California Medical Board finally filed petition to revoke Murray's license

10/03/2012 00:00

The Medical Board of California has finally filed a petition to revoke Murray’s medical license, according to reportingonhealth.org.

After the preliminary hearing in January 2011, Los Angeles Superior Court Judge Michael Pastor suspended Murray’s license to practice medicine and ordered that the state notify all other states where Murray was licensed about the suspension. Yet the medical board still sat on the sidelines and did not file a petition to revoke Murray’s license.

Other states have been slow to act, too, even by state medical board standards. The Nevada Board of Medical Examiners showed the world a new standard for cluelessness when it filed charges against Murray in March 2010 – not for anything related to Jackson’s death but instead because Murray “twice failed to disclose to the Board that he was out of compliance with his court ordered child support obligation.” Being a deadbeat dad trumped failing to call 911 when a patient died under his care. And yet, the Nevada board was saved from complete infamy by at least having the good sense to allow Murray’s license to expire in June 2011.

Hawaii did the same thing, essentially. The state’s Department of Commerce & Consumer Affairs let Murray’s license expire in January 2010. Murray had been licensed there since 2001.

The Texas Medical Board waited until after Murray was sentenced in criminal court to suspend his license in February 2012. This is a step below the more serious action of forcing Murray to permanently surrender his license. By contrast, Dr. Rolando Arafiles had to permanently surrender his lic ense in November 2011, the same month Murray was convicted of manslaughter in Jackson’s death. Arafiles did not kill any patients. His main infraction was lying to the board and intimidating witnesses against him.

And that brings us back to California. On February 22, the board finally filed a petition to revoke Murray’s license. There are only two causes for action: conviction of a crime and failure to maintain adequate records. The main details of Jackson’s death are included, but the accusation reads more like a formality than anything else. In a 10-page document, the board spends five pages just going over the applicable state code sections. The actual crimes perpetrated by Murray barely amount to four pages. They do include this nice summation, though:

Respondent’s acts and omissions in treating patient M.J. were so grossly negligent that they rose to the level of criminal homicide. Respondent administered a lethal combination and amount of drugs to patient M.J. He failed to continuously monitor the patient’s vital signs, appropriately maintain his airway, or ensure the presence of life saving equipment at the bedside. There was no continuous oxygen delivery system or cardiac monitoring in place. Respondent did not continuously monitor the pulse oximetry and blood pressure of patient M.J. No continuous intravenous access line was established for the patient. There was no crash cart, appropriate emergency resuscitation drugs, defibrillator, or medical personnel present in the patient’s room, other than Respondent.

Any one of those failures would be good reason to take action against a physician’s license. Nearly all of them were known within days of Jackson’s death. After many different journalistic investigations and legislative inquiries, the board has learned how to act more quickly in recent years. It’s simply astonishing that it has taken this long to take action in a case where the facts are so clear.

Board’s Director of Public Affairs, Dan Wood, told reportingonhealth.org:

First of all, the Medical Board of California has, as part of its mission, the obligation to “protect health care consumers.” When Dr. Murray appeared for arraignment in court on February 8, 2010, the Honorable Judge Keith Schwartz heard a motion and recommendation from our agency urging restrictions be placed on Dr. Murray’s practice of medicine. Judge Schwartz heard the motion and arguments and made the following ruling as written in court documents and available on our website www.mbc.ca.gov:

The court makes the following medical practice restrictions: The defendant (Dr. Conrad Murray) may not use any anesthetic agent, specifically propofol, no prescribe it, and do not administer any other heavy sedative medications that should generally be administered by any anesthesiologist. The defendant may not sedate people personally. This order is to cover the state of California, Texas, Nevada, Hawaii and anywhere else the defendant may be currently licensed in the United States.

At our recommendation to the court, the public was being protected as Dr. Murray pursued his right to due process and investigators pursued evidence for the case against him.

On January 11, 2011 after numerous hearings and denial of a motion to dismiss, the court determined there was enough evidence to pursue increased charges against Dr. Murray. The court then ordered his bail increased to $300,000 and on top of the standing order prohibiting him from administering anesthetics, issued the following additional restrictions.

Dr. Murray is to immediately cease and desist from practicing medicine in the state of California. His privilege and right to practice medicine in this state is suspended by this court.

The judge also gave Dr. Murray and his counsel 24 hours to notify the Medical Board of California of the ruling and 48 hours to provide proof of notification to the court. The notification was made via a 20 page fax from Dr. Murray’s counsel to the Medical Board of California. Again, health care consumers were protected as the investigation and case progressed.

At the same time, the Medical Board’s investigation continued, and it was learned that the Nevada State Board of Medical Examiners had issued a reprimand because Dr. Murray was in arrears on court order child support. This was a violation of California Business and Professions’ Code sections 141(a), 2234 and 2305. Bearing in mind that Dr. Murray was under court order to “cease and desist” from the practice of medicine, this was an additional mark against Dr. Murray as the Medical Board of California continued to amass documentation for future actions against Dr. Murray and his license to practice medicine.

On November 7, 2011 Dr. Murray was found guilty of one count of involuntary manslaughter. At the time of the guilty verdict, Dr. Murray was remanded into custody and bail was revoked. On November 29, 2011 he was sentenced to the maximum term, allowable under the law, of four years in the Los Angeles County jail. This triggered an automatic suspension of his California license to practice medicine.

At all times from arrest to conviction and sentencing, Dr. Murray’s right to practice medicine was either restricted or suspended, and health care consumers were being protected. Had the court not agreed to our recommendations for restriction and suspension, the Medical Board of California would have swiftly pursued such restrictions on its own. Since the court did rule in favor of the motion to restrict as we recommended, the Medical Board of California was able pursue its case against Dr. Murray without need for additional resources and personnel that would have jeopardized other investigations and cases the medical board was invested in. This allowed maximum protection of health care consumers in accordance with our mission. Speeding up the revocation case against Dr. Murray would have accomplished nothing beyond the court orders Dr. Murray was already under and in fact may have endangered consumers by redirecting resources away from other cases.

I remind you that the Medical Board of California’s maximum discipline for a physician or surgeon is the revocation of his or her license. Since this was effectively done by the court a rush to accomplish the same result would not have been in the best interest of health care consumer of which we are charged with protecting.

I trust this clears up the matter of why it has taken this amount of time to file an accusation to revoke Dr. Murray’s license to practice medicine in the state of California. To put it in simple terms, once a door is closed and locked no matter who closed and locked it, to rush to repeat the action is redundant. Basically our action now will be the equivalent of placing a sign on the door saying “This door is now closed and locked officially.”