The abuse of antibiotics is becoming a national health
crisis. Antibiotics are a multi billion dollar industry and doctors are
encouraged to prescribe for that reason. Bacterial resistance to antibiotics
is a direct overgrowth of the overuse of those drugs. Dr. Greenwald knew
that. Perhaps Dr.Jeffrey Fister did not. Mrs Prudhomme got a bill she
couldn't pay from the hospital, on top of going through unnecessary hospital
treatment. Dr. Greenwald suspects, Dr. Deighan and Dr. Fister put Mrs.
Prudhomme in the hospital as a means of using her as bait to get the
attorneys general to call their emergency hearing and immediately suspend
his license for the "Safety and Welfare of the People of Maine."
Donna is a NEW patient to Dr.Shaun Dowd's office sitting in the dental chair
waiting for treatment. The subject was Dentalcare and Dr. Greenwald:
Dowd: "So I tell you these things so you can decide what you want to do,
okay. But, if you were my sister, or my wife, or my good friend, I'd tie you
in your house before I'd let you go there.
Dowd: (to his assistant Judy Barker) "Who was your friend the dental
assistant that worked there?"
Judy: "Yeah, she worked there for two days and after the second day, she
told me, I quit! 'Cause he sexually assaulted her in two days."
Donna: "He sexually assaulted her?"
Judy: "She said he attacked her. That's what she told me."
Dowd: "The thing is these aren't fairy tales you know. I mean this is fact."
** Mrs. Greenwald called upon a dental assistant, Sally, who had worked for
Dr. Greenwald for two days then left. Her response when asked about what Dr.
Dowd and his assistant discussed:
"It couldn't be me." "No, I can't believe it! Somebody's just making up
rumors." "Well, I'm in shock. They're really out to get him. "I think it's
horrible!"
Dr. Dowd continued to spread the lies...
Dowd: "That's not gossip. That's the truth. I and that's documented. We've
been trying for over a year to take his license away."
Donna: "Who's we? You mean area dentists?"
Dowd: "The Maine Dental Association really,. Through us. I mean we
instigated it because...you must have seen his name in the paper a number of
times."
Donna: "I've caught a few articles yes, but not...."
Dowd: "The different things he's done in this office, like propositioning
patients, molesting, accosting..."
Donna: "He has done that?"
Dowd: "Absolutely. No question about that. Plus the kind of dentistry he
does. He doesn't give two damns for the patient."
The above conversations were tape recorded for accuracy.
The ORIGINAL
complaint was followed by the AMENDED Complaint, SECOND AMENDED Complaint,
SUPPLEMENTAL Complaint and REVISED SECOND AMENDED Complaint, then another
SUPPLEMENTAL Complaint. This strategy was used by the attorney general to
keep the kettle boiling, keep the pressure on Dr. Greenwald, emotionally,
psychologically and financially. And, by using the media as another tool to
drive Dr. Greenwald to the brink of bankruptcy where he could no longer
defend himself or continue to run his business.
DR. GREENWALD - EVIDENCE 1
In order to present the
evidence in a sensible order I have broken it down as follows:
The three women involved in
the sexual complaints:
(Filed 2/13/81)
Debra Candice Wallace
Jennifer Ann Watson
Barbara Jayne DeGolyer
Charges of incompetence
involving the following patients:
Lisa Burgess filed 7/7/81
Guy Chapman .filed 2/13/81
Carroll Dyer filed 2/13/81
Robert Evans filed 2/13/81 Omitted
from Amended
Complaint of 7/7/81, then
included in Second Amended Complaint of 8/23/82, then omitted from Revised
Second Amended Complaint of 1/12/83.
Attorney for the defense,
Steven Kern, conducted depositions of the above patients on 10/5/81 and
10/6/81. With the exception of Barbara DeGolyer, who would not present
herself for deposition.
The Second Amended
Complaint was filed 8/23/82 after Steven Kern conducted depositions for the
defense on April 2, 1982. They included the following patients:
(Filed 8/23/82)
Sherry Bell
Debbie Butterfield
Judith Fogg
Linda Karnas
Susan More
Joann Parker
Harrel Spann
Florence Thompson
Deana Walker
Florence Thompson, and
Deana Walker were omitted from the Revised Second Amended Complaint of
1/12/83
Supplementary
Complaints:
Elaine Prudhomme filed 11/10/82
Richard Card filed 4/4/83
In November 1982, the
attorneys general on behalf of the Board of
Dental Examiners called for
an emergency hearing before Judge Dana Cleaves on the complaint involving
Elaine Prudhomme. Dr. Greenwald, who was not present at the hearing, but
represented by Steven Kern, was suspended for one week prior to a FINAL
hearing on the matter scheduled for November 22, 1982. Following a nine and
one half hour hearing, with expert witnesses testifying for both sides,
Judge Dana Cleaves found in favor of the defendant, Dr. Greenwald. However,
the attorneys general added the Elaine Prudhomme complaint to the Revised
Second Amended Complaint of 1/12/83.
The Revised Second Amended
Complaint now included charges of incompetent record keeping.
NOTE: Altogether there were
nine assistant attorneys general, and one deputy attorney general assigned
to this case from 1980 through 1985.
Presented here is a
compilation of wrongdoings by the attorneys general and the Board of Dental
Examiners, in the case of the Maine Board of Dental Examiners vs. Dr. Aaron
Greenwald.
With regard to DEBRA
CANDICE WALLACE: (Linscott-Hinson) D.0.B.10/28/50 Hallowell, Maine. Worked
as nurse's aide at St. Joseph's Hospital in Bangor in 1969. Married Bill
Wallace in 1974. A.F.D.C. (Welfare) recipient with three children (one child
by previous marriage). Address: 38 Jefferson Street, Bangor, Maine. Now
divorced from Bill Wallace.
Debra Wallace was
physically and sexually abused as a child from the age of 9 - 16 by members
of her family. Because of this she had been undergoing continued psychiatric
care for the past twenty years. The State Medicaid program paid for her
medical and psychiatric treatment. Steven Kern, attorney for the defendant,
deposed Debra Wallace on October 5th and 6th 1981. In the original Wallace
complaint there were 22 points. These were added to, refined, or deleted
through the ensuing Complaints (Complaint, Amended Complaint, Second Amended
Complaint, and Revised Second Amended Complaint). The Revised Second Amended
Complaint it was down to, 1 point: "In the course of two visits for dental
treatment during October and November 1976, defendant intimated to Debra
Wallace, a patient, that he would accept sexual favors as payment for
services, and unnecessarily touched Ms. Wallace's private parts without her
consent."
The attorneys general,
acting as counsel for the Board of Dental Examiners failed to fully
investigate the sexual charges that were four years old. No criminal charges
were ever brought against Dr. Greenwald by Mrs. Wallace. The alleged assault
was never reported to any authority. The attorneys general failed to fully
investigate the alleged victim's character, and failed to provide copies of
Mrs. Wallace's dental records for treatment provided by Dr. Greenwald at the
Adult Dental Clinic. Dr. Greenwald treated Mrs. Wallace and other indigent
adults without charge, through the Clinic, on a volunteer basis. The
attorneys general failed to provide copies of the investigations of Mrs.
Wallace conducted in the summer of 1980 by Malcolm Lyons and Joe Kozak; the
former was the prior head of Social Services Dept., Attorney General's
office. Mr. Lyons and Mr. Kozak were attorneys representing the Maine Dental
Association in its investigation of Dr. Greenwald.
The attorneys general
failed to interview Dr. Greenwald or members of his staff with regard to the
serious charges filed against him.
I.
At the deposition of Mrs.
Wallace, six local pharmacists were subpoenaed at random, and instructed to
bring with them all prescriptions for Debra Candace Wallace from before
October 1976 to present. The pharmacists provided the amount of
prescriptions for dangerous and controlled substances, including injectible
Valium and Demerol, at that time. According to Dr. Stanley Evans, the
State's expert on alcohol and drug abuse, the amount was overwhelming and
far exceeded the possibility of human consumption. Medicaid paid for all
those prescriptions and for the services of the many doctors who prescribed
them.
The attorneys general were
aware Debra Wallace was committing Medicaid fraud and chose to ignore it.
On April 13, 1981, at the
request of the attorneys general, Lt. Fred Clarke, of the Bangor Police
Dept., hypnotized Debra Wallace, in the hope that she would provide more
information regarding her alleged complaint. Dr. Larry Salvesen, Mrs.
Wallace's psychiatrist was present at her request. The hypnosis was not a
success because of Mrs. Wallace's inability to concentrate.
Also at the request of the
attorneys general, Debra Wallace was given a polygraph examination on March
23, 1981. She stated to the examiner that she was not taking any medication
at that time. Her statement was untrue. Prescription records revealed she
was taking Valium, Dyazide and Dalmane. Debra Wallace passed the examination
according to the examiner from the Maine State Police.
Piers Bierne, Assistant
Professor of criminal studies at the University of Southern Maine; an expert
on polygraph studies, stated a pathological liar can easily deceive the
machine and the examiner.
In April 1982, Assistant
Attorney General, Robert Frank, deposed Mrs. Greenwald. Mr. Frank warned
Mrs. Greenwald that "under pain of perjury" she was obligated to tell the
truth. He made it very clear, if she committed perjury, he would file
charges against her. The actions of the attorneys general have shown, they
allow perjury, if it's their witness who commits the perjury.
As an example:
Debra Wallace perjured
herself more than 20 times in the course of her deposition when questioned
about conversations she had with regard to Dr. Greenwald and the alleged
assault. After being caught perjuring herself by Steven Kern, attorney for
the defendant, (Page 1 thru 96
dep. Oct 6, 1981) Assistant
Attorney General Michael Richards became so infuriated that his "key
witness" had perjured herself (his anger was not directed at his witness but
at Steven Kern and Dr. Greenwald, et al) that he threatened to immediately
stop the deposition at once.
Steven Kern called Judge
Cleaves who ordered the deposition continue. Ultimately, during the
continuation of the deposition, and Mr. Richards’s on-going objections, Mr.
Kern stated "I think you are interfering with a truthful investigation, Mr.
Richards, and I will take that to the proper authorities at the proper
time." (page 34 dep.10/6) Mrs. Wallace was asked if she had ever been in
court on any other matter. She responded "Not that I can remember." (pages
62-64 Oct 6) However, Mrs. Wallace was found guilty on two separate charges
in Maine; once in Lewiston for theft, and once in Calais for disorderly
conduct. Copies of court documents are attached. The attorneys general had
knowledge of Debra (Linscott-Hinson) Wallace's criminal records and knew she
had lied under oath.
In early June 1983 the
attorneys general knew the following dentists; perjured themselves during
the course of their deposition:
Dr. William J. Deighan, Dr.
Shaun Dowd, Dr. Charles Ramsberger, Dr. Henry K. Woodbrey and Dr. David
Talley. The five dentists named were directly responsible for filing all of
the complaints with the Board.
Again, the attorneys
general chose to allow perjury because it was their witnesses who committed
the perjury.
Evidence supporting these
facts is presented in excerpts from depositions and tape-recorded
conversations further on in this document.
Continuing with Debra
Wallace:
Mrs. Wallace stated during
her deposition that she met with Barbara DeGolyer (another sexual
complainant) on January 2nd or 3rd, 1981. Ms. DeGolyer was at that time
employed by the Penobscot County District Attorney's office as a
victim-witness advocate. Wallace met with DeGolyer on a professional basis.
Allegedly Wallace's 9 year old daughter had been sexual assaulted and
charges had been filed with the district attorney. Wallace stated in her
deposition that Bangor attorney, Marshall Stern had represented her at
various times, and at one particular meeting in his office, Mr. Stern asked
her "Why are you and Barbara DeGolyer bringing charges against Aaron
Greenwald?" (Page 173 dep. Oct 6) Wallace replied "And I said! wasn't aware
that I was and I didn't even...don't even know who Barbara DeGolyer is."
Stern continued "Well, Aaron Greenwald carne in here with the paper and
showed me and asked me if I would represent him. [Feb. 17, 1981} And your
name was on it." Wallace continued "And so that's how the name DeGolyer was
brought up and I said, I don't even know the woman." Kern asks, "When did
this meeting take place?" (With Stern) She responds "I'm not sure if it was
a couple of days after January 1st, or if it was a few days or, you know, in
the month of December." Kern asks "And it would have certainly been before
you met DeGolyer on January 2nd or 3rd, 1981?" Wallace responds. "Oh yes, it
definitely was, because I didn't even know her name." (Page 174-176 dep Oct
6)
NOTE: The Original
Complaint was filed in Administrative Court on February 13, 1981 and served
upon Dr. Greenwald February 17th. It was on that same day Dr. Greenwald
first learned of the complaint against him and met with Marshall Stern in
his office with the complaint in hand to discuss representation.
It is Dr. Greenwald's
belief that DeGolyer worked with Wallace to develop her accusations against
Dr. Greenwald, after finding out of Wallace's dislike for him. Combined with
the encouragement Wallace received from Dr. Rarnsberger, (both her dentist
and DeGolyer's dentist) and DeGolyer's own motives to get back at Dr.
Greenwald for filing a successful small claims action against her.
The three women were also
brought together in August 1980, in the law offices of Louis Vafiades, when
interviewed by the two attorneys, Mal Lyons and Joe Kozak, representing the
Maine Dental Association.
During the course of her
deposition, Wallace was asked to draw a diagram of Dr. Greenwald's office at
37 Bower Street. Wallace marked the treatment room she was in on both
occasions as treatment room A (Page 36 dep Oct 5). Wallace claimed the
treatment room door was open and closed at various times while she sat in
the dental chair. "Sometimes, it was open a little bit, but most of the time
closed." Kern asked "Now did this door have a lock on it?" "I'm not sure."
Wallace replied (page 45) Kern continued "As you looked at the door from the
dental chair...was the doorknob on the left or was the doorknob on the
right?" Wallace replied "It was on the right of the hinges." Kern's labored
questioning about the door and doorknob was for good reason. The door to the
treatment room was a sliding door which remained inside the wall at all
times. (dep 10/5 thru page 108)
Richards objected to the
questioning about the door on grounds of best evidence. "I'm going to
introduce a floor plan of the doctor's office." The floor plan clearly shows
the sliding door to treatment room A. Attached to this document is the
architect's floor plan of 37 Bower street, Bangor.
Wallace stated during the
course of her deposition (10/5 page 36¬37) that she had a close friendship
with Margaret Kravchuk, who at that time was an assistant district attorney.
Now Judge Kravchuk, Third District Court in Bangor. Wallace and Kravchuk
were neighbors and close friends. Why didn't Wallace seek advise from her
neighbor and friend, Mrs. Kravchuk, during those four long intervening years
with respect to the alleged sexual assault?
Attached to this document
is a letter from Dr. Thomas Guthiel, a forensic psychiatrist, graduate of
Harvard University College of Medicine and head of Massachusetts Mental
Health. The attorneys general refused to allow the defense to have Wallace
evaluated by Dr. Guthiel or anyone else. They felt her psychiatric history
and the fact that she had been physically and sexually abused as a child had
no relevance to her allegations against Dr. Greenwald. They fought the
continuation of her deposition and access to her psychiatric records. The
deposition of Wallace was never completed.
The attorneys general did
not have one shred of evidence against Dr. Greenwald with respect to the
Wallace complaint other than the pornographic seven page account,
purportedly written three days after the incident occured in 1976, (and put
away for 4 years). However, on behalf of Dr. Greenwald, two witnesses stated
no such incident occured. Jeanette Watson, Dr. Greenwald's secretary, and
Elizabeth McInnis, wife of Superior Court Justice, Ian McInnis. Both were
present in the office, less than 8 feet away, at the time Wallace stated she
was assaulted. Mrs. McInnis stated that to her knowledge nothing unusual was
going on during her visit and she wasn't even aware of another patient in
the next room. Mrs. McInnis was never interviewed or contacted by the State.
However, Investigator Marvin Ellis, of the attorney general's office
interviewed Jeanette Watson in her home. Mrs. Watson told Mr. Ellis "Dr.
Greenwald is not the type of person who would conduct himself in such a way
with his patients." She also stated
"her desk, at that time in
question, was located in such a way that had any conduct, of the nature
alleged, taken place, she would certainly have overheard and been aware of
it, which she is not." (Ellis investigative report) Jeanette Watson stated
Mr. Ellis called her a liar. Jeanette, married with two grown sons,
deaconess of her church, married to the deacon, threw Mr. Ellis out of her
home.
To close on Debra Wallace,
I offer one of her many colorful quotes: (which can be found starting on
page 11 of the deposition Oct 6, and on page 14 thru 24 of the transcripts
provided to the attorney general per order of Judge Dana Cleaves.)
"Well obviously, they've
never been locked in a room and sexually molested, so fuck em. I have". And
"Aaron Greenwald came to Maine with his New York attitude that he was
something fucking great. That he could do whatever he wanted and get away
with it. And well see, he's pulled this shit off with me because I was on
welfare, and I'm going to the dental clinic, you know, and you've got to be
poor to go to the dental clinic, so of course he can do anything to my body
that he wants to, because he's better than I am. Well fine. I may not have
any money, but I got a good mind, and I can make people listen to me."
Attachments:
List of medications
(Wallace)
Court documents (Wallace)
Architect's plans 37 Bower
Street, Bangor, Maine Dr. Thomas Guthiel letter
With regard to the Barbara
Jayne DeGolyer complaint
The Original Complaint filed in Administrative Court February 13,
1981 read as follows:
Barbara Jayne DeGolyer went
to defendant's Bower Street office for dental treatment in October 1976.
During the initial treatment of Ms. DeGolyer, defendant intentionally and
repeatedly touched her breasts with his hand. Ms. DeGolyer did not consent
in any way to this touching.
The Amended Complaint dated
July 7, 1981 changed the date of DeGolyer's appointment to November 1976.
Everything else remained unchanged.
In an inter-department
memorandum dated August 29, 1980, from Assistant Attorney General, William
Kelleher to Investigator, Marvin Ellis, Kelleher wrote:
"Kozak also interviewed:
Barbara Jayne DeGolyer. She works for the district attorney or Clerk of
Courts in Bangor. She told Kozak that approximately January 1979 a similiar
incident to that which occurred to Wallace occurred with her, she
immediately got up and left upon his touching her and propositioning her."
Had the attorneys general
conducted a proper investigation and interviewed Dr. Greenwald and staff
they would have learned Barbara
DeGolyer came to the office
as stated in November 1976, however, she returned in 1979 for additional
treatment on SIX separate occasions.
According to the charges
Dr. Greenwald repeatedly and intentionally touched her breasts with his
hands. Yet, DeGolyer paid Dr. Greenwald $200 for the services he rendered in
1976 and returned in 1979 for additional treatment. She was successfully
sued by Dr. Greenwald for $210 unpaid balance in 1979. Judge F. Davis Clark
awarded judgment to Dr. Greenwald. In May 1980 DeGolyer finally paid Dr.
Greenwald.
Then brought charges
against him.
DeGolyer was supoenaed for
deposition on October 5, 1981. At that time she was no longer employed by
the district attorney and was living in Corea, Maine. (Approx 20 miles south
of Bangor) Sheriffs tried repeatedly to find DeGolyer for the deposition but
were unsuccessful. As a former employee of the district attorney, DeGolyer
knew the procedure and how to avoid being served. Judge Cleaves ordered the
attorneys general to produce DeGolyer for deposition. They could not.
DeGo1yer was stricken from the Complaint ONE AND ONE HALF YEARS after the
Original Complaint was filed.
The Penobscot County
Commissioners sued DeGolyer in 1982 for misappropriating county funds.
With regard to the Jennifer
Ann Watson complaint:
Count three of their
ORIGINAL Complaint of February 13, 1981 stated:
"Dr. Greenwald
Intentionally touched the breasts and made several sexual remarks to
Jennifer Ann Watson without her consent and after she declined to return to
Dr. Greenwald's office Dr. Greenwald offered to exchange his professional
services for sexual favors."
In the REVISED Second
Amended Complaint:
"In the course of one visit
for dental treatment in November 1977, defendant intimated to Jennifer
Watson, a patient, that he would accept sexual favors as payment for dental
services."
In an inter-department
memorandum from Marvin Ellis to Assistant Attorney General, Michael
Richards, dated March 17, 1981, Ellis wrote: "During an interview of
Jennifer Watson on 3/11/81 reported under file 26C-80-5, Watson was
questioned concerning the variances of information contained in my 9/28/80
interview of Watson, reported under the above file, and the information
contained in memo of Assistant Attorney General William Kelleher, dated
8/29/80 which reports information concerning the results of interview of
Watson by Malcolm Lyons, attorney for the Maine Dental Association. I read
both the results of my interview and the information contained in the above
memo. Watson stated that the information contained in my report is a correct
representation of the results of the 9/28/80 interview. She stated that
Greenwald did not ask for a sex partner, but made statements about dinner,
as I reported. She also stated that Greenwald did not touch her breasts with
his hands, but brushed against her body with his. Also, Greenwald did not
touch her thighs with his hands or his body.
"Watson could not explain
the difference in my report and that of Mal Lyons, but offered that the
information supposed to have been reported by Lyons was either in error or
were his own conclusions which he, for some reason, drew after listening to
Watson."
Mal Lyons and Joseph Kozak,
both attorneys for the MAINE DENTAL ASSOCIATION, interviewed all three women
at the same time in August 1980.
Lyons reported:
"Jennifer Ann Watson, 11
Garland Street, Bangor, Maine, told him that approximately in November 1977
he (Greenwald) offered to exchange his services as a dentist for hers as a
sexual partner. He also touched her thighs and breasts without her
permission."
In the deposition of
Jennifer Ann Watson on October 5, 1981 she unequivocally denied the fact
that these events took place. Rather than testify that Dr. Greenwald
intentionally touched her breasts, as was charged, Ms. Watson stated that
Dr. Greenwald BRUSHED against her breasts with his upper arm while his hands
were in her mouth and she did not know whether he brushed against her
intentionally or unintentionally. Similarly, rather than testify that Dr.
Greenwald offered to exchange his services for sexual favors, Ms. Watson
stated that when she told Dr. Greenwald she didn't have the money for a
specific procedure Dr. Greenwald merely called her on the phone and invited
her to dinner and said that something could be worked out over dinner. (Page
5-3 to 7-17 Oct 5, 1981)
Marvin Ellis, Investigator
for the attorneys general, interviewed Jennifer Ann Watson on 9/28/80. His
report stated what Watson had testified to in her deposition. However, the
attorneys general chose to ignore their own investigator's report. The
state's Original and Amended Complaint dated 2/13/81 and 7/7/81) read the
same. The Second Amended Complaint dated 8/23/82 read:
"During the treatment of
Ms. Watson, defendant unnecessarily and intentionally touched her breasts
and made several sexually suggestive remarks. Ms. Watson cancelled her next
appointment with defendant. Defendant telephoned Ms. Watson and inquired as
to the reason for her cancellation. Ms. Watson told defendant she could not
afford further treatment. Defendant implied he would exchange his
professional services for her sexual favors."
The final Revised Second
Amended Complaint dated 1/20/83 read: "In the course of one visit for dental
treatment in November 1977, defendant intimated to Jennifer Ann Watson, a
patient, that he would accept sexual favors as payment for dental services."
It had been almost two
years since the original complaint. Finally the State conceded and deleted
their claim of intentional touching. However, they refused to concede and
delete their charge of exchanging sexual favors for dental services. The
State fudged their complaint with the word INTIMATED.
NOTE: Dr. Greenwald had
been known on more than one occasion to use the term "we can work something
out" with regard to a patient's ability to pay for treatment. His office
manager, and other staff members, including his wife, heard him use this
expression. He said it to both male and female patient alike...Does this
make him an alleged homosexual?
Three charges of sexual
assault. Each charge over 4 years old. Debra Wallace never complained to
anyone of authority, not even her neighbor, Margaret Kravchuk, an assistant
district attorney. Barbara DeGolyer, worked for the district attorney, yet,
she never filed any formal complaint.
Jennifer Watson, apparently
did write a letter to the Ethics and Grievance Committee in 1977. Her letter
addressed the fact that she was unhappy with having to pay for the treatment
upon completion and that she felt Dr. Greenwald had made off color remarks.
Dr. Kominsky, (deceased) at that time handled complaints for the committee,
spoke to the patient and to Dr. Greenwald, and took no action. The matter
was disposed of at that time. Dr. Greenwald did not remember who Watson was
until he received further discovery and recalled a young woman who had
written a letter back in 1977, which he had discussed with Dr. Kominsky.
Certainly he had joked with her, as he had with many of his patients and, in
the presence of his secretary.
The letter, written by
Jennifer Watson in 1977, then lost, appeared in 1982 in the hands of the
attorneys general. However, it was now not one page, hand written on
personalized stationary, but four pages, typed.
With regard to the
complaint of Robert Evans:
Filed in the ORIGINAL
Complaint of February 13, 1981 then deleted from the AMENDED Complaint of
7/7/81. Then included in the SECOND AMENDED Complaint of 8/23/82. Then
deleted from the REVISED SECOND AMENDED Complaint of 1/12/83
In a letter dated July 12,
1982 from Assistant Attorney General Robert Frank to Dr. Walter Crites,
Secretary of the Board of Dental Examiners, Mr. Frank wrote: "At our last
meeting, you inquired about our office's investigation of an incident in
which Dr. Greenwald allegedly prescribed a dangerous level of drug dosage
for a small boy; Robert Evans. The drug in question is Empracet No.3, which
Dr. Greenwald prescribed on a one tablet as needed basis. Empracet No.3
contains one half gram of codeine. According to Dr. Terry Sheehan, a
pediatrician here in Augusta, Empracet No.3 is a relatively strong dose of
codeine for a child, but not unacceptable so long as the maximum dosage per
day is properly limited." I will keep you advised of continuing developments
in this case.
Because Robert Evans
complaint had been deleted from the AMENDED Complaint of 7/7/81 no action on
the part of defense counsel took place. The depositions were taken on
October 5th and 6, 1981. When the attorneys general filed their SECOND
AMENDED Complaint in August 1982 they included Robert Evans. The REVISED
SECOND AMENDED Complaint did not include Robert Evans because Judge Dana
Cleaves ordered it stricken.
With regard to the complaint involving Guy Chapman:
Filed with the ORIGINAL
Complaint of February 13, 1981.
Dr. William Deighan, Jr.,
filed the complaint involving the treatment of Mr. Chapman without Mr.
Chapman's consent or knowledge and without authorization from Mr. Chapman to
release his records.
The ORIGINAL Complaint
charges "Dr. Greenwald was unable to diagnose Mr. Chapman's ailment and
incompetently failed to refer the patient to an oral surgeon for proper
treatment. Because of this failure, Mr. Chapman was required to seek
treatment by various physicians, the last of who referred Mr. Chapman to an
oral surgeon, Dr. Deighan, who successfully diagnosed and treated the
ailment. As a result of this failure, Mr. Chapman was required to suffer
unnecessary pain and expense."
Steven Kern deposed Mr.
Chapman on October 6, 1981:
Mr. Chapman testified that
he was satisfied with the treatment he received from Dr. Greenwald and that
he referred him to an E.N.T. medical specialist. Unfortunately Mr. Chapman
failed to heed Dr. Greenwald's advice and thereby suffered a delay in his
receipt of proper treatment. Mr. Chapman testified when he finally did go to
an oral surgeon after receiving clearance from an ear, nose and throat
specialist, the oral surgeon, Dr. Deighan, took the same type of x-ray taken
by Dr. Greenwald, and was also unable to find the patient's problem. Only
after taking additional x-rays using equipment not generally found in a
general practitioner's office at that time, (panoramic x-ray) was Dr.
Deighan able to determine the cause of Mr. Chapman's problem and provide
treatment for him.
The SECOND AMENDED Complaint of August 23, 1982 involving the treatment of
Mr. Chapman now read: "Defendant was unable to diagnose the ailment, and
negligently and incompetently referred the patient to an ear nose and throat
specialist rather than an oral surgeon. Because of this improper referral
Mr. Chapman sought treatment by various physicians.
The REVISED SECOND AMENDED
Complaint stated: "Greenwald referred Mr. Chapman to a "medical doctor." And
charges of incompetent record
keeping were added to the
complaint even though the Plaintiff's had in their possession Dr.
Greenwald's records of Mr. Chapman when they filed the AMENDED Complaint in
July 1981 (Rule 15D) deal with events bearing on or arising out of the
matters originally pleaded which "occur" after the complaint has been filed.
This was not the case here. The attorneys general acted in bad faith by
allowing charges of alleged improper record keeping, even though there is no
requirement under Maine law that adequate records be kept or maintained.
With regard to the
complaint involving Carroll Dyer:
Filed in the ORIGINAL
Complaint of February 13, 1981.
The State alleged that:
"Dr. Greenwald failed to remove a fractured root during the course of an
extraction of a lower first bicuspid. Further, Dr. Greenwald failed to
inform the patient of the retained root. Mr. Dyer was required to seek the
services of Dr. William Deighan, an oral surgeon, who removed the retained
root."
The AMENDED Complaint was
unchanged except for the date of treatment which was March 1980, not April.
Since the attorneys general had not requested Dr. Greenwald's records prior
to filing any of the complaints they were not aware of the correct dates.
Dr. Deighan filed the
complaint in the form of a letter to Dr. Walter Crites, Secretary of the
Board of Dental Examiners. The letter was dated April 23, 1980.
The BLOCK DIGEST Dental
Science News; a dental periodical, conducted a study for purposes of
identifying and qualifying pathological conditions in edentulous patients
(patients without teeth). Panoramic x-rays were taken of 368 patients
without teeth who needed complete dentures but had no history of oral or jaw
abnormalities. 37% of the patients were shown to have some undiagnosed
pathological condition which included "root fragments" 64%.
There is not a general
dentist in the entire country who has not experienced similar problems in
extractions similar to these. During the course of deposition, Mr. Dyer
repeatedly stated he could not remember exactly what Dr. Greenwald had told
him with regard to postoperative care. Nor could he recall which month or
year Dr. Greenwald treated him. Sometimes it creates more of a problem to
remove a root tip than to leave it alone and monitor the patient. If the
patient develops problems as a result of the retained root, then at that
time it can be removed. Dr. Greenwald has in his own mouth, a retained root
tip from a third molar extraction performed by a professor of oral surgery
at NYU School of Dentistry. It has remained in his jaw asymptomatically
since 1955.
The REVISED SECOND AMENDED
Complaint remained unchanged included incompetent record keeping. Again the
State had Dr. Greenwald's records of Mr. Dyer in their possession prior to
of the AMENDED Complaint of July 1981, and therefore must be under Rule 15
(d) of the Maine Rules of Civil Procedure.
But now
The filing barred
Dr. William Deighan was
deposed in May 1983 and when asked stated that he had seen a fair number of
root tips left in patients mouths during his career. Some of which he
removed and some he did not. When asked if he had filed a complaint against
those dentists involved, he said no, he had not.
Mr. Dyer was informed, as
all patients were, to return to Dr. Greenwald if he had any difficulties or
concerns. Mr. Dyer chose to go to another dentist close to where he lived in
Orono, outside Bangor. Had the attorneys general properly investigated this
complaint, and interviewed Mary Maddocks, Dr. Greenwald's assistant, they
could have verified this information.
With regard to complaint
involving Lisa Burgess: Filed with the AMENDED Complaint of 7/7/81
Dr. Shaun Dowd was
responsible for this complaint.
"Lisa Burgess went to
defendant for dental treatment from August 1980 to March 1981. During the
course of treatment, defendant had prescribed penicillin for Ms. Burgess,
and on or about February 2, 1981, Ms. Burgess developed an acute reaction to
penicillin. Defendant was notified of the acute allergic reaction on or
about February 3, 1981. On or about February 4, 1981, defendant negligently
and incompetently prescribed a medication for Ms. Burgess which contained
penicillin."
On April 2, 1982, Richard
Wilken, a pharmacist employed by Welby Drug, was deposed with regard to
prescriptions written by Dr. Greenwald or Dr. Griffith, an employee of Dr.
Greenwald, who also treated Lisa Burgess. Assistant Attorney General, Robert
Frank, and Assistant Attorney General, William Laubenstein III, appeared on
behalf of the state. Robert Treworgy appeared on behalf of Dr. Greenwald.
Mr. Laubenstein (page 18
dep 4/82) "Mr. Wilken, if you were aware that a patient was allergic to
penicillin would you recommend taking Keflex?" Wilken: "It's done very
commonly."
Treworgy: "Do you know
whether a search of Welby Drugstore was conducted to comply with the request
to produce all prescriptions related to Lisa Burgess." "I believe I have."
Treworgy: "Do you have with you all prescriptions written by Dr. Greenwald
during the period January 1st, 1981 and ending March 31, 1981, concerning
Lisa Burgess?" "Yes." "Do they represent all prescriptions written by Dr.
Greenwald beginning January I, 1981 and ending March 31, 1981, concerning
Lisa Burgess?" "Yes." "Do your records indicate whether or not the
prescription was ever refilled?" "No." "Could it have been refilled?" "No,
if it were refilled, I would need either an authorization from the physician
or a new prescription." Laubenstein asks "And how would you note that
authorization?" "I would write on the back "MD okays 3 times or one time or
whatever." Laubenstein: "And there is no notation on the back of defendant’s
number 3 exhibits?" "That's right." Treworgy. "And let the record reflect
there aren't any notations on the back of any of the original items on which
the exhibits are based." Laubenstein: "Do you have any other prescriptions
for Lisa Burgess?" "Yes." "For what years?" "Well, whatever the profile
would indicate, starting probably at whenever they started dealing with
us...to present." "Can you tell us, Mr. Wilken, from your profile, whether
or not you've ever had other prescriptions issued for Lisa Burgess?" "Yes,
we have?" "During what period of time?" "I would say it starts 2/6/79 and
continues through the current time." "Were any of those prescriptions
written by Dr. Greenwald?" "I believe he has written other prescriptions
prior to 1981." Mr. Wilken listed three prescriptions given to Lisa Burgess
in 1980 by Dr. Greenwald and one prescription given by Dr. James Griffith.
No prescriptions for Penicillin or Keflex were given to Lisa Burgess after
January 28, 1981 as was indicated on Dr. Greenwald's record.
On August 28, 1982, after
the deposition of Richard Wilken, the attorneys general filed their SECOND
AMENDED Complaint. With regard to Lisa Burgess it read:
"Lisa Burgess went to
defendant for dental treatment from August 1980 to March 1981. During the
course of treatment, defendant prescribed Penicillin for Ms. Burgess. On or
about February 2, 1981, Ms. Burgess developed an acute allergic reaction to
Penicillin. Defendant was notified of this acute allergic reaction on or
about February 3, 1981. On or about February 4, 1981, defendant negligently
and incompetently prescribed Keflex for Ms. Burgess which was
contraindicated for patients allergic to Penicillin."
A copy of the PDR
(Physicians desk reference) for 1980-81 was available to the attorneys
general. Reference to it would reveal Keflex is a suitable substitute for
Penicillin allergic patients.
No record of any subsequent
prescription for Keflex was ever found.
The SECOND AMENDED
Complaint stated:
"Ms. Burgess went to
defendant for root canal treatment on twenty three separate occasions." Dr.
Greenwald's record showed Lisa had a total of 15 appointments. (several
appointments were cancelled) The State corrected their error in the Revised
Second Amended Complaint. The Second Amended Complaint alleged "Dr.
Greenwald prescribed codeine for Ms. Burgess. Ms. Burgess developed an
allergy to codeine. Ms. Burgess subsequently informed defendant of her
allergy to codeine. Thereafter, defendant negligently and incompetently
prescribed codeine for Ms. Burgess, which was contraindicated for patients
allergic to codeine."
The State alleged that in
late August or September 1980, Ms. Burgess developed a hive like rash on her
arms. Dr. Greenwald was notified of her condition. Dr. Greenwald advised
Lisa she may have suffered an adverse reaction to codeine and advised her to
discontinue taking the drug. A number of visits later, one of defendant's
employees, Dr. James Griffith. prescribed Tylenol #3 for Ms. Burgess, a drug
containing a relatively high dosage of codeine per tablet. According to Mrs.
Doughty, (Lisa's mother) Gary Taylor, a pharmacist at Welby Drug in Bangor,
upon discovering his colleague, Richard Wilken, had filled the prescription
for Tylenol #3, immediately contacted Mrs. Doughty and told her to instruct
Lisa not to take the drug. Mr. Richard Wilken, in his deposition, stated
when asked by Assistant Attorney General, Mr. Laubenstein: "To your
knowledge, has Gary Taylor ever refused to fill a prescription for Lisa?"
Mr. Wilken replied. "Not to my knowledge." Mr. Wilken stated he discussed
with Gary Taylor the prescriptions which were subpoenaed."
NOTE: Tylenol #3 as
described in the Physicians Desk Reference of 1982, the amount prescribed
was a safe and acceptable dosage (Steven Kern letter 9/16/82 to Judge
Cleaves)
The REVISED SECOND AMENDED
Complaint with regard to Lisa Burgess stated: "Dr. Koster Peters (Ms.
Burgess' Physician) [osteopath) diagnosed Ms. Burgess' condition as an
allergic reaction to penicillin or Keflex. Dr. Peters stated in his
deposition (May 1983) his diagnosis was "allergic reaction to drug,
Penicillin." He did not include Keflex.
(The State did) The
complaint stated: "After being informed of Ms. Burgess' allergic response to
the prescribed antibiotics, defendant and or Dr. Griffith, on a subsequent
visit, again prescribed Penicillin or Keflex."
NOTE: Now the State was not
sure what was prescribed, when it was prescribed, who prescribed it, or if
it was ever prescribed at all. This could have been very funny except that
it was costing the Greenwald’s financial and emotional hardship. The
pharmacist had already testified no such subsequent prescription existed.
Dr. Greenwald's record for Lisa Burgess indicated no prescriptions were
given after January 28, 1981. The State insisted over and over and over that
a prescription was given to the patient after February 2, 1981, and they
wouldn't let go because it was all they had.
During the deposition of
Dr. Koster Peters, he was asked by Steven Kern, defense counsel "Can
chocolate or fried foods result in the type of rash that Lisa had?" Dr.
Peters was quick to respond. "Certainly." These two foods are very high on
any teenager's 'food to be eaten' list.
The REVISED SECOND AMENDED
Complaint charged Dr. Greenwald with not using a rubber dam while performing
the root canal therapy on Lisa. However, Dr. Shaun Dowd, (who initiated the
complaint) completed the treatment, testified in his deposition (dep. page
54 May '83) that he did not use a rubber dam while treating Lisa.
The attorneys general, in a
last ditch attempt to salvage the Burgess complaint, charged Dr. Greenwald
with improper record keeping. There is no requirement under Maine law that
adequate records are kept. The attorneys general had in their possession the
records of Lisa Burgess before they filed the SECOND AMENEDED Complaint. At
that time there was no charge of improper record keeping.
With regard to the
complaint involving Debbie Butterfield:
Filed by Dr. William
Deighan
Filed in the SECOND AMENDED
Complaint August 28, 1982.
It read: "In or around
August or' September of 1981, Debbie Butterfield visited defendant to obtain
treatment for an aching tooth. Defendant induced Ms. Butterfield to undergo
relatively expensive root canal therapy rather than have the tooth
extracted. Defendant then administered root canal therapy to the tooth.
Subsequently, the tooth became infected and abscessed. Ms. Butterfield was
required to obtain the services of another dentist (Deighan) to extract the
tooth at additional expense."
The REVISED SECOND AMENDED
Complaint read: "Debbie Butterfield visited defendant for treatment of an
aching tooth. Defendant examined Mrs. Butterfield and recommended root canal
therapy or extraction. Because of relative cost, Mrs. Butterfield requested
defendant to extract the tooth at once. Defendant refused to do so."
Dr. Deighan filed the
Butterfield complaint without the patient's knowledge or consent. Her
records were released without her permission.
In a letter dated September
28, 1981, to Michael Richards, Assistant Attorney General, from Dr. Deighan.
Deighan wrote: "This patient was seen by Dr. Greenwald approximately 2 weeks
ago when he attempted to redo root canal treatment on tooth #15, an upper
left second molar."
The attorneys general made
no attempt to interview Mrs. Butterfield, Dr. Greenwald or his staff, or
properly investigate the complaint. Their sole complaint was based on the
letter of Dr. William Deighan.
Mrs. Butterfield's dental
record indicated she came to the office on August 28, 1981 for a
consultation. She stated the only reason she came was because of her
husband's insistence. She was anxious to leave and requested no treatment.
She also stated she had no money with her.
From a cursory clinical
examination, it was determined the tooth was infected. The patient did not
want any x-rays taken. The choice of treatment between root canal therapy,
post and crown, or extraction was explained to her. She wanted time to think
about it and she was given two prescriptions, one for pain and one for
antibiotics, and told to return when she was ready for treatment. There was
no charge for the office visit because no treatment was performed.
On February 22 and 23,
1982, Mrs. Greenwald personally visited Mrs. Butterfield in her home. They
talked for about an hour on each occasion. Both conversations were tape
recorded for accuracy. (see Butterfield transcripts) Mrs. Butterfield stated
she had no complaint against Dr. Greenwald and had no idea who had filed a
complaint on her behalf without her permission. That someone had taken it
upon himself to complain made her very angry. Butterfield verified that when
she came to the office on August 28, 1981 she received no treatment and was
not charged for the visit. She stated her reason for not returning for
treatment was because her mother paid for her treatment and had a special
arrangement with Dr. Deighan who would accept her personal check.
Butterfield stated she received two little pieces of paper from the
attorneys general to sign for release of information. One had Deighan's name
on it and the other Greenwald. She didn't understand what it was all about
and was very concerned that there was something wrong with her teeth. She
signed the papers and returned them, not wishing to question the action of
the attorneys general.
Debbie Butterfield was
subpoenaed for deposition on May 4, 1983. Mrs. Butterfield testified that
Dr. Greenwald was not the dentist who saw her. Steven Kern asked. "Do you
remember his name?" Butterfield replied "No, but he was taller and younger."
Kern continued. "This is Dr. Greenwald on my right. Has he ever treated
you?" "No." She replied. "Have you ever seen him for dental work?" "No." She
replied.
Kern continued. "Did he
(whoever) tell you that the tooth could be extracted?" Butterfield "Yes."
"Did he say it was your choice to make?" "Yes." "Did you ever file a
complaint against Dr. Greenwald?" "No." "Did you authorize anyone else to
file a complaint against Dr. Greenwald about the care that you received
there?" "No."
In a last ditch attempt to
salvage the Butterfield complaint, the attorneys general added new charges
in the REVISED SECOND AMENDED Complaint that were not in the Complaint of
August 1982. These charges were: "Defendant incompetently neglected to
perform and or record the following: A diagnosis and diagnostic data base
justifying the need for root canal therapy. The taking of dated diagnostic
x-rays justifying root canal therapy.
NOTE: There is no
requirement under Maine law that adequate records be kept. Also this action
should not have been allowed pursuant to Rule 15
(d)
As a point of interest,
Steven Kern asked approximately seven Bangor dentists and one physician,
during the course of their deposition, what a diagnostic data base was, and
if they used one in their practice. Not one of the dentists knew what it
was. (See dep. May 4, 1983)
GREENWALD - EVIDENCE 2
With regard to the
complaint involving Judith Fogg: Filed in the SECOND AMENDED Complaint of
August 23, 1982.
It read: "On or around 1978
or 1979, defendant performed root canal therapy on one of the teeth of
Judith Fogg. Subsequent to this treatment, Ms. Fogg continued to experience
pain in the treated tooth. Ms. Fogg returned to defendant on several
occasions complaining of pain in the treated tooth. On each occasion,
defendant represented that the tooth was in good condition.
Ms. Fogg was deposed on May
4, 1983 by Steven Kern, counsel for Dr. Greenwald:
Kern: "And did Dr.
Greenwald perform root canal on that tooth for you?"
Fogg: "Yes, he did." "
Kern: "Do you know when in
1975 he did that?"
Fogg: "Yes, in August."
Kern: "How do you remember
that?"
Fogg: "I have the check,
the receipt."
Kern: "How many times did
you go to Dr. Greenwald back in 1975?" Fogg: "Once."
Kern: "And did you have
further problems with the tooth in 1975?" Fogg: "No, I did not. II
Kern: "Did you ever have
any more problems with the tooth?"
Fogg: "In 1979, yes."
Kern: "That was the first
time you had a problem?"
Fogg: "Yes."
Kern: "What problem did you
have in 1979?"
Fogg: "There was a purplish
bump on the tooth."
Kern: "Did it bother you at
the time?"
Fogg: "No, but it came...it
was there and it wasn't supposed to be." Kern: "What did you do when you
first noticed that purplish bump?" Fogg: "Well, first when I noticed it was
in December, and I went to Dr. Greenwald in March."
Kern: "You noticed it in
December of 1978?"
Fogg: "Yes."
Kern: "When you noticed it
in December of 1978, you just left it alone for a few months?"
Fogg: "Yes."
Kern: "And you did not seek
treatment from anyone else prior to going to Dr. Greenwald?"
Fogg: "No, I did not."
Kern: "You went back to Dr.
Greenwald in 1979 in March you said?" Fogg: "Yes."
Kern: "And what did Dr.
Greenwald do for you?"
Fogg: "He looked at the
tooth, and he said he had never seen anything like it before."
Kern: "Did he x-ray it?"
Fogg: "I cannot remember,
truthfully remember."
NOTE: An x-ray was taken
which showed the original dark area at the tip of the root was completely
gone. This signified the infection had healed.
Kern: "Was it bothering you
at the time?"
Fogg: "No, it was just
there."
Kern: "Had you seen any
dentists Fogg: "I went to Dr. Schmidt for Kern: "You returned to him every
Fogg: "Yes."
Kern: "And during your
visits to Dr. Schmidt, did you ever tell him about your problem with that
tooth?"
Fogg: "No."
Kern: "After Dr., Greenwald
did the root canal, did you receive further treatment on that tooth?"
Fogg: "The only
treatment...no. As far as treatment, the only thing they ever did was polish
the tooth."
Kern: "They did put a cap
on it, or a permanent filling?"
Fogg: "No."
Kern: "After March of 1979,
did the tooth start giving you any difficulty?"
Fogg: "No. It was
still...the bump was still there."
Kern: "Did you have any
pain?"
Fogg: "No."
Kern: "Did you ever have
any pain or discomfort from it?"
Fogg: "No."
Kern: "Did you receive any
further treatment on it?"
Fogg: "No, not until 1981."
Kern: "Oh in 1981. Okay in
1981 it started to bother you?"
Fogg: "I looked at it and
it looked whitish, and it looked like it might have an abscess?"
Kern: "What did you do
about it in December?"
Fogg: "1 went to Dr.
Gulesian, and he put me immediately on strong Penicillin pills."
Kern: "Did Dr. Gulesian
diagnose your problem?"
Fogg: "He wanted me to see
Dr. Fister." (Dr. Deighan's associate) Kern: "Did you ever file a complaint
against Dr. Greenwald?"
Fogg: "No."
Kern: "Did you ever
authorize anyone to file a complaint against Dr. Greenwald?"
Fogg: "I don't know. It
could have been through Dr. Fister but I haven't."
Kern: "Did you ever
authorize Dr. Fister to file a complaint against Dr. Greenwald?"
Fogg: "I can't really
remember, no."
Kern: "Do you remember
signing anything permitting him to disclose information about you to anybody
else?"
Fogg: "I don't think I
signed anything. No."
Moving ahead in the
deposition...
Kern: "Did you in fact,
have several disappointments with Dr. Greenwald as far as diagnosis and
treatment of the ongoing problem was concerned?"
Fogg: "First time I went to
him it was fine; second time I went to him everything was alright. It was
just the third time."
Kern: "I thought you said
you only went to him twice?"
Fogg: "No, it was three
times. The first time was '75, second time was when he sent me a paper, he
said come back for a checkup. First time he sent one I did not go. Second
time he sent one 1 did go and everything was fine then, and the third time
was when I went back."
Kern: "Do you remember when
the second time was?"
Fogg: "Second time was
sometime between '75 and '79."
Kern: "Okay. So you were
not disappointed by Dr. Greenwald several times were you?"
Fogg: "Not by the first two
visits."
Kern: "The only
disappointment you had with him was when he was unable to diagnose the
purplish bump on your last visit, correct?"
Fogg: "Right."
Kern: "Why is it that you
went to Dr. Gulesian rather than back to Dr. Greenwald?"
Fogg: "By the time I went
to Dr. Gulesian, I had read stories about
Dr. Greenwald and besides
that he had said that he had never seen anything like it before and he
didn't do anything."
Kern: "At that time he said
he had not seen anything like it before, you were not in any pain, correct?"
Fogg: "No."
Kern: "And the condition,
the looks of the bump had changed between the last time you went to Dr.
Greenwald and the time you went to Dr. Gulesian, correct?"
Fogg: "Right."
Kern: "The appearance of
your tooth was different in 1982 when you went to Dr. Gulesian than it was
in 1979 when you went to Dr.Greenwald, correct?"
Fogg: "Yes."
Kern: "So you don't know
whether Dr. Greenwald had seen the tooth in the condition it was in 1982 he
would have been able to make a diagnosis of it, do you?"
Fogg: "No, 1 don't."
Dr. Jeffrey Fister, (Dr.
Deighan's associate) who was responsible for the Fogg complaint was deposed
on May 4, 1983 by Steven Kern, counsel for defendant:
Kern: "You treated a
patient by the name of Judith Fogg, correct?" Fister: "Yes."
Kern: "For what purpose?"
Fister: "She was referred
to my office to evaluate a tooth she had had problems with."
Kern: "And did you make an
evaluation?"
Fister: "Yes, sir."
Kern: "And what was your
evaluation?"
Fister: "The tooth involved
had a chronic periapical infection."
Kern: "Were you able to
determine the source of that infection?" Fister: "The root tip of the
tooth."
Kern: "Have you been able
to make an assessment as to what caused the infection at the root tip?"
Fister: "I suspected it was
an inadequately filled root canal"
Kern: "On what information
did you make that assessment?"
Fister: "On clinical and on
radiographic examination, as well as history obtained from the patient."
Kern: "To your knowledge,
when was the root canal performed?" Fister: "I can't pinpoint a date, all I
can tell you is what my patient told me, it was approximately three to four
years prior to this
examination"
(Deposition date 5/83)
Kern:
"And for what length of time was the patient experiencing
problems with the tip.?"
Fister: "She told me that
she had problems with that particular tooth since the root canal treatment."
Kern: "If in fact, you were
to learn that there was absolutely no
problem with the tooth for
a period in excess of three years after the root canal treatment had been
performed, would that in any way after your assessment?"
Fister: "As I understand
it, that does not pertain to this particular case."
Kern: "In fact I am
representing to you, doctor, that the witness, Miss Fogg, just testified
before you came in and testified that the root canal was performed in August
of 1975 and that she experienced absolutely no pain at all, no discomfort in
the tooth until December 1981. She was asymptomatic from August of 1975 when
the tooth was filled until December of 1981, Would that change your opinion
as to the cause of the infection?"
Fister: "I am not aware, as
far as my discussions with the patient, that that is the case. I must also
indicate that pain and discomfort are not necessarily the only symptoms that
can be elicited."
Kern: "What other symptoms
can be elicited?"
Fister: "That does not
pertain to this particular case."
Kern: "It mayor may not,
doctor. What I'm asking you is, in your understanding of the case, is that
the patient had a problem with the root canal since it was done three to
four years before you saw her.?"
Fister: "Yes, Sir."
On April 11,1982, Mrs.
Greenwald visited Judith Fogg at her home and interviewed her with regard to
the complaint. A small tape recorder was used for accuracy.
She learned: The attorneys
general had made before filing the complaint in August 1982. the letter
written by Dr. Jeffrey Fister to Richards, dated January 18, 1982. No effort
to interview Judith Fogg Their complaint was based solely on Assistant
Attorney General,
Michael Recalling the
SECOND AMENDED Complaint, which read: "On or about 1978 or 1979, defendant
performed root canal therapy on one of the teeth of Judith Fogg. Subsequent
to this treatment MS. Fogg continued to experience pain in the treated
tooth. Ms. Fogg returned to defendant on several occasions complaining of
pain in the treated tooth. On each occasion, defendant represented that the
tooth was in good condition."
The REVISED SECOND AMENDED
Complaint was filed on January 12, 1983 reflecting some obvious corrections,
however, charges of incompetent record keeping were added to the complaint.
NOTE: A permanent filling
or crown was never placed on the treated tooth, which was necessary for the
success of the treatment. This subsequent treatment was to be performed by
her regular dentist, not Dr. Greenwald, who did not perform that type of
procedure. Dr. Greenwald believes this was the reason for the failure,
however, Dr. Greenwald believes if Dr. Fister had performed an apicoectomy
on the tooth, which Fister discussed with the patient initially, and for
which she was referred by Dr. Gulesian, the tooth could have been saved.
However, when Dr. Fister extracted the tooth and discarded it. He literally,
destroyed the evidence.
The complaint of Harrell
Spann was brought to the attention of the Board of Dental Examiners and then
the attorneys general in May 1980 in a letter from Dr. Gary Fessler,
president of the local society in Bangor. Dr. Fessler enclosed a letter he
received from Dr. David Talley regarding the treatment of Harrell Spann. The
Spann complaint was not included in the State's ORIGINAL Complaint of
February 13, 1981, therefore. One would assume the Board or the attorneys
general decided at that time not to pursue the complaint. In March 1982 the
attorneys general requested the records of Harrell Spann from Dr. Greenwald.
This, almost two years after the complaint was received and passed on to the
attorney general, and after depositions had taken place on October 5 and
6th, 1981.
Mrs. Greenwald interviewed
Mr. Spann at his home in the spring of 1982. A small tape-recorder was used
for accuracy;
On August 23, 1982 the
attorneys general filed the SECOND AMENDED Complaint which now included the
treatment of Harrell Spann.
The complaint surrounded
the treatment of a periodontally involved tooth which would be an anchor for
a partial denture.
As part of their Complaint,
the State charged "Defendant represented to Mr. Spann that the total cost of
the entire treatment would be $350. Mr. Spann agreed to undergo the planned
treatment on that basis. After the treatment began, defendant sought to
charge Mr. Spann substantially more for completing the treatment plan.
Though the treatment plan was never completed, Mr. Spann paid defendant
substantially more than $350 for the services received."
The truth was Mr. Spann
paid a total of $292 for the services performed up to the point when he
changed dentists.
The attorneys general filed
their complaint based on the letter of Dr. David Talley dated May 1980,
which Dr. Gary Fessler submitted to the Board of Dental Examiners. The
attorneys general made no effort to interview Mr. Spann or Dr. Greenwald
prior to filing the complaint.
The REVISED SECOND AMENDED
Complaint was filed on January 12, 1983. Admitting their errors, they
deleted from the Complaint the allegation that Dr. Greenwald overcharged Mr.
Spann. However, charges of incompetent record keeping were added to the
complaint. Maine law does not require that records be kept or maintained.
Dr. David Talley was
deposed by Steven Kern, counsel for defendant on May 5, 1983 with regard to
his letter to Dr. Fessler concerning the Spann complaint. During the course
of deposition, Dr. Talley, who had charged Dr, Greenwald of incompetence for
his treatment of Mr. Spann, now changed his tune. He testified that the
treatment performed by Dr. Greenwald and his diagnosis was a judgment call
and acceptable dental procedure. Dr. Talley perjured himself on several
occasions during the course of his deposition. Assistant Attorney general,
Robert Frank, became aware of the possibility that his witness was
committing perjury, and proceeded to warn him of the fact in an effort to
prevent it, but, it was already too late. The attorneys general were fully
aware that Drs. Talley, Deighan, Ramsberger, Woodbrey and Dowd, perjured
themselves, yet they took no action and failed to charge their witnesses
with perjury.
With regard to the
complaint of Sherry Bell:
Filed in the SECOND AMENDED
Complaint of August 23, 1982, the State charged Dr. Greenwald with
performing root canal therapy on Ms. Bell. The REVISED SECOND AMENDED
Complaint charged the same, along with charges of incompetent record
keeping. Dr. Dowden, the State's out-of-state, expert witness, confirmed in
his evaluation and statement of patient care, the treatment performed by Dr.
Greenwald for Sherry Bell was "Consultation with two x-rays, followed by
placement of a temporary filling." (See Dr. Dowden report).
The attorneys general
charged Dr. Greenwald with performing root canal therapy on Sherry Bell when
they had not one shred of evidence to substantiate their claim. The
complaint was brought to the attention of the Board of Dental Examiners by
Dr. Gary Fessler in a letter dated May 27, 1980. The letter of complaint was
typewritten on Dr. Charles Ramsberger's business letterhead by his secretary
while the patient, Sherry Bell waited in the office. (Ramsberger and Fessler
shared office space) She then signed the letter.
Dr. Greenwald's treatment
of Sherry Bell was only a consultation, examination of her tooth, two x-rays
and the placement of a temporary filling. The patient insisted Dr. Greenwald
place a permanent filling in the tooth. Dr. Greenwald refused because the
tooth was infected and needed either root canal therapy or extraction. The
charge was $10 for the two x-rays taken. Dr. Dowden, the state's hired
expert witness, verified this as the treatment rendered. The only individual
who stated root canal therapy was performed, was the patient herself, Sherry
Bell, and the attorneys general, based on information received from Dr.
Ramsberger. The x-ray taken by Dr. Greenwald showed a large hole in the
tooth with decay into the pulp chamber. The nerves of the tooth were already
dead. Since Dr. Greenwald could not place a permanent filling in the tooth
as the patient requested, he placed a temporary filling until such time as
she made up her mind as to what treatment she preferred. She insisted, all
she needed was a filling.
Dr. Ramsberger encouraged
her to complain by telling her the reason for her pain may be attributed to
the lack of sanitary instruments used by Dr. Greenwald. (See Investigator
Marvin Ellis interview of Sherry Bell) Dr. Ramsberger denied saying this in
his deposition of October 5, 1981.
The attorneys general and
the Board of Dental Examiners had the complaint of Sherry Bell in their
possession in May 1980. They investigated the complaint in March 1981; (see
interviews of Marvin Ellis) however, the complaint was not included in the
AMENDED Complaint of July 7, 1981. Dr. Ramsberger was deposed on October 5,
1981, but the Bell complaint was not part of the AMENDED Complaint,
therefore, Steve Kern did not question Dr. Ramsberger with regard to Sherry
Bell.
On March 17, 1982 Mrs.
Greenwald interviewed Sherry Bell at her home in the presence of her
husband. The conversation was recorded with a small tape recorder. Ms. Bell
stated that Dr. Ramsberger asked her to file a complaint.
Sherry Bell stated Dr.
Greenwald pulled a live nerve our of her tooth, which is why the tooth could
no longer be treated with a simple filling and now required root canal
therapy. If Dr. Greenwald pulled a live nerve out of her tooth she would
have been in excruciating pain. (Remember Marathon Man movie) Sherry Bell's
tooth was dead, the nerves were history, and Dr. Ramsberger knew that when
he looked at an x-ray of the tooth. However, for his own reasons, he chose
to remain silent and allow the patient to believe that Dr. Greenwald
mistreated her. Then he encouraged her to file a complaint and had her wait
while his secretary typed a letter of complaint for her to sign.
During the course of
deposition, Dr. Ramsberger perjured himself.
Mrs. Bell was subpoenaed
for deposition, but could not be located. With regard to the complaint
involving Linda Rogers Karnas:
Filed with the SECOND
AMENDED Complaint of August 23, 1982.
The attorneys general
charged that Dr. Greenwald performed root canal therapy knowing the patient
had a curved root, and therefore the root canal treatment was less likely to
succeed.
This is a judgment call,
however, if problems develop, the patient may then require an apicoectomy
(Sealing the tip of the root by making an incision in the gum at the root
tip.) to save the tooth. Linda Karnas was referred to Dr. Greenwald by Dr.
Thomas Knaide, her general dentist, specifically for root canal treatment.
Marvin Ellis, investigator, interviewed Linda Karnas on March 18, 1981. The
attorneys general had ample time to include the Karnas complaint in their
AMENDED Complaint of 7/7/81, however, it appears at that time they rejected
this complaint. Dr. Knaide was the dentist who referred Mrs. Karnas to Dr.
Greenwald for root canal therapy in February 1978. Dr. Knaide was deposed by
Steven Kern in April 1982. At that time the attorneys general had not
included Linda Karnas in their complaint. Therefore Dr. Knaide was not
questioned with regard to Linda Karnas. He was not involved in filing the
complaint.
Linda Karnas was included in the SECOND AMENDED Complaint of August 23,
1982.
On April 7, 1982, Mrs. Greenwald interviewed Mrs. Karnas in the presence of
her husband in their home. A small tape recorder was used for accuracy. Mr.
and Mrs. Karnas stated they had met with the dental association and four
dentists who stated Dr. Greenwald was incompetent in his treatment of her
and his treatment of others. She refused to disclose the names of the
dentists but said they would be there in court. Mr. Karnas stated "Do you
think four other dentists can be wrong? Do you really?" Continuing..." And
I'm really pissed, that a guy comes from out of state, here, and capitalizes
on the ignorance of hicks, you know. I'm just sad that a person would pawn
himself off as a dentist. The guy is a quack. He's no good. All he did was
take money from my wife...you can tell Dr. Greenwald that I hope he loses
his license and I hope he leaves the state!" During the course of her
deposition, May 3, 1983, Mrs. Karnas denied most of what she had told Mrs.
Greenwald in the interview, and denied meeting the four dentists from the
"Association."
Spreading this kind of
prejudice and hat€ was a tool used by individual local dentists involved in
filing the complaints as a means of destroying the reputation and profession
of Dr. Greenwald. Obviously the same tactic was used to enlist the services
of the attorneys general in their conspiracy of destruction. They knew as
much about dentistry as Mr. Karnas. Their case was based solely on the
information provided by these same dentists. Yet they failed to conduct a
proper investigation of the charges, failed to interview patients,
witnesses, and even the defendant himself. As a result, their case was a
sham. Unfortunately, once they realized they had no case, they didn't stop;
they just pushed harder, adding nonsense and irrelevant charges of improper
record keeping.
Between 1981 and 1984,
fifteen Bangor area dentists were visited by certain individuals posing as
patients who were friendly to Dr. Greenwald's cause. They carried a small
concealed tape recorder. The evidence brought forth revealed a conspiracy to
destroy Dr. Greenwald with outright slander, prejudice, hatred and lies. The
same brainwashing was obviously used on Attorney General, James Tierney, who
was quoted in The Lewiston Sun Journal, March 19, 1981 as saying "The
allegations against Dr. Greenwald are very serious, and this office will be
putting a very high priority on prosecuting this case before the
Administrative Court." Tierney called the case "Absolutely unique."
The complaints in the
SECOND AMENENDED Complaint, also involved those same dentists as in the
first: Dr. William Deighan; his associate, Dr. Jeffrey Fister; Dr. Charles
Ramsberger; Dr. Shaun Dowd, Dr. Gary Fessler; Dr. David Talley and Dr. Henry
Woodbrey. Charges of incompetent record keeping were added to each
individual complaint in the REVISED SECOND AMENDED Complaint. There is no
requirement under Maine law that adequate records be kept or maintained.
Adding these charges would require counsel for the defendant to question all
dentists deposed with regards to the records they kept to ascertain record
keeping standards for the State of Maine. During the depositions of October
1981, no questions were asked with regard to record keeping. The same
applied to depositions conducted in April 1982. However, Steve Kern did ask
questions with regard to record keeping during the depositions conducted in
May 1983 and found those dentists deposed: Dowd, Deighan, Talley, Fessler,
Fister, Deighan, McCarthy and a physician, Dr. Peters, were all incompetent
in the area of record keeping according to the standards set by the State's
own expert witness, Dr. William Dowden. Copies of discovery received from
the State included that of subsequent treating dentists of the patients
named in the complaints. These records were also "incompetent" according to
the standards set by Dr. Dowden, who was an assistant professor of
endodontics (root canal therapy) at the University Of Connecticut School Of
Dentistry. His experience in general practice in the "real world" was
limited. His experience resides in the province of academics. An example of
this is his continual reference to the phrase "diagnostic data base."
Terminology that none of the deposed dentists recognized or understood when
questioned.
With regard to the complaint involving Joann Parker:
Filed in the SECOND AMENDED
Complaint of August 23, 1982
"In or around the fall of 1980 Joann Parker visited defendant to obtain root
canal therapy for her tooth. "Ms. Parker made at least four visits to
defendant for such therapy, paying defendant over $200 for services
rendered. After four visits and $200, defendant had not completed the root
canal therapy, and had not properly medicated and sealed the root of the
treated tooth. In this condition, the tooth was vulnerable to infection
causing Ms. Parker serious pain.
"Ms. Parker visited defendant in reliance on defendant's advertisement that
root canal therapy would be
performed for $175.
"Ms. Parker was required to obtain the services of another dentist (Dr.
Henry
Woodbrey) at additional
expense, to complete the root canal therapy."
The Parker complaint was
brought to the attention of the attorneys general sometime in February 1981.
Marvin Ellis, investigator for the attorney general, interviewed Dr. Henry
Woodbrey on March 10, 1981 with regard to his subsequent treatment of Ms.
Parker. Dr. James Griffith, an employee of Dentalcare, began the treatment
on Ms. Parker's first visit to the office, and continued the treatment on
her second visit. He treated Ms. Parker on a total of four visits, Dr.
Greenwald saw her on three visits. When the State's AMENDED Complaint was
filed July 7, 1981, Joann Parker was not included. In October 1981 Steve
Kern, counsel for defendant, conducted depositions of the dentists and
patients involved in the ORIGINAL Complaint and the AMENDED Complaint.
However, because Joann Parker was not included in either Complaint, Dr.
Woodbrey's dental records for this patient could not be subpoenaed and Dr.
Woodbrey's recollection of Ms. Parker was vague.
Joann Parker came to the
office on an emergency basis because she was in pain. She did not make an
appointment for root canal therapy. On her first visit she saw Dr. Griffith,
who provided her with a medicated filling, and prescribed pain medication
and antibiotics. He suggested he monitor the tooth because there was a
possibility she may not have needed root canal therapy. Ms. Parker returned
the following evening and root canal therapy was started by Dr. Griffith. An
allowance was granted to Ms. Parker for the previous emergency visit and she
was charged $185 for the root canal. (The regular advertised fee for a molar
root canal) Her last appointment was with Dr. Griffith on January 20, 1981,
at which time he opened the tooth to drain. Ms. Parker cancelled her next
appointment and never returned. A major problem with Ms. Parker, (a
university student in the midst of mid-term exams,) was the antibiotics
prescribed apparently weren't doing the job. If she was taking them as
prescribed. On February 23, 1981 Ms. Parker wrote to Dr. Greenwald
requesting a refund. Since the treatment had not been completed, Dr.
Greenwald refunded Ms. Parker the full $185.
Again the attorneys general
were misinformed, based on Dr. Woodbrey's statements. Ms. Parker did not pay
over $200 for the treatment, as alleged, and pay for the services of another
dentist; Woodbrey, as alleged "was not at additional expense.”
The attorneys general filed
the Joann Parker complaint based on information received from Dr. Henry
Woodbrey. The State made no attempt to interview Joann Parker, Dr. Greenwald
or Dr. Griffith. It appeared they did not know he (Griffith) was involved in
the treatment of Ms. Parker. They also did not request Dr. Greenwald's
records of Ms. Parker before filing the complaint.
Mrs. Greenwald visited Ms.
Parker at her dormitory at the University of Maine campus in Bangor on April
13, 1982. A small tape recorder was used for accuracy. According to Ms.
Parker, Dr. Woodbrey suggested she file a complaint against Dr. Greenwald
and told her to call the President of the Board of Dental Examiners, Dr.
Walter Higgins. Ms. Parker stated "'Cause when I called the Board of
Examiners, when I told them who it was, (Dr. Greenwald) He just kind of
chuckled. I remember him (Higgins) chuckling. And I was like...I said to him
why, what's the problem? He said "we have had other complaints." Dr.
Woodbrey also told Ms. Parker "You know this is not the first time this has
happened, you're not the only one that has gone to Dr. Greenwald and has had
problems with his work and has had to go to other people. You know you ought
to think about calling the Board of Dental Examiners."
Mrs. Greenwald asked Ms.
Parker, "So when Dr. Woodbrey saw you. He increased the dosage of
Erythromycin?" Parker: "By the time he saw me (Woodbrey) I'd stopped taking
it for about two weeks. The tooth was open. The infection...see I thought
the infection was gone, and the Erythromycin started to make me sick, very
nauseous." Mrs. Greenwald: "But the infection wasn't gone when you went to
Dr. Woodbrey?" Parker: "No, it was still infected. So when I went back to
him (Woodbrey) I said well, I've been taking these for quite a while I don't
know if they're going to do any good. I was talking to Dr. Woodbrey. He
said, well, he told me to stop taking them. I said well, I stopped taking
them for two weeks. Well he said we can try taking it as a mass dosage."
NOTE: Not taking the antibiotics as prescribed could well be the reason for
the ongoing infection.
The attorneys general filed
the Joann Parker complaint with the SECOND AMENDED Complaint of August 23,
1982, when they had knowledge of the complaint in March 1981. (See Ellis/
Woodbrey interview March 11, 1981) Dr. Woodbrey had been deposed by counsel
for the defendant on two separate occasions (10/6/81 and 4/20/82) at
considerable expense. The attorneys general were aware of this and waited
until after those depositions to file their complaint which was obviously
rejected earlier. The attorneys general had conducted no further
investigation of the complaint by August 1982. So why did they wait?
On January 12, 1983 the
attorneys general filed the REVISED SECOND AMENDED Complaint including Joann
Parker. Deleted was how much Ms. Parker paid for the treatment and the
"additional expense". Added to the charge were charges of incompetent record
keeping. No mention was made of Dr. Griffith's participation in the
treatment. However, Dr. Greenwald was charged for not referring Ms. Parker
to a specialist in root canal therapy. Dr. Woodbrey was not a specialist in
root canal therapy.
The REVISED SECOND AMENDED
Complaint filed January 12, 1983, stated:
"In November 1980, Joann
Parker visited defendant for treatment of an aching tooth. Defendant
performed root canal therapy on this tooth.
In undertaking this
treatment defendant incompetently failed to perform and/or record the
following:
a. the use of a rubber dam;
b. the taking of working
length radiographs;
c. the use of medicaments."
The REVISED SECOND AMENDED
Complaint was based on Dr. Dowden's (Assistant professor of Endodontics,
Univ. of Conn) conclusions. However, it appears Dr. Dowden was unaware that
Ms. Parker was also seen by Dr. Griffith. Also, standard procedure in doing
root canal therapy is taking x-rays; diagnostic, working length and post
fill. Except for the last, post fill x-rays (taken upon completion of
treatment) all others were taken and turned over to the attorneys general.
Presumably, they would pass them on to Dr. Dowden. It appears Dr. Dowden
doesn't read the records too thoroughly and has a formula he uses as a paid
expert witness.
Dr. Woodbrey provided
little information with regard to Ms. Parker at his second deposition on
April 20, 1982. Since no official complaint had been filed concerning Joann
Parker she was not a part of the deposition. However, during the course of
his deposition, Dr. Woodbrey perjured himself on several occasions.
In March 1982, a loyal
patient of Dr. Greenwald's, Bob Biradi, volunteered to see Dr. Henry
Woodbrey in his office on two separate occasions. Bob told Woodbrey that Dr.
Greenwald started root canal treatment and the tooth was now bothering him
and he couldn't reach Dr. Greenwald. A friend of Bob's suggested he see
Woodbrey. The discussion led to Dr. Greenwald's incompetence, etc., etc.,
initiated by Woodbrey... Dr. Woodbrey volunteered the following
information:” I’ve seen too many of his botched root canals. And I'm just as
busy as he is." Bob:” He botches these all the time or what?" Woodbrey: "He
hasn't got eighteen cases of complaints...at the attorney generals office
'cause he's a nice guy." "We've spent...the Dental Association has spent
about $7500 already, of their own money. This is just the dentists
themselves. The attorney general's office has spent ten or fifteen thousand
investigating. And the thing just sits there." Bob: "You guys as dentists
are trying. You spent money" Woodbrey: "Dental Association did. But we have
no power. We can't take licenses." Regarding advertising: Woodbrey: "And now
including dentistry. Unfortunately that was the Federal Trade Commission's
contribution to the consumers of this country. To allow people to go out and
advertise and rip-off...legally." Continuing: Woodbrey: "We had retail
dentists in this community 25 years ago. Worse kind of dentistry you could
ever possibly imagine." Bob: "Seems you guys should be able to get together
and...Woodbrey: "Oh we have. We've gotten together a lot. But we can't fight
the Federal Trade Commission. Politians." Bob: "How many dentists did you
say there are in this state? They ought to do something." "Yeah, well we
spent plenty of money trying to do something. We're still working on it. But
when you have a Governor who knows more about dentistry, and an attorney
general knows more about it than dentists do why...it's a tough situation."
Woodbrey continues: "The only reason I'm doing it is to get you out of pain.
Not to help him at all. I'll tell you...nobody...no dentist in this whole
area would help him do anything except pack up and leave the state of Maine.
'Cause that would be the best thing for the whole...for everybody in the
state of Maine. Now I wouldn't sit here and say those things unless I knew I
had good firm ground to stand on. I guarantee you that partner."
Bob Biradi also visited Dr.
Shaun Dowd on March 26, 1982, about the same tooth. The following is a few
excerpts from the conversation:
Dowd: "I've got zero
respect for that person. I don't know if you've gotten that from what I've
said so far. But it's a bad news operation. He's a bad news person. And I
don't say that about my colleagues, unless they're really bad news, which he
is."
Bob: "But if he does this
why is he here? I don't know."
Dowd: "We're trying to pull
his license. We've got a stack of things against him...that high.
(indicating) But in this State it has to go through the attorney general's
office to do anything. In other states the Board of Dental Examiners can
automatically pull a license if they have sufficient cause. We've got more
than sufficient cause."
Bob: "You mean "we" you
guys in this office or?.."
Dowd: "No. The Maine Dental
Association. All the other dentists in this area and in..throughout the
State."
Bob: "He's that bad as far
as what he does or...?"
Dowd: "Everything about
him. His operation. Him personally. The other things...the cute little
numbers that he's done in his office. And outside his office. Incredible
things. He's a bad apple, okay."
Bob: "Because of this
you're trying to get his license revoked?"
Dowd: "Sure, yeah. Cause he
has the potential of hurting people out there."
Bob:
"But he hasn't. I mean...has he?"
Dowd: "Almost."
Bob: "They're not getting
the high quality work there?"
Dowd: "Uh Uh!. And he has a
real potential for hurting some people over there. He's just a black mark on
the whole profession."
Bob: "How did he get where
he is then. If he's got...?"
Dowd: "Silver tongued son
of a gun."
Donna Cole visited Dr.
Shaun Dowd on May 10, 1982:
Dr. Dowd was suggesting to
Donna that Dr. Greenwald may have performed root canal therapy on a tooth
which didn't require it.
Dowd: "And maybe the root
canal might not have been necessary. Now, might not. Maybe, you know. But
he's certainly done these things before. He's famous for it."
Donna: "You mean over
doing. Doing too many root canals? Is that it?"
Dowd: "Least little
toothache, is a root canal, you know. Because they're lucrative for him. And
he is absolutely bad news, you know. I mean I've seen some incredible things
come into this office. Criminal things, you know. I just know so many bad
things about Dr. Greenwald and I want to be very honest with you. I don't
know if you've ever heard anything..."
Donna: "You know at work
you hear gossip, you know in the teacher's room or whatever. Some woman said
something about he sexually assaulted some people or something."
Dowd: "That's not gossip.
That's the truth. I and that's documented. We've been trying for over a year
to take his license away."
Donna: "Who's we? You mean
area dentists?”
Dowd: "The Maine Dental
Association really,. Through us. I mean we instigated it because...you must
have seen his name in the paper a number of times."
Donna: "I've caught a few
articles yes, but not "
Dowd: "The different things
he's done in this office, like propositioning patients, molesting,
accosting..."
Donna: "He has done that?"
Dowd: "Absolutely. No
question about that. Plus the kind of dentistry he does. He doesn't give two
damns for the patient. Some of the things he's done for some really indigent
people, they've had to scrape together all this kind of money to pay him up
front, for doing something that wont last six months. And you know the poor
people they...one lady said she had to pay with her food stamps to get it
done."
Donna: "Oh, you mean
someone had to pay...like money, in order to have the dental treatment
done?"
Dowd: "Sure, sure, right up
front. And these people can't afford that. Yet he talked them into it, and
it's absolutely criminal what he did to that person. The problem in this
State is that, the Maine Board of Dental Examiners, which is not the Maine
Dental Association now, but there is a Board which certifies, like dentists
coming in, you know, licensure. But that body does not have the power to
revoke a license. But what we have to do in this state is...we have to
gather the evidence, it has to go through the attorney general's office."
Donna: "Meaning you the
dentists have to do this yourselves?"
Dowd: "Yeah, yeah. The
Dental Association has done it. Has put all these complaints together from
different patients. And we put together all this evidence and present it to
the Board of Dental Examiners who have in turn, they are the Plaintiffs in
this case, through the attorney general's office it has to go through the
courts, and it takes forever and a day. In the meantime this guy has a real
potential for hurting people. I mean he's done things like prescribe adult
dosage of narcotics for a five year old. And for a little five year old
kid...an adult dosage, you know could kill the kid really, you know. Putting
kids to sleep with nitrous oxide. So I tell you these things so you can
decide what you want to do, okay. But, if you were my sister, or my wife, or
my good friend, I'd tie you in your house before I'd let you go there.
Dowd: (to his assistant
Judy Barker) "Who was your friend the dental assistant that worked there?"
Judy: "Yeah, she worked
there for two days and after the second day,
she told me, I quit’ cause
he sexually assaulted her in two days."
Donna: "He sexually
assaulted her?"
Judy: "She said he attacked
her. That's what she told me."
Dowd: "The thing is these
aren't fairy tales you know. I mean this is fact."
The above conversations
were tape recorded for accuracy.
Mrs. Greenwald called upon
a dental assistant, Sally, who had worked for Dr. Greenwald for two days
then left. The conversation was tape recorded for accuracy. Her response
when asked about what Dr. Dowd and his assistant discussed: (without
mentioning Dr. Dowd's name)
Sally: "It couldn't be me."
"No, I can't believe it! Somebody's just making up rumors." "Well, I'm in
shock. They're really out to get him. "I think it's horrible!" Sally's
husband came into the room and Sally proceeded to tell him. His response was
the same. He was shocked. Sally didn't know anyone named Judy, but had been
introduced to a girl in her neighbors home who she recalled was a dental
assistant who worked for Dr. Dowd.
Dr. Shaun Dowd was deposed
by Steven Kern on May 3, 1983:
Kern: "Have you gone around
telling things to people about Dr. Greenwald that you do not have first hand
knowledge of?" Dowd: "No."
Kern: "Never have?"
Dowd: "No."
Dowd: "To repeat, unless I
have first hand knowledge, I don't make that a part of my judgment about a
person."
Kern: "What else have you
heard about Dr. Greenwald that, if true, would be improper or you would
consider improper?"
Dowd: "I have heard about
his...what's alleged to have taken place in his office regarding sexual
advances towards patients."
Kern: "Tell me what you
know about it?"
Dowd: "If that is true, I
would consider it very much a problem."
Kern: "Tell me what you
know about it?"
Dowd: "I don't know a whole
lot about it other than he allegedly has made sexual advances towards more
than one of his patients. That's all I know about it."
Kern: "You have no
specifics at all?"
Dowd: "No. specifics."
Kern: "You don't know if
it's true or not, right?"
Dowd: "Don't know if it's
true."
Kern: "Have you not
discussed those allegations with anybody?"
Dowd: "To repeat, unless I
have first hand knowledge of a problem, I don't talk about it, and I don't
use it to form a judgment of another person." Kern: "Have you ever been
involved in any activity designed to attempt to remove Dr. Greenwald's
license to practice dentistry?"
Dowd: "Yes, I attended a
meeting.
Kern: "What do you know
about Dr. Greenwald's use of nitrous oxide?"
Dowd: "Nothing."
Kern: "Did you ever tell
anyone that Dr. Greenwald is bad?"
Dowd: "Bad what?"
Kern: "Bad as a person or a
dentist?"
Dowd: "Not that I recall."
Kern: "Do you know of any
entity named Dentalcare?"
Dowd: "Ironically, yes."
Kern: "Ironically, is that
Dr. Greenwald's office?"
Dowd: "Yes."
Kern: "Have you ever told
anybody that that's a very, very bad
place?"
Dowd: "No."
Kern: "Did you ever tell
anybody that it is not a very good place to
go?"
Dowd: "I could have."
Kern: "Who would you have
told that to?"
Dowd: "A patient."
Kern: "Why would you have
told a patient that?"
Dowd: "To protect the
patient."
Kern: "Do you believe that
patients need protection by you from Dr. Greenwald?" Dr. Dowd's attorney,
Louis Vafiades warned him not to answer the question. Kern: "Have you ever
told anyone that Dr. Greenwald has done a lot of damage to patients?"
Dowd: "I may have."
Kern: "What damage has Dr.
Greenwald done to patients that you are aware of?"
Dowd: "I'm not sure that I
ever told anyone that."
Kern: "Do you have any
documentation that Dr. Greenwald ever sexually assaulted anyone?"
Dowd: "None."
Kern: "have you ever been
involved in instigating the Maine Dental Association to seek action against
Dr. Greenwald?"
Dowd: "I don't know."
Kern: "You don't know?"
Dowd: "I don't know."
Kern: "You may have been?"
Dr. Dowd was instructed by his attorney not to answer the question.
Kern: "Have you ever told a
patient that Dr. Greenwald has propositioned patients, molested them or
accosted them?"
Dowd: "I don't know."
Kern: "Do you have any
personal knowledge of his propositioning patients, molesting them or
accosting them?"
Dowd: "No, I don't."
Kern: "Do you have any
other information that Dr. Greenwald provided unnecessary dental care?"
Dowd: "No."
Kern: "Have you ever told
anyone that Dr. Greenwald treated somebody and they had to pay for his
treatment with food stamps?"
Dowd: "Never."
Kern: "Are you aware of any
occasion where Dr. Greenwald has overdosed a patient with nitrous oxide?"
Dowd: "No."
Kern: "Were you ever
involved in a conversation where Dr. Greenwald was accused of sexually
assaulting a dental assistant who was working for him for two days."
Dowd: "Yes."
Kern: "When was that?"
Dowd: "About six months
ago."
Kern: "Who told you that?"
Dowd: "I believe it Was my
dental assistant." "I don't know if it was my previous assistant or the one
I have now.”
Kern: "What was her name?"
Dowd: "Donna Connor."
Kern: "What's the name of
your current assistant?"
Dowd: "Patricia Jerrel."
Kern: "Did you ever have an
assistant named Judy?"
Dowd: "Yes."
Kern: "What's her last
name?"
Dowd: "Barker."
Kern: "Is she still Dowd:
"No. She left
Kern: "Did you ever
provided concerning Dowd: "No."
Kern: "Who was present when
you had this conversation concerning her or were you involved in a
conversation...?"
Dowd: "As I recall, it was
just the other person and myself, whoever the person with you. about six
months ago." ascertain whether or not that information this dental assistant
was accurate or not?"
Kern: "Do you know if there
was a patient present?"
Dowd: "No."
Kern: "You do not know or
no, there was not a patient present?"
Dowd: "As I recall, there
was not a patient present."
Kern: "Do you do any
advertising doctor?"
Dowd: "Yes, I do."
Kern: "What kind of
advertising?"
Dowd: "Satisfied patients."
Mrs. Greenwald telephoned
Ms. Judy Barker and discussed the "assistant allegation" with her. Ms.
Barker denied making the statement. Ms. Barker did confirm that Dr. Dowd
made derogatory statements to any patient willing to listen, and to every
patient who had been seen by Dr. Greenwald.
Louis Vafiades, attorney,
represented four of the five dentists in the 1983 Civil Rights suit Dr.
Greenwald filed against them. Mr. Vafiades' office was also used by the
Maine Dental Association's attorneys for the purpose of interviewing all
three women involved in the sexual complaints conducted in 1980. His office
also represented Debra Wallace's psychiatrist, arguing that her psychiatric
records not be turned over as evidence for the defense. Dr. Deighan's son
in-law was a member of the firm representing the psychiatrist, Dr. Laurence
Salveson.
Dr. William Deighan was
visited by a patient carrying a small tape recorder on December 28, 1981:
Dr. Deighan told a patient
the following: "Well, it's unfortunate Dentalcare is...ayuh, that fellow,
Dr. Greenwald, we're trying awfully hard to get his license away, that's all
I'm gonna say about it." This conversation was similarly recorded.
Dr. Deighan was deposed on
May 3, 1983 by Steven Kern:
Kern:
"Have you ever told anybody that you were trying to take Dr. Greenwald's
license away?"
Deighan: "No."
Kern:
"Did you ever tell anybody that you were participating in trying to take Dr.
Greenwald's license away?"
Deighan: "I'm sure I have
mentioned it to other dentists."
Kern:
"Other than dentists?"
Deighan: "Not as far as I
recall."
Dr. Deighan was responsible
for filing 5 of the complaints with the Board of Dental Examiners. On
February 29, 1980 in a letter to Dr. Crites, Secretary of the Board of
Dental Examiners, he wrote with regard to Dr. Greenwald: "If there is
anything that can be done to revoke his license, we would all be very
appreciative."
With regard to the
complaint of Susan More:
Filed with the SECOND
AMENDED Complaint of 8/23/82
The complaint charged Dr.
Greenwald with "Inducing Mrs. More to undergo relatively expensive root
canal therapy rather than having the tooth extracted, without proper basis
and without disclosing to Ms. More the potential risks and adverse
consequences of such therapy."
Dr. Greenwald explained to
Mrs. More the percentage of success with root canal treatment. That's all he
could do other than telling the patient to call him if she had any
difficulties. The complaint continued to say "Dr. Greenwald prescribed a
pain killer for Mrs. More, which made her sick." Again it's impossible to
know how a patient will respond to medication unless the patient states that
she is allergic to that particular medication. The final part of the
complaint stated, "Mrs. More was required to obtain the services of another
dentist to complete the root canal therapy at additional expense."
The complaint came in the
form of a letter to Dr. Gary Fessler from Susan More dated July 22, 1980.
The complaint was filed more than two years after Mrs. More's letter to Dr.
Fessler. The attorneys general knew of the More complaint before March 1981,
when Marvin Ellis, investigator for the attorney general, interviewed Susan
More and Dr. Gary Fessler. Yet no action was taken and the complaint was not
included in the AMENDED Complaint of July 7, 1981. The Board of Dental
Examiners was made aware of the complaint in a letter dated August 13, 1980.
Steven Kern, counsel for Dr. Greenwald, deposed Dr. Gary Fessler in October
1981. However, since the More complaint was not included at that time, Dr.
Fessler was not questioned with regard to Susan More and his records for her
treatment were not subpoenaed.
Mrs. More wrote the letter
of July 22, 1980 at the request of Dr. Fessler. Dr. Fessler then forwarded
the letter to the Board of Dental Examiners.
On April 12, 1982, Mrs.
Greenwald visited Mrs. More at her home and interviewed her with regard to
her complaint. A small tape recorder was used for accuracy.
Mrs. More stated her chief
complaint was that she wanted the tooth extracted and she felt Dr. Greenwald
would not extract it. Finances were a key factor. On the date of the
interview, April 12, 1982, Mrs. More still had the tooth, almost two years
later. She stated she had gone to "Dr. Fessler who was going to complete the
root canal therapy, but after the second or third visit, with the
complication...he put a filling in it, and he said you decide what you want
to do... but it broke off and I haven't been back." The treatment was never
completed and Mrs. More went to Dr. Daniel McCarthy, an oral surgeon, who
extracted the tooth in May 1982. She stated Dr. Fessler asked her to write a
letter of complaint against Dr. Greenwald.
Were the attorneys general
not aware that Dr. Fessler was unsuccessful in his attempt to complete Mrs.
More's treatment? If Dr. Greenwald "induced Mrs. More to incur relatively
expensive root canal therapy rather than have the tooth extracted" as the
Complaint states, and Mrs. More wanted the tooth out, did Dr. Fessler also
"induce" Mrs. More to continue with root canal therapy at additional
expense?"
On January 12, 1983 the
attorneys general filed their REVISED SECOND AMENDED Complaint which again
included Susan More. The Complaint now included incompetent record keeping.
Maine has no laws requiring that adequate records be kept. Once again, the
Complaint was inaccurate.
Mrs. More wrote her letter
of complaint to Dr. Fessler on July 22, 1980. When deposed by Steve Kern on
May 3, 1983, she could not remember much at all and answered "I can't
recall" to the majority of questions asked.
With regard to the
complaint involving Elaine Prudhomme:
The Supplemental Complaint
of Elaine Prudhomme was brought by the attorneys general as an emergency
complaint requiring an emergency hearing for the "Safety and Welfare of the
Public of Maine." In the initial hearing, with no witnesses for the defense,
(Dr. Greenwald was not present, Mrs. Greenwald was). Steven Kern argued the
case before Judge Cleaves as the plaintiff produced unannounced expert
witnesses. The hearing lasted six hours. Dr. Greenwald's license was
suspended until a full hearing could be scheduled.
The attorneys general
proposed a hearing be scheduled in one month with the knowledge that Dr.
Greenwald's business could not survive being closed down for one month.
Steven Kern pushed for one week. A full hearing was scheduled in one week on
November 22, 1982 in Portland, Maine. The trial before Judge Dana Cleaves
lasted nine and one half hours with expert witnesses testifying for both
sides. The cost of the trial to Dr. Greenwald, which included loss of
business (since the office remained closed for a week), and legal fees, was
approximately $15,000.
The State claimed Dr.
Greenwald acted negligently in not prescribing antibiotics for his patient,
Elaine Prudhomme. Dr. Jeffrey Fister and Dr. William Deighan saw Mrs.
Prudhomme after Dr. Greenwald treated her. Dr. Fister admitted Mrs.
Prudhomme to the hospital and ordered intravenous antibiotics.
Thirteen head and chest
x-rays were also taken of the patient at Dr. Fister's request. Testifying on
behalf of Dr. Greenwald, was Dr. Richard Rose, a physician and researcher,
Harvard Medical School graduate and one of the five leading experts in the
country on infectious diseases. He stated in the case of Mrs. Prudhomme that
antibiotics were contraindicated, as were the thirteen x-rays taken. He
agreed with Dr. Greenwald's determination that the patient only need be
monitored for several days, following treatment.
Judge Cleaves of the
Administrative Court, found in favor of Dr. Greenwald and his license was
restored. The attorneys general had requested the court grant them court
costs should they prevail. They did not prevail. However, Dr. Greenwald was
not compensated for his losses. The attorneys general had an opportunity to
appeal within ten days. They did not. They then filed a motion with the
court to include the treatment of Elaine Prudhomme in their REVISED SECOND
AMENDED Complaint. Steven Kern filed a motion with the court to exclude the
issue and the care of Elaine Prudhomme from the pleadings and from
consideration at trial. The motion was filed 3/15/83.
Steven Kern wrote in his
motion to the court: "In the instant situation, Dr. Greenwald's license has
already been at jeopardy as a result of the charges relating to the
treatment and care of Elaine Prudhomme. Indeed Dr. Greenwald has already
suffered through a short suspension of his license as well as the trauma and
expense of defending himself against the baseless charges that Dr. Greenwald
cared improperly for Mrs. Prudhomme. The State has had the opportunity to
bring Dr. Greenwald to trial, has introduced expert testimony, and has, in
all respects, fully tried this matter before the court. Now that the State's
case has been disproved, through great expenditures of time and effort by
Dr. Greenwald, the State now seeks an additional bite at the apple. Under
the law and all notions of due process and fundamental fairness, this cannot
be permitted."
The attorneys general
considered the Prudhomme complaint the most serious charge they had against
Dr. Greenwald. They also considered it their best shot at revoking his
license. After all, a woman was hospitalized. "For the Safety and Welfare of
the Public of Maine."
They lost. But it only made
them more determined to win.
Soon after the trial, Dr.
Greenwald's attorney, Steven Kern, received a phone call from Dr. Richard
Rose, defendant's expert witness in the Prudhomme case. Dr. Rose stated he
received a call from Deputy Attorney General, Rufus Brown. Brown asked Dr.
Rose if he would at some time in the future be a witness for the State of
Maine on other matters. Dr. Rose declined. He rarely testified as an expert
witness unless the case involved child abuse, or was a matter about which he
felt strongly. (Abuse of antibiotics) Mr. Brown then told Dr. Rose "He had
been on the wrong side and that Aaron Greenwald was bad news." Dr. Rose was
appalled by the comments made by Rufus Brown. The telephone call and
comments, by a deputy attorney general, were not only appalling, but totally
inappropriate and unethical.
The abuse of antibiotics is
becoming a national health crisis. Antibiotics are a multi billion dollar
industry and doctors are encouraged to prescribe for that reason. Bacterial
resistance to antibiotics is a direct overgrowth of the overuse of those
drugs. Dr. Greenwald knew that. Perhaps Dr. Fister did not. Mrs. Prudhomme
got a bill for $1400 from the hospital, which she couldn't pay, in addition
to going through unnecessary treatment. Dr. Greenwald suspects, Dr. Deighan
and Dr. Fister put Mrs. Prudhomme in the hospital as a means of using her as
bait to get the attorneys general to call their emergency hearing and close
Dentalcare down... for the "Safety and Welfare of the People of Maine."
GREENWALD - EVIDENCE 3
With regard to the
complaint of Richard Card:
On January 4, 1983, the
attorneys general wrote to Dr. Greenwald's Bangor attorney, Robert Treworgy,
requesting Dr. Greenwald's records of Richard Card. Steven Kern, Dr.
Greenwald's out of state attorney, filed a motion in Administrative Court in
response to this request, to quash and or invalidate demand for records of
Dr. Greenwald with regard to Richard Card. He wrote: "This demand for the
records of Richard Card, a patient who is not part of the proceeding before
the Administrative Court is part of a calculated and planned harassment
campaign on the part of the Board of Dental Examiners and the attorney
general acting on the Board's behalf. This campaign is a matter which is
currently the subject of pending federal litigation. And continued
harassment while litigation is pending is evidence of bad faith. Support for
the claim that the Board and its attorney are engaged in a harassment
campaign is shown by the series of Complaints, Revised Complaint, Amended
Complaint, Supplemental Complaint, Second Amended Complaint and later
Revised Second Amended Complaint. This continuing series of demands and new
charges results from an attempt to harass, intimidate and inconvenience Dr.
Greenwald. The demands of assistant attorney general, by way of letter, are
not lawfully issued and should, therefore be invalidated and or quashed."
The federal litigation to
which Mr. Kern alluded, was a 15 million dollar civil rights lawsuit filed
on behalf of Dr. Greenwald in September 1982, against all members of the
Board of Dental Examiners, five Bangor dentists; Drs Deighan, Dowd,
Woodbrey, Ramsberger, Talley, an attorney for the Maine Dental Association;
Malcolm Lyons and the attorney general himself; James Tierney.
On April 14, 1983, the
attorneys general filed the Richard Card complaint in Administrative Court.
As in all the other pending
cases, Dr. Greenwald was never contacted by the Board to answer to the
complaint of Richard Card. The Board later stated they had written to Dr.
Greenwald, "sometime in March 1983, requesting copies of his records." All
previous correspondence Dr Greenwald received from the Board (two letters
which had nothing to do with any complaints) were sent certified mail return
receipt. The Board did not remember the date of their letter, nor can they
produce a copy or a certified receipt because it does not exist. However,
the attorneys general, on behalf of the Board, allowed the Board to file a
complaint charging Dr. Greenwald with failure to respond to the Board's
request for an explanation of his treatment of Mr. Card. They claim that his
failure constitutes unprofessional conduct for which the Administrative
Court may revoke or suspend his license.
Ironically, the Board could
bring sanctions against Dr. Greenwald for not responding to their requests
for an explanation of his treatment of a patient, yet, they filed complaints
against him, without requesting his records his explanation of his treatment
of a patient.
The deposition of Dr.
William Deighan, Jr., took place on May 2, 1983. Dr. Deighan's testimony
with regard to the treatment of diabetics; upon which the State's case
involving Mr. Card was based, literally wiped out the State's case. With
this knowledge the attorneys general made no effort to rectify their
wrongdoing.
NOTE: Mr. and Mrs. Card had
filed a malpractice suit against Dr. Greenwald for a large sum of money. Mr.
Card stopped payment on the (credit card) $320 with which he had paid Dr.
Greenwald for treatment. Dr. Greenwald filed a small claims action against
Mr. Card for the $320. The malpractice case was settled in this way: Mr.
Card dropped his malpractice suit against Dr. Greenwald. Dr. Greenwald then
dropped his small claims action against Mr. Card.
What does that say about
the validity of the State's complaint?
The Complaint involving Debbie Walker is an insult to anyone's intelligence:
Filed with the SECOND AMENDED Complaint of 8/23/82
"In or around May of 1980,
Mrs. Debbie Walker made an appointment with defendant to have her daughter's
tooth extracted. Mrs. Walker requested that her daughter be put to sleep
(general anesthesia) for the extraction. Defendant's employee represented to
Mrs. Walker that her daughter would be put to sleep.
"In fact, defendant and his
office did not have the ability and/ or capacity to administer general
anesthesia to Mrs. Walker's daughter, as Mrs. Walker later discovered. Mrs.
Walker was required to seek dental treatment for her daughter from another
dentist."
Dr. William Deighan wrote a
letter to the Board of Dental Examiners with regard to Mrs.Walker. He wrote:
"I feel that if Dr.
Greenwald is putting patients to sleep with his little knowledge of
anesthesia, that this could be very dangerous, as he could actually KILL a
patient through his incompetence. I feel that something should be done to
put him out of practice. I hope that appropriate action will be taken." (May
5, 1980)
On May 5, 1980 Mrs Debbie
Walker signed a letter addressed to Dr. Gary Fessler, who at that time was
president of the Penobscot Valley Dental Society. The letter was typed by
Dr. Ramsberger's secretary (Dr. Ramsberger was Fessler's associate) on his
business letterhead, as the patient waited. The letter read:
"This letter is a complaint
against the Bangor Dental Center on Union Street in Bangor. After speaking
with Dr. Ramsberger this morning
I decided to voice my
opinion. (skipping ahead)
"I made a call to Dr.
Deighan, I found that there was no one qualified to put Dena to sleep at the
center. I cancelled the appointment Monday morning.
"What this amounts to is, I
would have taken my child to a dentist, thinking there would have been no
pain for her. In that one visit she, being a child, could easily have lost
her trust in me and a dentist, probably all dentists."
On May 20, 1980 Dr. Charles
Ramsberger wrote the following letter to the Board of Dental Examiners:
"I am writing in reference
to Dr. Aaron Greenwald.
"A new patient in our office related an incident of how Dr.
Greenwald was planning to
put her nine year old to sleep for an extraction. (skipping ahead)
"She discovered Dr.
Greenwald did not have any way to give the child general anesthesia, but
instead had only nitrous oxide for conscious sedation.
"This woman was lied to
about general anesthesia, not given any prior sedation instructions on food
and drink, and generally mismanaged. Can anything be done to prevent this
type of deception from happening, as well as the misuse of nitrous oxide?"
Neither the Board of Dental
Examiners nor the attorneys general made any effort to interview Dr.
Greenwald or his staff with regard to this complaint. They could have phoned
the office and asked about general anesthesia without identifying
themselves. They could have sent someone into the office to inquire. But
they did nothing. However, they did sent their investigator, Marvin Ellis,
to interview Mrs. Walker and the other dentists involved. Mr. Ellis wrote in
his report:
(Skipping ahead)
"The purpose of the visit was to have a first tooth extracted because it was
being pushed by a second tooth.
"Walker talked by telephone to a woman who answered Greenwald's telephone.
(Skipping ahead)
"Walker took her daughter to Ramsberger for further treatment because of
having prior treatment by him.
"Walker had no contact or conversation with Greenwald himself."
Mrs. Greenwald visited Mrs.
Walker at her home in Silver's Trailer Park in Bangor. Mrs. Walker opened
the door and when Mrs. Greenwald introduced herself, she became extremely
nervous. The only information Mrs. Greenwald got before the door was slammed
in her face was the time of day Mrs. Walker called the office to make the
appointment. According to the time mentioned, and the office appointment
book, Mrs. Walker must have spoken to Jeanette Watson, the office manager.
Jeanette had worked for Dr. Greenwald for over 5 years and there was
absolutely no way that Mrs. Walker would have been told her child would
receive general anesthesia.
Therefore, Mrs. Walker was
either confused or was enduced by the dentists involved in the conspiracy
against Dr. Greenwald and his Bangor Dentalcare.
The attorneys general knew
of the Walker complaint before March 1981. At that time it was rejected, and
did not appear in their AMENDED Complaint of July 7, 1981. The Walker
complaint was omitted from the RREVISED SECOND AMENDED Complaint by Judge
Cleaves.
Dr. Charles Ramsberger, was
responsible for the following complaints: Debra Wallace (sexual), Barbara
DeGolyer (sexual), Sherry Bell and Debbie Walker (professional
incompetence). Dr Ramsberger had the following conversation with a supposed
new patient, Eric Petersen, in his office. Eric was the husband of Bangor
Dentalcare assistant office manager, Linda Petersen and had volunteered for
the assignment. The "patient" was carrying a small concealed tape recorder:
Ramsberger: "He's (Dr.
Greenwald) claiming he's putting people to sleep over there. He has no
education to put them to sleep. He's using nitrous oxide. He's claiming all
sorts of things that aren't true..I've seen patients..."
Eric:
"Nitrous oxide. That's laughing gas."
Ramsberger: "Yeah, laughing
gas, I'm not certain..."
Eric:
"That doesn't put you to sleep."
Ramsberger: "No, it doesn't
put you to sleep. It would kill you if it put you to sleep.
Eric: "Ooh!"
Ramsberger: "In
concentrations that are properly used, it's a good analgesic to help you
relax."
Eric:
"I've never used that. All I do is go for Novocain."
Ramsberger: "Well, I had a
patient come in and say he's going to put her little girl to sleep and take
a tooth out. And she called the hospital and they said you'd better talk to
a dental surgeon (Deighan). He's not qualified to put anyone to sleep. He
doesn't have the material to do it. Lying to the patient on the phone. So
she came in here. She complained to me."
NOTE: Dr. Ramsberger never
used general anesthesia either. However, Marvin Ellis, Maine State
investigator, stated in the report of his interview with Mrs. Walker,
"Walker took her daughter to Ramsberger for further treatment because of
having had prior treatment by him."
As an example of how
vindictive the dentists were, and how they were conspiring against Dr.
Greenwald, I give you the words of Dr. Shaun Dowd (responsible for the Lisa
Burgess complaint) to a supposed new male patient, (Bob Barardi) in his
office, ostensibly for treatment, who was carrying a concealed tape
recorder:
Dowd: "And he has a
real potential for hurting people over there."
Bob:
"Because of the way he does things or..."
Dowd: "As an example,
nitrous oxide is a gas you inhale. It gives you a high, a cheap drunk is
what it is, so you don't really care what happens, you know.
Bob: "Right."
Dowd: "And that's the
way it should be worked, but, he puts people to sleep with it. You're not
supposed to put people to sleep with that! That's an overdose! That's too
much! He doesn't know any better and he doesn't care. And on another
occasion, with a supposed new female patient (Donna Cole) in his office, who
was also carrying a concealed tape recorder:
Dowd: "He uses
nitrous oxide which is a gas, you know, do you use that?"
Donna: "No. That's laughing
gas, you mean, no."
Dowd: "Yeah, well
it's perfectly safe okay, only, if the person using it knows what he's
doing. But what he does...he's putting people to sleep with it, which is an
overdose."
Donna: "Oh, you can do that
with nitrous oxide?"
Dowd: "Ah ha! You
can't! It's dangerous to do that. It then becomes a general anesthetic, and
you know you're supposed to have an optimum mixture of oxygen and the
nitrous oxide. Patient always stays awake and alert. As a matter of fact,
you're supposed to talk to the patient..."
Donna: "To make sure
they're still intact there?"
Dowd: "Yeah. Make
sure...but he was putting kids to sleep with it. And he can really hurt
people."
Donna: And these things
have been documented?"
Dowd: "Documented!
Documented!
Donna: "Cooh."
Dr. Greenwald's office,
Dentalcare, received a fair number of calls from individuals who wanted
general anesthesia. All employees were told when they were hired and
trained, to refer these individuals to oral surgeons Dr. Daniel McCarthy, or
(if they chose) to Dr. Deighan. Mrs. Greenwald kept a list of all patients
referred to an oral surgeon in 1980. They numbered more than 200 people. The
list remains in her possession. Patients were also referred to Dr. John
Mabee, periodontist. Individuals who required surgery were referred to Dr.
Daniel McCarthy; oral surgeon.
On May 4, 1983 Dr. Shaun
Dowd was deposed by Steven Kern, counsel for Dr. Greenwald:
Kern: "What do you know
about Dr. Greenwald's use of Nitrous oxide?"
Dowd: "Nothing."
Kern: "Do you know of any
occasion when Dr. Greenwald ever overdosed a patient with nitrous oxide?"
Dowd; "Have I what?"
Kern: "Are you aware of any
occasion where Dr. Greenwald has overdosed a patient with nitrous oxide?"
Dowd: "No."
Kern: "Have you ever been
involved in any activity designed to attempt to remove Dr. Greenwald's
license to practice dentistry?"
Dowd: "Yes, I attended a
meeting."
The complaint involving
Florence Thompson was included in the SECOND AMENDED Complaint of August 23,
1982:
The complaint read:
"In or around May of 1981,
Florence Thompson visited defendant for treatment and fitting of full upper
and partial lower dentures. Mrs. Thompson paid defendant approximately $300
for these services. In preparing Mrs. Thompson's lower jaw for the partial
denture defendant and or other persons under his control, failed to remove
two tori (bone growths) obstructing the proper fitting of the denture. In
addition the lower denture was improperly fashioned such that its line of
occlusion was not level across the lower front teeth. The dentures fashioned
by defendant or those under his control are not functional, and Mrs.
Thompson was required to have new ones made by another dentist, at
additional expense."
The complaint was filed
with the attorneys general, by Dr. William Deighan in a letter dated
November 19, 1981, addressed to Assistant Attorney General Michael Richards,
without the knowledge or consent of the patient. The attorneys general made
no effort to interview Mrs. Thompson or Dr. Greenwald or Dr. Don Dennison, a
dentist employed by Dr. Greenwald who participated in the treatment of Mrs.
Thompson. Their complaint was based solely on the letter of Dr. William
Deighan. Dr. Greenwald made a full upper denture for Mrs. Thompson. She had
four remaining teeth in the lower jaw. The condition of the lower teeth
justified retaining them and building a lower denture around them. This
would provide better retention. Relief was made for the tori mandibularis
present. What was taken into account was not only the condition of the
teeth, but the age and medical history of the patient. Mrs. Thompson was 84
years old with a history of heart problems, a diabetic, with arthritis and
respiratory disease. She was on a special diet, had high blood pressure and
was lame. Dr. Greenwald felt the four lower front teeth could be retained
over a long enough period of time to justify their retention. Mrs. Thompson
had insufficient ridge to hold the denture in place without those four front
teeth.
NOTE: In an article from a
text by Dr. Samuel Charles Miller, late noted periodontist and former
chairman of the Department of Periodontology, New York University School of
Dentistry, Dr. Miller wrote: "A denture may be fabricated for a patient
without removing the toris mandibularis. The toris mandibularis should,
where necessary, be carefully relieved and the border of the lingual flange
of the lower denture should never terminate upon the toris mandibularis, but
should always extend way below it to contact the soft tissues of the floor
of the mouth."
Dr. Deighan had not
explained to Mrs. Thompson that it was possible for her to wear a denture
without removing the toris mandibularis. He also did not explain to her that
with little ridge in the lower part of her mouth the possibility of good
retention was unlikely. Why should he? Dr Deighan was a tooth puller and
tissue exciser not a tooth and tissue saver. Building the lower denture
around those teeth would give her added retention. Dr. Greenwald felt it
unnecessary for Mrs. Thompson, at her age and with her medical history, to
go through any unnecessary surgical procedures.
On April 7, 1982, Mrs.
Greenwald visited Mrs. Thompson in her home. The conversation was recorded
with a small tape recorder for accuracy.
Mrs. Thompson's grandson
was present during the conversation. Mrs. Thompson was a little deaf but
managed the conversation without problem. Mrs. Thompson went to Dr. Deighan
because he was just down the road from her home. Mrs. Thompson stated Dr.
Deighan told her "He
(Greenwald) was not fit to
make dentures and he would lose his license and I would have my money
refunded. Dr. Deighan said he was not fit to make dentures, and! said, well,
I don't want any complaints so he'd lose his license. I'd just like to have
my money refunded." Mrs. Greenwald asked. "Did you ask Dr. Deighan to
complain for you?" Mrs. Thompson replied: "No, he did it hiself. Dr. Deighan
said he's not fit to make dentures." Mrs. Greenwald asked about the four
front teeth which Dr. Deighan extracted. Mrs. Thompson stated "There was a
little cavity in that one (pointing) in the top. They didn't ache." The
whole lower part of her mouth hurt because she needed an adjustment of the
denture. Mrs. Greenwald suspected at the time that Dr. Deighan may have
extracted the four front teeth unnecessarily, but she didn't say this to
Mrs. Thompson.
Dr. Greenwald did not
believe Mrs. Thompson's four lower front teeth had to be extracted. He
believed Dr. Deighan extracted those teeth solely for the purpose of
discrediting him in the eyes of the patient, and, so he could write his
complaint to the Attorney General. Mrs. Thompson also told Mrs. Greenwald
that Dr. Deighan wanted to remove her bone growths. But she wasn't up to it.
Ethically, Dr. Deighan
should have, in the interest of the patient, encouraged Mrs. Thompson to go
back to Dr. Greenwald and have him adjust the dentures, or give her her
money back. However, what he did tell her was not to go back and to go to
another dentist to have another denture made. Of course after removing the
four lower front teeth he had rendered the lower denture useless to her.
After the extractions, Mrs. Thompson told Mrs. Greenwald, her blood pressure
went up over 200 and she fell down in her home and hurt herself. She was
then placed under the care of a physician for several months. And still she
had no teeth. Mrs. Thompson never had "new dentures made, at additional
expense" as the State claimed in their complaint. But then, they never
bothered to interview her, so how would they know.
Mrs. Greenwald returned to
visit Mrs. Thompson twice after the first visit, and finally convinced her
to return to the office where Dr. Greenwald would adjust the upper denture
and remake the lower denture because of the extractions, at no charge, and
if Mrs. Thompson was not completely satisfied with the results, then she
would get a complete refund of all she had paid. Dr. Greenwald wrote a
letter stating those terms which Mrs. Greenwald delivered to Mrs. Thompson.
Mrs. Greenwald also offered to drive Mrs. Thompson, at her convenience, to
and from the office for each appointment. Mrs. Thompson agreed to return
when the weather improved, and when she felt better.
Dr. William Deighan was
deposed by Steven Kern on May 2, 1983, with regard to Florence Thompson:
Kern: "Do
you have x-rays for this patient?"
Deighan: "She had four
lower anterior teeth out. I do have an x-ray."
Kern: "Of
the four lower anterior teeth?"
Deighan "Yes."
Kern:
"May I see it, please?"
Deighan: "You can see the
tori (bone growth) on it too. Usually you can't always, but that is not
diagnostic."
Kern:
"Would you give me your diagnosis of those-four teeth?"
Deighan: "Just a moment
please, the film has become somewhat dark. I would have to have a stronger
light, but I think..."
Kern:
"You can't render an opinion of the diagnosis of those teeth?"
Deighan: "Not at this
time."
Kern: "Do
you have any records indicating your diagnosis of the teeth?"
Deighan: "No."
Kern: "Do
you have any record of your prognosis of the teeth?"
Deighan: "No."
Kern: "Is
there any comment on your record about the quality of those four teeth?"
Deighan: "No."
Kern: "Do
you have any recollection of the quality of those four teeth?"
Deighan: "Patient came in
and had them removed. Obviously...! won't say obviously, but she was, as I
understood, having difficulty with them, but I don't have it in the record
here."
Kern:
"You have nothing in the record indicating that the patient complained of
difficulty with those four front teeth?"
Deighan: "No."
Kern:
"You have no diagnosis set forth in your record concerning those four
teeth?"
Deighan: "No."
Kern:
"And no prognosis either, correct?"
Deighan: "No."
Kern:
"There is no need to document the patient's complaint with regard to those
four teeth?"
Deighan: "Usually that's
put down, but in this instance, it was not."
Kern:
"Why not?"
Deighan: "1 don't recall."
Dr. Deighan's slanderous
remarks to Mrs. Thompson prevented her from returning to Dr. Greenwald for
an adjustment or to ask for her money back, or to have the denture remade at
no additional cost to her. It was totally unethical for Dr. Deighan to say
what he did which resulted in Mrs Thompson not doing anything. Mrs.
Greenwald was outraged at Dr. Deighan's abuse of an elderly, gentle, kind,
and lovely lady.
Mrs. Greenwald tried on
several occasions to reach Mrs. Thompson by phone; (the phone was equipped
with an amplifier), and also by stopping by her home, without success.
Either she wasn't home, perhaps in the hospital, or staying elsewhere due to
illness.
When the REVISED SECOND
AMENDED Complaint was filed on January 12, 1983, in Administrative Court,
Mrs. Thompson was stricken, per order of Judge Cleaves.
SUMMARY
The attorneys general filed
their ORIGINAL COMPLAINT in Admistrative Court on February 13, 1981. The
AMENDED COMPLAINT in July 1981.
Depositions were conducted
by Steven Kern, counsel for Dr. Greenwald on October 5th and 6th, 1981. Nine
months following the depositions the attorneys general filed a proposed
Second Amended Complaint which included nine new allegations of
incompetence. Of the nine, five were known to the attorneys general prior to
the date the Original Complaint was filed in February 1981. Yet these
complaints were rejected and neither appeared in the Original or the Amended
Complaint of July 7, 1981. Now in August 1982, these previously rejected
complaints arise. The Second Amended Complaint is then Revised in January
1983. The Complaint is now completely changed. The "Key" witness involved in
the sex charges, Debra Wallace, now represents a major alteration. The
Original and Amended Complaint set forth specific allegations (22 points)
whereas the Revised Complaint is vague: "In the Course of two visits for
dental treatment during October and November 1976, defendant intimated to
Debra Wallace, a patient, that he would accept sexual favors as payment for
services, and unnecessarily touched Ms. Wallace's private parts without her
consent."
(1 point) The same occurred
with the second woman, Jennifer Watson (although the patient had testified
to the contrary) "In the course of one treatment in November 1977, defendant
intimated to Jennifer Watson, a patient, that he would accept sexual favors
for payment for dental services." The third woman, Barbara DeGolyer, who did
not appear for deposition, was stricken by Judge Dana Cleaves after she
successfully avoided being subpoenaed for deposition on numerous occasions.
The revisions of the incompetence charges were necessary because the
attorneys general made no effort to verify the complaints with the patients
involved or interview Dr. Greenwald, or his staff. Therefore much of what
they alleged was incorrect. Two Complaints were stricken by Judge Cleaves:
Evans and Thompson. In the only case which did go to trial, that of Elaine
Prudhomme, after nine and one half hours of testimony, Judge Cleaves found
in favor of Dr. Greenwald. The attorney general, as legal counsel for the
Board of Dental Examiners, should have demanded that the Board follow their
own rules of procedure in the handling of complaints: "Once a complaint is
received by the Board, they must contact the dentist involved and ask for
written response. They may then ask the dentist to appear before them with
his patient records and answer to the charges. At this time the Board has an
opportunity to review his records and make a decision before turning the
complaint over to the Attorneys General." This procedure was disregarded in
the case of Dr. Greenwald and the complaints were filed in Administrative
Court without Dr. Greenwald's knowledge and without giving him the
opportunity to dispute or answer the charges.
Added to the charges listed
in the Revised Amended Complaint, were charges of incompetent record keeping
and unskillful practice. These charges were applied to all complaints going
back to the Original Complaint of February 13, 1981; two years prior. The
Board of Dental Examiners and the attorneys general had Dr. Greenwald's
records for those patients named in the Original Complaint and Amended
Complaint before the Amended Complaint was filed July 7, 1981. At that time
they did not find him incompetent in the area of record keeping or
unskillful practice. The attorneys general also had in their possession, Dr.
Greenwald's records of those patients named in the Second Amended Complaint
before the Complaint was filed in Administrative Court.
Dr. Greenwald was charged
with holding himself out as a specialist in endodontics (root canal
therapy). Enclosed is a copy of the last registration card Dr. Greenwald
filled out when he re-registered with the Board of Dental Examiners in 1979.
(Re-registration was required every 4 years) The card reads: "Specialty OR
Limited practice?" Board Eligible: Yes OR No?" Dr. Greenwald indicated
"Limited practice" and answered "No" for Board Eligible." The very fact that
those questions are asked indicates a general dentist may "Limit his
practice." Dr. Bruce Woolett, a general dentist in Portland, "limited" his
practice to endodontics for years. Dr. Woolett took in two associates, who,
at a later date became board certified or board eligible endodontists.
However, Dr. Woolett was never board certified or board eligible but
continued to limit his practice. The name of Dr. Woolett's practice is
ENDODONTIC ASSOCIATES. He also has branch offices in Augusta, Biddeford and
Lewiston, Maine. Some Bangor dentists referred patients to Dr. Woolett, as
they had to Dr. Greenwald until he opened Dentalcare. The Board of Dental
Examiners had knowledge of Dr. Woollett's practice, but never charged him
with "holding himself out as a specialist."
Dr. Greenwald's attorney,
Steven Kern, proposed to the attorneys general, as counsel for the Board
that the entire matter be sent to an impartial expert witness, selected by
both parties, who would review all the complaints and render a decision. The
decision rendered, after reviewing all the complaints, would be upheld by
both sides. Dr. Greenwald was willing. However, the attorneys general and
the Board rejected the proposal. They had their own hired gun, whom they had
used in the past with success, Dr. William Dowden, Assistant Professor of
Endodontics, University of Connecticut. A man who was also very interested
in writing a book with Judge Dana Cleaves, (Discussed in a letter from
Dowden to Judge Cleaves. A copy of this letter is in Mrs. Greenwald's
possession) about cases in which they were, and are now, involved.
The attorneys general
brought sanctions against Dr. Greenwald alleging that he did not provide
them with patient records which they had requested for evaluation. At that
time they had everything in their possession. What they did not have did not
exist. Much to do was made about "having all the records" in their
possession for use as evidence. However, when the attorney general accused
Dr. Greenwald of treating Charlotte Oliver and Dennis Mott in 1984, when his
license was suspended, they did not produce in court, as evidence, the
records of Oliver or Mott. Dennis Mott, who, with Charlotte Oliver, were
both patients of Bangor Dentalcare, were seen by the same hygienist; Kelley
Emory. And the same dentist; Robert Kassa. Investigator for the attorney
general, Robert McCarthy, showed up at the office one day, unexpectedly, and
requested to see the treatment records of those two patients. Mrs. Greenwald
complied, and as Investigator McCarthy watched, retrieved them from the
patient files and showed them to him. He acknowledged, that Kelley Emory,
hygienist, saw Mott and Oliver first, took a panoramic x-ray and cleaned
their teeth. Then Dr. Robert Kassa examined them both. Dr. Kassa's
signature, verifying that he treated them was on both records. The records
were never provided as evidence, neither was Kelley Emory or Dr. Kassa
brought in to testify. For some reason, Dennis Mott never appeared, either.
But, Charlotte Oliver, when showed one photograph; that of Dr. Greenwald, by
Investigator McCarthy, several months later, identified him as the dentist
who examined her mouth. That was the State's entire case. One woman.
McCarthy was not called as a witness. But there was no doubt he knew without
a doubt that Dr. Greenwald never treated those patients. But, he kept his
mouth shut. Mrs. Greenwald wrote to the attorney general's office requesting
copies of the Oliver and Mott treatment records then in the possession of
Dr. Kassa. Assistant Attorney General Mary Jean Crouter wrote to Dr. Kassa,
enclosing a copy of Mrs. Greenwald's request. She also wrote: "Enclosed is a
copy of my letter to Dr. Robert Kassa. As you will note, I advised Dr. Kassa
that, absent an ongoing investigation or enforcement proceeding, this office
cannot compel the release of dental records. I regret I am unable to assist
you."
The treatment records of
Charlotte Oliver and Dennis Mott remain in the possession of Dr. Robert
Kassa. Dr. Kassa took over the practice and office of Dr. Greenwald. All
equipment, supplies, furnishings, patient records and personal effects
(estimated value $350,000) he has converted to his personal use without any
remuneration to Dr. Greenwald. He refuses to release the records of Oliver
and Mott because he acquired, at Dr. Greenwald's misfortune, a profitable
business, complete inventory with two in-house laboratories completely
stocked with supplies, for absolutely nothing. In a letter dated October 30,
1986, Mrs. Greenwald also requested from Assistant Attorney General Crouter,
copies of an interview report by investigator, Robert McCarthy of Dr. Marius
Templer, an employee of Dr. Greenwald. Mrs. Crouter stated in a letter dated
November 25, 1986:
"I understand Detective
McCarthy did NOT receive copies of Charlotte Oliver's or Dennis Mott's
dental records. With regard to your request for a copy of Detective
McCarthy's investigation report of his interview with Dr. Marius Templer,
pursuant to 5 M.R.S.A. S200D, such investigative records are confidential
and may not be disclosed." Mrs. Greenwald personally made copies of the
Oliver and Mott records and personally handed them to Detective McCarthy.
In the interview conducted
by Detective McCarthy of Dr. Marius Templer with regard to the allegations
that Dr. Greenwald, while under suspension, treated a patient, Ida Streams,
Dr. Templer stated Dr. Greenwald in no way provided treatment to Ida
Streams. Dr. Templer stated he was the treating dentist. The attorneys
general ignored Dr. Templer's statement and charged Dr. Greenwald with
treating this patient.
The attorneys general
realized after the initial set of depositions of October 5th and 6th 1981
that their case had, "gone down the toilet." The words of Greenwald's
attorney, Steve Kern. Discovery exposed the ORIGINAL Complaint for the sham
that it was and sought to oppress Dr. Greenwald with a new set of unfounded
allegations after Dr. Greenwald fought for more than a year and a half under
tremendous stress and with great expenditures of money. The ORIGINAL
complaint was followed by the AMENDED Complaint, SECOND AMENDED Complaint,
SUPPLEMENTAL Complaint and REVISED SECOND AMENDED Complaint, then another
SUPPLEMENTAL Complaint. This strategy was used by the attorney general to
keep the kettle boiling, keep the pressure on Dr. Greenwald, emotionally,
psychologically and financially. And, by using the media as another tool to
drive Dr. Greenwald to the brink of bankruptcy where he could no longer
defend himself or continue to run his business.
As a point of interest,
fifteen individual patients were involved in the complaints. The dentists
instrumental in forwarding those complaints to the Board of Dental Examiners
or the attorneys general, were: Drs. William Deighan, Charles Ramsberger,
Shaun Dowd, Henry Woodbrey, David Talley and Jeffrey Fister. Six local
dentists. With exception of Dr. Bailey, who's complaint was dismissed, (he
was never deposed but did make slanderous and libelous remarks to patients
about Dr. Greenwald) all the other dentists perjured themselves on numerous
occasions and openly slandered and libeled Dr. Greenwald to patients in
their offices. There were 77 dentists in the immediate Bangor area, why were
there not complaints from the other 70 dentists?
Dr. Greenwald and his
associates saw approximately 7500 patients a year after he opened Dentalcare
in 1980. Between 1972 and 1979, while limiting his practice to endodontics
he treated approximately 500 patients each year. Dr. Greenwald saw more than
500 patients a year for root canal therapy between 1980 and 1982. A total of
5000 completed root canal treatments. The American Dental Association
statistics on successful root canal therapy is 90%. The Board charged Dr.
Greenwald with SIX counts of incompetence related to root canal therapy.
Remember, two of the complaints; More and Butterfield were never treated by
Dr. Greenwald. Therefore, even IF the State was correct, and the failure of
these root canals was Dr. Greenwald's fault, his success rate far exceeds
the 90% rate claimed by the American Dental Association.
In August 1983, one week
before the scheduled first trial, the attorneys general, prompted by the
Board of Dental Examiners, approached Dr. Greenwald through, Julio
DeSanctis, who was now acting as Dr. Greenwald's attorney, (and he was
literally acting, because he knew nothing of the case which had gone on for
so long), t~ settle the case out of court. Steven Kern, the attorney who had
been involved for the duration, and knew all the complaints inside out, had
backed off representing Dr. Greenwald because Dr. Greenwald owed him a
considerable amount of money. Dr. Greenwald didn't blame Kern, after all, he
was looking ahead at two trials, (Judge Cleaves had bifurcated the trials)
one part in August and the other in October.
At an approximate total
cost of 50,000; more depositions were required, expert witnesses would
definitely be required, documents, transcripts, motions. Etc, etc, etc. And,
at this point Dr. Greenwald couldn't keep up with expenses. He was selling
whatever personal possessions he could to raise money. The bank would soon
foreclose on his home. Things were closing in. He thought he could win but,
but he didn't have the money. So, the offer extended to acting attorney,
Julio DeSantis, who constantly reminded him of the position he was in, by
the attorney general, acting on behalf of the Board of Dental Examiners, was
worth a listen, not much more, but a listen.
After eight grueling hours,
in the offices of the attorney generals in Augusta, with Julio, pleading
with them to accept their terms, in the form of a Consent Decree, Dr. and
Mrs. Greenwald said, "NO! thank you," and walked out. Dr. Greenwald never
expected The Board to be honorable, after dealing with them for so long.
They would still surprise him with their vindictiveness.
To those who knew Dr.
Greenwald, were trusted and had read it, the Consent Decree appeared to be
an admission by the State that they had no case. Maureen Williams, a
reporter for the Bangor Daily News, who had covered the story since it first
began, felt the State had conceded. "They have no case. That's why they're
willing to settle out of court. If they had a case they could win they
wouldn't be so eager to settle." Other close friends felt the same way. It
wasn't hard for Dr. Greenwald, his wife and his family, to hope, that
perhaps this could be behind them and they could get on with their lives.
After all, the attorneys general, and the Board had promised Dr. Greenwald
could still run his business, Dentalcare, could still operate, as long as
the employees cooperated and signed affidavits every six months stating he
had not been involved in "any way in the practice of dentistry." Their
perception of the involvement far exceeded what any axillary or
administrative employee could do. He was extremely limited in what he was
allowed to do or say. The decree was more restrictive than anything in the
by-laws of the Board's requirements. He couldn't do what his office manager
did, he couldn't speak to his employees about taking care of HIS equipment,
HIS supplies, he couldn't ask them how patients were, he couldn't insist
they call patients after treatment to make sure they were okay, he couldn't
do anything, anything any other employee in his office could do, without a
license. His employees ran the office. When the time to sign the affidavits
came around, they weren't sure whether to sign or not. Had he practiced
within the terms of the consent decree or not?
Dr. Kassa and Dr. Snyder
were both interested in "buying the lucrative practice." However, neither of
them wanted to use money. Both dentists were now reluctant to sign the final
affidavit. The hygienist, concerned that the dentists were reluctant to
sign, also refused. This put Dr. Greenwald at their mercy. Finally, the
state closed in with allegations that Dr. Greenwald had treated patients.
Both claims were disputed
by either a doctor, who saw the patient, or by written patients records
which proved Dr. Greenwald did not treat the patients. (Given to Detective
McCarthy of the attorney general's office upon spontaneous request when he
made a surprise visit to the office and watched as the records were
retrieved by Mrs. Greenwald). The State won! They dismissed the testimony of
the doctor who treated the patient, and they refused to believe the actual
treatment records of the treating dentists. Dr. Kassa offered to buy the
practice with no money down and seven years to pay. Just a piece of paper.
He saw the patients Dr. Greenwald allegedly saw, however, it was in his
interest to remain silent. Witnesses to this event were never called and the
records were never presented at trial including the testimony of the
hygienist who cleaned their teeth and took x-rays before Dr. Kassa examined
them.
The Consent Decree Dr.
Greenwald signed on August 26, 1983, effective October 1, 1983, drastically
limited Dr. Greenwald to engage in a number of activities related to his
dental practice, and in fact, limited him from engaging in certain acts
which did not constitute the practice of dentistry under Maine Law. The
prosecuting attorney in the Maine revocation hearing specifically stated the
"the consent decree was actually more restrictive than the Maine Statute is
as to what is the practice of dentistry." The stipulated penalty of the
Decree provided for self executing penalties for violations, making clear
that Dr. Greenwald need not have engaged in any professional misconduct (as
viewed by New York) to trigger Maine's disciplinary action. At a hearing on
July 15, 1987 in New York, Dr. Greenwald attempted to explore the
circumstances of the Maine proceeding, over the continued attempt by the New
York prosecuting attorney to prevent the Regents Committee from
understanding the underlying basis for the charges before the Committee.
The New York Board of
Regents could not point to any acts of improper or unprofessional activity
in the State of New York attributed to Dr. Greenwald, nor was there any
valid contention that Dr. Greenwald presents a threat of harm to the public.
At the July 15, 1987 hearing, the prosecuting attorney inexcusably and
prejudicially informed the Committee, "It appears to me that Dr. Greenwald
represents a severe danger to the public." Yet in spite of the "severe
danger" posed by Dr. Greenwald, the Board of Regents presented no charges of
malpractice, nor did the Notice of Hearing or Statement of Charges provide
Dr. Greenwald with any indication that the Committee would be presented with
such "evidence" of threat to the public. The communication between the
prosecuting attorney, the Maine Board of Dental Examiners and the Maine
attorney general lead to the blatant efforts of the prosecuting attorney to
prevent Dr. Greenwald from presenting his defense while simultaneously
injecting false and improper statements into the record. His effort to
inject his opinion unsupported by evidence and unrelated to the charges,
were extremely prejudicial to Dr. Greenwald. The prejudice of the Maine
Board and the Maine attorney general were transmitted to the New York
prosecuting attorney.
When Dr. Greenwald signed a
consent decree with the State of Maine and was given a two year suspension
of his license in Maine. New York followed suit in April 1986 by finding him
guilty of having admitted to those charges contained in the Maine Consent
Decree. He received a two year suspension, which was stayed. At that time
Dr. Greenwald's only license to practice dentistry was that issued by New
York State. Having now been twice disciplined by New York, Dr. Greenwald was
again served with a notice of Hearing for disciplinary action dated February
9, 1987. Dr. Greenwald again appeared pro-se, informing the Committee that
he was unable to afford an attorney. The result was the revocation of his
license. Dr. Greenwald was alleged to have been found guilty of improper
professional practice or professional misconduct by a duly authorized
disciplinary agency of another state, which, through the provision of
Section 6509 (5) (b) of the Education Law allegedly constituted such conduct
within New York.
NOTE: Justice Dana Cleaves,
of the Administrative Court, had presided over Dr. Greenwald's license
revocation case in Maine from the onset,
February 1981. However, it
was Justice Rogers who presided at the trial in February 1986 and Justice
Rogers who revoked his license based on violations of the consent decree.
Justice Cleaves recused himself from the proceedings immediately before
trial.
When the Maine Board of
Dental Examiners, with the full cooperation of the Maine attorneys general,
revoked the license of Dr. Greenwald, not only was it a terrible injustice
to Dr. Greenwald, but it was an injustice to the people of Maine. Dr.
Greenwald's office, Dentalcare, provided an important service in northern
Maine. This was shown through the unbelievable support of Dr. Greenwald's
patients during the media blitz of accusations, and slanderous remarks of
local dentists involved in his destruction and that of Dentalcare. From
January 1980 through 1985, Dentalcare thrived because it provided quality
dentistry, convenient hours and low fees. Not the traditional way of doing
business. Not the way the traditional dentists liked it, but Dentalcare was
not created for dentists; traditional or otherwise. It was created for the
benefit of the public, As proven by its success. The attorney general,
legislated protector of the general public, destroyed it! The free
enterprise system cannot survive when the attorney general serves the vested
interests of a vocal minute majority who want to keep the vast silent
majority poor, ignorant and in inferior dental health. The attorney general
imposed a terrible disservice to the people of Maine in the name of Justice.
Dr. Greenwald and his
family left the State of Maine in late August 1985 to settle in
Massachusetts. In September of that same year, the attorneys general,
without permission or authorization, confiscated all of Dr. Greenwald's
business records from his office in Bangor. The four cartons of material
they removed were taken to the office of the attorney general in Augusta for
close examination. (Obviously they were on a fishing trip looking for
whatever they could use against him). They found nothing. When Dr. Greenwald
learned of this he requested his business records returned. In October 1985,
Dr. Greenwald's sister in-law, Elizabeth Munroe, picked up the cartons in
Augusta and delivered them to Massachusetts.
Epilogue:
The Greenwald family lost
their home to bank foreclosure, lost numerous personal possessions, sold off
to pay lawyers. They lost their business, a very successful business. Dr.
Greenwald lost his license, his self respect and much of his confidence. The
Greenwalds with their two young sons then moved to Massachusetts where Dr.
Greenwald had no license to practice dentistry. He found a job managing
three dental offices for Dr. Leonard Grover. After a year he was recommended
by the local dental supply salesman for a better position managing five
offices for Drs. James Bresnick and Howard Seplowitz. (Mrs Greenwald was
also employed as a receptionist.) Dr. Greenwald did this successfully until
the banks closed in on Bresnick and Seplowitz and took the equipment for
nonpayment of bank loans. Dr. and Mrs. Greenwald both lost their jobs on the
same day. Dr. Greenwald then returned to New York State, where he still had
a license and returned to the practice of dentistry. Mrs. Greenwald remained
in Massachusetts with their two sons. In Albany, he met a Dr. Mike Kole who,
with Dr. Greenwald's assistance, bought a practice which Dr. Greenwald
operated and in which he doubled the gross in less than a year. The family
reunited, rented a small house and tried to re-build their lives together.
Mrs. Greenwald again worked side by side with her husband. This he did until
May 1988 when New York State, to "mirror the actions of our sister State
(Maine)" revoked his license and then denied his appeal for reinstatement.
Dr Greenwald took odd jobs such as waiter in Albany, process server in
Schenectady, auto sales at Otto Cadillac, Oldsmobile Isuzu and writing
magazine articles for Schenectady magazine. The family moved again, renting
a smaller less expensive house just outside Albany. Mrs. Greenwald was
working for a dentist and paying most of the expenses. Dr. Greenwald could
not find a decent paying job, even for minimal pay. He changed his resume'
several times, deleting part of his education and his three degrees. By now
his self esteem had hit bottom. Tensions were high and the family was all
under stress. In December 1988 he finally decided the hell with it and
returned to practice what he did best; dentistry. Licensed or not! He
returned to New York City, where he could get lost in the madding crowd and
did only root canal therapy unimpeded until 1991 when, in an office he was
working in, in Brooklyn, he was caught practicing sans license. A five year
probation period was invoked. And then we come to Monroe NY
April 2, 1998
Dr. Greenwald worked for Monroe Dental for 6 years. On April 2, 1998 he was
caught practicing without a license, charged with three felonies, and now
faces incarceration.
Every American citizen has
a right to work, if he can find a job. Dr. Greenwald has a job, and can
work; however, his right to work was taken from him unlawfully, first by the
State of Maine, then by the State of New York. Now he has no rights and he
cannot afford justice.
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