DSM-IV] The somatoform diagnosis is an attempted checkmate to prevent you from seeking further medical treatment, and to prevent you from obtaining just compensation for the damage done you. 3) There will be innuendoes concerning your physical symptoms or aspects or your personality. Unimportant things will be declared "interesting". The patient's symptoms might even be subtly ridiculed, even being referred to as bizarre. The point of this is, of course, being to call you a liar, without actually doing so. Implications will be made that you are either stupid or delusional, by comparing what you may have said about a particular test, and what the whore states actually happened; what he states happened will, of course, be a total fabrication. Of course, the whore is the expert and knows better. 4) Innuendoes can be conveyed simply by putting certain words like "pain" or "stress" in quotes, implying, without saying, that that these symptoms are not real, or may not exist. A distinction will be made, said outright or implied by innuendo, between pain and pseudo pain, stress or pseudo stress, as if the two were objectively distinguishable; they are not. Pain is pain. The word stress is used in vague ways, that will confuse heavy duty stress with minor annoyances so as to make your serious stress *appear* to be a minor annoyance. There is no way (not even in autopsy) of distinguishing between pain and "pseudopain" (quotes meaning to imply that there is no such thing). 5) Quotes will be attributed to you; about half will be erroneous in one way or another, sometimes quoting you as saying the opposite of what you actually did say. Sometimes a slight change of word or phrase that by itself appears harmless. Nothing that a medical whore does is harmless. 6) There will only be results reported that are subjective to the to the examiner, like reflexes and muscle strength. No objective evidence will be present, even though some numbers may be present. No objective tests will be made. The examiner simply makes up the numbers anyway he chooses. 7) Irrelevant remarks will appear such as "the patient didn't elaborate" (of course, the whore will not have asked for elaboration.) while important statements by you will be completely ignored and absent from the narrative. You might see, "I found it interesting that, ..." purporting to cast doubt on a particular result, or an importance where there is none. The report will consist mainly of what was "apparently" felt or said by you the patient (ignoring any existing documentation) and what was "interesting", without any explanation of why a particular thing may have been interesting; more innuendo. 8) Any previous diagnosis will be denigrated indicating that your complaints are not due to the accident or that your problems may even have been caused by a treating physician. The key word here is "iatrogenic". The most perverse tactic is simply the declaration that there is nothing wrong with you. 9) The "green poultice clause" will invariably be present, stating that the the patient will feel much better if given some money, to reduce "stress", implying that this is the source of the, by now, merely alleged symptoms. 10) There will be a high density of "medical" assertions with few if any corroborative facts or explanations. Assertions and conclusions may often exceed the actual area of alleged competence of the "examiner". A neurologist is NOT a psychiatrist. An orthopedist is NOT a rheumatologist, etc. 11) Scientists cite literature references, whores never do. 12) There will be *no* suggestions for further tests ruling out other possibilities. The whore knows what the answers "are" before ever laying eyes on you; he does not want the truth known. 13) There will be an attempt to shift a physical cause to an ill defined psychiatric cause, which is not so secure with regard to damages in court. The key words here are "psychosomatic" (rarely used) and "somatoform", the implication being that there is nothing physically wrong with you. This brings the current incarnation of the psychiatric Bible, DSM-IV into play, DSM-IV pretends to be a definition book for professionals solely for the purpose of communication (read the preface). It is in fact a manual for insurance companies so that they can decide how best to cheat, thieve and rob their policy holders. Compare the entries in DSM-IIIR and DSM-IV for 300.70 "Somatoform Disorder not otherwise Specified" to understand how such a misdiagnosis results in an insurance company being able to lock you into a catch-22 of benefit denial. The change from DSM-IIIR to DSM-IV has been instituted for precisely this purpose. This Bible of psychiatric diagnoses is published by the American Psychiatric Association, to which every American should complain.
Coming up: How to get even with the whore physician that is ruining or has ruined your life - stay tuned.
Email me, Bill Hammel at