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News Release — March 25, 2004
MEDICAL BOARD OF CALIFORNIA
March 25, 2004
Medical Board Accusation Leads to Surrender
of Glendale Physician's License
SACRAMENTO—Facing a formal Accusation of wrongdoing by the Medical Board of California, Glendale physician John Alexander Krosnoff, M.D., has agreed to surrender his license to practice medicine. The stipulated surrender of his medical license was ordered on March 17, 2004 and became effective March 24, 2004.
The Medical Board accused Krosnoff of violating Business and Professions Code sections 2234 (unprofessional conduct), 2234(b) (gross negligence), 2234(c) (repeated negligent acts), 2234(d) (incompetence), and 2266 (failure to maintain adequate medical records) in his care and treatment of a patient. Krosnoff failed pre-operatively to: have or to record a discussion with the patient of the proposed operative procedure, limitations, alternatives, risk or complications, including infection; perform and/or record an evaluation, including but not limited to, an interim history, physical examination, and vital signs; perform and/or to record any laboratory tests, including but not limited to a urinalysis and complete blood count (CBC); give intravenous prophylactic antibiotic; and, maintain resuscitative equipment, including but not limited to a defribrillator. Throughout the four-hour facial cosmetic procedure, Krosnoff failed to monitored the patient including, but not limited to, interval measurements of the blood pressure, electrocardiogram, oxygen saturation, level of consciousness, and to monitor and/or document the patient's vital signs. Krosnoff also failed to perform an instrument count immediately after the surgery, and post-operatively failed to: properly monitor and/or to document the patient's vital signs; examine or evaluate the patient's chief complaint on post-operative day two; utilize or record minimal diagnostic tests such as vital signs on post-operative day three; examine the patient and/or to evaluate or take seriously the persistent complaints of the patient which were compatible with an infection on post-operative day four; recognize the presence of a post-operative surgical wound infection and perform appropriate treatment and/or referrals; and consider or properly treat an infection with complaints of pain, chills and fever in a post-operative patient.
Krosnoff also violated a term and condition of a stipulated settlement and disciplinary order previously agreed to on April 11, 2002, which required him to enroll in the Physician Assessment and Clinical Education Program's physician prescribing course and medical record keeping course within 60 days from the effective date of the decision and completion of the PACE program within six months of his initial enrollment.
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The mission of the Medical Board is to protect healthcare consumers through the proper licensing and regulation of physicians and surgeons and certain allied healthcare professions and through the vigorous, objective enforcement of the Medical Practice Act.
If you have a question or complaint about the healthcare you are receiving, the Board encourages you to visit its Web site at www.caldocinfo.ca.gov or for questions call the Consumer Information Line at (916) 263-2382, or with complaints call (800) 633-2322.
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