Va. Doctor in Malpractice Suit Has History of Violations
June 1, 2011
By: Rawls, McNelis & Mitchell
The following was written by Bill Sizemore in The Virginian-Pilot, March 27, 2011:
When the Virginia Board of Medicine reprimanded Dr. David Ostman in 2004 for posing a danger to the health and welfare of his patients, it included one reassuring note. He had closed his private practice and been hired by the Hampton VA Medical Center, where, the board noted, his work would be supervised and subject to strict quality assurance standards.
That was not, it turned out, enough to head off more trouble for Ostman.
A pending malpractice lawsuit against the Hampton veterans center alleges that the gynecologist negligently perforated a patient's large intestine and punctured her bladder during a hysterectomy in 2008. That required a repair procedure that left her with a temporary ileostomy, a surgical opening in the abdomen that allows body waste to be collected in a pouch. The lawsuit alleges that Ostman failed to properly identify the patient's anatomy or to consult a colleague with more surgical experience for assistance. He is alleged to have used a "blunt dissection," pulling the patient's organs apart with his hands rather than using scissors, resulting in the injuries to her intestine and bladder.
The plaintiff, Miriam Cenedese of Portsmouth, is seeking $1.875 million in damages. She filed the lawsuit in federal court after an administrative claim for compensation was denied by the U.S. Department of Veterans Affairs. The medical center has denied the allegations in court papers. No trial date has been set. The principals in the case declined to be interviewed for this report. Citing privacy policies, VA officials declined to say whether they knew Ostman was under investigation by the state Board of Medicine when he was hired in June 2003 as a staff physician. He is still on the medical staff at the Hampton center.
In an order filed in October 2004, the state board found that Ostman had violated a variety of laws and medical regulations from December 2001 until he closed his private practice in May 2003. During that time, the board found, he wrote 225 prescriptions for "Libido Lotion," a topical preparation containing testosterone, outside of a bona fide doctor-patient relationship. He took orders for the product through his website and sent the prescriptions to a pharmacy in St. Louis, where it was prepared and mailed to his customers.
Testosterone, while commonly thought of as a male hormone, has been shown to boost sex drive in some women. But it has not been approved for that purpose by the U.S. Food and Drug Administration. The Virginia board also found that Ostman sold or dispensed thousands of doses of various prescription medications - the appetite suppressant phentermine, the narcotic pain reliever hydrocodone, and anti-anxiety drugs sold under the trade names Xanax and Valium - without holding a pharmacist's license. In a drug audit of his office in May 2003, hundreds of doses of federally controlled drugs could not be accounted for.
The board also found that Ostman prescribed weight-loss drugs to five patients without performing appropriate physical examinations, recording a comprehensive medical history or documenting any diet or exercise program. Ostman admitted the truth of the board's findings. He was reprimanded, fined $2,500 and ordered to take a course in medical recordkeeping.
As a result of the Virginia action, medical boards in North Carolina and Georgia, where Ostman was also licensed, reprimanded him as well. In November 2005, the Virginia board found that Ostman had fulfilled the requirements of the 2004 order and restored his license to unrestricted status. VA officials declined to say when they became aware of Ostman's disciplinary record.
Jennifer Askey, a spokeswoman for the Hampton center, said the VA requires all of its doctors to have a full, current, unrestricted medical license. Licenses are verified with the licensing agency at the time of initial employment, at license renewal times, and during periodic reappraisals by the medical staff, which occur at least every two years, Askey said.
All state medical board sanctions of VA doctors are researched by the center's medical examining board, Askey said. State board reprimands, fines and continuing medical education requirements do not bar a doctor from VA employment, she said. Jim Strickland, a former Army medic and retired hospital administrator in Savannah, Ga., who runs the website VA Watchdog Today, said the Ostman case is not unusual.
"Doctors that have problems, that have had civilian issues, can get hooked up in VA hospitals," he said. "The real issue here, from my perspective, is that once they're entrenched, you can't get rid of them."
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Stop paying newspapers to advertise
My new way to tell the editors we the people are what count is to contact all the businesses paying to advertise with the Fosters Daily Democrat. Next it will be the Union Leader. The editors are costing businesses and every citizen money by not printing opinion letters of 100% disabled US Military Veterans. I ran for Oyster River School Board and the editors determined I was dangerous, so for the public safety refused to print my opinion of my platform. My VA medical for Combat related disabilities was stopped to stop my opinion letters of government wrongs. I ran for NH State Senate last election and the same editors censor my words. A well-informed voter is what makes the USA a better nation for all. I believe in less taxes and government and as a US Marine I have the tonicity to get my way for the people.
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The backbone of our economy is based on you our business community. If you allow the strong arm of government to exist it is only time before they take from you. It does not take much to help a 100% disabled US Marine. Call and ask the editors why they would do this. Think about this letter goes out to over four thousand addresses every day. The facts are the truth. The editors just censor the facts to harm a 100% disabled US Marine and protect a special class of society.
My new way will affect the profits of the businesses. The editors and judges cannot take me to court because then the editors would have to print the truth and inform the readers just what wrongs they themselves have committed against the citizens of the USA.
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465 Packers falls Rd Lee NH 03824 603-781-3839
PS Rod Dougherty of the Fosters newspaper, do you have any comment?
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