Keith E Miller MD, Court Whore and Red Devil Award winner!

Former Chairman of the Texas Medical Board Disciplinary Process Review Committee resigned from the TMB on August 31, 2007, so he could pursue his lucrative career as a plaintiff's expert, often testifying against his colleagues.

Here are copies of IDEX files listing certain of the cases for which he served as an expert: Notice that Dr. Miller, a family physician, claims to be a medical expert in a variety of fields, in eight states.


Expert Testimony - Keith E Miller MD

and

Expert Testimony - Keith E Miller MD, Updated

Miller is suing me for slander because I called him a 'court whore' and gave him the 'Red Devil Award' on behalf of Texas Medical Board Watch for 2006 and 2007.

http://texasmedicalboardwatch.com/id16.html

The truth is a defense against allegations of slander.

Texas Phoenix 007

Injustice at the Texas Board of Nursing

There is a very important case of a Family Nurse Practitioner, Bridget Yvette Hughes, who is "supervised" by Keith E Miller MD, former chairman of the Texas Medical Board Disciplinary Process Review Committee. In the first attached NON-disciplinary order, she admits to the forgery of over 50 Schedule II narcotics prescriptions.

Bridget Yvette Hughes non-disciplinary order with the Texas Board of Nursing

She voluntarily gave up her DEA number and prescriptive authority for a year. She wasn't supposed to represent herself as a nurse practitioner or allow herself to be represented as one.

During the year, my amateur private investigator, Tammy Herchek, visited Hughes as a patient on a day that Miller was not in the office.

Dr. Miller's office referred to her as a Nurse Practitioner; she introduced herself as a NP; although she had no prescriptive authority, she gave medication samples to Tammy without consulting her supervising physician. She also called in a prescription to the CVS pharmacy in Center, Texas. Pharmacist Lacory Miller, although he knew she did not have prescriptive authority, filled the prescription.

I reported Bridget Hughes to the Board of Nursing for violating several conditions of her order. I reported Dr. Miller to the Texas Medical Board for his failure to supervise Hughes adequately. I reported pharmacist Miller to the Texas State Board of Pharmacy for filling a prescription called in by a NP without prescriptive authority. No action was taken by any of the three boards.

In spite of having a complaint filed against Miller for inadequate supervision of Hughes, the BON has again assigned Miller to "monitor" her in a ridiculously lax "disciplinary order" which went into effect August 18, 2009.

Bridget_Hughes RN, Disciplinary Order

Part of the terms of the order are that she must practice nursing under a one year probation! They demand that she do other things related to her narcotic habit and associated felonious actions that she has failed to do repeatedly. They demand that Miller "supervise" her in such ways as he has repeatedly failed.

In Texas, anyone can file a complaint on a licensee of a medical board, nursing board, or pharmacy board. We need a persons other than Texas licensees to help us, because of retaliation and the need for publicity. Public complaints should be filed against Keith E Miller MD, Bridget Yvette Hughes FNP, and Lacory Miller with their respective licensing boards.

Dose sparing influenza vaccine

Although the flu vaccine shortage is constantly in the news, public officials have not addressed the issue as to whether or not dose-sparing measures are effective and safe.

Since the publication of the following article in the New England Journal of Medicine in 2004, I have given 1/5 of the usual dose of influenza vaccine intradermally, rather than intramuscularly.

http://nejm.highwire.org/cgi/content/full/351/22/2295

My non-scientific impression, based on years of practicing the art of medicine, is that it works.

I have convinced many patients who have never taken flu vaccine before to take the plunge, based on several pieces of med-info.

1. The immune response is determined largely by cells within the skin, so let's give it in the skin.

2. This is an 'off-label' use of the vaccine. Being 'off-label' simply means that the FDA has not given official approval to the use of the medication in this manner. The doctor and patient make a joint decision as to whether the benefit outweighs the risk under the circumstances. The patient is always fully informed and always makes the final decision, but I don't offer the vaccine any other way.

3. I believe you are performing a patriotic service by taking the vaccine in this manner. I give it the same way to myself, my family, and my staff. If everyone did the same thing, we would have five times as many doses as we have now. If/when we have a pandemic, there will be a shortage, and you have paved the way to increase the supply.

4. Put an ice cube on your forearm until the underlying skin is blanched. That's where I make the injection. The ice makes the difference between minimal discomfort and essentially no discomfort. Itching from simple piercing of the skin is eliminated. Because the dose is so small, systemic side effects may be reduced.

5. Take the vaccine now. When we have a pandemic you will already have proved that you can tolerate the vaccine and won't be reluctant to take it again. Because we will run out of medicine during a pandemic, those who hesitate may not have a second chance.

6. The article published in the New England Journal strongly suggests (as do articles published subsequently) that the immunogenicity derived from intradermal administration of a smaller dose is as great or greater than what is achieved by traditional means.

It angers me that health departments and drug stores get the vaccine when I, as a primary care physician, cannot get any. Between the interference of the federal government in medicine, and the retaliation I've experienced from the state of Texas for exposing corrupt power-mongers, the government has put me out of business.

Shirley Pigott MD