Inova Fairfax Hospital CMO Scott Betzelos, MD January 28, 2017 Meeting




It has been 23 days since my beloved and precious sister Anastasia was killed by Inova Fairfax Hospital and their designated guardians Anne Heishman and Kenneth Labowitz. I have been re-listening to various meetings and discussions with Inova physicians and others involved in her unnatural and untimely death.  I have been going over medical records and evidence sent to me by various individuals who did not agree with what Inova’s guardians were doing.  And since her death three words amongst other things have been prevalent in my mind… premeditated, homicide, and guilty.

During the January 28, 2017 meeting with Chief Medical Officer Scott Betzelos, MD, and Inova’s outside counsel Laurie Kirkland from Blankenship & Keith, PC, Inova was informed that I agreed with Anastasia’s discharge so why did Inova still pursue and take guardianship of Anastasia.  As you listen to the meeting with Scott Betzelos, MD, the discussion with Lindsey from Inova’s Palliative Care team, and read the records and notes written by Kelly Armstrong, PhD and the head of palliative care it brings certain things to light and bring the following questions to mind:

“Pt is opioid naive” written by Mary Wheeler, NP, Inova Palliative Care Team. Naive: “not having previously been the subject of a scientific experiment, as an animal.”

Nurse Practitioner Mary Wheeler ordered increases in morphine when Anastasia came down with a hospital born infection or after the results from the pericardial effusion but decreased her morphine when she showed signs of improvement… why?

Definition of terms, we as a society work under specific definition of terms regarding social norms and morays. By inserting specific terms or language into medical charts it can and does completely change the intent and meaning. Perfect example is “irreversible” disease/condition and “terminal” disease/condition.

Do hospitals intentionally or subconsciously allow bad bedsores to justify palliative care and the ending of lives. Inova Palliative care social worker, Lindsay N. Teich, specifically stated when talking about ending life “if she had really bad wounds, maybe down to the bone, or was causing pain when you turn her” … this is almost verbatim what Labowitz claimed in his written communications. We were clear Anastasia was not going on palliative care, that we/she did not want or need to be on palliative care. Mary Wheeler, NP, pushed for comfort care.

Hospitals and nursing facilities get dinged by Medicare if patients return to the hospital within 10-30 days. So to prevent from getting dinged are hospitals and nursing facilities intentionally placing elder and disabled patients on palliative care?

How can an informed decision about discharge, a safe discharge, be made without all of the facts including if the receiving SNF is capable of providing or willing to provide all of the needed care?

Inova CMO Scott Betzelos, MD was aware discharge had been appealed to Medicare and also should have known that an appeal directly to Medicare in DC invalidates Kepro reconsideration decision. Bottom line Inova Fairfax Hospital should not have discharged Anastasia when they did, should not have sought guardianship until after the Medicare decision was issued by the ALJ, and by doing both not only enabled and culpable in her death but also in my opinion are accessory’s to her murder.

In Fact Anastasia was discharged and sent to Dulles Health and Rehab without of all of her medications and the Lovenox was stopped right after she was admitted to DHR. If Lovenox was given by Inova as a prophylaxis and standard of care for bedridden patients and Anastasia was sent with that order why then did DHR discontinue the Lovenox?

In Fact Dulles Health and Rehab changed Anastasia’s regular nebulizer treatment to PRN. Envoy of Alexandria discontinued them entirely. They claim they were given but evidence shows they did not.

CMO Scott Betzelos states Yolanda needed to give the Inova “physicians the latitude and level of trust that they have and level of knowledge they have that they are not going to discharge somebody in an unstable condition.” Seriously??

CMO Scott Betzelos states “whatever treatment, therapy, or medication Anastasia needs we will make sure she will receive, be discharged with.” Anastasia was discharged and sent to DHR without all her needed medications. DHR tried but were unable to reach the guardians for 4 days to get authorization so they could get her medications.

I love you Anastasia and I miss you.

Your baby sister

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