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DEPARTMENT OF HEALTH, BOARD OF MEDICINE vs KENNETH D. STAHL, M.D., 15-000775PL (2015)

Court: Division of Administrative Hearings, Florida Number: 15-000775PL Visitors: 12
Petitioner: DEPARTMENT OF HEALTH, BOARD OF MEDICINE
Respondent: KENNETH D. STAHL, M.D.
Judges: F. SCOTT BOYD
Agency: Department of Health
Locations: Miami, Florida
Filed: Feb. 13, 2015
Status: Closed
Recommended Order on Wednesday, July 15, 2015.

Latest Update: Nov. 25, 2015
Summary: The issues in this case are whether Respondents performed a wrong procedure on patient C.C., as set forth in the second amended administrative complaints, and if so, what is the appropriate sanction.Petitioner failed to prove that a wrong procedure was performed where the infected organ was removed and the patient's symptoms resolved, although the procedure that had been identified was not performed, because the procedure may have been misidentified.
STATE OF FLORIDA DEPARTMENT OF HEALTH DEPARTMENT OF HEALTH, PETITIONER, vo CASE NO.: 2013-13523 KENNETH STAHL, M.D., RESPONDENT. / ADMINISTRATIVE COMPLAINT COMES NOW, Petitioner, Department of Health, by and through its undersigned counsel, and files this Administrative’ Complaint before the Board of Medicine against the Respondent, Kenneth Stahl, M.D., and in support thereof alleges: 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 material to this Complaint, Respondent was a licensed physician within the State of Florida, having been issued license number ME79521. - 3. Respondent's address of record is 3040 Paddock Road, Fort DOH v. Kenneth D, Stahl, M.D,, Case No, 2013-13523 Lauderdale, Florida 33331. 4. Respondent is board certified in General Surgery and Thoracic Surgery by the American Board of Surgery and the American Board of Thoracic Surgery, respectively. 5. On or about June 22, 2011, Patient C.C., a then fifty-two year old female, was admitted to the emergency room at Jackson Memorial Hospital with a history of abdominal pain in her right lower quadrant associated with nausea and vomiting. Upon her admission, a computed tomography | (CT) scan was performed upon C.C. that showed findings consistent with perforated appendicitis. 6, Patient C.C. consented to an emergency appendectomy to be performed by Respondent. : | 7. A“time-out” was performed by the surgical team prior to the procedure, confirming that the correct procedure to be performed on C.C. was an appendectomy. 8. After the procedure was performed, the specimen that was removed from C.C. during the surgery was Sent to the pathology department. a 9, Pathology determined that the specimen removed from Patient DOH v. Kenneth D. Stahl, M.D., Case No, 2013-13523 at Bt h€ CC. was not her appendix, but rather her ovary (the wrong procedure), resulting a unilateral oophorectomy. vs 10. - Patient C.C. did not authorize Respondent to remove her ovary on June 22, 2011. | 11. Section 456.072(1)(bb), Florida Statutes (2010), provides that — _performing of attempting to perform health care services (including the preparation of the patient) on the wrong patient, a wrong-site procedure, a wrong procedure, or an unauthorized procedure of a procedure that is medically unnecessary or otherwise unrelated to the patient’s diagnosis or medical condition is grounds for disciplinary actlon by the Board of Medicine. 12. On or about June 22, 2011, Respondent prepared for and performed an unauthorized unilateral oophorectomy (the wrong procedure) on Patient C.C. instead of an emergency appendectomy (the correct procedure). - 13. Based on the foregoing, Respondent has Violated Section 456.072(1)(bb), Florida Statutes (2010). | WHEREFORE, the Petitioner respectfully requests that the Board of Medicine enter an order imposing one or more of the following penalties: ‘ 3 DOH v. Kenneth D. Stahl, M.D., Case No, 2013-13523 ett Bat permanent revocation or suspension of Respondent's license, restriction of practice, imposition of an administrative fine, issuance .of a reprimand, placement of the Respondent on probation, corrective action, refund of fees billed or collected, remedial education and/or any other relief that the Board deems appropriate. SIGNED this day of , 2014. ohn H. Armstrong, MD, FACS Surgeon General & Assistant General Counsel Fla. Bar No. 0102263 FILED Florida Department of Health DEPARTMENT OF HEALTH Office of the General Counsel CLERK ANGEL Sanneee 4052 Bald Cypress Way, Bin C-65 _DATEJUN 3 0 oe Tallahassee, Florida 32399-3265 Telephone: (850) 245-4444, Ext. 8243 Facsimile: (850) 245-4684 Email: marisa.button@flhealth.gov MGB/ PCP Date: June 27, 2014 PCP Members: Dr. Georges El-Bahri, Dr. Sarvam

Docket for Case No: 15-000775PL
Issue Date Proceedings
Nov. 25, 2015 Order Vacating Order Denying Attorneys` Fees.
Nov. 24, 2015 Petitioner's Amended Motion for Attorneys' Fees filed. (DOAH CASE NO. 15-6760F ESTABLISHED)
Nov. 23, 2015 Order Denying Attorneys` Fees.
Nov. 19, 2015 Respondent's Renewed Motion for Attorneys' Fees filed.
Oct. 23, 2015 Petitioner's Exceptions to the Recommended Order filed.
Oct. 23, 2015 Respondents' Response to Petitioner's Exceptions to the Recommended Order filed.
Oct. 23, 2015 Petitioner's Exceptions to the Recommended Order filed.
Oct. 23, 2015 Agency Final Order filed.
Oct. 06, 2015 Order Denying Attorneys` Fees.
Sep. 30, 2015 Respondent's Motion for Attorneys' Fees (filed in Case No. 15-000776PL).
Sep. 17, 2015 Order Denying Attorneys` Fees.
Sep. 16, 2015 Respondent's Motion for Attorneys' Fees filed.
Aug. 07, 2015 Respondents' Response to Petitioner's Exceptions to the Recommended Order filed.
Jul. 15, 2015 Recommended Order (hearing held April 23 and May 26, 2015). CASE CLOSED.
Jul. 15, 2015 Recommended Order cover letter identifying the hearing record referred to the Agency.
Jul. 06, 2015 Respondent's Kenneth Stahl M.D. and Eddie Manning M.D.'s Proposed Recommended Order filed.
Jul. 06, 2015 Petitioner's Proposed Recommended Order filed.
Jun. 18, 2015 Transcript of Proceedings (not available for viewing) filed.
Jun. 17, 2015 Transcript of Proceedings (not available for viewing) filed.
May 26, 2015 CASE STATUS: Hearing Held.
May 22, 2015 Notice of Filing Deposition Transcript (Rafael Concepcion, R.N.) Medical Records filed (not available for viewing).
May 19, 2015 Notice of Filing Transcript (Dr. Kenneth D. Stahl) filed.
May 19, 2015 Notice of Filing Transcript (Dr. Eddie Manning) filed.
May 11, 2015 Order Denying Motion to Reconsider Continuance.
May 08, 2015 Notice of Taking Telephonic Deposition Duces Tecum (of Rafael Concepcion, R.N.) filed.
May 07, 2015 Notice of Taking Deposition Duces Tecum (of Rafael Concepcion, R.N.) filed.
May 07, 2015 Petitioner's Response to Motion for Reconsideration of Order Allowing Additional Discovery or Amendment of Charges filed.
May 06, 2015 Notice of Hearing by Video Teleconference (hearing set for May 26, 2015; 9:00 a.m.; Miami and Tallahassee, FL).
Apr. 30, 2015 (Respondents') Motion for Reconsideration of Order Allowing Additional Discovery of Amendment of Charges filed.
Apr. 23, 2015 CASE STATUS: Hearing Partially Held; continued to date not certain.
Apr. 20, 2015 Petitioner's Motions in Limine filed.
Apr. 20, 2015 Notice of Filing (Respondent's Proposed Exhibits) not available for viewing filed.
Apr. 20, 2015 Respondents' Supplemental Notice of Filing filed.
Apr. 17, 2015 (Respondents') Notice of Filing (filed in Case No. 15-000776PL).
Apr. 17, 2015 (Respondents') Notice of Filing (filed in Case No. 15-000776PL).
Apr. 17, 2015 Respondents' Supplemental Notice of Filing (filed in Case No. 15-000776PL).
Apr. 17, 2015 Order Denying Motion to Relinquish Jurisdiction.
Apr. 17, 2015 (Respondent's) Notice of Filing filed.
Apr. 17, 2015 (Respondents') Notice of Filing filed.
Apr. 16, 2015 Notice of Filing of Petitioner's (Proposed) Exhibits(not available for veiwing) filed.
Apr. 16, 2015 Notice of Filing Petitioner's (Proposed) Exhibits filed.
Apr. 16, 2015 (Respondents') Response to Motion to Relinquish Jurisdiction filed.
Apr. 16, 2015 Petitioner's Response to Respondent's Second Request for Admissions filed.
Apr. 16, 2015 Respondent's Proposed Exhibits filed (exhibits not available for viewing).
Apr. 15, 2015 Petitioner's Motion to Relinquish Jurisdiction filed.
Apr. 14, 2015 (Petitioner's) Notice of Filing Second Amended Administrative Complaints filed.
Apr. 14, 2015 Order Granting Second Motion to Amend Administrative Complaints.
Apr. 13, 2015 Joint Pre-hearing Stipulation filed.
Apr. 13, 2015 (Petitioner's) Motion for Leave to Amend the Amended Administrative Complaints filed.
Apr. 03, 2015 Notice of Taking Telephonic Deposition Duces Tecum (of Eddie Manning, M.D.) filed.
Mar. 31, 2015 Notice of Cancellation of Deposition (of Eddie W. Manning, M.D.) filed.
Mar. 31, 2015 Second Amended Notice of Taking Deposition Duces Tecum (of Kenneth D. Stahl, M.D.) filed.
Mar. 30, 2015 Order Granting Motion to Quash Subpoena.
Mar. 30, 2015 (Petitioner's) Notice of Filing Amended Administrative Complaints filed.
Mar. 27, 2015 Respondent Eddie W. Manning, MD's Motion to Invalidate and Quash Subpoena filed.
Mar. 27, 2015 Amended Notice of Taking Telephonic Deposition Duces Tecum (as to time and location only) filed.
Mar. 26, 2015 Respondent's Notice of Serving Response to Petitioner's First Request for Production, Response to First Request for Admissions and Answers to First Set of Interrogatories filed.
Mar. 26, 2015 Notice of Taking Telephonic Deposition Duces Tecum (of Maria Garcia-Buitrago, M.D.) filed.
Mar. 25, 2015 (Respondent's) Response to First Request for Admissions filed.
Mar. 25, 2015 Respondent's Respone to First Request for Production filed.
Mar. 25, 2015 (Respondent's) Answers to Interrogatories filed.
Mar. 25, 2015 Order Granting Motion to Amend Administrative Complaints.
Mar. 25, 2015 (Petitioner's) Notice of Intent to Admit Medical Records filed.
Mar. 25, 2015 (Petitioner's) Motion for Leave to Amend Administrative Complaints filed.
Mar. 25, 2015 Notice of Serving Responses to Petitioner's First Request for Admissions, First Set of Interrogatories, and First Request for Production filed.
Mar. 23, 2015 Amended Notice of Taking Telephonic Deposition Duces Tecum (of Kenneth Stahl, M.D.) filed.
Mar. 20, 2015 Notice of Taking Telephonic Deposition Duces Tecum (of Nicholas Namias, M.D.) filed.
Mar. 20, 2015 Notice of Taking Telephonic Deposition Duces Tecum (of Eddie Manning, M.D.) filed.
Mar. 20, 2015 Notice of Taking Telephonic Deposition Duces Tecum (of Kenneth Stahl, M.D.) filed.
Mar. 18, 2015 Petitioner's Notice of Serving Responses to Respondent's First Request for Admissions, Request for Production and First Set of Interrogatories filed (filed in 15-00775PL).
Mar. 18, 2015 Petitioner's Notice of Serving Responses to Respondent's First Request for Admissions, Request for Production, and First Set of Interrogatories filed (filed in 15-00776PL).
Mar. 17, 2015 Respondent's Second Request for Admissions filed.
Mar. 10, 2015 Notice of Appearance of Co-Counsel (John Fricke, Jr.) filed.
Feb. 25, 2015 Notice of Serving Petitioner's First Request for Admissions, First Request for Interrogatories and First Request for Production to Respondent (filed in Case No. 15-000776PL).
Feb. 25, 2015 Notice of Serving Petitioner's First Request for Admissions, First Request for Interrogatories and First Request for Production to Respondent filed.
Feb. 20, 2015 Amended Order of Pre-hearing Instructions.
Feb. 20, 2015 Amended Notice of Hearing by Video Teleconference (hearing set for April 23 and 24, 2015; 9:00 a.m.; Miami and Tallahassee, FL).
Feb. 20, 2015 Order of Consolidation (DOAH Case Nos. 15-0775PL and 15-0776PL).
Feb. 19, 2015 Joint Response to Initial Order filed.
Feb. 18, 2015 Notice of Appearance (Monica L. Felder Rodriguez) filed.
Feb. 18, 2015 Notice of Serving Respondent's First Request for Admissions, First Set of Interrogatories, and Request for Production filed.
Feb. 18, 2015 (Respondent's) Request for Production filed (Filed in error).
Feb. 18, 2015 Respoondent's First Request for Admissions filed (Filed in error).
Feb. 18, 2015 Respondent's First Set of of Interrogatories filed (Filed in error).
Feb. 18, 2015 Notice of Appearance filed (Monica Rodriguez).
Feb. 16, 2015 Initial Order.
Feb. 13, 2015 Election of Rights filed.
Feb. 13, 2015 Administrative Complaint filed.
Feb. 13, 2015 Agency referral filed.

Orders for Case No: 15-000775PL
Issue Date Document Summary
Oct. 22, 2015 Agency Final Order
Jul. 15, 2015 Recommended Order Petitioner failed to prove that a wrong procedure was performed where the infected organ was removed and the patient's symptoms resolved, although the procedure that had been identified was not performed, because the procedure may have been misidentified.
Source:  Florida - Division of Administrative Hearings

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