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Blog Archive

Quell refunds are a slap in the face to chronic pain patients Sep 9th, 2020

Quell Customers to Receive $3.9 Milliion in Refunds by Pat Anson of the Pain News Network September 9, 2020 This is my response to that article: Just goes to show you that even a lying fraudulent advertising scheme to rip off chronic pain patients WILL MAKE YOU MILLIONS!!!  If you go...

FDA’s “dentures” are too weak to be effective Mar 22nd, 2020

The FDA lacks any real “teeth” to do their job. They’ve been paid off by years by multiple groups to look the other way. Now the leaving FDA Commissioner Scott Gottlieb, MD, said in a statement: “Today, we posted a warning letter to a company preying on patients who may...

Oregon PDMP finally updates its’ reporting elements Mar 20th, 2020

Per a letter I wrote awhile back, I see that the Oregon PDMP is finally reporting the refills properly per my suggestion. The PDMP had been reporting refills starting with “0” and counting upwards as they were filled. Unfortunately that doesn’t do anyone any good because no one knew the...

Refusing vaccinations should have consequences Mar 9th, 2020

When parents refuse to have their children vaccinated, then they should be signing forms that specify the financial and legal consequences that should take place when their child becomes ill, hospitalized, and/or causes others to become ill or hospitalized. They should personally bear the financial costs of such services and...

Why do pain agreements when doctors don’t take them seriously . . . except to use against patients. Feb 18th, 2020

Pulled out some records to check some things and refreshed myself with something I had been meaning to post earlier but got distracted. Talk about “little” pain agreements! Just look at the one used by Centennial Medical Group East, still called Evergreen Family Medicine by most people. It is only...

NO pain agreements or Material Risk Notices as required by state agencies Feb 18th, 2020

I find it amazing that so many clinics, especially pain clinics are ignoring the requirements of having pain agreements and Material Risk Notices with their patients. I just reviewed another patient’s medical records that have none. None from her PCP who prescribed for months, and none from her pain clinic...

Oregon Cardiology’s poor record keeping and lousy office management Jan 7th, 2020

Here is a letter that I sent to the Office Manager of Oregon Cardiology, located at Peace Health Sacred Heart Medical Center, by fax on 12-10-19. Re: “Urgent” Medical Record Request, Failure to send follow-up records, and more I am writing to yo to express my disappointment with your office...

The survey that Mercy Medical Center doesn’t want you to see. Nov 10th, 2019

CHI Mercy is so great about spinning the details on anything that they can turn into a big billboard along the highway. Let’s see how they spin this one off too. Leapfrog’s Fall 2019 Hospital Safety Grade reports are out. Mercy Medical Center scored a “B.” Drive a little farther...

Is “Aviva” hiding something? Nov 4th, 2019

Umpqua Community Health Center (UCHC) recently changed their name under the state business registry. They still kept the one name for legal reasons, but changed the public name to the DBA (doing business as) name of “Aviva.” One would have to wonder why? Medical records from them were printed with...

Home Town Drugs faxing improper identification headings Oct 29th, 2019

The FCC (Federal Communications Commission) specifies certain requirements that are to be on all faxed documents. Home Town Drugs doesn’t seem to care about those federal rules when faxing pharmaceutical records around the state and beyond. For years their fax form has failed to show any proper type of identification...

Samaritan Hospital system can’t keep track of their own records? Oct 28th, 2019

Patient had EKG testing done last year at Samaritan Lebanon Hospital. This year I ordered another EKG to monitor their condition and specifically wrote on the order form to compare it to last year’s EKG (something that is commonly done). I even specifically wrote on the order form that the...

ADAPT of Roseburg fails to train their staff well Oct 24th, 2019

Patient went to get records from their office and was told that they would not accept any Release of Information (ROI) form except ADAPT’s. Where did that idea come from? It’s certainly not following HIPAA or any other state or federal guidelines regarding records releases and transfers. If administration trains...

South River Community Health Center wastes patients time with EKG’s Oct 24th, 2019

Had a patient go to South River CHC to complete an EKG. They did it back in August. He signed the paperwork to send the results to my office since we ordered it. Two months later, no results received from them yet. He said he signed their Release of Information...

ADAPT is all about the money, not the care of the patient Oct 4th, 2019

Yet again I have received a bill from ADAPT regarding medical records that they have sent us while trying to assess a patient who saw them for drug addiction issues. Standard courtesy for the majority of medical offices is to provide such records at no charge. About the only place...

3 predictions regarding MIPS and Medicare changes Sep 27th, 2019

I predict that within the next two to five years we will be seeing two major trends happening within our healthcare system and they will both be the result of the changes Medicare has been making towards the reimbursement system that they think will be for the better, but in...

Dr. Choate and others abandon patients? Sep 26th, 2019

It seems that Umpqua Health and it’s clinical and administrative staff have big secrets to hide. First they close their office on Harvard Avenue WITHOUT informing patients . . . no letter, no phone calls, etc. I have patients reporting that they have shown up for scheduled appointments only to...

NeuroSpine doctor can’t document accurately? Sep 23rd, 2019

Dr. Catherine Gallo performed a physical examination during a consult on a patient in December of 2018. This patient has had numerous abdominal surgeries that have left quite an obvious lengthy midline scar. She claims in her dictated report that she examined multiple body sites and describes her abdominal exam...

CHI Mercy discrimination Sep 23rd, 2019

Was contacted by an out-of-state media company called Patient Point that was hired by Mercy to start advertising local physicians on a TV screen located in their ER and south entrance to their hospital. The Patient Point agent researched physicians in the area taking new patients and what they had...

Study feels PDMP’s are flawed; I couldn’t agree more. Aug 14th, 2019

Here is my response to the Pain News Network article entitled: “Study: Prescription Drug Databases Overestimate Opioid Misuse” written by Pat Anson and posted 8-13-19: “PDMP databases are just numbers and details. At least in Oregon, I have had to point out numerous errors in the PDMP data just for...

The up and coming opioid crisis: Buprenorphine! Aug 14th, 2019

While everyone deals with the “opioid” crisis, more and more patients are being “converted” to Buprenorphine products (really just another opioid). These Medication Assisted Treatment centers are popping up all over the place because it’s the “preferred” treatment that is currently the federal government’s “darling” that they shower billions of...

Response to article posted on Pain News Network 8-10-19 Aug 12th, 2019

Here’s an opinion I posted on the Pain New Network in response to the article “Are Rx Opioids the Culprits or Scapegoats for Opioid Crisis?” by Dr. Lynn Webster and posted August 10, 2019: “There have always been multiple contributors to the opioid “crisis:” medical prescribers, pharmacies, pharmaceutical companies, pharmacy...

Response to Pain News Network article of 8-6-19 Aug 12th, 2019

Here’s my response to the article “Co-Pay Assistance Programs Fail to Help Uninsured Patients” by Pat Anson and posted on the Pain News Network on August 6, 2019: “Multi-million dollar fines do NOT change their behavior . . . because they’re making BILLIONS.Some real jail time of consequence MIGHT change...

Response to Pain News Network article of 8-8-19 Aug 12th, 2019

Here’s my response to an article posted on Pain News Network on August 8, 2019 by Pat Anson and titled: “Experts Advise Against It, But Opioids Often Used to Treat Migraine.” “While there have been numerous other medications available to treat migraines, many practitioners fail to use them. I have...

Response to Pain News Network article of 7-19-19 Aug 12th, 2019

Here’s my response to the article by Pat Anson posted July 19, 2019 on the Pain News Network entitled: “Pharmacists and Rx Wholesalers Charged with Drug Trafficking“ “It’s high time that any of the corporate executives that are charges with crimes face long prison sentences, just like many of the...

Canyonville Health and Urgent Care violates HIPAA? Aug 12th, 2019

The ongoing clash with this clinic is far from over. They have failed to send us records in a timely manner for years. Now their ploy is to NOT fax records to our office despite the patient’s signed Release of Information form stating they may do so. What Canyonville Health...

VA fails to meet standards set by the federal government regarding electronic medical records Aug 12th, 2019

Years ago when the federal government started passing laws regarding electronic medical record systems, they demanded integrated communicability between systems at various offices, hospitals, etc. Medicare paid millions across the country for offices to get up to speed and modernized. Yet look at the VA. To date the VA still...

Prior Authorizations — the bane of most medical offices Aug 12th, 2019

Prior Authorizations have been used for years by insurance companies and pharmacy benefit mangers (PBM’s) to deny or delay medications, imaging, treatments, surgeries, etc. for their insured patient, their own client. But really, they don’t care, and never have. Once they get your money, supposedly to pay for such care, they think...

Eugene Neurosurgeon has problems with basic medical terminology? Aug 9th, 2019

Saw a patient yesterday for their first visit. I had reviewed their records a week earlier and noted problems. Dr. Neil Roundy, a neurosurgeon at Oregon Neurosurgery, had seen the patient in May 2019 as a pre-operative visit. He documented that the patient has an incomplete spinal cord injury. While...

Chronic Pain Patients get discrimination even from regular primary care Jul 17th, 2019

Here’s my response to the article “Michigan Opioid Study Discusses Access to Primary Care Clinics for Patients with Chronic Pain” posted on July 14, 2019 by Ed Coghlan on the National Pain Report website. The first thing clinics used to asked prospective new patients was “What’s your insurance?” Now it’s “Do you...

More regarding Chronic Pain Patient discrimination Jul 17th, 2019

Here is my second response due to the many responses posted by patients on the article “Michigan Opioid Study Discusses Access to Primary Care Clinics for Patients with Chronic Pain” posted on July 14, 2019 by Ed Coghlan on the National Pain Report website. Reading more of the comments made...

More PDMP violations! Jul 17th, 2019

Oregon state law requires that any pharmacy filling controlled substances, categories II – IV, report them to the Prescription Drug Monitoring Program (DMP) within 72 hours of dispensing. It is almost monthly that I have to report some violation of these laws to the Oregon Board of Pharmacy and the...

Arbitrary justice varies from town to town; clear example. Jun 14th, 2019

Let’s compare two cases of leaving an infant in the backseat of a hot car in a car seat unattended. Roseburg, OR: Nicole Engler, nurse practitioner, left her child in the car seat while she went to work at Evergreen Family Medicine clinic. Bend, OR: Evander McIver, Deputy District Attorney...

My response to recent article on Pain News Network Jun 14th, 2019

This article posted 6-14-19: “Why Do Doctors Keep Pushing Invasive Procedures on Me?” — Pain News Network It’s always been about the money. There’s little risk to the physician for doing an injection or other procedure that garners them thousands of dollars, but now with the extreme push on the...

2 local doctors had staff writing own pain med prescriptions for themselves and others! Jun 14th, 2019

Two local physicians have been discovered to have staff members that have been writing their own prescriptions by stealing prescriptions pads. They have written prescriptions for themselves, their family members, and others, probably selling them for big money. Walgreens discovered these “patients” were filling their prescriptions at Harvard Avenue Drugs...

Over-medicated hospital employees at Mercy? Jun 7th, 2019

Mercy Medical Center recently LOST an EKG that was performed on my patient. In fact they had the WRONG phone number and address for the patient in their computer system, and even noted the patient’s marital status WRONGLY. WOW!! Did they bill insurance for their failure?

“Study Finds Prescription Drug Monitoring Programs Ineffective at Curbing Overdoses” May 10th, 2019

This article appeared on the Pharmacist Steve website on May 6, 2019. Here was my response: The Oregon PDMP is a flawed system that no one seems to care about improving despite all the mistakes that have been pointed out with it. The legislature finally made all medical providers sign...

“The Prescription Opioid Crisis Is Over”? May 10th, 2019

That was the title of the article that appeared May 6, 2019 on the Pain News Network. It was written by Roger Chriss. Here was my response:While they continue to attack medical providers which leads to more and more of them refusing to prescribe medications and forcefully tapering chronic pain...

Health Net insurance forms out-of-date and designed to fail, all to deny medications May 10th, 2019

Recently had a patient switch to Health Net. They had been getting their medication for years without problem, but now Health Net says otherwise. They sent their Prior Authorization / Formulary Exception Request Fax Form to us to complete, which we did. We included everything requested on the form and...

“VA’s billing practices affect everyone” May 10th, 2019

This was the title of the Public Forum letter published in the News Review on May 5, 2019 and attributed to Mike Berns of Brookings. Mr. Berns described that as a veteran he has service-connected health issues that are treated by the VA. But despite being “covered” benefits, the VA...

Another clinic fails to provide all requested medical records; are they hiding something? May 10th, 2019

I recently reviewed the records of a new applicant who has been seeing the Salem Clinic. After three different requests for records, we still NEVER received the following: NO prescription log of post-dated prescriptions given to the patient that are not documented in the chart notes, NO controlled substance agreement...

Albertson’s Sav-on pharmacy STILL making illegal reporting errors and is never held accountable by t May 10th, 2019

Just in the last few weeks, I had to notify Sav-on, the PDMP, and the Oregon Board of Pharmacy of another eight illegal acts by Sav-on. Oregon law requires all pharmacies to report controlled substance medications filled within 72 hours — I have patients whose medications have not shown up after 28 or...

Illegal prescribing activity by two different doctors in Roseburg May 10th, 2019

It has been reported to me by reliable sources that do not wish to get involved with the proper reporting of such crimes that two doctors in Roseburg have had staff members falsifying prescriptions and passing them off in town. A local pharmacy uncovered the facts by checking the state...

Mercy Medical Center AGAIN FAILS to send important records in a timely manner May 10th, 2019

Just saw a patient this week who was seen in the Mercy Medical Center ER, then admitted, was in the ICU and saw a mental health specialist before discharge. The patient was told to follow-up with me as scheduled within that next week. The patient told them to send the...

Evergreen Family Medicine fails to follow recommended guidelines for pain meds May 6th, 2019

Reviewed another patient’s records from Evergreen Family Medicine. No controlled substance agreement was on file. No Material Risk Notice was on file. Both of these are strongly recommended by medical organizations and the Oregon Medical Board. To top it off the patient was discharged from the clinic because? They asked too many questions ....

Rite Aid denies cancer patient pain medication in complete ignorance of CDC Guidelines May 5th, 2019

Pain News Network recently posted this article entitled “Cancer Patient’s Rite Aid Video Goes Viral” on May 3, 2019. It relates the disturbing and disheartening story of how some pharmacies are violating patient’s rights in obtaining pain medications for cancer treatment. The CDC Guidelines were NEVER meant to be used...

Letter to Oregon PDMP regarding major error Apr 26th, 2019

This is the letter I faxed to the PDMP on 4-5-19: 5 April 2019 To:  Stephanie Vesik, PhD., Daily Operations Mgr.            OHA – Public Health Div. – OPDMP Re:  Major documentation error that could lead to fraud or other legal charges I was reviewing the different options on the PDMP...

PDMP response and my response in return Apr 26th, 2019

On April 8th, the PDMP responded to my letter. Here is their response: Dr. George, Your fax from 4/5/18 at 5:06pm has been received and your profile within the PDMP has been corrected. Please contact Reinhart Pharmacy to resubmit their prescriptions with the correct DEA number and to note within their...

Another letter to the PDMP regarding continuing errors Apr 26th, 2019

Here’s the letter I faxed to the PDMP on 4-17-19. No response as of this posting from any of the recipients! To:  Stephanie Vesik, PhD., Daily Operations Mgr.            OHA – Public Health Div. – OPDMP Re:  ANOTHER  BATCH  ERROR ? ! Please see the attached error sheet regarding my patient and...

More “batch” errors from Albertson’s Savon Apr 26th, 2019

I had to send three more error reports to Savon, the PDMP, and the Oregon Board of Pharmacy. Evidently this pharmacy can’t seem to hire the right people to fix some computer problems or maybe the training to use the system is insufficient. Whatever the problem is, it continues to...

More Nurse Practitioner fraud at local clinic Apr 26th, 2019

After reviewing the records on a patient and discussing the records with the patient in person, it becomes apparent that a Nurse Practitioner at the South River Community Health Center commits fraud on her medical records. She documents physical examinations that DON’T happen. There are things you can document without touching the...

South River CHC fails to properly document Apr 26th, 2019

Reviewed medical records from the patient’s Physician’s Assistant at South River Community Health Center. Brief note said a CSA (Controlled Substance Agreement) was discussed and signed, yet NO copy is part of the medical record. PA said the patient was “briefly screened” for risk factors, yet NO questionnaires or documentation of what was discussed...

UCHC fails again! Apr 26th, 2019

Just reviewed the final records on a patient being seen by a doctor at the Umpqua Community Health Center. I had previously reviewed what records they sent and had to ask for additional records that they failed to send as part of the original package. It turns out that they...

Sad state of medical care in Roseburg, Oregon Apr 26th, 2019

Reviewed medical records from multiple providers for a patient applying to my clinic. There are SO MANY things wrong with them, it’s difficult to know where to start, but here goes. Patient seen at Umpqua Community Health Center by two different Nurse Practitioners over the years. Five visits: ALL of them have the height...

Marijuana and Opioids Can Be Helpful for Chronic Pain Patients Apr 18th, 2019

Just posted this response to the article entitled “Pain Sufferers May Benefit From Combining Opioids and Marijuana” on the National Pain Report website: I have successfully used combined opioid and marijuana therapy for years with my chronic pain patients. I have seen the vast majority of them be able to...

NOTICE to the PDMP, the Oregon Board of Pharmcay, and Albertson’s SavOn Apr 18th, 2019

Here’s the letter I wrote to the PDMP, SavOn, and the Oregon Board of Pharmacy and faxed to them on 4-17-19. As usual, I doubt much action will occur. Re:  ANOTHER  BATCH  ERROR ? ! Please see the attached error sheet regarding my patient and his PDMP report printed today....

Evergreen Family Medicine FAILS to maintain medical records to higher standards Apr 18th, 2019

Evergreen Family Medicine has again failed to provide all the appropriate medical records on a patient that they have been treating. Every document signed by the providers is part of the medical record. It is amazing to me that they don’t understand the basics of medical record documentation. Today they...

More NeuroSpine documentation FAILURES Apr 15th, 2019

Records from NeuroSpine FAIL to show the pain medications that they are prescribing to a patient in the “Medication” section. They only show up at the end of the notes when they again PRESCRIBE them and occasionally in the discussions when they are making comments about the patient’s use or their desire to take...

NeuroSpine fails to do pain agreements and complete proper documentation Apr 15th, 2019

Just reviewed the final records of a patient applying for care. NeuroSpine failed to send ALL the requested records the first time, so I had to review the rest later. Specifically the pain agreement is NOT signed by the patient or the physician. There is NO identifying patient information to state 100% that it was even...

Failure of yet another medical office to properly document chronic opioid treatments for years Apr 15th, 2019

Just reviewed over 400 pages of medical records from Sonoma Family Practice out of Sonoma, CA. The two page “Consent form for Controlled Substane Therapy” is NOT signed by the physician and is NOT dated. Multiple repeated pages regarding current immunization guidelines and other guidelines for diabetic testing and such, but guess what? NOT A...

UCHC continues to LIE and LIE and LIE to patients Apr 12th, 2019

There is NO law, neither state or federal, that prevents any physician from prescribing opiate pain medications to patients also using medical marijuana. There are much more knowledgeable practicing physicians across the US that understand that fact, it’s too bad that none of them work for the many clinics across Douglas County...

More failures by clinics to use pain agreements and material risk notices Apr 12th, 2019

Major medical associations and state agencies advocate for the use of pain agreements and Material Risk Notices to be completed with chronic pain patients before continuing to prescribe opioid medications long term. It’s amazing to me how many clinics still do not do so, as demonstrated by the lack of...

FDA finally speaks out against fast opioid tapers Apr 10th, 2019

Here’s my response to the recent article “FDA Warns About Fast Opioid Tapers” that appeared on the Pain News Network website on 4-9-19: While I have been doing slow tapers ever since the CDC Guidelines came out in March 2016, I have watched other patients suffer from their providers, whether...

Government NEVER admits their mistakes! Apr 10th, 2019

Here is my response to the recent article entitled “An Open Letter to the CDC Center for Injury Prevention” that Dr. Richard Lawhern posted on the Pain News Network website on 4-9-19: Governmental policy has always been slow to change, whether for good or bad, even when confronted with true...

Time = money. Less time = less care. The typical norm in medical care now. Apr 5th, 2019

Just posted this comment to the article of “Doctor, Doctor – Are you listening to what she says?” on the National Pain Report website: Medicine has changed over the last 50 years thanks to government bureaucracy & health insurance company greed. They have pilfered the healthcare system making it their...

Another lapse in judgment for Mercy medical staff? Apr 5th, 2019

So a Roseburg radiologist, Dr. Diwaker Agarwal, that is on staff at Mercy Medical Center got a warning for “soliciting” prostitution. Why not an arrest for such criminal activity? Solicitation in Oregon is Class A Misdemeanor and is punishable with jail time and fines. Guess the rich doctor has connections?...

Oregon’s Prescription Drug Monitoring Program has “secret” access to records NOT viewable to... Apr 4th, 2019

Been having issues with the PDMP and have filed multiple complaints as I have in the past with no actions being taken by the various government offices like the Oregon Board of Pharmacy. I decided to forward copies of my complaint to the Governor’s office and some media outlets. Guess...

Another PCP who fails to drug test when prescribing long-term pain medications Apr 4th, 2019

Just reviewed records from Dr. Fred Luke Herscher of Sutherlin on one of his past patients. Here’s just another example of a PCP prescribing opiates for years but never following “guidelines” that had been published even long before the CDC guidelines. It was long recommended to perform drug testing at...

Government funded clinics discriminate against disabled patients Apr 4th, 2019

Had an interesting phone call today from South River Community Health Center. Person was looking for a provider to sign a Companion Pet waiver for a patient because it was against their clinic policy to do so! What type of discriminatory policy is that?! This is a simple Companion Pet...

Incompetent Alberston’s SavOn staff? Oregon Board of Pharmacy in “collusion”? Mar 29th, 2019

Sent four notices out to SavOn pharmacy, the Oregon Board of Pharmacy and the Prescription Drug Monitoring Program today. They showed multiple controlled substance medications failed to be reported to the PDMP as REQUIRED by state law within 3 DAYS. Four prescriptions were filled 28 DAYS ago and NOT reported....

Another drug lawsuit settled. The cheap and easy way out. Mar 27th, 2019

I posted today onto the “Pharmacist Steve” website regarding the article about “Bayer, J&J settle thousands of US Xarelto lawsuits for $775 million.” Here’s a copy of what I had to say:While $775 million sounds like a LOT of money, in reality it isn’t. When numbers get this large, people...

Epidural “hostages” Mar 26th, 2019

Just posted this comment on the Pain News Network website regarding their newest article:I have seen multiple chronic pain patients held “hostage” by their neurosurgeons, orthopedic doctors, and rehab specialists for years. They have to “agree” to those epidural steroid injections, even when they have already had them before without...

Purdue Pharma’s inconsequential penalty of $270 million Mar 26th, 2019

I just read on Fox News that Oklahoma has settled with Purdue Pharma for $270,000,000. That’s a ridiculous amount of money . . . ridiculously LOW! According to Wikipedia, Purdue made $35 billion profit in 2017. Now when numbers are this large, people easily get duped into thinking things seem large, because for...

UCHC provider makes a compliment? Mar 25th, 2019

Usually when I read medical records from our local medical providers, I get sarcasm and disdain from them regarding the fact that I am also seeing their patient and allow them to use medical marijuana with or without opiate medications. Sometimes they go all out full-force and tell the patient...

Mercy Medical Center fails AGAIN...how typical... and how pathetic that they can’t do their jobs Mar 22nd, 2019

Just had a patient discharged by Dr. Tim Powell. After he failed to get the patient into any type of skilled care/nursing home care (which he said he could do), he and the staff ensured that a hospital bed and other medical equipment would be delivered to the patient’s home...

FDA looking into EHR errors? Mar 22nd, 2019

There are so many errors and fraudulent entries made by numerous providers using Electron Health Record systems that it’s laughable and pathetic at the same time. I have seen providers documenting almost full physicals being done on their patients at almost every visit. When you talk to the patient, they...

Oregon Board of Pharmacy fails again and again. Mar 22nd, 2019

While the PDMP can be a highly useful tool when it is used by ALL prescribers (NOT required by law, yet!) and when it is properly maintained by ALL pharmacies that are dispensing controlled substances (and they DON’T), it loses its effectiveness at times due to the multiple mistakes and failed entries that are occurring on...

Letter to Oregon Board of Pharmacy and others regarding PDMP errors Mar 22nd, 2019

22 March 2019 To:  Oregon Board of Pharmacy Fax:  971.673.0002 Re:  Multiple errors on PDMP in violation of state law I am reporting these errors to you, as the many I have done before that went unanswered by the OBP, and therefore I am now also sending this notice to various other state...

Albertsons Sav-On pharmacy in Roseburg violates state PDMP laws Mar 21st, 2019

Today I found four mistakes on the PDMP by Alberstons all committed on 2-20-19 and 2-21-19. Multiple pain medications that should be reported to the PDMP within 72 hours of being filled have still NOT shown up on the PDMP after 29 and 28 days respectively! Would it be so...

Evergreen doctor’s arrogance as hospital attending physician is pathetic and heartless Mar 20th, 2019

Informed today by a patient, whose husband is in Mercy Medical Center and about to be discharged, that she attempted to find a local nursing home to take him. She was told he was too “complicated” for them to take care of. Evergreen Family Medicine’s MD basically told her that...

Even local clinics do not know federal guidelines regarding Buprenorphine for pain versus addiction Mar 20th, 2019

Met a new local provider today who works at Evergreen Family Medicine, also otherwise known as Centennial Medical Group East. They had taken classes to learn about Buprenorphine to help patients, yet they and their bosses still didn’t know that you do not need to become “X” licensed by the...

Douglas County patients medical records violated for the sake of gossip Mar 20th, 2019

Any patient who signs the Electronic Medical Record notice that DCIPA and other clinics demand needs to realize that their confidential health history is now available to anyone who has access to that computer system. The only safeguard the system has is “the word” of that user, that they have the right...

ADAPT charges doctor for patient’s medical records Mar 13th, 2019

Most medical offices commonly share records between providers that are treating mutual patients. I have had some chiropractors over the years charge for their records. Now we have the local ADAPT office stating to a patient today that if they had got the records for themselves, there would be no...

My opinion comment on National Pain Report’s article regarding forced tapering by OHP (3-13-19) Mar 13th, 2019

The state is just doing what the Umpqua Health Alliance already proved could be done back in the summer of 2013. They act as the CCO for the Oregon Health Plan in Douglas County. They forcefully took all OHP patients off opioids back then without giving them any other alternatives....

4 weeks and counting and still no real response from the Oregon legislature Mar 13th, 2019

It’s been four weeks since I sent a long detailed letter responding to the recommendation of changes to the Prescription Drug Monitoring Program per the audit conducted by the Secretary of State. Only one congresswoman responded to basically say the issue wasn’t something that she was aware of. Wow. Obviously...

Sexual predator payout? Mar 8th, 2019

Why is it that those involved with covering up ex-Sen. Jeff Kruse walk away free and clear, just like him? No one goes to jail. No one pays fines or penalties out of their pockets. It all comes from taxpayer money to pay for their mistakes and cover-ups. If someone...

PDMP Failures Mar 8th, 2019

Albertson’s Savon is at it again! Two more controlled substance prescriptions for pain medications again failed to show up on the PDMP system within the mandated 72-hour time limit. It’s been 28 days and they still don’t show up! I think it might be time to start drug testing the...

ADAPT charges for medical records regarding patient treatment; NOT the common standard among clinics Mar 6th, 2019

Just got medical records from ADAPT of Roseburg for a patient applying for medical treatment. The patient received treatment from ADAPT. Most medical clinics do NOT charge for records sent to another clinic in the care of patients, but obviously ADAPT feels differently about that. They want to charge our clinic for...

Roseburg VA overprescribes to veterans for years Mar 3rd, 2019

As reported in the News Review Jan. 12, 2018, “The Roseburg Veterans Affairs Medical Center has the highest rate of opioid prescriptions of any VA in the country, according to a report released Thursday by the U.S. Department of Veterans Affairs.” This is not the first time that the Roseburg VA...

Health insurance is a big scam, not unlike the economic bubbles of past Mar 3rd, 2019

I am not an economist, but I feel that health insurance companies seem to fit into the “economic bubbles” of schemes and more that basically funnel money from one party to another. Clients pay for services and then basically get less than they bargained for in the long run. Premiums...

PDMP failures pt. 2 Mar 1st, 2019

Today, 2-28-19, I had 2 controlled substances that failed to show up on the PDMP system after 28 days. Both were filled at Albertson’s Savon on 1-31-19 and are way past the 72 hour state mandated law.

An Oregon senator finally responded — admits totally unaware of issue Mar 1st, 2019

Senator Shemia Fagan responded on 2-24-19 to my review of the PDMP audit done by the state. She’s the only legislator to actually read and respond to my review. Here’s what she had to say: “Thanks for reaching out. This specific issue was not on my radar previously but I...

WHO ripping off medical providers for coding book fees Mar 1st, 2019

The World Health Organization owns the copyright to the ICD-10 codes that are currently used around the world to apply for reimbursement through the various insurance companies. They slowly update the books and change codes in order to force medical providers to purchase newer books when only a handful of...

Oregon Board of Chiropractic Examiners FAILS to make their licensees accountable for violations... Feb 28th, 2019

The chiropractic board has repeatedly failed to discipline their chiropractic members for violations of state law, namely that of releasing requested medical records within the 30-day time limit set by state statute. In one particular case, Dr. Steven Finlayson of Chiropractic Spine Associates located in Roseburg failed to respond multiple...

Mercy Medical Center AGAIN sends patient’s medical records WITHOUT authorization Feb 27th, 2019

Patient hasn’t seen me since June 2016 and had notified us then that they would not be returning due to insurance issues. Out of the blue, Mercy Medical Center sends us a copy of an x-ray done Feb. 2019. It was ordered by her PCP, not us, yet they sent...

Pain Specialists of Southern Oregon FAILS to maintain adequate medical records Feb 27th, 2019

Medical records reviewed from this office showed that an Opioid Prescribing Agreement (OPA) and a Materials Risk Notice (MRN) were completed by the patient and Dr. Joseph Savino in 2016. It was referenced by Susan Bird, PA in 2017. Yet when those items were specifically requested as part of the...

PDMP Failures pt. 3 Feb 27th, 2019

Today had 3 controlled substance prescriptions that FAILED to show up on the PDMP system at 27 days after they were filled — law says they are supposed to be reported within 72 hours! Today it was Sutherlin Drug for one and Albertson’s Sav-on for two. Oregon Board of Pharmacy...

South River Community Health Center double standards for pain Feb 27th, 2019

Just reviewed over two years worth of medical records from South River CHC regarding a patient that 3 providers (Skyler Meyer, FNP and Marcy Dean, FNP and Carl Leder, PA) prescribed ongoing opiates to. In all that time not a single drug test has been performed. There is no mention...

When are FDA and other government officials going to jail? Feb 26th, 2019

Did you see the CBS Sixty Minutes story on the FDA entitled “Did the FDA ignite the opioid epidemic?” It aired on 2-24-19 with Bill Whitaker. It basically shows the collusion going on behind closed-door, private meetings between Big Pharma companies and the FDA. They basically forced the FDA to...

Failure of NP’s and PA’s to treat low Vitamin D levels properly Feb 26th, 2019

It is truly amazing the number of Nurse Practitioners and Physician Assistants who fail to treat low Vitamin D levels appropriately. I see many of the failing to even address the low lab results that they themselves ordered. When they do address it, they commonly prescribe 50,000 IU’s of Vitamin...

Oregon Rep. Daniel Bonham abuses citizen email Feb 23rd, 2019

I sent my PDMP review letter with numerous attachments to every member of the Oregon legislature. To date not a single one of them has responded with any questions or concerns. But I just received my first email from one of them that placed me on his email list of...

Another CHI Mercy Medical Center lawsuit Feb 23rd, 2019

The News Review reported today, 2-23-19, that CHI Mercy has been sued by Ms. Renee Bates due to injuries she sustained while at their facility. I wish her the greatest success in her lawsuit and her request for a jury trial. I would hope that she and her lawyer do...

Oregon Medical Board FAILS to hold providers to a standard of care that protects the lives... Feb 22nd, 2019

I reviewed the records of a chronic pain patient being seen at a major pain clinic located in southern Medford. This patient NEVER got to see the pain doctor specialist, despite records claiming that the clinic policy is for the patient to be seen by the lead doctor at the first visit. The...

Oregon Board of Pharmacy FAILS to hold pharmacies accountable for errors Feb 22nd, 2019

Section 1 of ORS 431.964 requires pharmacies to report controlled substance prescriptions to the Prescription Drug Monitoring Program. Among the required information to report is “the identity of the practitioner who prescribed the prescription drug.” I report errors in the PDMP when I find them, and I have found many...

Evergreen Family Medicine fails to follow lab recommendations; just looks for excuses to fire... Feb 21st, 2019

Amanda Rose, PA, at Centennial Medical Group East (also known as Evergreen Family Medicine) recently drug tested a patient at their office with the standard point-of-care cup. The cup showed methamphetamine, so Ms. Rose did what the standard lab recommendations say to do: she sent it out for confirmation BEFORE...

VA’s RIOSORD risk index falls short in many ways Feb 21st, 2019

The RIOSORD was designed by the VA to assess the Risk Index for Overdose or Serious Opioid-Induced Respiratory Depression, or basically that your pain medications could stop your breathing. It awarded points for many different conditions, some high, some low. It failed to distinguish between opioid dependence (what regular chronic pain patients have when using opioids long-term)...

Why must Oregon doctors follow laws and guidelines when OHSU’s doctors don’t? Feb 19th, 2019

Just reviewed the medical records of a patient who has been seen at multiple clinics within the OHSU group in Portland. There are three pain agreements dating 2013, 2015, and 2017. Guess what? NONE of them are signed by the patient, any provider, or any witnesses. NONE of them! Guess...

NO response from Oregon legislators after 1 week Feb 18th, 2019

It’s been one week sent I sent off my multi-page review of the PDMP audit’s recommendations to every single member of the Oregon legislature. To date not a single one of them have even responded at all. No questions. No concerns despite all the errors that I have been pointing...

“No Mercy” and “No Dignity” (great nicknames for a hospital!) now has “No Spirit” too Feb 18th, 2019

CHI Mercy Medical Center of Roseburg has long been known by many of the locals as a place for “no mercy” when it comes to medical treatment. Then they merged with Dignity Health and that added the “no dignity” part. Letters written to the CEO’s of both CHI (Keven Lofton)...

What not to say to your pain doctor Feb 16th, 2019

As a chronic pain management doctor, I’ve received a variety of threats over the years. Here’s a recent example from a patient I just dismissed. They tested positive for “methamphetamine.” Their response to my dismissal of them was: “I will get a lawyer, . . . I will start using...

UCHC prescribes pain medications to well-insured patients, not OHP patients! Feb 16th, 2019

Just reviewed the records of an applicant and see that UCHC is practicing discriminatory pain management. They claim to follow guidelines and tell chronic back pain patients that they don’t prescribe pain medications for such conditions. But in reality their records show that they do. They just do it for...

Ohio pain clinic freely prescribes pain medications Feb 16th, 2019

Recently reviewed the medical records of a patient moving from the Midwest to Oregon. They were seen at a specialty pain clinic in Ohio and were prescribed pain medications for years. Never once did they talk about other treatment modalities like physical therapy, injections, chiropractic, or more. It was never...

Daily log of ridiculous errors and more in medical records Feb 12th, 2019

I have decided to start blogging about all the different medical errors I find in the numerous medical records I review. I get patients applying from different clinics across the state because so many of them are running scared. They have been prescribing pain medications up to this point, many...

UCHC fails to document all pain medications prescribed Feb 12th, 2019

I have reviewed the medical records of a patient that shows the last office visit being 11 months ago, yet the patient has been receiving a regular supply of pain medications MONTHLY since then. Four of the multiple prescriptions were written by Dr. Jay Richards, but NONE of those four...

A physician’s response to the PDMP audit of Dec. 2018 Feb 12th, 2019

Today I submitted a fifteen page response to the members of the Oregon legislature and some of the major media outlets across Oregon regarding my thoughts on the Secretary of State’s audit of the PDMP program. I have been addressing the numerous errors and other problems associated with the program...

Oregon wants to use PDMP to intimidate prescribers Feb 10th, 2019

Oregon released an audit of the PDMP in December 2018. They are just now expressing concerns regarding the failure of many providers in using the PDMP system that has been around for years. I have been expressing these concerns for years. I have been pointing out the numerous mistakes the...