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Archives for : Florida Board of Osteopathy

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

FL PDMP Utilization Data September 2014

FL PDMP Utilization Data Sept 2014

Florida:
Please look at the very poor compliance rates of our PDMP (E-FORCSE).
1. Pharmacists are mandated to enter patient prescription data, but not review the patient prescription history.
2. Physicians have NOT been mandated to do either, enter or review.
3. FL Attorney General Pam Bondi secured funding to keep the PDMP up and running. 
How effective can this be if it is not being used? (Keep in mind it does not cost any money for any prescriber or dispenser to use this data base.)
This is proof that Florida continues to contribute to the now national PHYSICAN prescribed drug epidemic.
FL Pharmacists are mandated to be registered and enter data; 44.49% compliance. 
The health safety of Florida citizens continues to be at risk as do the lives of our seasonal citizens that come from Canada and many US states.  In addition, our Veterans are also at risk.
Please contact your Senators and Representatives today and let them know that this is unacceptable.
To find your FL Senators:
To find your FL Representatives:
Help us make a difference by making the calls and/or email this data to your senators and representatives – copy and paste – keep it simple.
Please just do it!