930in716 November 9, 2017 Opioids and doctors

Thursday, November 9th

Transcript - Not for consumer use. Robot overlords only. Will not be accurate.

It's 930. In 716. Doctrine goes T ignored obvious red flags that showed that the patience that he treated. Were addicted to their prescription medication mobile aids and doctors. And red flags. Took a hard look at whether in fact that the knowledge and expertise and training that. Most patients with my partner doctor was actually being exercised. Sometimes unfortunately. Doctors crossed the line. I'm Tim when you're on the podcast of 166. Count federal indictment accuses of Western New York doctor of illegally prescribing pain medication. That resulted in six deaths. The US attorney's office in buffalo said Wednesday that doctor Eugene co C of Clarence. As responsible for the mass distribution of prescription painkillers including fentanyl and toxic oh down. Investigators say the pain specialist ignored signs that his patients were addicted and abusing the medication. Assistant US attorney Patricia historic us standing alongside US attorney for Western New York GP Kennedy. As alleged in the indictment doctors go see ignored obvious red flags that showed that the patients he treated were addicted to their prescription medication. So some examples of those that are alleged in the indictment. Include. Patients seeking specific types of drugs patients over using their prescription and then coming back. To seek early refills of those prescriptions. Patients. Showing a very behaviors that his staff. Would have noticed or would have noted in their patient files and even when it's obvious signs of addiction. The government has alleged that doctor goes seat and those in his practice continued. To prescribe in the same manner and in many occasions leaving increasing the dosage of the prescription medication to addicted patients. I think it also included things like. And not performing your analysis. Examinations determine whether infective drugs that were in a person's system where those prescribed or other drugs. In addition to and whether they really taking those drugs. For the course and a whatever period of time prescription. But the fact so I mean I've stated indictment does he tell menu. Sort of red flag if you well that were overlooked or ignored in this case. On a new morning with Susan and Brian Thursday Kennedy. The bigger meaning of it all in what happens next. 97% of the cases brought in federal court. Typically result in a plea now obviously. The constitution gives every person who has been charged in the indictment. What decrying the opportunity to go to trial and certainly. Whether the stability in his. Very capable legal counsel did decide to go to trial it is something that we will just have to wait. Now how did these charges come about it stem from via original charges brought to bounce. A little over a year ago now love how did this investigation him evolves. Well clearly it. The investigation currently going on for quite some time the allegation contained in the end technical back probably until 2006. So. It decayed and progressed. We continue to do our investigation file in return of the initial indictment are particularly. Focusing on some of the media expert. Testimony. And evidence that we needed in order to establish. The cost of debt or various individuals. Who were under darker dark to go to these practices. Care to determine whether. The control strip substances that they were provided. Prescribed we're done so with a legitimate medical purpose. And and and if they were not whether in fact those controlled substances. There were prescribed resulted in the death of the individuals the six individuals terms. You referred to this yesterday. Is. Maybe turning off the spigot I think was was the quote what did you mean by that. Well as their addicting and turn technical question whether this is it's of the iceberg and I said no I wouldn't use that analogy so much is. Turning up the stick it in what I'm referring to it that I mean obviously. You know. We keep. Oh. It patients go to the doctor. Part of why they go there has to rely on the expertise with the doctor and provides about. Forget BK just walked into a cardiologist and request bypass surgery. You need to rely upon a specialized knowledge and ask expertise and training of the position to determine whether the treatment requested as appropriate so here. I'm Brit actor goes to being the largest Shriver of controlled substances in the entire data in New York. We took a hard look at whether in fact. The knowledge and expertise and training that. Most patients with my partner doctor was actually being exercised in. The result of that investigation at this indictment. Our doctors under the microscope now when it comes to this ongoing. Hoping you would fight. Bring with it yesterday at saint 99.9. 99% of doctors. You know practice. This can reasonably and do so let the best of intentions and very proud of and you know where we've indicted. And doctors out of a hundred. Roughly a 100000 subscribers. Within. The jurisdiction to western district of New York yourself to say that doctors are under attack where where oh he's only talking about a two minute fraction. The factors that actually practicing medicine. Only the out liars are under attack in these are people that are not positions that are. So far out of you know what it is. Considered legitimate medical practice in the usual course of the practice of medicine they should not feel under under fire they're not under fire. But it is our obligation to enforce laws to protect individuals. Who are. Victims if you will. Those factors that as sort of abandoned row. JP Lotta people are wondering with these charges with this investigation. How is doce allowed to be practicing medicine. Well again I am. Eric there he is doing so right now under. The direction of a court order allowing him to do so. Wit. Total oversight by another position so he can't write scripts and sell right now without a motor doctors burning out. I'm on that again that is a matter. With Suze. The condition of his bail for the release an original charges. And obviously didn't he get the arena and the security. That maybe something it is a topic of discussion in the future arrangement. Now going forward with. Patients of doctor goes seed does anything change with these new charges should be expects kind of the I chaos that we saw after the last charges were brought forth. Well I I I can't I mean they can't. Predict what's gonna happen in this case and don't tell you that it. You know we've certainly been sensitive to try and address. And I think part of the reason why doctor go to that allowed to continue the practice. Blows because. A bit concerned pretty patient I would also note to much of doctor -- he's practiced. I was done it was. Many of these controlled substances were prescribed by individual known as midlevel providers which would include nurse practitioners. Physician's assistants. And none of those individuals. You need to of course. It into anything without doctor. Faculties. Advice consent in country and under his control so. We you know we we we expect that it we can't show up this big incentive. Army charities inspected those people we certainly have left many other providers. Who so long to exercise. You know reasonable medical judgment. And to prescribe what for a legitimate medical purpose will be able. To treat the patients that remain. So where is that line how do doctors operate in this world of an OP laid crisis. It's important that doctors prescribing wisely and appropriately. Doctor Richard blind Dell spends a great deal of time researching the OPO I the issue at the university of buffalo. Sometimes unfortunately. Doctors crossed the line. And the sort of thing. Eric can serve as a wake up call other positions who may be out on the verge of crushing. Doctor blunt L what the response from the medical community to advance man they concerned or. What is it. Well it varies. Anybody that the perspective that position where they're coming from in my dirt thrown all the way from well it's about time to. We have too much interference that medical practice and people are concerned that doctors are going to jail so I think position pedal a wide range of opinion. Is this message getting out to doctors. When it comes to prescribing these knots over prescribe or at least to look for some of these warning signs that according to the US attorneys yesterday you were being ignored by doctor ghost he and his office. Well I think the last. The previous twenty years it was sort of beaten into our heads that doctors were under training and there. We got the message that we needed to be more aggressive and treat pain particularly in the hospital. The pendulum is slowing a little bit too far I think and now we're definitely. The pendulum is swinging back. Positions are being more concerned. Are using these drugs more judiciously. There are. Learning proper prescribing habits they're also learning the early warning signs of patients who through no fault of anybody just. Yemen and the consequence of aggressive and measure sometimes the development of an addiction. But so are just becoming more familiar with the early signs of addiction so that they can you think early reports and let control. Do you think that. Prosecuting doctors is part of the solution to the appealing crisis. Well there are some positions out there. When the profit motor trip has really clouded their clinical judgment. Many terrorist positions so sort of warnings from government officials like the DEA. And when those warnings are ignored then perhaps. Pro prosecution is the next logical step. It do you see this as. I guess a positive developments or is it right to even ask that question when it comes to this particular case. Against doctor doce yeah are you looking at it as set piece of the greater fight or is it just an isolated case. Well I think in that there's always sort of discouraging or not when a colleague. Basis that a criminal charges. It's unfortunate that a bit that it comes that I thought. I think some good can come out of that is that that it serves as a wakeup call for other positions definitely. Those positions or attempted to cross that line and certainly this should serve as a wake up call stay on the good side of medical practice. You know this really represents a major change. Because up until now it was the patient's fault for abusing pills raise. What other there's a lot of blame it around so there are doctors out there the oak Busch Gardens that are patient out there who over demand. There are drug companies who advertise these drugs heavily promote them heavily probably aware that there was. An individual associated with the first of buffalo that was recently. And charge brought against them for over promoting these drugs. So there's a lot of pieces of the vote here it's difficult to blame one. Fraction here is causing the whole problem there's there's many moving parts and in many many heirs of blame. What are the alternatives that doctors are looking at now. Alternatives to old Hewitt's. You know we had we actually spared this back in the ninety's there are multi disciplinary pain clinic setup than about social workers. And paint psychologists help people feel the pain and physical therapists occupational therapists. And the doctor prescribes medication. And we know that the I just American clerics didn't work they were effective but they were expensive. Overtime reimburse it was cut back the these pain clinics and the only thing that. Will let that remains sort of it was well reimbursed writing for drug. So we not doing some of them not drug that we get more. People aren't that come back to bite. We're back tomorrow. That's 938 in 716. We're back tomorrow with a never radiation from the studios of WD EA and buffalo law.