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Lloyd Monserratt – Young Political Leader from California
There
are no words to describe how one survives losing Lloyd
Monserratt. Lloyd believed in community empowerment and social
change. His devotion to me, our family, and to a community has
been what has driven me to continue to testify before legislative
hearings, challenge the California Medical Board to fulfill its mission
to protect the public, and to make a legislative change that will save
someone else’s life. It is the reason why I joined the members of
the KPRC to work to provide information that just might save your life.
The sad truth is that Lloyd did not have to die. He walked into a
Kaiser Permanente hospital for elective surgery and died three days
later. He was 36 years old.
A young political leader dies suddenly and unexpectedly in a Los
Angeles hospital with no cause given for his death. When word
leaks of his death, over 70 people file into the ICU ward of the
hospital while media outlets contact the congressional members that he
consulted for and helped. The City of Los Angeles holds a special
session during the Los Angeles City Council meeting adjourning in his
memory and passing a motion to dedicate a Los Angeles City library in
his memory. His family is left in shock unable to accept that the
36 year old is gone and just want to know what happened to him in that
Los Angeles hospital. Is this normal? Should a young man’s
unexplained death be left a mystery? Lloyd was the well respected
“good guy” political and community leader who was known for his
dedication to a community, to our family, and to a cause. In
contrast, Lloyd’s surgeon had a drug problem and a penchant for
prostitution.
Lloyd was a Latino Vote Director for the Democratic Congressional
Campaign Committee (DCCC), Director of Constituency Services at NALEO,
and a Chief of Staff for the City of Los Angeles. During the 3
days that Lloyd was in the hospital, I was never told that Lloyd’s
condition was deteriorating. In fact, Lloyd’s surgeon told me
that his operation was a success. This could not have been
further from the truth. Hours before Lloyd died, another
physician entered his room and I asked him if Lloyd was progressing
normally and he said that “he was progressing normally and that he was
exactly where he should be.” Upon review of Lloyd’s medical
records, it clearly showed that Lloyd was in organ failure. The
reality was that Lloyd was on his death bed and Lloyd’s physician nor a
nurse nor anyone in that hospital felt the need to tell me or Lloyd
that there were complications from the surgery, that he was in organ
failure, or that he was facing death. The same physician who told
me that Lloyd was “exactly where he should be” was the doctor who was
left to tell me that Lloyd had died.
With no one able or willing to provide me with a cause for Lloyd’s
death, I hired a pathologist and had a private autopsy conducted.
I also contacted the executive office of the LA County Coroner and
requested that they follow-up on my private autopsy and confirm or deny
the results. I am armed with two autopsy reports. The
pathologist stated that surgical errors were committed. Left
untreated, infection set in and he died of advanced peritonitis or
sepsis. I had the coroner change his death certificate from
natural causes to accidental death. I wanted the truth but I was
not prepared for it. Lloyd’s physician admitted to coming to the
hospital to see Lloyd a few hours before he died. He claimed that
Lloyd was able to talk so he thought that he was okay and left.
He abandoned his patient in the last hours of his life. Again,
upon review of the medical record and his vitals, there is no way that
any physician could possibly say that Lloyd was okay.
Sometime during the first round of the legal battle, I came to
understand that Lloyd’s physician had an arrest record. Unknown
to me, Lloyd’s physician had been arrested 3 times in a 10 year period
all while holding a license to practice medicine in California.
One such arrest was for felony possession of crack cocaine.
Lloyd’s doctor had a known felon in his vehicle that had just been
released from prison days before. When pulled over by the local
police, they found crack cocaine and drug paraphernalia in the doctor’s
vehicle. When one is arrested in California, the arresting
department sends a notice to all relative licensing boards. The
California Medical Board was notified of Lloyd’s doctor’s drug arrest
and his other two arrests for solicitation of prostitution. Yet,
the medical board did nothing. Lloyd’s doctor was never convicted
for the crime upon completion of diversion. This is an example of
a “self-enroll” for the state’s former diversion program. The
doctor is given the opportunity to avoid a conviction for his crime and
avoid discipline while participating in a program that his/her patients
are not allowed to know about.
Always the worrier, I checked the medical board website. The
website did not show any disciplinary actions and did not reveal any
criminal issues. The state regulates its doctor’s licenses and I
felt that the website could be trusted. As it turns out, there
were other victims of this doctor. Six months after Lloyd died, a
judgment was listed for a person who had a foreign object left inside
his body and suffered from months of infection. A month after
Lloyd died, a minor child was hurt by this same doctor. There are
other victims as well.
I have testified before the State Senate opposing legislation to bring
back the former confidential diversion program. I have shared
Lloyd’s story there and it made an impact then. Former State
Senator Mark Ridley-Thomas (who knew Lloyd since his days as a Los
Angeles City Councilmember) chose to audit all of the other licensing
boards and through SB 1441 called for the creation of the Substance
Abuse Coordination Committee. The Substance Abuse Coordination
Committee is currently drafting uniform standards for the discipline of
doctors, nurses, and all licensed professionals. This was a small
victory for California consumers. Now, the California Medical
Association (CMA) has come back for the third round of an extended
battle. Their legislation, AB 526, will take steps to bring back
the confidential physician diversion program run by a non-profit of
their choosing and will create a separate committee to create rules for
discipline of doctors separate from all of the other licensing
professionals. Our elected officials have just voted to create
uniform standards. Now, they are voting for physicians to have a
separate committee and make their own rules.
We are socialized to believe that a physician will provide you the care
that you need. We have this blind faith that a hospital is a safe
haven. This was not the case. Lloyd had a right to
know his true condition while in the hospital. He deserved to be
given the care that he needed. Lloyd was a problem solver.
He should have had the right to know that errors were committed during
his surgery and be given the option to find the care he needed to save
his life. Early in his career, Lloyd worked for SEIU Local 660
organizing nurses out of Los Angeles County USC Medical Center in Boyle
Heights, California. Lloyd was so committed to changing people’s
lives through the political system throughout the State of California.
Yet, tragically, the State of California failed Lloyd.
Written by Michele Monserratt-Ramos
Kaiser Permanente Reform Committee (KPRC) Public Relations Director