PDF Library
Records and related materials concerning my father’s care at Holy Cross Hospital. Includes annotated pages documenting patient abandonment, record falsification, and my efforts to hold the hospital accountable.
- 2-27-03_BMP-CBC.pdf — Lab report: High white blood cell (WBC) count 11 days prior to admission
- 3-10-03_hematology.pdf — Lab report: Panic-level white blood cell count upon admission
- 4-304_records.pdf — Health care provider legal obligation to correct medical record errors
- 5-12-06_jarashow-to-levin.pdf — Legal correspondence: Attempting resolution prior to lawsuit
- 5-25-06_levin-to-jarashow_dnr.pdf — Letter from Holy Cross General Counsel with attached DNR
- 6-3-08_nawaz_full-code.pdf — Dr. Nawaz says he never made my father DNR
- 6-3-08_nawaz_full-code_on_admit.pdf — Dr. Nawaz says my father was full-code upon admission
- 6-4-08-shamim-weiner.pdf — Trial testimony of Drs. Shamim and Weiner
- 6-4-08-shamim_trial_excerpts.pdf — Dr. Shamim trial testimony: Patient recovering well 2 days prior to death
- 6-4-08_kariya_full-code.pdf — Dr. Kariya testimony: Patient was full-code one day prior to death
- 6-4-08_shamim_full-code.pdf — Dr. Shamim: Patient was full-code 2 days prior to death
- 9-6-07_weiner_dnr-not-me.pdf — Dr. Weiner: Patient must have been no-code at the end, but "it wasn't -- it wasn't me" [who made him no-code]
- 14-404_maryland_code_grounds_for_discipline.pdf — Maryland Health Occupations Code: Grounds for medical disciplinary action
- 14-411_maryland_code_disclosure.pdf — Maryland Health Occupations Section 14-411 disclosure requirements
- 482.13_conditions_of_participation-patients_rights.pdf — Medicare Conditions of Participation: Patient rights
- 482.23_conditions_of_participation-nursing.pdf — Medicare Conditions of Participation: Nursing services
- 482.24_conditions_of_participation-records.pdf — Medicare Conditions of Participation: Medical record accuracy
- appellee-brief-3-20-09-intubation.pdf — Appellee brief: Drs. Kariya and Weiner never recommended intubation
- BOP-Complaint-Flowchart.pdf — Maryland Board of Physicians (BOP) review panel process overview
- BOP_1-3-06.pdf — Maryland Board of Physicians (BOP): Original complaint and forms
- bop_1-13-09.pdf — Maryland Board of Physicians (BOP) reply: No violations of Medical Practice Act
- bop_3-9-12.pdf — Maryland Board of Physicians (BOP) decision: Lacks legally sufficient basis
- bop_3-27-12.pdf — Maryland Board of Physicians (BOP): Final plea to reopen case
- bop_4-24-12.pdf — Maryland Board of Physicians (BOP): Refusal to provide investigation details
- bop_5-5-08.pdf — Maryland Board of Physicians (BOP) will examine new information provided
- bop_7-27-08.pdf — Maryland Board of Physicians (BOP): Based on second consultant's review, "matter will remain closed."
- bop_11-26-08.pdf — Request to Maryland Board of Physicians (BOP) for reinvestigation, in light of new information generated at trial
- BOP_complaint_1-3-06.pdf — Maryland Board of Physicians (BOP): Formal complaint submission
- bop_reply_9-25-06.pdf — Maryland Board of Physicians (BOP): Complaint closed at preliminary review
- bv_8-21-08.pdf — OHCQ Chief Nurse promises to investigate Dr. Shamim's handoff of my father's care to the undocumented Dr. Weiner
- bv_9-9-08.pdf — OHCQ Chief Nurse declines to investigate handoff of care as promised, focusing instead on "current care being provided"
- bv_transcript_excerpts.pdf — My meeting and phone conversations with OHCQ Chief Nurse Bill Vaughan
- canfield_depo_excerpt.pdf — Nurse Canfield testifies that had she witnessed her patient being fed ice chips, she would have documented it contemporaneously, rather than calling Patient Relations the following day to report witnessing son "pushing ice chips down his father's throat"
- cmp-notice-holy-cross-hospital-redacted.pdf — Holy Cross receives major fine for lack of transparency
- cms_reply_8-18-06.pdf — Centers for Medicare & Medicaid Services (CMS) relies on Delmarva Foundation findings, and cannot review beyond what is reflected in the (falsified) record
- consult-report-gi.pdf — Procalamine and Intralipid ordered as a "stopgap measure" doesn't arrive for three more days
- correction_request_hch.pdf — Record correction request to Holy Cross Hospital, in accordance with Maryland Health-General Code Annotated § 4-304
- correction_request_ks.pdf — Formal medical record correction request (refused by hospital)
- cultures-blood&urine.pdf — Urine and blood culture reports show no growth
- death_summary.pdf — Holy Cross Hospital medical record: Error-laden and falsified death summary
- Delmarva-Foundation-Quality-Concern-Weiner.pdf — Delmarva Foundation quality concern inquiry regarding Dr. Weiner
- delmarva_1-3-06.pdf — Initial complaint to Delmarva Foundation Quality Improvement Organization (QIO)
- delmarva_appeal.pdf — Asking Delmarva Foundation Quality Improvement Organization (QIO) to reconsider my request
- delmarva_appeal_11-26-07.pdf — Another appeal to Delmarva Foundation Quality Improvement Organization (QIO) to look at new information generated at trial
- Delmarva_Kariya_5-1-06.pdf — Delmarva Foundation quality concern inquiry regarding Dr. Kariya
- Delmarva_Nawaz_4-3-06.pdf — Delmarva Foundation quality concern inquiry regarding Dr. Nawaz
- delmarva_reply_6-14-06.pdf — Delmarva Foundation finds that the care my father received "met professionally recognized standards of health care"
- delmarva_reply_7-12-06.pdf — Delmarva Foundation informs me the "process as required by contract was followed and the decision remains as communicated"
- discharge_summary.pdf — Holy Cross Hospital medical record: Combined discharge and death summaries
- discharge_summary_error.pdf — Holy Cross Hospital medical record: Stricken-through, voided discharge summary
- dnr.pdf — Unauthorized Do Not Resuscitate (DNR) form written by weekend on-call doctor
- DOA-phillips_report_hch.pdf — Independent expert analysis of my father's hospital care by Charles Phillips, MD FACEP
- eig_12-2-05.pdf — Email from Holy Cross Medical Director Dr. Blair Eig promising to address issues (patient abandonment, record falsification) brought up at our meeting
- eig_12-7-05.pdf — Second email update from Holy Cross Medical Director Dr. Blair Eig
- falsified_records.pdf — Compilation of falsified Holy Cross Hospital medical records
- gas.pdf — Holy Cross Hospital blood gas results for my father
- genecin-review.pdf — Independent expert review of hospital care by Yale University Chief of Internal Medicine
- genecin_report.pdf — Chronological review of my father's hospital care by Yale University Chief of Internal Medicine Dr. Paul Genecin
- HCDA_summary.pdf — Maryland Health Care Decisions Act (As Amended Through 2014) disregarded for my father
- HCDA_summary_2012.pdf — Maryland Health Care Decisions Act (As Amended Through 2012) disregarded for my father
- HCHNursingProcessPOL1-8.pdf — Holy Cross Hospital Policy 1.8 "Nursing Process"
- hch_3-30-04.pdf — Holy Cross Medical Director Dr. Blair Eig explains how the hospital will investigate the concerns I brought to their attention
- hch_4-5-04.pdf — My reply to Dr. Eig: "By our Judeo-Christian standards this was essentially a murder"
- hch_4-14-04.pdf — Dr. Eig takes exception to my injudicious use of the word "murder"
- hch_7-14-03.pdf — Holy Cross records office refuses my request for pharmacy printout of dispensed medications
- hch_9-7-06_correction-refusal.pdf — Holy Cross Hospital refuses my record correction request
- hch_9-27-04.pdf — Holy Cross Hospital Critical Care Medical Director explains refusal to provide pharmacy record of dispensed medications
- hch_admit.pdf — Holy Cross Hospital History & Physical dictated 3 months after death rather than upon admission as required
- hch_cert_mit.pdf — Holy Cross Hospital Certification of Medically Ineffective Treatment (blank form)
- hch_cert_of_condition.pdf — Holy Cross Hospital was cited for failing to have a certificate of condition in my father's chart before withholding treatment and allowing him to die
- HCH_ComplaintMgmt_EA1-69.pdf — Holy Cross Hospital's Guidelines for Complaint Management (disregarded for my father)
- hch_EA1-36.pdf — Holy Cross Hospital policy on consent to withholding or withdrawing life-sustaining treatment (completely disregarded for my father)
- hch_patient_rights.pdf — Holy Cross Hospital's Patient Rights & Responsibilities (disregarded for my father)
- hch_pharmacy.pdf — Pharmacy record: 40% of antibiotic doses never dispensed
- hch_policy_withhold-withdraw.pdf — Holy Cross Hospital guidelines to staff on implementing Consent to Withhold or Withdraw Life-Sustaining Treatment (completely disregarded for my father)
- hch_shavuos_refusal.pdf — Holy Cross Hospital refuses to consent to 2-day suspension of trial for Jewish holiday of Shavuos
- hematology.pdf — Lab report: High WBC throughout hospitalization eliciting no clinical concern
- israel-ethics.pdf — PowerPoint: In Israel, decisions based on medical facts and patient's wishes
- JCAHO_2002_accred_standards.pdf — JCAHO 2002 Hospital Accreditation Standards, all disregarded for Israel Neustadter
- JCAHO_2002_IM.7.2.pdf — JCAHO IM.7.2 Violation: The phantom handoff where both doctors denied responsibility for crashing patient in respiratory distress
- JCAHO_2002_LD.2.3.pdf — JCAHO LD.2x Violation: Holy Cross Hospital's sacred Catholic mission clearly not conveyed to staff
- JCAHO_2002_PE.1.7.1.pdf — JCAHO PE.1.7.1 mandates completion of history & physical within 24 hours of admission as an inpatient
- JCAHO_2002_PE.1.pdf — Holy Cross's treatment of my father makes a mockery of JCAHO Standards for Initial Assessment
- JCAHO_2002_RI.1.x.pdf — JCAHO RI.1.x Violations: Hospital failed to respect patient rights, resolve complaints, excluded family from life-sustaining treatment decision
- kardex-levaquin.pdf — Holy Cross Nurses' Kardex conflicts with physician order form, which cut antibiotic dose in half
- kardex_full.pdf — Kardex listing detailed schedule of all medications dispensed
- kariya-3-26-03.pdf — Dr. Kariya knows patient is full-code, sees panic-level WBC and respiratory distress, but doesn't offer intubation
- kariya-intubation-testimony.pdf — Dr. Kariya testimony regarding patient intubation requirements
- kariya_3-25-03.pdf — Dr. Kariya finds full-code patient in respiratory distress and walks away!
- kariya_depo_cert.pdf — Dr. Kariya admits wrongdoing in failing to certify a terminal condition before withholding treatment
- kariya_depo_questions.pdf — Kariya on my father: Just because people are dying and not breathing well doesn't mean that we intubate everyone
- lenett_7-16-09.pdf — Asking State Senator Lennett to prevail on OHCQ to investigate the salient issues in my father's hospitalization
- levaquin-schwab.pdf — With a panic-level white blood cell count, why was my father's Levaquin dosage cut to 250mg?
- manual_diff.pdf — How useful are haematology analyser flags?
- McQuitty-v.-Spangler.pdf — Informed consent for treatment or decision not to treat is the standard of care in Maryland
- md_bop_9-17-07.pdf — Plea to Maryland Board of Physicians (BOP) to reopen investigation in light of new trial information
- medicare_notice_of_rights.pdf — Hospital fails to provide me with Notice of Medicare Rights, even though I was clearly present
- medication_printout.pdf — Holy Cross Hospital bill 3-day gap in antibiotic matches the gap in Physician Order Forms
- mitchell2coa_3-4-11.pdf — Holy Cross Hospital seeks to save face, change text in Maryland Court of Appeals decision
- nawaz-dui.pdf — Dr. Nawaz DRIVING UNDER THE INFLUENCE OF ALCOHOL
- nawaz-shamim-kariya-excerpts-code-status.pdf — All the doctors state unequivocally that my father was Full Code
- nawaz-speed-accident-injury.pdf — Dr. Nawaz FAILURE TO CONTROL VEHICLE SPEED ON HIGHWAY TO AVOID COLLISION
- nawaz_cover2hch_5-27-08.pdf — Holy Cross Hospital claims it never received this cover letter with Dr. Nawaz's record correction request
- nawaz_h-p.pdf — Holy Cross History & Physical completed 3 months after death, in blatant violation of all standards
- nawaz_letter_hch_5-22-08.pdf — Dr. Nawaz letter: Explains falsified death summary and requests correction
- nurses-prog-notes-picc-line.pdf — Six days into hospitalization, no PICC line access, no nutrition, patient starving
- nurses_admission_notes.pdf — First nursing note upon admission does not paint a picture of a terminal patient for whom no treatment is desired
- nurses_prognotes_3-26-03.pdf — Nursing progress notes: Absence of substantive entries on the most pivotal day
- nurses_progress_16.pdf — Nurses notes 3/24: Previously recovering patient develops respiratory distress, withholding of care begins
- nurses_progress_17.pdf — Holy Cross Hospital nurses notes of final two days
- ohcq_1-8-07.pdf — Appeal to OHCQ director Yinka Windapo to take another look at my father's case
- ohcq_1-8-09.pdf — Appeal to OHCQ director Wendy Kronmiller to take a fresh look at what happened to my father
- ohcq_2-20-07.pdf — Informing OHCQ that there was no Certificate of Condition in my father's record as required before withholding treatment
- ohcq_3-1-10.pdf — OHCQ director rejects my plea while sidestepping the core issues at the crux of my complaint
- ohcq_3-5-10.pdf — Beseeching OHCQ's Nancy Grimm to focus on the crux of my complaint: Clear abandonment of a recovering, full-code human being
- ohcq_3-26-07.pdf — Providing OHCQ director Holy Cross forms that must be completed before withholding or withdrawing treatment
- ohcq_4-4-07.pdf — OHCQ deficiency citation of Holy Cross Hospital sidesteps patient abandonment & record falsification
- ohcq_6-21-07.pdf — Providing OHCQ director Holy Cross Hospital Pharmacy records released under court order
- ohcq_6-25-07.pdf — Beseeching OHCQ to focus on the crux of my complaint: the withholding of treatment from an improving, full-code patient
- ohcq_6-28-07.pdf — Appeal to OHCQ Director Wendy Kronmiller regarding Holy Cross Hospital Complaint
- ohcq_9-17-08.pdf — OHCQ cites Holy Cross Hospital for various deficiencies, including failure to address my record correction request
- ohcq_9-17-15.pdf — OHCQ's disappointing but predictable reply to my appeal to Governor Hogan
- ohcq_12-6-07.pdf — Asking OHCQ director Wendy Kronmiller to reopen my father's case in light of the corroborating evidence produced at trial
- ohcq_citation_6-18-07.pdf — Office of Health Care Quality cites Holy Cross Hospital for failing to have a certificate of condition in my father's chart before withholding treatment and allowing him to die
- ohcq_complaint_12-10-06.pdf — OHCQ: Original formal complaint to Office of Health Care Quality
- ohcq_grimm_1-29-10.pdf — Email to Office of Health Care Quality's new Director, Nancy Grimm, pleading for help
- ohcq_grimm_2-18-10.pdf — Email thread with Office of Health Care Quality Director Nancy Grimm
- ohcq_reopen_request_1-24-12.pdf — Asking OHCQ to reopen investigation into my father's death at Holy Cross Hospital in light of new information
- palmer_11-26-08.pdf — Appeal to Maryland Board of Physicians to reopen my case in light of convincing information obtained at trial
- passive-euthanasia-in-hospitals.pdf — "Passive Euthanasia" in Hospitals Is the Norm, Doctors Say
- patient_relations_worksheet.pdf — Holy Cross Hospital made aware of hostile pulmonologist 2 days before treatment was withheld
- PCAC_reg.pdf — Maryland requires hospitals to have a functioning advisory (ethics) committee for medical decision-making & withholding of medical treatment
- physician-order-3-10-03-full-code.pdf — First Physician Order Form by admitting doctor writes Full Code
- physician-order_3-10-03-dnr.pdf — Physician Order Form in ER writes DNR without authorization or discussion
- physician_order_forms.pdf — Physician order forms showing numerous inconsistencies and gaps
- physician_order_form_3-10-03.pdf — Antibiotic cut in half upon transfer from ER, despite "panic-level" white blood cell count
- pneumonia-02.pdf — Dr. Pell's PowerPoint on how to treat pneumonia
- POLST-MOLST_Ben-Mattlin.pdf — POLST - Beware the rush to help people die
- ppn_3-16-03.pdf — Holy Cross Hospital provides no food for six days (seriously)
- prealbumin.pdf — Lab report: Prealbumin drops to 3.8 mg/dL, indicative of severe malnutrition
- prognotes-antibiotics.pdf — Medical record discrepancy: Antibiotic dosage mismatch between progress notes and orders
- prognotes_3-10-03.pdf — Medical progress notes from first day: Patient is Full Code
- prognotes_3-11-03_dnr.pdf — Third-year med student sees first, erroneous DNR order, and repeats it in his notes
- prognotes_3-23-03.pdf — Days before death, experts document alert, recovering patient, no desire to withhold treatment
- prognotes_3-25-03.pdf — Medical progress notes from March 25: patient abandonment
- prognotes_3-25-03_&_3-26-03_kariya.pdf — Dr. Kariya documents "tenuous breathing" and his irreconcilable difference with family, yet fails to intubate or contact ethics committee. He simply walked away
- prognotes_3-26-03.pdf — Final full day of my father's life: Abandonment and record falsification
- questions-for-holy-cross-hospital.pdf — I left this summary of my concerns with Holy Cross Management at our first meeting
- records_3-25_to_3-26.pdf — Progress notes & Physician Orders from 3/25 and 3/26
- records_3-25_to_3-27.pdf — Medical progress notes & nursing notes from final 3 days of my father's life
- records_for_complaint_1-3-06.pdf — Annotated packet of records submitted to regulatory agencies along with my complaint
- schwab_9-27-04.pdf — Letter from Holy Cross Hospital critical care director Dr. Lee Schwab
- schwab_10-25-04.pdf — Reply to Holy Cross Hospital critical care director Dr. Lee Schwab
- shamim_depo_7-16-07.pdf — Full deposition of Dr. Shahid Shamim
- shamim_depo_q&a.pdf — Dr. Shamim's deposition testimony confirming his handover of my father's care to the "not-present" Dr. Weiner
- siddur.pdf — At a meeting I showed Holy Cross Hospital the first page from my father's Siddur, from which he prayed each day
- swedish_7-25-06.pdf — My appeal to Trinity Health CEO Joseph Swedish
- swedish_7-31-06.pdf — A follow-up letter to Trinity Health CEO Joseph Swedish
- swedish_9-10-07.pdf — My 1-year update to Trinity Health CEO Joseph Swedish, imploring him for help
- swedish_reply_7-31-06.pdf — Touching reply from Trinity Health CEO Joseph Swedish, but no follow-up
- tc_genecin_010807.pdf — Yale University's Dr. Paul Genecin shares his initial notes on my father's care
- torah-view-on-treating-critically-ill-patients.pdf — The Torah's View on Treating the Critically Ill
- tpn_date_change.pdf — Nutrition order not processed, wrong nutrition ordered, date on nutrition order altered
- weiner_depo_9-6-07_swallowing.pdf — Dr. Jay Weiner keeps my father on a regular diet, even though "he lost his swallowing mechanism"
- weiner_depo_q&a.pdf — When Dr. Weiner is confronted with Dr. Shamim's contradictory testimony, his attorney quickly shuts it down
- weiner_excerpt_3-17.pdf — Dr. Weiner denies seeing my father at the time of extubation (he was there)
- weiner_trial_6-4-08.pdf — Dr. Weiner haltingly denies taking over my father's care from Dr. Shamim
- wjw_11-26-09.pdf — Washington Jewish Week letter to the editor
- wsj-thrombectomy_11-28-18.pdf — Holy Cross Hospital unable to provide life-saving thrombectomies to stroke patients
