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Wash. Court of Appeals published opinion — 845926.pdf

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Wash. Court of Appeals published opinion — 845926.pdf
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replied that he planned to meet with Dr. Futran soon about general otolaryngology at

the ESC and questioned Dr. Litvack’s “interactions with staff and expectations for her

practice at ESC. I think we need to set clear boundaries before things get more off

track.”

On October 22, 2018, Kiemele updated Dr. Futran on Dr. Litvack’s performance:

-5-
For the current opinion, go to https://www.lexisnexis.com/clients/wareports/.

No. 84592-6-I/6

Lack of or inconsistent response to inquiries from nursing staff about
patient care; staff are told she’ll address them on Friday when she is
there. This is not consistent with the expectation for all providers at ESC
(or uwmc for that matter) and appears to be a continuation of the
approach that she is unavailable and cannot be contacted nor will respond
when on VA time. It also is alienating the nurse who was assigned to
work with Jamie on Fridays and throughout the week, because the actual
Oto nurse does not work Fridays. We do not want to alienate Cindy (the
RN) after her acceptance to take on this one piece of Oto.

Unsanctioned narrowing of ENT conditions managed in her practice,
evidenced by requests for staff to move patients off her schedule and to
not schedule patients with problems other than nasal or sinus related. I
asked Rekha not to submit any changes to the SOP at the contact center,
to run those through when she does receive requests from our providers
there and/or staff.

I also asked her to relay to Jamie that she should connect with you and I if
she wants to discuss her clinical practice over there. . . .