_the-carnivore-diet-by-shawn-baker
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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