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Pill Mill Closed: Doctors STILL Practicing Medicine

Clinic owner charged with running $15 mill. pill mill

Wellness Center of Broward is closed.  But, guess who still retains the privilege of practicing medicine in the state of Florida today 10/23/14?

Dana Richard, DO and George P Jones, MD.

Dr. Richard was previously disciplined for over-prescribing narcotics.

Dana Richard, DO  Dana Richard, DO

This PHYSICIAN prescribed drug epidemic will never end until the FL Medical and Osteopathic Boards do their job, and uphold their mission of “protecting the public health safety of FL citizens”.

 The owner was extradited to Kentucky – yet the physicians are still practicing medicine.  You can’t have a “pain clinic/wellness center/urgent care center without a PHYSICIAN.

The PHYSICANS are the root of this national epidemic.

Joel Shumrak
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The owner of a South Florida pain clinic is accused of writing prescriptions for trouble, supplying out of state dealers and drug addicts with some popular pain pills. Investigative reporter Carmel Cafiero has the exclusive.

FORT LAUDERDALE, Fla. (WSVN) — According to federal authorities, $15 million in pain pills traveled through the Pain Center of Broward and into the hands of addicts and drug dealers in Kentucky.

7Skyforce hovered over the scene on Tuesday as the Fort Lauderdale clinic was raided and the clinic’s owner, Joel Shumrak, was arrested. The 66-year-old is accused of running a pill mill.

Carmel Cafiero: “Good morning. Are you Mr. Shumrak?”

Joel Shumrak: “No.”

Carmel Cafiero: “You’re not?”

It was 2012, and it was Shumrak. Carmel Cafiero was questioning Shumrak about Dr. Leonard Haimes, who worked for Shumrak until the doctor’s license was suspended.

The state accused him of prescribing more than 10,000 highly addictive oxycodone and other pain pills to five patients.

Cafiero: “I’d like to talk with you about Dr. Haimes and the suspension.”

Shumrak: “I can’t talk about Dr. Haimes.”

Cafiero: “Why not? This is your clinic. He’s been accused of failing to…”

Shumrak: “Dr. Haimes doesn’t work here anymore.”

Cafiero: “Right, but he was working here when the state claimed.”

Haimes’ license was later revoked, but Shumrak continued in business, until now.

“Thank you, God, that the DEA in Kentucky worked in conjunction with our DEA, federal and closed them down,” said Janet Colbert of  STOPP Now, a group that rallies against pill mills.

Activists have protested at the clinic for years and consider Shumrak’s arrest a success.

Maureen Kielian, also of  STOPP Now, asked, “My question now, this clinic’s closed, what about the doctors? Because you can’t have a pill mill without a physician. They are the root problem. Florida has failed its citizens.”

The clinic was accused of causing the overdose deaths of two of those citizens. Heather Belleme and her boyfriend, Chance Wilson. The claim was settled, but the families’ attorney thinks the clinic should have been closed long ago. “How was he permitted to operate this clinic on a federal highway for three years after my clients had died?” said Attorney Jeffrey Fenster. Federal authorities have seized Shumrack’s assets, including 43 bank accounts, three cars and his Boca Raton home. The business is closed, and there is an eviction notice on the door.

Today (6/5/14) the only ones celebrating are activists who worked to get the clinic closed.

Shumrak will be sent to Kentucky to face the charges. His attorney said his client is pleading not guilty.

LINK:  http://www.wsvn.com/story/25706925/clinic-owner-charged-with-running-15-million-pill-mill

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image006DSCN1206Maureen pic for websiteIMG_8637

A doctor’s office with an armed security guard is

“good medicine”?

Yep, that’s Florida!

 

 

pen

facebook cover photo

 

 

“You sold your souls to the devil Ms. Blackburn and Mr. Marino — at the cost of loss of lives in the tens of thousands to addiction and death. “

Congressman Tom Marino (PA) and Congresswoman Marsha Blackburn (TN) “prescribe” Walgreens be unaccountable for errors in loss of lives… Why?

“Representatives from Stoppnow attended the Fed Up Rally in Washington, DC last month and scheduled a meeting with Congresswoman Marsha Blackburn (TN) to discuss a bill co-sponsored by the congresswoman — HR 4709. The bill was sponsored by Congressman Tom Marino (PA) and passed unanimously in the House of representatives and is on its way to the Senate.”

LINK: http://www.globalnewscentre.com/congressman-tom-marino-pa-and-congresswoman-marsha-blackburn-tn-prescribe-walgreens-be-unaccountable-for-errors-in-loss-of-lives-why/#more-4726

(10/20/14)

Making Change

Stoppnow attended the Fed Up Rally this weekend,September 28th 2014 and marched to the White House. Much needs to be done as evidenced by the 2000 in attendance and those also suffering loss that weren’t able to attend. The reception was held Saturday 9/27/14. As they were showing pictures of lost loved ones I could hear sobbing and visually see uncontrollable shaking from the person sitting next to Maureen. It turned out to ba a young man. Mark was there from Massachusetts with his sister. They had just lost their mother 4 weeks earlier. Mark said that the pills are still coming from Florida.
We had scheduled meetings with offices of Senators and Representatives. One must wonder where the Surgeon General is in all of this. The CDC has named the prescription drug deaths to be a national epidemic for years now. gone are the days when we had a Surgeon General speak out against irresponsible companies “Big Tobacco”. Rear Admiral Boris D Lushniak,MD.,MPH., is acting Surgeon General since 2013, no permanent appointment has been made;But he is Not Acting like a Surgeon General. He is silent.
I must share one meeting that we had with Karen L Summar, MD,MS Legislative Assistant to Congressman Blackburn 7th District Tennessee U.S. House of Representative. I asked Karen Summar if she could explain HR 4709 co-sponsored by Representative Blackburn and sponsored by Representative Tom Marino 10th Congressional District Pa.(HR 4709 passed unanimously in the House). And that we feel it ties the hands of the DEA. She stated that if a pharmacy makes one mistake then the DEA is taking away their license. I asked if she could give us one example since this is not the case in Florida. I had files with me pertaining to Walgreens and their Jupiter Distribution Center. They were cited for clear diversion of prescription drugs.

Oxycodone Purchases by Dosage Unit

Location                                   2009                                  2010                            2011

Hudson,Fl                             388,100                            913,900                       2,211,700

Ft.Myers,Fl                              95,800                              496,100                  2,165,900

Oviedo,Fl                               80,900                              223,500                     1,684,900

Port Richey, Fl                     344,000                              849,000                     1,406,000

Ft. Pierce,Fl                          250,000                             881,400                      1,329,600

Ft Pierce, Fl                          153,500                               507,100                 1,192,000

All of the above are still licensed.  In addition I stated that I had put one in particular aside for Representative Blackburn as it directly relates to her bill.  The Walgreens customer was issued too many pills. The store called the individuals house in an attempt to retrieve the pills.  The store was told by the customers girlfriend that he is a drug dealer and is out selling the pills and he told his girlfriend that he hit pay dirt today. Despite this incident the pharmacy continued to fill his prescriptions. Ms Summar took that Walgreens report. Maureen asked her how she felt about the PDMP. I said that we would like it to be mandatory. She abruptly stood said this meeting is over and left. The meeting lasted less than 5 minutes and was hostile in nature. It was very bizarre and as we gathered our things and walked out she was nowhere to be found.

The Bill is now in the Senate as S-2862 sponsored by Senator Whitehouse and Senator Hatch, changes have been made and it is an improvement over HR 4709 however it is still compromising to the DEA.

We met with the DEA in Arlington, Va on Wednesday October 1st.  What a welcome change, totally different tone. We were with them from 930a-12p. One of their requests of us was to help Legislatively and specifically mentioned Representative Blackburns and Representative Tom Marino of Pa. Bill HR 4709 I explained all of the above.  Maureen is sill in Pennsylvania for a few more days and has been unable to be granted a meeting with Representative Marino’s office

We will be having a follow-up conference call with DEA today.  My goal is still to reduce production. We do not need 114 tons of pills.

I ask all of you to contact your state Surgeon Generals office and request to have the 5th vital sign, that of pain (paid for by pharmaceutical) to be revisited. There does not need to be a standing order for a 30 day supply of opiates for a post-op patient nor for a large amount of them being prescribed by dentists after extraction of wisdom teeth.The public perception of those not touched by this epidemic is to trust their doctor and take as prescribed. They are not  aware that this is a highly addictive drug.

Stay tuned

Position Statement: FL PDMP and “Controlled Substance Prescribers”

9-8-14-revision_stoppnowControlled Substance Prescriber Definitio1

Problems with FL state board disciplining docs

 

This is why FL became known and is known as the OxyExpress.

Mike Deeson, WTSP 7:11 p.m. EDT September 12, 2014

http://www.wtsp.com/story/news/investigations/2014/09/12/problems-with-florida-board-of-medicine-disciplining-doctors/15531799/

 

St. Petersburg, Florida — It should come as no surprise the Florida Board of Medicine ranks as one of the worst in the country for disciplining doctors. Last year, 10 Investigates looked at the Board’s record and found it to be abysmal.

Related Story: Despite malpractice settlements, few docs lose licenses

During our investigation, 10 Investigates looked at how the Florida Board of Medicine appeared to be reluctant to discipline or pull a physician’s license even in the most egregious cases.

A prime example is Dr. Gunwant Dhaliwal who we first reported fondling patients’ breasts in 2007. Dhaliwal was first accused in 1999 of doing the same thing. Despite the fact several victims came forth and Dhaliwal was arrested, convicted, served time in jail, and was ordered to pay $800,000 in a civil lawsuit, the Board didn’t hear his case until last year. At that time, only one member of the Board, Dr. Jason Rosenberg argued that Dhaliwal should never be allowed to practice medicine in Florida again.

Rosenberg said at Dhaliwal’s hearing “He [Dhaliwal] was convicted of a crime we consider heinous we should revoke his license. Nothing else is acceptable.”

When he saw his fellow board members were reluctant, Rosenberg said, “What are we telling the citizens of Florida. Your doctor fondles your breasts, gets deprived of his liberty after his day in court and now we’re going to go back and let him practice. Wrong message!”

However, instead of stripping Dhaliwal of his license, the Board suspended him for six months, gave him a $10,000 fine and he is practicing once again in Pasco County under probation. The only restriction is that Dhaliwal must have a licensed female health practitioner chaperone him when he examines a female patient, and the female practitioner has to document she was there in the patient’s records. Otherwise, it’s business as usual for Dr. Dhaliwal and that’s fine with the Board.

Last year, 10 Investigates looked at the Florida Board of Medicine’s record disciplining doctors and found it to be abysmal. WTSP

Despite malpractice settlements, few FL docs lose licenses

This is the root of the problem.  You can not have a pain clinic without a physician.
http://www.wtsp.com/story/news/health/2014/09/12/despite-multiple-malpractice-payouts-doctors-often-keep-practicing/15530643/

Ben Eisler and Mark Strassmann, CBS News 6:02 p.m. EDT September 12, 2014

(CBS News) Dr. James Dunphy met his wife Susie in college. They went to medical school together, got married and had two sons. On a family trip to Florida in 2009, Dr. Susie Dunphy was diagnosed with appendicitis. She had emergency surgery; two days later the 42-year-old bled to death in her hospital bed.

James Dunphy said the hardest part was breaking the news to his two young boys.

“I told them it would be okay, and that I would be their mom and dad now,” Dunphy said.

In the weeks after her death, Dunphy reviewed his wife’s medical file. What he read convinced him that her doctor could have prevented her death. He said his wife’s blood pressure had been critically low for hours after the surgery. But no lab tests or imaging studies were ordered to see what was wrong.

“These are the kind of vitals that anybody with basic training can recognize as abnormal,” Dunphy told CBS News.

Dunphy sued his wife’s surgeon for failing to adequately monitor her after the procedure, blaming him in part for her death.

The surgeon, Dr. Ernest Rehnke of St. Petersburg, denied wrongdoing. But he settled the case for $250,000 – the maximum his insurance policy would pay for a single claim.

A review of Florida records by CBS News found Rehnke has had 11 medical malpractice lawsuit payouts since 2000 – tying him for the most of any practicing physician in Florida. Yet the Florida Board of Medicine, which is responsible for stopping dangerous doctors from practicing, has never restricted his license.

CBS News investigates effectiveness of state medical boards at stopping dangerous physicians. CBS News

CBS News then looked at the 25 doctors with the most malpractice payouts in Florida. CBS News found just four of them lost their licenses – and three of those four only lost them after they had been arrested and charged with either drug trafficking or billing fraud. The fourth lost his license after he failed to comply with the terms of a lesser punishment. In other words, not a single one of them had been stopped from practicing solely for providing poor medical care.

A malpractice payout can come as a result of a judgment or a settlement – though most come from settlements.

Dr. Sidney Wolfe of the watchdog group Public Citizen said the findings show the Florida Board of Medicine is not doing its job.

“When you look at these doctors with the largest number of malpractice suits, you have to ask the question — at what point could we have prevented the last five, or the last ten?” he told CBS News.

Wolfe said it’s a problem found not just in Florida. He has published studies on state medical boards nationwide. He said many of them are failing to protect patients. His latest report found that from 1990 to 2009, more than half the doctors in the U.S. who had their privileges restricted or revoked by a hospital had never even been fined by their state medical board. He said hospitals generally only go after the most dangerous physicians.

Public Citizen has also ranked medical boards based on the number of actions taken per physician in their state. Those with the most: Ohio, Oklahoma and Alaska. Those with the least: South Carolina, Minnesota, Wisconsin and Florida.

About a year after Susie Dunphy’s death, her husband received a letter in the mail from the Florida Board of Medicine. It said the agency had investigated his wife’s case and found no basis to file a complaint against Rehnke.

“I thought it was unbelievable,” Dunphy said. “I teach medical students. This is something so basic I would expect my medical students to recognize this is not normal…It makes me wonder if they even reviewed the case.”

The Florida Board of Medicine declined CBS News’ repeated requests for an interview. Last month CBS News even went to the agency’s public meeting in Orlando, but no one would agree to talk with CBS News. In a statement, a spokesperson wrote, “[we] must follow the due process of law in order to ensure the rights and entitlements of all parties to any action…The department is diligent in its efforts to ensure the public is protected from unsafe or unscrupulous health care practice.”

Rehnke also would not give CBS News an interview or even a statement.

Elected officials in each state have oversight over their medical boards. In Florida, State Senator Jeremy Ring, chairman of the Government Oversight Committee, said that as a result of our reporting, he will introduce legislation to improve the board’s ability to protect patients.

You can look up malpractice payouts made on behalf of Florida doctors here.

MORE: Problems with state board disciplining docs

Maureen and I did some traveling this week

We met with DOH, chief Bureau of Enforcement. He recognizes the need to restructure the DOH to better investigate and discipline/remove bad doctors. We have faith in his ability and will remain in touch. We spoke about the need for DEA to reduce the production amount in order to save lives and the DOH part in this to make sure the bad doctors are eliminated from our system. He informed us that CVS and Walgreens have placed self-imposed quota’s already We are going to try to quantify this before going to Washington as this information will help our cause.
We also scheduled meetings to garner support for the Bill Senator Eleanor Sobel has agreed to write to make the PDMP mandatory for doctors to use in Florida and to participate in the inter-state exchange. Many we met with have heard from people in their districts in chronic pain and not being able to get their prescribed opiates. Your Senators and Congressman both state and National must hear from you to tell of the suffering keeping this drug on the market in such quantities is causing.
. Representative Matt Hudson District 80 — met with Legislative Assistant
This meeting was not as positive as we had hoped. The person we met with felt the Fl pill mill situation is solved. Much more concerned with the people suffering from not being able to get their opoiates. (I am including contact information for those of you who would like to share your view 239 417-6270 E: sheila.jackson@myfloridahouse.gov
.U.S. Congressman Vern Buchanan — Met with District Director who expressed a great interest in the information we shared. She too, as all have heard from the chronic pain sufferers but also from mothers that have lost children due to the presciption drug epidemic. We would like Vern Buchanan to support S-1657 and also to direct us regarding the Senate Investigation letter of Purdue Pharma which continues to sit in the Finance committee And no investigation is taking place. We will continue to be in touch with this office and believe the help we seek will not be ignored. 941 951-6643 Sally.Tibbetts@mail.house.gov
.Senator Jack Latvala— Met with Legislative Assistant. She also has heard from both sides and is able to view problem with empathy. She was very helpful to us and will review information we spoke of with the Senator. 727 793-2797 caddell.tracy@flsenate.gov
.Senator Maria Sachs We had a scheduled meeting on Monday June 30th 2014 at 2p. She stood us up. We spent 45 minutes with her aid and left much information asking for her support to strengthen the PDMP. Her aid apologized to us stating that she said she was going to be there. There has been no follow up to date.
.Ellyn Bogdanoff will be running against Maria Sachs in November. We have a meeting scheduled with her on Monday.
. Joe Kaufman who is running for Congress against Debbie Wasserman Schultz. This would be a big upset but we would have someone in office who would be supportive of our efforts. He spent time with us and listened to all our needs.
*** We have meetings scheduled in Washington DC when we will be there to support the FED UP RALLY
Senator Manchin’s office, Senator Feinstein’s office, Senator Grassley’s office, Senator Udall’s office, Representative Blackburn’s office and thanks to a mom from Kentucky, Emily Walden, a meeting with the DEA in Arlington Va.

Stay tuned

FYI:  Florida: (August 12, 2014) Congressman V. Buchanan’s Safe Prescribing Act has been co-sponsored by over 50 bipartisan members of Congress including five distinguished Committee Chairmen.
“Today’s announcement is a win for every man, woman, and child who has endured the horrors of prescription drug abuse,” said Buchanan, the House sponsor of the Safe Prescribing Act of 2013 (H.R. 1285). “We are one giant step closer to curbing an epidemic that wreaks havoc on countless families and communities across our state.”