My new car is smarter than this pt’s OB/GYN..

This  doctor used the analogy of you don’t wait until you run out of gas before you buy some..  I got a “new ride” a month ago and on my return trip from the FL BOP special committee meeting last week in Orlando… I had been on the interstate for several hours and was needing to get gas soon.. as I exited the interstate to a four lane state hwy for my final leg home.. I knew that there was a large truck stop at the interchange.. Being the tech nerd that I have always been.. my new ride has all those modern day high tech options.. I was down to abt 1/8 of tank and the in dash computer said that I had 30-40 miles to empty and I knew that even when it indicated ZERO MILES TO EMPTY .. that I had at least 2 gals in the tank.. or I had 10% of the tank capacity left. As I rolled off the interstate, up pops on the in dash video screen “YOU ARE GETTING LOW ON FUEL.. DO YOU NEED ME TO FIND YOU A PLACE TO GET FUEL ?  YES/NO ”

Imagine that.. my car … did not want me to run out of fuel… this car cared more about my well being than apparently this OB/GYN cared about this patient’s well being.  I guess that we can now officially declare that many in our healthcare system have LESS EMPATHY about their pt’s well being… than the artificial intelligence in my car has about the car’s driver.  If it hasn’t been clear before.. it is now… our healthcare system is IN THE CRAPPER !

At CVS where “health is everything”.. customers safety – NOT SO MUCH ?

Cops: Robber continues spree, takes CUSTOMER hostage

http://www.courierpostonline.com/story/news/local/south-jersey/2015/06/20/hostage-taken-woolwich-pharmacy-robbery/29046157/

WOOLWICH – The drugstore thief who carjacked a priest in Haddonfield has struck again, this time robbing a CVS Pharmacy in Gloucester County while armed with a crowbar, authorities said.

The robber took a female customer hostage during the crime, which occurred shortly after 11 p.m. Friday at the pharmacy on Center Square Road, according to Woolwich police.

He threatened to “shoot” or “kill” the woman if a pharmacy

technician didn’t hand over all of the store’s oxycodone, which is an addictive and powerful painkiller, police said. He never showed a gun but did display the crowbar, authorities noted.

The CVS technician gave the narcotics to the robber, who then unsuccessfully tried to steal the hostage’s car keys, according to police. The thief then ran away, headed north.

Police, whose headquarters is near the pharmacy, said they responded quickly and used a K9 in an attempt to track down the suspect.

“Thankfully, no employee or customer was hurt during the incident,” the police department said on its Facebook page.

Woolwich police said they believe the robber is the same man responsible for similar crimes that occurred at Rite Aid pharmacies on Tuesday in Haddonfield and last month in Logan. Detectives from those communities are working together on the case, and Rite Aid has offered a reward of up to $5,000 for tips that lead to the man’s arrest.

The crime at the Haddonfield drugstore on Haddon Avenue occurred about 12:10 p.m. Tuesday. The thief was holding a traffic cone when he entered the store, displayed a handgun to employees and demanded Adderall and oxycodone, authorities said.

He escaped with some bottles of Adderall pills, ran into the parking lot and carjacked a priest, but abandoned that vehicle about a block away and ran off. No one was hurt.

A witness said the robber apologized during the crime.

The Camden County Prosecutor’s Office described the Haddonfield robber as a white man who is about 6 feet tall and weighs around 200 pounds. He wore a long yellow raincoat, yellow reflective vest, hooded sweatshirt, black mask and white hardhat. The man who robbed the Logan drugstore wore a similar outfit, authorities said.

Woolwich police said their suspect was dressed in heavy layers of clothing. Surveillance photos released by police show he wore a plaid hooded sweatshirt or jacket and covered much of his face with a black mask.

How to help

Anyone with information about the CVS robbery or the suspect is urged to call the Woolwich Township Police Department Detective Unit at (856) 467-1667, ext. 1224. Authorities say tipsters will remain anonymous.

Isn’t 1.7 billion more than 712 million… ?

The Feds just made the largest ever healthcare-fraud bust

This week the Department of Health and Human Services (HHS), the Department of Justice (DOJ), and local law enforcement in 17 different US cities arrested 243 individuals for an alleged $712 million in fraudulent Medicare charges.

The nationally coordinated bust is the largest ever for the Medicare Fraud Strike Force, “both in terms of the number of defendants charged and loss amount,” according to the FBI.

Rick Scott ‘oversaw the largest Medicare fraud in the nation’s history,’ Florida Democratic Party says

http://www.politifact.com/florida/statements/2014/mar/03/florida-democratic-party/rick-scott-rick-scott-oversaw-largest-medicare-fra/

Scott’s prior tenure as CEO of Columbia/HCA about a decade ago, when the hospital company was fined $1.7 billion for Medicare fraud.

Going to a hospital doesn’t always means that you will “BE HEALED”?

Woman sues Mercy over wrong drug allegation

http://www.cantonrep.com/article/20150618/NEWS/150619293/?Start=1

  • CANTON

    An 86-year-old Perry Township woman is accusing Mercy Medical Center of wrongly giving her a drug that caused a massive stroke and partial paralysis.

    Her lawsuit alleges that the hospital’s nursing staff gave propofol to Lois E. Arrendale instead of a prescribed antibiotic. Propofol is a powerful sedative that has drawn attention because a doctor gave the drug to pop singer Michael Jackson the day he died in 2009. Jackson’s doctor was found guilty of involuntary manslaughter in the case for recklessly prescribing propofol as a sleep-aid.

    Investigations into Arrendale’s care by a state agency revealed a “shocking lapse of pharmaceutical oversight and nursing training within the hospital,” Allen Schulman said of the local case in a news release.

    Mercy Medical Center issued a statement in response to a request for comment.

    “Due to patient privacy rights under Ohio and federal law, Mercy Medical Center is not able to comment on the care provided to a patient or comment on her current medical condition,” the hospital said. “Therefore, we are unable to rebut the allegations contained in the lawsuit at this time.”

    The lawsuit is seeking damages of more than $25,000.

    THE CASE

    Arrendale was taken to the hospital’s emergency room Sept. 21, 2014, because she was having abdominal pain and suffering from a urinary tract infection, according to the lawsuit filed this week in Stark County Common Pleas Court.

    The following day, Arrendale’s physician ordered an intravenous antibiotic for her condition. The lawsuit alleges that upon receiving the order for the intravenous antibiotic, a nurse administered the incorrect medication.

    The lawsuit contends that the medication had been improperly labeled or improperly filled.

    Propofol is a strong anesthetic drug that slows the activity of the brain and nervous system; it’s used before and during general anesthesia for surgery and requires constant monitoring of the patient, the lawsuit says.

    The prescribed antibiotic is a clear liquid, and propofol — also known under the brand name of Diprivan — has a cloudy, milky appearance, according to the lawsuit, which calls the incident “blatant medication error.”

    The effect on Arrendale was so sudden she was without a pulse for roughly seven minutes, the lawsuit says. The patient was transferred to the intensive care unit.

    She remained hospitalized at Mercy Medical Center until Jan. 22 and continues to require 24-hour care, the lawsuit says.

    OUTSIDE INVESTIGATION

    The Ohio Department of Health investigated the incident, the lawsuit says. A document, from the Centers for Medicare & Medicaid Services, is included in the lawsuit and references the investigation.

    The Department of Health’s investigation revealed that the hospital did not meet the federal requirements for participating in the Medicare program due to its failure to provide organized nursing services, proper protocols, ensure proper labeling and administration of drugs and follow an established pharmaceutical policy, according to the lawsuit.

     

    Page 2 of 2 – As a result, the Department of Health and Human Services and Centers for Medicare & Medicaid Services required Mercy Medical Center to take corrective action to address the deficiencies, the lawsuit says.

    Also, the lawsuit says, the hospital agreed to provide Arrendale with subsequent medical care “given the injuries she suffered as a result of their negligence.” The hospital agreed to pay for the medical care, according to the lawsuit.

    But the hospital has breached the agreement “by refusing to provide the necessary medical care and goods as promised,” the lawsuit alleges.

Being in a train, bus, airline station and have cash on you… enough that you are considered a drug dealer ?

Charles Clarke (Photo courtesy Institute for Justice).

How The DEA Seized A College Student’s Entire Life Savings, Without Charging Him With A Drug Crime

http://www.forbes.com/sites/instituteforjustice/2015/06/19/how-the-dea-seized-a-college-students-entire-life-savings-without-charging-him-with-a-drug-crime/

Carrying cash is not a crime. But that didn’t stop the federal government from seizing $11,000 from Charles Clarke.

Charles, a 24-year-old college student, was flying home after visiting family and friends in Cincinnati, when he lost his entire life savings to civil forfeiture. With this power, government agents do not need to convict, much less charge someone with a crime to take his property; mere suspicion is enough.

After Charles checked in his luggage at the Cincinnati/Northern Kentucky Airport in February 2014, a ticket agent smelled marijuana and contacted the authorities. A task force officer with the Drug Enforcement Administration (DEA) and an airport police detective soon intercepted Charles as he was waiting for his flight at the gate.

The officers searched both Charles and his carry-on bag. Charles admitted that he smoked marijuana but the agents never found any drugs or any evidence of a crime on Charles or in his luggage. During the encounter, the DEA agent asked Charles if he was carrying any cash. He said yes and took out $11,000—his entire life savings.

Over the past five years, Charles had skimped and saved that money from odd jobs, financial aid, family gifts and benefits from his mother being an injured Army veteran. Charles was carrying his cash because his bank has few physical branches and he and his mother were in the process of moving and he didn’t want to lose his life savings in the move while he was in Cincinnati.

His fears became all too real. The officers seized Charles’s money, claiming they had “probable cause” that his cash was the “proceeds of drug trafficking or was intended to be used in a drug transaction.” Yet the government did not indict Charles with any drug crime. In other words, despite finding no drugs and filing no drug charges, the agents were convinced Charles was a drug dealer. Federal prosecutors later filed a motion to forfeit his cash.

As Charles learned first-hand, those caught in civil forfeiture proceedings face a lack of due process. Until recently, Charles was defending himself against the federal government without an attorney. While the accused in criminal proceedings enjoy a right to counsel, that right does not apply to civil forfeiture. Even more incredibly, Charles must bear the burden of proof and prove his innocence if he wants to win back his cash.

“Once it’s seized and gone through the seizure process, it’s very difficult to reverse that,” noted former DEA Special Agent Finn Selander, and now a member of Law Enforcement Against Prohibition. “A lot of people have been railroaded,” he added.

In a surreal twist, Charles isn’t even the defendant in his own case; his cash is. So the official name of his civil forfeiture proceeding is United States of America v. $11,000 in U.S. Currency.

Charles’s case highlights the growing threat civil forfeiture poses to Americans’ constitutionally protected rights and liberties. In 2014 alone, the Cincinnati/Northern Kentucky International Airport received over $530,000 in federal forfeiture funds, the third-highest total in the state. Similarly, cash seizures have increased greatly, with almost 100 cash seizures each year, up from under 10 seizures in 2002.

Moreover, the DEA has a long history of seizing cash at airports without pursuing any drug charges. In a case that made national headlines in the early 1990s (and parallels Charles’s current plight), the DEA seized $9,000 from Willie Jones, despite never charging him with a crime. Jones ran a landscaping business and was headed from Nashville to Houston. After paying for an airline ticket in cash, the ticket clerk reported him to the DEA.

Law enforcement officers searched Jones and seized the cash he was carrying. He was stunned: “I didn’t know it was against the law for a 42-year-old black man to have money in his pocket.” After a two-year struggle, a federal judge ordered the DEA to return the cash back to Jones in 1993. Frontline even covered his case. Jones himself later testified before Congress when it debated the Civil Asset Forfeiture Reform Act (CAFRA), which ultimately enacted modest, procedural reforms to the nation’s civil forfeiture laws.

But CAFRA is ridden with loopholes. It leaves untouched equitable sharing, a federal forfeiture program that lets local and state law enforcement keep up to 80 percent of the value of a forfeited property. That clearly creates a perverse incentive. Through equitable sharing, law enforcement agencies across the country have seized $2.5 billion from nearly 62,000 cash seizures since 9/11. Like Charles, the government never charged any of these owners with a drug crime. And in Charles’s case, 13 different agencies are now clamoring for a cut of his cash, 11 of which took no part in the seizure.

Nor is the DEA limited to seizing cash at airports. According to a report released in January by the Office of the Inspector General for the U.S. Department of Justice, interdiction task force groups for the DEA have “seized $163 million in 4,138 individual cash seizures” from 2009 to 2013 by prowling the nation’s airports, bus stations and train stations. During that same period, half of all DEA cash seizures were under $10,000, analysis by the Institute for Justice revealed.

With help from the Institute for Justice, Charles is determined to vindicate his civil rights. “No one should have to go through the nightmare I went through simply because they choose to carry their hard-earned cash,” he said.

If you or anyone you know has been a victim of civil forfeiture, please contact the Institute for Justice. For more information on civil forfeiture, visit endforfeiture.com.

 

County Corner …”I don’t need any sinking toxicology report” has to be a accidental drug overdose

Update: Unattended Sawyer death ruled accidental overdose

http://www.pratttribune.com/article/20150618/NEWS/150619338

Can you imagine this… in this small Kansas county… population of abt 10,000 the county Coroner is so smart that he can determine a accidental drug overdose without having a toxicology report… which normally takes 60-90 days to process…  what a waste of talent in this small rural “burg”…

The Pratt County Sheriff’s Office has ruled an unattended death in Sawyer is the result of an accidental overdose of prescription medicine. Sheriff’s officers were called to a Sawyer residence at 3 p.m. Wednesday and found 26-year-old Cody Swingle on the floor in a bedroom of the residence. The Pratt County Coroner pronounced Swingle dead at the scene. Swingle died of an accidental overdose of prescription medicine, said Pratt County Sheriff Vernon Chinn.

CVS’ statement said the company has “firm nondiscrimination policies that it rigorously enforces “

N.J. grandparents accused of terrorism for drugstore order, lawsuit claims

http://www.nj.com/burlington/index.ssf/2015/06/cvs_employee_called_nj_grandparents_terrorists_law.html

A pair of Mount Laurel grandparents are suing CVS Pharmacy and two Evesham police officers, after the couple said they attempted to purchase a dental hygiene product from its Evesham Township location but were instead accused of being terrorists by an employee and subjected to a “bigoted tirade of harassment and humiliation.”

Evesham’s solicitor, however, defended the officers involved in the incident and the facts will show they acted appropriately.

According to a lawsuit filed in New Jersey Superior Court by Attorney Eric Lubin against CVS, its employee and the officers, the confrontation began when Julius and Esme Trindade, 73 and 71 respectively, entered the CVS on Route 73 on Oct. 17, 2014, seeking to buy ammonium alum, an over-the-counter product often used in oral hygiene or anti-perspirants for its astringent qualities. The pair said their dentist suggested they use it in a mouthwash to treat mouth sores.

Julius Trindade, who, like his wife, is an American citizen of Indian descent who speaks with an accent, had called the night before to check the price of the ammonium alum and was told he’d have to call back the next day since orders could not be completed after 8 p.m.

They came into the store the following morning, and since they had previously purchased six bottles of the ammonium alum from the CVS in the past for the same purpose, brought in one of the empty bottles to make sure they received the same product.

When they asked an employee, Tashauna Gilliam, for help finding the product, the lawsuit claims Gilliam’s demeanor changed and she said she had to make a phone call.

Esme Trindade went to another part of the store, but when she returned to her husband, she found him being questioned by two Evesham police officers who claimed the request for the product raised a “red flag” in CVS’ system, said the Trindade’s names were on a terror suspect list and questioned them about their ethnicity.

The complaint states Evesham police did not have access to such a database and no “red flags” were raised.

“Those were complete and obvious lies. [CVS and Gilliam] uttered those excuses as mere pretext to justify their blatant discriminatory practices based on nothing more than ethnicity, skin color and country of natural original,” the lawsuit states.

Despite their attempts to explain the product could not be used in explosives, the complaint states the couple were escorted out of the building by police.

They left the store but returned shortly after, however, so Julius Trindade could get Gilliam’s information about her employment with CVS. When he entered the store, Trindade alleges Gilliam was hostile toward him, screamed “You terrorists come to this country to make explosives. I don’t want to ever see you in this store,” and threatened to call the police again.

“[The Trindades] had never been so ashamed, mortified and insulted in their entire lives,” the suit states.

In a statement, CVS’ Vice President of Corporate Communications Carolyn Castel said the company had not yet received the lawsuit, and while they had not yet been able to investigation its claims, said they are “not in keeping with our company’s policies, practices or values.” 

She added take any violation of their nondiscrimination policies very seriously and take disciplinary action if they are violated. 

Gillespie, the township solicitor, said he had read the lawsuit, and believes that the township officers did nothing wrong in connection with the incident.

“We’re very confident that the facts are not going to ever support the allegations as to the Evesham officers,” said Gillespie. “If every time someone was able to allege a police officer responding to a call was engaged in some sort of discrimination because they responded to a call and ask questions, we’d be in some trouble, wouldn’t we?”

The complaint alleges the actions violated the state’s anti-discrimination law and the Trindade’s constitutional rights. They’re seeking damages and relief for mental anguish and emotional distress, as well as compensatory damages, punitive damages and attorney fees.

Speaking Friday, the Trindade’s attorney Eric Lubin called the entire incident “absolutely disgusting” and said that the couple —both college graduates who have been married for 43 years, and have four children and three grandchildren — are hardworking Americans who have never had any problems with the law in the past.

“They’re shocked this happened to them … They didn’t deserve anything that happened to them. Especially in this day and age. I really hope it doesn’t happen to anybody again,” said Lubin, who added he hopes CVS puts measures in place while the lawsuit proceeds to make sure no other customers are treated similarly.

CVS’ statement said the company has “firm nondiscrimination policies that it rigorously enforces and we are strongly committed to creating an environment that fosters diversity across all areas of our business.  We serve all communities and we do not tolerate any policy or practice that discriminates against any group.”

Only a “bureaucratic mind” would come up with this !

 

emptyhead

Retailer doesn’t have to restrict access to DM products… just not sell it to anyone under 18… do you think that if they can’t purchase it.. THEY MIGHT END UP STEALING IT ?

Dear Pharmacies/Retailer:
>
>
> IMPORTANT NOTICE –New Law re: Dextromethorphan over-the-counter medications.
>
> Effective July 1, 2015, it is unlawful for any commercial entity to knowingly or willfully sell or trade a drug product containing any quantity of dextromethorphan to a person under 18 years old. Violation of this act will result in a written warning for the first offense, and class I civil infractions for any subsequent offenses.
>
> Dextromethorphan (DXM) is an ingredient found in many over-the-counter (OTC) cold medications that include cough suppressants. Dextromethorphan in high doses is intoxicating and dangerous. (Chapter 69.75 RCW)
>
> Retailers of DXM products must require and obtain proof of identification to verify the age of the purchaser before completing the sale unless the purchaser’s outward appearance would reasonably be presumed to be 25 years old or older. The age restriction does not apply to someone under 18 who provides proof of active duty military service by way of a valid military identification card; or proof of being an emancipated minor.
>
> Retailers of DXM products are not required to record the sale in a transaction logbook, and retailers are not required to place the product in a specific place within the store to restrict consumers’ direct access.
> · For a list of DXM products and more information go to the Pharmacy Quality Assurance Commission’s webpage.
> · Check OTC DXM product “Drug Facts” label for active ingredients containing dextromethorphan.
> · See parental warning label.
>
>
>
>
>
> Always Working for a Safer and Healthier Washington.
> Doreen E. Beebe | Program Manager
> Washington State Pharmacy Quality Assurance Commission
> Physical Address:
> PO Box 47852 111 Israel Road SE
> Olympia WA 98504-7852 Tumwater WA 98501
> P: 360.236.4834 | F: 360.236.2260
>
> Pharmacy Quality Assurance Commission
> Join or Leave the PQAC Newsletter Distribution List
>

Sometimes you have to practice what you preach

A few weeks ago, I contacted our Part D provider (Silver Scripts) about a vacation over-ride (early refill)  for certain medications for Barb.. we were leaving for an extended period of time to our condo in Florida. At first the CS representative declined to speak with me.. because she could not find the POA/authorization on file allowing me to speak for my wife.. that form had been on file with them since 2006.

Finally, got the authorization for the vacation over-ride.. touched base with the pharmacy and all were approved except one.. so I called back and again talked to CS representative and was told that this particular med needed a PRIOR AUTHORIZATION (PA) … this med had a active PA since 2006 and they had paid for it the month before.

Even though I was asking for a vacation over-ride.. I was told that I simply had to get another prior authorization taken care and they would process it..  which is a several week process… Apparently this CS person did not comprehend the issue of vacation over-ride.. getting ready to walk out the door in the next couple of days and the time frame needed to get a doc’s appt.. the PA paperwork filled out and approved.

It seems to be of little concern to this CS rep that this was a “quality of life” med for my wife… that we were going out of town – to FLORIDA no less .. and the med was a controlled med..

I had in my trusty Iphone the direct number of some sort of “supervisor” with Silver Scripts that I had to deal with another issue previously with them..  who at the time.. call me .. if you ever have a problem… So.. I called.. and got a voice mail… and I called and got voice mail a few days later and I called and got voice mail a few days latter… never received a return phone call…

So as I have told so many others … I went to www.cms.gov and actually ended up calling 1 -800-MEDICARE and filed a complaint verbally..  here again.. I told the CMS rep that Barb  had 2-3 weeks of meds left.. and was informed that someone would get back with me in THIRTY DAYS … so much for concern about pts being compliant with their medications..

Today I get a call from a “supervisor” from Silver Scripts and stated that she had listened to the recording of the conversation that I had with their staff… and come to find out.. apparently while I was on hold with their staff .. two of their staff was having a conversation and they had FOUND THE PA.. but .. seemingly forgot to follow thru on that fact… telling me that a new PA was needed…

According to this supervisor, apparently there is now going to be some “re-training” at CS at Silver Scripts. Why there wasn’t proper training up front… is the question…

Maybe the BIGGER ISSUE is that the parent company of Silver Scripts is CVS HEALTH… the same company.. that is playing PAC-MAN with our healthcare system… proposed acquisition of Omnicare – the largest nursing home pharmacy in the country .. filling Rxs for 1.4 million people in nursing homes.. the most frail among us… Then there is the proposed Target Rx dept acquisition …

I now have the phone number of two different supervisors at Silver Scripts.. as well as one email address…

As I have said time and again.. you do nothing.. you get nothing…  Thank goodness, I didn’t have to go further.. but.. I had already started lining up my future game plan to get them to understand that I was RIGHT and they were WRONG..

Another DOUBLE STANDARD ?

Temponeras indicted on federal charges

http://www.portsmouth-dailytimes.com/news/news/154147269/Temponeras-indicted-on-federal-charges

When are we going to see charges in deaths of pts that have died because Pharmacists have refused to fill necessary pain or controlled meds and pts die from withdrawal or suicide because of unrelenting pain ? A conclusion by an examiner in a recent case in the state of MT .. stated that Pharmacist insisting on pts reducing their opiate doses.. was “outside of his scope of practice”..  So are we only going to see repercussions for healthcare provider when they are outside of their scope of practice and pts die… when it only serves the war on drugs agenda ? Since when that a family practice physician can’t treat pain pts ? Where is the scope of practice issue here ?

A former Wheelersburg pain clinic operator, her father and a Portsmouth pharmacist have all been indicted by the U.S. Attorney for the Southern District of Ohio and those charges carry possible life in prison sentences if connections are made to the deaths of patients.

 

On Wednesday evening, a federal grand jury charged Margaret “Margy” Temponeras, 50, of Portsmouth, John Temponeras, 80, of Portsmouth, and Raymond Fankell, 60, of Wheelersburg, with illegally running a pain clinic and distributing pain killers not for a legitimate purpose and outside the scope of medical practice in an indictment returned in Cincinnati.

 

Carter M. Stewart, United States Attorney for the Southern District of Ohio, Joseph P. Reagan, Special Agent in Charge, Drug Enforcement Administration (DEA), Angela L. Byers, Special Agent in Charge, Federal Bureau of Investigation (FBI), Cincinnati Field Division, Steven W. Schierholt, Executive Director, Ohio State Board of Pharmacy, and the Ohio High Intensity Drug Trafficking Area (HIDTA) announced the indictment returned on Wednesday.

 

The indictment alleges that Margaret Temponeras and John Temponeras were physicians specializing in family practice and OBGYN respectively, who changed their medical focus to pain management and began operating Unique Pain Management LLC in Wheelersburg. Margaret Temponeras also opened Unique Relief LLC in Wheelersburg. Raymond Fankell owned and operated Prime Pharmacy Group Inc., doing business as Medi-Mart Pharmacy in Portsmouth.

 

It is alleged that all three defendants dispensed diazepam, hydrocodone and oxycodone not for a legitimate purpose and outside the scope of medical practice. Margaret and John Temponeras allegedly “examined” more than 20 customers per day, and provided large amounts of prescription medications to customers that they knew or had a reasonable cause to believe were drug addicts or diverting or selling the medication.

 

The five-count indictment states that in furtherance of the conspiracy, the father and daughter would charge customers cash amounts that started at approximately $200 per office visit; they would not accept insurance payments. They allegedly referred patients to Fankell to have Fankell fill prescriptions. The court document also indicates that at least eight individuals were found dead after consuming medications prescribed by and dispensed from the defendants.

 

The three were charged with two counts of illegally distributing medication, which each carry a maximum penalty of 20 years in prison and a million dollar fine; these charges also carry an enhanced penalty of 20 years to life in prison if death resulted. John Temponeras and Raymond Fankell were charged with one count and Margaret Temponeras with two counts of maintaining a place for the purpose of distributing controlled substance, a crime punishable by up to 20 years in prison and a fine of up to $500,000.

 

Stewart commended the investigation of the case by the DEA, FBI, Ohio State Board of Pharmacy, and Ohio HIDTA.

 

Reach Frank Lewis at 740-353-3101, ext. 1928, or on Twitter @franklewis.