Expert Report - June 7, 1999 -
[Cached Version]
Published on: 6/7/1999
Last Visited: 6/21/2008
Bopp & Dr. Hart}, against Dr. Gale relating to various patient care cases.
...
Also consider the complaint filed by Dr. Hart (again, of The Bone & Joint Center) related to Gladys Wright.
...
The Board's own expert Dr. Expert, notably indicates that Dr. Hart himself (the complainant in this particular case) demonstrated "lack of competence or judgment" as well as other notable failures in his records.This included failure recognize and document loosened screws and problems with the internal fixation, obvious wrongful flexion position of the fusion site and malunion, in his improper surgery to this patient, which in the opinion of Dr. Expert, will result in the need for further unnecessary risk and surgery!
...
There is overt hostility demonstrated between Dr. Olson (Dr. Gale's former employer), The Bone & Joint Center, and in particular, the orthopedists Dr. Hart and Dr. Bopp.
...
The records were sent from Dr. Hart who is a competing foot and ankle orthopedist in Bismarck.The complaint was filed one year after Dr. Hart's treatment of the patient.One would wonder why such "grave concern" required so long to address and report?Dr. Hart's criticisms are: Proximal phalanx portion of the prosthesis has been put in a plantar flexed position.
...
On the subsequent treating surgeon (Dr. Hart) "patient questionnaire form" she states she has moderate and daily pain however she then states her activity level is described as no limitation of any recreational or daily activity, does not require the use of any walking aid.She has some difficulty with uneven ground, looks normal when she walks, wears conventional shoewear without an orthotic or insert and the foot problem mildly interferes with her life and ability to do what she wants.
The alignment according to Dr. Hart's questionnaire was good and there was good range of motion with no restriction, and the joint was stable.There is another form labeled Foot and Ankle Rating System that has the highest (best) possible rating from Dr. Hart in all areas listed except one.This one is the MTP motion and it is rated as moderate restriction (30-74 degrees).It is confusing why Dr. Hart did not attempt simple orthotic management of this problem initially?
...
Dr. Hart clearly had fused the joint in a plantar flexed position, which is a cardinal error in this procedure.This makes gait extremely difficult and painful.Why have no charges been brought against Dr. Hart in this matter for such a grievous "lack of competence or judgment", as Dr, Expert stated?
...
Dr. Mark Hart was the treating foot & ankle orthopedist.He treats mostly foot and ankle patients.Dr. Aaron Olson referred this case to Dr. Hart.
...
It is difficult to determine Dr. Hart's exact criticisms-they are generic.
...
Dr. Hart offered the patient a sub talar joint fusion-not a triple fusion, so he obviously also felt a hindfoot procedure could resolve the problem as well.It is also clear the original injury could have initiated the arthritic process in the sub talar joint as noted by Dr. Hart himself when referring to the onset of ankle joint arthritis, post traumatic.
...
Dr. McKenzie was at Q & R Clinic and saw patient after Dr. Hart saw her.
...
The patient went on then to seek treatment by Dr. Hart who is a local Foot & Ankle competitor and orthopedist.Dr. Hart has also sent in other complaints about Dr. Gale - this case did not emanate from the patient.
...
Dr. Hart did nothing in regards to treatment of the patient but reviewed and criticized the records for several pages of his own.
3 online sources [ view sources ]
Profile is not claimed [ claim profile ]
