Larry B. Kawa

This patient was not unhappy with the procedure that was done but has made it very clear to us that he wanted additional work done at no extra cost or we could refund his money for a procedure that has been completed which was done flawlessly and without complication and has been successful. He has made it very clear to us in no uncertain terms that he was going to extort us through the internet unless we provided free services. We refuse to be extorted and we hope that you share our sentiments that the Revdex.com is not to be used as a tool of extortion. Due to HIPAA privacy concerns and respect for the doctor/patient relationship we are unable to disclose additional details without notarized patient consent. After a 40-year career as an oral surgeon with zero complaints to the Revdex.com or any other entity and as a former president of the American Association of oral medicine and as a graduate of both Tufts Dental and Oral Surgery programs followed by two masters degrees from Harvard, Dr *** is very proud of his flawless reputation. He welcomes the opportunity to support that the work that he did was both appropriate and fair. In order to do so please provide for us a notarized waiver of privacy of the patient as required by the Florida Board of Dentistry and the Department of Health. Absence such documentation you would unfortunately be putting us in an indefensible position. If Dr Segelman were as bad a doctor as this patient suggests, it is unlikely he would have a flawless track record as a Board Certified Oral Surgeon for the past 40-years.

This patient was dismissed for personally harassing me. When he first came in I gave him my cell phone number, not something a doctor does when, in his words, they lack integrity, honesty, empathy, and morals. He abused the privilege of having my cell phone and has called me as many as 10 times in a single day. He would leave harassing and threatening messages often with him screaming and crying to me on the phone. Then he would show up at my office unannounced and without an appointment many times demanding to speak with me. Then he joined the same gym that I joined and would come up to me while I was exercising, even while I was holding weights in my hand to talk to me and complain about his teeth. His chief complaint was that he did not have enough room in his mouth for his tongue and it was giving him nightmares. He somehow felt that I was going to create more room for his tongue. Then he would come in screaming and crying and leaving me multiple messages as well about how his tongue did not have enough room in his mouth. I have practice for 29 years and have never had a patient with this chief complaint. He even went so far as to have oral surgery with another oral surgeon and did a procedure that I did not even ask him to do. I spoke with the oral surgeon and even the oral surgeon said that he had recommended not doing this procedure but the patient insisted that he do it anyway. Then he would come in screaming and crying and leaving me multiple messages as well about how his tongue did not have enough room in his mouth. I have practiced for 29 years and have never had a patient with this chief complaint. He even went so far as to have oral surgery with another oral surgeon and did a procedure that I did not even ask him to do. I spoke with the oral surgeon and even the oral surgeon said that he had recommended not doing this procedure but the patient insisted that he do it anyway. We have told him that if he returns to my office the police would be involved as he is not in a position to impose his will and bully my staff or myself and force his way into my office to demand that I help him with something which is quite obviously a mental issue not an orthodontic issue. I say this in the interest of accuracy not to denigrate the patient but it is clearly not the position of the orthodontist to take someone who is over 60 years of age and somehow make him believe that their mouth was going to grow. That was never something that I had even suggested to him and I don't know where he got that idea. I say this in the interest of accuracy not to denigrate the patient but it is clearly not the position of the orthodontist to take someone who is over 60 years of age and somehow make him believe that their mouth was going to grow. That was never something that I had even suggested to him and I don't know where he got that idea. He is now upset that he cannot reach me by cell phone and is not allowed to walk at my office without the police being present. His assertions are unfounded and he is simply using you as another potential Avenue to get to me even though it is clearly not indicated. After 29 years of practice I have a flawless rating with the Florida Board Of Dentistry, the American Association of Orthodontist, and the Revdex.com. His assertions are unfounded and he is simply using you as another potential avenue to get to me even though it is clearly not indicated. After 29 years of practice I have a flawless rating with the Florida Board Of Dentistry, the American Association of orthodontist, and the Revdex.com. We treat the families of most of the local dentists and doctors and while I am proud of my staff and our abilities, I am also aware of my limitations. I unfortunately have been unable to help him and as clear as I made that to him he would not except the answer. Insisted on designing both his own treatment plans and his unrealistic expectations and now is trying to hold me responsible for them. If you would like me to forward his delirious voicemails of him screaming and crying about not having enough room in his mouth for his own tongue after 61 years I will be happy to do so. I have saved his voicemails. i'm sorry that you have to be involved in this unusual and unique situation and I thank you for your consideration and understanding. I wish this patient well and it is unfortunate that neither I nor any Orthodontist would have the ability to help him. That he made me aware of the unfortunate mental challenges he was facing and unrealistic expectations he had adopted without my suggestion, I never would have treated him in the first place. That is why I dismissed him. Well he clearly has the right to complain, I also have the professional responsibility to make a patient aware that I am unable to continue their care since I cannot meet their needs. -Dr

I again today have had a confrontation with the patient as he again approached me at the gym. The police were called and arrived, they said he is acting erratic and they are assessing him to determine if he should be baker acted due to the threat of suicide. This patient has harassed me numerous times.

I would be happy to reply to this post once this individual provides us with a release composed by her attorney confirming that she has waived her rights to privacy through the federal HIPAA laws. I can assure you I have a suitable response but remain on able to reply due to privacy. until I am in receipt of this document. Please note that this review was submitted as a retaliatory measure due to a bad review that was placed on her husband's business. The above untrue comments were made in relation to a visit from years ago. Once again I would be happy to reply to these untrue assertions once I receive the necessary privacy waiver document her attorney shall compose. He or she must be sure that such privacy waivers are not only compliant with HIPAA but all current federal and state healthcare regulations. Furthermore, please be sure that this document is signed and notarized in order to be appropriately recognized as valid. I would also suggest you ask this complainant why she waited so long... Several years... The file this complaint if it was truly a genuine concern to her. Thank you for your consideration.

Please see my comment above. I would be happy to reply to this post once this patient waives confidentiality as described above. Until then we are on able to reply due to patient privacy and they're both federal and state laws per HIPAA and the Florida State Statutes. They are well aware of this and have chosen not to respond. We are still waiting as they have not complied with as they have not complied with these federal and state requirements that are necessary to proceed.