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Mon Jan 8 05:54:53 GMT 2007

Jason:

You are impressive.  I did not mention the fact, that yes, indeed,
he did present with the history of  Ehlers-Danlos syndrome :>)
And, when I contacted a CVT surgeon now in NY from the
Medical College of Virginia, the patient I saw had the same name as
the one seen there!

~doug~

>From: "Jason Cillo" <jasoncillo at comcast.net>

>
>Fascinating! I'm an emergency physician in Richmond, Virginia, and I'm 
>pretty sure I saw this gentleman when I was working at a small community 
>hospital here, a hospital that had a contract to see prison inmates with 
>potential emergencies requiring hospitalization. Because he was coming from 
>jail, I was a little suspicious of malingering, then all the more so given 
>his normal appearance and vital signs (yes, normal, equal BP's in both 
>arms), extensive allergies precluding a rapid contrast CT of the chest 
>among other things, and his flat, apparently unconcerned affect. He 
>reported the CLASSIC TEXTBOOK description of dissection, but overtly looked 
>fine, not at ALL like the few dissections I have seen. He did have a 
>sternotomy scar, however, and reported a history of Ehlers-Danlos syndrome, 
>although I didn't find any hypermobile joints (for whatever that's worth). 
>Because we didn't have CT surgery, I put a call in to the nearby academic 
>medical center (Medical College of Virginia of Virginia Commonwealth 
>University), and wasn't I surprised when the ED doc on the other end of the 
>line could tell me the guy's NAME as I was describing the patient! Turns 
>out the guy was in jail because this fellow had been at MCV/VCU as a 
>patient with the same complaint, ultimately requiring sedation and 
>premedication for an angiogram, if I remember correctly, before medical 
>records obtained from other institutions (in North Carolina, perhaps) 
>revealed he was fraudulently using the medical records of someone else or 
>using someone else's identity, and was arrested because of this. I sent him 
>back to jail -- he didn't say a word! -- and I haven't heard anything since 
>until now. This was a couple year ago, maybe.
>
>If word gets out to hospitals across the U.S., is he going to move on to 
>other countries?
>
>Jason Cillo, MD
>Richmond, VA
>USA
>
>>Message: 5
>>Date: Sat, 6 Jan 2007 21:41:20 -0500
>>From: "Doug Condit Jr" <thoracicsurgpa at msn.com>
>>Subject: M?nchhausen Syndrome
>>To: "Trauma &amp; Critical Care mailing list" <trauma-list at trauma.org>
>>Message-ID: <BAY106-DAV1097342D0B92C0BBBC1154CEBD0 at phx.gbl>
>>Content-Type: text/plain; charset="iso-8859-1"
>>
>>While I admit that Münchhausen Syndrome is not trauma, there are numerous 
>>ED & CVT folks on this list.
>>
>>I would like to refer you to a recent article in the Annals of Thoracic 
>>Surgery:  Münchhausen Syndrome Simulating Aortic Dissection (Ann Thorac 
>>Surg 2006;81:1497-9) with the follow-up letters AnnThoracac Surg 
>>2006;82:1948-54, as I believe that I could have recently had the 
>>opportunity to see this patient.  According to the article and letters, he 
>>has at the very least visited ED's in RI, VA, TX, CT, NJ, CA, MI, and NC. 
>>May I add that the individual I saw presented with typed results of an MRI 
>>obtained in PA, and presented with history similar as reported in the 
>>Annals here in NY.
>>
>>
>>~doug~
>

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