Walter W Stoll
License Revocation of Walter W. Stoll, Jr., M.D.
Walter J. Stoll, Jr., M.D., practiced family medicine in Kentucky for about 30 years, during much of which he engaged in nonstandard practiuces, including chelation therapy. His Web site lists nine episodes of what he considers "harassment" by the state medical board, which finally revoked his license in 1994. Today he offers "health coaching" by telephone for $2.50 per minute. The 1994 revocation order is reproduced below.
COMMONWEALTH OF KENTUCKY
STATE BOARD OF MEDICAL LICENSURE
CASE NO. 459
STATE BOARD OF MEDICAL LICENSURE
CASE NO. 459
- KENTUCKY BOARD OF MEDICAL LICENSURE, PLAINTIFF
- WALTER W. STOLL, JR., M.D., DEFENDANT
(Kentucky License No. 16933)
715 South Bonita Avenue
Panama City, FL 32401
FINDINGS OF FACT AND CONCLUSIONS OF LAW
The Defendant, Walter W. Stoll, Jr., M.D., was charged with undertaking to care and treat Patient "A" without first performing a history and physical examination on said patient or having access to recent medical data on Patient "A" and/or on Patient "A's" medical condition. Further, Defendant/s conduct in communicating with Patient "A" was unprofessional. It was also charged that sufficient grounds exist for discipline to be taken against the license to practice in the Commonwealth of Kentucky held by Defendant, and that the conduct delineated aforesaid constituted dishonorable, unethical and unprofessional conduct in violation of KRS 311.595(8) .
Further and specifically, it was charged that Defendant/s conduct is calculated or has the effect of bringing the medical profession into disrepute as his conduct failed to conform to the principals of medical ethics and was a departure from and failure to conform to the standards of acceptable and prevailing medical practice within the Commonwealth of Kentucky in violation of KRS 311.597(4).
The Board was represented by Wes Faulkner, General Counsel for the Kentucky Board of Medical Licensure. The Defendant, originally, was represented by Robert E. Reeves of Lexington, Kentucky. At a pre-hearing conference, the former counsel, Mr. Reeves, was permitted to withdraw from the case, however, the hearing officer stated that the final hearing would still be scheduled for Tuesday, August 23, 1994, beginning at 9:00 a.m. The hearing was held on that date, but Dr. Stoll did not appear nor bring substitute counsel. He did write a letter indicating that he was not planning to appear at the hearing.
Doug Wilson, Medical Investigator for the Kentucky Board of Medical Licensure, testified on behalf of the Board. The case was furnished to the Board by the Fayette County Medical Society. Patient "A" had filed a grievance with the Kentucky Medical Association against Dr. Stoll, but Dr. Stoll is not a member of that Association and when she was advised of this, she requested that a copy of her Complaint be sent to the Kentucky Board of Medical Licensure.
The facts appear to be delineated in a letter dated June 30, 1990 addressed to Dr. Stoll from Patient "A's" home in New York. She stated:
Dear Dr. Stoll: I don't intend to pay your bill and I will tell you why. When I was unable to coordinate my ride to Kentucky with getting an appointment with you, I saw my doctor in New York who referred me to an infectious disease specialist. I had two blood tests. A CBC and Eosiniphil Count and was retested for a parasite twice. All of the tests were negative. My Eosiniphil count is normal. Not only do I not have four parasites, I don't have any.
Originally, Patient A had heard of Dr. Stoll because he had dealt with intestinal parasites and she believed that she might have such a problem. She called Dr. Stoll by telephone and he never saw the patient but advised her to have her stool and blood test taken by a lab to determine whether she had parasites, and he indicated to her that there was only one laboratory in the United States who could perform this service. The name of the laboratory was Ibile Diagnostic Parasitology Labs, Incorporated, Phoenix, Arizona. Mr. Wilson saw Dr. Stoll and requested his view of the situation. Dr. Stoll wrote a letter to Mr. Wilson, which was received on December J, 1990, which we shall paraphrase as follows:
On or about April 27, 1990, I received a phone call from [Patient A]. I had never seen the patient before. She told me she had been to many physicians over many years with no relief from many symptoms (which were gradually getting worse). She told me she had been referred by a friend (or something she had read – I don't recall). She had become suspicious on her own that parasites might be her missing diagnosis. She had heard that I knew something about diagnosing parasites and asked if I could take her as a patient. I have yet to see this person or accept her as a patient.
After I listened to her long list of symptoms and many of the ways she had tried to solve her problems, I suggested that the least expensive way to answer that question (since, according to her, she had already had every other test known) was to send specimens to the only pathologist I knew, in this country then--and now--who was competent to accurately diagnose parasites. I sent her an authorization to have blood drawn in New York to send with her other specimens. When her report came, she was found to have what you see on the report. The problem with local laboratory is that they never find anything but occasional pinworms (scotch tape test when we already know what they are looking for).
Thus, Dr. Stoll's only contact with the patient was by telephone and having received the report from the laboratory in Arizona. Patient A was incensed that Dr. Stoll had indicated that she had parasites when the physicians in New York determined that she had not and she refused to pay his bills. He admitted in his letter to Investigator Wilson that he never saw the patient at any time and that his only communication with her was by telephone and by letter.
When Dr. Stoll received Patient A's letter, he wrote back, in script, on the very letter that she sent, as follows:
Barbara, there is no accounting for a fool, is there? There is only one laboratory in the U.S.A. capable of finding these parasites. I, too, have sent specimens to labs for 30-years and never round any. Dr. Ibraham makes photomicrographs of all parasites round that are then compared, if desired, to photos in parasitology text. My patients so diagnosed get well. All you had to do to prove who was right was to file the Rx plan. Results are what counts! Five years from now you will be still going from doctor to doctor and will probably be worse. Ten years from now you will probably find another M.D. who has discovered what I have learned and finally solve your problem. The tone of your letter says you deserve what you get. Walt.
Dr. Julio Melo, a physician in Louisville who specializes in infectious diseases diagnosis, was consulted by the Board. Dr. Melo, by letter dated December 4, 1991, wrote:
Dear Mr. Wilson: I have reviewed the records concerning Walter W. Stoll, Jr., M.D., Grievance No. 90-87, and find his professional behavior inappropriate in several ways: (a) a physician must perform a history and physical examination before specific recommendations are to be made concerning diagnosis and/or treatment of a specific patient and disease, (b) there are many laboratories in this country that are capable of recognizing parasites, and not just the one Dr. Stoll is associated with, (c) it is not very professional and does not speak well of a physician to say 'Barbara deserves her symptoms' in his letter to you dated November 1, 1990, (d) Dr. Stoll should have had the professional courtesy of answering her letter dated June 30, 1990 in his own letterhead rather than writing on her letter to him, (e) medicine cannot be practiced by phone or mail. Medicine is difficult enough after a history and physical have been done. Consultations by phone covering a specific patient are not proper.
On the date of the hearing, Dr. Melo also testified by conference telephone and this hearing officer asked him whether or not the existence of parasites could be discovered via laboratory tests and results, and Dr. Melo replied that certainly laboratory tests could discover whether parasites exist but that without a examination of the patient and performing a history of the patient, one could not tell whether the parasites were causing the patient's condition. In fact, many people may have parasites within their system which cause no symptoms. Thus, he indicated that it was absolutely necessary for the physician to have seen the patient first before making a diagnosis.
CONCLUSIONS OF FACT AND LAW
Dr. Stoll's only contact with Patient "A" was via telephone and by letter. He did have a report from the laboratory in Arizona, but he never saw the patient or examined her. His return letter to her was not very professional in the manner in which he returned it nor in the terminology use in his reply.
Further, this Board has previously entered an Order of Probation and Restriction on Dr. Stoll's Kentucky medical license. This Order of probation and Restriction was appealed to the Jefferson Circuit Court and was stayed pending the appeal. The appeal is still pending in the Jefferson Circuit Court and has not been acted upon. One of the findings of fact in the previous case concerning Dr. Stoll is set. out in Finding No. 8 of the Hearing Officer, "The Respondent first met Ms. B.K. in 1972 while he was working in Ohio and she lived in New York. Ms. K informed Respondent of a problem with depression over the years. The Respondent learned she had been taking amphetamines for approximately ten years prior to seeing him. Between 1972 and the date of Ms. K's deposition (February 1, 1988), Ms. K was examined twice by the Respondent. Initially, a local drugstore in Ohio filled and mailed the prescriptions to Ms. K. After moving to Lexington, the Respondent again sent the prescriptions to be filled by a local drugstore and mailed to Ms. K. However, after a period of time, the drugstore refused to fill the prescriptions in such a manner. As a result, the Respondent began ordering the amphetamines himself and mailed them to Ms. K upon her written request."
We cite that previous finding, on which this Board entered an Order of Probation, to indicate that Dr. Stoll had previously given prescriptions to a patient without having seen the patient but a very few times over a ten year period.
This Hearing Officer finds that the Defendant did undertake the care and treatment of Patient "A" without first performing a history and physical examination on the patient or having access to recent medical data on her and her medical condition, and that such conduct was unprofessional. Further, this Hearing Officer finds that there are sufficient grounds which exist for discipline to be taken against his license to practice medicine in the Commonwealth of Kentucky and that the conduct delineated constituted dishonorable, unethical and unprofessional conduct in violation KRS 311.595(8) and KRS 311.597(4) .
The Board should take note that this is not the first conduct which the Defendant was charged with and that an Order of Probation, which has not been acted upon, is still pending in the Jefferson circuit Court.
Pursuant to the 1994 amendments to the Medical Practice Act, specifically KRS 311.591(7), "upon completion of the hearing process, the hearing officer shall prepare proposed findings of fact and conclusions of law, but shall not make a recommended disposition..."
ENTERED this 8th day of November, 1994.
MARTIN GLAZER, Hearing Officer
1516 Vivian Lane
Louisville, KY 40205