Thursday, July 29, 2010
CanHouse Studios and Ballancing Act
CanHouse Studios, LLC (this sounds like the name of a porn production company to me) This is a new one, just set up this month.
Ballancing Act, LLC (this one I bet is dead on...lol)
Wednesday, July 28, 2010
Here It Is July 2010 and States Are Still Not Cracking Done On Kool Smiles-More Bad News
From one Mother to another, here is a brief description of my experience with Kool smiles. One afternoon I was brushing my two year old sons teeth when I noticed a small pin size hole in one of his canine teeth. I immediately got online to find a dentist for my son that would accept my health insurance and when I came upon Kool smiles in the list of providers I was ecstatic! I had seen their commercials on television and I knew it would be a great place to bring him because the entire place was geared toward children his age. I called to setup the appointment which I was able to get very quickly (now I know why). We arrived the morning of our visit and my son could not have been more excited to find a little climbing area with a slide and other children to play with while he waited, I thought "what a great idea to make the dentist seem like a fun place to try to ease the fear of the little ones instead of having them sitting in a waiting room fearing what would happen when it was their turn". I filled out the usual new patient paper work and after about 40 minutes we were in the room getting x rays and an exam. When the dentist came in the room to examine my sons teeth and look over his x rays she had found that he had six cavities in his mouth and she decided that it would be appropriate to grind down all six teeth and put metal caps on each one of them, I expressed my concern that the cavities were so small they were hardly noticeable to the naked and eye and I didn't see why such extreme measures needed to be taken for such small holes. The dentist had explained to me that they are not able to fill cavities in young children's mouths because they don't last very long when the cavities are "so deep" and that in their office they will not fill them because it isn't their policy. I was very disheartened with their solution to fix my two years old's teeth so much so that I had decided to go and get a second opinion. I called a new office and got an appointment for four weeks later. When I brought him to this dentist the cavities had gotten a lot worse because they were untreated for several weeks while I was waiting to have him seen. We went in the examination room and and had the same exam done, and they reviewed his x rays and the dentist told me that the cavities were so minimal that he wouldn't even need to use Novocaine to get them filled since they were only on the surface and had not reached the nerve (mind you kool smiles couldn't fill them because they were "so deep"). He said there was no way that he would need to have any of his teeth capped because the cavities were so minimal. Walking out of the office that day I had felt such a huge sigh of relief that my toddler didn't have to have his teeth ground down and metal caps placed over them! Needless to say I would NOT recommend Kool smiles in anyway they are money hungry and would go as far as putting an innocent two year old through many painful unnecessary trips to the dentist to be left with a mouth full of metal caps just to make a buck. Please don't fall for their commercials... the way they get their money to pay for them is completely disheartening and unethical.
Monday, July 26, 2010
Up A Creekview - William Nash, DDS
SMYRNA, TN 37167
- Joseph Brett Carranza, DDS (he was there in 2008 but abcent from Professional Certificate by the 2009 filing) I guess he had a 'come to Jesus' moment and got the heck out of there. However, in googling Dr. Brett, his address comes up as 618 Church Street, Suite 520, Nashville, TN., FORBA Holding's address and I can't find that he is practicing anywhere else, so maybe he's still there. I dunno.
- Carl Trout, DDS
- Preeti Singh, DDS (who has a Scottsdale, AZ address)
- Christopher RJ Wieseman, DDS
- Jamie Lynn Bass-Schwaniger, DDS
- Julie Cariglio, DDS
- Maria Nosworthy, DDS
BTW, FORBA is looking for lead dentists and associate dentists for the Nebraska clinic with a $15K signing bonus. Before you bite, you should read the Bait and Switch posts below.
Anyway, just want to make sure no one forgets those who lend their name and professional licenses to the fraud and child abuse perpetrated by FORBA and it's dental clinics.
Parent Wishes She Had Googled Dr. Robert Andrus Before Going To Giggles Dental In Colorado
Dr. Robert (Bob) Andrus |
I hope this mom first heads to Giggles and obtains her children's records, asap or quicker. Second, files a complaint with the dental board so they will investigate, they know Dr. Adrus. Third takes the records and the x-rays from Giggles Dental back to her dentist at "A Wild Smile" for comparison. Forth, files a complaint with her dental underwriter, whether it is a private insurance carrier or Colorado's Medicaid program. Don't forget each state has a Medicaid Fraud Control Unit.
The quicker this mom makes the complaint, the quicker the next child isn't overtreated. Everyday, all day long,this is happening to children visiting Giggles Dental. This crap has got to stop!
I used to drive 25 minutes to A Wild Smile, and I was always very pleased with their work. I switched to Giggles because it is only 5 minutes from my house, but it has been nothing but trouble. None of my kids (ages almost 7, 8, and 9) had ever had a cavity before. On our first visit Dr. Andrus said my youngest had 1 small cavity - not unbelievable considering her age. We came back and got it filled, no problem. On our second cleaning visit, I was told my oldest daughter, who'd had her molars sealed at Wild Smile, needed to have her teeth resealed. I didn't realize sealant didn't last, so he resealed them. He also told me my youngest had 1 very small cavity and two naturally occurring pits in her back teeth that he felt should be filled even though they weren't cavities. Fine. I took her back and had the pits filled, she didn't need anesthetic. My husband took her in for her the actual filling a month later. She came home with three fillings! Or so the bill said. In addition to that, within minutes of leaving his office, my daughter's lip developed an enormous and disgusting canker sore. He said she bit her lip, but that is what the cotton roll is supposed to prevent, right? I think he clipped her with some dental tools, but I can't prove anything, so I just treated it with peroxide. I didn't bother to fill the prescription he gave me for Children's Tylenol with Codeine - it seemed like a ridiculous prescription for a canker sore. Anyway, I reminded him that he told me my daughter had one cavity and two pits - he said she had 3 cavities and 2 pits. If I had been told that my daughter who'd had the only cavity out of all my kids now had three cavities six months after her last cleaning, I would have remembered that and had a fit on my kid!It worked out perfect for the dentist in this case since the same parent who came the first time, was not the one who brought the child back for treatment.
I wish I had Googled this guy before I left a perfectly good dentist merely for a convenient drive from my house. I'm just lucky it wasn't worse.
This is just a small example why it's so important to track these dentists who have been employed by FORBA Small Smiles, Kool Smiles, Dental Dreams and all the other mills.
Sunday, July 25, 2010
Inside The Mind Of A 4th Year Dental Student
- "Man Handle"
- "Going Medieval on them"
- "Papoose their ass"
Sunday, July 25, 2010
Profiling the Pediatric Patient
After spending four weeks (with one more to go) at a clinic devoted solely to pediatric dentistry, I have begun to notice that every patient falls into a specific pre-determined (by me of course) category. Allow me to elaborate:KEY:
Tell-Show-Do = this is when you show the kid everything you are using (aside from the needle) and explain what it does. For example, I will let them see the mouth mirror before I use it. I will show them my “tooth fixing wand” (the highspeed) and show them the noise it makes and even spray their arm with the water a little so they see what it feels like. This goes on as necessary.
N2O = Nitrous Oxide, a commonly used anxiolytic in the medical setting. Easy to use, easy to remove the effects, and pretty much no chance of killing someone.
Manhandling = when all else fails, you just go medieval on the kid to get the job done. This includes papoose boards, head holding, mouth props, and half-assed dentistry. Really, there is no way to do a great job on a patient with zero compliance. You just need it to last long enough for the permanent teeth to get in. Manhandling is more commonly used for the 6 and under crowd but there are always exceptions.Difficulty = a generic scale of how tough the kid is to work on. Scaled out of five. One being easier than an adult, and five being extremely tough (general anesthesia candidate).And now for the profiling!
The Vomiter:This patient, like most kids, wants nothing to do with the dentist. Once you papoose their ass and headlock them with two assistants, they still find ways to defend themselves. Frankly, they try to puke all over you. And it isn’t friendly gurgling puke, it is projectile – get in your eyes puke. What’s worse is that they inadvertently could kill themselves by choking on said puke. So you need to brave it out to suction all that shit up (god bless the assistants). The only way to tackle this patient is to wait out the vomiting because they will eventually run out of ammo.Tell-Show-Do - ineffectiveN20 - ineffectiveManhandling - marginally effectiveDifficulty = 4/5
The Old Man:This patient is actually pretty relaxed. Nitrous can work wonders sometimes. They may still get crotchety during the injection, but afterwards they will just sleep – THE ENTIRE APPOINTMENT. A real treat to work with. Only annoying when mom comes back and thinks I OD’d her kid on nitrous…bah.TSD - unnecessaryN20 - extremely effectiveManhandling -unnecessaryDifficulty - 2/5
The Stoner:A close relative of “The Old Man,” this patient wants nitrous and wants it bad. It may be hard to associate a 9 year old with a 25 year old pot-head. But when one sees these kids craving the “magic nose,” one can’t help but make the comparison. These patients generally are pleasant to work on because they are riding the good waves of N2O. I’ve even had kids laughing while getting a block…crazy.TSD - Pointless, they aren’t listeningN20 - EXTREMELY effectiveManhandling - unnecessary
The Question Asker:This patient simply doesn’t shut-up. They constantly need to know what you are up to. N2O is only marginally effective because they never stop talking. TSD is only helpful to a certain extent because I still haven’t found a pleasant way to show them the 25gauge needle. I am good at hiding it like a magician though. These patients can be really easy or really tough – they are unpredictable.TSD – Marginally effectiveN2O – Marginally effectiveManhandling – Effective when necessaryDifficulty – ranges from 2-4Difficulty - 2/5
The Victim of Circumstance:Perhaps the most depressing patient to work on. This is the kid who shows up with cheetoes all over his teeth and a bag of skittles in his pocket. This is the patient with parent’s that are ignorant, negligent, or just suck at parenting. “I can’t get him to shut up at night without giving him a bag of Doritos and a pepsi” is the most ridiculous thing I have ever heard. Suck-it up and lay down the law. These kids are generally too young to know any better, so it is really the parent’s responsibility to take care of them. Unfortunately, I see a lot of neglect going on.TSD – variableN2O – variableManhandling – variableDifficulty – variable
The Momma's Boy:This patient generally arrives clinging to mom and is too old to be exhibiting such behavior. They generally freak out once detached and go one of two ways: total meltdown or total calm. Again, a bipolar patient type. If they freak out, being extremely stern often solves the problem immediately. Parents are not allowed in the operatory if the kid is 5 or older so this type is always a wildcard. After the procedure they always run straight back to their leech like hold on mom’s leg.TSD – Effective to UselessN2O – Effective to UselessManhandling – always effectiveDifficulty – 2 to 4
The Screamer:Name says it all. This patient screams the entire appointment with variable pitches. Surprisingly easy to deal with if you aren’t fazed by the noise. The papoose is usually all that is necessary, they rarely thrash their heads around.TSD – ineffectiveN20 – ineffectiveManhandling – very effectiveDifficulty – 3/5
The Negotiator:This patient will do anything to get out of the chair. They will bargain with you. For example, "please don't put that in my mouth (bite block), I promise I'll keep my mouth open." You may fall for the negotiator at first, that is until they bite down on the running bur and change that small occlusal composite into a pulp/crown. I usually just re-negotiate. "Be good and you get a shiny toy." If this doesn't work - proceed to manhandling.
TSD - slightly effective
N20 - slightly effective
Manhandling - effective if necessary
Difficulty - 2-3/5
The Mongolian Warlord:
Containing attributes of both “The Vomiter” and “The Screamer,” this breed is the absolute worst. They are combative, spit at you, vomit on you, scream at you, and essentially struggle the entire time. Unlike other difficult patients, they don’t get tired. These patients unfortunately seem to have the most neglect as well in terms of oral hygiene. If they require multiple pulps/crowns – they are best referred to a hospital for general anesthesia, there is no way you can get it done acceptably otherwise.TSD – ineffectiveN2O – ineffectiveManhandling – ineffectiveDifficulty – 5/5
The Angel:This is the type of patient that makes you happy to be a dentist. They are cooperative, exhibit very little apprehension, and are just cute as the dickens. TSD and N2O are always effective but are often not necessary as the patient will be compliant regardless.TSD – often unnecessaryN2O – often unnecessaryManhandling – unnecessaryDifficulty – 1/5
I may add or edit this post as the year goes on. I haven’t covered all the types – just the most common run-ins for me so far.PS. sorry for the lack of spacing after periods. I swear I didn't type it up like that... but the mystery makes it even more exciting right?
Thursday, July 22, 2010
Turnover Still High
Appears as though things are not changing much at Small Smiles, in Ohio anyway. In the last month, one clinic lost three employees, hire three replacements, and quickly lost 2 of those.
Wooo Hoooo
Tuesday, July 20, 2010
Ameris Health Systems–Shifting Focus Toward Management
One day before FORBA’s Michael Lindley signed the 5 year Corporate Integrity Agreement his other associated company, Ameris sent out a press release announcing it was “shifting it’s focus to management”. !!
Nashville Post talks about this and the “unloading” of all but one of it’s hospitals.
Read it here.
Michael Lindley bought his Florida condo from Ameris Realty of Florida, he is up to his eyeballs in Ameris.
Ameris Health Systems
1114 17th Avenue South
Suite 205
Nashville, TN 37212
From the Ameris Health Website
History:
In 1992, Sam Lewis founded Consolidated Health Corporation ( CHC ). CHC was the predecessor of Ameris Health Systems, LLC (Ameris). Ameris, a Tennessee limited liability company, was formed on June 26, 1998 for purposes of developing, owning and managing hospitals and geriatric psychiatric units.
The first project undertaken by CHC was the reopening of Morton Medical Center in Morton, Mississippi. The hospital had been closed for 4 years prior to the involvement of CHC . Ameris recruited physicians and managed this facility until 1998, when management was returned to the local hospital authority. The facility is still open and serving the needs of the community.
In 1993, CHC reopened Newton Regional Hospital, originally a 50-bed acute care facility in Newton, Mississippi. The hospital had been closed for 9 months when CHC reopened it. Over the years, Ameris had added physicians to the medical staff, implemented a 12-bed geriatric psychiatric unit and a swing bed program increasing the services provided to the community and Income for the hospital. In 2003, management was returned to the local hospital authority.
In 1996, Ameris was engaged to manage Prentiss Regional Hospital & Nursing Home in Prentiss, Mississippi. Ameris added a 14-bed geriatric psychiatric unit and a swing bed program. New physicians were attracted to the community. The facility was renovated via grant money obtained by Ameris management. In 2004, management was returned to the local hospital authority.
In 1997, Ameris purchased CareNet Health Systems, Inc. (an owner and manager of residential adolescent treatment facilities), developed and opened 2 additional facilities in Birmingham and Philadelphia, and sold CareNet to Children's Comprehensive Services, Inc. In 1998.
In 1997, Ameris purchased Smith Hospital in Hahira, Georgia. Following a bitterly contested Certificate of Need (CON) application process, Smith received approval to build a new facility In Valdosta, eight miles away. Ameris syndicated the facility to local physicians and other Investors. The new facility opened in June 2002. Ameris partners individually own approximately 30% of Smith Hospital and Ameris manages this facility. Smith Northview Hospital is very successful as an Ameris-managed facility. The hospital has undergone four expansions in its new location since opening and has a bed capacity of 54. A fifth expansion is currently underway to increase the capacity of the Women's Center and Nursery.
In 1998, Ameris took over management of a geriatric-psychiatric unit for Winston Medical Center in Louisville , MS . Ameris recruited physicians and increased the marketing efforts of the unit. Ameris continues to manage this unit.
In 2001, Ameris' founder, Sam Lewis led a group of investors who acquired Children's Comprehensive Services, Inc., a NASDAQ listed public company with annual revenues of approximately $140 million, and took the company private.
[ He tried to hide the company from scrutiny by taking it private is what he’s really saying. Twiford Rainer, Al Smith (“Smith”), Mike White, Rodney Cawood (“Cawood”), Buddy Turner, Jeff Cross, Gail Debiec, Brad Gardner, Brad Williams, Don Wert, Rob Minor, Mike McCulla, Jim Shaheen, and Rod Gaeta were the group of investors - Smith, Cawood, Lindley, Gardner, Williams, McCulla are the crooks who own the illegal dental clinics-Small Smiles]
The company then operated as KEYS Group Holdings, LLC ( KEYS ). Mr. Lewis was on the board of KEYS and Ameris partners owned more than 10% of the company. KEYS ' audited financials for 2004 reflected shareholder equity of $42.7 million, net revenues of $118 million and pretax income of $6.5 million from continuing operations and a $40.6 million gain on sale of discontinued operations. KEYS was sold to Universal Health Systems in 2005.
In 2003, Ameris obtained a CON to build a 70 bed replacement medical/surgical hospital in Phenix City , Alabama . Ameris contributed the CON with an appraised value of $3 million to Russell County Community Hospital , LLC ( Summit Hospital ), raised over $22 million of additional equity and obtained a HUD insured mortgage loan, which closed on May 19, 2005 , for $33.6 million needed to develop, construct and equip Summit Hospital . Summit Hospital was sold to Houghston Orthopedic Clinic in February 2008.
In late 2004, Ameris acquired the operations of two acute care hospitals ( Blytheville and Osceola Arkansas ) from Baptist Health Systems of Memphis and entered into leases for each of the two facilities with Mississippi County Arkansas. Ameris and Ameris partners own approximately 66% of the Arkansas operation and Ameris was contracted to manage each facility. Ameris returned the management of the facilities back to the County in March2009.
In April 2007, Ameris received approval from the Florida Agency for Health Care Administration for a Certificate of Need to develop a 60 bed general acute care hospital in Levy County , Chiefland , Florida . Plan developments and financing activities are currently underway.
In September 2008, Ameris assumed the management contract for Barrien County Hospital and Georgia Home Health Services in Nashville , GA. Berrien County Hospital is a JCAHO accredited facility with a licensed capacity of 63 beds. Ameris added a 12-bed geriatric psychiatric service to the hospital in January 2010. Georgia Home Health Services operates three offices – Nashville , GA ; Valdosta , GA ; and Tifton , Georgia . Ameris returned operations of the facilities back to the owners in August 2010.
In January 2010, Ameris began a management engagement and turnaround of the 50-bed acute care hospital in Montezuma , GA. A financial turnaround is currently underway, as well as plans to sell the facility’s assets to a newly formed 501( c ) 3 corporation under an Ameris management agreement.
Ameris Health Systems and Ameris Management Services continue to explore new opportunities for management, development, and consulting for general acute and psychiatric health care entities. Please contact us for more information at (615) 327-4440 .
Ameris of Georgia -
CEO – Sam J. Lewis
CFO – Michael G. Lindley
Sec – Luther Ramsay
Wednesday, July 14, 2010
Tuesday, July 13, 2010
Small Smiles Dentist Pay To Be Production Based Only by January 2011-No Vacation-No Holidays-No Paid Time Off
Friday, July 09, 2010
Report of Fayetteville Smile Starters Abusing Another Child
The abusers were dental assistants Sonya and Christy and the dentist Dr. Rafael (Raf) Rivera, Michael DeRose and Tish Ballance's hand picked successor to run their Smile Starter clinics.
Until yesterday this was a bright and energetic 29 month old little boy, today he's bruised, scratched, withdrawn, not eating and having other intestinal track issues.
I called the Fayetteville office – 910-864-9884 to see if they had any comment, Debbie at the office, said they did not.
Tricare contracts with this house of horrors to provide dental services to our military families. SHAME on TriCare, SHAME of The Department Of Defense, but most of all SHAME on The North Carolina Dental Board for not closing the doors on these places. The board knows full well what happens to children here.
Still on it…
It's been a few days since I've posted anything. I injured my wrist. But make no mistake, I'm still on this issue. If the doors of these places are still open you can count on the fact I'm still on it.
Friday, July 02, 2010
DeRose Backed Facility Kills A Man - Cardiolory Now to be Renamed Flatline Now?
A DeRose backed medical facility in Pueblo kills a man on Thursday July 1, 2010.
A gentlemen who should have had further testing BEFORE any stress testing, was put through a stress test today and killed. Dead. Thanks to the DeRose family and Dr. James Sbarbaro, a family is shredded, Mike, Dan and Dr. James are sleeping peacefully at home.
When is someone going to put these people behind bars and keep them from abusing and killing people!??
This DeRose style drive thru medicine is KILLING PEOPLE!!!!
Flatline Now