Tag: Mental evaluation

Think Licensure is a good idea? Think again.

jmacmidwife

As I study the latest Louisiana midwifery rules and regulations, for the test which will satisfy the third sanction that the LSBME has bestowed upon me i.e. “Ms. Macaluso shall demonstrate her understanding of the Board’s rules and regulations regarding Midwife practice in this state, in a manner determined by the Board,” I wonder how in the world did these updated rules get promulgated?

Read rules here:
https://www.lsbme.la.gov/sites/default/files/documents/Rules/Individual%20Rules/Midwife%20Dec%202016.pdf

*side note, I wanted to demonstrate my understanding of the Board’s rules in either an interpretive dance or a book report, but apparently those suggestions were shot down in favor of a boring test. The Board obviously lacks humor. LOL But seeing that the LSBME has spent tens of thousands of dollars on computer software and equipment in the past few years, its not surprising that they want to use that technology. Oh, wait…I am still waiting for my test “to be put online” according to my compliance officer. That was in October. They must’ve been taken advantage of if they paid that much and can’t email a test to me or put it online, but that is a whole other post.

Back to the rules….Is anyone paying attention? Did anyone read these new rules? They are that insane. There are so many examples, but I’ll start with the one in Chapter 23 under statute 2315 (Effect of Application) B. By submission of an application for licensing to the board, an applicant shall be deemed to have given his or her consent to submit to physical or mental examinations if, when and in the manner so directed by the board and to waive all objections as to the admissibility or disclosure of findings, reports, or recommendations pertaining thereto on the grounds of privileges provided by law. The expense of any such examination shall be borne by the applicant.

Let me tell you what that says in plain English: THE LSBME CAN REQUIRE MIDWIFE APPLICANTS TO HAVE A MENTAL AND PHYSICAL EXAM AND THE APPLICANT HAS TO PAY FOR THE EXAM. HOLY BLEEP!

The LSBME is calling midwife applicants crazy! While I have to admit I felt this whole witch hunt has been nothing short of crazy since the beginning, I never imagined these unbelievable rules would grow out of the Board’s unbridled lack of oversight. It is like a runaway train with no stop in sight. So one has to ask oneself—self, why would the Board institute such a rule? A rule which will undoubtedly frighten potential midwifery applicants, especially ones with any preexisting conditions. I mean, the Board does not describe what it will do with that information, so how will applicants know if their heart murmur or Hashimotos or depression will affect their application process? How does this rule not discriminate against applicants with preexisting conditions? How is this not antitrust? This seems like a rule ripe with restrictive capabilities to practice ones trade. And as someone who has been denied a license in another state, let me tell you how hard that makes getting a job or other licenses (again, another post). So, potential applicants will think they are going to start this new profession as a midwife in Louisiana, take all the classes, do all the training, take all the tests, pay the application fees, pay for a mental evaluation and may still get denied? Yes, yes, I know its a privilege to have a license, but this is ridiculous. Not only will it scare away potential applicants, but why would I want the medical board to have my medical records? That is invasive and wrong. And do you think the Board won’t implement that rule? hahahahahahahahahahahahahahahahahahahahahahahahahahahahaahahYes, yes they will use it. How do I know this? Oh, because my first sanction is ordering me to get a mental/physical evaluation. No big deal right? Seems legit as they should make sure healthcare providers are relatively sane and healthy enough to do their jobs, but there is a catch. There is always a catch. Do you think they will allow you to go to just any doctor for this evaluation? I highly doubt it. Why am I so skeptical you say? Oh, it might stem from the fact that I have to go to a “physician or group of physicians who have been pre-approved in writing by the Board and be deemed competent to resume the practice of midwifery.” Ms. Mouton, the ex-executive director of the cartel, err I mean LSBME, so graciously offered me a list of five drug and alcohol rehabs to choose from to get my evaluation, but Ms. Mouton apparently does not know that a person cannot just go get an evaluation for no reason. The rehabs will not evaluate someone without a demonstrable problem. I know that seems obvious right? Not for the corrupt medical board as they don’t care about doing anything legal. Physician Health Programs (PHP) (like the drug and alcohol facilities list provided by Ms. Mouton) and medical boards make strange bedfellows until you realize they are both benefiting. The medical boards provide a steady stream of victims, err customers, err patients at the tune of $5-10,000 and four days of your life followed by “recommendations” for treatment which might mean several tens of thousands of dollars and months spent in a facility for absolutely no reason at all. There are many reports of the corruption surrounding PHPs and licensing boards. It was not until the admissions counselor at PineGrove in Mississippi reached out to my compliance officer that suddenly I was a perfect candidate for an extensive psych evaluation, even though after previously reading my court documents she had stated that I needed something their facility couldn’t provide. Sounds fishy because it is!

It is interesting to note that the LSBME has included this rule into most of the healthcare professions it oversees. So, doctors could be subject to this requirement of having an evaluation too. However, I could not find the rule associated with clinical laboratory personnel, acupuncturists, and X-ray techs. See list of professions below:

In a letter to the British Medical Journal, Dr. Manion states: “A compulsory forensic psychiatric evaluation of a physician is, by all understandings, a form of involuntary mental commitment whose unlawful use is banned by the Fourth Amendment to the US Constitution prohibiting unlawful search and seizure by a government agency. Without rigorous oversight, a PHP can get away with utilizing what one court euphemistically referenced as “relaxed diagnostic criteria.” The extreme danger of crafting one’s own illness criteria sets, not to mention – especially in the context of refusal of provision of their report – falsely adding non-existent symptoms to embellish a case history to support a diagnosis and achieve desired outcomes (e.g. to appear to justify costly referral to a PHP preferred program), ought to alarm every physician.” https://www.bmj.com/content/353/bmj.i3568/rapid-responses

When Ms. Mouton was taken off her thrown at the LSBME and Dr. Cresswell stepped into her small stilettos, he, not surprisingly said, well of course you do not have to go to a drug and alcohol center as there is no basis for it in your case. Yeah, no shit. Dr. Cresswell suggested I find a doctor in my neck of the woods to conduct the evaluation. So, just go find a physician, right? There are 17,000 of them in Louisiana according to the 2018 census from the National Federation of Medical Boards. http://www.fsmb.org/advocacy/news-releases/fsmb-releases-2018-u.s.-medical-regulatory-trends-and-actions-report/

Well, it seems that in order to call a doctor and ask if you can have an evaluation by said doctor, one must have a diagnosis or something that needs testing. Ok, so ask the Board what they want tested. Go ahead. Ask. Oh, they won’t tell you what you need to have tested? Shocking. It is so shocking that the Board would create a sanction that is illegal. There is no legal basis for me to get a mental/physical evaluation. In fact, they will have to make something up in order for me to ethically have a mental evaluation. Yes, they will have to lie or the could remove that sanction as it really is not legal. But no, instead of looking like the incompetent fools they are, the Board would rather tell me to go find a doctor, then I am supposed to tell the doctor to call the board and ask what needs to be tested. UHHHHH. That is so shady.

I have been waiting and asking repeatedly for over a year to have the LSBME tell me what needs to be mentally evaluated as I cannot go get this sanction accomplished without more information or lies, whatever is considered ethical to the LSBME. The LSBME has caused me great stress and prohibited me from working. Oh, and let’s not forget, because I cannot get a job because my suspension comes up in a background check, I cannot afford health insurance to get my cancer removed. I will continue to wait patiently and suffer knowing that my cancer may be spreading and affecting my health.

The Board is purposefully obstructing justice. I believe that is called maleficence, but I am not an attorney. Is it truly that shocking that the Board would obstruct justice like this? No. The LSBME continues to violate ethics, harm midwifery by placing burdensome and egregious requirements on its applicants, which will undoubtedly limit choices for consumers in the state of Louisiana and continue its disgusting deathcare spiral killing mothers along the way. Killing mothers, you say? Isn’t that a little harsh? No, no it isn’t. There is a maternity crisis in Louisiana and throughout the US. https://adams.house.gov/media-center/press-releases/congresswoman-adams-introduces-bill-address-maternal-mortality-racial

We do not have enough providers to give safe and effective maternity care. The South lags behind the rest of the country in maternal mortality especially for women of color. In fact, women of color in Louisiana are dying at a rate of 73/100,000 compared to 27/100,000 of white women. HOLY BLEEP. https://www.americashealthrankings.org/explore/health-of-women-and-children/measure/maternal_mortality/state/LA

Read that again– for every one white woman who dies in Louisiana almost three black women die. UHHHHHH. Something tells me doctors and hospitals are doing something wrong, very wrong. How do you know its doctors providing bad care? Because there are 17,000 of them in Louisiana compared to the 20 midwives practicing and licensed midwives do not work in hospitals. Doctors are killing women, not midwives. The LSBME needs to focus its investigations inward to truly achieve its mission statement of protecting the citizens of Louisiana. https://www.cnn.com/videos/health/2017/11/13/mother-birth-america-louisiana-orig.cnn

The limiting of safe out of hospital providers by the competition needs to end. We need to be making more midwives not less. According to one study, Louisiana ranks as the worst place to have a baby because hospitals are not following safety measures. “The report also breaks down a state-by-state ranking of maternal harms and deaths. In Louisiana, the state with the highest maternal death rate, there were 58.1 deaths per 100,000 births over the course of the study period from 2012 to 2016.” https://www.cbsnews.com/news/best-and-worst-states-to-give-birth-usa-today-investigation/

Tell me again how out of hospital midwives are incompetent and dangerous. I’ll wait. Oh, you have no statistics to back up that claim? It is because midwives are beyond safe. We provide one-on-one care and are able to assess women constantly because of our philosophy and model of care. Sure it takes time and is cost prohibitive for the provider, but cost effective for insurance companies and Medicaid, and you know what–our women and babies are alive, happy, and grateful at the end of the day. And you know what is better than money—safety, lives, and an investment in future generations. If healthcare providers got into the healthcare field to help make a positive change in lives then it would be seem intuitive to promote midwives on the basis of evidence-based care alone. https://mana.org/blog/home-birth-safety-outcomes

The LSBME needs to follow the spirit of the law in order to rehabilitate its licensees and promote the welfare and health of its citizens by encouraging more midwives, if that is truly its intentions, and not harass, extort, and financially drain them out of existence. No one should be above the law especially a board who creates the very laws they are violating. And it would behoove them to adopt some ethics while they are at it.


Jessica at Pine Grove: I don’t fit your criteria until you speak with my Compliance Officer. Huh, no kidding.

jmacmidwife

2/21/2018 Pine Grove/Forrest General/Jessica Brook, 
Hi Can you provide a Board ordered fitness for duty evaluation not related to substance use? Thanks for info. JM

2/23/2018 JM, 
Thank you for you recent email to Pine Grove.  We do offer evaluations, however we do not evaluation clinical skills, judgement.  We evaluate things such as substance use, disruptive behaviors, cognition, or boundary crossing.  For more information, please call our admissions office at 601-288-4799. Jessica Brook

2/25/2018 Jessica 
You did not answer my question. Do you provide Board ordered fitness for duty evaluations not related to substance use? Thanks. JM

2/26/2018 JM, 
We would need a bit more information regarding what your board deems as a “fitness for duty” evaluation.  As stated, we do not evaluate clinical skills/judgement, etc.  However, we do offer several types of evaluations:  substance use or disruptive behaviors or cognition or boundary crossing.  If your board needs you to have an evaluation for one of those concerns, then it is likely something that we would be able to facilitate. Jessica Brook

2/26/2018 Jessica 
Can I send you the board order so that you could determine what is needed? Pls. let me know what email to use. JM

4/13/2018 Jessica 
Do you provide board ordered fitness for duty evaluations NOT related to substance abuse? JM

4/14/2018 Jessica, Could I send you my board order and you could evaluate it? The psyche/med evaluation is towards “being deemed competent to resume the practice midwifery.” Would this be considered clinical skills/judgement? Thanks for you help in figuring out the best fit for me. I’m sure you wouldn’t ethically want to admit me if I didn’t fit the criteria for Pine grove. With much appreciation, JM

4/16/2018, JM, We provide a few types of evaluations:
Psychosexual:  The focus of this evaluation is sexual behaviors or professional boundary crossings. 
Comprehensive:  This evaluation is broad in scope and can be tailored to encompass questions of disruptive workplace behavior, psychiatric problems, personality disorder, trauma, eating disorder, or questions about cognitive or intellectual functioning. 
Neuropsychological Evaluation:  Comprehensive assessment to determine presence, nature and degree of cognitive or emotional deficits. 
Adult ADHD

Please note:  We do not provide evaluations to determine clinical skills, as a true “fitness for duty” evaluation would. Jessica

4/16/2018 JM, 
Yes, you can send your board order over via email or fax 601-288-8074 and I’ll take a look. Jessica

4/19/2018 Jessica, 
Thank you for agreeing to take a look at the order. I appreciate your help in this matter. Can I get your email address? JM

4/25/2018 (after sending me her email address on 4/23/2018)
Jessica. Just making sure Did you get my order? I sent it a few days ago. Thx JM

5/3/2018 
Hi Jessica. I’m just following up to see if you received the order? I haven’t heard from you and am trying to make decisions on where to get a psyche eval. Thanks! JM

5/3/2018, JM, I apologize, I have responded 2-3 times.

I have looked over your paperwork and I have a few more questions:

Namely, we can do evaluations that look at “fitness for practice” in terms of cognition, behaviors, personality, etc.  We do not, however, look at “fitness to practice” in terms of clinical skills, education, etc.  It looks like the board is concerned about the later.  However, if you would grant me permission to speak with them (and provide a name and contact information) then I am happy to reach out to them to clarify.  I think that if I am able to speak with someone there I could let you know for sure if this is the type of evaluation that we can assist with. Thanks, Jessica

TIME OUT. I bolded a few of Jessica’s sentences above. Jessica just said she doesn’t believe Pine Grove is appropriate for me because it looks like after reading my Board Order that I do not require a Fitness to practice evaluation in regards to mental health or other abusive issues. (She misspells latter, but I know what she means.) Apparently, I need a Fitness for practice evaluation in terms of clinical skills and education, which they do not provide and honestly none of these facilities provide because they are all drug and alcohol treatment centers. This is the same consensus two other facilities have come to– that I do not qualify for admission at their facilities. So why did the LSBME require me to admit myself into a facility I cannot admit myself in? I am glad I can waste six months trying to get myself admitted to a facility that I do not qualify for and that won’t take me. How again is this relevant to my suspension? Aside from keeping me from earning a living, it isn’t. It is causing me stress, wasting my time, and money. The LSBME has no desire to rehabilitate me nor provide me with legal, realistic, or unburdensome sanctions. 

5/3/2018 Jessica, No worries. Must’ve went to my spam box. Thanks for returning my email. 
Yes the LSBME won’t tell me what the evaluation is for. I’ve asked several times just because it’s hard to communicate with the facilities what I actually need this accomplished. They have given me five facilities to contact regarding possible evaluations thus far and two have responded that they cannot conduct the evaluation and I’m assuming your facility is not a good fit either. For what it’s worth I’m living in Florida. 
Yes I can give you permission on my behalf to contact the board to figure out what exactly they are looking for.  Pls let me know what you have heard from them. And I’d prefer you contact them via email so that I can have the boards requirements for evaluation in writing to pass along to my attorney. Thank you so much. JM

5/3/2018 JM, 
Thank you for the information.  I will contact her shortly.  Ronnie and I have worked together on several cases so hopefully I’ll be able to reach her quickly. Jessica

5/3/2018 JM, I spoke with the board and gathered some information.  They are referring you for what we term a “Comprehensive Evaluation”.  This eval focuses on fitness to practice, behaviors, and cognition.  There are also other areas covered such as addition screeners.  This eval is a 3-day process for us and costs $4,800.  If you want to move forward, I am happy to facilitate that and we can get you started.

TIME OUT AGAIN. Wait, you just said I did not qualify for a Fitness to practice for mental health issues. But after you call the Board, you now think I need a “Comprehensive Evaluation” and some “addition” screeners? Whatever that is… I think Jessica probably needs to spend more time proofreading her emails, but I digress. And I am sure she will be happy taking $4,800 from me for no reason. I am skeptical at best and begin questioning her shadiness. There is absolutely NO transparency here. It all seems made up on the fly in some back alley in New Orleans. Its disgusting and they call this making midwifery safer by having licensing boards? HA!

5/4/2018 Jessica, This is 2000$ more than what I was originally quoted for a psyche evaluation. What exactly are the other areas that will be screened? What are you looking for? Can I get a list of tests please?
I’m re reading this. Is math going to be involved? What are addition screeners? Also. I have never had nor currently possess a drug or alcohol or substance abuse problem. Why is this being assessed? Is there a state agency that you are accredited through? I’ve read several reviews that say this is a huge waste of money and a scam. Also that poly graph tests are required as well as monthly revisits to your facility. Can you speak to any of this? JM

5/4/2018 JM, Our eval will consist of addiction assessment, psychiatric assessment, lab work, history/physical, psychological testing, collateral information, neuropsychological screen.  Unfortunately, we are unable to provide you a list of the psychological tests ahead of time, as those are compiled on an individual basis in order to fit your needs. Jessica

What a load of horse pucky. Again, why am I having an addiction assessment? I can just give you the $5,000. I do not need any of this. And wow, I find it so surprising that I you won’t tell me what tests I’ll be charged with. The reviews online tell horrible tales of these facilities. They suggest you go to AA meetings at night because you have nothing else to do and you want to seem compliant. Then when you say after your three-day assessment that you are leaving because again you do not have a problem. They chart how you left the facility in the middle of your treatment aka AA meetings to which they tell you you have to finish the series. So they write that you are non compliant and not finishing treatment requirements. Then you are stuck there for three months wasting $40,000 because insurance doesn’t cover it anyway getting “treated” for something you didn’t have a problem with in the first place. WOW, this sounds fun. Where do I sign up? Jessica tries to persuade me that her facility is not as shady as the reviews claim. I call BS. I don’t have sexual boundary crossings, but the thought of having to take a polygraph suggests criminality–what kind of warped facility treats people it is trying to rehabilitate as criminals? How is that healthy? And if you offer 1-week visits, well guess what– I do not live near you so that just won’t work, in the off chance I need therapy, which I am sure Pine Grove will find or make up a reason for.

5/4/2018 JM I reference to the substance assessment, this is a standard part of all of our evaluations.

We are accredited through DNV, which is a national accrediting agency.

Polygraphs are generally only incorporated if there is a concern about sexual boundary crossings. 

Additionally, we do have a treatment program that encourages yearly or bi-yearly 1 week visits back for those patients who we think need the additional accountability.  This is not part of any evaluation process and is only part of that single program. Jessica

Talbott Center: I don’t fit their Criteria (not surprisingly)

jmacmidwife

In the last six months, I have lost three members of my family. I wish I could go to a therapist, but I am so afraid of the LSBME finding something wrong with me that I don’t really consider going because I do not trust them not to use everything in my medical record to find me incompetent to practice midwifery. I suffer in silence. I try and sleep as best I can. It’s lonely. 

Following my (non) attorney’s advice, I call the closest treatment facility and ask for an evaluation. As expected, once I explain that I do not know why I need the evaluation, the admissions counselor asks me to send her the Board Order so that she could see if I fit criteria for admissions. I am very honest about what I think the order is asking the evaluation to determine. Keep in mind that this facility was one of five LSBME pre-approved drug and alcohol treatment centers I was given to choose from. I have bolded the admissions counselor’s responses. The Board Order that I sent to her follows.

2/7/2018 Talbott Admissions Counselor, Sorry I’ve had a death in the family so I’ve been off line for a few days. It does state the evaluation is for competency in midwifery. If this is something that can be done or is appropriately screened in a three day evaluation can you elaborate on how exactly my competency in midwifery is going to be evaluated? It seems competency is based on skills and not physical or mental criteria but I’m not certain. Thank you again for your assistance and time. JM

2/7/2018 JM, I’m so sorry for your loss.  I’m glad you were able to follow up with me, so hopefully we can point you in the right direction.  I’ve read over your Board Order, and unfortunately, this is not the type of evaluation that would fall within the scope of our assessment here at Talbott. I wanted to at least let you know that, but I am seeing if I can get any referrals for you as well.  That part may take me a little longer, but I will be back in touch if I can get you a name or two.  

Our evaluations are specifically for substance use, and the evaluation that you are recommended for is a mental competency evaluation. They basically want to see if there are any mental health or cognitive issues that would make it unsafe to resume practice.  We do this type of fitness for duty evaluation, but only as it relates to substance use disorders, so I can sort of see why you got to us. I would imagine that your eval would need to include a battery of cognitive testing and an in depth psychiatric interview at the least, but may not require you to admit to a facility to complete.   

I have a colleague that may have some suggestions for you, so as soon as I can speak with him, I may have some leads for you.  However, the LSBME will have to approve the providers that you select BEFORE you are evaluated. So make sure you get that approval first, if the provider is not on a list of approved providers you may already have from the LSBME.  If not approved, they may not accept the eval, and you would potentially have to do it again. 

I will let you know if I come up with anything.  Good luck!! Talbott Admissions Counselor

2/8/2018 Talbott Admissions Counselor, Thank you for the quick reply. I appreciate you looking into the Board Order and discussing with your colleagues what direction will be best for me to take. Also thank you for your candid opinion on what assessments I will be needing. That helps. 

Below is the list of providers the LSBME provided for me. Do you have an opinion on whether they will be in the same boat Talbott is in regarding my assessment being outside of scope? I’m not sure if you work with these facilities as well but figured I’d ask. 

Yes I realize I need to have the facility and/ or provider pre approved which is what prompted my inquiring to LSBME to begin with. Please let me know if you have any suggestions towards pursuing. Thank you again for your time. JM

2/9/2018 JM, They are all very well respected programs, you would be in good hands with any of them. While I cannot comment individually or steer you in a specific direction, I would suggest you look them up online/contact them and see what is the best fit for you.  I think if you are able to better state the nature of the assessment, which is basically reading them that first recommendation, they will be able to tell you quickly if they can help.  Our focus here is just too narrow, as we do our evaluations with the scope of whether substance use was a factor in the problems addressed by the Board. Some facilities have a wider scope of what they evaluate, with regard to the “mental/physical” aspect of the requested evaluation.  Good luck to you, Talbott Admissions Counselor

Still don’t know what the mental evaluation is for…

jmacmidwife

I sent this email three times before Ms. Spooner replied. 

12/1/2017 ES, You haven’t answered any of my questions to my last email (below). I’d like to know what this psych evaluation is for. And why it needs to be so involved (inpatient) when I don’t have a reason for it. It seems malicious, egregious, and not what a true professional regulatory board is designed to do. How is it ethical if y’all are requesting I have inpatient treatment when I don’t have a diagnosis? And how is it ethical for the psychiatrists to perform a psych evaluation when there isn’t an indication? And nothing in my order nor in my case suggests I have a mental illness or addiction.
 I’d like to know legally who oversees the LSBme? Is it the governor or state attorney general? Who decides if the Lsbme is following the law? 
I sent an email asking if ridgeview institute in Smyrna ga is sufficient to provide the psych evaluation. You did not respond. Is this place sufficient? 
Likewise how am I supposed to pay total of court fees back when I can’t get a job with the suspension on my background check? Is there an appeal process or another way to pay this? Can I pay in community service hours? I’m not a doctor. I don’t make this much a year even when I did practice midwifery. And again I don’t have an income at the moment.  
I’m homeless. You can reach me at this email address. If I get a job or donate enough blood each month to get my own residence I’ll send you a permanent address. 
I’m trying to be compliant with whatever is realistically doable but it’s like the lsbme isn’t following the spirit of the law and is making decisions based on emotion rather than reality. 
I attached the Louisiana state board of nursing Cme’s in another email since my profession is most like a certified nurse Midwife not a doctor. Will these courses on the nursing Boards website suffice? You never replied to that other email which again makes it hard to be compliant with the order. 
Also does the ALSO course work for the evaluations and identification of high risk pregnancy education requirement? http://www.aafp.org/cme/programs/also.html
Also on my order it states I need to demonstrate how I understand the rules and regs. Do you want a paper written?  I need to know what this means. How am I supposed to go about doing this? 
Likewise it states i need to make a personal appearance once off suspension. How do I get on the schedule? 
Thank you for your help. JM

Still No Total nor Reason for Mental Evaluation

jmacmidwife

11/21/2017 ES, Thank you for the information. Is the test taken in Hattiesburg? 
What do you mean by reinstatement application? Can you give me more information?
Is there a list of doctors that do physical and mental or are both at that facility in Hattiesburg? Thanks for the help. JM

11/21/2017 ES, Also. I have to pre approve everything in my order. How do I go about doing this? Will sending my courses and selected doctors to the board via certified mail suffice? I don’t live in Louisiana. Thanks, JM

11/21/2017 
Good morning,
Yes the evaluation will take place in Hattiesburg, Mississippi. Ms. Brook will set everything up once you contact her. A separate list of providers is not necessary as you will be evaluated by the treatment team at Pinegrove. When I discussed your case with Dr. Mouton, she instructed me to give you the contact information for Pinegrove to have your evaluation completed. You will need a reinstatement application because you have not had an active license since December 19, 2014. ES

*Take note that Dr. Mouton is the women who has been terrorizing healthcare providers under her authority. She will finally be removed from this post in the summer of 2018, but until then she continues to destroy people like myself. And just to extort more money out of me, the LSBME is making me reinstate a license they have put on suspension. How can this be legal to make me pay for a license I cannot use and they suspended? 

11/21/2017 ES, You said there was a list of psychologists in Louisiana. Can I have access to the list? The contact you gave me in Mississippi seems a bit much for having no diagnosis. They want a three day evaluation for $3,000.  That’s insane especially when there was no reason for this Court order.  I’m located in Georgia. Is there a closer facility or doctor where a basic psych exam can be accomplished. Usually most courts require a 2 hr one which is a few hundred dollars. This is extortion to require me to have an expensive in patient evaluation for no reason. Does my attorney need to contact you for the list? Thank you for your time. JM

11/21/2017 ES, I spoke with Jessica brook and again I need to give a reason for the evaluation and I haven’t got one. Can you please give her a reason? Since my case was not based on drugs or alcohol or any mental issues I don’t know what you are looking for. 
Can you send a link or tell me what needs to be done for reinstatement? How much is there a form? What’s required. Thank you. JM

I ask repeatedly for Ms. Spooner to tell me what needs to be done to reinstatement, besides the obvious fulfill requirements. I am wondering if I need to fill out a form and how much reinstatement will cost. She seems not to comprehend what I am asking. Sadly this won’t be the first or last time we have issues communicating. However, I am more than willing to fulfill my egregious requirements, I just need information to get them going. The deliberately keeping information away from me has been hindering my ability to get my sanctions accomplished. 

11/21/2017 JM, I did not know that you were in Georgia. A basic evaluation will not suffice. I have to discuss this with Dr. Mouton and I will get back to you. If you want to have your license reinstated, you must comply with the stipulations in your Order. ES

Ah, yes, Dr. Mouton strikes again by telling me I need more than a basic evaluation, but won’t tell me why or what exactly I need.

Again, I am not questioning that I need to comply with stipulations to have my license reinstated. I get that.  I am asking for the cost and forms associated with it, because naively, I thought I would be getting off suspension soon. hahahahahahaha.

And seeing that it has been over two and a half years since my hearing and they still do not have a total for fees, something tells me accounting is not there specialty.

And who cares if I am in Louisiana anymore? How is that relevant?

11/21/2017 ES, Why won’t a regular assessment suffice? Especially when There isn’t a reason on the order for the psych or medical evaluation. 
I understand that I must comply but you aren’t explaining what that means. What does reinstate mean? What do I need to do to reinstate? Do you mean just comply with orders or is there more that y’all are going to tack on? 
The lsbme cannot make requirements that are burdensome and egregious. it’s unethical at the very least to require me to undergo medical and psych evaluation for no reason other than on the whim of dr mouton. You haven’t provided a reason to me to have to have an extensive assessment. Its wrong and borderline illegal. JM