Health Care

FDA approved does NOT always mean safe or effective. I am a Registered Nurse and Certified Clinical Research Coordinator in SC with many years of experience in conducting clinical drug trials in dozens of indications. I am addressing in this petition changes that are needed to protect human research participants, research whistleblowers, and the public.  The Food and Drug Administration (FDA) is NOT protecting human research participants or public health. Drugs are being FDA approved when clinical drug trials failed to protect human research participants and/or with very bad research data and when significant conflicts of interest are not being addressed.  Dr. David Graham, Associate Director of Science and Medicine at the FDA, bravely came forward in 2004 and blew the whistle that fundamental problems at the FDA and Vioxx were responsible for the deaths of thousands of people. Dr. Graham experienced severe retaliation in his professional and private life. The Government Accountability Project (GAP) was able to save his career and reputation due to legal protection for Government Whistleblowers.  What about the researcher in the private sector who knows of another "Vioxx" about to be FDA approved or is FDA approved, research participants not being fully informed or protected, significant conflicts of interest but will not come forward due to no legal protections. The majority of clinical drug trials are being conducted in the private sector.  We need legislation that will do the following: make informed consents used in clinical drug trials more transparent, increase clinical drug trial record retention, stall the revolving door between the FDA and Pharma, and protect research whistleblowers in the private sector. These measures will not only protect people but will also have significant economic advantages. In addition, the FDA needs to make some changes which do not require any legislative involvement to better protect human research participants and the public. Protecting people who participate in a clinical drug trial starts with properly informing them of the risks involved. The FDA outlines in its Code of Federal Regulations (21 CFR 50.25) that human research participants are to be informed on the written informed consent of any reasonably foreseeable risks. The FDA has punted the approval of the language used within informed consents to Independent Review Boards (IRBs), but the IRBs are to follow federal regulations concerning research consents. The FDA may require that a Pharmaceutical Company submit the informed consent to the FDA at the commencement of the clinical drug trial if there is a concern about the risks, but this is not required. The FDA typically does not see the informed consent until the New Drug Application (NDA) and the Pharma payment are submitted asking for FDA drug approval.  Problem: The FDA Code of Federal Regulations (CFR) needs to add language as to more fully inform research participants. Read the cases below and decide if you think these research participants were fully informed. A very simple solution follows each case, and the FDA should take prompt actions as to implement these protections. Phase I clinical drug trials are basically when you take the drug from one mammal (i.e., rat, guinea pig, dog, rabbit, etc.) to another (humans). We want to determine if it is safe for a human to take the drug and at what dose is safe. Just because a drug appeared safe in one mammal does not mean it is safe for another.  What do you think of a Phase I consent that contained the word TREATMENT in the title of the research and TREATMENT and THERAPY throughout the consent. The participants had terminal cancer and were not fully informed that this was a SAFETY trial. Imagine if that were you or a loved one seeing over and over again TREATMENT. This was a vulnerable population due to the terminal diagnosis, and the participants and family should have been properly informed on the informed consent that this was a SAFETY trial. Some may ask what did they have to loose given the circumstances, and the response is their fundamental rights. Keep in mind that many Phase I trials are being conducted at very prestigious American university/hospital settings where a potential research participant, especially a vulnerable one, could be easily influenced to participate due to the setting and wording of a consent. Solution: FDA, please change FDA CFR Elements of Informed Consent (21 CFR 50.25) to include that Phase I informed consents CAN NOT contain the word treatment or any language that conveys efficacy for the participants. Existing Phase I informed consents with such language should be required to make immediate changes to the consent and send the amended consent for an expedited IRB approval. This does not require legislative changes.  Most have heard about the novel oral anticoagulants (NOAC), blood thinners, lawsuits concerning patients being unaware that there was NO antidote (reversal). What do you think if some in this class made it to market based on clinical drug trials where the informed consent did not inform research participants that the investigational NOAC had NO antidote and also did not inform participants that the comparator (Coumadin) did have an antidote (Vitamin K). In my opinion, if the informed consent had included that Coumadin had an antidote it would have brought attention to the fact that the investigational drug did not have an antidote. Do you think some participants may have decided against participating in a clinical drug trial if they had been fully informed that one drug did NOT have an antidote but the other did, and that both the researcher and participant would be “blinded” as to which drug was assigned. Was simply putting on the informed consent rare chance of serious bleeding which may be fatal with either drug enough to meet the criteria of fully informed.  A foreseeable risk was known which was that there would be NO antidote in the event of serious bleeding if placed on the investigational drug NOAC. Some may argue that the person obtaining the consent should have informed them of no antidote, but research must follow federal regulations which state that foreseeable risks are to be written on the informed consent and a copy given to the participant. If Pharma and the IRB approved the consent with that omission, then clinical sites may have been influenced into thinking that the inclusion of rare chance of serious bleeding which may be fatal with either drug was sufficient. Thousands of participants were needed for drug approval. If the informed consent had followed the FDA CFR concerning foreseeable risks, it is questionable if the numbers would have been there for drug approval. Solution: FDA, please change FDA CFR Elements of Informed Consent (21 CFR 50.25) to include that whenever an investigational drug without an antidote is being compared to a drug with an antidote that the informed consent must state this information as to fully inform the research participants. Any existing informed consents lacking this information should be required to make immediate changes to the consent and send the amended consent for an expedited IRB approval. This does not require legislative changes.  The FDA should not grant drug approval with the current submission in cases where the informed consent is grossly misleading with omissions and/or admissions.  Problem: The informed consents being used in all clinical drug trials need to be declassified and not treated as Trade Secrets. The FDA CFR (45 CFR 46.116(h)) now requires that clinical drug trials funded or supported by the government post the consent on a federal website stating the need for transparency and better consents. This posting is to occur at the close of clinical drug trial enrollment or no later than 60 days after last drug trial visit. What about all of the clinical drug trials that are not federally funded but Pharma/Academia supported and federally regulated? Solution: Pharma/Academia should be required to post their consents utilizing the same guidelines as required with federally funded research. Since the protection of human research participants begins with a proper consent, then it should be considered reasonable to ask for such transparency for the medical prescribers, patients, and shareholders. Pharma will argue that this is proprietary information. First of all, the FDA (42 CFR Part 11) requires that any research with an Investigational New Drug application (IND) and other applicable drug trials must post a summary of the drug trial on ClinicalTrials.gov or other federal public website. Secondly, not only can one find out information on a drug trial from ClinicalTrials.gov, they can also make some calls based on very public advertising campaigns for drug trials and inquire about the research. The other argument may be that anyone can get a copy of an unsigned informed consent from the FDA through the Freedom of Information Act (FOIA). This will take at least a year and will be so heavily redacted that it looks like black construction paper. The FDA claims that the redactions are due to Trade Secrets.  Solution: I would like for redactions to be lifted with the exception of personal identifiers on all research consents at the close of clinical drug trial enrollment or no later than 60 days after last drug trial visit. Nothing should be more transparent than the way we consent human research participants. Problem: FDA (21 CFR 312.62(c)) (21 CFR 56.115) allows for the destruction of clinical drug trial records 2 and 3 years, respectively post marketed drug approval or research termination. If the trial is international, then record retention is regulated by the country of origin. The European Union (EU) regulation on clinical drug trial record retention is 25 years.  Solution: We need legislative changes to increase clinical drug trial record retention to 12 years post marketed drug approval or research termination in the event the data needs to be reviewed for safety, data integrity, or litigation issues. Problem: FDA Mission: The FDA is responsible for protecting public health by ensuring the safety, efficacy, and security of drugs. The conflicts of interest and the structure of the FDA make it most difficult to follow its own mission.  It is very well known that significant conflicts of interest are not being adequately addressed at the FDA. Sen. Grassley has often described the relation between the FDA and Pharma as "too cozy." People who are serving on the FDA Advisory Committees concerning drug reviews are required to sign financial disclosure forms prior to or at the time of their involvement in the drug review process, but the real conflict occurs after the drug approval when these same people go work as an employee, consultant, or contractor for Pharma or one of the entities involved in the research. Nothing addresses this conflict of interest.  FDA staff who conduct clinical drug trial audits such as for cause audits (i.e., specific complaints to the FDA, multiple protocol violations, high number of serious adverse events) and random audits are able to go work in some capacity (i.e, employee, consultant, contractor) for Pharma or one of the entities involved in the research that is part of the audit. This conflict of interest is not adequately addressed at the FDA. Solution: Financial Disclosure forms need to be revised to include if there has been any communication in any forms whatsoever (i.e.,expressed, written, tacit) with the Pharma or other entity involved in the research concerning any benefits whatsoever in any forms (i.e., financial or indirect) past, currently or post drug approval (i.e., in the future). The form is to include the following statement: a willfully false statement is a criminal offense (U.S.C Title 18 Sec 1001). If such a conflict exists, this person may need to be recused from this particular drug review or audit and have no involvement whatsoever regarding the clinical drug trial. FDA should form an independent committee to evaluate conflicts of interest and make determinations concerning recusals. These solutions should not require legislative changes, and the FDA should take these necessary steps as to ensure that the FDA is following its own mission statement of protecting the public. Solution: Any individual working in any capacity at the FDA involving clinical drug trials should be required to sign a contract stating that they agree not to work in any capacity (i.e., employee, consultant, contractor) for Pharma or any of the other entities involved in any of the research which they have been directly involved for a period of 3 years. They should also be recused from working on specific drug trials where they have had a relationship with Pharma or any of the other entities involved in the research 3 years prior. The European Medicines Agency (EMA) forbids or places restrictions on members who have had a relationship with Pharma at least 3 years prior from participating in advisory meetings. Problem: People who are serving in the important role as FDA Commissioner are able to go work for Pharma is further evidence of the "revolving door" in Washington between federal regulators and the businesses (Pharma) they are supposed to oversee. The majority of FDA Commissioners have gone to work for Pharma after leaving the FDA.  Solution: The appointed FDA Commissioner should be required to sign a legally binding agreement to not work for Pharma (directly or indirectly) as a consultant, employee, contractor, Board Member, or in any capacity for a period of 5 years after serving as FDA Commissioner. Problem: We need to expand whistleblower protection at the federal level to include protection of researchers and "employees" in the private sector who have information concerning the safety/efficacy of the drug and/or the conduct of the research. As previously stated, the majority of clinical drug trials are being conducted in the private sector. Human Research Protection comes from National (Belmont Report) and International (Nuremberg Code), International Conference for Harmonisation (ICH) Guidelines regardless if the trial is federally supported or not. If all researchers are to abide by these guidelines, then it is reasonable to argue that to "turn a blind eye" to wrongdoing and/or safety issues is in breech of the very guidelines that researchers are to follow. If a whistleblower in the private sector is retaliated against such as a demotion or termination, then that researcher may be able to file a claim under Sarbanes-Oxley (SOX). Whistleblower protections expanded in 2014 under SOX to include an expanded definition of "employee" and inclusion of both privately-held and public companies. SOX has a very limited statute of limitations in that the whistleblower who experiences unlawful retaliation must file a report with Occupational Safety and Health Administration (OSHA) within 180 days which was already increased from 90 days. SOX also contains very limited definitions of retaliation/harassment.  Most states have a Nurses Practice Act (NPA), and many states include language that states that a Registered Nurse must report safety concerns in order to protect patients. Nurses can also be held legally accountable for not reporting. This may protect some research nurses but will NOT protect all nurses or other researchers. Solution: Pharma started largely funding the FDA drug review process and not taxpayers since the Prescription Drug User Fee Act (PDUFA) was passed in 1992. The FDA is beholden to Pharma and will not implement very much needed changes without legislative involvement. This is a Bipartisan issue. Sens. Grassley, Graham, Cruz, Warren, and Reps. Cunningham, Norman, Ocasio-Cortez, we need legislation that will declassify all clinical drug trial consents, increase clinical drug trial record retention, and require a waiting period between FDA/Pharma. Sen. Cruz and Rep. Ocasio-Cortez, please team up to help with the revolving door of FDA/Pharma like you are doing with members of Congress from becoming lobbyists. Sen. Warren, thank you for sending a letter to Dr. Scott Gottlieb asking him to resign from the Board of Pfizer due to conflicts of interest. I 100% agree with you concerning the need for Dr. Gottlieb to resign but do not agree with the negative tone towards the Trump Administration concerning the revolving door of government officials and corporations. I respectfully would like to add that Obama-Clinton appointed FDA Commissioner, Dr. Margaret Hamburg and her hedge fund husband, Peter Brown, had significant conflicts of interest. The point I would like to make is that FDA/Pharma conflicts of interest date back prior to the Trump Administration, prior to the Obama Administration, dates back many, many years. Sadly, so many people have been harmed and are continuing to get harmed by a federal agency due to nothing getting done to change this ongoing problem.  In addition, we need legislation that will protect research whistleblowers in the private sector. Sen. Grassley has extensive knowledge concerning clinical drug trials, has been outspoken concerning FDA/Pharma conflicts of interest and is a huge advocate for whistleblowers' rights and protections. Researchers should not have to turn a blind eye or be retaliated against with no protections because of weaknesses and complexities in our legal system.  European Union (EU) just passed landmark legislation (591 to 29) that gives Whistleblowers EU-wide high level of protection recognizing that they play a key role in many areas of society, including public heath. This important legislation was also passed due to previous fragmentation of protection between the states, and the EU loosing billions of euros each year due to corruption.  President Trump and Dr. Sharpless, Acting FDA Commissioner, I am respectfully asking to meet with you. The Vietnam Veterans Memorial Wall has 60,000 names of our brave Americans engraved in it. It is believed that this is the same number (possibly much higher) of Americans who lost their lives due to the fundamental problems within the FDA and Vioxx. The American Opioid Epidemic is another tragedy where significant conflicts of interest played a key role. President Trump, please be the administration that says the FDA is going to get back to protecting the American people and not special interests. How many preventable tragedies have to keep unfolding with absolute NO changes at the FDA. I respect your decision to re-authorize PDUFA, but please consider the suggested changes within this petition which will better protect human research participants, research whistleblowers, and the public. Change.org recommends not starting at the top, I respectfully disagree.   I have had the honor of working with some of the best Pharmaceutical companies in the world who value and respect human life by ensuring people who participate in their trials are protected and that the integrity of the research is intact. I greatly appreciate their wonderful contributions which have positively transformed lives.  Such companies have allowed me not only to appreciate really excellent research, but to question when research falls dangerously short and more importantly to challenge a federal agency that is not only OK with this but rewards such research with the FDA stamp of approval. Please sign this petition respectfully asking President Trump and the others to meet with me so that I can make an argument for these needed changes which will have huge safety and economic benefits. Thank you to President Trump and everyone else with whom I have requested a meeting for your service to our beautiful country. I am grateful. Thank you to those who are signing this petition asking for these changes. Gratefully, Melanie                    

I started taking insulin in 1974 when I was diagnosed with type 1 diabetes at age 11.  I started using NPH and Regular insulin that worked well in the 1970's.  Over the years, better, more effective insulin came to market.  Unfortunately, they also cost more.  Last year, I lost my health insurance for a short time that covered my Humalog insulin that I used in my insulin pump.  I resorted back to using NPH and Regular for a while, but I could not use it in my insulin pump.  Humalog cost retail about $200.00 a bottle that I could not afford.  I used NPH and Regular for a while.  Using older NPH and Regular insulin from the seventies is like listening to music on a scratchy vinyl record album.  You can hear the music, but it is not as good as listening to music on your MP3 player. Insulin isn’t just a drug. It’s the difference between life and death for millions of people with diabetes – and it’s something they will need every day for the rest of their lives. When you or someone you love needs insulin and cannot afford it, the choices are scary. With the average price of insulin skyrocketing in recent years – nearly tripling between 2002 and 2013 – more and more of our family members, our friends, our neighbors and ourselves are faced with tough choices to pay for this lifesaving drug. Insulin is not a luxury drug. It’s not optional. It’s something we need, and the prices just keep going up. There’s a lot of support in the diabetes community, but at the end of the day you’re still the one living with it and it’s your life that’s at stake. That’s scary.” We demand all entities in the insulin supply chain that we need transparency, affordability and access, and that no one who relies on insulin should have to wonder if they’ll be able to afford it, and;We want Congress to hold hearings to identify the reasons for the dramatic increases in insulin prices and to take action to ensure all people who need insulin have affordable access to this lifesaving medication. This is unacceptable. It’s time to stand together and call for change.We demand passage and Support of H.R. 4906 "Insulin Price Reduction Act".  

Patients' lives depend on choice. **Since starting the petition, I have realized that there are many issues other than temperatures with forced mail-order pharmacy.  Mail-order pharmacy is very loosely regulated. There are life-threatening delays, lack of face-to-face relationships with pharmacists for people with chronic conditions, and rapid closures of our independent pharmacies; although, a recent study showed people prefer independent pharmacy (2018, Gill).  *************Our Story************* Our son received a life-saving liver transplant at the age of 2 from a 3-year-old little girl. His life depends on the potency and effectiveness of chemotherapy or immune suppression medications every 12 hours to prevent his body's immune system from fighting off his transplanted liver. In the past mail-order pharmacy delivered his liquid oral medications in nothing but a plastic envelope on a 102-degree day on a hot enclosed non-temperature controlled UPS truck. Shortly after, he went into liver rejection which could have resulted in complete liver failure or death. I speculated that the medication could have been too weak after the delivery of medications in high heat. I vowed to never again risk his life with mail-order pharmacy. Recently, we were mandated or forced to only use mail-order pharmacy in order to receive coverage for his life-saving medications.  The package arrived in only a bag on a hot day without an ice pack. I now know that the hot non-temperature controlled enclosed delivery truck and mailboxes can reach temperatures up to 120-170 degrees. His labs elevated again afterward. My son wants to know, "Why would they do that?" I contacted the manufacturer, who performs the testing, who informed me that both of my son's medications should be discarded and considered less potent once stored above 86 degrees as higher temperatures and freezing could both result in lower potency.  I contacted the mail-order pharmacy who refused to replace or take back the medication. They said the law & USP Pharmacopoeia allows them to ship up to 104 degrees, although the manufacturer states it is not proven safe at these temperatures. However, I have received communication from USP Pharmacopoeia who writes guidelines for storage, and they also said that the mail order pharmacy should follow the manufacturer's guidelines of 59-86 degrees for storage. Again, the trucks reach up to 170 degrees which is much hotter than 104.  I contacted the FDA, who states that the mail order pharmacy should be using the manufacturer's guidelines that have been proven safe. Since the mail-order pharmacies are regulated loosely by the State Board of Pharmacy, not the FDA, there was nothing that the FDA could do.  I made over 30 calls to the insurance company begging for them to please let us pick my son's medications up at the local pharmacy at which they are filled. My son's physician wrote an appeal and his transplant team has stated that they have tried to voice their concerns about this issue with their pediatric/child patients and no one is listening! The insurance company still denied the doctor's appeal for us to pick up my son's medications in the safest way. It was not until the Media became evolved that the insurance company budged.  I felt helpless and have united with many other pharmacists, physicians, patients, mothers and fathers, and caregivers who feel the same way. Helpless. Mail-order of prescription drugs should be a choice, not the only option of coverage.  Mail-order pharmacies may appear to save money, but when my son ended up in the hospital after taking medications that could have been compromised by having lower potency, the cost of the rejection was thousands of dollars. If his liver would have fully failed, the cost of his liver transplant for just 5 days (he was in the hospital for 5 weeks) was over $1,000,000. The lax regulation and oversight may save money on prescription drug plans but may come at an increased cost to the health plan itself. Also, keep in mind the endless waste of medications that automatically are sent regardless of whether or not patients need them. Also, people with chronic, complex conditions, should always have the option of face to face interaction with a pharmacist who knows their complex needs and medical history. The pharmacist and patient relationships are crucial to the successful outcome of the patient's overall health. Taking this away is harmful to patients and be more costly to our already stressed healthcare system. Only allowing mail-order pharmacy for coverage is unethical and irresponsible. I share stories on my social media sites every day of patients who are suffering from a lack of choice.  We need your help to make mandatory mail-order an option, not a mandate.  YOUR URGENT SUPPORT WILL SAVE LIVES! THANK YOU!! WE APPRECIATE ALL OF THE SUPPORTERS, CAREGIVERS, & PATIENTS.  Thank you,  Loretta Boesing, Founder of Unite for Safe Medications You may make a tax-deductible contribution to support our advocacy here Email: loretta@uniteforsafemeds.com Facebook Page: Issues with Mail Order Pharmacy @justamomwholovesherson Twitter: @BoesingLoretta The greatest way that you can help is by sharing this petition & gathering 2-3 people in your community who are having issues and speak to your legislatures.    Reference: Gill, Lisa L. “Consumers Still Prefer Independent Pharmacies, CR's Ratings Show.” Product Reviews and Ratings - Consumer Reports, 7 Dec. 2018, www.consumerreports.org/pharmacies/consumers-still-prefer-independent-pharmacies-consumer-reports-ratings-show/

Dr Ertl You Kept Your Promise And I’m Almost Done! You Saved My Life Sir! Thank You!!! Dr Ertl And Michelle And IU Staff Thank You! You Saved My Life! I’ll Be Forever Grateful! Bring awareness to hospitals and doctors who are not treating patients correctly. Share your stories! Thank you! Over prescribing medicine for your own benefit, or finical gain is not how you help an injured person..  Please share and educate others. If this happened to you else where. Please leave comments. Show what places are not treating people fairly. I have quite a bit of paperwork and lot with attorneys. I’ll be gathering more information as I go through this process thank you! I broke both my legs January 23 2015. Community East Hospital told me nothing was wrong. I was left first with one severed heel for over 20 hours. Before they performed surgery, and took me between 2 and 4 hours to convince them my other heel was severed as well. I was put into isolation for my entire stay, Where I was not fed for 3 days. Finally when I was released 4 days later. I kept seeing their doctor’s, who said everything was in my head. Community Health Network kept trying to feed me depression pills. Telling me I was delusional. Everything was in my head. Additional to the fact I was under their care for 4 months in casts on both legs, that smelled so awfully bad. I kept requesting they changed them as they was bothering me extremely bad, they refused to change the cast on both my legs, entire time under their care. I finally personally removed my own cast after 4 months when I couldn’t take the smell and irritation no more. My skin was coming off underneath my cast. I asked numerous times to clean my legs. Remove and put on new cast’s and check everything. I was advised it was not necessary. I spent 4 months in a wheelchair totally unable to walk. I personally taught myself everything all over again without the help of Community Health Network. I will say my stay and the care I received was the most deplorable conditions, and treatment I ever received in my life. I hope no one else ever goes through what I have encountered with their doctor’s. Finally after switching to IU health network, I got a team of doctors to help me. I have now had over 20 surgeries and procedures. Since leaving the care of Community Health Network. Not only did they not feed me for 3 days, They did not help me through anything. My gull bladder had grown into my liver. My heart rate was abnormal, lots due to the medication they tried to put me on trying to push pills. I told them from day one. I don’t want pills, let me go back work if I can, just help me. They said your okay. A person doesn’t fall 26 feet land on pavement and say someone with 2 broken legs are okay. They neglected me, first pumping lots of drugs in me immediately after my fall, then saying it was meth. Which I have never seen or touched meth in my life, there for that was a lie. I had to prove it to everyone, even disability court, today I’m legally disabled. Since leaving Community Health Network’s care, I found out both my knees, ankles, my hip, and shoulder was torn. I also found out my shoulder had been dislocated the entire time. They said my spine was okay, which is another lie. I have 2 or 3 herniated disc, 6 intrusion, and a cyst between my s1 and s2. I have script’s, A tote full of medication. From the way they handled my situation. By the time I got the help I needed, I couldn’t walk, had braces up both my legs. I was prescribed 180 oxy 20’s, 90 morphine 30’s, 180 gabapentine 600, 90 tizazidine, and 6 or more other medication. All while they were accusing me of drug abuse, as I sit today with several scripts. I am doing this today, To bring awareness as you neglected me as a patient, almost killed me with medication, and think treating people the way u do is okay, when it’s not okay. I start process for back surgery next week. I had surgery on my left ankle “ I just found out it was broken when I fell after surgery” Jan 29 2020, right hip Jan 15 2019, right knee May 2019, left knee June 2019, and shoulder July 19 2019. I had my gull bladder removed 10-23-2015 “I checked the dates” . Blood was found in my Intestines. I had kidney surgery 2016 I believe. I had 4 endoscopy, 4 colonoscopy, 1 pill cam, 1 heart catheter, plus lots other procedure’s done. I finally on my own found a doctor who founded orthopedic surgery practices from IU North. He’s also in Eskenazi. So I see him at IU North hospital, I also have surgery at both of his offices IU North Hospital, and Eskenazi Hospital, IU Methodist Hospital, and also at Saxony IU in Fishers Indiana. Had I not found surgeons on my own. I still wouldn’t be walking today, or as far as I am. Reality is, I probably would of eventually died, I had infection in my leg’s, my arm, my hip, and I still fall because of my back. I feel I will eventually be able to work full time again. Thank’s to the wonderful staff at Dr Ertl’s office. Helping me get everything back together. Having him tell me my shoulder been dislocated for over 5 years, goes to show Community Health Network was not concerned about my health care. I will never recommend Community Health Network to anyone, who leaves a patient in icu isolation with only 4 to 6 rooms, and doesn’t feed them for 3 days. With 2 broken legs, and says I’m sorry I forgot! Then leaves again. This network I’m sure is liable for patient’s on pills, patient’s deaths, and patient’s who today are still disabled because of their negligence, and not doing what’s best for the patient’s. I myself got to the point, I would step and fall down. They put in my disability report I didn’t try hard enough. When they was requesting me to do jumping jacks, and other strenuous exercise. When I had 2 torn knee caps, 2 torn ankles, 1 torn hip, and 1 torn shoulder. How can a person do anything with injuries this severe? Leaving my gull bladder in 9 months until it grew into my liver wasn’t helping my situation either. By the time it was removed, it was bigger than my hand and purple, by this point I was having breathing difficulties. I’ll be happy to share my story with the media, Show document’s I have of medical malpractice. Maybe it will protect someone else from being treated unfairly, and treated the way I was treated. Before my fall I worked everyday of my life. All they wanted to tell me was you will never walk again. Everything was in my head. Finally getting answers nothing is in my head. They neglected me and committed a severe case of medical malpractice. Leaving me injured and wouldn’t listen to me as a patient. Community Health Network doctor’s wanted to make up stuff, say this is what’s wrong. I seen one their doctor’s Terry Iwoski, and he couldn’t talk to me without his eyes rolling in the back of his head. He was so high on medication. I quit seeing him when he tried telling me everything was in my head. I needed Prozac. Reality was I had a lot wrong, It has taken several surgeries to fix the issues. I keep pushing towards being better and able to work again. Community Health Network is terrible. Hopefully my story, what I went through, still going through will help someone else. I’m grateful for the state, and for the doctor’s helping me today. Hopefully over the course of the next 4 years, I can be back to where I was before my fall. Hopefully I will be able to do the things I did before I fell. I hope anyone else who has these kind of issues. Don’t give up and switch practices, find doctor’s on your own. Save all your documents, all your scripts, and prepare for a long lengthy battle against these crooked people. I will never refer anyone or go back to Community Health Network. I learned a valuable lesson with this as well, You can not trust all doctor’s. They don’t care about your health. They are getting paid, and going home normally. This hopefully will help other’s facing a similar situation, as I have been forced to face. And for the doctor’s who has stepped up to help me, Dr Ertl and Dr Riff, Tracy Warner, and the State and their Doctor’s, who agreed I was severely injured. I would like to say thanks. Today I’m walking without braces, and I’m doing better. I start process for back surgery this week.  For anyone considering Community Health Network, Steer clear unless u trust your life with people who don’t care what happens to you. Or your future, they purposely tried to keep me from getting the help I needed from the state. Saying it all was in my head. If you need help go to IU North in Carmel Indiana, and have them help u get set up. Be honest, talk to them, and they will help you. This has changed my life forever. I’ll be in pain forever. Due to how long it took me to get the help I needed. I’m grateful I am not wearing braces up to my knees. I’m getting my movements back, and life is steadily becoming normal as it will be again. I hope no one ever goes through what I have with this network of crooked doctors. Only there for there own benefit. Hopefully this will help others who face a similar situation. Mind you I have photos of every surgery and procedure. All of the tears, the extremely large gull bladder, and all the injuries I have sustained. I did have one good doctor that is in the Network. She works on her own, Tracy Warner foot podiatrist. She has helped me get the necessary help and said i was injured. She couldn’t believe how they treated me. I still see her today. She literally is the only doctor from the network that knew something was wrong listen to me. Told me I need helped and is the one who said it’s in my spine.. Without her knowledge I wouldn’t of been able to seek medical attention on my own for these injuries. Tracy has been a critical role in helping me throughout this process of people not wanting to help. She got me braces and where I least wasn’t falling 24 7. For that I will tell her thank you for everything she has done for me. She is a wonderful doctor who has a patient’s best interest in situations like mine. I know the odd’s of breaking both legs, and the injuries I sustained is rare. But when it happens, The doctor’s need to listen and do the right thing. A person doesn’t go to hospital and doctor’s over 75 to 100 times for no reason. That is just plain non sense and not okay.. I fixed a few dates and surgeries. After IU North called me, and validated some of my procedures today. While pre op for start of back injections. So I can start the process for back surgery. So I can fix the problems coming from my spine. So I don’t fall. I will be 1 step closer to being normal as I can again.. Surgeons who are helping me still today, and helped me through this process, when I explained everything to them, put forth effort to fix everything for me. Dr Ertl Iu North and Eskenazi- Orthopedics  Dr Riff Methodist IU now in Chicago- Orthopedics Tracy Warner Community Network- Podiatrist  Dr Holmes IU North-Spine IU Methodist Urology - Dr Kessler Gull bladder follow up, kidneys, pancreatitis, stomach, colon-colitis  Dr Bruggers Northside ENT - prosthetic ear drum, mastoidectomy downwall Braces and Stability equipments Aoi and IU North , Dr Ertl, Dr Riff And Tracy Warner  ankle supports,shoe supports, Cain’s, walkers, wheel chairs, crutch’s, afo support braces, sling, cast, compression supports, back braces, plus other supports to stabilize areas that were affected  Hardware inside me now 3 clips in my stomach, 3 pins in my side, 1 screw in my foot, prosthetic ear drum right ear that’s without the rest of the future surgeries I still need.. Thank You!