Hello Dr. Christ. Fall 2020. COVID19 and medical ineptitude that borders of criminal in nature.

Hello, Dr. Christ. 

It has been awhile since I was last compelled to reach you personally. There are a number of reasons for why this is so, but for the moment, at least, those are irrelevant to this  document. Off the bat, then, I must assure you that I sincerely hope all of your family and friends are all doing well. This global pandemic is really a problem, and I would never wish for anybody to suffer its impacts without identifiable cause. "Identifiable" being all and any willful behavior that puts us or those around is at risk. 

That said. I was no less disturbed by your response to Dave Biscobing a few short months ago than I have ever generally been. In this case, specific to the good faith and well founded concerns of staff who were forced by you to add yet one more potentially fatal risk factor as persons employed by your agency, as that relates to COVID19, to working at ASH, and therein having to function under your twisted sphere of obligations, responsibilities, and associated privileges, as a licensed physician in the first place, doctor, and your position with the state in the second place). 

1) The greater public is very aware that you failed to so much as mention the welfare of ASH patients in that recent interview with Dave.You did that, doctor, miserably refused to even acknowledge the very existence of the  highly vulnerable adults hospitalized at ASH and under your authority. I know Bowen fits in somewhere, too, just one more doctor of ill repute bearing direct association to the operation of ASH. You and nobody else,, doctor, in utter defiance of the fact that these involved staff have proven themselves capable of conscientious concern for patient welfare when that person made the difficult but hardly mysterious decision to sacrifice her own employment because of you.

2) The purpose, utility, and any possible benefit(s) to the staff complaint process is effectively, utterly circumvented when all you have the capacity to offer these hard working staff under these tragic circumstances is a willingness "to listen": In no uncertain terms, doctor, this is no different whatsoever from the refusals of ADHS officials to follow established protocol, AZ Administrative law, when ASH patient-consumers choose to take even higher risk of retaliation if they have the courage to generate grievance reports, and especially as per my very own real experiences when they actually reach your office. Your "office", of  course, was Humble's back then, but it's also any in the ADHS construct, including the ADHS Office of Grievances and Appeals, and as Biscobing  dutifully clarifies, at ASH. Because of you, doctor, this crap is going today, in fall 2020. A global pandemic that you are unable to relate to in any clear way as that failure arises under your responsibilities today.  Retaliation at ASH was the norm in my time there, I was subject to it by some lower ranking ASH staff and virtually all higher level executive officers, even mortician Rudd, simply for having done the right thing in my own right back then, to the best of given ability, always in good faith at the onset, asking for nothing other than reasonable response from those people. While staff who basically agreed with my concerns were not able due concerns about the same issue- retaliation, as it can and often does arise in the context of job security.

I'll just mention, too, that I took time to review your current willingness to rely on a still less than actual evidence proven approach to COVID19, the antigen crap, referring to children as football players and dormitory residents, versus acknowledging the far broader implications of how your decision making in that regard will impact all residents of AZ, including and most importantly AZ kids. Where does it end? Or does it!?!  

Enough for one day. eh'. Not quite yet... It is critical, Dr. Christ, that you recall your stalwart defense of known sexual predator Dr. Stephen Dingle not so long ago. I certainly do, and that in that instance, you patently presented an absolute disconnect from all elements of the presence in American society of men like Dingle who have all but always gotten away with that shit due to malaligned privileges as doctors, judges, film producers, whatever, they are slime. You, doctor, provided Dingle with the sickening privilege of unaccountability in this very real context, abuse of power personified.  As I see it, you are little different from Ghisane Maxwell. Because no aspect of this issue is insignificant, you know, women everywhere still suffer this shit, not just from men but also from certain women, yes, women just like you, doctor. Plain fact: I have yet to even meet sexual deviants in mental hospital conditions lacking in this basic understanding of the issue. Sexual sociopaths, in other words, still able to acknowledge the essence of truth for what it is once it's known to others. I mean that sincerely, and I will not ignore it.

In closing for the moment, then. Watching footage of recent interviews with you, I am reminded of  the closing statements of Matt Damon in his acting role in that one stage in the Bourne movie series. I'll put it this way, though. You look beat up, Dr. Christ, you really do and then some. The wear and tear of bureaucratic absurdity and directly related ineptitude is obviously taking its toll on you. And while in no way surprising to me, it is nonetheless pretty shocking to actually see. This, all of this, is your choice, however. I have no argument sufficient to deny you these choices, or to let you off the hook. So be it. 

Have a nice day.  

Pervaiz Akhter. Again. As per the usual when it comes to the face of evil and the realm of sociopaths, it's typically all in the eyes.

It is all right there, the scowl of a mangy ass cur, the mindset of a twisted in the head scoundrel, the character of a boneheaded devil of sorts. My very real memory of having this Rat Bastard as my doctor still carries enough vile energy that it turns my stomach. 

I warned you, you fool-you old man, I did and you know it. I did so in good faith, and it is only your own damn fault that you are known for who you are today.

Dr. Pervais Akhter.

Was once a young man

even if already 

creepy looking 

as hell 

still wet behind

the proverbial ears

young enough

to establish himself in the 

medical field 

as a man of character

and reasonably decent repute 

in these

the United States of America.

Even today (see photo below), one simple glimpse of the man's face quite plainly suggests what only some of us already know about Akhter, in fact. For us, then, it is all right there. His face, nothing more.  While my very real memory of having this Rat Bastard as my doctor still carries enough vile energy that it turns my stomach.

CASE IN POINT. Fact: In the first few months of my time as a patient-consumer of ADHS care services at ASH, my first assigned primary psyche provider there (the first of four in a period of 13 months!, and so much for the established medical standard, "continuity of care", right?), longtime ASH psychiatrist Laxman Patel. got good and spooked by my willingness to exercise my civil rights and basic sense of civic duty, and to follow the Hospital's own protocol by reporting to him issues occurring there, issues that I knew to were happening in abject violation of state and federal law, patient abuse, namely, and directly associated staff misconduct.

Dr.  Laxman Patel, Friday, February 04, 2011:

"What? Do you think you can change the system?"

Laxman Patel. Wednesday, March 04, 2011.

(To my entire treatment team, in fact.)

"Your behavior is ridiculous!

Everything I  say you then write down!"

It perhaps goes without saying that in rather short time,  Patel's nervousness became pretty freaking clear to me, which then led to him demanding that I seek another primary ASH psyche doctor. And even that occurred in ludicrous fashion, an overt example of  Patel's own ignorance when he made this demand, which I only realized in full when he came to me a few days later, and stated as though he had a tail between his legs:

"I did not know it,

but I am not allowed to do that.

You need request another doctor.

Unless you are willing to continue

working with me, that is."

"Continue working with him!?! 

After he, himself, had so loudly pronounced 

an willingness to continue treating me!?!"

So I did make that request, and was thus reassigned to become one of Akhter's patients. Who, in turn, immediately- literally that fast- failed to abide by his own obligation to meet with me as a new patient in a reasonably timely fashion, as per ADHS protocol. Ergo, when I saw the Pakistani Rat Bastard out on the "patient mall" at the time, I cordially asked to meet with him within the standardized time frame,  which he refused to do. I then informed him in very clear language that I knew of this protocol, and that I was not going to ignore his violating that standard, he literally blew me off with a cursory wave of his hand, overtly indicating that he had no concern over such protocol. And as time passed, he further indicated that in his perverted frame of mind I was something far less then an American. That went for the rest of my time there at ASH, even after Akhter followed Patel's lead and and passed me off to my next (of four total, as stated above) ASH psychiatrist, Lynn Lydon. But Akhter was definitely the shittiest of the bunch, as personified by the following:   

Pervais Akhter, Wednesday, March 16, 2011

"There is nothing you can do about these things.

Who do thing you are, anyway?

As far I am concerned, 

you are nothing

but a patient."

I would be hard pressed to more seriously express just how graphically twisted this Pakistani doctor's behavior is. It is about this time, when I was subject to his crap in April 2011, that I began asking myself: 

"Where in the hell 

do these sort of people come from!?!"

Dr. Pervais Akhter 2019

Far too late, old man 

you blew it

 fool

you had the chance

you had every chance 

dumb ass

to become something

other in life

then a medical doctor 

known as 

nothing more then

a cretin 

if not a clear example

of Machiaveillian offspring,

the mere droppings

of a Pakistani dog 

in these 

the United States of America.

One of my patient-peers at ASH, a guy named Chris T. who I roomed with for several months in late 2011, characterized Akhter's behavioral characteristics as nothing less then outright racist in form and substance. Hatred for Americans, more specifically, on the basis of having to work in a place like Arizona State Hospital on the basis of his culture.

That said, these sort of people come from areas of the world where neither democratic values nor human rights are the norm. Raised in an atmosphere that in no way serves to meet these specific attributes. Where people are subject to caste, or dictatorships and familial structures that put the less privileged in ways that we all know would not be allowed in The US.

It is that simple. I hate to say it, but it really is.

I hate racism, and do realize its presence in American society even today. I also feel that I fairly well understand what it must be like to come here to USA from somewhere like Pakistan, or India, or the Philippines, simply as a result of my being an American who values democracy and the equal rights and protections of others.   But even so, to take that shit out on persons- Americans- affected and disabled by any form of illness is horrific, at best.

paoloreed@gmail.com

Further Warning to Dr. Cara Christ, and Her Underling Staff at Arizona State Hospital.

That'd be you, Dr. Aaron Bowen, underling that you are, and all of your own staff at this time. 

You have all made you own beds, so get on already with lying the hell down.

Arizona Center For Disability Law Settles Suit With State Hospital
         By Kathie Ritchie. Wednesday, November 20, 2019. 

Dr. Cara Christ
Current (yet to flee?) Director
Arizona Department
of Health Services.

Said warning is offered as it always has been. In reasonably good faith, but not in the interest of the state employed health care official with the responsibility of managing ASH, but rather, in a context of the care needs, welfare,  and rights of the patient community at Arizona State Hospital. Care needs specific to Rights that apply to all Americans disabled by serious mental illness, or any other type of disability. As per federal law, these such disabled persons are to be provided care in manner consistent with state and federal laws and established policy standards, including in a context of medical licenses that persons such as Cara Christ and Aaron Bowen have the express privilege of possessing. Yes, privilege and nothing more, the same that any other type of state issued license is produced, such as a driver's license, a dog license, and on it goes. 

Tom Betlach
Former-since fled
ADHS official. 

Plain fact is, Christ, Bowen, and a host of others (such as Tom Betlach, who resigned his position in the state health department not long at all after the law suit specific to above headline was filed- go figure) were behind the varied issues that were central to the filing of this particular legal proceeding. Namely, her willful refusal to acknowledge the critical need for advocacy resources to play  role in ensuring a reasonable degree of quality of care at ASH, and to attempt to shut down the value of such resources, regardless of how this nature of abuse of her power affects ASH patients, patient families, and so on. Just as with her predecessors in the ADHS construct, I contend the Christ  pulls this crap as means for her to maintain a a sickeningly corrupted version of status quo, in patent defiance of the rights and care needs of the ASH patient community. This lawsuit, ergo, just one more example of wasted tax payer money, 100% due to the willingness of the state's highest ranking public health care official to  to ignore the care needs and rights of the patient community at Arizona State Hospital. If Chist and her various counterparts had been able to recognize and value the efforts of advocacy resources such as AZ Center for Disability Law, versus going around the mountain and back in hope of thwarting these efforts, this law suit would never have been needed.  

     

I

PJ Reed. 2012.

It has been nearly ten years since to founder of this blog publication, Paolo Jack "PJ" Reed initiated a process by which to serve the care needs and interests of ASH patient community. This process began due to an event that occurred during Reed's very first moments following his January, 2011, admission to ASH, after ASH staff immediately stole a full, as in unopened, bottle of medication from Reed personal belongings. As per protocol- medication transport- this property in itself was placed on the vehicle EMS vehicle that transported Reed to ASH in what had at the time been a well sealed bag (before said staff' at ASH took control of this personal property, that is, and formally transported in an even more secure way in the  lock box of that vehicle.  

Within one hour of his arrival on the ASH property, longtime ASH psychiatrist  Dr. Laxman Patel forced Reed to be the subject of a strip search on the basis of these meds being "missing" from the property log that was produced by staff at the Tucson hospital that referred Reed to ASH. Reed fullt cooperated in good faith with this process at the time, not having any predisposition in a context of suspecting anything, per se'.  

A week or so later, when Reed inquired what they had been able to find out about the matter, Patel stated that the hospital's investigation had concluded that staff of the transporting vehicle were behind it, a claim that Reed was willing to trust. However, as Reed became increasingly aware of the shortfalls of ASH's care practices over the next few weeks into months, he reported the matter to AZ State Police (state police have jurisdiction over county to county distribution of any form of controlled substances), who went to the company that owned the transporting vehicle and directly looked at on-board camera technology, which confirmed the plain fact that it was someone on the ASH end of it all who had stolen those medications.    

This is how it began, then. Literally, upon his first moments at Arizona's sole long terms public mental health care facility. And soon thereafter, it only continued, in so overt a a way that no person of reasonable intelligence- mentally ill or not- would have missed it.  For only one bright line example, e.g., when Reed followed the basic directives included in the ASH patient manual, talking 1:1 with Patel about staff misconduct-  abuses of patients most specifically- Patel's first response, for only one bright line example:

 "What do you expect? This is the state hospital." 

Patterns of similar ineptitude arose as Reed's time at ASH passed, leading him to take further steps (beyond Patel, that is), always in good faith as this process began, in the simple hope of seeing that ASH patients were not subject to abuse, and that abusive staff not be granted opportunity to carry on or get away with this such misconduct. But no matter who he went to there at ASH, Reed learned the hard way that no persons in any sort of authority at ASH, from doctors to executive officers, were willing to do anything about this crap. 

In fact, as a consequence of his right and willingness to report issues detrimental to the care needs of both himself and his patient-peers at ASH,  Reed was formally, overtly retaliated against by the by former-since fired ASH CEO, Cory Nelson, and by Dr. Steven Dingle, who has long and is still the chief medical officer at ASH, as well. Forcing Reed from the appropriate treatment unit specific to diagnosis and established behavioral characteristics- major depressive disorder, and no history of violence or actual psychosis- and onto one of ASH's most dangerous treatment units, a unit designated in the hospital'n protocol to treat individuals affected not just psychosis, but by acute psychosis. It takes no  stretch of consideration to realize that all hospitals are required to provide a wide variance of specific diagnoses and treatments.Which is only to say: 

You wouldn't put a cancer patient onto an orthopedic surgery unit , would you!?! 

This was nothing less then an abuse of power, and an action forbidden by the provisions of the Americans With Disabilities Act.  Mistreatment and abuse of this type compelled Reed- begrudgingly, at best- to go to a degree of effort ridiculously beyond what any patient-consumer should have to go to, in merely reporting these such issues, 100% consistent with simplest of civic duty. 

He did this because he had to, only to run into brick walls throughout all aspects of the operation of ASH, and more so the administrative offices of the AZ Department of Health Services. Which, quite obviously, is continuing even today, as I write this, in December, 2019.

Do not say that you were never warned!

PJ Reed. 2017.

paoloreed@gmail.com

Center of Psychiatric Excellence.

My Ass. 

Dr. Steven Dingle,
Chief Medical Officer, 
Arizona State Hospital,
proven sexual predator.

(See this publication: "Of Dr. Cara Christ and Hypersexual Dr. Steven Dingle." October 02, 2018; "Hypersexual Dr. Steven Dingle. The Document...." December 14, 2017.)

Dr. Cara Christ, June 02, 2016:  

     "Many of you know that the Arizona Department of Health Services (ADHS) operates the Arizona State Hospital, where we provide inpatient psychiatric care to persons with serious mental illness who are in need of long term behavioral health care. ASH personnel provide state-of-the-art inpatient psychiatric and forensic care to patients with the highest acuity of behavioral health needs. Interdisciplinary care is delivered in collaboration with community providers, with a focus on recovery and a goal of reintegrating patients back into the community. This Center of Psychiatric Excellence provides a continuum of services to those with significant behavioral health needs. "    

Zoe Barnard, Montana Division of Addictive and Mental Disorders, as heard at Montana State Hospital, January, 2017.
      "Well, as some of you may know, we are a hospital, and that we are supposed to follow certain rules, regardless of how much sense they make to those of you who actually work here." This, in a formal presentation, when Barnard was attempting to explain just why MSH was facing possible termination of its' license to operate.

Also heard, at MSH less then one month later, by a hospital administrator to one of her subordinates.:
      "Jeff, I need you to try and capture examples of progress." This, less then six weeks following the Notice of Jeopardy from the Centers for Medicare and Medicaid Services (CMS), which was in large part compelled by the staff of this publication alerting two elected state representatives about the fact that MSH was operating in violation of its' respective licensure, during that period of time when the facility was still being scrutinized by CMS in the interest(s) of the MSH patient community. 
                

Dilbert. By Scott Adams.Tuesday, July 02-Thursday, July 04, 2019.

    

Gotta' love it. Or not, depending on how seriously one might take such humor seriously. In our case, however, this fairly hilarious yet disturbingly accurate example of bureaucratic jargon designed in the manner of a Macheavellian despot. Wherein, by simply creating such a self-titled designation, persons in trusted public authority willfully exploit language as means to twist the truth. Patent lying by management/administrative officers, in other words, and  deceiving the public in order to portray their given performance in any way they want to, regardless of fact.


"Capture progress?" As though progress is a zoo animal that has escaped its confines, or some other such nonsense? No more clear example of how far certain administrative officers are willing to go as means to avoid accountability, all of which leads to harm of patients and risks of harm to direct care staff, namely those at the bottom of  the given food chain, technicians and nursing staff.


"Center of Psychiatric Excellence?" On what basis was this fairly ludicrous expression created? Numerous and preventable patient-consumer deaths, two of which were close friends of mine, Chris Blackman and Mary "Franky" Adams, specifically speaking? Formal violations of any patient-consumer's civil rights, this in reference to Dr. Aaron Bowen (ASH CEO) demanding that an ASH patient-consumer not openly express their legitimate concern over the fact that the long standing chief medical officer there, Dr. Steven Dingle, has an established and public record of sexual predation of women working directly under his given authority. A status avidly defended by Cara Christ, as well.


We might ask as well why in hell Bowen would choose to protect a degenerate such as Dingle. Could it be that they both have this same nature of history in their professional careers to date? Given the varied facts provided via the emergence of the "Me, too!" movement in recent years, this would certainly be no surprise. Likewise, knowing as we all do the horrific history known to state mental hospitals, it is reasonable to consider the possibility that even a man in so high a position as a chief executive officer is in so some way lacking in commonly expected moral fabric (we saw this at ASH, in fact, as recently as 2011-2015, and the presence of since fired ASH CEO Cory Nelson.) It is known fact that such mental facilities offer safe haven to individuals who would otherwise have little hope of succeeding in the medical profession in America today (such as foreign trained doctors who come to America from 3rd world nations such as Pakistan, India or the Philippines under the J-1 program, also known as the "Alien Medical Licensing" program), and even worse yet, individuals with appalling criminal records (such as now incarcerated Roger Forney, who successfully acquired employment at ASH despite having been convicted of sexual abuses of children well before even applying for said employment.) 

Dr. Aaron Bowen, CEO.
Arizona State Hospital
2015-the present.

Dr. Cara Christ, Director.
Arizona Department of Health Services.
2015-the present.

Zoe Barnard.
Chief Administrator,
Montana Department of Health
Division of Addictive and Mental Disorders.

Sure, a nice smile or two... But that hardly matters. As follows:

At this time (July 2019), the very reputable web site, healthgrades.com, offers a specific record of patient-client satisfaction (or- again- a lack thereof) when Christ was functioning as obstetric and gynecology specialist in the realm of privately managed health care. Go figure? I think not.   

"Dr. Christ's Reviews" (www.healthgrades.com) 

Likelihood to recommend Dr. Christ:

1.0

5 Stars		(0)
4 Stars		(0)
3 Stars		(0)
2 Stars		(0)
1 Star		(2)

Dr. Christ's Performance:

• Trustworthiness: ONE STAR
• Explains condition(s) well: ONE STAR
• Answers questions: ONE STAR
• Time well spent: ONE STAR
•   Office & Staff Performance: ONE STAR

It all gets potentially gets worse when one considers the smiles of several other arguably, equally deceptive women.

Aileen Wournos

   Aileen Wuornos, a former prostitute who killed seven men she picked up while working the highways of the state in 1989 and 1990. In 2002. The state of Florida made Wournos the tenth woman to receive the death penalty in the United States since the 1976 reinstatement of capital punishment, executed October 09, 2002. 

Kristen Gilbert

    Gilbert is a former Veterans Administration (a bureaucracy if ever there was one) nurse who was found guilty of murdering four VA patients in the early 1990s. She was also convicted of attempting to murder two other hospital patients and has been suspected in the deaths of dozens more. 

Karla Leanne Homolka

     Karla Homolka is a Canadian serial killer who acted in tandem with her husband Paul Bernardo... Homolka seemed like a normal child: pretty, popular, and loved by everyone around her... At a Christmas party, they served Homolka's sister Tammy drinks spiked with Halothane on it to keep her unconscious while they raped her, which then caused Tammy's gruesome death.

Or, for that matter, the smile of Cory Nelson. 

Cory Nelson
Former-since fired
ASH CEO, 2011-15.

And/or that of Will Humble.

Will Humble
Former since-fled
Director, ADHS,
2009-15.

---------------------------------------------------------------------------

IN CLOSING: Food for thought. While it would be deeply wrong to assume that Cara Christ, M.D., actually has murderous intent as the queen of Arizona's public health care system, it is nonetheless reasonable to consider her public record when she was in private practice prior to taking over ADHS in 2015. Likewise, just how and why she would ignore the very real history of Arizona State Hospital, the details of which basically remain in effect today. This is no more personified then by the fact that ASH's longtime chief medical officer, Dr. Steven Dingle, has an established public record of sexual abuse of women under this immediate authority, and who Christ avidly defended in 2017. (See this publication, Of Dr. Cara Christ and Hypersexual Dr. Steven Dingle." October 02, 2018; "Hypersexual Dr. Steven Dingle. The Document...." December 14, 2017.)

More so, to take into account why Christ would rely on the same degree of propagandized language that her immediate predecessor, Will Humble, utilized  by declaring the conditions at ASH as a "Culture of Care", despite his having direct awareness that, during his tenure as ADHS' czar, ASH was being operated in defiance of the public's deserved expectations. 

Will these people ever learn? 

Center of Psychiatric Excellence. 

MY ASS.   

paoloreed@gmail.com