Our old friend (and convicted felon) Howard Awand has been subpoenaed to appear before a federal grand jury to answer questions about the "Medical Mafia." Could this be the beginning of Round 2?Wednesday, September 22, 2010
Here We Go Again ...
Our old friend (and convicted felon) Howard Awand has been subpoenaed to appear before a federal grand jury to answer questions about the "Medical Mafia." Could this be the beginning of Round 2?Friday, June 4, 2010
Gage Sentenced to Probation
Since the inception of the case, Gage has maintained that he did nothing unethical or illegal. Had he sued Thalgott and Kabins, rather than Burkhead, the lawyer said after Thursday's hearing, "Melodie Simon would have gotten a big goose egg" and been responsible for the opposing parties' costs and attorney fees.Awwww. That Gage, always looking out for the interests of his clients. Now, State Bar, please take that man's law license.
"If I had to do it over again -- but for the wrongful prosecution -- I would have sued the same people, if I wanted to obtain the best result for my client," Gage told the Review-Journal.
Wednesday, April 21, 2010
Awand Gets Four Years ... For Tax Evasion?
While some may have seen Howard Awand's plea deal as a swing-and-a-miss for U.S. attorneys, the tax man was there all along batting cleanup. (Sorry, it's baseball season)Howard Awand, 65, of Vevay, Ind., and Linda Awand, 61, of Stowe, Vt., owned Nevada Medical Consultants. The company was taxed as a partnership and the couple was responsible for reporting their share of Nevada Medical's income on their joint personal tax returns.
They reported taxable income of $8.1 million from 2001 through 2004 and owed $2.6 million in taxes. But they paid only $30,000 and only after they discovered they were under investigation by the IRS.
Howard Awand also testified at trial that he falsely told people that he served in Vietnam and in the CIA in order to drum up business for the medical consulting company.
Tuesday, March 9, 2010
Awand Cops A Plea
The third member of the Medical Mafia has taken a deal. Howard Awand was allegedly the coordinator of the local doctors and lawyers who rigged medical malpractice lawsuits and split the profits.Awand, like Kabins, pled (that's right, we're going with pled) guilty to misprision of a felony, meaning he knew about federal crimes being committed but did not immediately report them.
Awand is scheduled to be sentenced on June 25. He faces up to three years in prison and a $250,000 fine, as well as restitution and a period of supervised release. As part of the agreement, the government agreed not to make any sentencing recommendation.
Racketeering. Plaintiff says three attorneys and their law firms, and two doctors and their practices participated in a scheme by staging fraudulent medical care and treatments, then creating fraudulent billings and insurance claims. The attorneys and physicians sought payment for corresponding injuries to those fraudulent treatments.Could this be the beginning of Round 2?
Thursday, February 25, 2010
Kabins Fails to Get Settlement Sealed ...
Yesterday the show moved from federal court over to Judge Gonzalez's courtroom, where Mark Kabins was attempting to have news of his $800,000 settlement with Dr. Daniel Burkhead (the anesthesiologist Kabins tried to blame for his own malpractice) sealed.During his argument to seal, Spilotro stated that the outrageous coverage from Channel 8 in the Medical Mafia case has been so unfair that he would hate for the media to get their hands on the agreement. If that happened, argued Spilotro, it would surely be distorted to put his client in a poor light.
Wednesday, February 24, 2010
Gage, a Grammatical Question, and a Posse of One ...
LV Now (along with 90% of our commenters yesterday) reported that Attorney Noel Gage pled (pleaded?) guilty in federal court to obstruction of justice. A copy of the plea agreement is available, here. According to the agreement, Gage is facing a maximum of 20 years (he won't get anywhere near that, and likely will receive no prison time at all), and will pay a mandatory restitution of $702,600 to his former client, Melodie Simon.Today at Fed court, Noel Gage, American Hero and defender of your rights, pled guilty for obstruction of justice (felony). On his way out, strangely enough, a familiar figure started approaching my camera, attempting to block my shot of Gage. It reminded me of a certain march of attorneys from 2009 during the indictment of now guilty, Mark Kabins. It’s really too bad for Gage, as the Personal Injury Parade has now dwindled to a Posse of One.
Why does the guy in the pic attached, who happens to work for Mainor, Eglet Cottle according to my sources, feel the need to protect someone so stridently, who has says he’s done nothing wrong. Why would MEC have such a great interest in having this guy at EVERY hearing dealing with Vannah? Either way, he’s fooling himself if he thinks he’s doing much more than digging a deeper hole for his bosses.
Please feel free to share this with your readers.

Friday, February 5, 2010
State Medical Board Seeks Discipline For Kabins
The Nevada State Board of Medical Examiners has filed a Complaint seeking to "discipline" Dr. Mark Kabins. The Complaint sets forth three counts:- Count 1: Violation of NRS 630.301(9) - Conduct that "brings the medical profession into disrepute."
- Count 2: Violation of NRS 630.301(11)(g) - Conviction of offense "involving moral turpitude."
- Count 3: Violation of NRS 630.306(2)(a) - Engaging in conduct "intended to deceive."
Tuesday, November 24, 2009
One Down, Two To Go
The details of Dr. Mark Kabins' plea agreement have been released, and (sadly) there was no accompanying idiot parade.In pleading guilty, Kabins admitted that on Aug. 3, 2000, he assisted another orthopedic surgeon, Dr. John Thalgott, in a surgery on Simon, a former Olympian who became paralyzed from complications that arose after the surgery. In the plea, Kabins admitted he knew he could be sued and asked Awand, a medical consultant who referred personal injury cases to him and other lawyers, to persuade Simon’s attorney, Noel Gage, not to sue him or Thalgott, the U.S. Attorney’s office said.Some are downplaying the significance of Kabins plea, but 6 months detention and $3.5 million in restitution constitute more than a "slap on the wrist." It seems to us that with this plea and Kabins' cooperation, the U.S. Attorneys are getting just what they wanted: Kabins' testimony without releasing him from culpability.
Kabins, the attorney’s office said, believed that Awand would corruptly attempt to persuade Gage by referring lucrative personal injury cases to Gage; after receiving referrals from Awand, Gage sued neither Kabins nor Thalgott and instead sued an anesthesiologist, Dr. Daniel Burkhead.
Kabins said Gage didn’t sue him because Awand had referred cases to him, the U.S. Attorney’s office said.
To help Gage sue the anesthesiologist, Dr. Kabins drafted a “letter of complaint” from which he intentionally omitted information about his secret dealings with Gage and information about Simon’s medical condition following her surgery.
Monday, November 16, 2009
The First Domino Falls
According to the LVRJ, the Grand Marshal of March of the Morons, Dr. Mark Kabins, has decided to take a plea deal. Sunday, August 30, 2009
Not a Good Week to be [allegedly] Unethical

Update: Now with 9th Circuit memorandum opinion.
While we were [redacted] in [redacted] last week, things took a bad turn for attorney Noel Gage. The Ninth Circuit reversed Judge Quackenbush's ruling and reinstated the prosecution of Mr. Gage [pictured left with a ridiculous tie] and medical consultant Howard Awand.
The Ninth Circuit reversed Quckenbush's ruling that the government had to offer immunity to
The Ninth Circuit's decision comprised only eight terse lines. The Ninth Circuit wrote:
Due process compels use immunity only for defense witnesses who will offer testimony that directly contradicts the testimony of a government witness who has been given use immunity. See e.g., U.S. v. Straub, 538 F.3d 1147, 1161-62 (9th Cir. 2008); U.S. v. Alvarez, 358 F.3d 1194, 1216 (9th Cir. 2004). Direct contradiction means more than just differnet subjective interpretations of the same facts. Because Dr. Kabins would not have directly contradicted a government witness who received use immunity, the indictment must be reinstated.
If you were Gage, you might be worried that without Kabins to back up your story [since Kabins is currently being prosecuted himself] that a client's unnecessary spinal surgery isn't just really, really rewarding to her attorney ($$$), it is possibly helpful to the injured client too! But that worry would be misplaced because Noel Gage is "happy" to have the chance to vindicate himself, saying "when my acquittal comes this time around, there will be reason for a second victory party," said Gage. (RJ) For all the plaintiff's attorneys potentially implicated if Gage and Awand go down, you better hope that cockiness and puffery negates criminal intent.
Meanwhile, up in Reno, disbarred Nevada attorney Lawrence Davidson skipped out on his federal fraud and money laundering trial. (RGJ) Davidson (Nevada State Bar info), in case you were curious, Davidson is a former med mal and PI attorney from Las Vegas who was [allegedly] siphoning his client funds into his personal accounts. He's also been accused of bribing a member of the Clark County Commission for a zoning favor. (RGJ)
And southern Nevada attorneys made it three for three this week when the State Bar suspended Henderson attorney Alex Ghibaudo pending an investigation into alleged unethical conduct. Ghibaudo is accused of repeatedly abandoning clients, failing to provide an accounting of funds received from clients and making several unprofessional and demeaning telephone calls to other counsel. (RJ) Ghibaudo apparently also dodged calls from Bar counsel. [Note to attorneys—when under investigation, probably best to return Bar counsel’s communications]
By the way, while the recently admitted Mr. Ghibaudo (2007) was suspended pending the investigation, the state bar has not suspended any plaintiff's attorney tied into the medical mafia from the practice of law in Nevada. (Nevada State Bar page for Gage).
Wednesday, August 19, 2009
Medical Mafia Story Hits the National News
Fortune magazine (link available here) has scooped up the medical mafia story. And once again, Vegas looks like the most corrupt legal and medical jurisdiction in the country. Well done boys.Fortune does an excellent job of laying out all the details of the sordid tale of [allegedly] crooked Vegas doctors and lawyers colluding to pad their pockets/settlements. For those of you that haven't been following the reporting on the trial and now appeal of Noel Gage and Howard Awand [pictured left] (older posts available here), the piece offers a great primer on the [allegedly] criminal scheme.
The piece explains how the [alleged] conspiracy only came to light when medical consultant Howard Awand drove up medical bills for a plaintiff (represented by Bob Vannah) suing a driver who happened to be a U.S. Attorney on government business at the time of the accident. Here's a few of the more interesting pgphs:
Prosecutors charge that a group of top Las Vegas plaintiffs lawyers and doctors,
with the 64-year-old [medical consultant Howard] Awand at its center, conspired
in an audacious fraud. The participants appeared to act independently but
instead colluded. Unwitting accident victims were recruited as plaintiffs and
then persuaded to undergo serious, sometimes needless, surgeries. The
procedures, in turn, helped inflate the size of personal-injury claims. The
result was multimillion-dollar insurance settlements, even for dubious cases,
and lucrative fees for the doctors, the lawyers, and, of course, Howard Awand.
Predictably, Awand's attorney paints the medical consultant as a champion of the people:
What the government paints as "collusion," Harland Braun says, was nothing more
than cooperation among professionals. Because Awand was beating the insurance
industry in court, the government concluded "it must be a conspiracy," says
Braun. "What Awand did is level the playing field."
But don't think the government's case only implicates Gage and Awand (and Vannah on the sidelines). This is Nevada, after all. Why not throw some Nevada District Court judges into the mix along with other members of the bar:
One month after Cynthia Johnson's accident [the plaintiff in the case that broke
open the alleged conspiracy], Howard Awand threw open his sprawling lakefront
home in Big Bear, Calif., to Las Vegas' A-list professionals. Kabins and Vannah,
the doctor and the lawyer in the Johnson case, were there, along with 200 other
top doctors, lawyers, judges, and their spouses and kids. The event, including a
buffet dinner of filet mignon and lobster, was a fundraiser for two Las Vegas
judges who faced reelection; some $30,000 in checks piled up in two crystal
bowls, several partygoers recall.
How influential was Awand in Vegas personal injury law:
By 2002, insurance defense lawyers were so concerned they held an unusual
meeting. More than a dozen attorneys for competing insurers met to compare
notes. Some who had subpoenaed Awand described getting threatening calls from
his associates warning that their business would dry up if they didn't back
down, William Turner of Farmers Insurance recalls. The lawyers, he says,
recounted tales of strange behavior or even intimidation. Expert witnesses, for
example, suddenly and inexplicably changed their testimony; some doctors who
refused to cooperate with Awand had been threatened with frivolous malpractice
lawsuits. By meeting's end, the lawyers felt certain they were facing something
bigger and more sinister than garden-variety fraud.
The piece also lays out how pervasive the scheme was to have personal injury plaintiffs have unnecessary surgeries. Mark Kabins (being prosecuted in a separate trial) started taking referrals from Howard Awand and started making $750,000 a month.
By 2000, Kabins's practice had become a factory producing multimillion-dollar
insurance settlements, according to witness statements and interviews. The
volume was so great that Awand himself couldn't keep track. In June 2002 he
wrote to Kabins, asking him to create a list of all the clients he'd sent: "We
are reaching critical mass and both of us are losing money by my failure to keep
up with the referrals" . . . Kabins became so infamous that insurance
investigators coined a term -- a "Kabinsectomy" -- for a needless surgery in Vegas.
[story continued in next post]
Medical Mafia National News (cont): Part 2: Bob Vannah the Charmer
[pt 1 available here] Cynthia Johnson entered the courtroom on July 21, 2005, for a routine
procedural hearing. Though her case was the only one on the docket, she was
surprised to see the courtroom packed with men in dark suits. Vannah seemed
rattled, she says, and he complained to the judge that government lawyer Ruth
Cohen had "leaked it all over the community that I'm being investigated by her
and her cronies for criminal conduct." At the hearing's conclusion, a newspaper
columnist rushed up to Johnson, asking, "Are you seeking to get compensation for
injuries you don't really have?"
Johnson had no idea what was happening. After the hearing, Vannah screamed,
"Things are not what they're supposed to be," as he rushed across the parking
lot with an associate, she recalls. The bewildering scene made Johnson so uneasy
that she told [Mark] Kabins she would not undergo [the surgery he
recommended].
He requested that [Johnson] sign a document releasing him from her case. He
claimed -- incorrectly -- that she'd failed to disclose previous visits to a
chiropractor. If she signed, he continued, she'd owe him no attorney fees and
would be responsible only for her medical costs, which had climbed into the many
thousands.
As she resisted, he grew more agitated, screaming that if she didn't sign,
she'd owe him vast sums. He stood, banging the table and yelling that she was
under federal investigation and that "the government had killed people for
lesser things than you're doing right now," she recalls.
Vannah denies any impropriety and says he isn't surprised that Johnson's
accident received extra attention from the government, given that a government
employee caused it. Vannah has not lost sleep over the protracted investigation,
he says -- even though he has been subpoenaed by government investigators, has
been able to dodge an ethics complaint by a client over his payments to Awand,
and has been secretly taped boasting "there are five or six judges that will do
anything I want." Still, he notes, prosecutors have not charged him with
anything.
Johnson left Vannah's office in tears that day, without signing the
document. She had several chilling realizations. Her lawyer appeared to be under
investigation, though she had no idea for what. He was panicking. And he'd just
threatened her. She needed help from someone she could trust.
The next day, Johnson called every local attorney she could think of -- and
almost no one called back. Her case had become radioactive. Sleepless,
depressed, and not knowing what else to do, she finally found a lawyer who
steered her to Ruth Cohen, the government lawyer on the other side, who
immediately called her back. Within days, Johnson was sitting down with the
FBI.
Tuesday, August 11, 2009
Lawyerly News Roundup
Family law attorneys are going hungry up north. Damn recession is causing couples to try to work it out. (RJ)Sunday, July 26, 2009
Note to Counsel and "Medical Consultants": You Might Want to Pay Your Taxes
Prior Post:
So, the Nevada Supreme Court made one of its usual Nevada ethics judgment calls: suspension for Botha and Lobello, but only temporary suspension. I mean, cah'maaaaan . . . they're only the fiduciaries and trustees of their clients' funds. So what if they aren't trustworthy enough to satisfy their annual requirement as U.S. citizens to pay taxes? Yup, the Nevada Supreme Court continued its tradition of letting almost anyone continue to practice in this state, no matter what they've done.
But wait, apparently, the Feds apparently weren't satisfied with the Nevada Supreme Court's brand of frontier justice (LV Sun):
A Las Vegas personal injury attorney, [Edmund C. Botha], who was convicted last year of tax evasion and owes almost $4 million to the IRS was sentenced today to five years in federal prison [by U.S. District Judge Dawson] . . .
Botha was convicted by a federal grand jury on Sept. 25, 2008, for willful evasion of payment of income tax for the tax years 1998 through 2001.
How'd Botha do it? Well:
Botha avoided paying taxes by purchasing luxury vehicles in his ex-girlfriend's name, doing all of his business in cash and cashier's checks and entering into a sham child support agreement requiring him to pay about $20,000 per month for two children, court records and evidence presented at his trial indicated . . . Evidence further showed that Botha purchased more than 10 vehicles worth more than $400,000 over a six-year period in his ex-girlfriend's name, while at the same time owning only a 15-year-old car with more than 100,000 miles on it in his name.
How dare Judge Dawson go to such extremes? Cah'maaaaan, Judge, this is Nevada. Follow the Nevada Supremes lead: pretend to care about ethics, but make sure everyone gets to keep practicing law. I mean, you could have just given Botha community service. It's the Nevada way.
[on a side note, I'm single right now Mr. Botha, if you want to put some $400k cars in my name]
Thursday, July 16, 2009
Medical Mafia/Gage/Kabins update
By request, here's an update on the Medical Mafia/Noel Gage/Mark Kabins appeals and trials [previous posts available here and background available on [alleged] scam here]. Once again, from George Knapp of KLAS and LV City Life: The 9th Circuit Court of Appeals will hear oral arguments next month regarding the Medical Mafia case. At issue is whether the U.S. attorney's office in Las Vegas should be forced to grant immunity to defense witnesses who also happen to be targets of the probe. The government says it should not be forced to do so
and if such a precedent is set, it would basically mean they would never be able to prosecute any sort of conspiracy case ever again. Defense attorney Tom Pitaro, representing Las Vegas lawyer Noel Gage, will argue the other side.
Wednesday, June 24, 2009
Vannah & Vannah v. Rob Graham (Round One of our Billboard/Television law firm poll)
Vannah & Vannah

Rob Graham

Graham may be the first actual television star attorney we have in this tournament. He has "appeared or consulted on numerous television news or documentaries” as a legal expert, including several episodes of
Wednesday, March 25, 2009
If you thought Noel Gage was bad before ...
Brace yourselves ... despite the grief we gave Noel Gage for his Medical Mafia antics, we never thought he would stoop this low. Monday, March 16, 2009
March of the Morons
You may recall Mark Kabins as the doctor from the Noel Gage saga whose lack of immunity led Judge Quackenbush to dismiss the case. Prosecutors refused to offer Kabins immunity because they had not yet decided whether to file charges against him. Well, it looks like they have made their decision. A couple of dozen lawyers from firms which have raked in tens of millions of dollars working with assorted medical mafia suspects, including Dr. Kabins, showed up to escort the Las Vegas surgeon after he entered his plea to fraud and conspiracy charges.
When they came out of the courthouse, they formed into sort of a phalanx around the doctor, in part to keep [reporters] away from him. They moved as one, almost like a military unit ...
As the Kabins posse moved down the sidewalk, the surly lawyers did their best to look like tough guys -- like hired goons sent to bust up the dockworkers union, except it's hard to look too tough when your nails are manicured and you're wearing $1,000 suits.So, who were these "surley lawyers?" Exactly who you would expect:
A lot of them work for Robert Eglet, whose law firm made millions with Dr. Kabins and alleged medical fixer Howard Awand. Eglet once compared the federal investigation of crooked lawyers to the Nazi extermination of Jews.
One man pointing directions is lawyer John Spilotro, whose family name is well known in the history of the Las Vegas mob. John represented Rocco Lombardo, brother of Chicago mafia boss Joey the Clown.
Another braying victim of our lone cameraman is G. Dallas Horton, personal injury lawyer, who once sued a flower bed for causing a car accident.
BONUS ROUND
Wednesday, July 16, 2008
Wed Roundup
After listing every attorney in the Vegas Valley with five years experience yesterday as Superlawyers today will be a lighter day of posting.By the way, curious about the criteria to become a Superlawyer? You can read about their selection process here.
Apparently, the U.S. Attorney's office didn't get the memo that a mistrial of a [allegedly] crooked attorney who cheated his clients and conspired with doctors means that the attorney is "vindicated". The U.S. Attorney's office announced it will be appealing the dismissal of the Noel Gage trial. (Review-Journal) [oh well, Noel, at least this will give you a few more months to tell the Review-Journal that the government is attacking you because you're a champion of the people]
Meanwhile, the doctor that took the stand to testify about how he conspired with Noel Gage and "consultant" Howard Awand will lose his license. (Las Vegas Now) [The Nevada State Bar might want to take note since Noel Gage is still practicing law]
An article about Christensen Glaser details their pilfering of talent from other firms to build their Vegas office. (Las Vegas Business Press) [not new news to WWL readers, who have already about these exploits here]
And today Harmful Error details the 2008 race for Clark County Dist. Ct. Dept. 10 between Ian Christopherson, William Kephart, David Rivers and incumbent Jessie Walsh. (Harmful Error)
Thursday, June 26, 2008
Thurs Roundup
The FBI announced a major child prostitution bust with links to Las Vegas. At least 65 people have been arrested in Las Vegas as a part of Operation Cross Country, including pimps, prostitutes and people soliciting prostitutes. (Las Vegas Now)Congratulations to District Judge Arthur Ritchie Jr. [pictured right], the presiding judge for Family Court, who has been named new Chief Judge for the Eighth Judicial District Court. (Review-Journal) In other court personnel news, congratulations to Edward A. Friedland, Esq. who has been selected to serve as the Court Executive Officer and Clerk of the Court of the Clark County Courts. (Harmful Error)
Parents whose 4 yr-old with a genetic disease died after they him left alone in their SUV are facing murder charges. (Review-Journal)
Before his Public Defender could talk to him, a man accused of robbing and beating Oakland Raiders receiver Javon Walker alleged in open court that police pressured his fiance to press charges against him in a domestic violence case. (Review-Journal)
The Nevada Supreme Court will take up the issue of whether term limits for state and local officials are constitutional. Under the current term limits, those who have served for 12 years in office can no longer run for office. (Review-Journal)
Las Vegas Police detectives have submitted a felony case against a well-known tag crew member to the district attorney’s office as a suspect in the graffiti outbreak at the Regional Justice Center. (Las Vegas Sun)
An editorial suggesting that a Clark County Baliff's tasering of a 23 yr-old audio-video technician for the entertainment/education of kids might not have been a good idea. (Las Vegas Sun)
After 25 years of serving the City of Henderson, Police Chief Richard Perkins is retiring. (Las Vegas Now)
In Carson City, an attorney with only 8 yrs of experience is running for a District Court Judicial seat, claiming the requirement that judicial candidates must be licensed for at least 10 years doesn't apply to him because he was licensed before the law went into effect. (Nevada Appeal)
Congress will not be rolling back the Internet gambling ban this year after a House committee deadlocked on an amendment to prevent federal agencies from completing the new rules until the agencies defined "unlawful Internet gambling." (Review-Journal)
An international defense contractor accused of attempting to bribe an Army office is on the loose after cutting his electronic monitoring bracelet and disappearing. Some Assistant U.S. Attorneys are questioning Magistrate Judge Lawrence Leavitt's decision to allow the suspect to remain under electronic monitoring at a friend's home. (Las Vegas Sun)
In Ireland, the lethal toxin Ricin was found in the prison cell of a former Las Vegas poker dealer accused of conspiring with a Clare woman to kill her partner and his two sons. (Breaking News)
Knapp details the legal wrangling that led to a dismissal in the Gage trial while pointing out the absurdity of Gage's claim of being "vindicated" after 8 of 12 jurors in an earlier trial said he was guilty. (Las Vegas City Life)
District Judge Herndon unsealed the three year old malpractice suit against Judge Miley. (Review-Journal)
Finally, Congratulations to Las Vegas lawyer Aaron D. Lovaas who has been named by Mountain States Super Lawyers magazine as one of the top business litigators under 40 in the state of Nevada. (PR Web)
