1-ribbonFirst they came for the mentally ill addicts, and I did not speak out—
Because I was not a mentally ill addict.

Then they came for the empathetic prescribers, and I did not speak out—
Because I was not a empathetic prescriber.

Then they came for the Pharmacists, and I did not speak out—
Because I was not a Pharmacist.

Then they came for me—and there was no one left to speak for me

Legalizing Medical Marijuana May Lead To Fewer Suicides

Legalizing Medical Marijuana May Lead To Fewer Suicides

http://www.huffingtonpost.com/2014/02/04/marijuana-legalization-suicide_n_4726390.html

We have 40,000 people commit suicide annually, not counting all those that are labeled as a “accidental over dose” which were actually a suicide. As a society, we are in denial of mental health issues  involved with drug abuse.  This study suggests that by legalizing/decriminalizing MJ/MMJ there is the potential of saving 10-15 lives a day from suicide. The bureaucracy’s persistence on a mindset fostered by bigotry and racism over 100 yrs ago to continue to prohibit medical research on this product. So is our bureaucracy contributing to suicides because of its policies ?

A team of economists’ newly published report in the American Journal of Public Health suggests states that have legalized medical marijuana may see a reduction in suicide rates in young men.

The researchers took a close look at state-level suicide data over a 17-year period, from 1990 to 2007, from the National Vital Statistics System’s mortality detail files. They analyzed data from the 12 states that had legalized medical marijuana during that time and compared it with states that continued to criminalize the drug. In states that had legalized marijuana for medical use, there was a 10.8 percent reduction in the suicide rate of men in their 20s and a 9.4 percent reduction in men in their 30s, the study found.

“The negative relationship between legalization and suicides among young men is consistent with the hypothesis that marijuana can be used to cope with stressful life events,” the authors wrote. “However, this relationship may be explained by alcohol consumption. The mechanism through which legalizing medical marijuana reduces suicides among young men remains a topic for future study.”

Daniel Rees, co-author of the study, noted to The Huffington Post that although researchers couldn’t distinguish between alcohol or marijuana use in this study, another recent study also co-authored by Rees, a 2013 study he co-authored published by Chicago Journals, does show a link between medical marijuana use and a reduction of alcohol use among young adults.

The effect on males was clear, but the study did not find conclusive evidence that medical marijuana legalization reduced suicides among females.

“The estimates for females were less precise and sensitive to model specification,” Rees said. “In other words, legalization may reduce suicides among females, but we didn’t find conclusive evidence one way or the other. Females could respond to marijuana differently than males. Females could respond to alcohol differently than males. It’s even possible that they respond to legalization differently than males.”

Currently, 20 states, along with the District of Columbia, have medical marijuana or recreational marijuana laws. More than a dozen others are likely to legalize marijuana in the next several years.

Denial of care and the consequences ?

video platformvideo managementvideo solutionsvideo player

Detroit EMT Fired After Refusing to Perform CPR on 8-Month-Old Girl

http://insider.foxnews.com/2015/06/27/detroit-emt-fired-refusing-perfom-cpr-8-month-old-baby-girl

So here we have a licensed healthcare professionals refusing to provide care…  Be interesting to see if the licensing board suspends/revokes her license, if some sort of criminal charges are filed and the always possible civil lawsuit against the EMT and the city.. I can sense the attorneys CIRCLING !

A Detroit EMT has been fired after refusing to help a baby suffering a medical emergency. 

WDIV reported that Ann Marie Thomas received a call on May 30 that an 8-month-old girl had stopped breathing.

Instead of rushing to help save the infant’s life, Thomas parked the vehicle around the corner from the home. She waited six minutes before telling dispatchers that she didn’t want to help, according to an internal investigations report

“I’m not about to be on no scene 10 minutes doing CPR, you know how these families get,” Thomas reportedly told her supervisor.

The infant, who was born premature and used an oxygen machine, was eventually transported to Sinai-Grace Hospital by a different ambulance. She died the next morning. 

“The actions of EMT Thomas directly contributed to an approximately 19 minute response time (from time of call to Romeo 33 making the scene) for a baby not breathing,” the report said. 

Detroit Fire Commissioner Edsel Jenkins stated that firing Thomas was the “appropriate course of action” after reviewing all of the facts surrounding the incident.   

It is -AS IF – doctors never have pts die for whatever reason ?

witchhunt

Pain doctor in Kentucky charged in 5 deaths

http://www.usatoday.com/story/news/nation/2015/01/21/pain-doctor-charged-in-5-deaths-in-ky/22134745/

Barb saw this particular pain doc for a couple years. I was a lot more impressed by this particular doc’s pt care than the doc that owned the clinic nor the doc that replaced him… shortly afterwards Barb left the clinic’s practice.  Dealing with chronic pain pts that are suffering from pain, depression, anxiety and other issues… are at a twice the risk of committing suicide.  SOOOO.. 5 pts committed suicide over a several year period.. in this country we have 40,000 commit suicide every year..  IT HAPPENS..

The fraudulent billing is nothing but “fluff charges”… the report is that Jamie was headed off to some sort of conference/seminar/medical convention and was rushing to make sure that all his pts had their needed medication.. and there was some sort of mis-communication to the individual/company that did the billing for the practice.  Fraudulent billing practices tend to be more routine and ongoing for more than THREE DAYS.

 

LOUISVILLE, Ky. — A pain doctor who promises on his website to help patients “return to a life they once knew” has been indicted by a federal grand jury on charges of illegally prescribing medications that resulted in the deaths of five patients.

Dr. Jaime Guerrero, who has offices in Louisville and Jeffersonville, Ind., was charged in a 32-count indictment with causing the deaths by issuing prescriptions for oxycodone, methadone and hydrocodone for no medical purpose from 2009 through 2012.

He faces a maximum sentence of life in prison if convicted.

Acting U.S. Attorney John E. Kuhn Jr. said in a statement that “physicians who recklessly prescribe narcotics must be held accountable, and where investigators and prosecutors believe they can prove beyond a reasonable doubt that medically unnecessary narcotics caused a patient death, we will pursue those cases criminally.”

Dan Smoot, chief executive of Operation Unite, an Eastern Kentucky anti-drug organization, said the indictment “sends a message to doctors who … prescribe painkillers without a medical purpose that they are little different than drug traffickers.”

Guerrero didn’t respond to messages left at both of his offices or at his home, or to e-mails. But his attorney, Scott C. Cox, said: “I have known Dr. Guerrero for many years and I have known him to be a legitimate physician in every respect. He is board certified and has been a conscientious physician for many years, and we look forward to defending him.”

Guerrero, 47, who has operated a practice called Advanced Pain Management Center, also was charged with health care fraud after being accused of seeing more than 100 patients on three days in 2011, spending about three minutes with each one and billing for office visits at a higher rate than the service allowed. He also is accused of directing a staff member who isn’t licensed as a counselor to provide drug-education classes to patients.

Guerrero, who graduated from St. Xavier High School and Centre College, is a 1993 graduate of the University of Louisville medical school who did his residency in anesthesiology at U of L. He is licensed in good standing in Indiana and Kentucky.

The U.S. Drug Enforcement Administration searched his offices at 1170 E. Broadway in Louisville and 1101 Spring St. in Jeffersonville in September 2012, confiscating his records.

One of his patients, Lee Bullock, told WAVE-TV then that Guerrero was treating him for degenerative disc disease and that he thought he was a very good doctor. “He monitors all his patients very close,” he told the station. “He does a lot of drug screens, urine test and pill counts.”

Ken McKim explains LUPUS

WANTON ABUSE/NEGLECT OF AN ADULT ?

Woman arrested in KY for stealing from nursing home patient

Here is a interesting story… denying a chronic pain pts their legally prescribed medication is WANTON ABUSE/NEGLECT OF AN ADULT ?
PADUCAH, KY (KFVS) – An employee of a local nursing home was arrested after she admitted stealing pain medication from a patient.Anna Allen, 24, was arrested late Tuesday afternoon on indictments charging her with theft by unlawful taking and wanton abuse/neglect of an adult.

Det. John Tolliver, the Paducah Police Department’s prescription drug investigator, reported he was contacted by the facility manager after an employee brought concerns to her attention.

A patient told Tolliver that she became suspicious because her pain was not alleviated after Allen administered her pain medication.

She said she finally held her medicine and did not take it, and checked it after Allen had left the room.

The patient said she found her pain medication had been replaced by another medication.

The patient told another employee of the nursing home what had happened, and the facility manager was informed.

Tolliver and Adult Protective Services representatives then were contacted.

Tolliver presented his investigation to a McCracken County grand jury, which returned the indictments listed above.

During an interview Tuesday afternoon, Tolliver said, Allen admitted having stolen patients’ pain medications other times, as well.

She was arrested and booked into McCracken County Regional Jail.

And you wonder why no progress is being made ?

There is some 320 million people in the US… among those there are abt 40 million blacks/African Americans .. someone discriminates against one of them.. this is what you may see in the media

Protesters gesture as they stand in a street in defiance of a midnight curfew meant to stem ongoing demonstrations in reaction to the shooting of Michael Brown in Ferguson, Missouri August 17, 2014. REUTERS/Lucas Jackson

There are some 12 million that label themselves as part of the LGTB community and if you discriminate against one or more of them and this is what you may see in the media

lgtbprotest

There is an estimated 106 million of those suffering for chronic pain and other subjective chronic diseases.. and if discrimination against people in this group.. and this is what you may see in the media

flbodmeetThis is the closest that this group gets to protesting… A SIT IN.. I know that you can’t read the PICKET SIGNS.. but.. that is OK…  the picture itself clearly demonstrates the intensity of the commitment of those present in getting this discrimination to come to a end

Their hemp seeds were confiscated by an overzealous DEA,

deadhamster

As advocate for industrial hemp production, Kentucky’s Thomas Massie standing tall

http://www.nkytribune.com/2015/06/as-advocate-for-industrial-hemp-production-kentuckys-thomas-massie-standing-tall/

If there is anyone from Kentucky who is a bigger industrial hemp advocate than Agriculture Commissioner James Comer, it is likely U.S. Rep. Thomas Massie, who stood beside Comer when state legislation was being passed to allow an administrative framework be set up.

Massie, a Republican who represents the 4th District stretching across Northern Kentucky, has been leading the charge at the federal level. Recently, he joined a host of others in co-sponsoring an amendment that would keep the federal government from using taxpayers’ dollars to hinder research production efforts.

U.S. Rep. Thomas Massie

Earlier this year, Massie introduced the Industrial Hemp Farming Act of 2015 (HR525), which would amend the Controlled Substances Act to remove industrial hemp from the list of controlled substances.

And it was an amendment he sponsored in the 2014 Farm Bill that granted states research rights when it came to cultivating industrial hemp.

This latest legislation was a part of the Commerce, Justice, Science appropriations bill, which funds many government agencies, including the Department of Justice and the Department of Commerce. It is the result of the situation that arose in 2014 when the federal government held up hemp seed delivery to Kentucky’s waiting research projects.

“Their seeds were confiscated by an overzealous DEA, that is turning a blind eye to marijuana in Colorado and Washington State, but the DEA saw fit to come to Kentucky and harass our state department of agriculture that had non-psychoactive hemp seeds,” Massie said.

It took a lawsuit on behalf of the Kentucky Department of Agriculture and this same legislative amendment introduced by Massie to get those seeds released.

That amendment became law as part of the Omnibus Bill which means it remains in affect until Sept. 30, when the bill expires.

“Whenever you amend an appropriations bill to achieve a desired effect, it doesn’t become permanent law, it only lasts for the length of the appropriation, which is one fiscal year,” said Massie. “That’s why I reintroduced this amendment so this fiscal restraint on the DEA will also be in place in the 2016 fiscal year. And this time it passed by an even larger majority than last year.”

He sees this as growing support from Congress to allow industrial hemp to once again become a production agriculture crop.

“Just about every week I get a new co-sponsor for HR525 and that’s one of the reasons these amendment votes are important. They show a level of support for industrial hemp in Congress that keeps growing,” said Massie.

He added that these vote totals will show leadership and committee chairs the will of the House is to allow the growing of industrial hemp and therefore HR525 should be passed out of committee and allowed a vote on the floor.

“What’s happening here to motivate federal legislators is that the state legislatures are passing industrial hemp initiatives in their own states.” — U.S. Rep. Thomas Massie (R-Kentucky)

One positive move that happened this year with the amendment that did not happen in 2014 is the support from the chair of the Judiciary Committee, the committee of jurisdiction for HR525.

Congressman Bob Goodlatte (R-Virginia) chairs that committee and in his home state, hemp research legislation passed in 2014 by a nearly unanimous vote.

“What’s happening here to motivate federal legislators is that the state legislatures are passing industrial hemp initiatives in their own states,” Massie said.

From an agricultural standpoint, hemp is thought by many to be a viable replacement for tobacco in Kentucky.
Massie, who raises cattle on a former tobacco farm, said he is acutely aware of the need to find a replacement crop even though it may not be on a one-for-one basis.

But there are some sectors within the hemp industry that hold promise from a financial standpoint including its use in pharmaceuticals.

“The majority of the venture capital that’s starting to come into the hemp field is focused on pharmaceutical applications not for THC but for CBD (cannabidiol) oils,” said Massie.

Cannabinoids are extracts derived from industrial hemp that are often used in medical research.

David Williams, UK College of Agriculture, Food and Environment agronomist and co-project lead for the university’s hemp research said some of that cannabinoid research, which until now has been conducted indoors, is going outdoors in fieldscape production at UK, something that may hold the key to it being a potential replacement crop for tobacco producers.

“I’ll underline and bold that word ‘potential,’” said Williams cautiously. “If a tobacco production model yielded more cannabinoids than a direct-seeding model, it could be a ‘potentially’ wonder thing for Central Kentucky farmers to have a ‘potential’ alternative crop that might be just as profitable as tobacco used to be.”

The House passed the CJS appropriations bill by a vote of 242-183. The legislation will now need Senate passage before going to the president.

 

They are “chillin” in BALTIMORE

Baltimore Mayor .. “we gave them space to destroy “

DEA: Prescription drugs stolen in Baltimore flooding the streets

http://fox2now.com/2015/06/25/dea-prescription-drugs-stolen-in-baltimore-flooding-the-streets/

The open-air drug markets of Baltimore are flush with new product this summer. The source, at least in part, is more than 30 pharmacies and clinics looted in riots following the death of Freddie Gray in police custody.

More than 175,000 doses of opiates and other prescription drugs were stolen and are now on the streets, according to the Drug Enforcement Administration. Enough Oxycodone, Suboxone, Morphine, Fentanyl and other drugs says the DEA to keep the city’s drug users high for a year  – A gift from the Mayor ?

In a city with a large heroin-addicted market, the influx of looted drugs is adding to the problems facing police and city officials already struggling to deal with a sharp rise in shootings and murders. Law enforcement officials believe the new flow of prescription pills will breed new addicts and more violence. Many of those addicts will turn to cheaper heroin from the open drug markets later.

In response to the city’s plea for help, the Drug Enforcement Administration and other federal agencies are seeking to prosecute the leaders of gang and drug dealing organizations.

Gary Tuggle, who grew up in Baltimore’s east side and worked as a Baltimore cop, says his agency has drawn a list of potential suspects. Before taking over the agency’s Philadelphia office, Tuggle led the DEA’s efforts in Baltimore. He allowed CNN to tag along for a first-hand view of the drug markets and his agency’s effort to thwart them.

Back when Tuggle was a Baltimore police officer more than a decade ago, he recalls “the street purity of heroin was 2-5%. Today we are seeing purity levels up to 80-85% and then some cases, a kilo of heroin would cost $140-160,000. Today you can get it for between $65 and $70,000 so you see the economics of it when you have a level of supply and level of demand that uses that inventory its literally bringing the cost down and purity levels up.”

According to the DEA, prescription opiates can go for as much as one dollar per milligram and it doesn’t take long for users to run out of money to support their prescription habit, eventually turning to the imported black tar heroin from Mexico or powder heroin from Asia, which is much stronger and cheaper.

In the neighborhoods surrounding where Freddie Gray was initially arrested, more vacant homes are appearing, more shops are closing, which means “the drug dealers have the corners for themselves,” according to Tuggle.

According to the DEA, the influx of drugs on the streets is inflaming turf wars between gangs and independent drug dealers who are competing for territory, which is vital to a drug dealer’s revenue stream.

“In some cases you have the gangs taxing other gangs or independent drug dealers,” Tuggle says. Other times, gangs feel their territory is being threatened, which leads to a disruption in the balance of power and “that’s only going to lead to violence.”

That partly, police say, explains the 42 murders in May, Baltimore’s deadliest month in 15 years.

Signs of the fresh supply of drugs are visible, Tuggle tells CNN during a ride past Baltimore’s heaviest drug-trafficked sections.

The alleys — or “dips” as they are known to law enforcement — where most of the deals used to go down are largely empty. Because of the thinner police presence in the area, they are free to operate in the open.

In one neighborhood of row-houses about two miles from the tourist attractions of the Inner Harbor neighborhood, it’s not long before cars come to a stop in front of two pedestrians engaged in an alleged drug deal in the middle of the road.

“Twenty-five years ago when I grew up here, you didn’t see open air drug deals,” Tuggle said. “That was something you didn’t see, you had to go into the alleys to find those deals. Today as you’ve seen, it happens in the open.”

In some areas, the presence of the DEA agents in unmarked cars are quickly noticed.

“Five-O,” some called out. Lookouts immediately alerted the dealers and customers to the presence of law enforcement. Some were kids, agents said, as young as 10 years old paid $50-$100 a day to ride their bikes on corners and whistle at the first sight of police or suspicious, unmarked cars.

Agents say drug users know which parts of town are best for heroin or other drugs: from the Sandtown area, with a booming heroin market, to the streets outside the historic Lexington Market in downtown, where prescription opiates have shown up, according to agents. Agents say the drug users are easy to pick out because of their tell-tale “nod,” some leaning over precariously without falling over during their high.

Outside a methadone clinic, teeming by 8 a.m., the streets and alleys were buzzing. Agents say at least some in the crowd were dealers and users either attempting to ween themselves off the opiates, or immediately selling daily methadone dose for a quick buck to spend on more heroin.

Tuggle says that law-abiding residents of areas most affected by the drug dealing are victims of drug users who come from all over the region. The DEA is now circulating pictures of up to 70 individuals they say are directly responsible for the surplus of looted drugs.

“At the end of the day these communities have very, very decent people, hardworking people who want to work and educate their families and support their families. But at the end of the day you would see what I call piranha. A lot of these people dealing in these neighborhoods are not from these neighborhoods. Some of them have nice homes in the suburbs or they live in high rise apartment sin downtown Baltimore. So they come into these communities to take advantage of these communities.”

In INDIANA robbing pharmacies has become a full fledged business ?

Teens, adult arrested in Indianapolis pharmacy robbery ring

http://www.wthr.com/story/29380299/teens-adult-arrested-in-indianapolis-pharmacy-robbery-ring

INDIANAPOLIS – Indianapolis Metro Police say they’ve broken up a robbery ring that targeted Indianapolis pharmacies. An adult and three teens were arrested.

A day doesn’t go by without hearing about another CVS or Walgreens robbery, but it’s not money the crooks want. They’re after prescription drugs they can sell on the street. Investigators say the suspects they captured may be responsible for ten or more robberies.

Most of the robberies involved teenagers who police suspect have been recruited to take part in the robberies.

Shortly after 2:00 pm on Father’s Day, two officers working undercover outside the Walgreens on E. 38th St. became suspicious about a 15-year-old girl and 14-year-old boy entering the store. The boy acted as a lookout while the girl handed the pharmacist a robbery note demanding pills.

Police have dozens of young suspects like these caught on camera in pharmacy robbery after pharmacy robbery. In this case, the suspects took off running into the apartment complex next door, where police say 25-year-old Kadeem Wright waited in their get away car.

Witnesses pointed out the car that sped out of the complex. When stopped by officers, police reportedly found the robbery note, a loaded handgun and clothing worn in other robberies caught on camera.

Now police say the 25-year-old, the 15-year-old girl and boys 17 and 14 years old may be responsible for four to ten area pharmacy robberies.

Investigators are sending this case to the FBI Violent Crimes Unit for possible federal charges against Kadeem Wright.

There are more robberies like this one involving teenage suspects, including an incident at the Post Road CVS in Lawrence. Since January 1st, around 100 incidents like the one described above have been caught on camera.

What helps is the video snapshots where detectives have reportedly matched up clothing worn in different hold-ups. Now with the recent arrests, police hope to at least put a dent in the pharmacy crime wave.

We only work with RAW numbers… makes things look worse ?

Nurse Practitioner Admits Accepting Drug Company Kickbacks

http://www.courant.com/health/hc-nurse-indictment-0625-20150623-story.html

Alfonso was a high prescriber of the painkilling drug fentanyl in 2012 and 2013, writing 782 prescriptions for it, more than twice the number of the next highest prescriber.

If you do “the math” on this statement…presuming that she wrote for 30 days supply for each Rx.. She did work in a PAIN CLINIC… she had some 30-odd pts on Fentanyl.. what sounds worse 30 pts on Fentanyl or 782 Fentanyl Rxs in two years? Now that the DEA has mandated that all C-II must be no more than a 30 days supply… it will only make the “raw numbers” look worse…  was that intentional ? Looks like the Pharma, their sales rep are going to get a pass.. They did the crime… not even going to have to pay a fine.. and NO ONE FROM THE CORPORATION GOES TO JAIL.

HARTFORD — A Derby nurse practitioner identified as the state’s highest Medicare prescriber of potent narcotics has admitted taking kickbacks from a drug company in exchange for prescribing pain medication.

Heather Alfonso, 42, of Middlebury, pleaded guilty Tuesday in U.S District Court in Hartford to receiving $83,000 in kickbacks from January 2013 until March 2015 from an unnamed pharmaceutical company that makes a drug used to treat cancer pain.

In pleading guilty, Alfonso admitted that the money she was paid influenced her prescribing of the drug, according to the U.S. attorney’s office for Connecticut, which is handling the case.
Among Most Prolific Drug Prescribers In U.S., CT Nurse Surrenders Licenses

The charge of receipt of kickbacks in relation to a federal health care program carries a maximum term of imprisonment of five years and a fine of up to $250,000. U.S. District Judge Michael P. Shea scheduled sentencing for Sept. 17.

Alfonso, an advanced practice registered nurse (APRN) at the Comprehensive Pain and Headache Treatment Center in Derby was identified in recent C-HIT stories as the state’s highest Medicare program prescriber of Schedule II drugs — potent narcotics with a high potential for addiction and abuse. She was among the top 10 prescribers in the country in 2012 and was the highest prescriber in Connecticut in 2013, writing $2.7 million in prescriptions.

Her prescribing habits in 2012 and 2013 did not appear to attract scrutiny until earlier this year, when a probe by the drug control division of the Department of Consumer Protection led her to surrender her state and federal licenses to prescribe controlled substances. She has since left the pain center, a spokeswoman there said. Her nursing license is under investigation by the state Department of Public Health.

Neither Alfonso nor Dr. Mark Thimineur, an anesthesiologist who is medical director of the Derby pain center, could be reached for comment Tuesday evening.
According to the U.S. attorney’s office, Alfonso prescribed an array of controlled substances to clients of the treatment center and was a “heavy prescriber” of a drug used to treat cancer pain, racking up more than $1 million in Medicare claims for that drug alone.

Interviews with several of her patients, who are Medicare Part D beneficiaries and who were prescribed the drug, revealed that most of them did not have cancer, but were taking the drug to treat chronic pain, the U.S. attorney’s office said. Medicare and most private insurers will not pay for the drug unless the patient has an active cancer diagnosis and an explanation that the drug is needed to manage the patient’s cancer pain.

The U.S. attorney’s investigation revealed that the manufacturer of the drug paid Alfonso as a speaker for more than 70 “dinner programs,” at a rate of about $1,000 per event.

“In many instances, the dinner programs were only attended by Alfonso and a sales representative for the drug manufacturer,” according to a statement from U.S. Attorney Deirdre M. Daly’s office. “In other instances, the programs were attended by individuals, including office staff and friends, who did not have licenses to prescribe controlled substances. For the majority of these dinner programs, Alfonso did not give any kind of presentation about the drug at all.”

Daly said the investigation by her office is ongoing. The U.S. Department of Health and Human Services Office of the Inspector General, the FBI and the Drug Enforcement Administration are assisting in the probe.

Payment records compiled by the news organization ProPublica show that Alfonso received multiple payments for consulting and speaking from the drug company Cephalon, now owned by Teva Pharmaceuticals, in 2012 and 2013. Those records do not extend past 2013, however, so it is not known which drug company is involved in the federal charges. ProPublica does not list any other drug company payments to Alfonso.

Alfonso was a high prescriber of the painkilling drug fentanyl in 2012 and 2013, writing 782 prescriptions for it, more than twice the number of the next highest prescriber.

Alfonso came to the attention of state medical regulators last summer, when she was reprimanded by the Board of Examiners for Nursing for providing narcotic pain medications to a patient seven times without personally examining the patient, instead “inappropriately” relying on an unlicensed assistant, state records say. She paid a $2,000 fine and took courses in safe prescribing and delegating work duties, but was allowed to continuing practicing without restrictions.

 

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