mONE MORE UPDATE I, RE: LAXMAN PATEL, M.D. This man was my first attending psychiatric doctor at The Arizona State Hospital. LAXMAN PATEL, and has since been promoted to the very powerful position of Chief Medical Officer at the Arizona State Hospital. 

Pervaiz Akhter
ASH psychiatrist 1999-2014
Current CEO Transitions Center, PLLC
Tempe, AZ 

Business as usual… At ASH, at least.

(This article was originally published in mid-October, 2013, one of two such articles published in the period of time specific to my first primary attending ASH physician  Dr. Laxman Patel. And to my knowledge (because on point with the rejection of previous ASH administrators to meet their obligations, the current CEO of ASH- Dr. Aaron Bowen- has yet to take much if any meaningful  action in his own right when it comes to the issues relating to ASH at this time), like all of the other available data in this blog, published on-line in over 400 articles since April, 2012, the facts detailed in this article have yet to be considered by persons 100% responsible for ensuring that Arizona's sole long term mental facility in operated in compliance with established codes of medical practice. These "persons" know exactly who they are, too, and are fully aware of their obligations; which basically makes me sick, because knowing as I do that they still refuse to do the right thing, equally grants me the knowledge ASH's patient community is still greatly  at risk of physical, psychological, and emotional abuse. It's that simple, it's that bad.)  

(FEBRUARY 2016 UPDATE: Following my initial 1:1 interaction with Dr. Laxman Patel, who was my first acting primary attending psychiatrist at ASH, wherein I shared some of my most personal history, including the fact that I was criminally, sexually abused by an older sibling (a highly traumatic life event that has most definitely lent to my deepest struggles specific to my psychological diagnosis), this so called competent physician mischaracterized the incident in his formally produced medical report about my personal history in the context, as follows: "Mr. P------ (me, the patient) reports that his sister LET HIM FONDLE HER WHEN HE WAS SIX (6) YEARS OLD.... " [see One More Update RE: Laxman Patel, MD II, published October 25, 2013]. Likewise, as described below, Dr. Patel further went so far as to exhibit his obviously overblown ego, this when I shared the fact that a friend of mine in Tucson, also named Patel and also originally from India, had been tragically murdered in 2009. More recently, as in just a few weeks ago, I listened to a very compelling news report about the current  social conditions in the nation of India, and in an interview with an Indian man who has dedicated himself for the last 45 years to advocating on behalf of India's grossly mistreated and impoverished citizens, the vast majority of whom have no access to reasonably decent medical care. Hearing this man describe his willingness to dedicate his life to helping others there in his place of origin- India- immediately reminded me of Laxman Patel's disturbingly exorbitant egoism, which I contend illustrates yet more undeniable example of the grossly discriminative nature of ASH's psychiatric staff, all of whom- in my experience [they passed me on from one psyche doc to the next- 4 total in 13 months- due to the simple fact that I was willing to demand that my given primary psychiatrists meet their obligations in the context of rampant patient abuse at ASH, in response to which each one of these attending "doctors"- Laxman Patel first, then Pervaiz Akhter, followed by Lynn Lydon, and in closing Sylvia Dy- became overwhelmed by my ongoing, good faith efforts to bring these issues to light)- directly contribute to the well known stigma that has negatively impacted persons affected by serious mental illness, across the board, for time immemorial]. With this in mind, I ask that Dr. Aaron Bowen take these elements of medical misbehavior seriously, which he can confirm by reviewing patient records, and other like sources of information that can serve to bring about meaningful reform at ASH, which the entire ASH patient community is greatly deserving at this time.)    
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"YES, SOME INDIANS MOVE HERE TO DO WORK LIKE THAT. IN MY CASE, HOWEVER, I CAME HERE TO HELP PEOPLE." (Dr. Laxman Patel, longtime ASH psychiatrist, February, 2011)


"Mr. ------ (the patient) reports that his sister allowed him to fondle her when he was 6 years old…"

Not long after I was initially hospitalized in Tucson, Arizona, for direct treatment specific to my diagnosis of major depressive disorder, the following obituary came up in local area newspapers, which I tend to read no matter where I am, in essence. The subject of this obit is a man who I just so happened to have come to know, over the summer of 2009, when I lived just around the corner of small grocery that he and his very friendly family operated. It is a strange world sometimes, but whenever I meet someone as good hearted as Mahesh "Mike" Patel, I take note. Needless to say, thus, my deep sadness in hearing about his tragic death most definitely affected my state of mind, at a time when I was just about 8 weeks into twenty one full months of extended (residential) treatment in the Arizona public behavioral health care system.

Mahesh "Mike" Patel 9/16/1955 - 7/5/2010 was tragically taken from us by a vicious and senseless act of violence on July, 5, 2010, though we know his soul has been freed into heaven. He was born on September 16, 1955 in Ahmedabad, India, where he grew up, married and raised his family. He worked at the Ahmedabad Electric City Co. for 15 years. He was an outgoing and respected member of his community. Proof of his devotion to family took the form of 15 immediate and extended family members living in one household under one roof. In 1998 he left India to join his brothers in Tucson to run Catalina Market. Mike's friendly and very personal style of doing business included greeting customers by name, assuring their unique needs were met, and caring enough to listen to their issues and stories. His infectious sense of humor and joyful laughter made it a pleasure to be in his store and turned loyal customers into friends. The generous and trusting character of Mike and the Patel family helped create a bond of community in the neighborhood-a rare achievement. For those who have known and loved him, we mourn the loss of a genuinely good and decent human being.

 See more at: http://www.legacy.com/obituaries/tucson/obituary.

I used to go into Mike Patel's little store almost every day, to buy a newspaper, maybe some beer. It was an awkward period of time in my life, 2009, for I was immersed in the worst impacts of my escalating struggle(s) with chronic depression, including but not limited to acute suicidal ideation (and attempts). But anytime I ventured into the corner shop operated by Mike and his family, I was treated very, very well, as though I was, in a sense, part of that family. But this was not unique to my visits to Mike's store, not at all, for this how he and his kin respectfully treated each and every other customer, as well. I will never forget this, Angels at the Corners of Inner City Streets, those of us-  people- who have truth and virtue underlying our very existence.

Along those lines… I arrived at The Arizona State Hospital in early January, 2011, approximately 6 months after Mike Patel died. Upon admission to ASH, I was immediately assigned as one of Laxman Patel's patients. Within 48 hours of my admission to ASH, I had my first formal discussion with this man, at which time I informed him that a friend of mine, who happened to have the surname of "Patel", had been shot to death during a violent robbery, while attending to the operation of his little corner grocery store.

LAXMAN PATEL'S EXACT RESPONSE TO THIS INFORMATION IS AS FOLLOWS: "YES, SOME INDIANS MOVE HERE TO DO WORK LIKE THAT. IN MY CASE, HOWEVER, I CAME HERE TO HELP PEOPLE."

This conversation occurred during what is referred to as The Arizona State Hospital Psychiatric Admission Assessment). Which just happens to be when the current (2013) chief medical officer at ASH, (same guy- Dr. Laxman Patel), also graphically misreported what may be the most critically significant aspect of my deepest personal history, specific to highly damaging events that are known- as a matter of fact and as stated in the clearest aspects of my medical records at the time of this "assessment"- to be central to my struggles with mental illness and my associated treatment needs. As reported less than a week ago:

"The patient reports that his sister allowed him to fondle her when he was 6 year old."

"Came here to help people", indeed. It may not seem significant, this specific report about Laxman Patel's conduct. But I ask that you, oh reader, consider the fact that I found this man's comments about the death of my friend, Mahesh "Mike" Patel, utterly insulting, evident of very clear arrogance and self-centerdedness, and just about as disrespectful to the character of my friend as I might have imagined possible at the time. Despite this, I chose to trust Laxman Patel, against my better judgement, and largely because as a matter of my state of mind then, for I was still in the throes of depression and suicidal ideation, not yet capable- as it were- of comprehending (or caring about) how depraved the misconduct of ASH's highest ranking clinical staff is, in fact. 

This story, as recorded in my official ASH records, as well as in my own voluminous note-taking as this period of my life unfolded before me (while at ASH), brightly illustrates the most basic evidence in support of my allegation that at ASH, highly paid/authorized medical staff grossly distort the needs of each and every ASH patient as a matter of standard practice. "Standard" in the sense that this man, Laxman Patel, has become 100% accustomed to blatantly ignoring any established medical-mental health care practices, simply on the basis that they can get away with it. This is beyond simple ineptitude, is in fact, culpable negligence and outright willful abuse of authority. As per the letter of law.

These people- men like "Dr." Laxman Patel, "Dr." Perviaz Akhter, and women such as Dr. Ruby Ramos-Roxas, "Dr." Lynn Lydon, etc.- have effectively lost touch (presuming they ever had it) with the well established standards that apply to mental health care, including in terms specific to federally mandated human rights that arise on behalf of anybody affected by serious mental illness and related disability, as per The Americans With Disabilities Act, and other like edict. I attest to this, and all other aspects of this reports, for not only did I experience these issues, I also had full copies of applicable law and policy while it was occurring during my hospitalization at ASH. More specifically, outside advocacy representatives who took the time to visit me at ASH, did in fact bring me full copies of the Arizona Administrative Code (Title 9, Chapter Twenty One), the Americans With Disabilities Act, and the Hospital Information Portability and Protection Act. Day after day, week into week, I would be subjected to grossly unlawful conduct, imparted on me by ASH staff at all levels of employ, and no matter the fact that I would always cite such law and policy, such staff would- as a matter of standard practice, look me in the eye, and say in no uncertain terms:

"THIS IS HOW IT IS. AND THERE IS NOTHING YOU CAN DO ABOUT IT." 

In tandem with these denials of my fundamental rights, there was always a presence of barely veiled threats, as in to say under their breath, "And if you continue to challenge us, we will show you what happens to patients like you…" Indeed, as time passed, I was graphically and undeniably subject to clear retaliation, including administrative actions by persons such as former ASH Chief Medical Officer "Dr." Stephen Dingle (who preceded Laxman Patel in that same position [!] and has since been promoted within AZ's larger behavioral health framework) , and former ASH Supervisor, Cory Nelson (who has also since been promoted within the state behavioral health system) For more information, please see this blog: "Of The Impact. The Hearings Continue" (12/27/12).   

IN CLOSING: All such staff misconduct, as illustrated in the bulk of my reporting to date, are a matter of standard practice at The Arizona State Hospital. Graphically substandard medical-mental health care that defies applicable law and policy, and they are getting away with it. In terms of the misconduct of some of the lowest ranking staff technicians (Saeed, Elaine, Rick Tong, etc.)  to the absolute majority of highest ranking clinical and administrative staff at ASH, I saw this shit arise, and I knew it for what it was. Immediately, in fact- as soon as I arrived at ASH, and personal property- my own prescribed medication that arrived with me at ASH- went missing, the shit began to fly. Within hours of this arrival and the theft of highly valuable prescribed street drugs from my property (an unopened bottle of 100 10 mg Ambien, IN FACT), I met fr the first time with "Dr. Laxman Patel, at which point the details of this specific report came to be part of my recorded experiences at ASH. 

It is that bad.

(UPDATE 2016: It doesn't take a rocket scientist to recognize Patel's gravely inaccurate mischaracterization of my childhood experience in this context, wherein I was the victim of highly traumatic form of sexual abuse, as "documented" in this quack's formal medical report. And do not think for a moment that in communicating this information to him in our first 1:1 patient-doctor consultation, I somehow misled him. The fact is, I had gone through describing this criminal act to at least 2 other psychiatrists who I had been treated by prior to being admitted to Arizona's sole one term mental health care facility, at which point I began to garner just how harmful that incident was, via those physicians legitimate communications at that time. And then I arrived at ASH, where one of the facility's clearly ignorant psychiatrists willfully opted to state such a distinctly ignorant misrepresentation of a crucial element  underlying my struggles with major depressive disorder and associated post-traumatic stress disorder, a factor to my psychological condition that most definitely contributes my lifelong struggles with mental illness. Way to go, "doctor.")

Just go away, why don't you?     

paoloreed@gmail.com