Posted on 27 April 2010.
In the middle of his prison sentence for rape and kidnapping at the Stillwater Correctional Facility, an inmate with the initials A.S. complained about a toothache.
In a fall 2004 letter to the Minnesota Department of Corrections, he described the feeling of walking into the prison’s dental clinic and seeing Norman Eid, a dentist he knew through personal experience and his reputation among inmates.
“Right away fear rushes my heart and I am scared to death,” A.S., whose initials are being used for privacy, wrote in the letter.
A.S. wrote he had approached Eid one year earlier with a “rotten” tooth so painful it caused his gums to swell, but the dentist refused to see him.
“I had only asked him a question as to how to save the tooth,” he wrote, “and that was all it took to see his rage and disrespect.”
Eid treated prisoners at Stillwater Correctional Facility and the Oak Park Heights Correctional Facility, a maximum-security prison for male felons, between 2000 and 2009.
Despite a history marked by problems with inmates and coworkers, Eid is currently in his 22nd year of employment at the U. Minnesota School of Dentistry.
As an adjunct associate professor in the radiology division, Eid oversees students’ evaluation of X-rays for four hours one day a week.
For nearly four months, the Minnesota Board of Dentistry forbade Eid to practice following multiple findings that he had failed to give pain medication before procedures, limited inmates’ access to dental care, behaved disrespectfully toward coworkers and failed to maintain a sanitary clinic. In February, the board ordered Eid to work under a conditional license.
If he completes a list of mandatory coursework and other conditions, Eid, who declined to comment for this story, could have his license fully reinstated this year.
A troubled history
Complaints against Eid’s performance culminated in an investigation by the state Office of the Attorney General in April 2008 and another in August of that year.
While working at the prisons, Eid yelled at patients, used inappropriate names for patients, made disparaging comments about coworkers, failed to properly administer and prescribe anesthesia and pain medication and “failed to remove his contaminated gloves before reaching into drawers to retrieve instruments or materials,” according to board records.
Following the investigation, the board sent Eid to Resurrection Health Care in Illinois for an evaluation.
Out of the 16,000 people the board oversees, less than 10 are sent to Resurrection per year, Executive Director Marshall Shragg said.
After receiving Resurrection’s evaluation, which recommended that Eid “cease practicing dentistry and enroll in a specialty treatment program for disruptive behavior,” the board issued a “cease and desist” on his dental license May 4, 2009, forbidding him to practice.
Eid’s was one of eight cease practice orders given by the board between April 2000 and April 2010, according to board records.
Resurrection’s report also classified Eid as having met the criteria for narcissistic personality disorder as well as some aspects of antisocial personality disorder.
Eid requested an indefinite leave of absence from the University on April 28, 2009, six days before the cease practice order was placed on his license. He was officially terminated by the School of Dentistry on May 9, 2009, one day after the last day of instruction that semester.
In August 2009, the board agreed to lift the cease practice order, with the caveat that it was still investigating Eid’s case.
U. Minnesota rehired Eid on Jan. 7, 2010, four days before the spring semester began and more than one month before the board signed an agreement finalizing the terms of his conditional license.
“It would have been known to an employer that followed standard hiring protocols that this is an individual whose case is being investigated by the court,” Shragg said.
The University decided to rehire Eid given “all the energy and effort” it had invested in him, said Patrick Lloyd, dean of the School of Dentistry.
“We didn’t feel it would be an inappropriate rehire,” Lloyd said. “[Eid] was teaching with us for 20 years without incidents,” he said. “As a consequence, you end up acquiring a fair amount of teaching aptitude. Otherwise, you’re not here.”
Eid was in the running for a position in a new dental clinic the school will open in May as part of a partnership with U. Minnesota Physicians.
Lloyd said the administration removed him from consideration about three weeks ago when it realized the position wouldn’t conform to the guidelines of his conditional license.
“There was no offer given to Dr. Eid,” he said.
‘His role is very limited here’
Last summer, Eid spent about two months at Pine Grove Behavioral Health and Addiction Services in Hattiesburg, Miss., following Resurrection’s recommendations. His July discharge report concluded he had “occupational problems; and narcissistic personality disorder with obsessive-compulsive and personality features.”
Most of the complaints about Eid concern his interpersonal relationships, and no such issues have been reported at the University, Mansur Ahmad, head of the radiology division, said. Furthermore, the accusations about his performance as a dentist don’t relate to radiology, Ahmad added.
“His role is very limited here, teaching students one-to-one,” Ahmad said. “None of these were an issue for our situation.”
Nelson Rhodus, head of the division of oral medicine, said the administration investigated Eid’s performance — questioning students and faculty — before he was rehired. Rhodus said they found no problems.
“We’ve never had one single concern or complaint,” he said. “If someone accused him of something, we took it seriously.”
Although he only spent about a half-hour in the radiology lab examining X-rays with Eid, third-year dental student Andy Bohnsack said it was a valuable experience.
“I wouldn’t have any reason to believe that he would exhibit any of that behavior,” he said. “He came off as a nice guy, willing to take some extra time to teach me.”
Jane Schwartz, a dental hygienist who worked alongside Eid at Stillwater for about three years, said she’s disappointed that the University would let him work with students, who are probably unaware of his past.
“In my opinion, someone who defers treatment … and not help people, I don’t think that’s a good role model,” she said.
Questionable dentistry
On Dec. 4, 2006, Roseanne Forsblade, a dental assistant at Stillwater, did something she’d been doing for more than 10 years: She assisted the dentist with a tooth extraction.
But Eid’s extraction was unlike any she’d seen.
“The patient wasn’t numb,” she said. “He was screaming in pain the entire time.”
After the tooth, an upper molar, was removed, bone was uncovered on the neighboring wisdom tooth, according to a Board of Dentistry account of the incident.
“A great deal of his jaw came out along with part of the tooth,” Forsblade said.
Following the procedure, Eid prescribed 30 tablets of 600 mg ibuprofen. The next day, the patient saw a doctor at the prison who prescribed Vicodin and Augmentin for pain, according to the report.
During the three years she worked at the clinic, Forsblade said Eid would insult patients and coworkers and would often try to get his coworkers in trouble.
In May 2008, the Department of Corrections reduced Eid’s vacation time after charging him with making false claims against a dental assistant and “jeopardizing her license by making up false allegations and incident reports regarding her performance,” according to a DOC report.
In a letter to Eid, Nanette Larson, the DOC director of health services, wrote, “Your behavior cannot continue to cause tension, conflict and discord in the unit. Your behavior must significantly improve.”
Forsblade submitted two harassment complaints against Eid, both of which were sustained by the DOC in September 2007 and June 2008, according to letters obtained by The Minnesota Daily.
Forsblade said she felt unsafe when Eid would yell at patients during treatment and threaten to stop halfway through.
“I was always worried he was going to upset the wrong guy in the chair and I could wind up getting attacked,” she said.
Forsblade claimed Eid never used topical anesthesia before administering an anesthesia injection and consistently refused to provide preventative care to inmates. He performed primarily extractions and temporary fillings, she said.
“I’ve seen the X-rays where it’s like the abscess just grew after months and months of delay and neglect,” she said.
Following months of anxiety attacks, stress-related sickness and an inability to sleep or digest food, Forsblade’s job at the DOC came to an end in July 2009.
At that time, the DOC reduced its dental staff, including Forsblade and Schwartz, in response to significant budget reductions.
Eid, set to be laid off as well, retired at the same date.
Janet Graves, who worked alongside Eid as a dental hygienist at the Oak Park Heights facility beginning in summer 2006, said Eid would often remove teeth before fully numbing his patients.
“The man was in so much pain he was ready to climb up on the ceiling,” Graves said recounting one situation with a level-five offender. “He was screaming.”
Four out of five harassment complaints filed by Eid’s coworkers resulted in discipline, according to the DOC. The department would not reveal whether the fifth claim was substantiated. The disciplinary actions against Eid — two written reprimands, an oral reprimand and a one-day reduction in vacation — were for losing a dental instrument, harassment and inappropriate conduct.
In a written reprimand to Eid by the DOC dated Jan. 9, 2008, Oak Park Heights Health Service Administrator Kathy Reid wrote, “You contribute to the conflict between you and your dental colleague in your interpersonal actions and your disrespectful attitude toward the offenders and your colleague … You have had numerous supervisory conferences with Human Resources, Central Office Health Services staff and me regarding your poor interpersonal skills and your inability to avoid conflict with your colleagues.”
Graves said she quit in March 2008 because she couldn’t work with Eid any longer.
In addition to numerous incident reports alleging patient abuse, Graves filed a lawsuit against the DOC in April 2008 because she felt working with Eid was unsafe and intolerable. The lawsuit was ultimately dismissed.
When Schwartz first stepped into the Stillwater Correctional Facility in fall 2006 during her job interview, she could tell something was wrong.
Even in the tiny dental clinic, Eid, her future co-worker, wouldn’t acknowledge her presence.
“It made me uncomfortable,” Schwartz, a dental hygienist, said.
When she was offered the job, Schwartz said she asked about Eid but was assured there wouldn’t be any problems.
When Schwartz began noticing Eid’s strange behavior around inmates, such as refusing to see them and calling them “horse’s asses,” she began reporting it to her supervisor.
In separate accounts, three of Eid’s former coworkers said that when they complained about the dentist’s behavior, they were told to deal with it or find another job.
Eid’s former coworkers emphasized the way he treated patients as the most disturbing behavior.
“It was stunning to see grown men crying in the dental chair and telling him they could still feel it,” Schwartz said. “He would say, ‘There’s no way you can feel that. We’re almost done.’ ”
Continued supervision
As part of Eid’s conditional license, he must work in a board-approved “group practice setting” that will provide accountability for his work, including workplace monitoring, random chart reviews, limited administrative duties and patient satisfaction surveys.
Ahmad, Eid’s direct supervisor, said the chart reviews and patient surveys are not applicable to his current position because he doesn’t see patients.
Although Shragg declined to comment on whether Eid’s work setting meets the conditions of his license, he said the board works with the licensee and the employer to ensure compliance.
If a licensee is not compliant, “that’s something they will be held accountable for,” Shragg said.
By fall of this year, Eid will have to take a comprehensive course on local anesthesia, including the use of topical medication. By February 2011, he’ll have to complete a course on infection control designed by the Centers for Disease Prevention and Control.
In an e-mail last month in response to Schwartz’s concern over the rehiring of Eid at the University, Rhodus wrote, “We are now in consultation to terminate Dr. Eid, immediately. This should not have happened, but I believe we can soon rectify it.”
In an interview last week, Rhodus said he sent the e-mail before he had looked into the situation further. He said he now feels comfortable with Eid’s position working with students.
“It looked like from our perspective, legally, the board, as our legal governing body, they gave him clearance to [work],” he said, “so we saw no reason not to let him do it.”
When asked his opinion on the board’s treatment of Eid’s case, Shragg, the board’s executive director, said, “My personal thoughts don’t really matter on this, although I wish they did.”
Lloyd said that in the future he would consider hiring Eid as a University dentist, provided the conditions be removed from his license and that there be a long incident-free period.
“I would suspect that in time, if that’s an area of practice he would like to move toward, and if we had a need,” he said, “I think he would be an appropriate person to be considered.”