Michelle Parker vs. LSBME

WOW. Just when I am having a pity party thinking the that the Louisiana Board of Medical Examiners singled me out, another case crops up where lo and behold the LSBME has cartelled itself into action against another victim. You just can’t make this stuff up. The LSBME fired Michelle Parker because she knew they were not following the law. She knew it and called them out on it and I would not be surprised if the LSBME made this “testimony” up. I bolded the interesting parts of this decision. Ms. Parker complained a year earlier about the administration being crooked. Then she noted how one could pay off police officers! Also noting how racist and fraudulent they were. It sickens me that this board continues to be above the law. It is much like the current administration that if it is consistenly obnoxious, unethical, corrupt, and mafia-like then it seems weird when it isn’t. So by setting the standard to be illegal, it almost ensures that they have to hover around that illegal bar. The whole place needs to be shut down.

Decision Filed: October 6, 2015 State of Louisiana Civil Service Commission Docket No. S-17992 Michelle Parker Versus Louisiana State Board of Medical Examiners ______________________________________________________________________ Rule(s): 12.2; 13.19(s)2 Topic(s): Dismissal; improper and unprofessional conduct, violation of agency confidentiality policy; retaliation _____________________________________________________________________ Appearances: Michelle Parker, in proper person Leslie Lanusse and Brooke Duncan, counsel for LSBME Statement of the Appeal The Louisiana State Board of Medical Examiners (LSBME) employed Michelle Parker as an Accountant Supervisor 1 and she served with permanent status. By letter dated October 28, 2014, LSBME dismissed Ms. Parker from her position effective November 5, 2014, for engaging in improper, unprofessional conduct and violating the agency’s confidentiality policy. On November 24, 2014, Ms. Parker appealed her dismissal. In her appeal, she denies the allegations of the dismissal letter and alleges that she is the victim of retaliation. As relief, Ms. Parker requests reinstatement and back pay. I held a public hearing on August 7, 2015, in New Orleans, Louisiana. Based upon the evidence presented and pursuant to the provisions of Article X, § 12(A) of the Louisiana Constitution of 1974, as amended, I make the following findings and reach the following conclusions. Findings of Fact 1. LSBME employed Michelle Parker as an Accountant Supervisor 1 and she served with permanent status. 2 2. LSBME licenses and regulates eleven categories of health care providers, including physicians. Its compliance investigation unit investigates complaints made by the members of the public against health care providers, which are confidential in nature. Ms. Parker did not work in the compliance investigation unit and her job duties did not involve the investigation or processing of complaints. 3. In early 2014, Ms. Parker requested and received clarification from LSBME’s human resources office regarding employees’ use of funeral leave under the Civil Service Rules and agency policy. 4. In September of 2014, Ms. Parker sent a letter to LSBME regarding what she perceived as problems with its administration. 5. On October 6, 2014, E.C. filed a complaint in person with LSBME about a physician.1 He spoke with Lester St. Amant, Compliance Investigator 4-B, and Virginia Madere, Compliance Investigator 2, of LSBME’s compliance investigation unit.2 6. As E.C. was leaving the LSBME building, he was approached by Ms. Parker, who asked him why he was at LSBME. E.C. replied that he “had to take care of some business.” Ms. Parker asked him if he was complaining about a doctor; E.C. acknowledged that he was. Ms. Parker then informed him that he had “spoken to the wrong man,” i.e. Mr. St. Amant. 7. Ms. Parker told E.C. that Mr. St. Amant was a former New Orleans police officer and that he was one of the “crooked” ones, as Mr. St. Amant “took money from doctors.” E.C. asked Ms. Parker, “So, I’m really not going to get anything done?” Ms. Parker responded, “Yes.” Ms. Parker stated to E.C. that LSBME was “very racist” in its personnel practices and that she had reported LSBME employees for making fraudulent meal reimbursement claims. 8. E.C. immediately reported Ms. Parker’s statements to Mr. St. Amant. Cecilia Mouton, LSBME’s Executive Director, and Mr. St. Amant later met with E.C. and assured him that his complaint would be handled honestly, fairly and professionally. 9. Rule IV of LSBME’s Employee Handbook states in relevant part as follows: CONFIDENTIALITY … Workplace: As in any workplace, employees must have access to information that is sensitive. Improperly passing on sensitive information can be very disruptive to the office as well as to the agency. Employees 1 The complainant is identified by his initials in this decision to protect his confidentiality. 2 I have taken judicial notice of Ms. Madere’s job title from the LaGov Human Capital Management system (HCM). 3 should be discreet with this type of information in allowing it to flow through the organization using the proper supervisory chain. Discussion and Conclusions of Law An employee with permanent status in the classified civil service may be disciplined only for cause expressed in writing. Cause for disciplinary action is conduct of the employee that is prejudicial to the public service or detrimental to its efficient operation. Bannister v. Dept. of Streets, 666 So.2d 641 (La. 1996). The right of a classified state employee with permanent status to appeal disciplinary actions is provided for in Article X, § 8(A) of the Louisiana Constitution of 1974. That section states that “[t]he burden of proof on appeal, as to the facts, shall be on the appointing authority.” The appointing authority is required to prove its case by a preponderance of the evidence, which is evidence that is of greater weight or more convincing than that which is offered in opposition thereto. Proof is sufficient to constitute a preponderance when, taken as a whole, it shows the fact or causation sought to be proved as more probable than not. Wopara v. State Employees’ Group Benefits Program, 2002-2641 (La. App. 1 Cir. 7/2/03); 859 So.2d 67. LSBME charges Ms. Parker with engaging in improper, unprofessional conduct and violating the agency’s confidentiality policy. On October 6, 2014, Ms. Parker accosted E.C. as he was leaving the LSBME building and interrogated him about his complaint, even though she did not work in the compliance investigation unit and her job duties did not involve the investigation or processing of complaints. She then made very serious allegations of professional misconduct against Mr. St. Amant, other coworkers, and LSBME. E.C.’s complaint was confidential and absolutely none of Ms. Parker’s business. Her confronting him about his complaint was in itself a violation of confidentiality, as doing so was completely outside of her job duties. Ms. Parker’s statements to E.C. that Mr. St. Amant is corrupt, her coworkers are thieves, and LSBME is racist were inappropriate and unprofessional. E.C. was not a governmental official vested with authority to investigate her allegations; he was simply a citizen seeking LSBME assistance. Ms. Parker’s behavior and statements were clearly disturbing to E.C. and undermined his confidence that his complaint would be properly handled, as he immediately reported Ms. Parker’s misconduct to Mr. St. Amant. Her actions reflected poorly on the agency and were detrimental to the state service. LSBME has thus proved cause for discipline against Ms. Parker. In her appeal, Ms. Parker claims that her dismissal is in retaliation for having questioned the agency’s application of funeral leave in early 2014 and sending a letter to LSBME in September 2014 regarding alleged mismanagement. Retaliation is a form of non-merit factor discrimination; therefore, under Civil Service Rule 13.19(s)2, Ms. Parker had the burden of proof on this issue. 4 After a careful review of the record, and in light of Ms. Parker’s obvious misconduct, I am unpersuaded that LSBME dismissed her over funeral leave questions posed six months earlier and a complaint letter that she did not even introduce into evidence at the hearing. Ms. Parker has therefore failed to prove that she is the victim of retaliation. The Supreme Court of Louisiana has held that it is the duty of the Commission and its Referees to independently decide from the facts presented whether the appointing authority has legal cause for taking disciplinary action and, if so, whether the punishment imposed is commensurate with the dereliction. AFSCME, Council #17 v. State ex rel. Dept. of Health and Hospitals, 789 So.2d 1263 (La., 2001). Ms. Parker engaged in improper, unprofessional conduct and violated E.C.’s confidentiality, all to the detriment of the state service. Based upon the foregoing reasons, I conclude that LSBME proved legal cause for discipline and that the penalty imposed, dismissal, is commensurate with the offenses. Accordingly, this appeal is hereby denied. ____________________________ Brent C. Frederick Civil Service Commission Refer

https://www.civilservice.louisiana.gov/files/appeals_opinions/s-17992.pdf

Public Records request never answered. Why does this not surprise me?

I press on, despite the Louisiana Board of Medical Examiners best interest. I am not sure how many times this year I have stated that I cannot make this stuff up, but I really cannot make this stuff up. It is not only frustrating, but pathetic how corrupt and incompetent this group of people who are supposedly protecting the citizens of Louisiana are. Sigh. Keep writing emails. Keep complaining. The irony is I don’t think they even read their own emails nor keep track of what they said. They constantly change the rules to fulfilling these sanctions. Wonder why its taken me so long? haha. I write this email to my compliance officer, and Drs. Culotta and Cresswell. I include the doctors, because no matter how many times I tell my compliance officer, she doesn’t believe me that her calculations for the payment plan are incorrect. Ummmmmmm, I am not sure how many ways I can say do the math again. I know I am a midwife for a reason–calculus was not my best class–but I can add. Hopefully, someone else will catch her mistake and correct it…..

Dear LSBME, I was not aware that my emails have been shared so freely and unknowingly throughout the LSBME. So, I am unsure who to address this to as I have no idea who will be responding. 
As usual, I appreciate the prompt email. I have not yet digested it all, and will be communicating my questions surrounding it soon. However, you did not answer all my questions in my emails, specifically:
1. Ms. Spooner miscalculated my payment plan. I have asked her several times to revisit the numbers. She has not done this. 
2. I’ve asked for a new compliance officer be assigned to me as Ms. Spooner does not seem to be able to fulfill her job requirements competently.
3. I requested a breakdown of the costs associated with my hearing i.e. attorney fees, copies, expert witness, judge, transcriptionist/court reporter, etc. 

4. When the LSBME has spent tens of thousands of dollars on computer software and equipment, why is my test I need to take to fulfill one of my sanctions not online yet? Why can it not be emailed to me? What is taking so long? The LSBME is obstructing justice by withholding the test I need to take to fulfill sanctions. 
5. What tests do I need to have administered by a doctor in order to fulfill my psyche evaluation? I have been asking for my diagnosis for over a year and the LSBME has failed to answer my simple question. I cannot simply call a doctor and ask for a psyche evaluation. Surely the medical board understands this. I need to know what tests need to be administered in order to even consult with doctors to see if they are able to conduct a psyche evaluation. Thank you, JM

Dr.Culotta, the Executive Director, acknowledges this public records request and responds that he will have another email following in the first of the new year…. but that never happens. See February 27, 2019 when I sent Dr. Culotta a follow-up email regarding his lack of response.

Dear Ms. M, This will acknowledge your public records request and this is the first I have heard your complaints. I will begin to address them today and the formal response to the public records request will be after the first of the year. Regards, Dr. Culotta

In Dr. Culotta’s defense, he did get the ball rolling on my quiz, which only took over a year.

Hi Mrs. J, Dr. Culotta asked me to get in touch with you to assist with account setup and access to our training courses.
I attempted to contact you via your cell phone in LSBME records, but that number seems to belong to someone else.
Please feel free to call me at my direct line (504) 568-1078 at your earliest convenience.
All of our training materials are at this site: (LSBME)
Once there, you can click on the button on the bottom right of the welcome screen to create an account.
Once completed, you will receive an email with a confirmation link – please click on that link to confirm your email address.
Once confirmed, please contact me and I will manually enroll you in the quiz – this should take very little time, and you should then be able to begin immediately.

Reaching out to more Representatives

Knowing it is the holiday season and that elected officials are busy humans too, I continue to research sympathetic representatives who can champion my cause, hoping to find one or two who have time to invest in me. I find Senator Gerald Boudreaux, who supported Senator Milkovich’s bill providing oversight to the corrupt LSBME.

https://create.piktochart.com/output/34853999-how-antitrust-affects-louisiana-midwives-2018
Dear Senator,
I want to thank you for your support of Sen Milkovich’s bill that provided oversight for the LSBME. My midwifery license was destroyed because of Ms mouton. It is indefinitely suspended even though no one was hurt nor injured. I cannot get my sanctions lifted. Please consider helping me deal with this horrible board. My story is below. Thank you for your time. 

Sanction 2 fulfilled. Quiz being prepared. Quest for payment plan begins.

My compliance officer finally replied to my 5th or 6th email. The blatant obstruction of justice occurring at the hands of the LSBME is disgusting. These people are preventing me from earning any kind of living because they are taking their sweet time deciding how I can complete these sanctions, which BTW they adjudicated three and a half years ago. So, they have not prepared anything since the adjudication? Did they just not expect me to ever try and get off suspension? How is this legal? Oh, right. It isn’t. They do not have oversight and have been running amok destroying healthcare providers lives left and right.

But….. I am finally making progress, so let’s relish in that for a minute…….Ok, moving on. I am not sure if the new director is helping push my issues through the cartel which is the medical board or if the legislature is putting political pressure on them or if my compliance officer has run out of excuses. Either way, I am happy that after a year of communicating with Ms. Spooner that I will finally be receiving some straight answers. Sanction 2 is fulfilled–I needed 3 courses but took about 200. Apparently now I can prepare for the quiz for Sanction 3 even though last year Ms. Spooner told me I would have to complete Sanction 1 first. Speaking of Sanction 1, Dr. Cresswell changed Ms. Spooner’s original directive requiring me to attend a drug and alcohol treatment center for no reason. He said I could find a physician in Florida at which to have my mental/physical evaluation. And finally, I can pay my fees and fine in installments instead of one lump sum of over $17,000. Yay. Oh, wait. Ms. Spooner says I need to have the payment plan approved- even though the Director just told me to ask her to set it up? Huh. Are they not communicating? No, they are because I am ccing both of them in my emails. It is interesting that they are not on the same page. No, it isn’t interesting, its typical corruption, ineptitude, and incompetency. No one at the LSBME knows what they are doing. God save us all.

11/02/2018 Jm, The course information you have submitted will be sufficient to satisfy sanction 2 of your Order. I have contacted the Education department to prepare the Midwifery Quiz.  I will contact you when it is ready.  In the meantime, please review the rules for Licensed Midwives on our website to prepare for the quiz.  This link will take you to the rules: 

http://www.lsbme.la.gov/sites/default/files/documents/Rules/Individual%20Rules/Midwife%20Dec%202016.pdf

Thanks,ES

11/03/2018 Ms spooner,
Thank you for finally replying to my original email which was over three weeks ago. I have been patiently waiting for a decision. 
That is wonderful news to finally know that sanction 2 is fulfilled by my over 300 hrs of continuing education. 
Likewise I’m equally excited to hear that the LSBME finally decided how I can fulfill sanction 3. I’m looking forward to hearing when the quiz will be ready and taking it. 
Dr. Cresswell mentioned you’d be able to help me with a payment plan for the extortion required to fulfill sanction 1. I’m ready to set up a payment plan whenever you are. 
Finally, Dr. Cresswell had mentioned that I am not required to attend a drug and alcohol treatment center however all of the places on the list that you and dr mouton supplied in order for me to satisfy the mental/ health evaluation are indeed drug and alcohol treatment facilities. Can you give me the name of a doctor in central Florida where I can get this sanction accomplished? This is where I live and it’s burdensome for me to have to travel as I do not have an income right now because I cannot find a job with this suspension on my record. If not please tell me who can pre approve this sanction.
Thank you JM

11/7/2018 JM, The Board would have to approve a payment plan for you since it is a requirement that must be fulfilled prior to reinstatement.  If you have a physician or facility you would like to use in Florida, please submit the name and contact information so we can contact them to obtain the necessary information to determine if they can be approved.Thanks,ES

Fifth or sixth time sending this email. I’m losing track. Pls respond ASAP. Sanction 2

Hi Ms. Spooner.
Are you ever going to reply? I’ve sent this five or six times and I’ve sent a copy to Dr. Cresswell. Is this not something you can address as my compliance officer? If not, please let me know who can answer my questions.  

I just wanted confirmation that these Board of Nurses courses (from RN.com) I’ve taken from the are sufficient. Im including a list of all the courses over the last four years. You’ll see that I have over 344 CEUs of which 61.95 CEUs (23 classes) are in Medical Record Keeping, 32 CEUs (13 classes) are in Medical Ethics and 53.9 CEUs (17 classes) are in the evaluation and identification of high risk pregnancies. I’m sure you’ll find these as more than sufficient in fulfilling this sanction 2.   
Thank you. 

Complaining to the Louisiana House and Senate.

Since the new bill passed, an opportunity has presented itself to send information on the shenanigans of the board to the legislators. I didn’t know if anyone was receiving my complaints, but evidently they are. Thank you legislators of Louisiana. I appreciate you providing oversight to this corrupt board. My emails are below:

10/22/2018 To whom it may concern, 
The state of Louisiana needs to know what has been going on with this corrupt board. Below is my story. (Story not copied and pasted on this blog post- you can see it in another post). If anymore information is needed to file a formal complaint, please let me know. Thank you. I look forward to hearing from you.
Kind regards, JM

10/25/2018
I’m checking to see if anyone received this. I haven’t heard back. 

The reply:

10/26/2018 JM, Act No. 655 does not require any specific format or content of a complaint to the committee regarding the actions and procedures of a licensing board.  This email is to confirm that the Committee on House and Governmental Affairs has received your complaint regarding the LSBME actions and procedures. 

Woooohoooooooo! It is working. Someone is seeing these and hopefully passing them along to the proper person(s). So grateful. Keep breathing.

Second email. Please respond ASAP

I am getting really tired of having to constantly email these people and get no response. How is any of this legal? They take my license and prevent me from fixing the licensing then do not respond to my emails in regards to fixing it. Its outrageous! The LSBME’s attitude that is above the law is not fair or just. This is my second email to my Compliance officer, Ms. Spooner. Same message as it was 6 days earlier.

Hi Ms. Spooner.
I just wanted confirmation that these Board of Nurses courses (from RN.com) I’ve taken from the are sufficient. Im including a list of all the courses over the last four years. You’ll see that I have over 344 CEUs of which 61.95 CEUs (23 classes) are in Medical Record Keeping, 32 CEUs (13 classes) are in Medical Ethics and 53.9 CEUs (17 classes) are in the evaluation and identification of high risk pregnancies. I’m sure you’ll find these as more than sufficient in fulfilling this sanction 2.   
Thank you.  JM

First email re:sanction 2 (344 CEUs)

So I practically have another college degree based on the number of continuing education units I have taken in the last three years. For reference in order to recertify a midwifery license in Louisiana, one needs 15 CEUs/per year. I have 344. Not only do I have a EMT certificate, BS degree, AA degree in midwifery, and Diploma in Midwifery, I have the NARM’s most recent certification— the bridge certificate to essentially make my education standard. I am a preceptor able to teach fledgling midwifery students. I am basically over-qualified for any out-of-hospital midwife position. States should be clamoring to have me practice there. They should be handing me licenses. Since my compliance officer still (since 2017) has not answered my question about which classes will fulfill sanction 2, I reach out to her once again.

Hi Ms. Spooner.
I just wanted confirmation that these Board of Nurses courses (from 
RN.com) I’ve taken from the are sufficient. I’m including a list of all the courses over the last four years. You’ll see that I have over 344 CEUs of which 61.95 CEUs (23 classes) are in Medical Record Keeping, 32 CEUs (13 classes) are in Medical Ethics and 53.9 CEUs (17 classes) are in the evaluation and identification of high risk pregnancies. I’m sure you’ll find these as more than sufficient in fulfilling this sanction 2.   
Thank you.  JM

Reaching out to the media and legislators

After speaking with a dozen or so attorneys, the take home message is that I most likely have to get my license off suspension in Louisiana before I can succeed in Florida. What a conspiracy. The Federation of state medical boards is the biggest cartel in healthcare, next to the insurance companies of course. What happened to my Constitutional rights to life, liberty, and the pursuit of happiness? I literally cannot get a job because this bogus suspension shows up in a background check. I am a midwife. I wish I had skills to landscape yards or fix cars, but I don’t. It is hard enough finding a job with such a specific skill set, let alone when your background check comes back with this. I begin searching Google for answers. What options do I have? Obtaining an attorney to apply the denial in Florida will be expensive and long and possibly result in no license. Likewise, pursuit of litigation in Louisiana could result in nothing as well except more debt. The medical board isn’t the only thing corrupt in Louisiana– the court system is as well.

I reached out to several news agencies and bloggers. I shared my piktograph on social media. I was on the hunt to find others who could help me dig out of this never-ending hole. After finding Dr. Orient’s article on how LSBME is above the law, I contacted the Senator from her story– John Milkovich. It was suggested to me by a few attorneys to reach out to a few legislators and see if they could put political pressure on the board. Senator Milkovich seemed like the perfect candidate as not only did he propose the bill to provide oversight for the LSBME, but his fervent presentation in front of the Louisiana legislature was nothing short of fire and brimstone Senate style. It was amazing to see someone else so passionate about justice for his constituents. So, I emailed him.

Hi Senator,
First off I want to thank you for presenting the LSBME bill. My midwifery license was also unlawfully suspended indefinitely unless I enter a drug rehab facility for a physical and mental health evaluation (to which no drugs nor alcohol nor mental health issues were in my case at all). It is ridiculous that these people can continue to ruin lives as they do. If you have any contacts to how I can put pressure on the LSBME to work with me, please let me know. I have $18,000 in fees to pay, the $5,000 week long physical and mental eval to attend, three courses, a test to take regarding rules and regulations, and the $300 fine. But they keep moving the ball so-to-speak, telling me my courses arent good enough– they have to be preapproved, and that I cant complete the test sanction until I have the mental health evaluation. Any advice on getting part of my life back is appreciated. Thank you. 
JM