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Board Meets with Doctor Concerning Improper Stent Charges

Members of Maryland's Board of Physicians met with Dr. Mark G. Midei in a closed-door "case resolution conference" August 4 in Baltimore to address allegations that he placed stents unnecessarily into potentially many hundreds of patients during the period he supervised the St. Joseph Medical Center cardiac catheterization lab in Towson. The hospital revoked his hospital privileges last year.

The results of the meeting are not known. A case resolution conference often serves as a vehicle to work out details of a settlement, although that it not clear in this case. Midei could eventually settle the medical malpractice allegations with the board, which licenses physicians in Maryland, or the matter could subsequently proceed to a formal hearing before an administrative law judge.

The accusations against Midei are serious and represent multiple counts. The board charged him in June with "gross overutilization of health care services" and also "willfully making a false report or record in the practice of medicine." If the charges hold, Midei could lose his license to practice medicine and also be required to pay fines.

St. Joseph has also entered the fray. The hospital examined 2,000 of Midei's cases and thereafter informed nearly 600 of his patients that the stents implanted in them may have been unnecessary and potentially dangerous to them. Specifically, the stents could increase the recipients' risk of fatal blood clots and subject them to adverse side effects.

The board's "false report" charge against Midei centers on his alleged attempt to make it seem as though the patients were reasonable candidates for the stent procedure, which is very expensive.

Related Resource: articles.baltimoresun.com "Cardiologist meets with doctor board over stent implants" August 4, 2010

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