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6B THE PALM BEACH POST SATURDAY . DECEMBER 6, 1997 Two doctors fined in patients' deaths Audit: County ! pays too much buying supplies options and consult other cardiologists if faced with a similar scenario. AHCA found that Cohen, 44, failed to follow up in a timely fashion after a CTscan on a 36-year-old woman's liver showed abnormal results in 1993. Six months later, the woman was diagnosed with cancer and died after surgery to remove a portion of her liver. Cohen said he tried unsuccessfully to persuade the woman to get a second CT scan. But he said he failed to adequately document those attempts. ; Court records show Cohen and the practice of Smith & Welsh, M.D., paid a $750,000 settlement to the woman's family in 1995. The Palm Beach County practitioners admit no fault in agreements with the state. By George Bennett Palm Beach Post Staff Writer WEST PALM BEACH Two Palm Beach County doctors agreed to be fined and reprimanded by the state's Board of Medicine on Friday for separate cases in which patients died. Dr. Dario Espina, a Palm Beach Gardens cardiologist, agreed to a $7,500 fine and Dr. Jay Leslie Cohen, an Atlantis gas-troenterologist, agreed to a $3,000 fine as part of settlements in which the doctors do not admit fault The state Agency for Health Care Administration said Espina, 39, inappropriately ordered a blood-thinning agent for a 72-year-old patient when the patient appeared to be suffering a heart attack less than a week after bypass surgery. The patient died of severe hemorrhaging, which AHCA said was a result of receiving the thinning agent too soon aftersurgery. "It was felt that this was a last-ditch effort to do something to save the patient's life," AHCA attorney Carol Lanfri told the board. Espina said his decision to order the blood-thinner was made during an emergency. He said he would try to weigh other of 13 released Friday, revealed that the Housing Finance Authority has not been adhering to a law that requires it to submit contracts for more than $10,000 to county commissioners for review. The audit recommended that the board revisit the law, which the authority's lawyer, Richard Ellington, believes was never intended to provide county commissioners' oversight Guaranteed discounts can apply, but only if the employees asked for the lower prices. By Rebecca Goldsmith Palm Beach Post Staff Writer WEST PALM BEACH County employees who buy supplies for their departments often fail to get the best deal on everything from computer software to paper cups, according to an in ternal audit released rnday. 1 The supplies covered by the audit were bought under contracts that guaranteed discounts but only if the employees I NN If asked for the lower prices. Fifty' five invoices were reviewed by auditors, and the county overpaid a total of $2,663.91 on 17 orders and underpaid $655 on six others, U n If -s Mow county oinciais are thumbing through the paper work from almost 500 computer software purchases 18 months worth to determine whether the county overspent even more. They may try to recoup mon ey from First Computer and Electronics, the company that sells software to the county. Palm Beach Counrv soends I several million dollars each year - 1 n - f on suppbes bought from vendors that have won contracts to provide the biggest discount off list prices. snow But the audit found that em ployees in charge of buying A either out of ignorance or carelessness paid for supplies without applying the discount, ordered items not covered by the f contract, or applied the discount, ; but used an outdated price list. I I : The audit found that the error ml ; applied to various purchases, I from computer equipment to i hand tools, but purchasing direc tor Doug Myers said he decided to zero in on computer software because its price fluctuates most frequently. Myers also sent a memo Tuesday to department heads, reminding them to train their employees. "If they (buy supplies) once or twice a year, people forget by lack of use, Myers said. I ney make mistakes. (Department heads) 30 150 300 NINUIES MINUTES MINUTES $24" $39" $49" 500 1000 1800 MINUTES MINUTES MINUTES $69" $99" $49" need to check what they do be fore they pay the bills. A separate internal audit, one f QBSSi mi mi mni mi. ii, I Great SI Gifts! i mm Nurse shot four times, but alive d VI. .Ail" By Eliot Weinberg Palm Beach Post Staff Writer BOYNTON BEACH A Waived activation ($25 value) : 2 n o former employee returned to a nursing home Friday afternoon hours after he had been fired and shot a nurse at least four times, critically injuring the woman, po lice said. Sign up for Unlimited Nights and Weekends calling for $4.95 per month and get your first 3 months free Tiffany Arnold, 23, was struck three times in the chest and once in the arm from as close as five feet about 3:20 p.m. at the Heartland Health Care Center, 3600 Old Boynton Road, Boynton Beach police Sgt. Chris Frey said. Authorities late Friday were searching for Jean E. Henncy, 41, whose last known address was 16 South C. Street in Lake Worth, Frey said. Arnold was taken by Trauma Hawk to Defray Medical Center Give the gift of AT&T Digital PCS. 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Valid only at AT&T Stores in Florida. Requires new activation on AT4T TalkXpress . Not valid on previously purchased items. Limit one coupon per customer. Customer pays sales tax. Offer expires 1 23 1 197. Henricy left without incident, but returned Friday afternoon as irs 800-IMAGINE to find out about ATST Wireless solutions for people with hearing disabilities. Arnold took a break in the park ing lot, Frey said. Arnold was Henricy's immediate supervisor but not the one who bred him, Frey said. SALES ISERVIQEi WEST PALM BEACH 1880 Okeechobee Blvd. (', mile west of 1-95) 561 687-8600 SALES ONLY: PALM BEACH GARDENS The Gardens Mall (Upper level between Bloomingdales and Sears) 561 776-0272 They began to have a over his termination," SUNRISE 12681 W. Sunrise Blvd. (Behind Computer City in Sawgrass Plaza) 954 845-1120 BOYNTON BEACH 1713 N. Congress Ave. (In Catalina Center behind the Macaroni Grill) 561 732-3099 BOCA RATON 8200 Glades Rd. (In Lakeside Center between Service Merchandise and Marshalls) 561 883-0633 JENSEN BEACH Treasure Coast Mall 3434 N.W. Federal Hwy. (Next to Bentley's, just north of the food court) 561 692-0030 Frey said. "Things apparently escalated verbally. He pulled out a gun and shot her. He said Henricy fled in his 1982 green 4-door Oldsmobile. i V ALSO. LOOK FOR ATiT WIRELESS SERVICES At BUILDERS SQUARE SCOTTY'S WALGREENS ECKER0 SERVICE MERCHANDISE ' The center sent out a state ment Friday saying it was oper ating as usual and that "our Cellular Offer requires a one-year contract with an earty cancellation fee of $ 10 ptr month for month remaining tn the unexpired term Requirti digital PCS phone new activation on wlett digital plan and credit approval Airtime for each call it measured in full minute increments and rounded uo to the next full minute. Unused included minutes wiM not be carried over to the next Mlint cycle. Additional charges apply for roammt. Ion distance and taxes With Florida Callm hnms nrumm f rkr..r tWui. .m CELLULARO thoughts are with our employee fTIQffibGr roaming charges FuH terms and conditions are contained m an ATftT Wireless Series Agreement and Rate Sheet or Calling Plan Wireless service not available in all areas With Nights and Weekends feature, no home airtime n charged between I Opm - 6am Monday-Friday and all of Saturday and Sunday Unlimited Nights and Weekends feature is onfy available with select digital plan) Waived activation available on plant )24 99 and up Other terms, conditions and exclusions apply Offer expires I2JI97. 1997 ATT. and her family. Supervisors did not return calls.