Blaker v. State Board of Chiropractic Examiners

717 A.2d 964, 123 Md. App. 243, 1998 Md. App. LEXIS 167
CourtCourt of Special Appeals of Maryland
DecidedSeptember 30, 1998
Docket1259, Sept. Term, 1997
StatusPublished
Cited by11 cases

This text of 717 A.2d 964 (Blaker v. State Board of Chiropractic Examiners) is published on Counsel Stack Legal Research, covering Court of Special Appeals of Maryland primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Blaker v. State Board of Chiropractic Examiners, 717 A.2d 964, 123 Md. App. 243, 1998 Md. App. LEXIS 167 (Md. Ct. App. 1998).

Opinion

*248 BYRNES, Judge.

F. Keen Blaker, D.C. appeals a judgment of the Circuit Court for Baltimore County affirming the finding by the Board of Chiropractic Examiners (“Board”) that he violated the Maryland Chiropractic Act, Md.Code (1994 Repl.Vol.), § 3-313(9) of the Health Occupations Article (“H.O.”), by rendering “professionally incompetent” treatment to a particular patient. 1 Dr. Blaker presents the following questions for review, which we have renumbered and slightly rephrased:

I. Were Dr. Blaker’s due process rights violated because H.O. § 3-313(9) is void for vagueness?

II. Was the Board’s finding of incompetence supported by substantial evidence?

III. Did the contact between Mr. Paul Goszkowski, D.C. and Ms. Roberta Gill, Esquire, and the Board constitute an ex parte communication, in violation of Md. Code, (1995 RepLVol.), State Government Article, § 10-219, which violated Dr. Blaker’s due process rights?

IV. Did the Board improperly consider evidence not relevant to the charged offenses and improperly sanction Dr. Blaker for uncharged offenses, thus denying Dr. Blaker due process of law?

V. Did the Board exceed its authority by imposing conditions on Dr. Blaker’s probation?

VI. Did the Board improperly refuse to allow Dr. Blaker discovery of documents pertaining to actions taken by the Board in response to allegations of incompetence in other cases?

We answer “yes” to question II and “no” to the remaining questions. Accordingly, we affirm the judgment of the circuit court.

*249 FACTS

Dr. F. Keen Blaker has been licensed to practice chiropractic in Maryland since 1968. In his practice, he employs a chiropractic technique known as Directional Non-Force Technique (“DNFT”). DNFT involves analyzing the patient’s foot reflexes to determine whether there is nerve pressure and, if pressure is found, performing a DNFT “correction” or “adjustment” by manipulating the patient’s body.

In April 1994, Patient “A” filed a complaint against Dr. Blaker with the Board. The Board investigated the complaint and on May 24, 1994, charged Dr. Blaker with “professional incompetence” under H.O. § 3-313(9), which provided:

Subject to the hearing provisions of § 3-315 of this subtitle, the Board may deny a license to any applicant, reprimand any licensee, place any licensee on probation, or suspend or revoke a license if the applicant or licensee:

(9) Is professionally, physically, or mentally incompetent!)]

On August 10 and September 14, 1995, the Board held an evidentiary hearing on the charges against Dr. Blaker. Patient A testified that Dr. Blaker had treated him on five occasions. His first visit to Dr. Blaker took place in May 1989. Patient A had just tested positive for HIV (Human Immunodeficiency Virus) and sought treatment to ensure that his “body was in line and everything was where it was supposed to be and functioning properly in order to give [his] system an opportunity to better battle [the] virus and live a longer and healthier life.” Patient A testified that during the office visit, he filled out a health inventory form. Dr. Blaker did not review the information in it with him. Dr. Blaker performed a chiropractic adjustment to Patient A that day. He did not make a record of it, however. Dr. Blaker’s notes for that visit state only “lymphy” and “HIV positive.”

Patient A returned to Dr. Blaker twice in June 1990, both times complaining that his feet were turning outward. Dr. Blaker did not inquire about Patient A’s health status or about *250 treatments he had received in the interim from other health care professionals. He also did not update Patient A’s health inventory. Although Dr. Blaker performed adjustments to Patient A during both visits, he made no record of them.

On January 28, 1994, Patient A returned to Dr. Blaker with complaints of excruciating pain and tightness in his lower back. He told Dr. Blaker that the pain was so intense that he could not lower his left leg. During the office visit, Patient A was in so much pain that he had to grab onto the reception counter to support himself. He had been unable to drive to Dr. Blaker’s office because he could not use his foot to operate the clutch on his car.

As they were standing in the office waiting room, Dr. Blaker advised Patient A that he had slipped a disc, and had probably done so shoveling snow. Patient A denied that he had been shoveling snow; he attributed the likely cause of the pain to weight lifting. According to Patient A, Dr. Blaker then told him that his stance indicated that he had slipped a disc.

Patient A testified that he was taken into an examining room and that while he was fully clothed in winter garb, including heavy work boots, Dr. Blaker pulled on his feet and manipulated his back. Dr. Blaker did not ask Patient A about his health status, did not perform any diagnostic tests, and did not make a record of his findings, treatment, or prognosis. He told Patient A to treat his back with ice for 72 hours but did not give him any written instructions about how to do so.

Instead of applying ice to his back for twenty minute intervals, as he was supposed to do, Patient A mistakenly kept ice on his back for 72 straight hours, removing it only when he needed to use the bathroom. Thereafter, on February 1, 1994, he returned to work. He left work after only a few hours, however, when the numbness from the ice wore off and his pain returned.

Patient A went back to Dr. Blaker’s office the next day. By then, he could not drive and was unable to walk without assistance. Before he performed any examination, Dr. Blaker told patient A that his shoulders and pelvis were “out of line.” *251 Patient A was again wearing winter clothes and heavy work boots. Without having Patient A disrobe, Dr. Blaker pulled on his feet and manipulated his shoulders and lower back area. Dr. Blaker made no record of his analysis, treatment plan, or prognosis.

Patient A’s pain grew progressively worse over the next few days. By February 6, 1994, the pain had become intolerable. That day, Patient A was taken by ambulance to The Johns Hopkins Hospital emergency room where he was examined by an attending trauma doctor and a neurologist. He told them that he had seen a chiropractor who had treated him for a slipped disc. Patient A was told that he was suffering from tremors related to his slipped disc, and was discharged.

Patient A’s condition worsened. Eventually, he lost control of his bowels and bladder. On February 15,1994, he returned to The Johns Hopkins Hospital emergency room. He was immediately diagnosed with acute cauda equina syndrome, a serious condition indicating that a mass is pressing on the cauda equina nerves. Diagnostic tests revealed a fast-growing tumor on Patient A’s spinal column that was later diagnosed as an AIDS-related, non-Hodgkin’s high grade lymphoma. Patient A underwent emergency surgery to remove the mass. He then underwent chemotherapy.

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Bluebook (online)
717 A.2d 964, 123 Md. App. 243, 1998 Md. App. LEXIS 167, Counsel Stack Legal Research, https://law.counselstack.com/opinion/blaker-v-state-board-of-chiropractic-examiners-mdctspecapp-1998.