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    Mark MacDonald & Associates

    5.0 (2 reviews)
    Closed 8:00 am - 8:00 pm

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    3 years ago

    Kind & compassionate with wisdom & helpful perspective on life issues. Always available

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    9 years ago

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    Genesis Clinical Services

    Genesis Clinical Services

    (30 reviews)

    My father was under Dr. Ralph Orland's care for over twenty years, during which he was diagnosed…read morewith PTSD, Major Depression, Panic Attacks, Anxiety, and Dementia. Over this time, he was prescribed numerous medications, some of which worsened his conditions and contributed to his cognitive decline. His behavior became increasingly erratic and manic, causing distress to both him and our family. Despite these concerning signs, when we reached out to Dr. Orland and the VA with our concerns about his behavior and medications, we were consistently told they couldn't speak with us. All we wanted was for them to listen and investigate for his safety and well-being. One major issue was that my father was prescribed Benzodiazepines at high dosages for nearly twenty years. These medications are not typically recommended for individuals with severe PTSD or dementia, both of which my father had. Benzodiazepines can worsen symptoms and cause cognitive impairment, yet Dr. Orland continued prescribing them. Even after diagnosing my father with dementia twice, Dr. Orland never informed our family, and my father himself seemed unaware of this diagnosis. Long-term use of these drugs is well-known to be harmful to patients like my father, but no steps were taken to address this. We repeatedly raised alarms about my father's erratic behavior--manic episodes, impulsive spending, and dangerous actions like impersonating law enforcement--but no meaningful changes were made to his treatment. Even after his wife of thirty-five years left him due to the severity of his behavior, and despite numerous legal issues, his care remained unchanged. When my father moved out of state, a new VA team immediately removed him from Benzodiazepines, and we noticed a significant improvement in his behavior. Had this been done earlier, his relationships might have been preserved, and his decline to frontal lobe dementia might have been mitigated. Looking back, it's clear my father's care was mishandled. He was allowed to drive, make legal decisions, and even marry two mail-order brides, all while mentally unfit. Despite numerous warning signs--suicide attempts, erratic behavior, and heart issues--no one informed the family or took steps to address these serious issues. In one instance, my father's attorney even suggested leaving him in jail, claiming it would "do him some good." My father, disconnected from reality, requested to stay in jail, believing it was helping him. These incidents show that his care was not only inadequate but harmful. We were also alarmed when Dr. Orland recommended Electroconvulsive Therapy (ECT) for my father, which was performed twice despite concerns from his wife. My father trusted Dr. Orland, believing he had his best interests at heart, but that trust was tragically misplaced. It's heartbreaking to think that if Dr. Orland had listened to our concerns, my father could have received the care he needed much sooner, potentially preventing or lessening the severity of his current condition. Instead, his treatment at Genesis Clinical Services was marked by negligence, with lasting damage to my father's health and well-being.

    Dr. Emma Cabusao is very compassionate in every way. Her…read morestrong passion for her patients to be comfortable and to build a very strong rapport helps me and others. Her questions you may have are answered timely.

    Mark MacDonald & Associates - c_and_mh - Updated May 2026

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