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.
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 is part of the medical record.
There is NO Material Risk Notice as part of the medical record.
As typical by these clinics, they tell patients that they can’t use cannabis while taking opiates. That’s their policy only. There is NO law at the state or federal level that prevents them from allowing the use of both drugs. They have a STRONG BIAS and DISCRIMINATE against any patients wanting to use both drugs.
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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.
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!
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.
