MEDICAL BOARD RECORD—02000628A-D LICENSE STATUS/DISCIPLINARY ACTIONS—License valid while being reviewed. Complaint.
Medical licensing board suspends abortion doctor’s license indefinitely
The Indiana Medical Licensing Board suspended the medical license of Dr. Ulrich Klopfer indefinitely at their meeting on Thursday.
The Office of the Indiana Attorney General filed a complaint against Dr. Klopfer on January 11, 2016 alleging violations of state law by failing to provide qualified personnel to monitor patients undergoing surgical abortion procedures.
Between January 2012 and November 2013, Klopfer performed approximately 2,405 surgical and medical abortions at three different clinics. During the two year period, he allegedly did not provide or did not document counseling information to patients who underwent abortion procedures in the manner required by law.
Klopfer allegedly did not report abortions performed on underage patients to the state as the law requires.
Klopfer also allegedly failed to complete and submit to the State Department of Health accurate records as required by state statute about his patients who underwent abortion procedures.
During a hearing in Indianapolis Thursday, the Medical Licensing Board voted to indefinitely suspend Klopfer’s license to practice.
Klopfer will not be allowed to seek reinstatement for at least six months and until he completes a board-prescribed educational program and other requirements.
The board also ordered a $3,000 fine and costs of the Attorney General’s investigation.
bad“The Board’s action upholds public health and underscores the need for license holders to comply with the recordkeeping and advisement procedures that the law requires,” Attorney General Greg Zoeller said in a press release. “This individual’s failure to do so has resulted in these serious licensing sanctions.” (LINK) — 08/26/2016
MEDICAL BOARD RECORD—25MA05779500 LICENSE STATUS/DISCIPLINARY ACTIONS—License Active; Board Action
NEW JERSEY PEDIATRICIAN HAS LICENSE SUSPENDED FOR UNSANITARY OFFICE CONDITIONS
IRVINGTON, New Jersey –A New Jersey doctor has been suspended from practicing medicine after investigators found unsanitary office conditions.
The Attorney General’s office filed a complaint involving Dr. Emmanuel J. Francois, an Irvington pediatrician, after finding unsanitary conditions at his pediatric practice.
Pending a hearing on those charges, the doctor agreed to a temporary suspension.
A compliance inspection in June by the state’s Vaccines for Children Program found “extreme uncleanliness of office, improper disposal of bio hazardous materials” and problems in “storage and handling of vaccines,” state officials said.
Authorities say a subsequent investigation revealed additional violations including that the doctor allegedly did not wear protective gloves while treating patients, did not wash his hands or use hand sanitizers before or after each patient visit.
In addition, a joint investigation allegedly revealed vials of blood, not properly labeled, were thrown in drawers with old and new supplies while others were found in plastic bags in a closet, these vials were never processed and analyzed by a laboratory, and used open syringes were found throughout the examination room and in storage rooms. A stool sample found in the refrigerator lacked a note as to the collection date.
“Patient safety is the cornerstone of the physician-patient relationship, and we allege that Dr. Francois did not put the safety of his patients first,” said Attorney General Christopher S. Porrino. “We are committed to ensuring that physicians and their facilities comply with all sanitation, hygiene and other patient safety requirements, and will hold accountable any practitioners who fail to do so.”
Dr. Francois’s patients range in age from newborns to 18 years old. Approximately 90 percent of his patients are Medicaid patients. (LINK) — 08/26/2016
Pasadena doctor who falsely claimed patients were terminally ill is sentenced to four years for fraud
A Pasadena doctor convicted of falsely certifying that more than 79 patients were terminally ill as part of a scheme to bilk Medicare and Medi-Cal was sentenced by a federal judge to four years in prison.
U.S. District Judge S. James Otero also ordered Boyao Huang, 43, to pay $1,344,204 in restitution last week. In May, Huang was found guilty of four counts of healthcare fraud at the conclusion of a two-week trial that centered on a ploy to defraud the government of $8.8 million by making it pay for hospice-related services. Huang could have received up to 10 years in prison for each of the counts.
A second physician, Sri “Dr. J” Wijegoonaratna, 61, of Anaheim, was found guilty of seven counts of healthcare fraud during the trial. He is awaiting sentencing.
Prosecutors said the scheme involved Covina-based California Hospice Care, where employees paid so-called marketers or “cappers” to recruit Medicare and Medi-Cal beneficiaries. The patients were assessed by nurses to determine if they were terminally ill, according to federal prosecutors.
Prosecutors argued that regardless of the nurse assessments, Huang and Wijegoonaratna certified that the patients were dying, even though most were not. The false certifications were then used to submit bills for unnecessary services, prosecutors said.
“In fact, only a small percentage of patients died — notwithstanding the two doctors declaring they needed hospice care,” said Eileen M. Decker, the U.S. Attorney for the Central District of California.
Prosecutors also said that Wijegoonaratna recruited some patients into the scheme and received tens of thousands of dollars in kickbacks. The California Medical Board has revoked his medical license.
The scheme was shut down in June 2013, according to prosecutors.
In addition to the two doctors, eight other defendants were charged in the scheme and have pleaded guilty to healthcare fraud charges. Those defendants include a Placentia woman who purchased California Hospice Care in 2007 and operated the facility after being charged and incarcerated in another healthcare fraud scheme.
Priscilla Villabroza, 70, who pleaded guilty in December 2015 to one count of healthcare fraud, was sentenced to eight years in prison. (LINK) — 08/24/2016
IDAHO MEDICAL BOARD RECORD—O-246 LICENSE STATUS/DISCIPLINARY ACTIONS—License active; no actions listed as of 08/20/2016
FROM DOCTOR TO DRUG DEALER
Rafael Beier was living two lives. One of them consumed the other
How does one person become two? Or more to the point: How does a generous, give-you-the-shirt-off-his-back country doctor become a pill-pushing drug dealer with a Hummer and cadre of strippers?
In his 62 years, Rafael Beier has been the good guy, and the bad.
On Sunday mornings, his neighbors in the pine-covered hills of North Idaho’s Silver Valley would watch as the doctor, in a tidy, button-down shirt and tie, led his children off to church.
“I never had a clue what was going on,” says George Watson, Beier’s former neighbor, pausing in disbelief. “The whole thing is crazy. … I just saw a regular guy.”
Beier was a highly trained physician who opted to work in economically depressed areas and most recently ran a no-frills clinic in Pinehurst, a small town about 6 miles west of Kellogg.
At some point, authorities say, another Beier developed — one who spent his nights as a regular at Stateline Showgirls in Post Falls, where a dancer says he was known among employees as “Dr. Psycho,” flush with cash and pills to push. He started dating a dancer in her 20s named Destiney Blaski, and through her, the doctor “ended up being introduced to a number of people he probably wishes he never met, because he felt sorry for them, badly for them,” Beier’s attorney would later say.
In the end, it would all fall apart. And Beier, facing decades in prison, would go on the run, fleeing from his house in Kingston, Idaho, in a Dodge pickup mere moments ahead of the feds.
Beier, it turned out, wasn’t ready to give up.
COULDN’T HURT A FLY
Rafael Beier was born in East Berlin, Germany, in 1953. His second wife, Yanhua Gao, says that when Beier’s parents split up, he spent some time in an orphanage before his mother married an American soldier and relocated to the U.S. when he was 6.
“People laughed at him because he didn’t speak English,” she says of Beier. After growing up in Kansas and Colorado, she says he attended the Kansas City University of Medicine and Biosciences, where he graduated in 1991 with a doctorate of osteopathic medicine, a degree that meant he could practice various aspects of medicine, from writing prescriptions to performing surgery.
He completed his residency at the University of Kansas and took a job in 1996 with the Public Health Service Commissioned Corps, a quasi-military federal agency that provides health services to disadvantaged communities. In that role, Gao says, he worked in Lapwai, a small town in central Idaho where the Nez Perce tribal government is located.
According to a 2004 Lewiston Morning Tribune article, Beier called the job a “dream come true,” saying he enjoyed working with the tribal members. He wore his hair long and resisted wearing the corps’ uniforms. The article states that although he was a good doctor, a report from the agency concluded that his “anti-authority” views made him “not suited” for the position.
Beier lost the job in 1997 after a confrontation with police outside of a Mormon church in Lewiston. According to court documents, his marriage at the time to Susan Beier was crumbling, and he started seeing Yanhua Gao, with whom he had a child.
Susan Beier (who declined to comment) got a restraining order against her estranged husband after she alleged that he became aggressive at her home, court records show. Rafael Beier had been excommunicated from the Mormon church in Lewiston, but attended a service with his infant son in hopes of becoming a member again. Susan Beier was in attendance, and the police were called.
When officers arrived, Beier insisted that the restraining order didn’t apply at church. After a confrontation, Beier was taken to the ground, pepper sprayed, handcuffed and placed in the back seat of a police cruiser.
“I started yelling for help, they’re killing me,” recalled Beier in an account in the Lewiston Morning Tribune. He kicked out the window, claiming he couldn’t breathe. In 1999, he sued the city of Lewiston. He was offered a settlement, but took his case to trial. Although he won, he was awarded only $1.
“He always said, ‘I know that the government will always win and I can’t trust the government,’” says his 18-year-old daughter, Rachel Beier.
He later worked as a physician on poverty-stricken Indian reservations near the Grand Canyon in Arizona, where Gao says he’d sometimes ride into the canyon on horseback to rescue hikers.
Rachel Beier says that her father always had an affinity for Native Americans and developed deep connections with the Nez Perce Tribe, members of which invited him to tribal events and gave her the nickname “Lulu.” He displayed portraits of Sitting Bull and Chief Joseph in his office. She also says he displayed a quote from Chief Joseph’s surrender speech: “From where the sun now stands, I will fight no more forever.” Her father, she says, always felt that Native American tribes were treated unfairly by the U.S. government.
Both Gao and Rachel Beier say that he was always concerned about the less fortunate — to a fault. Rachel Beier says her father was soft-spoken, patient and never abusive. She recalls how he would stop for stray dogs and see if they had tags, and he’d dig into his pocket for change for homeless people and pick up hitchhikers — even if it made his family uncomfortable.
“I don’t think my dad could hurt a fly,” says Rachel Beier.
Before his legal problems, he operated a clinic in Pinehurst in the economically depressed Silver Valley. In court it was described as a “blue-collar” and “rural” practice, where his small staff kept records by hand. Gao says they took Medicaid and Medicare clients and cut breaks for clients who had trouble paying. She says Beier met patients after hours and even made house calls to bedridden people.
“All I’m gonna say is he helped me when I was homeless [and] provided food for me,” says Jesse Thompson, who lives in Wallace, of Beier. Thompson adds that when his 2-year-old son was sick, Beier came to his house and took him to the emergency room and stayed with him until his fever was down. “I have nothing but respect for him,” says Thompson.
But Gao says that his generosity got him involved with the wrong people.
“They used his goodness and took advantage of him,” she says.
‘YOU CAN TRUST ME, SWEETIE’
Rachel Beier says that around 2010, her parents started having bad fights. He told her he felt alone. Around 2012, she says she saw a change in her dad. He started hanging out with “sketchy people,” she says. She remembers him staying up late, listening to pop music, wearing cologne and jewelry and buying expensive, brand-name clothes from Buckle.
She remembers her father spending more time with Destiney Blaski, who did not respond to repeated requests for comment. Rachel Beier says her father even paid for her to accompany them on a trip to Hawaii, one of his favorite vacation destinations. During the trip, Rachel Beier describes Blaski as being cold to her father.
Blaski, who was in a troubled marriage that would end in divorce, became romantically involved with Beier, and the two referred to each other as their respective “fiancé.” During the trial, prosecutors stated that while Beier was living in the furnace room at his house, he signed a lease on a condo for Blaski, provided her money, paid for breast augmentation and put her on the registration for a Hummer. According to the prosecution, Beier was using his prescription pad to help pay for it all.
During opening arguments at Beier’s federal trial in Coeur d’Alene, Assistant U.S. Attorney Michael Mitchell told the jury that doctors “are entrusted with the key that opens the door to medicine cabinets of controlled substances.” These substances, he said, can be sold for cash on the streets.
“Dr. Beier misused his key and opened the medicine cabinet to highly addictive prescription drugs, releasing them into this community,” he stated.
According to court documents, as early as 2011, Beier started writing fake prescriptions for drugs like Adderall, a stimulant that’s used to treat ADHD, as well as hydrocodone and oxycodone, opioid painkillers that millions of people across the country have become addicted to.
Traci Whelan, an assistant U.S. attorney, tells the Inlander that when federal agents raided the clinic in Pinehurst, they found drawers full of thin patient files. The files, says Whelan, contained no patient background, no X-rays, no doctor’s notes. Instead, she says, they contained basic or incorrect information about patients, some of whom she says never stepped foot in the clinic. The files, says Whelan, claimed that nearly every patient had suffered an ATV or snowboarding accident, and Beier had prescribed them narcotics.
Amidst the country’s opioid epidemic, “pill mills,” run by doctors who overprescribe addictive painkillers, have come under scrutiny.
“This was different,” FBI special agent Edward Jacobson tells the Inlander. “In this case he was exchanging prescriptions for cash in a parking lot.”
Despite Beier’s generosity to Blaski, prosecutors described her as “not overly kind to him.” There were times when Beier was not overly kind, either. Several police reports describe incidents of Beier angrily confronting Blaski over her other romantic partners.
In June of 2012, Beier pulled up in a white Cadillac Escalade in Coeur d’Alene at a place where Blaski and her boyfriend were located, according to a police report. Beier stormed out of his car and struck the man, who fought back and knocked Beier to the ground. The police were called, and Blaski told an officer what was going on.
“She was recently fired from her job as a dancer at Stateline Showgirls,” reads the report. “For the last 4 years she has known Dr. Beier as a frequent customer. She has been leading him on for the past few months to increase her revenue. She explained she would let him take her on dinner dates, but would not have sexual relations with him. … After she got fired, he allegedly started to offer to write prescriptions to other dancers for information on Destiney and her family.”
Although Blaski wanted to file stalking charges against Beier, she didn’t follow through, and the two would keep in contact, records show. He continued to frequent Stateline Showgirls, where employees at the club used words such as “weird” and “rude” to describe Beier, who seemed intensely focused on particular girls at the club. Some took to calling him “Dr. Psycho,” one employee says.
Beier would sell prescriptions of Adderall for up to $300, according to Whelan and Jacobson. But the real money, they say, was in painkillers. Beier, they say, would sell prescriptions of 90 pills of oxycodone for $800 to dancers at Stateline Showgirls, who would be flush with cash after selling them for $20 to $40 each on the black market. According to the feds, Beier sold pills in parking lots, private homes, hotel rooms and at the strip club. Beier communicated with the girls with “burner phones,” prepaid cellphones used by drug dealers because their numbers are hard to trace.
According to prosecutors, he commonly referred to the strippers as “Sweetie.” “It is okay, sweetie.” “You can trust me, sweetie.” “Sweetie, you just don’t understand.”
They would text back with messages like “Let me keep putting 800 in your pocket” or “I can flip it and have more money for you by tonight.”
COMING AND GOING
Amy Tosh, a Wallace resident, says that the influx of prescription pills had a severe impact on the Silver Valley. She says that Beier developed a reputation as a doctor who wrote unscrupulous prescriptions. Tosh says she watched one of her oldest friends completely change after becoming addicted to prescription pills.
“She was, in my opinion, in pharmaceutical-induced mania,” Tosh says. “She was nuts.”
Tosh says she heard people brag about their endless supply of meds, and she’s seen more crime that she suspects is related to addiction to prescription pills.
Before 2012, Beier’s only contact with law enforcement in Kootenai County was for traffic infractions. But now Beier’s name was appearing in reports from the Coeur d’Alene Police Department (which wouldn’t comment for this story) in connection to prescription pills or altercations with Blaski.
When Eric Blaski, Destiney Blaski’s husband at the time, was pulled over, he told an officer that Beier was his doctor and had prescribed him some “hydros” that he had taken that day.
Later that fall, a concerned Walgreens pharmacist in Coeur d’Alene called the police after a man wearing a white do-rag tried to fill a Oxycontin prescription for someone who was in jail. The pharmacist told the responding officer that the prescription had been written by Rafael Beier.
“[He] has seen a lot of scripts come from this doctor with a lot of strange situations, different people picking up the scripts and large amounts of medications are prescribed every time,” reads the police report from the incident. The report also states that police interviewed Fawnie Bracamonte, a former Stateline Showgirls dancer, who admitted she purchased the prescription that had caught the pharmacist’s attention from Beier for $700.
Throughout 2011 and into 2013, Destiney Blaski kept getting busted for drug possession, with police finding prescription pills listing Beier as the prescribing doctor. She also reconnected with Beier, who continued to let her use his black Chevy Avalanche truck.
Then two incidents caught the attention of the feds. In December of 2012, Coeur d’Alene police received a call from the staff at the LaQuinta Inn about a white Hummer registered to Beier and Blaski.
“The clerk said the Hummer had been coming and going for short intervals at all hours of the day and night for several days,” reads the police report.
When police knocked on the door, they heard a toilet flush. Inside was Bracamonte, along with Beier and Blaski. Police searched the room and found “sooty smudges on the toilet lid” in the bathroom. In the garbage, they found a blue plastic tube from a ballpoint pen that had been slightly melted on each end and had a burnt residue inside — a device, the report states, that’s used to inhale vapors from ignited pills. Police used pliers to pry open a can of Mike’s Hard Lemonade, where they found a metal pipe. They also found bottles of pills, with the prescriptions written by Beier.
Bracamonte spilled her guts, according to the report. She admitted crushing and smoking the pills.
“Dr. Beier will write any of the dancers a prescription for any drugs they want, whenever they want,” she said.
That night, only Bracamonte was arrested. But that would change.
‘PSYCHO ENOUGH’
On a warm summer night in July 2013, the relationship between Rafael Beier and Destiney Blaski collapsed for good and would give the feds enough room to finally move.
Chelsea Piper recalls it was the type of summer night when you leave your windows open. At the time, she was living in an apartment complex in north Coeur d’Alene. She never met Blaski, but says Blaski and her friends were “super flashy,” drove newer cars and were the talk of the complex’s other residents.
That particular night she heard angry yelling from Blaski’s apartment.
“He sounded like a grizzly bear,” recalls Piper.
Beier drove up to the apartment complex and loaded eight rounds into a Desert Eagle .44 Magnum, according to a police report. He popped one into the chamber and barged into Blaski’s apartment. The report states she was there watching TV with another man. Blaski said that Beier pointed the gun at him (which Beier denied doing), according to the report.
When police arrived, Blaski admitted that she “used to sell pills for Rafael,” who she said was “psycho enough” to shoot her.
Beier was arrested, and the officer found Staxyn, a prescription pill for erectile dysfunction, and two cellphones, one of which appeared to be a burner. The officer searched Beier’s iPhone and found texts regarding a drug deal.
Beier was initially charged with aggravated assault with a firearm, which was dropped after Blaski refused to cooperate. After the incident, according to court records, Blaski and her attorney met with investigators and provided an account of how Beier sold drugs.
Around the same time, Beier appeared to have misgivings about his second life.
Rachel Beier says her father became more religious, reading the Bible and going to church. But strippers showed up at his clinic in Pinehurst, court records indicate. The clinic also was broken into and prescription pads were stolen. In December 2013, Beier contacted Coeur d’Alene police to report that Blaski was “still involved with drugs” and she had taken his truck without his permission.
He also became less willing to give out prescriptions.
“I am going to cut you off,” records show he told Bracamonte. “I am concerned about you having a problem. I’m not going to give you any more prescriptions.”
Bracamonte, who was sentenced in 2015 for selling pills, responded by threatening to blackmail him, records state. She would later serve as a government witness in Beier’s trial.
THE SETUP
The last prescription Beier ever sold was in a bathroom stall in Coeur d’Alene in 2014. He knew the feds were onto him when they sent a confidential informant to buy drugs.
“They’re about to indict me,” he whispered to the informant. “I don’t need to give them any more ammo.”
“I never should have done this in the first place,” he added. The informant told him she needed money and it would be the last time.
Beier, suspicious, demanded that the informant strip in the bathroom at an Albertson’s before selling her a prescription, written for an elderly Spokane Valley woman, for 90 pills of oxycodone. However, he didn’t notice the wire the informant hid in her bra.
After selling the prescription for $1,000, Beier was pulled over in his Chevy Avalanche. Police found the cash and prescription pad and arrested him for selling a controlled substance.
UNDER THE COVERS
Beier didn’t give up easy. He rejected a plea offer, instead opting for a jury trial.
In court, his defense lawyer, James Siebe, argued that Beier was set up by young women who took advantage of him and sold him out when they were facing serious drug charges.
“[If] they got caught with their finger in the pie, they’d be able to pull out a plum and say, ‘Hey, I got this plum from Dr. Beier, and he gave it to me. It wasn’t me that was doing any of this dishonest work on the side,’” Seibe argued in court, saying the government’s case was based on “snitches.”
Beier had been released on his own recognizance during the trial, and on May 17 of this year — the day a jury was to decide his fate — he skipped town. Nevertheless, as federal agents began a manhunt, the jury found Beier guilty of conspiracy to dispense a controlled substance, 66 counts of distribution of a controlled substance and four counts of distribution of a controlled substance to a person under 21. (Destiney Blaski, meanwhile, underwent drug treatment and has been on probation since January of 2015.)
After her father went on the run, Rachel Beier says his family worried that he’d be killed. She says that the 62-year-old fell sick while hiding in the woods. When he came home, she says, he left camouflage fatigues stained with diarrhea on the porch.
When federal agents returned to his property on May 23, Beier was buried under a pile of blankets in a motor home parked in the barn behind his house. Agents searched the barn, leaving only the motor home, doors unlocked. Jacobson, the FBI agent, received no response from Beier after he yelled into the barn.
But after Jacobson announced he would send a German Shepherd after him, Beier emerged from the motor home, his hair frazzled, a light beard growing on his face, refusing to talk on the way to Bonner County Jail.
Sentencing originally was scheduled for later this month, but Beier’s lawyer successfully argued to push it to January, so Beier could undergo an evaluation of his “mental condition,” which will be taken into account. The government recently received an order to seize at least $732,800 of his assets, proceeds from selling drugs, and Beier, who is still in the Bonner County Jail, could face 20 years in prison.
While his family is hoping for a lighter sentence, they are left with one small comfort at the end of it all.
“At least we know he won’t wind up dead,” says Rachel Beier. “He’s still alive.” (LINK) — 08/18/2016
ALABAMA PSYCHOLOGY BOARD RECORD—341 LICENSE STATUS/DISCIPLINARY ACTIONS—License active; no actions listed as of 08/20/2016
Montgomery psychologist charged with using forged prescription
MONTGOMERY, AL—A Montgomery psychologist has been arrested after he allegedly used a forged prescription to obtain the drug Norco from a CVS Pharmacy, according to a court document from the Montgomery District Court.
Karl Kirkland, 61, was arrested Monday and charged with unlawful possession or receipt of a controlled substance.
The court document states that Kirkland produced a forged prescription for the drug to the CVS Pharmacy on Narrow Lane Road on April 18.
The prescription was written from another doctor’s prescription pad and was filled and picked up prior to the knowledge that the prescription was forged.
According to drugs.com, Norco contains a combination of acetaminophen and hydrocodone. Hydrocodone is an opioid pain medication. An opioid is sometimes called a narcotic. Acetaminophen is a less potent pain reliever that increases the effects of hydrocodone.
According to the Kirkland and King Clinical and Forensics Psychologist website, Kirkland is Director of Behavioral Medicine at the Montgomery Family Medicine Residency Program and has been in private practice in Montgomery since 1980. (LINK) — 08/18/2016
MEDICAL BOARD RECORD—J3565 LICENSE STATUS/DISCIPLINARY ACTIONS—License Active; see medical board actions at bottom of blog.
Doctor at center of pill mill investigation arrested
HOUSTON - The doctor at the center of a Houston Police Department undercover pill mill operation was arrested on a felony charge for allegedly prescribing narcotics without the proper licensing to do so.
Dr. Myrtle Oates, who is licensed as a gynecologist with the Texas Medical Board, was allegedly authorizing prescriptions for narcotics such as hydrocodone and carisoprodol.
Oates never held a pain-management certificate, which is required by law to operate a clinic that primarily conducts pain management.
In December, Channel 2 Investigates set up hidden cameras outside the IMED clinic off Southwest Freeway after a nearby business owner complained of the heavy amount of foot traffic in and out of the clinic throughout the morning.
“I was concerned and very frustrated,” said the business owner, who asked not to be identified.
Each morning, dozens of people would line up and go in and out of the clinic.
“It wasn’t the scene you’d normally see outside your doctor’s office,” he said.
According to police records, undercover officers were written prescriptions for narcotics on two separate occasions by a nurse practitioner working at the IMED clinic. The prescriptions were authorized by Dr. Oates but at no time did Oates conduct an examination of the officers.
The Houston Police Department raided the IMED clinic shortly after Channel 2 cameras began tracking activity in December.
The nurse practitioner, Althea Harris, voluntarily surrendered her DEA license that allows her to prescribe drugs.
The clinic has not been open since December.
Oates was eventually tracked to another clinic off the South Loop when tenants in that building notified law enforcement about suspicious activity at that office.
She refused to answer any question as she was escorted out by police. She is currently out on bond, and has not yet had her medical license revoked.
Althea Harris has not been arrested. (LINK) — 06/10/2016
Medical Board Actions
Action Date: 08/30/2010 Description: STATUS CLEARED 08/30/2010
Action Date: 08/27/2010 Description: ON AUGUST 27, 2010, THE BOARD AND MYRTLE OATES, M.D., ENTERED AN ADMINISTRATIVE ORDER REQUIRING DR. OATES TO PAY A PENALTY OF $500 WITHIN 60 DAYS FOR VIOLATING A BOARD RULE THAT STATES THAT WITHIN 30 DAYS OF A PHYSICIAN’S CHANGE OF MAILING OR PRACTICE ADDRESS A PHYSICIAN SHALL NOTIFY THE BOARD IN WRITING OF SUCH CHANGE AND SUBMIT ADDITIONAL DOCUMENTATION IF REQUESTED.
MEDICAL BOARD RECORD—02001040A LICENSE STATUS/DISCIPLINARY ACTIONS—License active; no actions listed as of 08/16/2016
Turnover, working conditions plague hiring efforts
Dr. Michael Mitcheff began his career as a prison doctor in 1998, after battling addictions that led to several years of licensing problems.
Mitcheff worked as an emergency room doctor at St. Joseph Hospital in South Bend and St. Mary’s Hospital in Mishawaka when he was investigated for buying illegal drugs.
In 1994, Mitcheff admitted he had bottles of a cough syrup containing hydrocodone illegally delivered to his Osceola home for nearly three years. He agreed to a treatment program arranged by the state’s medical association and was ordered not to practice medicine during treatment.
Then in 1998, Mitcheff’s license was suspended for 90 days after charges he wrote prescriptions in the names of other people, fetching the drugs from local pharmacies. According to medical licensing board documents, Mitcheff admitted to a state police officer he picked up for his own use about 57 pints of a drug that contained hydrocodone.
The board reinstated Mitcheff’s license in October 1999. Records noted he had been sober for more than a year, had passed more than 100 drug screens and had a job pending in the Indiana prison system. As part of the order reinstating his license on probation, the board wrote, “He may work only in the Indiana state prison system.”
The doctor’s probationary status was withdrawn in 2004, records show.
Mitcheff in a recent interview raised his addiction history, saying he sought out a job that would provide more structure.
“It was a good transition back” to medicine, he said, “and it worked out well. (Addiction) has given me the background to better understand the patient in the population I’m dealing with as well.”
Mitcheff is in a unique position when it comes to health care in Indiana’s prisons. He used to work for Corizon Health, the private company that oversees prison medical care, but left in 2014. A year later, he was hired by the state Department of Correction as its chief medical officer for prisons, overseeing the contract with the company he used to work for, Corizon.
Other recovering physicians have since been hired to care for inmates. Mitcheff said he knows how stringent the Indiana Medical Association’s oversight and treatment are. Such doctors are required to work with supervising physicians.
“There’s nobody better to be empathetic to the patient population we need to serve,” he said. “Addiction is a disease, and who better to understand that?”
Prisoners, advocacy groups and civil rights attorneys across the country have criticized Corizon’s medical workers as generally too few and undertrained. Lawsuits, including in Indiana, allege the company hires doctors who can’t find work elsewhere because of licensing or malpractice issues, or who aren’t certified in medical areas most needed to work in prisons.
Mitcheff acknowledges that recruiting family or primary care physicians to work in prisons is difficult. Adding to an overall national shortage of primary care doctors is a perception that prisons are not ideal places to work. But he defends the quality of care Corizon provides.
“I do think we have some really good people … who understand the mission of what we’re doing here,” he said. “As we talk about turnover being high, we also have a core group of people who’ve been around a long time.”
Records show the Indiana licenses of at least three doctors working in the state’s prisons as of April 15 had been on probation before they joined Corizon. One of them, an Evansville doctor, was arrested in 2014 for driving under the influence before he began working in the Wabash Valley Correctional Facility near Terre Haute. His license to prescribe controlled substances is still suspended.
The doctor also was involved in a $1 million medical malpractice payout stemming from the 2008 death of one of his family practice patients. A panel of three doctors had ruled the patient was prescribed too many drugs, and at dangerously high doses.
Mitcheff said the doctor is enrolled in a treatment plan, including weekly urine tests and other monitoring.
“He really is a solid practitioner, doing a good job for us,” Mitcheff said. “He’s empathetic to the patients, he’s a good guy.”
Differences of opinion
When it comes to treating prisoners, Mitcheff says, it would be ideal if each facility had both a family practice and an emergency care doctor. But the DOC is embracing the hiring of doctors with different specialties so that others can learn from them. A patient’s ingrown toenail, for example, should not have to be sent to an outside doctor for treatment, he said; rather, other doctors should be taught to perform what he considers fairly simple procedures.
But one former prison doctor who resigned after several years of working for Corizon — who does not want to be identified because of possible legal ramifications — said Mitcheff undervalues specialist consultations. He said Mitcheff became irritated that a doctor sent a patient out for a dislocated shoulder. Not all physicians can reset shoulders, especially if they encounter them only once or twice a year, the former Corizon doctor said.
“It’s ethically not right to (relocate) a shoulder without conscious sedation,” the doctor said, noting conscious sedation is not used in prisons.
He also said he saw instances of inadequate care from doctors whose specialties did not offer enough training into chronic care issues. As examples, he cited a retired hand surgeon, and an ob/gyn working in a men’s prison. Those doctors were not trained to spot when an expert consultation or outside test was warranted, as an internal medical doctor might, he said, or would not know how to handle chronic conditions such as high blood pressure or diabetes.
“What I was doing there, I loved,” the former prison doctor said, embracing the challenge of helping a difficult population.
But the doctor — now in private practice — said he grew tired of being second-guessed because of what he saw as financial reasons.
When a doctor wants to send a prisoner to see a specialist for a test or treatment, he or she must fill out an electronic request to Corizon’s regional medical director, who for years was Mitcheff. But more often than not, the doctor said, Mitcheff would send back an alternative treatment plan that suggested a cheaper in-house test or drug and a wait-and-see approach.
Mitcheff said doctors always know they have the ultimate authority and can proceed with their proposal if they disputed an alternative treatment plan. But the former prison doctor disagreed.
“Mitcheff would say, ‘Oh, you want the Mercedes,’ ” the doctor recalled. He would often send a request, Mitcheff would deny it, he’d appeal, and Mitcheff would deny it again.
Mitcheff instituted weekly phone sessions with his doctors and other staff members that were part news sharing and, too often in this doctor’s view, rebukes for spending unnecessary money. The doctor blamed those calls for creating a chilling effect on sending patients for outside treatment.
Mitcheff said his intention was never to criticize in those weekly calls, just to offer learning opportunities.
Other issues related to quality of care have emerged in lawsuits. Some prisoners have complained the company hires doctors who can’t find work elsewhere because of licensing or medical malpractice issues, or who aren’t certified in medical areas most needed to work in prisons.
Also, mortality reviews are legally required and result in suggestions to improve care. But not only has the DOC deemed such reviews to be privileged information, officials described the process in recent depositions: Several people are invited to a conference call, they discuss the case and decide how to fill out a required form. Otherwise, a Corizon employee recently testified, nobody takes minutes, and if any recommendations are made or changes are instituted, there is no public paper trail of it.
But Mitcheff defends the oversight and monitoring of contract health directives, saying of Corizon, “We’re not seeing them withholding care. In fact, we watch that closely.”
“I categorically reject your suggestion that I, or for that matter any employee of IDOC,” he said in a followup email, “has acted in concert with anyone to withhold necessary medical care to those entrusted to our care and custody.” (LINK) — 06/12/2016
MEDICAL BOARD RECORD—0101233772 LICENSE STATUS/DISCIPLINARY ACTIONS—License Current; no actions listed as of 08/16/2016
Virginia Psychiatrist, Others Arrested in Xanax Pill Distribution Investigation
A Prince William County, Virginia, doctor was arrested for continuing to prescribe medication to patients who were knowingly selling the drugs to others, according to the Prince William County Police Department.
Craig Charles Krause, from Gainesville, Virginia, was arrested with 27 others as part of Operation Breaking Bars, an investigation into the import and distribution of high volumes of illicit Xanax pills. Police were eventually led to Krause after one of their suspects sold medication prescribed by Krause to other people
Detectives visited Krause, a psychiatric doctor, multiple times to alert him that his prescribed medication was being abused and sold. They said he refused to stop prescribing the medication, and police later found out more medication, including Xanax, was being obtain via prescriptions by several other people and sold to others, including an undercover detective.
Search warrants on two of the doctor’s offices were carried out on Aug. 9. Krause was found to have hydrocodone and a firearm.
Police said 28 people have been charged with distribution of narcotics, money laundering and related weapons charges. They said the suspects are allegedly responsible for the distribution of thousands of Xanax pills in Prince William County and other parts of the country.
MEDICAL BOARD RECORD—L9588 LICENSE STATUS/DISCIPLINARY ACTIONS—License active; no actions listed as of 08/16/2016
Lubbock Doctor Arrested for Felony Charge of Stalking
A Lubbock doctor, David Vermillion, was booked into the Lubbock County Detention Center on Wednesday. By Friday, he was able to post bonds totaling $35,000 to get out of jail.
Court records released on Monday said Vermillion was charged with stalking and trespassing.
More than once this month Lubbock County Sheriff’s Deputies were called to a residence south of the Lubbock city limits. Vermillion’s estranged wife had obtained a protective order against him in court.
Officers found him at his own residence which was not far from where his wife was staying.
In an offense report, one officer wrote, “I walked toward the front of the residence and did not see David Vermillion at first.”
The report also said, “As I got closer to the residence I observed a white male lying on the front porch of the residence. The male was crying and rolling around on the concrete.”
Deputies were called multiple times concerning Dr. Vermillion between July 16 and August 10. During one such call-out, Vermillion told officers he wanted to see his children.
A check of official state records showed Vermillion was a doctor in good standing. The Texas Medical Board indicated no past disciplinary action against him.
If convicted of stalking, a third-degree felony, the penalty would be 2 to 10 years in prison or probation. (LINK) — 08/15/2016
MEDICAL BOARD RECORD—25MA07074800 LICENSE STATUS/DISCIPLINARY ACTIONS—License Suspended
N.J. doctor accused of groping patients and employees has license suspended
TRENTON — A Paterson physician agreed to suspend his practice while he faces charges that he groped female patients and employees in an “escalating pattern of sexual misconduct” over three years, acting Attorney General Robert Lougy announced Monday.
State investigators claimed Alex Sarkodie touched and licked a patient’s breast during an exam, groped a medical assistant’s breast, and smacked another employee’s buttocks. The allegations also say he made lewd comments to employees and patients, Lougy’s announcement said.
The “sexually abusive” behavior took place between May 2013 to March 2016, Lougy’s announcement said.
Reached by phone Monday, Sarkodie said he did not want to discuss his suspension. The answering machine message at his practice said the office is closed.
The doctor’s attorney, Jef Henninger, said the doctor will fight the charges. “Please note that by agreeing to the suspension, my client did not admit anything. In fact he filed an answer denying the charges,” according to an email from Henninger.
Sarkodie is an internist and pediatrician who has been licensed in New Jersey since 2000, according to the website for the Board of Medical Examiners, the state’s doctor licensing and disciplinary body.
The medical board is scheduled to hear his case on July 13, according to Lougy’s announcement. Sarkodie has agreed to turn over his license and not see patients while the matter is under investigation.
“Patients who turn to their doctors for medical care deserve to be treated with respect and professionalism, not subjected to degrading assaults by sexual predators hiding behind their medical degrees,” according to a statement from Lougy’s office. "We will continue to utilize the full scope of our powers to combat doctors who abuse their privileges by preying on patients.“
This investigation was conducted by the Enforcement Bureau of the Division of Consumer Affairs.
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