Letter to Dr. Harry Taylor and Shannon Suhr, NP, at Aviva Health regarding worsening cognition and physical coordination of one of their patients that they seem to over-medicate without proper monitoring.
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 them off such medications.
Despite documentation of this in the patient’s chart, records FAIL to show the “comprehensive pain management laboratory evaluation including neuro-hormonal, metabolic, and endocrine assessments for baseline screening” and the FAILURE to be “screened successively on 3-6 month intervals as necessary for prevention of adverse effects.“
Additionally they state: “Furthermore, urine toxicology alone is often not adequate to document baseline amounts of substance within the blood stream and therefore a blood toxicology will be performed either today or in the near future for corroboration and documentation of baseline blood drug content.” How about NEVER being done!
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Dr. Hoyne wastes patient's time "investigating" other doctor's practices by grilling them on how they operate, what they charge, and more. Yet he charges the patient's insurance for his time that has nothing to do with true patient care!
The FDA lacks any real “teeth” to do their job.
Per a letter I wrote awhile back, I see that the Oregon PDMP is finally reporting the refills properly per my suggestion.
Pulled out some records to check some things and refreshed myself with something I had been meaning to post earlier but got distracted.
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.