Thursday, January 21, 2016

A self-evolving fortress

The Sennin’s Blog – Entry No. 5
Sunday, January 17, 2016, 16:41 hours

Title: A self-evolving fortress


Today, I am both in recovery as well as awaiting further treatment. The trials and tribulations pertaining to the blood clot that resulted from the surgical insertion of a portable catheter into my jugular vein have been more demanding than the chemotherapy itself – which had to be placed on hold until the clot was appropriately dealt with. (See below.) The last several weeks have been a trying testimony to resilience as a result not entirely of my current health issues, which can be summarized as the metastatic return of my former colorectal cancer to my right lung, but instead of a spat of medical negligence which I have documented in the blog titled “GROSS NEGLIGENCE, DISCRIMINATION, AND UNETHICAL CONDUCT AT UCSD MOORES CANCER CLINIC”. The executive summary of my case is as follows:

JANUARY 7, 2016 – UPDATED JANUARY 11, 2016

TO: RECIPIENTS LIST
SELECT OFFICERS OF UCSD HEALTHCARE SYSTEM
HONOR ROLL OF DONORS
MOORES CANCER DONORS
OFFICERS AND REGENTS, UC SAN DIEGO ACADEMIC AND ADMINISTRATIVE OFFICERS 
OFFICERS OF THE UNIVERSITY OF CALIFORNIA
UC SAN DIEGO FOUNDATION BOARD OF TRUSTEES 
(For full details of RECIPIENTS LIST see:

EXECUTIVE SUMMARY:
My name is James A. Overton. After being diagnosed with colorectal cancer in 2007, I underwent treatment at the UCSD John and Rebecca Moores Cancer Center where I originally received radiation therapy, chemotherapy, and surgery. After being in remission for several years, I was recently diagnosed as having metastatic cancer in my right lung, at which point I was referred back to the UCSD Moores Cancer Center for further treatment.
The present report provides interested parties, their agents, and readers with detailed and documented facts regarding a pattern of gross medical negligence[1] and ethical misconduct involving several members of the UCSD Healthcare clinical staff. It is a pattern which dates back to my original treatment in 2007-2008 and which has recently recurred – not unlike my cancer itself – in December of 2015. It is a pattern of negligence and misconduct which placed my life at risk, caused me a severe loss of quality of life, professional opportunities, excessive – and unnecessary – amounts of physical pain and suffering, as well intense emotional distress to myself as well as to members of my family. That my case involves three UCSD Healthcare/Moores Cancer Center physicians begs the question as to whether it should be considered a series of isolated and unfortunate incidents or alternatively an intrinsic pattern of inadequacies entrenched within the system as a whole.
I can unequivocally state that as of the present date, January 7, 2016, I am in WORSE health than I was on December 11, 2015, when I initiated the first step towards my current treatment procedure which consisted of the surgical implantation of a portable catheter. At that point in time I had full confidence that my attending physician was both competent and honest. Today, due to the negligent care and abusive conduct of certain UCSD medical personnel I have: a) suffered injury to the extent of requiring hospitalization (“acute thrombosis of the right jugular vein”); and b) have experienced an indefinite interruption to my treatment plan (precisely as a result of the condition I incurred due to said physician’s gross medical negligence). Furthermore, c) I have evidence to conclude that my attending physician shamelessly lied to me about the progress of my present therapeutic program – a most severe ethical violation. I cannot help but conclude that the conduct of the three physicians I have denounced herein must reflect a high degree of administrative laxity, if not collusion. These undeniable facts, which I have detailed herein and which are corroborated by my medical records as well as by independent eye-witness testimony should constitute an embarrassment not only to the physicians involved, not only to the UCSD medical and administrative staff as a whole which these physicians represent by association, but also to those philanthropists without whose generous support UCSD Healthcare and the Moores Cancer Center would not be able to operate at their present level.
The chance that the pattern of mistreatment I have received is the result of the coalescing of random events is practically nil. In all likelihood there are many such cases – or even worse – that have gone unreported for any number of reasons – in the same manner that I failed to report the gross negligence to which I was subjected in 2007/2008. Nevertheless, recent events in my own case taking place between December 14, 2015 and December 22, 2015, slightly more than a one week period, have made me realize that to remain silent would make me an acquiescent accomplice to the victimization of other patients – past, present, and future. My present detailed disclosures, therefore, although quite contrary to my extreme sense of personal privacy, may serve to not only protect the health of others and prevent repetitions of the negligence and abuse to which I have been subjected, but may also assist in inspiring others to step out, step up, and share their own similar – or perhaps even more injurious – experiences.
In my opinion, and given the national recognition attained by the UC San Diego Medical Health System at large, and the UCSD Moores Cancer Center in particular, for the quality of their patient care, my case brings one to formulate the following question: To what extent are these healthcare institutions worthy of receiving hundreds of millions of dollars in philanthropic donations intended for the public good? Or alternatively, to what extent is their first class quality care limited primarily to those who hold expensive insurance plans?
The recent series of events which represent the proverbial “straw” triggering, or rather compelling the present course of action began on December 21, 2015 at 11:00 AM while I attended two successively scheduled appointments at the UCSD Moores Cancer Center, the first with Dr. Lisa Parry and the second with Dr. Paul Fanta; these triggering events continued with my appointment of December 22, 2015 with Dr. Fanta – originally scheduled for 4:00 PM, but which did not take place until an hour and a half later at 5:30 PM. Furthermore, the events pertaining to these encounters transpire within the context of the gross negligence I experienced at the hands of Dr. Sonia Ramamoorthy between October 2007 and March 2008. The corresponding Case Summaries are available only online at the following blog: malpracticeatmoorescancerclinic.blogspot.com. Due to the extensive nature of the material, blogging not only makes it far easier to share, but also does so in an environmentally friendly fashion.
My immediate goal is to ensure that I obtain a new clinical treatment group at the UCSD Moores Cancer Center to not only continue my treatment but to reassess the direction Drs. Fanta and Parry had outlined for me. Despite my denouncement of the above physicians, as a UCSD graduate and the father of a UCSD graduate, one who has developed many strong ties to the UCSD community over the years, I continue to have faith in the quality of the UCSD system. Furthermore, as a past and present patient, I can most certainly testify to the excellent quality of care, service and treatment many, if not most of the UCSD Medical Center physicians, nurses, technicians, staff, and administrative personnel have provided me. For this very reason, rather than simply seeking to continue my treatment plan elsewhere, I am insisting that the UCSD healthcare administration guarantees that my treatment plan proceeds, from hereon in, in accordance with the top quality standards for which it is internationally recognized and for which I have no doubt it is capable of providing. This is of the utmost concern to me and to my family and friends.
Having stated my confidence in the capabilities of the UCSD Healthcare system at large, including the Moores Cancer Center, one cannot ignore the ignominy of those doctors who have brought shame upon these institutions. Any system is only as strong as its weakest link. As institutions which receive tens upon tens of millions of dollars annually in public donations, in my mind it would certainly be in the best public interest of the administrations of the Moores Cancer Center and the UCSD Medical Health System to take the present disclosures as an opportunity to form a corrective action plan; one which would not only involve taking the corresponding disciplinary actions against those physicians cited, but which would seek to prevent or at least minimize a recurrence of the events I describe in my current report.
Finally, I would fully expect that as institutions that profess to contribute to the greater social good, both the UCSD Healthcare System and the Moores Cancer Center – not to mention UC Regents – would want to be perceived as being endowed with a social conscience, and that as a result they would feel ethically bound to provide just and fair compensation to patients such as myself who have been unduly harmed by the grossly negligent and inhumane care of their clinical staff – and that they would do so in an exemplary manner – one worthy of the magnanimity of the public support they so regularly receive.
January 11, 2016 UPDATE:  On Saturday, January 9, 2016, further compounding the growing list of medical complications stemming from Dr. Fanta’s negligence, I was forced to attend the UCSD Thorton ER: The portable catheter (mentioned above) “could not be accessed”, meaning no blood could be drawn from it due to blockage. Furthermore, it was additionally diagnosed as being “infected” – a serious condition due to the connection it has with a major blood vessel (the jugular vein). To avoid septicemia, this new health condition required the prescription of antibiotics, further aggravating my previous intestinal problems with their own corresponding (intestinal) side-effects. Finally, as of noon today, January 11, 2016 – almost a month after my one and only chemotherapy session – I am still lacking a new treatment plan, and to the best of my knowledge no new doctor has been assigned to my case.

Sincerely,
James A. G. Overton
BAH, BS, MA, MS, CCH


It has never been of interest to me to make my health issues central to my existence, and therefore not to my narrations either. Quite to the contrary, I have tried to leave them aside and focus on persevering beyond their grasp. However, now I am confronted with a three faceted assault, the remnants of my previous cancer in the form of a stricture in my colon, coping with the debilitating treatments associated with a new one, and the life-menacing clot in my right jugular vein, courtesy of medical incompetence. I believe that the material presented above will be more than sufficient to bring the interested reader to speed as to certain aspects of my life to which very few have been privy. It will also help to explain the reason I am now speaking of a brief period of convalescence following an excruciatingly painful spat with my intestines resulting from a not-too-successful bowel cleansing: I can no longer deny that my health is a major impediment to everything I do. I am like a man running a marathon with a ball and chain shackled to each leg, as well as one around my neck.
            From my bedroom upstairs I can hear the seminar I designed called “The Nature of Manliness” – although it currently goes by its former Spanish name “Hombría, Heroicidad, y Paternidad”. Due to my health issues I created a methodology of carefully formulated questionnaires which serve to guide the student’s group study – thus not requiring my presence. I can prepare the flow of the seminar on my own time: if Mohammed can’t go to the mountain, he can always send a drone.
Our general program, an essential aspect of the Ryu, is part of a greater paradigm which I have termed “Biopsychocultural Theory”. It consists of many courses, each of which studies different topics in an integrated fashion. Today, in “The Nature of Manliness” students are studying Homer’s Odyssey, Sex and War, and The Making of Manhood, all in an integrated fashion. (I will elaborate more on the characteristics of our program as we proceed.) As I sit here, upstairs from the main floor where the study session is taking place, I can hear the laughter accompanying disciplined learning. It is the laughter of people coming together, of harmonious social interaction, of enjoyment. This has become an integral part of the Ryu’s culture: to gather together not to party, not to “drink and be merry”, not to engage in song and dance, not for commemorative feasting, and not in religious celebration of non-existent supernatural beings or forces, but rather in communal learning.
The process of shared learning has become our form of communion over what is truly sacred: knowledge of life, knowledge of reality, knowledge of our selves. It is a great pleasure and personal triumph to witness how, from the depths of pain itself, I have started to pave a tradition of learning, knowledge, and self-knowledge that accompanies wisdom and excellence and that leads to happiness and peace of mind. It is my personal victory against those forces that have deprived me of so much quality of life, and delivered so much pain in its stead.
            While I rest and recover I have been watching an interesting series, “Outlander”. It takes on the familiar tone of a historical narrative, one which requires a tremendous amount of detailed knowledge about a past historical period and a culture long gone. I was quite puzzled at first at the great degree of sympathy I felt for the Scottish people, for the clan system. I admire their solidarity, their sense of honor, of dedication, of loyalty, of obedience, and discipline: qualities I see right here in my own Ryu. But my feelings went beyond mere sympathy and admiration: they included a measure of sadness and even melancholy. I paused to explore the why. The reason, I realized, is simple: The fate of the Scots is replicated in one way or another in the fates of all the tribal nations around the world, as one by one they fell before the irrevocable advance of the progression of the modern nation-state.
In addition I am inspired to take the Omayok series of novels into historic depths, perhaps beginning a period in the Roman Era just as the Empire began to make their sweeping advance across the Hispanic peninsula. It is a literary challenge I find appealing, once which will recall a great deal of research: history, culture, language, fauna, flora, etc. I have always envisioned that future volumes of Omayok would take place in different historic periods and under disparate culture: Genghis Khan’s Mongols, Alexander the Great’s Macedonians, Tokugawa’s Samurai, Hannibal’s legions, and so on.
            Each Sunday, at the Ryu, students at the MAMBA Ryu Institute of Biopsychocultural Studies rotate various courses throughout the month. Today it is The Nature of Manliness. Other Sundays they study Scientific Literacy, an amalgamation of three sources; The Roots of the Modern World – an introductory course on world history from various perspectives (Sapiens, Guns, Germs, and Steel, and Mankind); and Reason, Belief, and Society – an integrated course which studies philosophical archetypes, as well as religion from a sociological, comparative, anthropological, and psychological perspective. During the week, we have classes on Mondays (The Culture Mind-Brain), Thursdays (Statistical Geo-Economics with Excel), and Fridays (Statistics and Mathematical Literacy). Wednesdays and Saturdays are dedicated to martial arts (Black MAMBA).
There are several courses in the making which have yet to be integrated, threatening to take over Tuesday and Saturday afternoons. Each gathering is a reunion of individuals who have made of the Ryu their adopted family. It has taken me many years to reach this point, and I envision the future Ryu as a self-evolving fortress that shifts its shape to adapt to the changing terrain and geography of the times. It is an edifice I continue to construct through the fog of pain and loss, and in the midst of disciplined perseverance: that is the meaning of “nin” (literally “heart under blade”) in terms such as “ninja”, “ninjutsu”, and Sennin.

ROKUKEN HARAMITSU DAIKOMYO 



[1] The use of the terms “malpractice”, “negligence”, and “gross negligence” employed throughout this document are done strictly from the perspective of a layman’s opinion and do not necessarily have any legal bearing upon the conduct to which they are attributed. 

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