James Alan Bush

1211 East Santa Clara Street, Apt. 4

San Jose, CA 95116
408-685-4049
theoknock@gmail.com

September 8, 2015
Clerk of the Board of Supervisors, County of Santa Clara
70 W. Hedding St., East Wing, 10th Floor
San Jose, CA 95110
To the Clerk of the Board of Supervisors for the County of Santa Clara:
Please be advised that I have retained counsel in a pending legal claim against Dr.
Lawrence Crapo, Endocrinologist, who is now retired from Santa Clara Valley Medical
Center. This letter serves as notice of that claim, and summarizes it accordingly:
Dr. Crapo, the physician that is the subject of the potential suit and, at the time the injury
occurred, the only endocrinologist provided by and through my medical insurance
provider, is not only withholding essential prescription medication needed to treat a
serious, chronic condition (hypogonadism), but which is also needed to treat a terminal
one (HIV), and has been caught in the act of falsifying medical data to justify it. The
treatment involves a prescription for testosterone cypionate, which, over the past 15 years
since my diagnosis, has been essential to sustain both my mental and physical health.
Without it, I experience a variety of serious symptoms that do not decrease over time, and
which are known to indicate a shortening of my expected lifespan and an appreciable,
visible and quantifiable diminishing of overall health and appearance. These symptoms
include, but are not limited to, sudden and drastic weight loss, interminable diarrhea,
depressed immune function, and suicidal tendencies (I was hospitalized twice for suicide
attempts during the only two times my therapy was discontinued in the past). It also
adversely impacts my ability to fight HIV/AIDS, which has progressed into the AIDS
stage since the time of the injury incurred at the hands of Dr. Crapo.
While taking (or resuming) the medication at the previously prescribed dose of 1ml 200
mg/mL every four days, those symptoms do not occur (or are abated) entirely, and there
are not now, nor have there ever been, any side effects from my medication. These facts
are substantiated by a plethora of blood tests and experiments conducted by over a dozen
different doctors since 2004, some even by Dr. Crapo himself. At one point in time, each
and every doctorincluding Dr. Crapoconcluded that the diagnosis is a permanent
one, and that the dosage at which it has been prescribed (most recently being last month)
was the correct one.

Prior to my exam by Dr. Crapo in June 2015, a blood test to check testosterone levels was
conducted by the referring physician after a month of cessation. That test further
confirmed the diagnosis, as well as the continued need for treatment; however, during my
first visit to Dr. Crapo that same month, I was required to inject a dose in his presence,
and then take a blood test immediately following said injection. After a single dose, the
test results understandably showed a high level of testosterone; however, instead of pacing
the decline of levels during an ensuing period of cessation, Dr. Crapo chose to conclude
that my gonadal dysgenesis (birth defect) and testicular contusion (irreparable bodily
injury) had somehow miraculously cured themselveseven while no known cure exists,
and even while spontaneous regeneration of damaged body tissue is not known to occur
in humans. Moreover, LH and FSH tests conducted by Dr. Michelle Wilson just a couple
of months prior to my initial consultation with Dr. Crapo conclusively indicated pituitary
gland malfunction, which is also irreparable, thereby warranting and justifying
testosterone therapy per any physician or modern treatment guidelines.
At the time Dr. Crapo informed me that the medication was no longer needed, neither he
nor Dr. Wilson mentioned the testing of LH and FSH levels, referencing only the test of
testosterone levels immediately following an injection, a test that was never conducted,
and one test further that showed my levels having been depleted to the low-end for an 85year-old male (versus a 42-year-old one).
As to the test that was never conducted: I was unable to take it due to my hospitalization
over medical issues created by the prolonged cessation; however, at an appointment
subsequent to the second order for a blood test, Dr. Crapo stated that I had taken the test
when, in fact, I had not taken the test at all. In spite of this, he stated further that the test
indicated that my level of testosterone had not abated at all since the first test taken
immediately following an injection, even after three weeks of cessation (even high
testosterone levels come down eventually).
This physically impossible claim by Dr. Crapo alone suggests that he falsified the existence
and results of a blood test that yielded such results, even in the absence of my denial that
I ever took the test.
Yet, I proffer another fact in support of that allegation, particularly, a statement made by
a VMC lab technician, who confirmed that the test never was not conducted. I proffer
two video recordings that, together, show the aforesaid doctor lying about the blood test
results in question, which I believe he intended to use (and has, in fact, used) to justify his
actions should they be called into question. One video shows the lie being told by the
doctor, and the other shows the lie being revealed by a VMC lab technician. These videos
can be viewed at:
http://demonicactivity.blogspot.com/2015/08/dr-crapo-lies-gets-caught-in-same.html
I believe this to be sufficient proof of my claim, particularly when combined with the
plethora of documented circumstances preceding it, also available online. Proof is also

found in the history of litigation between me and Dr. Winslow, another VMC doctor, who
interrupted my treatment after having emphatically stating to me, Youre not going to
get high on testosterone while youre in jail. I believe my current circumstance is an
extension of that very same sentiment. Dr. Crapo has intimated at least twice in the past
that he does not "enable" the lifestyle of a "disease-spreading drug addict," and that the
health and well-being of such persons should be strictly denied.
I disagreeboth as to the wrongfully applied label (I have been in custody for four out of
the past six years; drugs are not the issue), and as to the duty and discretion of a doctor in
regard to proper and adequate medical care of patients, and his ethical duty to be
truthful.
The recently retained Mr. Joseph Nazarian, Attorney-at-law, disagrees, as well, and is
actively researching the possibility of legal action against Dr. Crapo and the County of
Santa Clara; even still, the seemingly complicated series of events and circumstances
giving rise to this claim are easily and simply summarized and resolved accordingly: a sick
man needs his medication, and he's being denied it without options; he wants what he and dozens of other
doctors knows to work, and he wants it now, as time is of the essence for HIV/AIDS patients.
Accordingly, I am requesting that requested and required medication be provided
immediately, and that an ethical alternative to Dr. Crapo be provided just as quickly. You
are requested to advise any options appropriate and available to me in order to preclude
any legal action, and to mitigate the damages and injury now being incurred as a result of
Dr. Crapos failure and refusal to treat my serious condition.
Following are companion issues to the primary issue presented herein this letter, which are
relevant to the consideration and handling of this claim:
The lack of choice in medical insurance providers is due to the negligent handling of
inmate correspondence by the County of Santa Clara Office of the Sheriff, who failed
to deliver to me a written notice sent by Medi-Cal, informing me that if I failed to
indicate my refusal to transfer my medical insurance to a managed care provider, e.g.,
Santa Clara Valley Health Care Plan, within the requisite time expiry, such a provider
would be chosen for me, absent consent and notice. This failure by the aforesaid law
enforcement agency prohibits choosing any other endocrinologist.
Multiple requests over the past year for a referral to an HIV/AIDS specialist at VMC
have been made to no avail. This is tantamount to the unlawful denial of proper
medical care, in that no VMC doctor is willing to provide any treatment for my lifethreatening condition, and no specialist is willing to provide treatment at VMC.
In the past, a criminal complaint was filed against MaryAnn Barry and Neysa Fligor,
also two Santa Clara County employees, in regards to an unrelated issue; and, an incourt allegation of dishonesty was made against Marcy Berkman, also a county
employee. None of these persons should be appointed to evaluate or process this claim
due to the readily apparent conflict of interest.

Respectfully yours,

James Alan Bush

c: Joseph Nazarian, Attorney-at-law, 27871 Encanto, Mission Viejo, CA 92692