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.

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. 

Fourth or fifth 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 like four or five 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. 

Still waiting for courses to be reviewed for Sanction 2

My compliance officer tells me she has not had time to review my 344 CEUs to see if they are sufficient (yes they are). She claims she has to review them with the new Director of Investigations and to follow up on Tuesday 10/23. I do not hear from her on Tuesday, nor do I hear from the new Director, Dr. Cresswell. I decide to write him on 10/29/2018. All this stalling is not only aggravating me but preventing me from making a living. My cancer is still here, but I cannot afford or qualify for medical coverage in order to follow up on it. So, I wait.

10/19/2018 JM, I have been out of the office and have not had time to review your courses with the new Director of Investigations.  You can follow-up with me on Tuesday [10/23/2018] to see if they were approve.  From a cursory review, what you submitted appears to be adequate. Thanks, ES

10/21/2018 Ms. Spooner 
I didn’t realize you were away from the office. Usually I receive an auto reply stating ones absence in that circumstance. 
Regardless please pass along the name of the new director and contact info. Thank you. JM 

10/22/2018 Ms. Spooner, 
I am unsure of who to call regarding making a complaint against the LSBME as seen in the fine print of your email. Can you please direct me to a person? Is Mr. Cresswell the person I need to be in touch with? Thanks so much,
JM

10/22/2018 My compliance officer responded with Dr. Cresswell’s information.

10/22/2018 ES, Thank you. JM

10/29/2018 Hi Dr. Cresswell, 
I was under the assumption that Ms. Spooner would be discussing these courses with you, but in typical fashion, I have not received a reply from her regarding these. I look forward to hearing that I have fulfilled the courses requirement sanction. 
Thank you. JM

Third email. Pls respond ASAP. Sanction 2

10/19/2018 Hi Ms. Spooner.
This is the third time I’m sending this email. Is there a reason you are not communicating with me? 

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

Esparonzia Spooner <espooner@lsbme.la.gov>Oct 19, 2018, 6:26 PM
to me

Ms. Macaluso,

I have been out of the office and have not had time to review your courses with the new Director of Investigations.  You can follow-up with me on Tuesday to see if they were approve.  From a cursory review, what you submitted appears to be adequate.

Thanks,

Esparonzia “Ronnie” Spooner, MBA

Program Compliance Officer

Louisiana State Board of Medical Examiners

630 Camp Street

New Orleans, LA 70130

Office (504) 568-1091  Fax (504) 568-5754

www.lsbme.la.gov

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In compliance with Act 2018-655, the Board gives notice to its licensees and applicants of their opportunity to file a complaint about board actions and board procedures. You may submit such complaints to one or more of the following organizations:

1. Louisiana State Board of Medical Examiners; 630 Camp Street, New Orleans, LA 70130; (504) 568-6820; lsbme@lsbme.la.gov.

2. Committee on House & Governmental Affairs; La. House of Representatives; PO Box 44486, Baton Rouge, LA 70804; (225) 342-2403; h&ga@legis.la.gov

3. Committee on Senate & Governmental Affairs; La Senate;PO Box 94183, Baton Rouge, LA 70804; (225) 342-9845; s&g@legis.la.gov.

From: Jackie Mac <jmacmidwife@gmail.com
Sent: Friday, October 19, 2018 4:28 PM
To: Esparonzia Spooner <espooner@lsbme.la.gov>
Subject: Third email. Pls respond ASAP. Sanction 2 Jacqueline Macaluso

Jacqueline Macaluso <jmacmidwife@gmail.com>Oct 21, 2018, 2:26 PM
to Esparonzia

Ms. Spooner 
I didn’t realize you were away from the office. Usually I receive an auto reply stating ones absence in that circumstance. 
Regardless please pass along the name of the new director and contact info. Thank you. 
Jacqueline Macaluso