For Graduate Practicum, George Washington University Earns an F

Recently, news came out that Mark Geier, the man who tried to treat autistic children's autism by using a powerful drug that suppresses testosterone (essentially chemically castrating these children), the man who lost every one of his twelve state medical licenses and had a 13th denied due to his medical misconduct (to put it lightly), served as a site preceptor for a graduate student at George Washington University. Autism News Beat rightly criticized the university. That Geier was able to serve as a preceptor for a student is pretty damning, since it means that GWU did not do its due diligence to ensure that individuals who apply to be a preceptor meet certain minimum standards. Either that, or someone at GWU was actively promoting Geier's nonsense.

The problem is that a site preceptor has a number of responsibilities, according to the GW SHHS Practicum Site Preceptor Guide:

1. Visit the Practicum Website http://www.gwumc.edu/sphhs/studentres/practicum/index.cfm and Register. (See Register: for instructions)
2. Review and approve the Student’s Practicum Plan
3. Negotiate payment/stipend with Student, if applicable
4. Engage student in work and provide constructive feedback and guidance to the student
5. Provide guidance for professional conduct
6. Complete the following on the Practicum Website:
   a. Midpoint evaluation form in conjunction with the student
   b. Final site preceptor evaluation of student and practicum
7. Address student’s reports of problems, including site safety issues and/or harassment

Take note of numbers 2, 4, 5 and 6. Mark Geier is not fit to fill those responsibilities, having been stripped of his medical licenses and being found by several Special Masters of the vaccine court to lack expertise in many different areas relevant to epidemiology, biostatistics and immunology. Coupled with his lack of medical ethics, it is grossly irresponsible to allow him to serve as a site preceptor for any student. Orac and Reuben Gaines have both chimed in, as well, castigating George Washington University for allowing this to happen.

And now it looks like GWU has taken notice.

Follow-up on Journalist Matthew Mientka

Last week, I wrote a post in response to an article by a journalist named Matthew Mientka. His article was an illustration of sloppy, lazy journalism (though I suppose to be charitable, he may also have been overworked by Medical Daily's editors, though that just speaks even worse for the online paper). Mientka's post was so riddle with errors that could have been avoided with just a modicum of basic research. As I ended my post, I said that if he did the right thing and retracted his article, I would write a follow-up post.

Well, his article is no longer up (note I have an update at the end of my post with a link to the cached version). He does, however, have a new article up that includes a little of the original, but goes beyond that to discuss autism, MMR and thimerosal in a more expansive manner. The version that is currently up, however, is not the original.

Mark Geier: Not a Leg to Stand On

Poor, poor Mark Geier. For those who don't know, Dr. Mark Geier is half of the father-son team that developed the "Lupron Protocol" for treating autism. Put simply, Geier and his son came up with the scientifically unsupported idea that testosterone and mercury bind together in humans, allegedly causing autism. His treatment for this involves dosing children with leuprolide, followed by chelation. Leuprolide (also known by the brand name Lupron) is legitimately used for treatment of precocious puberty and as part of IVF treatment. It is also used off-label to chemically castrate sex offenders.

Dr. Geier, through his Institute of Chronic Illness and Genetic Centers of America, misdiagnosed autistic children with precocious puberty so he could claim that he was using Lupron on label, rather than for an unapproved, experimental indication (i.e., autism). This also allowed him to bill insurance companies for the lupron. His actions got him into hot water with various state medical boards, starting with his medical license in Maryland being suspended on April 27, 2011. Since then, one by one, 11 of his 12 medical licenses were suspended, an application for a thirteenth license in Ohio was denied, and some of those suspensions became complete revocations. The last actions I wrote about were the revocation of his license in Missouri and suspension of his Illinois license. At the time, the only state left in which Dr. Geier could practice was Hawaii.

As of April 11, 2013, that is no longer the case.

Mark Geier On His Last Leg

Dr. Mark Robin Geier, about whom I've written about quite a bit, just can't get a break. Geier is the physician who, after reading a single lab study showing that mercury binds with testosterone when in a hot benzene environment (blogger Prometheus has a good write-up of this), thought that this explained how to treat autism. At the time Geier and his son, David (who has gotten in trouble for pretending to be a doctor), latched onto the two ideas that the mercury in thimerosal and testosterone played a role in autism causation. The former is now discredited, after numerous studies comparing autism rates in children who received thimerosal-containing vaccines and those who did not, as well as failed court cases based on this idea. The latter does have some validity to it, but only insofar as the fetus is exposed to high concentrations of testosterone in the womb. The way Geier, père et fils, decided they could treat autism based on this study that bears no resemblance to the environment of the human body, was to use the chemical castrating drug Lupron to lower testosterone levels in kids, followed by dosing with chelating drugs to remove mercury.

It was this treatment protocol that got the Geiers into trouble, first in Maryland. Dr. Geier was found to have been misdiagnosing autistic children with precocious puberty so he could get insurance companies to pay for his treatment, which also happens to be in violation of FDA regulations. Lupron is not approved by the FDA for use in the treatment of autism, so his spurious precocious puberty diagnoses got around this, as well. At any rate, this protocol, among other problems with how he ran his clinic, resulted in his license being suspended. The investigation also turned up that his son, David, practiced medicine without a license by making diagnoses and prescribing various tests and procedures to patients. The original suspension led to nearly every other state in which Mark Geier was licensed to suspend his licenses. Then in September and October ofearlier this year, Maryland, Indiana and Washington went beyond suspension and permanently revoked his license. Hawaii, Illinois and Missouri, however, have been dragging their feet.

Until now.

Washington Joins Indiana and Maryland in Revoking Mark Geier's License

 Washington has become the third state to permanently revoke Dr. Mark Geier's medical license. This comes shortly after Maryland finally revoked Geier's licence. The Washington Medical Quality Assurance Commission had ordered Geier and/or his attorney to appear and to produce certain documents. They did not do so in the time frame specified, so by default, Geier has lost his case.

The Commission ordered (M2012-377) on October 4, 2012, that Mark Geier's license to practice medicine in the state of Washington is permanently revoked. He is ordered to hand over all licenses within 10 days and is fined $5,000, payable within 30 days.

Meanwhile, Missouri, Illinois and Hawaii have yet to do anything to stop this man from preying on autistic children in their jurisdictions. This is, however, very welcome news.
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Related Posts:

• Mark Geier's License Revoked - And It's About Damn Time!
• Mark "Castrate 'Em" Geier's License Suspended - Part 7
• The Fall of the Geiers Continues Apace
• Mark "Castrate 'Em" Geier's License Suspended - Part 6
• Complaint Filed Against Dr. Mark Geier in Florida
• Mark Geier Ordered to Stop Practicing Medicine
• Map of Mark Geier Medical Licenses
• Mark "Castrate 'Em" Geier's License Supsended - Part 5
• Mark "Castrate 'Em" Geier's License Suspended - Part 4
• Mark "Castrate 'Em" Geier's License Suspended - Part 3
• Mark "Castrate 'Em" Geier's License Suspended - Part 2
• Charges Levied Against Mark and David Geier
• URGENT: Please Call the Maryland State Board of Physicians About David Geier
• A Close Look at David Geier
• Mark "Castrate 'Em" Geier's License Suspended

Rob Schneider's Hellish Nonsense

Thursday night, I mentioned that Rob Schneider was going to be on Salt Lake City's KXRK morning radio show Radio From Hell to promote his stand-up show Friday night at Wiseguys West Valley City. I joined Skepchick's Elyse Anders in urging people to contact the station if they had a call-in segment during the interview. Orac also put the word out about this appearance.

Well, I was fortunate enough to find time to listen to the show Friday morning via their internet live stream. As noted by Elyse, Schneider had been on the show before, shamelessly spouting a bunch of tired, well-worn anti-vaccine lies and myths. This morning, he was a bit late showing up at the studio, which I don't blame him for; it was early, he mentioned he only had about 3 hours sleep, and we don't know what his travel and traffic situation was.  The hosts, led by Bill Allred, pondered whether they should just rerun the clip (mp3 hosted at Skepchick) from the last time he was on.

At any rate, he finally showed up to sit down for a chat...

Mark Geier's License Revoked - And It's About Damn Time!

Today, Catherina over at Just the Vax, let me know about a development on a topic that I've been covering for quite some time. And the timing of this is rather fortuitous, as this post marks number 250 for me! I couldn't think of a better subject than to enlighten you all on the latest turn for the infamous Dr. Mark Geier, the physician who inappropriately used the precious puberty and chemical castration drug Lupron to supposedly treat children with autism.

What is this latest development? The Maryland Board of Physicians has (finally!) revoked Dr. Geier's medical license.

File this under: about damn time.

And the order that accompanies this is scathing.

Mark "Castrate 'Em" Geier's License Suspended - Part 7

The bad news just keeps coming for Dr. Mark Geier and his son, David. I recently wrote about the Maryland Department of Physicians finding that David Geier practiced medicine without a license and was fined $10,000 (with, in my admittedly non-expert opinion, the potential for further fines and jail time), as well as Dr. Geier's license being challenged in Hawaii and his application for a license in Ohio rejected.

Catherina at Just the Vax alerted me to some very recent news. Today, she posted some excerpts from meeting minutes of the Florida Board of Medicine. It looks like Florida is the latest state to suspend his license (Final Order here; if the link doesn't work, you can look up the documents here), including administrative and punitive fines. It appears that Dr. Geier entered into a settlement with the state of Florida, agreeing to abide by their suspension of his license and waiving all rights to further appeal or challenge of their decision.

The Fall of the Geiers Continues Apace

A brief break in the posters to bring you some updates on the Geier front. As you have no doubt read by now, David Geier, son of Dr. Mark Geier, has been found by the Maryland Board of Physicians (PDF) to have practiced medicine without a license. His penalty? A $10,000 fine. As Dr. Steven Novella wrote at Neurologica Blog, this is not a huge sum of money, as far as penalties go. The order mentions that the Board took into account:

Mark "Castrate 'Em" Geier's License Suspended - Part 6

[Edited to add: Not sure how I missed this, but when checking out Dr. Geier's listing on the Florida Department of Health's site, it looks like his certification with the American Board of Medical Genetics has been revoked, as well.]

There's been another development in the case of Dr. Mark Geier, the physician who came up with the Lupron Protocol as a purported treatment for autism. Lupron, for those who don't know about it, is a drug that is used in prostate cancer treatment, fertility treatment, to treat precocious puberty and, off-label, to chemically castrate sex offenders. It shuts down production of sex hormones (testosterone in men, estrogen in women). The reason the Geiers use this drug is because they believe that testosterone and mercury bind together, making it more difficult for the body to eliminate the mercury in, for example, thimerosal-containing vaccines. This belief comes from a single study examining testosterone and mercury in hot benzene, which, for those who might be unaware, is a condition never found in the human body. Prometheus wrote about this back in 2006. Never mind that there is no quality evidence showing that in children with autism there is any of this testosterone-mercury binding going on, nor that using lupron (followed by chelation) has any benefit at all.

At any rate, Dr. Geier's erroneously diagnosing children with precocious puberty so he would be able to prescribe lupron, among other ethical and professional lapses, led to his license to practice medicine in Maryland being suspended. This, in turn, resulted in the licensing boards in a number of other states suspending his licenses, too. Which brings us to today.

Complaint Filed Against Dr. Mark Geier in Florida

This somehow slipped past my notice. In October, it looks like the Florida Department of Health filed a complaint against Dr. Mark Geier (PDF). I've written about Dr. Geier a few times. This is the guy who, with his son, David (who is not a doctor), came up with an idea that testosterone binds to mercury and thus causes autism. His treatment? Chelate autistic children after giving them lupron, a drug that is used to treat precocious puberty, as part of IVF treatment and to chemically castrate sex offenders. If you are interested in the details, take a look at some of my other posts.

At any rate, Dr. Geier has (or had) a license to practice medicine in several different states. However, a total of 6 states have suspended his license. This all started with Maryland, where he was charged with a number of breaches of proper medical conduct. This was soon followed by other states summarily suspending his licenses in those states. His license has expired in a seventh state, and his application to practice in an eighth is on hold, due to the numerous suspensions he is under. He is still licensed to practice in 5 states, including Florida, though that may change sooner rather than later.

Does @VaxCalc Provide Valid Info on Vaccines? Not Really...

Twitter can be a really useful tool for getting information out to lots of people in a very short amount of time. The down side is that the 140-character limit on your message means there isn't a whole lot of space for nuance or detail. This leaves plenty of room for misinterpretation of messages. It also means that those with an agenda to drive can ignore nuance in favor of their own spin. For example, the Twitter account @VaxCalc, run by the Orwellian named National Vaccine Information Center (NVIC). @VaxCalc pumps out a steady stream of...uh...words (I refuse to call it "information," since it is nothing of the sort) that, while containing a speck of a grain of truth, aim to persuade people away from vaccines. Don't believe me? Have a look:

But I thought they removed it!

The link in the tweet takes you to a table on the FDA's web site about thimerosal in vaccines. Thimerosal, as most of you know, is a preservative that is used to prevent vaccines from being contaminated with bacteria, fungi or viruses, which can be very bad, indeed (as evidenced by the 1928 Bundaberg Disaster, in which 12 children died because a vaccine became contaminated). It caused a stir because it is metabolized into ethylmercury, which some erroneously linked to autism.

Anyway, is that tweet correct? Well, yes and no.

Mark Geier Ordered to Stop Practicing Medicine

I haven't written about Dr. Mark Geier or his son, David, in a fair while. My last post was a map showing which states Dr. Geier has (or had) licenses to practice medicine. Every so often, I have gone back to it to check the status of his various licenses to update the map and license details. If you'll recall, Geier's license to practice medicine in the state of Maryland was suspended on April 27, 2011 (PDF). He challenged that decision, but the state board of medicine affirmed the suspension on May 12, 2011 (PDF). He currently is appealing the suspension. However, until his appeal is resolved, his license is still suspended.

As a result of his suspension in Maryland, his license was suspended in five other states, and his application was put on hold in a sixth. He is still able to practice in 6 states, and surprisingly, in two of those states, his license was scheduled to expire on Jan. 31, 2012, but inexplicably were renewed without mention of the actions in other states.

At any rate, it looks like Dr. Geier is facing some more trouble that he's created for himself. On February 22, 2012, the Maryland Board of Physicians issued a Cease and Desist order (PDF) to stop practicing medicine.

Map of Mark Geier Medical Licenses

UPDATE: I was recently informed that Dr. Geier also has a license in Texas. The map and list have been updated accordingly. He also appears to have a license application pending in Ohio, though the medical board of that state has noted the Maryland action against him and has issued a citation.(Added August 20, 2011)

With all of the various states that have licensed Dr. Mark Geier and the rising tide of suspensions of those license, I thought it may help to provide a map, visualizing which states have suspended Dr. Geier's license to practice medicine and which states still allow him to see and treat patients.

So here we go. Red states are those which have stopped Dr. Geier from misdiagnosing children with precocious puberty and subsequent treatment with the chemical castrator, Lupron, and the green states are those which have yet to take action to bar him from potentially harming any more children.

Mark Geier Medical Licenses by State - Click to Enlarge

Mark "Castrate 'Em" Geier's License Suspended - Part 5

Another brief update on the status of Dr. Mark Geier's licenses to practice medicine in various states. It has come to my attention that a fifth state, California, has now suspended Dr. Geier's license to practice in that state, effective August 3, 2011.

This comes following suspensions (in chronological order) in Maryland (PDF), Washington, Virginia and Indiana (PDF). He still has licenses to practice in Florida, Hawaii, Illinois, Kentucky, Missouri and New Jersey, although it has been reported that his license in Illinois is also under review for possible suspension. There have also been rumors that Missouri will follow suit.

Five dominoes have fallen, six remain.
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Related Posts:

• Mark "Castrate 'Em" Geier's License Suspended - Part 4
• Mark "Castrate 'Em" Geier's License Suspended - Part 3
• Mark "Castrate 'Em" Geier's License Suspended - Part 2
• Charges Levied Against Mark and David Geier
• URGENT: Please Call the Maryland State Board of Physicians About David Geier
• A Close Look at David Geier
• Mark "Castrate 'Em" Geier's License Suspended

Mark "Castrate 'Em" Geier's License Suspended - Part 4

Another brief update for you regarding the status of Dr. Mark Geier's licenses to practice medicine in various states. As you know, his license was first suspended in Maryland. His license was then suspended in Washington and Virginia. Well, it is time to add Indiana to that list. Today, June 24, 2011, when I searched for his license in that state, I found this:

That's 4 out of 11 licenses that have been suspended. His appeal of the Maryland suspension is currently being heard, and the results of that inquiry should be out sometime next week. As it appears that the suspensions in Washington, Virginia and Indiana are based on the actions of the Maryland Board of Physicians, the outcome of the appeal could have a significant impact on the status of his licenses in those states. If his appeal succeeds, his licenses in those three states may be reinstated. If it fails, then there will only be 7 states left in which he can practice his scientifically unfounded protocol of administering the drug Lupron to autistic children.
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Related Posts:

• Mark "Castrate 'Em" Geier's License Suspended - Part 5
• Mark "Castrate 'Em" Geier's License Suspended - Part 3
• Mark "Castrate 'Em" Geier's License Suspended - Part 2
• Charges Levied Against Mark and David Geier
• URGENT: Please Call the Maryland State Board of Physicians About David Geier
• A Close Look at David Geier
• Mark "Castrate 'Em" Geier's License Suspended

Mark "Castrate 'Em" Geier's License Suspended - Part 3

I just wanted to provide a brief update on Dr. Mark Geier. Today, I was taking a look at the states in which, last time I checked, Dr. Geier still had a license. If you will recall, his license had been suspended in Maryland and, shortly after that, Washington. He was still licensed to practice medicine in nine states: California, Florida, Hawaii, Illinois, Indiana, Kentucky, Missouri, New Jersey and Virginia. For seven of those, I was able to find laws similar to Washington's, which state that if a licensed practitioner has his or her license suspended in any other state, then it will be suspended in that state as well.

Well, one of those other states has suspended Dr. Geier's license. This is what I found when I went to the licensing board for the state of Virginia:

Only eight states left to step up and take appropriate action. Only eight licenses left that should responsibly be suspended. Another domino has fallen.
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Related Posts:

• Mark "Castrate 'Em" Geier's License Suspended - Part 5
• Mark "Castrate 'Em" Geier's License Suspended - Part 4
• Mark "Castrate 'Em" Geier's License Suspended - Part 2
• Charges Levied Against Mark and David Geier
• URGENT: Please Call the Maryland State Board of Physicians About David Geier
• A Close Look at David Geier
• Mark "Castrate 'Em" Geier's License Suspended

Mark "Castrate 'Em" Geier's License Suspended - Part 2

On April 27, 2011, as you may recall, Dr. Mark Geier's license to practice medicine in the state of Maryland was suspended (PDF). A hearing was scheduled, and on May 12, the MD Board of Physicians upheld its ruling (PDF). I had noted that in addition to his license in Maryland, Dr. Geier also has licenses in California, Florida, Hawaii, Illinois, Indiana, Kentucky, Missouri, New Jersey, Virginia and Washington.

Well, another state has just suspended his license.

Charges Levied Against Mark and David Geier

On April 27, 2011, the Maryland Board of Physicians issued an order for summary suspension of Dr. Mark Geier's license to practice in that state. He was investigated for prescribing Lupron to children with autism, using an unapproved chelating drug, keeping inadequate and incomplete patient records, inappropriately and incorrectly diagnosing patients and so on. Dr. Geier tried and failed to persuade the board to restore his license at a hearing on May 11, 2011. On May 12, the board issued an Order for the Continuation of Summary Suspension for Medical License, meaning that Dr. Geier's license is still suspended. He has until May 22 to file a written appeal.

In the original order, it was also mentioned in passing that Dr. Geier's son, David Geier, may have practiced medicine without a license. From reading the order, it appeared that Mr. Geier performed medical procedures, prescribed tests and made diagnoses. He does not have a medical degree, nor is he licensed to practice medicine in the state of Maryland (or any other state). Mr. Geier was also, inexplicably, appointed as a "diagnostician" in 2009 to Maryland's Autism Commission.

As Kathleen Seidel wrote at the Neurodiversity Blog, charges have been brought against both Dr. Mark Geier and Mr. David Geier.

Mark "Castrate 'Em" Geier's License Suspended

On April 27, 2011, the Maryland State Board of Physicians, the body that grants physicians the privilege to practice medicine, issued an Order for Summary Suspension of Dr. Mark Geier's License to Practice Medicine (PDF). This has been a long time coming, and, I have to say, I am greatly relieved that it has finally happened.

Most people reading this blog probably already know who Dr. Geier is. For those who don't, here's a little background.