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Showing posts with label District 1 Medical Examiner. Show all posts
Showing posts with label District 1 Medical Examiner. Show all posts

Friday, August 18, 2023

Dr. Oleske Informs DOMES She is Initiating Litigation

Dr. Deanna Oleske, the interim District 1 Medical Examiner who earlier this year had a tussle with some local funeral home directors, has now officially notified the District One Medical Examiner Support (DOMES) board that she is suing said funeral home directors.  She indicates litigation is commencing due to some letters written to the county earlier this year (by multiple local funeral home directors) describing allegations of barbaric treatment of corpses.  These letters  subsequently made their way into the press, and these letters  ultimately led to some better communication(s) between the ME's office and the funeral homes.

Dr. Oleske strenuously denied the allegations in the letters at the time, as did her operations director Dan Schebler.

 Although it seems everyone knew this litigation had commenced, apparently the folks that serve on the DOMES board may not have been aware--or made aware officially.

 They're aware now.

 Although the Escambia BCC is not being sued so far as I have been told, we are getting bombarded with public records requests from the Medical Examiner's lawyers.  The press and the ME and her staff have tried to argue that the letters were somehow connected to Escambia County's rejection of the Doctor's "We must have a new facility outside of Escambia County" arguments.  I believe we can get functionality in the current spaces with about a $2-$3 Million investment rather than a $20-$30 Million investment in new facility outside of Escambia County.  The one issue (alleged mistreatment of corpses) has nothing to do with the other (new facility) so far as I am concerned. 

 So, we will see where this all ends up.  Meanwhile, I have been told by a credible source that the Medical Examiner, Dr. Oleske, has put her "name in the hat" and applied to be the district 2 Medical Examiner in Tallahassee.  We will see what happens if she gets tapped for that position.  My understanding is the D2 ME's office is in a Quonset Hut type of PEB--think Gomer Pyle's Bunk Room Facilities--not a modern, large, state of the art facility the likes of which is being sought for Santa Rosa County by Oleske.  Also, a source familiar with operations of the D2 office reports that over there in that Circuit--the ME (who I am told is retiring) does not have in-house investigators but rather outsources that function to the local sheriff's office; staffing levels there are smaller than here.

 Lots of change coming if Oleske happens to be offered that job.

More to come.  See her letter from yesterday, below.

 


 

 


Monday, June 19, 2023

Why Not Just Support a New Facility in Santa Rosa County?

"If you try sometimes, you just might find, you get what you need!"


I've now had a number of folks ask me about why it is I don't "support" building a brand new medical examiner's office in Santa Rosa County.

And I have answered them with logic, not emotion (contrasted with one local morning radio DJ/entertainment host who apparently can't do this as he attempts, fecklessly and unsuccessfully, to weaponize this issue against the BCC with emotion-laden faux arguments in support of Escambia County Taxpayers spending upwards of $15 Million outside of Escambia County on a new facility when we can spend a fraction of that amount and meet the facility requirement here in the existing location).  

So this is my response, to a constituent on this issue, below:

"XXX,

 Thanks for the email and for the compliments on efforts to increase public access at beaches in Perdido Key.  With respect to the DOMES issue--it is fairly cut and dried-for my vote.  We can spend $3 Million at the current facility to expand the coolers, improve the spaces, add additional space and viewing areas as well as autopsy stations.  I know this because I went there and toured the site and the county is already proactively fixing some of the issues at this current location.  The alternative is to spend ten times as much, easily $30 Million in today's construction cost altered universe---which is untenable for my vote.  It is all about meeting the requirement.  What is the requirement?  Also--the vast majority of death in this district requiring an autopsy (not all deaths require one, only about 20%, XXX) occur here in Escambia County.  So for many good reasons including the two I have listed above, the function needs to remain here in Escambia county.  I am not opposed to re-opening the annex in Okaloosa County as that might be prudent to do perhaps one day per week there.

 But no, I am not going to ask Escambia taxpayers to spend $15 Million (our proportionate share of the costs for a new facility) building a "NEW" facility in Santa Rosa County when we can spend a fraction of that amount and meet the ME's requirement.

 It's like the Rolling Stones:  You can't always get what you want, but you'll get what you need."

 


Sunday, June 4, 2023

On 1370 WCOA's "Real News with Rick Outzen" Tomorrow Morning at 7:00 AM

I'll be on the area's best, most listened to, highest rated, most reliable, most trusted, most accurate and most entertaining morning drive news show tomorrow morning at 7:00AM  Real News with Rick Outzen on 1370 WCOA

I've been invited to appear on the best, most reliable, most relevant, most knowledgable, and most trusted morning drive news radio show in Pensacola tomorrow morning--"Real News with Rick Outzen" on 1370 WCOA.

Rick and I will discuss tomorrow evening's District 1 Town Hall meeting in Beulah

Additional items that may be discussed include the massive public records request made of the BCC by lawyers for our D1 Medical Examiner, the status of the Public Beaches in Perdido Key, and this week's meeting of the Board of County Commissioners Thursday.

Listen in live at 7:00 AM or you can catch the podcast later in the day; once Rick publishes it I will post it here.

Wednesday, June 8, 2022

Two Big Discussions on Tomorrow's Committee of the Whole



Tomorrow we will have two items to consider on our Committee of the Whole Discussion.

Both are important, relevant, and timely.

#1 is the funding of Fire Service locally.  We will discuss whether or not we should increase the MSBU for Escambia County Taxpaying property owners or find some other way to cover an increasingly bigger and bigger shortfall for the Fire Budget locally.  Our Current MSBU generates about $19 Million, but costs are slated to escalate to $24 Million over the next several years, meaning additional revenue will need to come from somewhere.

I have proposed a tax swap to eliminate the MSBU and fund fire with a sales tax--however the earliest this could be implemented and voted upon by the citizens will be 2024--due to onerous state requirements that must be met ahead of a referendum for this tax.

#2 is a discussion about increasing costs for the District 1 Medical Examiner's office (Serving the 1st Judicial Circuit--Escambia, Santa Rosa, Okaloosa, and Walton Counties) and also the structure of the funding required to construct a new D1 Medical Examiner's facility.  The current facility is woefully inadequate, and the caseload of this office has skyrocketed over the last several years.  The budget request for 2023 has been put forward and represents a nearly $800,000.00 year over year increase.

The funding of the capital costs and the funding of the operational costs will be at the center of the discussion--as a new formula is being put forward that is based upon caseload and population and which lowers Escambia's portion of the equation from 52% to 47% of the costs.  The sticking point will be not on the operational side of the equation (e.g. many understand that Escambia has the highest caseload and population and therefore should pick up a higher share of the operational costs) but on the fixed asset and capital costs (e.g. some feel that fixed asset costs should be evenly split among all four counties and not pro-rated--as the fixed assets and facilities serve all four counties)

So this will be an interesting discussion.


Saturday, July 31, 2021

A Rough July in Escambia County....

Escambia County has seen an all-time record number of deaths in the month of July, 2021.  The number of death investigation cases in the D1 Medical Examiner's office is up nearly 70% over July, 2020.

The members of the board of county commissioners recieved an email report of conditions at our District 1 Medical Examiner's Office in Pensacola at Sacred Heart Hospital.  The Medical Examiner's office has seen a dramatic increase in deaths throughout the four county district, with a notable spike in Escambia county in particular.  July has been particularly rough in Escambia County.....From her email:


Gentlemen, 

 July has been quite a month at the District 1 Medical Examiner's Office. We hit an unfortunate record with 130 postmortem examinations, the doctors signed over 160 death certificates, and the office investigated about 300 deaths. It's not even the end of the month yet. We've never, ever had a month like this and the staff are working the equivalent of 2 people. 

 Escambia county is almost entirely responsible for this July crush we are feeling. Compared to July 2020 -- Escambia had 70% more cases in July 2021. (Walton county has also had a substantial increase in percentage but their relative number is still low.) 

 Escambia's increase in non-natural deaths is a substantial outlier. Of the 6 homicides I had this month, 5 were from Escambia county (there is likely a true total of 7 homicides, 2 cases are currently pending more information). In 2020 Escambia had 2 homicides. (of note: I personally had the unlucky week with 6 homicides)

 Most of our July autopsies for Escambia are pending toxicology testing  -- this means that the increase in cases is most likely from drugs (but also homicides, pedestrian fatalities, and child deaths). Which is the same trend of a 60-65% increase in drug deaths that I cited a couple of months ago. I also signed a couple of death certificates this month that were sequelae of long term intravenous drug abuse -- bacterial endocarditis / sepsis. 

 The workload from Escambia county is so rapidly increasing in case load -- that it alone needs 3 doctors and 25 staff to adequately and effectively investigate these deaths. 

 Our current situation with regards to the facilities has significantly degraded since the Chair and Vice Chair last visited. These details are best shared in a conversation rather than in an email. 

 On a positive note -- Sacred did agree to the $1k a month rent adjustment for the remaining space that we need to operate the morgue ($14.55 SF vs. $23 SF). They are also waiving the first 2 months of rent in our new lease. 

 We really need that building. I sincerely hope that the Chair and Vice Chair can help me get the other counties on board. Whatever you need me to do. But at this point, I need your help getting some action and financial commitment from the other counties to go forward. 

 Thank you for passing the budget amendment and the help you all have given us thus far. 

 We are looking forward to working with Mr. Gilmore as our new DOMES board member. 

 As always, I am available any time to discuss. I am the doctor on service again next week, so afternoons are always best. 

 Thank you, 

DAO

 


Friday, April 30, 2021

Illegal Drug Abuse leads to More Deaths Locally....

"This graph on page 4 (above) shows a significant and deeply disturbing statistic.  For the first time ever – fentanyl superseded all other drugs including alcohol. Most of these deaths are from illicit fentanyl (not prescribed or legally manufactured)."  Dr. Deanna Oleske, District 1 Medical Examiner


Many people espouse the belief that illegal drug use/drug abuse is a "victimless crime."

But looking at the violence in our area and the shootings, murders, and crime---much of it revolves around drugs and the sale and distribution of illegal drugs according to those very familiar with the criminal justice system locally with whom I have spoken.

But what about the overdoses?  

We received an email this week from our area's medical examiner who provided stark numbers from the state and from our four county area related to drug overdoses and deaths.  From her email:

"The District 1 MEO saw a 57% increase in drug related deaths in 2020 compared to 2019. We also had a 30% increase in NON-COVID related cases – and the 2 categories that increased the most dramatically were sudden natural deaths in young persons and drug related fatalities (fentanyl and methamphetamine). This week, I had 25 decedents on the docket and 75% are drug related deaths. Last year, an average week was 15-18 decedents and now it’s 22-26.  Unfortunately, COVID restrictions ease up, the drug related fatalities are continuing to increase.  You would be surprised at some of the occupations of our drug overdoses --- teachers, lawyers, nurses, firefighters, truck drivers, veterans. These are our neighbors; this is our community."

Read the most recent interim state report on drug related deaths here

Illegal drug abuse is NOT a victimless crime.  Perhaps it is time to get back to the basics with ads like this one that I remember seeing when I was growing up.....

Wednesday, February 3, 2021

58th Coffee With the Commissioner Event this coming Wednesday

 

We will have our 58th Coffee with the Commissioner event this coming Wednesday, February 10th, 2021 from 6:30-7:30 AM. 

We will have County Administrator Janice Gilley, Emergency Manager and Public Safety Director Eric Gilmore, and special guest First Judicial Circuit Medical Examiner Dr. Deanna Oleske. 

We will be discussing the ongoing response to the COVID-19 Pandemic, our county COVID-19 numbers, and an in-depth conversation with Dr. Oleske about the impacts the Pandemic has had on the Medical Examiner’s office and her staff and facilities 

To join the meeting, go to the following Facebook page at 6:30 a.m. on Wednesday, Feb. 10th and watch the live stream: www.facebook.com/CommissionerBergosh/ Residents are encouraged to send virtual questions and comments they would like to discuss with District 1 Commissioner during the event through Facebook.For more information, contact District 1 Aide Debbie Kenney at 850-595-4910 or district1@myescambia.com. For District 1 updates, follow @MyDistrict1 on Twitter.



Tuesday, January 26, 2021

Monday Afternoon Meeting at the Morgue

The main examination room at the First Judicial Circuit's Morgue Facility in Pensacola at Sacred Heart Hospital has a large floor area, multiple work stations, and a cooler on one side that holds up to 40 bodies at a time.

Yesterday afternoon I was invited to come out to the First Judicial Circuit's Morgue facility at Sacred Heart Hospital in Escambia County.

I accepted the offer and met with our First District Coroner Dr. Deanna Oleske as well as her Director/Chief of Forensic Investigations Mr. Jeff Martin.  

As I walked through the facility with Dr. Oleske, I was introduced to many of her staff of 19 employees-including two other Forensic Pathologists that are on staff as well as several technicians.  Most of the staff work at the Escambia County location--while a handful work in Okaloosa and Walton Counties.

I appreciated the opportunity to tour the facility and meet the staff--as there has been some recent high-profile turnover as the previous Coroner, Dr. Andrea Minyard, left amid quite a bit of consternation and even some litigation.

But that is all in the past now and we are moving forward with Dr. Oleske who has subsequently been hired on--and who is very energetic and determined to improve the current facilities and staffing issues.

I was invited to walk the spaces because the facility is undersized and understaffed for the increasing workload being put on this office.  I was even offered the opportunity to watch an autopsy be performed--an offer which I appreciated---but that I politely passed on. (I'll stick to re-runs of Quincy MD starring Jack Klugman on TV Land, thanks very much! that's about as close to an autopsy as I want to get)  But I was thankful in a weird kind of way to be given the opportunity to go there upright and vertical--- alive--- not wheeled in on a gurney as most visitors to that facility are.....so there is that.

"MacGyver" would be impressed with
the non-complex roof-leak "fix" applied
to the District 1 Coroner's records storage area..
As I began the tour and walked into these Coroner's office spaces at Sacred Heart, consisting of a series of small, windowless offices, common area hallways, a small conference room, various storage spaces, a large autopsy room, a large cooler where bodies are kept, and a smaller anteroom where the bodies of the badly decomposed are kept--I noticed there was a leaking roof that had some sort of a "Macgyvered" drain system installed-consisting of tubes draining into a large bucket--prominently placed in the middle of a hallway.  I've never seen anything like that before.  "They actually have cloth towels up there that catch the leaking water and drain down through the plastic roof tiles and into that bucket over there" Dr. Oleske quipped.  I thought this seemed rather odd...

In the course of conversation with
Dr. Oleske and her various staff members as we continued the tour of the facility,
it was disclosed that the Coroner pays about $5,000 monthly for these substandard spaces--much of the square footage of which is shared with Sacred Heart Hospital.  Several coroner's employees work in tiny cubicle type work stations--and in one storage room that has been repurposed, six work stations are arranged where the morgue technicians and various other administrative personnel share the space.  "When those two employees back their chairs up--they bump in to one another and so only one can backup at a time" it was pointed out to me as we peeked into that space and two stations were highlighted.

"We need more space, and we need more staff, and we need more resources" Dr. Oleske stated bluntly.  "Believe it or not, we do about the same volume as the morgue in Denver Colorado--and they have a lot more space and a lot bigger staff." she continued.

She and her staff were very willing to answer all my questions--which I greatly appreciated.  They also showed me all the areas and were quick to point out, thankfully, some new X-ray equipment and coolers that were purchased for the Coroner's office with County CARES act money.  Additional PPE was also provided by this funding source--which the staff greatly appreciated.

This box contains bones from various animals that are found
and subsequently brought to the Coroner's office
for identification... and to insure they aren't human
One very interesting space they showed me was the "Bone Room."  This is a small room with one desk, a shelf, and a giant pot and industrial sized "hot-plate" where at times the flesh from a body must be slowly cooked off of bones.  This is necessary to reveal the bones in order to determine if there is/was any evidence of foul play from knives or other instruments on such bones.  "We have to boil down some of these probably four times per year.  It takes several days to get the bones carefully separated from the flesh." Dr. Oleske pointed out.  "And no--it doesn't smell good when we are doing it" she quipped.  Thankfully--there was no bones being cooked during my visit.  "Take a look in this box," Mr. Martin stated as a large box full of bones was opened in front of me.  "These 
aren't human--but are of animals but brought to our office by various officials to determine whether or not they are human." Interesting--and understandable.  I mean-raise your hand if you could tell the difference between a human tibia and a deer bone?

When asked about her office's workload-Dr. Oleske quickly pointed out that year-over year the number of autopsies performed grew by greater than 70 percent in 2020.  She acknowledged that COVID-19 has played a big role in that increase--and not simply from a number of cases/deaths perspective.  "We are seeing young 36 year old cases brought in here dying of heart failure because they are delaying care because of COVID-19.  We are seeing a lot of drug related deaths--more than normal.  This might be because people are not able to attend addiction meetings.  We are also seeing more cases where violence escalated domestically." She stated.  "COVID-19 deaths are one thing--but there are COVID-19 related deaths increasing as well." she stated flatly.

I asked about what percentage of total deaths result in an autopsy--to which Mr. Martin responded "It's 

Saturday, January 11, 2020

ISSUES That Never Go Away Part I: The Coroner Pay Dispute Files.....

In a horror picture, sometimes you never really fully dispatch the monster.  They just keep coming back.  Some issues we deal with (Issues, not people) are eerily reminiscent of this trope...

Sometimes the toughest, most complex issues with which we contend are the toughest ones to fix.

These issues never go away.

Like a fire that you think is out but that keeps flaring up.....

Like legal bills that keep arriving in the mail months and months after the case is settled.....

Like the Horror Show trope where the monster is never dead, no matter how many times it should be, no matter how many times it is "dispatched" -----it just keeps coming back to life.  (this is simply a metaphor---I'm talking issues not people)

So here is the new issue that won't go away.

The four counties of the first Judicial Circuit recently navigated a tricky replacement of this area's Coroner.  There were a number of alleged issues associated with our previous coroner's performance and fees and payments and exorbitant salaries, public money put into private companies, etc. etc. etc.   Then there were lawsuits.  It all blew up a few summers ago, but again--- it was resolved this past October 1 with the placement of a new Coroner. It was ugly.  But we fixed it and it went away.

So we thought.

But the new coroner, apparently, (according to our old coroner's lawyer) is making more than the previous on was---that is AFTER some pay adjustments were made. (Prior to the adjustments, this previous  coroner's compensation approached $700K yearly--not a bad government wage)

(Read all about that sordid history here.)

So now that our previous coroner has relocated and settled in at a different part of the state, a federal lawsuit has been filed against the three of the four counties of the first judicial circuit by the former coroner.

The crux of it appears to be that the new coroner, a man, is making MORE than the previous coroner, a woman, was making.

Some issues never go away.

Press "Read More," below on the left, to read the compete 7-page complaint.


Thursday, September 19, 2019

Could the Interim Medical Examiner's Compensation Approach $1 Million for FY 2019-2020?

The proposal above was submitted by the 4-County, First Judicial Circuit Interim Medical Examiner for next Fiscal Year.  

This will be on the board's agenda for consideration later today, and the other 3 counties in the circuit would need to approve this as well in order to move forward. 

With a base salary of $350,000.00 plus $1,250 per each additional autopsy performed above 250 autopsies yearly--the total compensation for this doctor could approach $1 Million Dollars--if the office only performed the same number of autopsies performed last year (729).  

We all love our doctors, we LOVE them. And we know doctors in private practice command gigantic salaries.  We all know this, and we get it.  

We are now being told that the salary offered for a Medical Examiner is too low. 

We are also being told that we had very few applicants due to the "politics" of the area--whatever that means.  Will there be more than one doctor?  Do we know?  The way the last deal went, we were funding for two (2) Doctors but the office never hired a second doctor and best I can tell, the one doctor pocketed the money/salary of what should have been a second MD.  Will this happen again, will we pay one guy $1 Million next year?

Here is the Key for me:   this is a HUGE salary to pay.  Huge.  Part of the issue I had when the whole Medical Examiner issue erupted last year was the way money was moved around between the previous ME's office and her private company leading to her garnering compensation approaching $700K.  Meanwhile, we are still in the midst of litigation to recoup funds Escambia County feels we are owed from that debacle.   Who knows where that will land.

And now this proposal is being put in front of us.

I don't know that we can pay this high of a salary in the public sector--we cannot pay private level wages with public dollars, I just don't know how this can be justified.