Petitioner: DEPARTMENT OF HEALTH, BOARD OF MEDICINE
Respondent: MOHAMMAD KALEEM, M.D.
Judges: CHARLES C. ADAMS
Agency: Department of Health
Locations: Jacksonville, Florida
Filed: Nov. 07, 2005
Status: Closed
Settled and/or Dismissed prior to entry of RO/FO on Thursday, February 16, 2006.
Latest Update: Dec. 24, 2024
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STATE OF FLORIDA
DEPARTMENT OF HEALTH
DEPARTMENT OF HEALTH,
oz € é ON
O5-U104
CASE NO. 2004-00553
PETITIONER,
MOHAMMAD KALEEM, M.D.,
RESPONDENT.
f
ADMINISTRATIVE COMPLAINT
COMES NOW, Petitioner, Department of Health, by and through
undersigned counsel, files this Administrative Complaint before the
Board of Medicine against Respondent, Mohammad Kaleem, M.D., and
In support thereof allages: -
1. Petitioner is the state department charged with regulating
the practice of medicine pursuant to Section 20.43, Florida Statutes;
Chapter 456, Florida Statutes; and Chapter 458, Florida Statutes.
2. At all times materia] to this Complaint, Respondent was a
licensed physician within the state of Florida, having been Issued license
number ME 78625.
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3, Respondent's address of record is 524 Zeagler Drive,
Palatka, Florida 32177.
4. At all times material to this Complaint, Respondent was
employed as a medical doctor at Putnam Community Medical Center
(Center),
5, Respondent ts board certified in internal medicine.
6 On or ahout December 29, 2002, Putnam County EMS
responded to the residence of Patient A.R., a 52 year-old female found
lying on the floor, wilh complaints of nausea and vomiting, but
specifically denying chest pain.
7. Patient A.R, was transported to Center’s Emergency Room
(ER).
8. On or about December 29, 2002, at about 3:50 a.m. a
laboratory recording of Patient A.R’s CPK (creatine phosphokinase) was
488 (two times normal), the MB fraction and the troponin.levels were
reported as within normal ranges.
9. Onor about December 29, 2002, at about 5:29 am, an EKG
was done, which showed a 4-mm ST segment elevation in Vi through
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V6, and Q waves in V2 lo V4, indicative of non-specific minor
abnormalities.
10. On or about December 29, 2002, at approximately 5:50
a.m. Respondent gave orders via telephone for Patient A.R. to be
placed in the Center's Intensive care unit (ICU).
11. Qn or about December 29, 2002, at approximately 11:15
a.m.,, Respondent came to the Center’s ER and saw Patient AR.
12. On or about December 29, 2002, at about 12:06 p.m.,
Respondent ordered Patiant A.R. lo be admitted to ICU.
13. On or about December 29, 2002, at about 12:06 p.m,
Respondent dictated a note that “thrombolysis is not indicated at this
time.” (Thrombolysis is medication to break up blood Clots.)
14. On or about December 29, 2002, at about 12:35 p.m,
laboratory analysis showed Patient A.R.’s creatine phosphokinase (CPK)
was 776, the MB (an Isoenzyme of creatinine) was 21.5, and the
troponin (intracellular cardiac protain), was 7.59. These values indicate
that Patient A.R. had suffered an acute myocardial infarction.
—15. On or about December 29, 2002, at about 6:00 pm, a third
set of cardiac enzymes showed Patient A.R.'s CPK level was 2553, the
*
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Mohammad Kaleem, M.D., Case # 2004-00553
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troponin-I was 53.6 wilh an MB of 112. This clearly indicated that
Patient A.R. had suffered an acute myocardial infarction.
46. On or about December 30, 2002 at approximately 1:30 pm,
Patient AR. was transferred to Shands Hospital,
17. At Shands Hospital, Patient A.R’$ admission EKG was
compared to her EKG taken at the Center Patient A.R. was
Immediately started an a Nitro drip and trealed with Plavix 300 mg by
mouth, ;
18. It was determined that Patient A.R. was continuing to have
a relalively severe myocardial Infarction and Patient A.R. was taken
emergently to the Cath Lab for a heart catheterization.
19. During the catheterization procedure, it was determined
that Patient AR. had a fresh thrombus (blood Clot) in one of the
arteries. Patient AR. began to experionce shortness of breath and
hypotension (low blood pressure).
20, Patient A.R. went into complete heart block at about the
Same time procedures were underlaken to address the artery blockage.
21. Patient A.R. continued to worsen and ultimately expired at
6:58 pm.
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22, On or about December 29, 2002, Respondent did not order
a STAT EKG on Patient A.R., even though her CPK was elevated at twice
the normal level or higher.
23. On or about December 29, 2002, Respondent dic not
examine Patient A.R. in a timely manner, even though he was informed
that Patient A.R.'s CPK level was twice the normal level or higher and
that her EKG was abnormal.
24. On or about December 29, 2002, Respondent did not refer
Patient AR. to Shands Hospital in a timely manner, in light of her
continuing abnormal blood lab values which Indicated a serigus heart
problem.
| 25. Section 458,.331(1)(t), Florida Statutes (2002), pravides that
failing to practice medicine with that level of care, skill, and treatment
which is recagnized by a reasonable prudent similar physician as being
acceptable under similar conditions and circumstances constitutes
grounds for discipline by the Board of Madicinc.
26, Responcient failed to act as a reasonable, prudent physician
under similar circumstances in that he should have intervened earlier in
the series of events to control or limit Patient A.R.’s ongoing cardiac
5
Mahammad Kaleem, M.0., Case # 2004 00553
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emergency by: personally evaluating the patient, timely instituting
thrombolysis, and/or transferring the patient to a facility better
equipped to aitectively manage the situation.
27, Based un the foregoing, Respondent violated Section
458,331(1)(t), Florida Statutes (7002), by failing to practice medicine
with that level of care, skill, and treatment which Is recognized by a
reasonably prudent similar physician as being acceptable under similar
conditions and circumstances.
WHEREFORE, Petitioner respectfully requests that the Board of
Medicine enter an order impusing one or more of the following
penalties: permanent tevocation or Suspension of Respondent's license,
restriction of practice, Imposition of an administrative fine, issuance of a
reprimand, placement of Respondent on probation, corrective action,
refund of fees billed or collected, remedial education and/or any other
relief that the Board deems appropriate.
6
Mohammad Kaleem, M,D,, Case # 7004-00553 :
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& A
SIGNED this /9 ~_ day of wel 2005,
John O. Agwunobi, M.D., M.B.A., M.RH.
: Secretary, Department of Health
FILED
BEPARTMENT OF HEALTH
cele trek oon ae
pare___f223-bC Assistant General Counsel
DOH Prosecution Services Unit
4052 Bald Cypress Way, Bin C-65
Tallahassee, FL. 32399-3265
Florida Bar # 0394572
850.410.0623
FAX 850.488.7723
REF/tih
Reviewed and approved by: _’ 4- (initials) | hv/oY (date)
PCP: August 19,2005
PCP Menibers: :Custavo Leon, M-P.Chairperson) amd Mammen Zachariah MD
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Mohammad Kaleem, M.D., Case ¢ 2004-00553
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NOTICE OF RIGHTS
Respondent has the right to request a hearing to be conducted
in accordance with Section 120,569 and 120.57, Florida
Statutes, to be represented by counsel or other qualified
representative, te present evidence and argument, to call and
cross-examine witnesses and to have subpoena and subpoena
duces tecum issued an his or her behalf if a hearing is
requested. ’
NOTICE REGARDING ASSESSMENT OF COSTS
Respondent is placed on Notice that Petitioner has incurred
costs related to the investigation and Prosecution of this
matter. Pursuant to Section 456.072(4), Florida Statutes, the
Board shall assess costs related to the investigation and
prosecution of a disciplinary matter, which may include
attorney hours and costs, on the Respondent in addition to any
other discipline imposed,
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TOTAL P.18
Docket for Case No: 05-004104PL
Issue Date |
Proceedings |
Feb. 16, 2006 |
Amended Order Closing File. CASE CLOSED.
|
Feb. 15, 2006 |
Motion for Amended Order Closing File filed.
|
Feb. 10, 2006 |
Order Closing File. CASE CLOSED.
|
Feb. 09, 2006 |
Motion to Relinquish Jurisdiction filed.
|
Feb. 02, 2006 |
Notice of Cancellation of Taking Deposition Duces Tecum filed.
|
Jan. 26, 2006 |
Agency`s court reporter confirmation letter filed with the Judge.
|
Dec. 29, 2005 |
Notice of Taking Deposition Duces Tecum filed.
|
Dec. 29, 2005 |
Order Granting Continuance and Re-scheduling Hearing (hearing set for March 27 through 30, 2006; 10:00 a.m.; Jacksonville, FL).
|
Dec. 19, 2005 |
Notice of Taking Deposition (Duces Tecum) filed.
|
Dec. 16, 2005 |
Letter to DOAH from C. Wilhite requesting the Joint Motion for Continuance be granted filed.
|
Dec. 12, 2005 |
Respondent Mohammad Kaleem, M.D.`s Notice of Serving Answers to Petitioner`s First Set of Interrogatories filed.
|
Dec. 12, 2005 |
Respondent Mohammad Kaleem, M.D.`s Response to Petitioner`s First Request for Production of Documents filed.
|
Dec. 12, 2005 |
Respondent Mohammad Kaleem, M.D.`s Response to Petitioner`s First Request for Admissions filed.
|
Dec. 09, 2005 |
Notice of Serving Petitioner`s Responses to Respondent`s First Request for Interrogatories, and First and Second Request for Production filed.
|
Dec. 07, 2005 |
Joint Motion for Continuance filed.
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Nov. 21, 2005 |
Order of Pre-hearing Instructions.
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Nov. 21, 2005 |
Notice of Hearing (hearing set for January 31 through February 3, 2006; 10:00 a.m.; Jacksonville, FL).
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Nov. 16, 2005 |
Second Request for Production to Petitioner filed.
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Nov. 14, 2005 |
Answer to Administrative Complaint filed.
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Nov. 14, 2005 |
Joint Response to Initial Order filed.
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Nov. 10, 2005 |
Notice of Serving Petitioner`s First Request for Production, First Request for Interrogatories, and First Request for Admissions to Respondent filed.
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Nov. 10, 2005 |
Request for Production to Petitioner filed.
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Nov. 10, 2005 |
Initial Interrogatories to Petitioner filed.
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Nov. 10, 2005 |
Notice of Appearance of Counsel (filed by W. Childs).
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Nov. 07, 2005 |
Election of Rights filed.
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Nov. 07, 2005 |
Administrative Complaint filed.
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Nov. 07, 2005 |
Agency referral filed.
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Nov. 07, 2005 |
Initial Order.
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