Former physician for John Muir Well being says hospitals put cash forward of affected person security, cites baby’s loss of life

A former John Muir Health doctor alleges in a lawsuit that the nonprofit group, which operates hospitals in Walnut Creek and Concord, put money ahead of patient safety and ignored her warnings about surgical hazards that have resulted in illness and death.

Hospital officials dismissed the claims made by Dr. Alicia Kalamas in a lawsuit filed Wednesday in Contra Costa County Superior Court.

Kalamas, who worked at John Muir Health for eight years, said she has repeatedly raised red flags at executives about improper surgical practices, only to be ignored because she was viewed as a woman with “sharp elbows” or because officials feared that Changes that would signal past practices were dangerous.

In one example, she said she warned officials not to authorize complicated surgery on a child and told them other regional hospitals were better prepared to perform the surgery. But because the hospital group’s executives wanted to build a children’s brand, they ignored her concerns, she claims in the lawsuit. Surgeons from John Muir Health performed the surgery and the child died.

In their response to that claim, John Muir Health officials said Kalamas was not directly involved in the case and could not assess the “significant risks” of continuing or not having the surgery.

Kalamas, 50, of Piedmont, sued the nonprofit and its two top executives, Cal Knight, CEO of John Muir Health, and Taejoon Ahn, president and CEO of John Muir Medical Group, alleging the group violated its contract and forced her out of her position after labeling her a troublemaker.

“People at the top of the organization have lost their way,” Kalamas told The Chronicle. “They care more about the bottom line than patient safety.”

John Muir Medical Center on Wednesday, January 12, 2022 in Walnut Creek, California.

Santiago Mejia / The Chronicle

dr Russell Rodriguez, chief medical officer at John Muir Health, said that any feedback from employees is appreciated and that before executives decided not to renew Kalamas’ contract, they decided to restructure the program she administered to include “the better meet today’s patient needs”.

“The fact that the clinical consensus can differ from an individual physician’s views does not mean that he or she has been ignored,” Rodriguez said in a statement to The Chronicle. “Despite efforts to offer coaching and other support, Dr. Kalama’s reality and something she found difficult to understand and accept.”

He said that senior executives make patient safety their number one priority, noting that all the money John Muir Health makes is reinvested in the healthcare system.

Kalamas specializes in anesthesiology with a focus on perioperative medicine, which ensures that the many factors that influence surgical success – before, during and after an operation – are properly managed. In 2013, Kalamas was recruited from UCSF to join John Muir Health as medical director of the perioperative medicine program.

She quickly sought to fix the hospitals’ readmission rate for the highest-volume surgeries, which the lawsuit said was higher than the region’s 6.9% rate.

Her research found a simple problem, she says. When prescribing opiates as pain relievers after surgery, particularly for knee and hip replacements, there was no protocol to educate and provide medication to prevent constipation, resulting in patients returning to the hospital for a variety of issues.

“Millions of dollars were paid to JMH for failing to provide their patients with a 50-cent over-the-counter stool softener, a glass of water, and some basic advice,” Kalamas alleges in her lawsuit.

After her changes were implemented, the hospital saw a 27% decrease in readmissions for joint replacements, reducing costs for medical providers and taxpayers, she says.

Kalamas dealt with postoperative wound infections. Patients who have developed such infections are 60% more likely to be admitted to the ICU and five times more likely to be readmitted research. Yearly such problems costs the US health care system $3.5 to $10 billion.

In the past, John Muir Health has earned revenue from such complications and billed patients for the additional treatment, the lawsuit says. However, the federal government began to force the hospital to pay millions of dollars Punish, says Kalamas, eventually forcing it to improve. Still, Kalamas says executives and others ignored numerous emails she sent warning them that the lack of pre- and post-surgery blood glucose monitors was harming and killing patients.

The lawsuit cites an example of a diabetic who required a second operation after an infection. His heart wasn’t strong enough and he suffered a massive heart attack at home in front of his wife on the first day and later died, according to the lawsuit. Another young patient with kidney failure and diabetes did not have her blood sugar controlled and died shortly after receiving anesthesia; Her blood sugar was high when she coded, Kalamas says.

Rodriguez, John Muir’s chief medical officer, said eliminating postoperative wound infection is a “critical focus” and that restructuring the perioperative program will further reduce infections.

“Peroperative services needed to be made available to a larger proportion of the operated population, and care needed to be extended beyond the clinical setting,” he said.

Kalamas said her whistleblowing and criticism as a woman was bothersome or, as one manager told her, developed a reputation for “sharp elbows”.

“I’ve been in other institutions … and I’ve never felt dismissed,” Kalamas told The Chronicle. “I felt like at John Muir Health I was warning of very serious health and safety concerns and no one was paying attention.”

When she found out about the young child’s planned surgery, it fell outside of her area of ​​responsibility at the hospital, but she felt compelled to speak out, she says. Due to medical privacy laws, neither Kalamas nor her attorney, Dan Horowitz, could provide details about the child and the procedure.

“The case should have been referred to a qualified medical center, which Dr. Kalamas strongly encouraged her,” the lawsuit reads. “In particular, Dr. Kalamas told medical leadership that she had extensive experience with similar cases at UCSF and that JMH was massively underprepared.”

She said she told John Muir Health executives if they did the surgery it would be a “clean kill.”

After the child died, Kalamas requested a review of the case by the Medical Executive Committee, which could result in disciplinary action for those involved, disclosure to parents, and other safeguards. In a 2021 email shared with The Chronicle, Kalamas was informed that the case never went to the committee.

She recalled her earlier concerns about the surgery in an email, explaining how liver transplant and anesthesia experts agreed with her reservations.

“I was angry that JMH misrepresented the capabilities of their clinicians and the institutions’ ability to provide parents (redacted) with safe care given that UCSF, Stanford and Oakland Childrens’ are all much better equipped to to handle cases of this complexity,” she wrote. She added that she was told that John Muir health officials wanted their new pediatric center and needed to avoid disruption.

Horowitz said the child’s parents are still unaware of Kalamas’ concerns to this day.

In response to the pediatric death, Rodriguez said some cases had “extremely advanced life-threatening conditions for which any intervention is a high risk and not having an intervention is also a high risk.” He said all options were discussed with the family before the operation and since Kalamas is not part of the treatment team she would not know all the details.

He said a post-case review was conducted through the peer review process, but Kalamas would not be aware of any assessment as it is confidential.

As of May 31, 2021, Kalamas said her contract was allowed to expire. Since then she has not returned to a hospital.

Matthias Gafni is a contributor to the San Francisco Chronicle. E-mail: matthias.gafni@sfchronicle.com Twitter: @mgafni

Donald Trump vows to cease GOP from elevating cash for Rep. John Katko

Washington – Donald Trump told a radio host Thursday that he would work to prevent House Republicans from raising money for Rep. John Katko and other GOP members of Congress who voted to indict him.

The Joint Fundraising Committee of House Faction Leader Kevin McCarthy has deposited more than $ 100,000 in Katko’s campaign account this year, Federal Electoral Commission records show.

Katko, R-Camillus, is one of several dozen House Republicans supported by McCarthy’s leadership committee.Take the house back 2022. “

Trump, in an interview The John Fredericks radio show, pledged to ensure that Katko and four other House Republicans who voted for impeachment are cut off from future financial support from McCarthy’s committee.

“I’ll see who he funds,” Trump said of McCarthy, “and if so, I’ll stop the whole deal. I will stop doing that. “

Katko, R-Camillus, is under 10 House Republicans who voted for impeachment against Trump for inciting the January 6 attack on the US Capitol.

Katko, who was asked about Trump last week, said he should no longer be considered a Republican Party leader. The four-year-old congressman also said he would not be intimidated by the former president.

“I do not withdraw from anyone when it comes to political threats” Katko told the editors of syracuse.com | The Post standard. “I’m not worried about that.”

McCarthy’s joint fundraising committee supported five of the ten Republicans who voted for impeachment. In addition to Katko, the other GOP representatives are Peter Meijer from Michigan, David Valadao from California, Fred Upton from Michigan and Jaime Herrera Beutler from Washington.

“All but one – Katko in New York, he’s not popular, and I think he’s going to get out of the district – but there is an area code for each of them,” Trump told Fredericks.

Trump was referring to the fact that no major Republican opponent of Katko has emerged in Onondaga County, where Katko resides.

The New York Independent Redistricting Commission last week revealed two partisan plans to set new boundaries for Katko’s district.

The democratic plan would Merge parts of Katko’s 24th congressional district with that of GOP Rep. Claudia Tenney in the neighboring 22nd district. Trump has promised to support Tenney when she competes in a primary against Katko.

Trump has also encouraged Onondaga County’s Conservative Party leaders to Put up a candidate to join Katko. to oppose next year in a possible elementary school.

Katko is vice chair of the National Republican Congressional Committee, the fundraising arm for Republicans in the House of Representatives. He has received financial support from the NRCC in each of his previous campaigns.

Do you have a tip, comment or a story idea? Contact Mark Weiner at any time at: E-mail | Twitter | Facebook | 571-970-3751

John Cena confirms plans for WWE comeback | Leisure

John Cena has confirmed his plans to return to the WWE.

The Hollywood superstar wrestler – who starred in blockbusters “F9” and “The Suicide Squad” this summer – has not been seen in a ring since joining a cinematic Firefly Fun House match on “WrestleMania 37” had competed against “The Fiend” Bray Wyatt. in April 2020.

However, he appeared on ‘The Tonight Show with Jimmy Fallon’ this week, addressing speculation about a possible return to the ring, saying, “Those rumors are true. I will definitely be back at WWE, I just don’t know when. “

The 44-year-old star sparked fan chats last month when he shared the company’s logo on Instagram, despite now claiming he just feels “nostalgic”.

He added, “Yeah, I posted that back in May. I was feeling pretty nostalgic about the WWE and just wanted to post the logo.

“Some people took it when I returned straight away, which they didn’t.

“I didn’t have my last game and I can’t wait to have my next game.”

Rumor has it that Cena will be lining up for a match against current Universal Champion Roman Reigns at next month’s SummerSlam event in Las Vegas.

The grappling icon responded to the reports recently, slamming both Cena and Dwayne ‘The Rock’ Johnson.

Reigns said: “It’s like a dream for many of our fans. It’s not a dream for his.” [fans]. I do that a lot with Dwayne and then with John Cena, these guys are doing very well.

“No question. I dont know. If I were these guys, I don’t know if I would come back and take care of myself.

“I’m a problem for everyone right now. If I were her I would stay on the set. I would keep pumping out these streaming service films. “

Meanwhile, Reign’s ‘special agent’ Paul Heyman had previously addressed the idea of ​​a dream game against The Rock.

He said Metro.de: “I applaud Dwayne The Rock Johnson for keeping his name in the media by expressing a desire to step into the ring with Roman Reigns, the number one box office attraction in sports, entertainment or sports entertainment.”

John McAfee’s Ominous Suicide Tweets Stir Epstein-Type Conspiracies After Dying in Jail

The death of computer entrepreneur John McAfee in a Spanish prison, reported as suicide by local media, enraged American conspiracy theorists when they picked up 9-month-old tweets saying he feared for his life.

McAfee, a British American wanted for tax evasion in the United States, has long been a controversial figure: he is credited with creating the billion dollar antivirus software industry, accused of manipulating the cryptocurrency markets, and wanted by police investigating a murder in Belize .

In Spain, the Catalan Justice Ministry said prison doctors did not resuscitate McAfee and that everything points to suicide, the BBC reports, based on an earlier report in the Spanish newspaper El Pais. A Spanish judge had previously approved a US extradition request so that he could be charged with tax evasion.

The Catalan statement did nothing to quell speculation on the American internet, given McAfee’s tweets fearful that he would suffer the same fate as Jeffrey Epstein, the convicted pedophile who died of suicide in a New York prison in 2019.

McAfee’s tweet on October 15, 2020 while in a Barcelona prison read: “I’m happy in here. I have friends. The food is good. All is well. You know that if I hang myself, a la Epstein, it won’t be my fault. “

I am satisfied here. I have friends.

The food is good. All is well.

Know if I hang myself like Epstein, it’s not my fault.

– John McAfee (@officialmcafee) October 15, 2020

Epstein’s death has been the focus of wild speculation by QAnon conspirators who claim He was murdered to protect his powerful friends and allies. QAnon supporters believe America is ruled by an elite group of Satan’s worshiping pedophiles.

Another McAfee tweet dated November 30, 2019 read: “I get subtle messages from US officials who end up saying, ‘We’re coming for you McAfee! We will kill you ‘. I got a tattoo today just in case. If I killed myself, I didn’t. I was beaten up. Check out my right arm. “

About an hour after his death was announced, McAfee officials said Instagram posted a picture of a bold letter “Q”

Twitter user @_legrek shared a collage of McAfee’s social media posts and shared the hashtag “#johnmcafeedidntkillhimself” in a second tweet.

McAfee was arrested in Spain on October 6, 2020 on allegations of tax evasion. He was found dead shortly after a Spanish Supreme Court approved his extradition to the United States. He could have appealed the extradition decision. The final decision would have required the approval of the Spanish cabinet.

Prosecutors said McAfee evaded taxes on undisclosed income from 2014 to 2018. The income allegedly came from lectures, the promotion of cryptocurrencies, while he advised and sold the rights to his life story. One indictment alleged that he hid land, vehicles, a yacht and other assets by registering them in other people’s names. If convicted, he faces up to 30 years imprisonment.

In an October 2020 tweet, antivirus software creator John McAfee wrote, “You know it’s not my fault if I hang myself, a la Epstein. In this photo, McAfee is speaking to journalists at the China Internet Security Conference in Beijing on August 16, 2016.
Fred Dufour / AFP / Getty

In a virtual court hearing in June, McAfee said the charges against him were politically motivated. He believed he would spend the rest of his life in prison if the Spanish authorities extradited him to the United States.

In January 2019, McAfee posted a video claiming he evaded U.S. judicial authorities by living on a boat in international waters.

“I haven’t paid taxes for eight years. I have not submitted any statements. Every year I tell the IRS, ‘I am not filing a statement, I have no intention of doing this, come and find me,’ ”he said in a Twitter Video.

In a tweet on January 3, 2019, he wrote: “I haven’t filed a tax return for 8 years. Why? 1: Taxation is illegal. 2: I’ve already paid tens of millions and received Jack S *** in the form of services. 3. I’m done making money. I live on McAfee Inc. money. My net income is negative. But I am a primary target for the IRS. Here I am.”

In March, New York South District Attorneys charged McAfee with conspiracy to commit fraud and money laundering.

The charges alleged that McAfee and his bodyguard Jimmy Gale Watson Jr. bought cryptocurrency assets before promoting them to McAfee’s over millions of Twitter followers. The couple reportedly sold the assets after McAfee’s tweets rose in value.


John McAfee, shown speaking to reporters in 2012 after being deported from Guatemala to the United States, likely died of suicide on Wednesday. His death was the subject of conspiracy theories mirroring those that circled Jeffrey Epstein following the account of his death.
PAULA BUSTAMANTE / AFP / Getty

The charges further alleged that cryptocurrency startups paid the duo over $ 11 million to promote their assets on Twitter. These payments were never communicated to McAfee Twitter followers or buyers of the cryptocurrency, the US Department of Justice said.

In November 2012, McAfee went into hiding after police in the Central American country of Belize sought him out as a “person of interest” in the murder of the American Gregory Faull. Faull and McAfee were both living on the coastal island of Ambergris Caye when Faull was found dead in a pool of blood.

McAfee denied killing Faull. Belize Prime Minister Dean Barrow called McAfee “paranoid” and publicly urged him to cooperate with the police.

“I don’t mean to be rude, but he seems extremely paranoid, I would go as far as to say nonsense,” said Barrow.

The Belizean police arrested McAfee in early 2012 for alleged possession of weapons and drugs. The police later released him without charge.

Newsweek contacted the Justice Department for comment.

Update (June 23rd, 2021, 8:50 pm): This article has been updated to include additional information on McAfee’s past with cryptocurrency and the Belize incident.

Waymo CEO John Krafcik steps apart as co-CEO’s take over

After five and a half years as a guide for Waymo alphabet John Krafcik, a subsidiary that develops autonomous propulsion technologies, has decided it is time for someone else to run the company. In fact, two top Waymo executives, Tekedra Mawakana and Dmitri Dolgov, will become co-CEOs of the company.

He explains his decision in a blog post Krafcik wrote to step down as CEO but remain at Waymo as an advisor.It’s a wonderful opportunity for me to hand over the baton to Tekedra and Dmitri as Co-CEOs. “

Tekedra Mawakana is moving to the top position four years after joining Waymo and was most recently Chief Operating Officer. Dmitri Dolgov started his career at Waymo in 2009 when the company was founded and known as the Google Self-Driving Car Project. He becomes Co-CEO after most recently as Waymo’s Chief Technology Officer.

In a joint statement to Waymo employees, Mawakana and Dolgov wrote, “We are determined to work with you to develop, deploy and commercialize the Waymo Driver and drive the success of our incredible team and this road and opportunity ahead of us.”

While Waymo has established itself as a leading developer of autonomous vehicle technology with more than 32 million kilometers driven on public roads and more than 32 billion kilometers driven in simulation, the company’s conservative approach to expanding operations has frustrated those who rely on Self-drivers hope vehicles across the country. This deliberate approach was central to Krafcik’s tenure as CEO.

In meeting with reporters, Krafcik regularly stressed the importance of Waymo’s autonomous vehicles being as safe as possible. In March 2018 after a pedestrian was hit and killed by an autonomous Uber vehicle that was tested on a public road in Arizona, Krafcik told CNBC, “Part of our responsibility at Waymo is to help the world and cities in that we act to secure and the regulators that regulate these cities understand our technology. “

Waymo One autonomous hail service has been offering rides in the Phoenix region since 2017. It has evolved from a pilot program with a limited number of pre-selected customers to a publicly accessible hail service that uses a fleet of vehicles that drive without a driver. While Waymo has discussed expanding the Waymo One Autonomous Public Use Program to other cities for public use, the company has not come up with a final plan for it.

In the meantime, Waymo Via, which is designed for the autonomous transport of goods, is being tested with truck hubs in Arizona and Texas. At the end of last year, Waymo and Daimler’s Freightliner signed a contract to develop fully autonomous trucks.

– CNBC’s Meghan Reeder contributed to this article.

This Spring, I’m Turning to Elton John For Fashion Inspiration

Sir Elton John, our patron saint of sky-high platforms, feather boas and larger-than-life sunglasses, turns 74 today. While it’s worth celebrating his formidable career with a candle-it-cake, I’ve revamped some of his best fashion moments in honor of the occasion. Nobody has done extravagant maximalism like the English singer. Over the years he has become synonymous with his over-the-top stage outfits – but off-duty, John’s personal style was just as exuberant, often wearing the chicest suits you’ve ever seen.

His early stage performance looks are really iconic. Do you remember his sold out Dodger Stadium concerts in the 1970s when he was wearing one stunned Dodger’s uniform? Or when he was singing on Sesame Street in a feathered cloak? One of John’s recent style hits that pop into my mind is the purple suit with black tuxedo lapels studded with crystals that he’s been wearing lately Grammy Awards. He also rocked flashy suits during his Rocketman press tour in 2019. At the Cannes Film Festival, he wore a powder blue Gucci two-piece suit with matching giant sunglasses. John always took plays and then pulled them off with ease.

Photo: Getty Images

My fashion sense over the last year has been pretty much the opposite of John’s. Like the rest of the world, I lived in tracksuits. But beyond that, I was interested in a more basic uniform. I work from home and mostly wear black pants and a printed shirt. While the prints are, if I may say, very fun, the formula itself is devoid of any pizazz whatsoever. I am suddenly a shell of my former self that would dress up to the nines to go to the office! But with spring here now, I challenge myself to step things up all over again – and who better to look for style inspiration than the master of shine?

Not quite ready to wear feathered jumpsuit just yet, I’m drawn to John’s talent because I’m just a match for him. By choosing sets with large lapels or flared legs, John has a kitschy way of dressing that doesn’t feel stiff or corporate. Since I’m not going to an office right now, I think this look is perfect for springtime, a fun, elegant way to swap things over over coffee. On my more casual days, I want to wear bold accessories again – a John signature. Suddenly John’s iconic heart-shaped glasses call my name.

Gucci spring 2021Photo: Gus Van Sant / Courtesy GucciLudovic De Saint Sernin Spring 2021Photo: Bruno Staub / Courtesy Ludovic De Saint Sernin

It seems like I’m not alone in my appreciation for John’s maximalist, oversized wardrobe. The fashion world has always oriented itself towards the singer, but this season many designers have poured their outré energy into their men’s collections. Gucci featured plush, embroidered suits with a pussy bow blouse (something John is sure to have placed a personal order for); There were blazers in Saint Laurent heavily printed in a luxurious fabric; Even with smaller labels like Ludovic de Saint SerninA rainbow top adorned with crystals seems like something John could easily have worn in his youth.

I’m not saying I need to buy a new designer wardrobe here, but the spring message on the runways is clearly more – and I totally agree with the idea. I may not look as wild as John, but I want to channel that energy and just get back to having fun in style. My spring mood is going to be loud, proud and a great return to how I used to dress before COVID. As John would sing, the bitch is back!

Below are more stylish moments from Sir Elton John.

Overview: John Smith sings of resilience, devotion and hope | Leisure



This cover photo, published by Thirty Tigers, shows “The Fray” by John Smith.


HONS

From STEVEN WINE Associated Press

“The Fray”, John Smith (30 Tigers)

During the first song on John Smith’s new album, hand claps break out as if welcoming the emotions to come.

“The Fray” is the British singer-songwriter’s answer to the past year and offers 12 melodies of resilience, devotion and hope, with determination in the lyrics and buoyancy in the music.

“It’s been a crazy year. where do I start? “Smith sings, his sandpaper tenor is a voice of recovery.

The album’s melodic folk-pop, based on Smith’s subtle guitar work, has a calming influence (he records his moods in the liner notes). And he has excellent help: Bill Frisell offers an elegant guitar solo for “The Best of Me”, and Sarah Jarosz, Lisa Hannigan and the Milk Carton Kids support her with a charming voice.

The arrangements benefit from a pleasant variety. “To the Shore” swings like a shanty, the title cut is heightened by gospel piano, and “Just As You Are” is a waltz to heal.

“Hold On” is the heart of the set. With horns, angelic backing vocals, and a smart guitar riff, it’s good music and advice.

Copyright 2021 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed in any way without permission.

John Mayer realised his male privilege | Leisure

John Mayer realized his male privilege after seeing how Britney Spears was treated in the new documentary about her life.

The ‘Free Fallin’ hitmaker rose to fame at a similar time as the ‘Toxic’ singer, and he admits he realized how lucky he was when he saw her being treated.

Speaking to Andy Cohen on SiriusXM’s Radio Andy, he said, “To go through this and get to the other side, OK means having infinite mercy for those struggling with it. I got okay … I have a very strong feeling for it Part of it is that I’m a man, and I have a very strong feeling that a lot of these things that happen to female performers are endemic to being female.

“I watched the documentary with such grace for Spears, who through the inhuman experiment of fame became much more vicious than me. If you are a man, you are an outlaw. If you are a woman, you are nice And as me through this Seeing that lens, my heart ached all the time. “And John admitted that one day he would like to settle down.

He shared, “There’s one more thing and that’s a wife and kids. I’ve got to a point in my life where I’m not completely tired of this stuff, but my hands are a bit on my knees and I’ll say, “OK, I’ve definitely explored life, what I can do for myself.” I don’t feel too late because I never want a wife while I was researching what’s out there to make it can explore. “