The vein doctor who treats patients at my clinic might be incompetent, what should I do?

I'm a sonographer who works for a vein doctor. There are a number of clots that have formed in the deep systems of patients. A patient had 3 EHIT's one week post-op. At least two patients we know of had to go to the ER and spend three days in the hospital from PE's. It is common for us to find thrombus in the gastrocnemius veins and posterior tibials, and for our lab to see about 1 of 5 patients develop DVT's post-procedure. I am truly concerned about his competency. What should I do?

Answers from doctors (5)


Vein Specialties of St. Louis

Published on Mar 17, 2016

You are correct that this is not a "normal" state of affairs. If you are in a private clinic, you may consider going to the Registration Board. If you are affiliated with a hospital, report to a CEO. You should be able to do this anonymously. You may also want to consider finding a new position.

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Answered by Vein Specialties of St. Louis

You are correct that this is not a "normal" state of affairs. If you are in a private clinic, you may consider going to the Registration Board. If you are affiliated with a hospital, report to a CEO. You should be able to do this anonymously. You may also want to consider finding a new position.

Published on Jul 11, 2012


Cosmetic Vein Centers of Texas

Published on Mar 17, 2016

The doctor clearly is harming patients. Call your state medical board immediately. Your report will be confidential.

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Answered by Cosmetic Vein Centers of Texas

The doctor clearly is harming patients. Call your state medical board immediately. Your report will be confidential.

Published on Jul 11, 2012


Advanced Vein Center

Published on Mar 17, 2016

This is indeed scary. This number of complications is way out of proportion to accepted standards. If you want to do the right thing, you should quit and report the doctor to the state medical board as well as making some of the larger insurance carriers aware of the problem. While I'm sure you don't want to incur any expenses, it might be worthwhile to consult an attorney in your state. Good luck!

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Answered by Advanced Vein Center

This is indeed scary. This number of complications is way out of proportion to accepted standards. If you want to do the right thing, you should quit and report the doctor to the state medical board as well as making some of the larger insurance carriers aware of the problem. While I'm sure you don't want to incur any expenses, it might be worthwhile to consult an attorney in your state. Good luck!

Published on Jul 11, 2012


Artery and Vein Specialists of Idaho

Published on Mar 17, 2016

First, have you had a one-on-one conversation with your employer physician? Second, if that has not worked out, you may want to consider seeking out the hospitals peer committee chairman and setting up an appt and discuss your probable legitimate concerns. As these patients were admitted to his/her hospital, they may have some jurisdiction. He may have the best advice for you given the local standards, culture, and politics. As a last effort, there is always the state board of medicine. Overall, keep reasonable. Your doctor may only need extra training, as this could be potentially reversible, versus ruining his career. Good luck!

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Answered by Artery and Vein Specialists of Idaho

First, have you had a one-on-one conversation with your employer physician? Second, if that has not worked out, you may want to consider seeking out the hospitals peer committee chairman and setting up an appt and discuss your probable legitimate concerns. As these patients were admitted to his/her hospital, they may have some jurisdiction. He may have the best advice for you given the local standards, culture, and politics. As a last effort, there is always the state board of medicine. Overall, keep reasonable. Your doctor may only need extra training, as this could be potentially reversible, versus ruining his career. Good luck!

Published on Jul 11, 2012


Hratch Karamanoukian, MD, FACS, RVT, RPVI, RPhS

Published on Mar 17, 2016

It is absolutely a terrible situation to be in. I would discuss your collective concerns with the vein doctor. I hope he has credentials as an RVPI, RVT or RPhS, and if he doesn't, he should get them so he recognizes the fine nuances of ablation that reduces the likelihood of developing EHIT or DVT. It is important that one of you, as RPhS credentialed technicians, scrub in with him to help him with his procedures. If these "nudges" don't guide him in the right direction, I would resign and seek employment elsewhere. This is not a healthy work environment.

The new guidelines that will take effect soon is for MDs to have credentials as RPhS, or have an RVT or RPhS in the room during procedures.

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Answered by Hratch Karamanoukian, MD, FACS, RVT, RPVI, RPhS

It is absolutely a terrible situation to be in. I would discuss your collective concerns with the vein doctor. I hope he has credentials as an RVPI, RVT or RPhS, and if he doesn't, he should get them so he recognizes the fine nuances of ablation that reduces the likelihood of developing EHIT or DVT. It is important that one of you, as RPhS credentialed technicians, scrub in with him to help him with his procedures. If these "nudges" don't guide him in the right direction, I would resign and seek employment elsewhere. This is not a healthy work environment.

The new guidelines that will take effect soon is for MDs to have credentials as RPhS, or have an RVT or RPhS in the room during procedures.

Published on Jul 11, 2012


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