Archives for : Purdue Pharma
During this physician “disciplining” (lack of) meeting where we held a “peaceful protest”, Pill Mill doctors set free with little to no reprimands to their licenses, a physician who committed automobile insurance fraud was denied reinstatement of his license, and a physician who committed Medicaid fraud had his license reinstated.
Investigative reporter Carmel Cafiero is on the case.
WSVN (Channel 7)– The Florida Board of Medicine has given a license back to a local doctor with multiple DUI’s and a grand theft conviction involving hundreds of thousands of taxpayer dollars.
So, regardless of the “public health safety issues”, we now have a convicted physician felon practicing medicine in our state. Yes, it appears that if you have an outstanding felony background, you can practice medicine in Florida. Yet, non-physician Floridians, with a felony background can even get a job at McDonald’s.
Alert for FL physicians: do not commit auto insurance fraud because you will loose your medical license, but you can commit Medicaid fraud and still keep your license. And that is how we roll in FL, by NOT “protecting the public health safety of FL citizens”. Any question why FL remains the best state to practice grossly negligent medicine?
FYI, Florida is #1, once again, for the top prescribing/dispensing of Dilaudid (hydromorphone). Pill Mills (Urgent Care Centers) alive and well, just under the radar.
As long as the physician retains their license, this man made(Big Pharm) physician controlled CDC declared fatal narcotic epidemic will continue.
More than 101 physicians who worked at the 189 now closed/administratively revoked/voluntary surrender Broward County “pain management clinics” still have a clear and active medical license.
This is a “doctors” office?
Yes it is, in Florida.
The self regulated FL physician community did nothing and continue to do nothing. Its very obvious, since 2009, that this is “acceptable standards of medical practice”. FL physicians must endorse this type of medical practice, as the PILL MILL physicians continue to maintain the privilege of practicing medicine in our state. Verified by the lack of disciplinary performance by the medical boards.
Why and how does ensuring “quality medical standards” and “ensuring the public HEALTH safety of FL citizens” become the job of law enforcement?
It is NOT their job, it is the job of the governor appointed medical boards, and the DOH/MQA.
They and the governor have failed to uphold this stated mission,
allowing lives to be destroyed and allowing fatalities to continue.
In addition to the destruction of FL lives and families, lives and families along the “OxyExpress”
have been lost and devastated due to FL physicians.
The minimum requirement to run a Pill Mill is a PHYSICIAN
“The affiliated VIP Pharmacy was, authorities said, dispensing more oxycodone than any other retail pharmacy in the nation — more than 27 times the amount sold by the average Florida pharmacy and 49 times the national average. A lone doctor labored inside the clinic to accommodate the demand from drug seekers, many from other states including Ohio, Tennessee and Kentucky.”
Pill Mill Owners Turn Snitch to Cut Jail Time
A pain management doctor in Pinellas Park is facing the possibility of spending the rest of his life in prison after three people died because he prescribed them drugs they didn’t need, the Tampa Bay Times reports.
Dr. Edward Neil Feldman was arrested Tuesday and charged in three counts tied to the deaths. He and his wife, Kim Xuan Feldman, are also being charged with five counts related to drug conspiracy, money laundering, and other illegal financial transactions, according to the Times.
According to the FL DOH, Dr. Feldman has 3 Administrative Complaints (from the public) dating back to 2010. All 3 complaints are about him over prescribing oxycodone, otherwise known to the general public as running a Pill Mill. He is a “controlled substance prescriber” and a “dispensing practitioner” with a clear and active medical license. (Dispensing narcotics from a physician office became illegal during the 2010 legislature – thanks to Senator Fasano)
LINK to complaints NOT yet heard by the FL Medical Board after an almost 5 year delay:
What has the FL Board of Medicine done? Nothing as usual even though their mission is to “protect the public health safety of FL citizens”. Nor has the FL Surgeon General John Armstrong done anything. He has the power to emergently suspend a physician license if “lives are in imminent danger”.
Florida is, and will remain the Pill Mill Capitol of the US. This is the reason why FL is not seeing a big spike in heroin deaths like other states – because the Pill Mills are still here!
One can conclude that the governor appointed medical boards are fully responsible for this PHYSICIAN prescribed drug epidemic whose epicenter is Broward County. It is now a national, CDC declared epidemic, morphing into a heroin epidemic. But keep in mind, there are more deaths from PHYSICIAN prescribed drugs than heroin. Let’s keep our eye on the ball – the PHYSICIAN,
And, the FL PDMP (E-Forcse) is not mandatory for physicians to use – see previous blog. REALLY? Nor will Senator Sobel, or any Senator for that matter, step up to the plate to protect the citizens they represent. Shameful!
More FL licensed physicians still practicing medicine with 53 deaths associated with their medical practice:
Florida: Home of the largest Pill Mills in the US
Joseph Castronuovo, MD: https://appsmqa.doh.state.fl.us/IRM00PRAES/PRASINDI.ASP?LicId=101304&ProfNBR=1501
Not only SHAMEFUL but CRIMINAL!
On Friday, December 5, 2014, the Florida Board of Medicine said “YES” to a Florida physician who was asking permission to prescribe naloxone to his patient at risk of opioid overdose, for administration by a third party to that patient, via… intramuscular(IM) kits, off-label intranasal (IN) kits, or auto-injector.
Florida takes a HUGE step!
It has been a lot of work since our little One Spark project, but it has been worth every blood, sweat and tear.
Thank you, doctors, for exhibiting tremendous courage!
Florida’s PDMP, E-Forcse has been in operation for @3 years.
Only 12% physicians are voluntarily complying.
Florida, particularly Broward County,
is the epicenter of this now national opioid epidemic.
It appears that the “epicenter” and “Pill Mill capitol” will remain associated with Florida physicians. FL physicians are not using a tool that has been proven to work.
FLORIDA – Where is the outrage?
FL physicians NOT using a tool that is data proven to save lives!
FL physicians started this problem, and are continuing the problem!
“Dispensing” practitioners are required to enter the script information into the PDMP.
Urgent Care Centers are popping up left and right. In fact, across the street from each other. Yes, they can dispense narcotics. Are they using the PDMP as required? Who is checking dispensing physician practitioners compliance? And, what are the ramifications of non-compliance? Will their license be in jeopardy? Of course not. That’s how the FL “governor” appointed medical boards roll in Florida.
Pill Mill Capital /OxyExpress
Chapter 2 is in full swing.
Purdue Pharma marketing tool for their fatal/addictive prescription drug OxyContin.
4/5 heroin abusers started with physician prescriptions.
When will this US Senate Investigation be complete?
Lives continue to be lost and addiction is proliferating. We have been at an epidemic status for years. How many more lives will this cost until this investigation is completed? This is simply unacceptable to the citizens of the United States. The citizens you are charge to protect. The public health safety of the United States continues to be jeopardized by this inaction.
May 8, 2012
John H. Stewart
President and Chief Executive Officer Purdue Pharma L.P.
One Stamford Forum 201 Tresser Boulevard
Stamford, Connecticut 06901-3431
Dear Mr. Stewart:
As Chairman and a senior member of the Senate Finance Committee, we have a responsibility to the more than 100 million Americans who receive health care under Medicare, Medicaid, and CHIP. As part of that responsibility, this Committee has investigated the marketing practices of pharmaceutical and medical device companies as well as their relationships with physicians and non-profit medical organizations.
It is clear that the United States is suffering from an epidemic of accidental deaths and addiction resulting from the increased sale and use of powerful narcotic painkillers. According to CDC data, “more than 40% (14,800)” of the “36,500 drug poisoning deaths in 2008” were related to opioid-based prescription painkillers.1 Deaths from these drugs rose more rapidly, “from about 4,000 to 14,800” between 1999 and 2008, than any other class of drugs,2 killing more people than heroin and cocaine combined.3 More people in the United States now die from drugs than car accidents as a result of this new epidemic.4 Additionally, the CDC reports that improper “use of prescription painkillers costs health insurers up to $72.5 billion annually in direct health care costs.”5
In Montana, prescription drug abuse is characterized by the state’s Department of Justice
as an “invisible epidemic” killing at least 300 people per year and contributing to increases in addiction and crime.6 According to the Milwaukee Journal Sentinel/MedPage Today, a “network of national organizations and researchers with financial connections to the makers of narcotic painkillers helped create a body of dubious information” favoring opioids “that can be found in prescribing guidelines, patient literature, position statements, books and doctor education courses.”13 For example, the Sentinel
reported that the Federation of State Medical Boards, with financial support from opioid manufacturers, distributed more than 160,000 copies of a model policy book that drew criticism from doctors because “it failed to point out the lack of science
supporting the use of opioids for chronic, non cancer pain.”14
In a ProPublica story published in the Washington Post, the watchdog organization examined the American Pain Foundation, a “health advocacy” organization that received “nearly 90 percent of its $5 million funding from the drug and medical device industry.” 15 ProPublica wrote that its review of the American Pain Foundation’s “guides for patients, journalists, and policymakers play down the risks associated with opioids and exaggerate their benefits. Some of the foundation’s
materials on the drugs include statements that are misleading or based on scant or disputed research.”16
In 2003, a GAO report pointed to Purdue’s partnership with the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) as possible means for Purdue to have “facilitated its access to hospitals to promote OxyContin.”17 The report revealed that Purdue “funded over 20,000 pain-related educational programs through direct sponsorship or financial grants” in addition to
funding the Joint Commission on Accreditation of Healthcare Organization’s (JCAHO) pain management programs.18
Although it is critical that patients continue to have access to opioids to treat serious pain, pharmaceutical companies and health care organizations must distribute accurate information about these drugs in order to prevent improper use and diversion to drug abusers.
As part of our effort to understand the relationship between opioid manufacturers and non-profit health care organizations, please provide the following information:
1) Provide a detailed account of all payments from 1997 to the present between Purdue and the following organizations in table format:
i. The American Pain Foundation
ii. The American Academy of Pain Medicine
iii. The American Pain Society
iv. The American Geriatric Society
v. The Wisconsin Pain and Policy Study Group
vi. The Alliance of State Pain Initiatives
vii. The Center for Practical Bioethics
viii. Beth Israel Medical Center, Department of Pain Medicine and Palliative Care
ix. The Joint Commission (and all related entities)
x. The Federation of State Medical Boards
i. Russell K. Portenoy, M.D. – Chairman, Department of Pain Medicine And Palliative Care at Beth Israel Medical Center
ii. Scott M. Fishman, M.D. – Chief, Department of Pain Medicine, University of California, Davis
iii. Perry G. Fine, M.D. – Professor of Anesthesiology, Pain Research Center, University of Utah School of Medicine
iv. Lynn R. Webster, M.D., F.A.C.P.M., F.A.S.A.M. – Medical Director and Founder, Lifetree Clinical Research & Pain Clinic
v. Rollin M. Gallagher, M.D., M.P.H. – Director of Pain Management, Philadelphia Veteran Affairs Medical Center
vi. Bill McCarber, M.D. – Founder of the Chronic Pain Management Program for Kaiser Permanente in San Diego, CA
vii. Martin Grabois, M.D. – President, American Academy of Pain Medicine
viii. Myra Christopher – Kathleen M. Foley Chair for Pain and Palliative Care, Center for Practical Bioethics
c. For each organization or individual identified in 1(a) and 1(b), provide:
i. Date of payment.
ii. Payment description (CME, royalty, honorarium, research support, etc.).
iii. Amount of payment.
iv. Year-end or year-to-date payment total and cumulative total payments for each organization or
2) All documents and communications from 2004 to the present pertaining to the book, “Responsible Opioid Prescribing: A Physician’s Guide,” distributed by the Federation of State Medical Boards.
a. Provide the names, titles, and job descriptions of all employees who collaborated with the Federation of State Medical Boards, Dr. Scott Fishman, or third-party contractors on the development of this book.
b. For each employee identified in 2(a), provide a summary of the work performed pertaining to the book.
3) All documents and communications from 2007 to the present pertaining to the development or changes to JCAHO’s19 pain management standards, including but not limited to communications with the American Pain Society and other organizations involved in developing JCAHO pain management standards.
4) All documents and communications from 2007 to the present pertaining to the development or changes to The American Pain Society’s pain guidelines.
5) All documents and communications from 2004 to the present pertaining to theAmerican Pain Foundation’s Military/Veterans Pain Initiative.
6) All documents and communications from 2007 to the present pertaining to any policies, guidelines, press releases and/or position papers distributed by the American Pain Foundation.
7) All presentations, reports, and communications to Purdue’s management team or board of directors from 2007 to the present pertaining to the funding of and/or collaborations with of any of the organizations or individuals specified in request 1(a) or 1(b).
In cooperating with the Committee’s review, no documents, records, data, or other information related to these matters, either directly or indirectly, shall be destroyed, modified, removed, or otherwise made inaccessible to the Committee.
We look forward to hearing from you by no later than June 8, 2012. All documents responsive to this request should be sent electronically, on a disc, in searchable PDF format to my staff. If you have any questions, please do not hesitate to contact Christopher Law with Senator Baucus at (202) 224-4515 or Erika Smith with Senator Grassley at (202) 224-5225.
Charles E. Grassley Max Baucus Senator
1 CHS Data Brief, No. 81, December 2011 at http://www.cdc.gov/nchs/data/databriefs/db81.pdf.
3 CDC Press Release, “Prescription painkiller overdoses at epidemic levels,” November 1, 2011 at
4 LA Times, “Drug deaths now outnumber traffic fatalities in U.S., data show,” September 17. 2011
5 International Business Times, “Prescription Painkiller Overdoses Cost Insurers $72.S Billion Yearly: CDC,”
November 3, 2011 at http://www.ibtimes.com/articles/242437/20111103/prescription-‐painkiller-‐overdoses-‐cost-‐
6 See the Montana Department of Justice website at http://doj.mt.gov/prescriptionabuse/.
7 Bureau of Business and Economic Research, “The Economic Cost of Prescription Drug Abuse in
Montana”, June 2011 at http://mbcc.mt.gov/PlanProj/Projects/PDMP/Prescription%20Drug%20Abuse%2020110629.pdf.
8 Iowa Governor’s Office of Drug Control Policy, “Iowa Drug Control Strategy: 2012,” November 1, 2011 at
10 NY Times, “Tightening the Lid on Pain Prescriptions,” April 8, 2012 at http://www.nytimes.com/2012/04/09/health/opioid-‐painkiller-‐prescriptions-‐pose-‐danger-‐without-‐oversight.html. 11 NY Times, “In Guilty Plea, OxyContin Maker to Pay $600 Million,” May 11, 2007 at http://www.nytimes.com/2007/05/11/business/11drug-‐web.html.
12 See Senate Finance Committee, “Staff Report on Sanofi’s Strategic Use Of Third Parties to
Influence the FDA,” at http://finance.senate.gov/newsroom/chairman/download/?id=69451e85-‐4d4c-‐403b-‐93e0-‐2d5e7b4010be; ProPublica, “Financial Ties Bind Medical Societies to Drug and Device Makers,” May 5, 2011 at http://www.propublica.org/article/medical-‐societies-‐and-‐financial-‐ties-‐to-‐drug-‐and-‐device-‐makers-‐industry; and NYTimes OpEd, “Cleaning Up Medical Advice,” April 30, 2010 at www.nytimes.com/2010/05/01/opinion/01sat3.html.
13 Milwaukee Journal Sentinel/MedPage Today, “Follow the Money: Pain, Policy, and Profit,” February
19, 2012 at http://www.medpagetoday.com/Neurology/PainManagement/31256.
15 ProPublica, “The Champion of Painkillers,” December 23, 2011 at http://www.propublica.org/article/the-‐ champion-‐of-‐painkillers.
17 GAO, “OxyContin Abuse and Diversion and Efforts to Address the Problem,” December 2003 at http://www.gao.gov/new.items/d04110.pdf.
As pills killed kids, the state shrugged
State health officials fretted about pill mills, and how adult addicts were dying. Nobody realized that the storefront drug dispensaries were killing kids by the dozens.
“In the nondescript shopping plazas dotting Florida, the unchecked prescription drug marketplace was thriving. Called pill mills, the storefront cash businesses operated with the rush and thrill of candy stores, with long lines of pill-popping addicts chasing their next high. Collectively, it was an incubator for child deaths. Since 2008, 123 children have died after DCF had been told that one or both parents were abusing prescription drugs, a Miami Herald investigation found. More than 85 percent of the children were 2 or younger.”
Bernard Cantor, MD
Primary prescribing and dispensing physician at this DEA busted Pill Mill
The “owner” of this clinic and many other clinics, Vincent Coangelo, is sitting in federal prison.
Dr. B Cantor is now rising star now, he is teaching medical students!
He has a clear and active medical license and no discipline on file with the FL Board of Medicine
Are you ok with this type of “public health safety”, the mission of the FL DOH/MQA and Boards of Medicine and Osteopathy?
Visit www.stoppnow.com; Dishonorable Tab: “Wall of Shame”
Let’s place the shame where it belongs!
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.
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.
A doctor’s office with an armed security guard is
Yep, that’s Florida!