Public records request finally answered 2 months later

There is probably a statute that the LSBME violated in not returning my public records request in a timely manner, but they do not care. Since I have been patiently waiting for Dr. Culotta or Dr. Cresswell to reply to an email on December 27, 2018 I send a follow-up email…

Dr Culotta 
It seems you have neglected to address my concerns. Do public records requests not need to be answered as promised?  JM

He replies, albeit quickly…

2/27/2019 This has been referred to our legal staff and they are preparing your response

Dr. Cresswell responds the next day 2/28/2019…

Dear. Ms. M, Please see our responses below:
1.      Ms. Spooner miscalculated my payment plan. I have asked her several times to revisit the numbers. She has not done this. 
Response:  I have reviewed Ms. Spooner’s email and have noted the miscalculation.  Total Administrative costs are $17,669.00
Proposed payment plan:  Repayment over 36 months:  35 payments of $500, with a final payment of $169.00
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.
Response: This will not be granted.
3.      I requested a breakdown of the costs associated with my hearing i.e. attorney fees, copies, expert witness, judge, transcriptionist/court reporter, etc. 
Response: A detailed breakdown of your administrative hearing costs was sent to you on December 28, 2018 via email from Rita Arceneaux, as well as by US Mail to your address of record. Please verify that you are not in receipt of the December 28, 2018 email?
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. 
Response:  Your test was placed online and you have successfully completed the examination on January 26th, 2019 (2nd attempt).
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.
Response:  The LSBME does not diagnose.  You were given the name of Board approved facilities that provide Psychiatric Evaluations.  To clarify, you will need a “Forensic Assessment”.  A forensic assessment is one where the referral comes from a licensing entity.  The assessment is considered “forensic” due to it occurring within an administrative law context in which the facility is asked to provide an expert opinion regarding an individual’s fitness to practice.  The list of Board Approved facilities includes:

            Approved Psychiatric Evaluation/Treatment Centers:

Professional Renewal Center (PRC)

1421 Research Park Dr. #3B

Lawrence, KS 66049

T: 785-842-9772

Pine Grove/Next Step

2253 Broadway Dr.                

             Hattiesburg, MS 39402

T: 888-574-4673

Acumen Assessments

730 New Hampshire, Suite 222

Lawrence, KS 66044

T: 785-856-8218

Elmhurst Memorial Healthcare

Professionals Program

360 West Butterfield Rd., Suite 340

Elmhurst, IL 60126

           T: 630-615-7800   

If there is any additional information needed, please do not hesitate to contact myself or Ms. Spooner. 

Respectfully, Dr. Cresswell

I have discussed in earlier posts about the nature of PHPs. They are notoriously corrupt and work hand-in-hand with licensing boards. There is no justice in not choosing who can evaluate you especially when it is subjective and the licensing board is basically paying the PHP to diagnose their problem ppl. How is any of that fair?

Also, after looking up one of these assessment centers in Kansas, I find it ironic that they publish in PLOS (a free journal) the findings that a normative standard must be applied to your target audience or else you will overdiagnose the patients. Huh, I wonder if they have a norm for midwives. I am going to guess not. And then who will be held to an obstetrical standard again? Sigh.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5650180/

https://www.linkedin.com/pulse/php-assessment-doctors-a-rigged-monopoly-needs-michael-langan-m-d-

I do not understand why I cannot get a competent compliance officer assigned to me. But then again, maybe that is the LSBME’s angle–to only hire incompetent people that will frustrate and drag out everyone’s sentence. Quite possibly.

I am glad the payment plan was finally recalculated correctly. SMH. Not that I have $500 to donate to the cartel for 3 years. But seriously, the fact that my license is suspended and I cannot work should make this criminal. How can I earn any measurable amount of money with a suspended license- but once again, a suspension is not indefinite- this is more like a revocation as a suspension has a time limit.

I finally get the test they want me to get. I am unsure if a fitness for duty is one size fits all or if I will have to again ask for more clarification. I contacted two psychiatrists today via email. I will see what they say. I am also going to call around tomorrow and see if any of these public mental health facilities will provide an evaluation. It appears that the state of Florida will provide services to people with adjudications regarding incompetency, but most are criminal or civil based. At this rate I think it would be easier for me to resolve all of my issues if I had a felony. The state seems to be ok with rehabilitating criminals on its dime while healthcare providers have to fend for themselves and cough up thousands of their own noninsurance dollars for their evaluations. I just cannot make this stuff up.

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.