Adib Zaky, M.D. v. United States Veterans Administration, James Woytassek, and Sun J. Guo, M.D.

793 F.2d 832, 1986 U.S. App. LEXIS 37296
CourtCourt of Appeals for the Seventh Circuit
DecidedJune 12, 1986
Docket85-1741
StatusPublished
Cited by17 cases

This text of 793 F.2d 832 (Adib Zaky, M.D. v. United States Veterans Administration, James Woytassek, and Sun J. Guo, M.D.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Seventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Adib Zaky, M.D. v. United States Veterans Administration, James Woytassek, and Sun J. Guo, M.D., 793 F.2d 832, 1986 U.S. App. LEXIS 37296 (7th Cir. 1986).

Opinion

COFFEY, Circuit Judge.

The plaintiff appeals the district court’s grant of summary judgment to the defendant in his suit alleging that the Veteran’s Administration discharged him in retaliation for the exercise of his First Amendment rights; violated his Fifth Amendment liberty interests; and effected the discharge in violation of his procedural rights guaranteed him by 38 U.S.C. § 4106(b), 605 F.Supp. 449. We affirm.

I.

On February 22, 1981, the plaintiff, Dr. Adib Zaky, was employed as a cardiologist at the Veteran’s Administration Medical Center at Fort Wayne, Indiana, pursuant to 38 U.S.C. §§ 4104 and 4106. Dr. Zaky was appointed for a two year probationary period, as provided in § 4106. Dr. Zaky’s work was to be reviewed by a Professional Standards Board (“PSB”) during the probationary period and Dr. Zaky was subject to separation if the Board found that he was “not fully qualified and satisfactory.”

On November 30, 1981, during Dr. Zaky’s first year of probationary employment, a patient was admitted to the Intensive Care Unit (“ICU”) as an emergency with severe bradycardia (slow heart beat). Although Dr. Zaky successfully “paced” the patient’s heart by inserting a temporary pacing electrode, the patient remained unresponsive. Dr. Zaky concluded that the bradycardia was symptomatic of another serious medical problem and instructed the nurses to ask the internist to whom the patient was assigned to see the patient without delay and left the ICU. According to Zaky, “the Chief of Service [Dr. Venka-tachala] accused me of abandoning this patient during a meeting at the Medical Service on December 1, 1981.”

On December 3, 1981, some two days later, Dr. Zaky wrote a memorandum to Dr. Haan, the Chief of Medical Service and Dr. Venkatachala’s supervisor, pointing out deficiencies in the resuscitation procedures in the ICU and suggesting that the Medical Center: (1) “start a regular, ongoing in-service drills involving simulated, cardiac emergencies, in particular, potentially fatal arrythmias;” and (2) “discuss and review each real live resuscitation procedure in CPR committee meetings.” Zaky alleged in the memorandum that he had made these suggestions on numerous occasions, but neither suggestion had been implemented.

The record reveals that following the incident with the bradycardia patient and Dr. Zaky’s letter to Dr. Haan, Dr. Zaky experienced difficulty in his relations with the Medical Center staff. Dr. Zaky failed to attend ICU rounds from January 11, 1982, to March 17, 1982 because, in his opinion, the rounds had “degenerate[d] into personal criticisms that serve no beneficial medical purpose.” Dr. Zaky specifically complained that “on January 8, 1982, ... I was personally insulted, and my medical education was questioned.” When he resumed attending rounds in March, he stood at a distance from the other physicians and seemed to be unable to hear their discussion. If asked a question, he would ask that the question be repeated and would then request that the treating physicians repeat their earlier discussions concerning the patient’s condition and problems before replying. The other physicians responded to this treatment by walking out of the room when Dr. Zaky presented his patients.

Furthermore, Dr. Zaky experienced difficulty in cooperating with other physicians and surgeons in his operation of the cardiac *834 lab. In early 1981, Dr. Zaky learned that the hospital was considering the appointment of an internist with expertise in the field of cardiology to the facility and accused Dr. Haan of “making plans to replace him.” He objected to the hospital’s granting cardiac privileges to another physician, a Dr. Krishnamoorthy, without consulting Dr. Zaky. When informed that Dr. Krishnamoorthy would receive privileges despite his protest, Dr. Zaky wrote a memorandum suggesting as a “solution” that Dr. Krishnamoorthy “understand ... he cannot exercise these privileges in defiance to the legitimate cardiologist or with disregard to his expressed opinion.” On another occasion, Dr. Zaky allegedly exclaimed to a patient, “who is the damn doctor asking for a stress test on you? He must be a nut.”

Official charges concerning Dr. Zaky’s work at the Center, such as the incident involving the patient with bradycardia and his failure to attend rounds, were filed on December 1, 1981; March 15, 1982; April 9, 1982; and July 13, 1982. Dr. Zaky responded on each occasion with either a memorandum or an attempt to initiate a grievance proceeding. Dr. Zaky rejected the Veteran’s Administration’s attempt to have Zaky’s supervisor counsel him by either walking out of the counseling meetings or insisting that all communications with him be in writing.

Dr. Zaky's first performance evaluation was conducted by Dr. Venkatachala on December 18, 1981, and his work was rated satisfactory. Dr. Venkatachala commented, however, that “in the area of interpersonal relationships with staff members and nursing personnel, he leaves much to be desired. If Dr. Zaky could be more flexible, considerate, and develop good lines of communication, everyone can derive more benefit from his expertise.” Before Dr. Zaky received the report, it was reviewed by the Chief of Staff, Dr. Haan who, pursuant to his authority, lowered both Dr. Zaky's “Personal Qualities” rating to unsatisfactory and his “Overall Evaluation” rating to low satisfactory. Dr. Haan explained that he lowered the ratings because, in his opinion, “Dr. Zaky does not demonstrate good emotional stability.” In addition to noting Dr. Zaky’s objections to the Center’s hiring an internist with cardiology training as “making plans to replace him,” Dr. Haan stressed Dr. Zaky’s poor staff relations:

“In regard to dependability, Dr. Zaky has been critical of our Intensive Care Unit and the nurses on ICU. He has also been critical of the CPR Program here. When invited by the Chief, Nursing Service, and by the Head Nurse, and the Intensive Care Unit to provide such training, Dr.' Zaky’s usual reply was that T am too busy’ or ‘Go ahead and schedule it, and I’ll be there.’ When the sessions were scheduled, Dr. Zaky seldom appeared.
His relations with the staff have deteriorated to the point that recently, I was requested by five members of the medical staff to listen to their pleas in regard to their relationship with Dr. Zaky. The gist of that conversation was that they are so unhappy that they are considering departing from the hospital unless some adjustment can be made in regard to their relationship with Dr. Zaky.
As a consequence of this, he is able to elicit little cooperation with other members of the medical staff and is unable to secure what I would consider effective cooperation from the nursing staff, since they are also somewhat uncomfortable with him by reason of his remarks to them at inappropriate times.”

On March 15, 1982, a Professional Standards Board composed of Drs. Haan and Venkatachala, Dr. Sun Guo, Chief of Surgical Service, and Patrick McKinney of the Personnel Service, convened to conduct Dr. Zaky’s first year review and concluded that “there was sufficient evidence [Dr.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Townsend, Gary v. Vallas, Paul
256 F.3d 661 (Seventh Circuit, 2001)
Gary Townsend v. Paul Vallas
256 F.3d 661 (Seventh Circuit, 2001)
Kattar v. Three Rivers Area Hospital Authority
52 F. Supp. 2d 789 (W.D. Michigan, 1999)
Burkes v. Klauser
517 N.W.2d 503 (Wisconsin Supreme Court, 1994)
Churchill v. Waters
977 F.2d 1114 (Seventh Circuit, 1992)
Caron v. Silvia
588 N.E.2d 711 (Massachusetts Appeals Court, 1992)
Wright v. Glover
778 F. Supp. 418 (N.D. Illinois, 1991)
Campbell v. Porter County Board of Commissioners
565 N.E.2d 1164 (Indiana Court of Appeals, 1991)
Hannon v. Turnage
892 F.2d 653 (Seventh Circuit, 1990)
Dziewior v. City of Marengo
715 F. Supp. 1416 (N.D. Illinois, 1989)
Roth v. Veteran's Administration
856 F.2d 1401 (Ninth Circuit, 1988)

Cite This Page — Counsel Stack

Bluebook (online)
793 F.2d 832, 1986 U.S. App. LEXIS 37296, Counsel Stack Legal Research, https://law.counselstack.com/opinion/adib-zaky-md-v-united-states-veterans-administration-james-woytassek-ca7-1986.