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To: Lunatic Fringe
15. Plaintiff is informed and believes, and thereon alleges, that from the date of the Pathology report (April 4, 2006), defendants, Pacificare and the Sharp Community Medical Group collectively set upon a course of deception to deny plaintiff necessary and appropriate medical care, in derogation of their duty to properly manage plaintiff's health and uphold the medical standards they were entrusted to faithfully provide, for the sole purpose of avoiding the cost of an additional surgical procedure, a procedure that could save plaintiff's life.

16. When plaintiff awoke on April 21, 2006, he was looking forward to celebrating his 34th birthday, having just endured the most frightening experience of his life. Celebration quickly turned to fear and anger when members of the ACOR Kidney Cancer email list questioned the care plaintiff had been, and was, receiving and encouraged plaintiff to obtain a copy of the pathology report. After several hours and continued frustration, plaintiff received only one page of his pathology report. Plainti fr again requested the entire report from Dr. Anthony's office only to find additional important information withheld by those entrusted with his care. Plaintiff was informed by strangers on an email list that the 'Fuhrman Grade' in the Pathology report was all indication of a highly aggressive cancer, Plaintiff had a Fuhrman Grade 3 of 4 in addition to the POSITIVE MARGINS in his kidney.

17. Plaintiff alleges that from the date of the pathology report of April 4, 2006, Sharp Community Medical Group, knew of plaintiffs POSITIVE MARGINS and neglected to inform plaintiff of the proper care of such a condition. Plaintiff should not have had to find out from strangers on an email list that plaintiff s HMO and Medical Group were not providing proper care in large part because a second surgery would be costly and subtract from defendants' profit and money supplied by defendant PacifiCare.

SBD
12 posted on 11/26/2006 8:31:59 PM PST by SBD1
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To: SBD1
It sounds as though your biggest problem is with Sharp Community Medical Group, if they were the ones who misdiagnosed you, or failed to give you a proper treatment plan. Do you have evidence that Pacificare had anything to do with this?

Also, what was Pacificare's grounds for revoking your policy? Obviously, they can't just cancel the policy of anyone who gets sick, so they must have at least claimed a reason. Or did coverage just expire, and they refused to renew it?

15 posted on 11/26/2006 8:42:14 PM PST by Young Scholar
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