In 2005, I was arrested by agents from both the US Postal Service and the Food and Drug Administration for the importation of illegal human growth hormone and botulinum toxin (Botox) from China.
At the time of my arrest, I was a thirty-seven year old Harvard graduate with medical and post-doctoral degrees. I attended one of the finest residency and fellowship training programs in the world at the University of California, San Francisco. I played two sports in college, earned awards at every level of education and training, had wonderful friends and a beautiful three-year-old daughter. Having grown up the son of a restaurant manager and a housewife, I had transcended the humble beginnings of a small Midwestern town to become the quintessential American Dream.
Or so I thought.
But with my arrest on felony importation charges, everything I had worked so hard for was swept away and the entire trajectory of my life was indelibly altered. I would embark on a three year battle not only for my medical license, but also for my freedom. This journey would lead to intense personal introspection, and in that process, I would discover with ugliness, there was also beauty, and with punishment, mercy.
There are many reasons I have written this manuscript, with one of the most important being that I hoped my story would resonate with others who have gone through difficult circumstances as a consequence of a dark side of their personality. With this book, I hope to inspire others to accept and embrace the good and bad, while continually striving for improved self-understanding and acceptance.
I have changed names primarily for legal purposes, but the facts are unchanged. Although the events described in the book occurred more than ten years ago, I think about them nearly every day. The shame and humiliation are ever-present. Any simple Google search of my name reveals the truth, and that truth has affected me over and over, despite the years, as it probably should. As the judge told me that day in a federal courtroom, “You have betrayed the public’s trust.”
This is my confessional.
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San Francisco Book Review – 4 Stars
Confessions of an American Doctor is a true account of a doctor in the United States. The author has used different names to respect of the privacy of his patients and peers.
The novel opens with the arrest of Dr. Max Kepler, a rheumatologist by profession. As he is being handcuffed, the events of the previous few months flash before his eyes. He then writes a detailed account of his past, leading up to his venture into cosmetology and anti-aging clinics.
Divorced and bored with his job at Cade County Hospital, he partners up with Lance, who promises him a partnership in a startup, and together they work on medicine aimed for hair growth. Starting with that, they then foray into hormone supplementation as well as Botox and Mesotherapy. Using loopholes in the medical system of the US and the FDA, they manage to bypass standard checks as well as to use substandard compounds imported from China. Lance leads him to meet a range of businessmen interested in financing their projects. Dr. Kepler is too excited at the prospect of incoming money, and he doesn’t bother doing background checks on the sources of funds. He opens a wellness clinic by the name of Forever Lithe, which branches out to multiple locations across the country. He administers Botox, Mesotherapy, and other anti-aging and cosmetology treatments, eventually resulting in a healthy number of patients.
He has an idea that Lance supplies hormones and anabolic steroids to professional athletes, but he feels unconcerned as he is not directly supplying them. They become cautious when their supplies of human growth hormone from China are intercepted at US Customs.
Dr. Kepler didn’t bother doing a background check on Lance, and eventually, Lance’s shady past catches up with him. Lance is subsequently arrested on account of his import and illegal use of human growth hormone for anti-aging purposes on his patients, and his court proceedings are recounted as well. Read on to find out if he feels he is guilty of his crime and what will be the future of his venture with Lance.
The author has given a detailed account of his childhood, relationships, and his struggles through medical education. He also explains the uses of all the hormones they created in labs, which shows his thorough knowledge of pharmacology. His detailed understanding of the medical system of the United States and the loopholes which led to them getting away with using substandard medicines on patients have been described really well. This novel is a treat to read for medical students and current physicians of any country.
Reviewed By: Rabiya Jawed