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Tag: Sandy Hook Investigation

Arrest of Psychiatrist Who Treated Adam Lanza May Lead to Answers in Murder Investigation

According to the Hartford Courant, “Brookfield detectives traveled to Paul Fox’s residence in Peaks Island, Maine, to take him into custody Wednesday with the assistance of Homeland Security Agents. Fox was charged with three counts of second-degree sexual assault.”

This is news. The last information that was known about Fox was that he was living and working in New Zealand. It would be of interest to know when, exactly, Fox returned to the states and whether he has been practicing psychiatry in Maine.

But this arrest, now, seems odd. After all, Fox’s alleged sexual assault problems have been public record since at least July 2012. So why the sudden interest in Dr. Paul Fox?

The Hartford Courant broke the story of Fox “voluntarily” surrendering his license to practice medicine in Connecticut and New York, before departing the country for New Zealand in 2012.

And upon learning of Fox’s position as Lanza’s primary psychiatrist, AbleChild filed a FOIA for the investigative file on Fox’s alleged sexual assault, along with a FOIA for the mental health, toxicology and autopsy records of Adam Lanza, (AbleChild vs. Chief Medical Examiner).

The investigation into Fox and the allegations of sexual assault, conducted by Diane Cybulski, Supervising Nurse Consultant, Health Quality and Safety Branch of the Department of Public Health, included not only alleged sexual misconduct, but also several other issues, including the distribution of controlled substances according to Exhibit P, (CVS Pharmacy Records), questionable billing practices and patient records retention.

For example, according to the records, during Fox’s “treatment” of his 19-year old patient, not only was Fox prescribing numerous – “three or four” – psychiatric mind-altering drugs, but the psychiatrist also was providing the patient with free drug samples (page 69 of report), and the patient’s mother reported that, “she was turning into a zombie.”

Fox billed the mother’s insurance for the patient’s drug “treatment.” But when the psychiatrist and the patient “became friends” Fox no longer billed for “counseling services.”(page 68 of report).

As for state records retention, according to the Courant, State police detectives investigating the massacre at Sandy Hook Elementary School talked with Fox in New Zealand, where he was living at the time. Fox told detectives in a Dec. 17, 2012 telephone interview that he had destroyed any records he had of his treatment of Lanza (Investigation document 00260339 -Book 7).  Based on the investigative records and state law, Fox last saw Lanza in 2007, making the destruction of the records two years too soon.

Fox did, however, advise law enforcement officials that he had retained his patient billing records. One can only wonder why investigators failed to follow this lead, as billing records offer a great deal of information about a patient’s treatment.

But, regardless of sloppy investigating, Fox’s arrest raises many issues beyond the alleged sexual assault, including the following:

*          Fox provided counseling services at a state university. Was Western Connecticut State University aware of Dr. Fox’s sexual relationships with students at the university and, if yes, did the university file a report with the Department of Public Health, any state oversight agency, or even law enforcement?

*          When information on Dr. Fox’s alleged sexual assault finally was brought to the attention of the State Department of Public Health, why was Fox given what can only be described as a “sweetheart” deal?

*          Alleged sexual abuse is not only an ethical issue, but also a criminal matter, so did the State Department of Public Health have an obligation to alert law enforcement?

*          Now that Fox has returned to the states, and clearly under the watchful eye of law enforcement, will Sandy Hook investigators request Fox’s billing records for psychiatric “treatment” of Adam Lanza?

*          Why did the state wait a year before releasing the name of Adam Lanza’s treating psychiatrist?

*          Did Adam Lanza, while under the psychiatric care of Dr. Fox or while a patient at Yale Child Study Center, participate in a clinical trial?

*          Could Nancy Lanza’s notes, now being withheld by the state, provide additional information about the treatment Adam Lanza received while under Fox’s care that might expose further violations of FDA clinical trial record retention laws?

Dr. Fox’s reemergence is odd, but it has ignited a renewed interest in the specific mental health services he provided to Sandy Hook shooter, Adam Lanza.

There still are too many unanswered questions about Lanza’s mental health history, and Dr. Fox’s return should be taken by Sandy Hook investigators as an opportunity to finally get some documentable information from, at minimum, Fox’s billing records.

Fox’s case also provides an opportunity for the state of Connecticut to conduct a review of the way medical ethics violations are handled and, perhaps, even establishing real consequences for egregious behavior by those in the medical profession.

Fox finally is being held responsible for the alleged sexual assault that lost him his medical license and, apparently, forced his swift departure from the U.S. Only time will tell if state oversight agencies and law enforcement officials will take advantage of the opportunity presented in Fox’s return.

 

 

 

Yes, Senator Murphy, it is “Disgraceful”

Ablechild finds it interesting and disturbing that Senator Chris Murphy (D-Conn) felt compelled to chastise the handling of the Malaysia Airlines Flight 17 crash site, as reported by The Hill “Twitter Room” “all you need to know about the character of Ukrainian rebels is the disgraceful way they are handling crash site, bodies.”

Clearly there is much to be desired about what has, so far, transpired regarding the response to that horrific crash, but one also must wonder why Senator Murphy has not displayed the same concern about the handling of the investigation much closer to home – the mass killing at Sandy Hook Elementary School.

First, as many are aware, Ablechild believed that Adam Lanza’s toxicology, medical and mental health records were key to understanding the motive for the attack and sued the state for those records. Claiming that Ablechild was not a stake holder in the case, the request was denied. Despite hundreds of millions of dollars being spent on increased mental health services in Connecticut, there is no information publicly available that supports Adam Lanza’s lack of mental health services.

Given that Sen. Murphy believes that the investigation in the Ukraine is “disgraceful” because of the handling of the investigation, one might also find the state’s stonewalling on Lanza’s mental health records is equally “disgraceful.”

Additionally, since the release of the State Police investigation in December of 2013, information has been made public that raises interesting questions about the shooting incident. For example, how is it possible that the State Police report would list two different Garmin Nuvi models (200 or 550) being found either in Lanza’s Honda Civic parked in front of the school or found in Lanza’s bedroom closet? This is important information for which no clarification has been provided.

Furthermore, what about the envelope taken from the Lanza home which was addressed “for the young students of Sandy Hook Elementary School?” Given that the DNA found on the envelope and affixed stamp is neither Adam or Nancy Lanza’s, but does match that of a convicted felon in New York, wouldn’t Senator Murphy be interested in this oddity?

More importantly, is it wrong to wonder why Sen. Murphy, or any other Connecticut legislator, aren’t interested in what was found in the envelope of a convicted felon that was addressed to “the young students of Sandy Hook Elementary School or how, for that matter, the DNA of a convicted felon in New York even ended up on this envelope?

More odd, why isn’t Sen. Murphy interested in the fact that this particular piece of physical evidence made it into the State Police report but was not mentioned by State’s Attorney, Stephen Sedensky? And, as a side note, is it possible that Sen. Murphy doesn’t find it even remotely odd that not one of the bullets reportedly fired from the Bushmaster Rifle match the barrel of that weapon?

Of course, Ablechild appreciates Sen. Murphy’s concern for the tragic situation in the Ukraine, but we can’t help but wonder why there are no “tweets” from the Senator about a flawed investigation in his own backyard.

 

Sandy Hook Police Investigation Reveals Two GPS Models in Mass Murders

The State Police Report of the Sandy Hook shooting has revealed some interesting inconsistencies about the Garmin GPS system that investigators examined to provide a snap shot of Adam Lanza’s whereabouts, months and days, before the shooting.    

Ablechild long has believed that the entire medical/mental health history of Sandy Hook shooter, Adam Lanza, was needed in order to make informed decisions about the future of the State’s mental health services.  Despite suing the State, in early 2013, for these records, including Lanza’s autopsy and toxicology results, the State denied the organization’s request, explaining that, as a 501c3, Ablechild was not an “interested party.”

Nevertheless, in an effort to try and understand the deadly actions of Lanza, and perhaps glean some mental health information, that may shed some light on the circumstances surrounding the shooting at Sandy Hook Elementary School, Ablechild has painstakingly combed through the entire (thousands of pages) State Police Report of the incident.  The documentation regarding what is reported to be Adam Lanza’s GPS system is confusing, at best.

The first report of the “Examination of GPS (Garmin Nuvi 200)” is dated May 11, 2013 (File ending in 59, Book 3, #0051670) and the investigating officer is Michael Mudry, who explains that he is tasked with examining the Garmin Nuvi 200 that was seized from the Lanza residence.

Officer Mudry further explains in this report that the GPS was originally seized by the Eastern District Major Crime Squad (EDMC), turned over to the FBI for extraction and Mudry burned a CD-R of the information for his examination of the GPS.  Officer Mudry also explains in this report that in February of 2013, he contacted a customer service representative at Garmin, who provided detailed information about ” the Garmin Nuvi 200…”

In another report regarding Lanza’s GPS (File ending in 59, Book 8, #001180469) dated August 29, 2013, Officer Mudry explains that the contents of a white plastic garbage bag found in the closet of Lanza’s bedroom include “one -Garmin Nuvi .”

Now, in a September 11, 2013 report (File ending in 59, Book 2, # 00171468) by Officer John Kimball, the Garmin Nuvi 200 suddenly and inexplicably is being identified as a “Garmin Nuvi Model 550) – that’s right a “550.”  Officer Kimball explains that his supervisor has asked him to examine the GPS that was seized from the Lanza home, but “it was later learned that Detective Michael Mudry already has examined the GPS.”

Officer Kimball acquiesces to officer Mudry’s report, which is part of this file.  This is where it gets interesting. Officer Mudry explains in this report that on July 31, 2013, he was assigned by Sgt. DeCesare “the task of examining a Garmin Nuvi Model 550 Global Positioning System (GPS) device which had been removed from a 2010 Honda Civic (Connecticut Passenger Plate: 872YEO) located at the Sandy Hook Elementary School.”

Weirder still, Officer Mudry no longer is relying on the FBI extraction data, as claimed in the May 11, 2013 report but, rather, “upon first examination, I determined the device battery was dead. I used a Mini-USB cable to connect the Garmin to my department Hewlett Packard laptop computer. In addition to powering the unit, this method allowed me to inspect the internal memory of the GPS device from my laptop.”

So in this report Officer Mudry is actually connecting the Garmin Nuvi Model 550 device – not the Garmin Nuvi 200 data extraction obtained from the FBI – to his computer for his examination. Furthermore, the GPS was “removed from the 2010 Honda Civic located at Sandy Hook Elementary School,” not seized from the Lanza home as reported in the May and August reports.

In a “Summary for Sergeant Michael DeCesare,” which still is part of this same report, Officer Mudry advises “I have begun going through the Garmin Nuvi Model 550 GPS device removed from Lanza’s 2010 Honda Civic (Ct Plate: 872YEO).”

If Officer Mudry was examining a “Garmin Nuvi Model 550,” why would he contact Garmin customer service for information about a “Garmin Nuvi 200?”  For that matter, why would the FBI be examining a “Garmin Nuvi 200” if the 550 was actually removed from Lanza’s car?

Certainly one would expect these detectives are capable of determining the accurate model number of the evidence they’re examining.  So which is it? Was the Garmin 200 or 550 removed from the Lanza home or Lanza’s Honda Civic at the school?

According to Officer Mudry’s report (depending on how one decides which Garmin device was examined, and from where the device was seized) the “journey” data provided by police, from whatever Garmin, ends on December 13, 2012 – the day before the shooting.

This isn’t a small issue.  Here’s why.  If the Garmin Nuvi Model 550 was removed from Lanza’s Honda Civic located at Sandy Hook Elementary School, then one would expect the “journey” data would reflect Lanza’s travel to Sandy Hook Elementary School on the morning of December 14th. It doesn’t.

Given the seriousness of this investigation, it is difficult to accept that law enforcement is unable to provide accurate and consistent reporting of important physical evidence.

But for Ablechild’s purposes, the information gleaned, from whichever Garmin, reveals dozens of “journey” entries, including numerous trips to the now well-known movie theatre where Adam Lanza utilized the “Dance, Dance Revolution” game.

In fact, what is odd about these “journey” hits is that it appears that Lanza was not the “recluse” the public has been led to believe, considering that he often would arrive at the theatre sometimes as early as 1:00 a.m. and not return home until dawn.  What is odd about these particular “journey” hits is that the theatre closes by 2:00a.m.  No explanation is provided as to what Adam Lanza was doing during these early morning hours.

There are other “journey” hits that may suggest Adam Lanza may have been traveling to these locations for some kind of mental health treatment.  Several of the “journey” hits are locations where behavioral and cognitive health centers are located. Another location is a private school that offers Mandarin lessons which, reportedly, Adam was taking.

Of course, because the State Police Report fails to provide any mental health data for the last five years of Adam Lanza’s life, it’s anyone’s guess what Adam Lanza’s mental health status is and whether his travel “journey” data has any connection to mental health treatment.

 

Adam Lanza’s Psychiatrist’s Ethics Violations Raise Questions About the Legislature’s Controversial Mental Health Increases

One has to wonder.  If the State legislature had been aware of the details of the investigation into Adam Lanza’s psychiatrist, Dr. Paul Fox, prior to passing sweeping, costly mental health legislation, PA 13-3, would the vote have gone the same direction?

Let’s consider for a moment the facts of Dr. Fox’s surrender of his license to practice medicine in not only Connecticut but, also, New York.  Ablechild recently requested and received the publicly available investigative file on the circumstances surrounding Adam Lanza’s psychiatrist’s fall from psychiatric grace and, perhaps, his decision to flee the country.

The State Department of Public Health received a complaint about Dr. Fox from Yale New Haven Hospital in March of 2012.  A female patient of Dr. Fox had reported detailed information about a “consensual” sexual relationship with Dr. Fox and, by April of 2012, the State Department of Public Health had begun its investigation.

The investigative documents are, in a word, sickening.  The 59-year old Fox had engaged in a sexual relationship with a 19-year old patient he supposedly was “treating” for mental illness.  Dr. Fox had become the patient’s counselor while employed at Western Connecticut State University Counseling Center and when fired from the University for “ethics” violations, continued to “treat” the patient at his Brookfield office.

In substantiating the sexual relationship, the patient provided detailed documentation, including an inordinate number of written references by Dr. Fox about his private parts, and information about other female patients that reportedly had sexual relationships with the psychiatrist – one threatening to bring a malpractice suit against him.  Given the psychiatrist’s apparent proclivity for being sexually active with his female patients, one can only surmise he may qualify as a serial sexual predator.

More importantly, during Dr. Fox’s “treatment” of this 19-year old patient, he not only was prescribing numerous – “three or four” – psychiatric mind-altering drugs, but also was providing the patient with free drug samples (page 69 of report).  According to the patient’s mother, “she was turning into a zombie.”

Dr. Fox billed the mother’s insurance for the patient’s drug “treatment,” but when the psychiatrist and the patient “became friends” Fox no longer billed for “counseling services.”(page 68 of report)

The “consensual sexual relationship” between a 59-year old doctor and 19-year old patient lasted about two years, with the good doctor ending with a note saying “please don’t contact me.”  Absolutely pathetic!

But why is this investigation of Dr. Fox important and what does it have to do with Adam Lanza and the State’s rush to institute increased mental health services?

First, this investigation raises red flags about the public’s right to know when doctors/psychiatrists are fired for “ethics” violations from a State University, tasked with providing mental health services for teenagers.  Furthermore, was Western Connecticut State University aware of Dr. Fox’s sexual relationships with students at the university and, if so, did the university file a report with the Department of Public Health or any state oversight agency?

Additionally, on December 17, 2012 (three days after the Sandy Hook incident) police conducted a telephone interview with Dr. Fox, who is living in New Zealand, inquiring about his “treatment ” of Adam Lanza and the whereabouts of the doctor’s mental health records.  (Investigation document 00260339 -Book 7)

Dr. Fox, advised police that he “vaguely recalls treating Adam Lanza.”  Dr. Fox further advised that the only records he had in New Zealand were billing records and explained that “all of his medical records pertaining to clients he treated in the United States are currently in storage in the United States.”

Twenty-four hours later, Dr. Fox, contacted police, explaining “any medical records pertaining to Adam Lanza have been destroyed since it has been over five years since he last treated him (per state statute he is allowed to destroy any files over 5 years old).”  Dr. Fox further explained that “Adam was about 15 years of age when he last saw him.”

If Dr. Fox last saw Adam Lanza in 2007, his medical record retention, according to the Regulations of Connecticut State Agencies Medical Records 19a-14-42, “unless specified otherwise herein, all parts of a medical record shall be retained for a period of seven (7) years from the last date of treatment, or, upon the death of the patient, for three (3) years.”

Dr. Fox, upon surrendering his license, agreed to adhere to the regulations regarding medical records. So, if the doctor last saw Adam Lanza in 2007, he destroyed Lanza’s mental health records two years too early.

More than that, is it not odd that Dr. Fox would initially tell police that his medical records were in storage in the U.S., then twenty-four hours later revise his statement, declaring them destroyed?  Of course, Dr. Fox’s billing records would yield a great deal of information, especially about the drugs prescribed to Lanza, but apparently the police did not follow that lead. Why?

There’s little doubt that Dr. Fox is material to the Sandy Hook investigation. Fox is reported to have been Adam Lanza’s “primary psychiatrist” and, therefore, key to understanding not only Lanza’s mental status but also his drug history. (Investigation document 00085896-Book 8 email to Dr. Fox from Nancy Lanza)

Because the State Police Report provides no mental health information about Lanza since his “treatment” by Dr. Fox in 2007, due to his obvious questionable ethical behavior, is it possible Dr. continued to treat Lanza?  Dr. Fox could answer this question by making public the billing records.  The State Police, however, did not request the records.

The larger picture, though, is the State’s rush to implement increased mental health services (Public Act 13-3) when not only was there no investigative information to support the increase, but the psychiatrist “treating” Lanza had lost his license due to ethical violations and fled the country.

If the State legislature had known about Dr. Fox’s egregious ethical violations, his obvious violation of state medical record retention regulations and his excessive prescribing of psychiatric drugs, would the vote have gone the same way?

This, of course, is the problem with political crisis management. The State legislature acted without the necessary information to make informed decisions. Given the above information, most would logically conclude that rather than implementing costly increased mental health services, what actually was needed was a top-down review of the kind of mental health services being provided.

 

 

 

 

 

 

 

 

 

 

 

Ablechild April 2014 Update

“Never underestimate the power of a few committed people to change the world, it is the only thing that ever has.”

 Dear Ablechild Members:

We’ve been busy and April proved to be a very rewarding month for Ablechild. We’re so pleased to have the opportunity to bring you up to speed on our efforts on your behalf.

We began the month with Ablechild, Co-founder, Sheila Matthews, attending the April 2nd Autism Awareness Day in Stamford, Ct., where Matthews was able to meet other like-minded people and gather support for Ablechild’s MedWatch System legislative language.

Matthews and New York Ablechild, Co-founder, Patricia Weathers, also attended the April 5th Connecticut Citizens Defense League (CCDL) “Rally at the Capitol,” in Hartford.  Matthews and Weathers manned a table to distribute information about Ablechild’s efforts to elicit support for the MedWatch System legislative language.

Continuing our push to gain support for the MedWatch System, Ablechild was invited to be a guest on two radio shows in April.  First, on April 10th, in response to the horrific stabbing incident in Pennsylvania, Ablechild’s Matthews was interviewed by national radio host, Jonathan Emord of “Truth Trials” radio, where Matthews discussed the possibility of psychiatric drugs being involved in the violent act and the need for MedWatch education via the non-profit’s legislative efforts.

Matthews also was a guest on the Mike DeRosa radio show in Connecticut, WWUH 91.3 FM on April 14th.  DeRosa and Matthews discussed the recent spate of school violence and again Matthews brought the issue full-circle by discussing the need for MedWatch education within the state and discussed in depth Ablechild’s legislative efforts to make this happen.

Throughout the month Ablechild published several articles related to mental health/drugging issues, including an op-ed requested by the distinguished mental health website madinamerica.com, titled Legislator’s Rush to Implement Increased Mental Health Services Based on No Data from Shooting at Sandy Hook. Ablechild also published New York’s “unsafe” ActState Child Advocate Still Investigating Sandy Hook Shooterand Ablechild Warns of Clinical Trial “offers” to Low-Income Families.  We hope all our members will click on each of these links and read this important information.

In our continuing efforts to get MedWatch education language inserted into legislation, on April 25th, Ablechild met with State Senator Markley and Representative Steinberg.  Both lawmakers were very supportive of Ablechild’s efforts and have offered their assistance with the legislative language when the new legislative session begins. Ablechild will work with both lawmakers over the Summer months to insure that we hit the ground running for the next legislative session.

Finally, Ablechild is so pleased to report that our annual fundraising event, the Spring Fling Raffle, was a huge success. We were pleased that so many of our friends and members attended the event at Venture Photography in Greenwich on April 24th.  And, we were even more gratified when the winner of the gift basket, George Papadopoulous, graciously “paid it forward,” donating the $300.00 Salon KIKLO beauty services gift to an Ablechild member.

While April was very busy and rewarding, we anticipate that May will be equally challenging. As always, we appreciate our Members continued support, which allows us to do the work on your behalf for you and your families. We always welcome your feedback and look forward to knowing your thoughts on issues of importance.

The Ablechild Team