April 2, 1997 OFFICIAL NOTIFICATION TO MADIGAN BY MEDCOM THAT DR. SMITH IS A WHISTLEBLOWER

Madigan Public Affairs Director Mike Meines (husband of Carole Meines who is custodian of Dr Smith's Credential's file) informs Madigan Commander BG Brown by the forwarded memorandum of Ms Cynthia Vaughn of MEDCOM, that Dr Smith is a whistleblower with complaints against General Kiley, and that Army Times is investigating, as follows:

“Author: Michael Meines at MEDCEN1_MAMC

Date: 4/3/97 12:31 PM

Priority: Normal

TO: COL William Cahill

TO: BG George Brown

Subject: Media Inquiry/Congressional Issue

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“Head's up.

Mike

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“Subject: Media Inquiry/Congressional Issue

Author: Cynthia Vaughn at MEDCOM4_FSHTX

Date: 04/03/97 01:06 PM

“Army Times reporter Grant Willis alerted me yesterday that he is beginning to look into a situation that may have occurred at Landstuhl RMC, involving BG Kiley (then a COL) and LTC Stephen Whitlock Smith. Smith is now assigned to MAMC.

“Willis will likely be contacting the appropriate PAOs after he has obtained copies of correspondence on this issue (13-page letter dated 26 Feb 97: from Smith to Senators Boxer and Feinstein.

“According to the reporter, Smith alleges the following:

Kiley gave an order not to treat any ER patients that were not entitled to military ER care, no matter what the medical condition, and that the staff was turning people away who were in life-threatening positions (actually putting them back in their cars). Smith considered this an illegal order, treated some non-entitled patients, and as a result, there was some form of retaliation or reprisal

“FYI: This information has only been provided to MEDCOM SJA, MEDCOM IG, and those of you included in this correspondence.

“C. Vaughn

MEDCOM Public Affairs”

Note: One of the MAMC Command personnel who obtained this memorandum said the following words to Dr. Smith: “LTC SMITH, WATCH YOUR BACK!”

April 16 1997 the Credentials Committee routinely renews Dr Smith’s credentials. However, Brigadier General George Brown does not sign the credentials renewal per routine.

April 17 1997 CREDENTIALS REPRISAL AGAINST THE IDENTIFIED WHISTLEBLOWER BEGINS

Suddenly, Nancy Greenfield, RN, Madigan Joint Commission and Quality Management Director, calls an emergency “ad hoc” credentials meeting to reduce Dr Smith's credentials, presents psychometric test as "abnormal." Discrepancy ensues in the credentials minutes whether these actions by Ms Greenfield are in conformity with JCAHO requirements. Dr Smith’s credentials are placed “under supervision.”