Women were let into Medical Schools in Ohio, in bigger numbers, beginning with the classes of 1980 and on. Deans knew that this would cause troubles in that the care of women patients wasn't good. Women were not in clinical trials of anything until the 1990s & Bernadine Healy MD. So everything was learned from male studies, but didn't always apply - from fracture care, to thyroid, to bone problem, to just about any illness.
In the late 1970s, at McDonald House in Cleveland, Case Western Medical School women were aghast at the abuses and attitudes on the wards. One woman resident had her pumped breast milk thrown all over the place - like toilet paper on trees. Women patients were left on kidney-damaging drugs (Gentamycin and other aminoglycosides) with no drug levels ordered, and no BUN or Creatinine ordered - until they practically knocked out their kidney function - it was a 'hoot' to watch the drug nephrotoxicity happen - as in a lab rat.
Pretty every female in the class of 1980 hit up Dean Scott with the problems - he said that we would have to change things and it would not be easy. But he didn't think that the males would fake that the woman MD had a psychiatric disorder - because she saw the problems in her fracture care and had to complain after months of harassments. Dr. O'Day would not take this much harassment from either of her two ex-husbands, but she would not allow this woman MD to complain. Dr. Steinbergh doesn't take 5 minutes of the kind of abuse that she has made this woman MD take for 20 years. It's not about aequanimitas, the care has to be improved. You can't spend one year healing complications of wrist fractures - one of those child-bearing years.
The Medical Board of Ohio, cognizant of the problems, has been penalizing & disciplining women MDs for complaining about bad care practices - for the last 20 years. One woman MD has had her license suspended for 20 years, and been ordered - by a Board of non-psychiatrists to repeated non-confidential psychiatric evaluations in violation of her HIPAA rights, her patient confidentiality and every human common sense & decency. She objected to her wrist fractures being mistreated and her bone condition being laughed off as being 'unlucky' without any lab work - Neanderthal medicine. The Medical Board of Ohio of Non-Psychiatrists is still trying to find a diagnosis of a personality problem that the woman MD was trained to speak up to 'save herself.'
Her fracture care: the boys laughed while they left her fractures to ripen, casted them badly without reduction or referral to any of the Hand Certified Orthopedics in Cleveland, a UH guy casted one fracture in a hockey stick 'experimental' cast (everything for male orthopedics has to look like a piece of sports equipment). The workup - she wasn't allowed even a complete thyroid 'panel' before her license was taken in an Emergency session for the provisional diagnosis of a personality problem - objecting to admittedly wrong care. Every other state allows care-to-function.
The statute of limitations for the orthopedics & the Board Member involved had to expire. The care was bad, but the Medical Board wasn't going to acknowledge or improve it, just make the woman MD 'suck up' by evaluating her so much that she would be mindless, ambitionless, and so emotionally damaged that they could take further advantage of her - and they have. And no care in Ohio given to her in the last 20 years has been other than brief, inadequate, and demeaning - even the dentists try to take advantage - wanting to drill on a negative x-ray for fun.
The answer to bad care, when the woman MDs can't make a point, is further discussion - not evaluation. It's not a psychiatric disorder to object as you were trained. Many men trained women MDs, but wouldn't stand up for the 'changes' needed. You can't leave fractures to 'ripen,' women have different causes for fractures and you have to do a bone density test, thyroid tests have to be the whole panel & men 'miss' this point as they don't - as a gender - get thyroid problems. There are gender differences in care. And if you don't put adequate padding in a women's fracture, her skin will break down, her tendons will rupture, and her nerves will be damaged - all of which happened to this woman MD.
But instead of listening and stopping the bad practices - practices that Governor Kasich campaigned to stop - the Medical Board is trying to do a 'Village of the Blind' on this woman - to cut out her education about differences in care practices - to make things one global care nightmare. Put her on some drug to stop her changing things that she was educated to change. Most women in Medicine want better paradigms, care flow charts, and options for women patients - but they suck up.
The Medical Board of Ohio should not be ordering 6-10 psychiatric evaluations on women MDs to 'find a case' 20 years into the case. There is no state that would not have dismissed this case by now - no state has this much money to waste on stupidity. Governo Kasich hasn't changed this, or reviewed any of the wrong 'mistake' cases at the Medical Board of Ohio - he can't even keep up with appointments. He's a guy.
The Medical Board if there is no psychiatrist, should allow the psychiatrist of the woman MD to see all the files, and make recommendations. 15 years ago, the US expert on personality problems told the Medical Board to give her license back - that she had no impairment - but that the fracture situation got nasty in that it was a 'boys have to be right' situation. The care wasn't going to work for a woman professional - even if it worked for a male physician - because of her bone problem. But the care was much worse than a male MD would have tolerated for 5 minutes, and comments were R-rated.
The Medical Board of Ohio is not the physician of the physicians licensed - it can recommend that there be a consultation with a cardiologist, psychiatrist, or whatever - and let the psychiatrist, cardiologist, or osteopath order the procedures. Psychiatric evaluations are procedures, with emotional damage for someone who is 'normal' and subjected to this abuse repetitively. It brings up memories forgotten, wounds healed, and it's not recommended to discuss bad fracture care for 20 years without improving the situation and the male behaviors.
Caring for colleague physicians is a difficult balancing act, and physicians often have 'zebra' diagnoses. But their confidentiality (negative psychiatric evaluations should not be in public records with details from dating histories), their medical problems, and their fractures have to be handled professionally, courteously, and with the same completeness as other patients before any Medical Board actions. The woman MD even after 5 psychiatric evaluations, has a poorly treated thyroid bone problem - the Cleveland Clinic won't treat her as they want to be 'in' with the Medical Board - they are into the PR game, not the medical care game. The 'boys' on the Board are watching the natural history of untreated thyroiditis with bone effects - it's a game - like with the antibiotics in McDonald House.
The Medical Board has to stop evaluating women for trying to say that some of the care that is ok for males is not ok for women patients, and some of the conversations that males have with male MDs are not ok for women patients - we don't need to know that the orthopedics are having trouble with their sex lives with their wives, and not getting regular sex. The serial evaluating, lying, cheating on Rorschach tests & making up psychiatric diagnoses to waste everyone's time and emotionally damage a woman with challenging care problems is just being 'bad.'