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A few months later, I was called back into the office and told that the

review of my cases had been completed, and several of them were deemed

“below average.” I asked to look at the cases but was told that I wasn’t

allowed to see them. (I later found out that policy was inaccurate; I should

have been allowed to provide clarification about the cases that had been

reviewed.) I also found out that the reviewer of my cases just happened to

have been employed by the crosstown rival group to my practice. I

expressed my concern that a direct financial competitor was being allowed

to review my cases. The administrators agreed that a possible conflict of

interest could exist and that they would send my cases to an independent

outside review company. I was told that most of the issues identified were

about how I documented my records, and I was reassured that I likely had

nothing to worry about. I went back to work taking care of patients.

Another few months passed, and I received a message from the

administrator that I was to cancel my next day’s clinic and any upcoming

operations; I was to meet with the administrator that afternoon. When I

arrived, the administrator gave me a copy of the outside reviewer’s report,

which contained a brief identification of the cases that had been chosen

without any further identifying information or details. The report listed

several deficiencies in my care and stated that on numerous occasions, I had

performed a surgery that was not indicated, was poorly documented, or was

otherwise problematic. As I read the report, my heart sank, and I fell into a

state of shock. I was informed that effective immediately, my hospital

privileges were provisionally suspended pending formal review by a

committee.

As you might imagine, this type of review is incredibly stressful and

emotionally taxing. The next day, the president of the hospital staff, who

would sit on the committee to determine my fate, asked if I wanted to meet

for breakfast and talk about any concerns I might have. He told me that

based on that outside review report, it was almost guaranteed that I would

be formally suspended, and he suggested that I write a letter to the

committee and basically “fall on my sword” in the hope of a better

outcome. Still numb and in shock, I agreed to write the letter and did as he

suggested, thinking that he had my best interest in mind.

Depressed as hell, I drove out to the Grand Canyon to meet up with my

girlfriend. I spent the next few days in a zombielike state while I waited for

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