A few days ago, Richard Kaul, M.D. informed us that the U.S. Supreme Court has docketed for consideration his writ of mandamus in the matter of Richard Arjun Kaul v Christopher J. Christie (16-CV-02364).
Kaul Seeks $28,000 Trillion in Damages

Kaul wants “$28,000 trillion” in financial damages resulting from what he calls the “illegal revocation” of his medical license by the state of New Jersey.
He is asking the Court to take up his lawsuit with 22 motions for summary judgement against former New Jersey Governor Chris Christie, the New Jersey State Board of Medical Examiners, Warren Buffet, Greg Przybylski, M.D., the North American Spine Society, the American Medical Association, various insurance companies, educational institutions, health systems and journalists.
Kaul had his medical license revoked by the state of New Jersey in 2014. He then sued the defendants.
“Gross and Repeated Malpractice, Negligence, and Incompetence”
A U.S. Federal Judge, Kevin McNulty, dismissed the case, writing that the New Jersey State Board of Medical Examiners revoked Kaul’s license because they found that “Dr. Kaul’s performance of spine surgeries on 11 patients without proper training and experience constituted gross and repeated malpractice, negligence, and incompetence.” The Board further imposed the statutory maximum fine of $20,000 for each of the 15 counts of malpractice and misconduct charged, as well as attorneys’ fees and costs. All told, the Board imposed $475,422.32 in civil penalties, fees, and costs.
“Racketeering, Evidence Tampering, Perjury and Obstruction of Justice”
Kaul claims his evidence “proves that the defendants, a collection of influential and wealthy neurosurgeons, insurance companies and hospitals engaged in prolonged patterns of racketeering, evidence tampering, mail fraud, wire fraud, perjury and obstruction of justice. In addition to the defendants’ crimes, this case has exposed judicial corruption by the defendants of the district court judges, and led to the filing by Kaul, on April 4, 2019, of a lawsuit against Democratic Party Leader, Senator Charles E. Schumer, the judge’s brother-in-law, and others.”
Kaul’s email to us states other forms of relief sought in the case pertain to political campaign finance reform and a “Reformation of American Medical Boards.”
He says there are currently “over four hundred (400) physician suicides annually in the United States, with the majority being related to corruption within state medical boards and the for-profit Federation of State Medical Boards. Kaul and Dr. Arnold Feldman, an internationally recognized pioneer in minimally invasive spine surgery, will be initiating legal action against these entities to effectuate a change in the process of physician regulation in the United States, to mitigate the physician suicide epidemic.”
Next, the Supreme Court will determine if Kaul’s filing meets all the requirements for a hearing by the Court. We’ve been in touch with the Court and they promise to keep us posted.

Discussion
This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
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