Explore every episode of the podcast Patients at Risk
| Title | Pub. Date | Duration | |
|---|---|---|---|
| The blind leading the blind? New NP gets bad advice from other NPs on Facebook | 24 Oct 2024 | 00:36:33 | |
Christopher Garofolo, MD, unpacks the many errors shared by a more seasoned NP to a brand new NP seeking advice on a Facebook post. PhysiciansForPatientProtection.org | |||
| Physician training saved my newborn grandbaby's life: I fear future patients won't have this privilege | 16 Sep 2024 | 00:28:43 | |
On the last podcast, I interviewed Dr. Anu Shokla who shared her story of her newborn baby being treated for an emergency rapid response by a nurse practitioner who had just rotated with her on the inpatient adult hematology oncology service. PhysiciansForPatientProtection.org | |||
| "I didn't know how bad it was:" NP pens report on NP education (Part 3) | 18 Mar 2024 | 00:20:28 | |
John Canion is an experienced nurse practitioner working within nursing for years to improve NP education. Frustrated with the lack of positive change from NP leadership, he penned the "2023 Report on Nurse Practitioner Education and the Need for Change," which outlines the current state of NP education and proposes solutions that harken back to the original days of NP training. PhysiciansForPatientProtection.org PhysiciansForPatientProtection.org | |||
| The dangers of replacing psychiatrists by psychologists - Part 2: The corrections system | 17 Jan 2021 | 00:31:06 | |
Psychiatrist Torie Shatzmiller Sepah MD discusses her experiences as a chief psychiatrist at the California Department of Corrections, and her role in the "Golding Report," a whistleblower report by Michael Golding MD that alleges improper psychiatric care of inmates. Complete report here: https://www.scribd.com/document/392536943/Dr-Michael-Golding-California-prison-report-on-mental-healthcare PhysiciansForPatientProtection.org | |||
| The Dangers of Replacing Psychiatrists with Psychologists - Part 1 | 10 Jan 2021 | 00:19:25 | |
Dr. Torie Shatzmiller Sepah, a practicing psychiatrist, discusses the differences between psychologists and psychiatrists, and the increasing trend of allowing psychologists to prescribe medications. PhysiciansForPatientProtection.org | |||
| College student outgrows pediatrician, assigned to FNP who misses his life-threatening diagnosis | 03 Jan 2021 | 00:20:15 | |
Corinthia Davidson-French shares the story of her son's missed diagnosis of aplastic anemia after multiple visits to an FNP at the local clinic. We also discuss racial disparities in the healthcare system, and what patients can do to advocate for their own medical care. Morrison F, Shubina M, Goldberg SI, Turchin A. Performance of primary care physicians and other providers on key process measures in the treatment of diabetes. Diabetes Care. 2013;36(5):1147‐1152. doi:10.2337/dc12-1382 Kurtzman ET, Barnow BS. A Comparison of Nurse Practitioners, Physician Assistants, and Primary Care Physicians' Patterns of Practice and Quality of Care in Health Centers. Med Care. 2017;55(6):615‐622. doi:10.1097/MLR.0000000000000689 PhysiciansForPatientProtection.org | |||
| The Differences between Psychiatrists and Psych NPs: The Case of Jay Baltz - Part 2 | 27 Dec 2020 | 00:32:08 | |
Gerald "Jay" Baltz, a psychiatric mental health nurse practitioner who is being investigated by the California Board of Nursing for an inappropriate sexual relationship with a patient who later took her own life, received his training at an online program that required a minimum of 500 clinical hours of experience for graduation. Baltz continues to provide psychiatry care to patients in California and Washington state, and since receiving a doctorate degree in nursing, he now advertises as "Doctor" Jay Baltz, DNP. PhysiciansForPatientProtection.org | |||
| Psych NP patient affair ends tragically: The Case of Jay Baltz - Part 1 | 20 Dec 2020 | 00:30:28 | |
Gerald "Jay" Baltz, a psychiatric mental health nurse practitioner, was investigated by the California Board of Nursing after allegations that he had entered into a sexual relationship with a patient who subsequently took her own life. The Board received this information in April of 2018, began its investigation, and filed a claim against Baltz on June 15, 2020. Today, six months later, Baltz continues to practice psychiatry as a nurse practitioner in California and in Washington state, where he has autonomous practice and does not require physician supervision. We are joined by psychiatrist Dr. Natasha Cervantes to discuss details of this tragic case. PhysiciansForPatientProtection.org | |||
| NP-turned-physician discusses differences in training | 13 Dec 2020 | 00:19:06 | |
Dr. Robin Rose, a family physician who trained as a nurse and then nurse practitioner discusses the differences in education and training between the medical disciplines. Dr. Rose, who lives on an isolated island in Hawaii, describes challenges in obtaining physician-led care, especially for vulnerable populations living in medically underserved areas. PhysiciansForPatientProtection.org | |||
| Physician fired for writing op-ed explaining the differences between MDs and NPs | 06 Dec 2020 | 00:31:47 | |
Physicians who speak out in support of physician-led care face repercussions. Steven Maron, MD, a pediatrician with 31 years of experience, was fired from United Community Health Center in southern Arizona after writing a newspaper article explaining the difference in training between a physician and a nurse practitioner. As Maron pointed out in his op-ed, while there are excellent and experienced nurse practitioners and physician assistants, their education and training are not the same as that of a physician. He suggested that to make an informed decision about medical care, the public should know who is treating them and the critical differences in the training of clinicians. Although Maron had worked for the community health center serving socioeconomically depressed children for 10 years without any disciplinary actions, he was terminated just days after the op-ed appeared in the Green Valley News. “I was told that my article stood in opposition to the principles of the organization, specifically the principle of mutual respect." PhysiciansForPatientProtection.org | |||
| Boards of nursing fail to protect patients from dangerous nurse practitioners | 29 Nov 2020 | 00:30:41 | |
Dr. Amy Townsend discusses the incredible lengths she went through to get the Texas Board of Nursing to act to stop a dangerous nurse practitioner after he caused 2 patient deaths. July 26, 2017https://kfdm.com/news/local/two-setx-families-hire-attorney-for-possible-legal-action-against-clinic-in-nederland Oct 5 2017https://kfdm.com/news/local/nursing-board-accuses-optimum-health-owner-of-altering-document PhysiciansForPatientProtection.org | |||
| Cochrane's 18 Tall Tales | 17 Nov 2020 | 00:27:36 | |
Drs. Rebekah Bernard, Niran Al-Agba, and Phil Shaffer break down the 2018 Cochrane Review "Nurses as Substitutes for Physicians in Primary Care," pointing out that of 9,000 studies reviewed over the last 50 years, just 18 were of adequate quality to include in a review of the subject. Of these 18 studies, just THREE were published in the United States, most contained high degrees of bias, had small sample sizes, were of short duration, and ALWAYS included physician supervision or nurses following physician-created protocols. Bottom line: there is no evidence that unsupervised nurse practitioners can provide the same quality of care for patients. PhysiciansForPatientProtection.org | |||
| Nurse practitioner speaks out against independent practice | 16 Nov 2020 | 00:25:15 | |
Drs. Rebekah Bernard and Niran Al-Agba are joined by Shannon Keaney, a nurse with 11 years of intensive care experience who recently graduated as a nurse practitioner. Shannon explains the differences between "brick and mortar" nurse practitioner training as compared to newer "diploma mills," and discusses why she thinks patients are best served when nurse practitioners practice with physician supervision. PhysiciansForPatientProtection.org | |||
| "I didn't know how bad it was:" Nurse practitioner publishes report on the dismal state of NP education and need for change (Part 2) | 04 Mar 2024 | 00:29:52 | |
John Canion is an experienced nurse practitioner working within nursing for years to improve NP education. Frustrated with the lack of positive change from NP leadership, he penned the "2023 Report on Nurse Practitioner Education and the Need for Change," which outlines the current state of NP education and proposes solutions that harken back to the original days of NP training. PhysiciansForPatientProtection.org PhysiciansForPatientProtection.org | |||
| There's Something About Mary | 10 Nov 2020 | 00:26:19 | |
Drs. Rebekah Bernard, Niran Al-Agba, and Phil Schaffer discuss researcher Mary Mundinger's recent Wall Street Journal letter, which argues that the nurse practitioners studied in her 2000 JAMA publication were practicing without physician supervision. The fine print reveals fascinating details left out of the headlines. PhysiciansForPatientProtection.org | |||
| "I didn't know how bad it was:" Nurse practitioner publishes report on the dismal state of NP education and need for change (Part 1) | 19 Feb 2024 | 00:30:12 | |
John Canion is an experienced nurse practitioner working within nursing for years to improve NP education. Frustrated with the lack of positive change from NP leadership, he penned the "2023 Report on Nurse Practitioner Education and the Need for Change," which outlines the current state of NP education and proposes solutions that harken back to the original days of NP training. PhysiciansForPatientProtection.org | |||
| The Assistant Physician (AP) - A pathway to independent practice? | 05 Feb 2024 | 00:18:27 | |
In part 2 of my discussion of the Assistant Physician (AP) role, Dr. Keith Frederick meets Dr. Liz Troilo, who benefited from his legislation. After working as an AP, Dr. Troilo matched into residency and now provides critical access care as a Family physician in Missouri. Dr. Frederick proposes a possible alternate pathway to independent practice for physicians other than formal residency training. PhysiciansForPatientProtection.org | |||
| BONUS EPISODE: AZ State Rep and ER physician Dr. Amish Shah discusses his run for U.S. Congress | 24 Jan 2024 | 00:19:45 | |
Emergency physician Dr. Amish Shah has served the Arizona State House for the last five years and is now running for U.S. Congress. In this special bonus episode, Dr. Shah explains why he entered into politics, the work he has done to support the practice of medicine, and why physicians should donate to his campaign. PhysiciansForPatientProtection.org | |||
| Physician legislator and creator of 'assistant physician' role in Missouri discusses steps to improve physician shortages | 22 Jan 2024 | 00:25:54 | |
There is no doubt that America is facing a physician shortage, due in large part to a lack of residency positions, the mandatory 1-3 years that medical school graduates must complete to receive a license to practice medicine. Today we are talking about a proposed solution to this problem—a new professional designation for unmatched medical school graduates called the “Assistant Physician” (AP). I am joined by Dr. Keith Frederick, the originator of the first legislation to create the AP role, and Dr. Liz Troilo, who worked as an AP before becoming a board-certified family physician. PhysiciansForPatientProtection.org | |||
| Physicians fight to prevent more patient deaths from 'wellness' treatments at medspas | 14 Jan 2024 | 00:30:05 | |
In July 2023, 47 year old Jenifer Cleveland, a mother of four, died after receiving treatments at a Texas medispa. We reported on this tragic story in a podcast with plastic surgeon Alina Sholar (https://www.buzzsprout.com/1475923/13329411-when-wellness-turns-deadly-patient-dies-during-npp-medspa-visit.mp3?download=true). PhysiciansForPatientProtection.org | |||
| NP malpractice settlements on the rise, especially for NP-owned practices | 01 Jan 2024 | 00:36:32 | |
Malpractice insurance company CNA, along with Nurses Service Organization (NSO) has been providing malpractice coverage for nurse practitioners across the country in a variety of practice settings for the last 30 years. The organization released its first report on NP malpractice claims in 2005, and recently released its 5th report analyzing data between 2017 and 2022. Dr. Kevin Zhang joins me to discuss the findings of this report including:
https://www.nso.com/Learning/Artifacts/Claim-Reports/Nurse-Practitioner-Claim-Report-5th-Edition Get the new book! https://www.amazon.com/Imposter-Doctors-Patients-at-Risk/dp/1627344438 PhysiciansForPatientProtection.org | |||
| Wisconsin NP legislator makes unprofessional comments during testimony on vetoed bill | 11 Dec 2023 | 00:21:14 | |
Nurse practitioner and Wisconsin Senator Rachael Cabral-Guevara jokes about 'missing' lobbyist Mark Grapentine's IV... and using the largest bore needle to try again. Bill co-sponsor Rep. Barbara Dittrich responds by pulling her name off the legislation. PhysiciansForPatientProtection.org | |||
| The Medical Ethics of IV hydration ‘bars’ | 27 Nov 2023 | 00:28:39 | |
There has been a dramatic rise in the number of clinics offering intravenous infusions of fluids and vitamins to treat an array of conditions and for a supposed wellness benefit. But do these treatments actually work? To discuss the risks and benefits of IV infusions outside of a traditional medical setting I am joined by nephrologist Dr. Christin Giordano. PhysiciansForPatientProtection.org | |||
| "My newborn baby required a rapid response: The NP that showed up had just rotated with me on the adult heme/onc service." | 20 Aug 2024 | 00:31:38 | |
Primary care physician Anu Shukla shares a personal story about the dangers that patients face when physicians are replaced with nonphysician practitioners. PhysiciansForPatientProtection.org | |||
| Esteemed physician organization American College of Cardiology selects nurse as new president | 13 Nov 2023 | 00:32:48 | |
Interventional cardiologist Dan Sraow, MD, FACC discusses the election of a nurse rather than a physician to lead the American College of Cardiology (ACC), as well as the risks of non-physicians performing cardiac interventions. PhysiciansForPatientProtection.org | |||
| Louisiana doctors succeed at passing graduate physician bill | 30 Oct 2023 | 00:23:10 | |
There is no doubt that America is facing a physician shortage, due in large part to a lack of residency positions, the mandatory 1-3 years that medical school graduates must complete to receive a license to practice medicine. To alleviate this shortage, some states have a new professional designation for unmatched medical school graduates called 'assistant physician' or 'graduate physician.' PhysiciansForPatientProtection.org | |||
| Louisiana physicians hire lobbyist and defeat NP independence bill | 16 Oct 2023 | 00:27:20 | |
Louisiana physicians discuss their successful effort to block scope of practice expansion in the state. PhysiciansForPatientProtection.org | |||
| Bioethicist weighs in on use of the term 'doctor' by nonphysicians | 02 Oct 2023 | 00:30:56 | |
In 2023, three nurse practitioners sued the state of California for the right to call themselves 'doctors' in a clinical setting. Bioethicist Arthur L. Caplan, PhD, discusses the ethics of titles in healthcare. PhysiciansForPatientProtection.org | |||
| Patient asks for OB physician during pregnancy and delivery, told 'no' | 18 Sep 2023 | 00:22:32 | |
At 39 years old, Hasina Hafiz wanted a physician to oversee her pregnancy and delivery. However, the only clinic in the area that accepted her insurance refused, allowing only CNM/ WHNP care. Retired OB/GYN John Lafferty, MD discusses complications that can occur during pregnancy and delivery, and why team-based care should always be led by a physician. PhysiciansForPatientProtection.org | |||
| Noncompete contract restricts rural patient access to physician care | 04 Sep 2023 | 00:32:29 | |
Jacqui O'Kane, DO was fulfilling the promise of Family Medicine, providing expert physician care to rural residents of Georgia. Burned out from overwork and support staff challenges, she decided to leave hospital employment. But instead of allowing her to open her own direct primary care practice, the hospital enforced a 50-mile radius noncompete contract, limiting patient access to care. Listen in on our discussion of noncompete contracts and why some physicians are leaving employed practice in favor of self-ownership. PhysiciansForPatientProtection.org | |||
| Physician discusses why she will no longer train or supervise NPPs | 21 Aug 2023 | 00:35:00 | |
Sara O'Heron, MD discusses changes in the education and training of NPs and PAs over her 35-year career. PhysiciansForPatientProtection.org | |||
| When 'wellness' turns deadly: Patient dies during NPP medspa visit | 03 Aug 2023 | 00:31:38 | |
Plastic surgeon Alina Sholar, MD discusses the risks and dangers associated with non-physician supervised medspa medical procedures. PhysiciansForPatientProtection.org | |||
| Ensuring a fair physician employment contract | 17 Jul 2023 | 00:33:32 | |
Employment attorney Dennis Hursh, Esq advises physicians on best practices for a fair employment contract. PhysiciansForPatientProtection.org | |||
| Original study shows impact of NPPs on Emergency physician residents | 14 Jun 2023 | 00:33:08 | |
Lead author Andrew W. Phillips, MD, MEd, joins me to discuss the brand new study 'Effects of Non-physician Practitioners on Emergency Medicine Physician Resident Education,' the first study to evaluate the impact of NPPs on EM resident physicians. PhysiciansForPatientProtection.org | |||
| Bloomberg Report Questions NP Education | 30 Jul 2024 | 00:24:33 | |
In the first of a series 'The Nurse Will See You Now,' Bloomberg reporters investigate concerns about nurse practitioner education. The Miseducation of America’s Nurse PractitionersThey don’t merely support doctors—NPs increasingly treat patients independently, including in specialty practices and emergency rooms. When they aren’t well trained, the results can be tragic. By Caleb Melby, Polly Mosendz, and Noah Buhayar https://www.bloomberg.com/news/features/2024-07-24/is-the-nurse-practitioner-job-boom-putting-us-health-care-at-risk PhysiciansForPatientProtection.org | |||
| New Book - IMPOSTER DOCTORS - Now On Sale! | 01 Jun 2023 | 00:21:29 | |
Hear details about the new book, Imposter Doctors: Patients at Risk, available NOW at Amazon and Barnes and Noble. PhysiciansForPatientProtection.org | |||
| Opening your own practice | 07 May 2023 | 00:32:35 | |
Can't find a job that doesn't require you to supervise non-physician practitioners? It's time to consider a return to self-ownership! Psychiatrist Dr. Rashida Gray discusses her journey and encourages physicians to take back control of medicine by opening their own practices. Learn more about Dr. Gray at her website: GrayMDPsychiatry.com PhysiciansForPatientProtection.org | |||
| Innocent EKG findings lead to unnecessary ER visit: Why physician training matters | 17 Apr 2023 | 00:17:42 | |
Emergency physician Andrew Wilson, MD, discusses a case in which a routine work physical at an Urgent Care resulted in an unnecessary ER visit for a patient. PhysiciansForPatientProtection.org | |||
| Healing the healers: The Physician Support Line | 20 Mar 2023 | 00:27:54 | |
Last week was Match week, and while thousands will celebrate matching into residency, 2,500 medical school grads will face an uncertain future due to a shortage of residency positions. If you know someone who might need help through this difficult time, the Physician Support Line is a free, confidential, and anonymous resource. Dr. Mona Masood, psychiatrist and founder of the Physician Support Line, discusses the importance of help for doctors. Physician Support Line - 1 (888) 409-0141https://www.physiciansupportline.com/ Psychiatrists helping our US physician and medical student colleagues navigate the many intersections of our personal and professional lives. PhysiciansForPatientProtection.org | |||
| Utah physician on hiring unmatched medical graduates (associate physicians) | 11 Feb 2023 | 00:28:48 | |
Nurse practitioner and physician assistant use are often justified because of a shortage of physicians, especially in underserved areas. One major cause of the physician shortage is a lack of residency positions, the required minimum training that must be completed after medical school to be licensed as a physician. Every year, thousands of aspiring physicians cannot complete that training because of a lack of funding for more residency positions. While physician advocacy groups are lobbying Congress for more residency funding, some doctors are taking direct action to help medical school graduates to continue their journey toward becoming licensed physicians. Today we are joined by Mary Tipton MD, an internal medicine and pediatric physician, who has created opportunities for unmatched medical school graduates to gain additional training and experience at her medical clinic. PhysiciansForPatientProtection.org | |||
| Psychiatrist explains dangers of NP-staffed mental telehealth platforms | 16 Jan 2023 | 00:27:38 | |
The COVID19 pandemic created both challenges and opportunities in the healthcare sector. One major winner: telehealth startup companies offering ‘virtual’ medical care, including psychiatric care. But instead of hiring physicians, these companies hire nurse practitioners to care for some of the most complex and vulnerable patients in our nation. These companies got an even bigger boost when the U.S. Drug Enforcement Agency relaxed requirements for the prescribing of controlled substances due to the COVID19 pandemic. Online mental health companies quickly shifted gears to prescribing medications typically available only through a face-to-face visit, especially stimulant medications for attention deficit hyperactivity disorder (ADHD). Today we are joined by psychiatrist Ziba Rezaee, MD to help us understand the rise of for-profit online mental health companies and the risks to patients. PhysiciansForPatientProtection.org | |||
| Vicarious liability: Family physicians discuss getting sued due to association with NPs | 19 Dec 2022 | 00:24:14 | |
Nurse practitioner and physician assistant advocates often assure physicians that they face little liability or risk when performing supervision, insisting that NPs and PAs are liable for their own errors. But case law examples demonstrate this to be false. If state law requires physician supervision or collaboration, the physician may be held vicariously liable in the event of negligence, even if they were not consulted by the nonphysician about the patient’s care. Today we are talking with Nancy Berley MD and Shenary Cotter MD, family physicians who experienced negative repercussions when errors were made by associated nonphysicians. PhysiciansForPatientProtection.org | |||
| Lack of informed consent: Patient nearly dies after CRNA mishap | 28 Nov 2022 | 00:26:24 | |
Imagine this scenario: You are rolled into an operating room in a surgical center for an outpatient elective procedure. But when you wake up; you’re in an emergency department, and you learn that you nearly died from anesthesia complications. Even worse, you find out that your anesthesia was provided not by an anesthesiologist, but by a nurse anesthetist. Paul Ambruster discusses his near-death experience after receiving anesthesia from a CRNA without anesthesiologist supervision. This is a cautionary tale for patients and physicians involved in the care of surgical patients. PhysiciansForPatientProtection.org | |||
| Training matters: small town ER doc makes limb-saving diagnosis missed by urgent care NP | 24 Oct 2022 | 00:28:38 | |
Physicians train for at least 15,000 hours before we are permitted to practice independently, and one of the reasons is that it takes a long time and a lot of patient volume to be exposed to the many different presentations of disease processes to learn how to recognize true emergencies that need immediate interventions. Today’s guest brings us a perfect example of the importance of this training. Karen Wilson Saintsing DVM is a veterinarian who nearly lost her arm after a nurse practitioner in an urgent care failed to recognize the onset of compartment syndrome. Fortunately, an astute emergency physician immediately recognized the condition and transferred her to a surgical center for treatment. To help us understand compartment syndrome, we are also joined by trauma surgeon Stephanie Markle DO MPH. PhysiciansForPatientProtection.org | |||
| Will an NP/PA perform your next colonoscopy? Part 2 | 06 Sep 2022 | 00:23:42 | |
Increasingly, nurse practitioners and physician assistants are being asked to step into the role of physicians. While surgeons and procedural doctors have been fairly insulated from this phenomenon, the tide is beginning to turn. Today we are going to explore the phenomenon of NPs and PAs performing colonoscopies, screening tests for colon cancer. PhysiciansForPatientProtection.org | |||
| Dangers of nonphysician ketamine infusions | 18 Jul 2024 | 00:40:57 | |
There are an estimated 500-750 clinics across the U.S. providing infusions of Ketamine for the treatment of a variety of medical conditions. This is big business, estimated to bring in $3.1 billion per year and projected to rise to 6.9 billion by 2030. But is Ketamine safe and effective? PhysiciansForPatientProtection.org | |||
| Will an NP or PA perform your next colonoscopy? | 22 Aug 2022 | 00:28:12 | |
Increasingly, nurse practitioners and physician assistants are being asked to step into the role of physicians. While surgeons and procedural doctors have been fairly insulated from this phenomenon, the tide is beginning to turn. Today we are going to explore the phenomenon of NPs and PAs performing colonoscopies, screening tests for colon cancer. PhysiciansForPatientProtection.org | |||
| Physician, Own Thyself: Taking Back Professional Control | 18 Jul 2022 | 00:32:32 | |
Tired of being owned by corporations, but don't want to open your own practice? Stephanie Freeman, MD, a critical care physician and entrepreneur, teaches physicians how to become self-employed through contract work and locums. PhysiciansForPatientProtection.org | |||
| Nursing research leaders: NPs should not work alone in the ER | 05 Jul 2022 | 00:28:53 | |
In Jan 2022, the Journal of Nursing Regulation published an article entitled: Analysis of Nurse Practitioners’ Educational Preparation, Credentialing, and Scope of Practice in U.S. Emergency Departments The summary: “Due to the variability in educational preparation, NPs should not perform independent unsupervised care in the ED regardless of state law or hospital regulations.” This unequivocal statement contradicts the rhetoric of NP leadership which insists that NPs should be allowed to practice virtually anywhere and everywhere without supervision. Today I’m joined by family physician Christopher Garofalo, and radiologist and PPP board member Phil Shaffer to discuss this important paper. PhysiciansForPatientProtection.org | |||
| Point of view: Let NPs and PAs practice independently - but hold them to the same standard as a physician | 20 Jun 2022 | 00:34:02 | |
Attorney and emergency medicine physician William P. Sullivan believes that nonphysician practitioners should practice independently, but be held to the same medical standard as physicians since NP/PA leaders argue that there is "no difference in the practices and outcomes between physicians and advanced practice providers." PhysiciansForPatientProtection.org | |||