Thursday, December 15, 2005
Thursday, December 15, 2005: 59 Doctors Disciplined
59 Doctors Disciplined
Since its last Board meeting in October, the
Texas Medical Board has taken disciplinary action against 59 licensed
physicians, who received one or more of the following actions: three temporary
suspensions; 10 surrenders/revocations, with one stayed and probated; nine
suspensions, with two stayed and probated; 20 restrictions; two public
reprimands; and 24 administrative penalties totaling $54,700. The Texas
Physician Assistant Board took action against two physician assistants at its
November 4 meeting and assessed administrative penalties totaling $1,000.
New Licenses Issued
During its December 8-9 Board meeting, the Board
approved the licensure applications of 381
physicians.
Rule Changes
The
Board adopted the following proposed rule changes that were published in the Texas
Register:
Chapter
161, General Provisions, to reflect statutory name changes and the composition of
the board.
Chapter 163, Licensure, to include examination
attempts and limits on time to complete an examination.
Chapter 172, Temporary Licenses, to include the
addition of Faculty Temporary License.
Chapter 175, Fees, Penalties, and Forms
- Increased penalty fees for physician
assistants and increased renewal and/or penalty fees for acupuncturists,
surgical assistants, acudetox specialists, non-certified radiological
technicians, and non-profit health organizations.
- Mandated Texas Online fee increase for
physician and physician in training renewals.
- Fee requirements for Office Based
Anesthesia site registration.
Chapter 178, Complaints, to include amendments
to 178.2 Definitions, 178.4 Complaint Initiation, 178.5 Complaint
Evaluation, 178.6 Complaint Filing, 178.7 Complaint Resolution,
and 178.8 Appeals regarding the process for complaint initiation,
preliminary investigation and filing.
Chapter 179, Investigations, to include amendments
to 179.2 Definitions 179.3 Confidentiality, 179.4 Request for
Information and Records from Physicians, and 179.6 Time Limits,
regarding clarification on response time for requests for medical records and
time limits for completion of an investigation of a complaint.
Chapter 180, Rehabilitation Orders, regarding requirements
and limitations on eligibility for rehabilitation orders.
Chapter 182, Use of Experts, to include 182.3 Definitions,
182.4 Use of Consultants, 182.5 Expert Panel, new 182.5.1 Expert
Physician Reviewers, 182.7 regarding selection, use and removal of members
of the Expert Panel.
Chapter 187, Procedural Rules, to include Subchapter
A, General Provisions and Definitions, 187.1 Purpose and Scope, 187.2 Definitions,
187.4 Agreement to be in Writing, 187.9 Board Actions; Subchapter
B, Informal Board Proceedings, 187.10 Purpose, , new 187.14.1 Informal
Resolution of Administrative Violations, 187.16 Informal Show Compliance
Proceedings (ISCs), 187.18 Informal Show Compliance Proceeding,
187.20 Board Action, 187.21 Board and District Review Committee
Members Participation; Repeal of 187.12 Notice; repeal of 187.17 Informal
Show Compliance Proceeding Based on Written Information, Subchapter C,
Formal Proceedings at SOAH, 187.23 General Provisions, 187.26 Service
in SOAH Proceedings, 187.27 Written Answers in SOAH Proceedings and
Default Orders, 187.28 Discovery, 187.29 Mediated Settlement
Conferences, 187.30 Reporter and Transcripts, 187.31 Evidence,
187.33 Proposals for Decision, Repeal of 187.32 Motions, repeal
of 187.34 Exceptions and Replies, Subchapter D, Formal Board
Proceedings, 187.36 Interlocutory Appeals and Certification of Questions,
187.37 Final Decisions and Orders, 187.42 Recusals, Subchapter E,
Proceedings Relating to Probationers, 187.43 Proceedings for the
Modification/Termination of Agreed Orders and Disciplinary Orders, new
187.45 Probationer Appearances, and Subchapter F, Temporary Suspension
Proceedings, 187.56 Convening a Disciplinary Panel regarding process and
revised options for board orders, composition of ISC panel, roles of ISC
participants, and revisions to reflect APA requirements.
Chapter 190, Disciplinary Guidelines, to include Subchapter
B, Violation Guidelines, 190.8 Violation Guidelines; Subchapter C, Sanction
Guidelines, 190.14 Disciplinary Sanction Guidelines and 190.16 Administrative
Penalties regarding clarification of disciplinary actions based on criminal
actions and identification of administrative violations.
Chapter 193, Standing Delegation Orders 193.2 Definitions
and 193.6 Delegation of the Carrying Out or Signing of Prescription Drug
Orders to Physician Assistants and Advanced Practice Nurses, to include
elimination of registration of prescriptive delegation with the board, the
addition of documentation of prescriptive delegation by the physician, and the
elimination of the Advisory Committee on Prescriptive Delegation Waiver
requests.
Proposed Rule ¤172.13.Limited
License for Practice of Administrative Medicine was
withdrawn for further stakeholder input.
Full text of the rules will be
available on the TMB web site at http://www.tmb.state.tx.us/rules/changes/2005/2005changes.php
Disciplinary Actions
The following are summaries of the Board
actions. The full text of the Board orders will be available on the Board's web
site at www.tmb.state.tx.us about 10 days after the Board meeting. The
orders provide all information that is public regarding the facts of the case
and violations of the law.
Open records requests for orders may be made to openrecords@tmb.state.tx.us;
media contact Jill Wiggins at (512) 305-7018 or jill.wiggins@tmb.state.tx.us.
Disciplinary
Actions
ALDAPE,
ADOLFO ALEJANDRO, M.D., LAREDO, TX, Lic. #K9971
On December 9, 2005, the Board and Dr. Aldape
entered into an Agreed Order assessing an administrative penalty of $500. The
action was based on allegations that Dr. Aldape failed to respond to a Board
subpoena for medical records.
ATLAS,
JOE, M.D., HOUSTON, TX, Lic. #C1799
On December 9, 2005, the Board and Dr. Atlas
entered into an Agreed Order in which Dr. Atlas voluntarily surrendered his medical
license. The action resolves allegations that Dr. Atlas violated Board rule
165.5(b) that sets out a physician's duties when he retires from practice.
BAILEY,
SHIRLEY, M.D., RUSK, TX, Lic. #D9330
On December 9, 2005, the Board and Dr. Bailey
entered into an Agreed Order suspending Dr. Bailey's license until such time as
she demonstrates she is physically, mentally, and otherwise competent to safely
practice medicine. The action was based her present inability to practice
medicine because of poor health.
BARRETT,
DAVID BENJAMIN, M.D., ATHENS, TX, Lic. #G7987
On December 9, 2005, the Board and Dr. Barrett
entered into an Agreed Order revoking Dr. Barrett's medical license. The action
was based on allegations that Dr. Barrett failed to meet the standard of care
in his treatment of 11 patients who were or may have been harmed by his
actions.
BASPED,
BEAUFORD JR., D.O., FORT WORTH, TX, Lic. #E3813
On December 9, 2005, the Board and Dr. Basped
entered into a Mediated Agreed Order revoking Dr. Basped's license, staying the
revocation and placing him on probation for 15 years under the following terms
and conditions: Dr. Basped must surrender his controlled substances
registration certificates; limit his practice to a group or institutional
setting approved in advance by the Executive Director of the Board; complete
each year 10 hours of courses in ethics and 30 hours in risk management; have
his practice monitored by another physician; pass the Special Purpose
Examination and the Medical Jurisprudence Examination within one year; obtain a
written assessment from the Center for Personalized Education for Physicians
(CPEP); perform 50 hours of community service each year; and pay an
administrative penalty of $10,000. Dr. Basped is not permitted to supervise or
delegate prescriptive authority to a physician assistant or advanced practice
nurse. The action is based on allegations that Dr. Basped prescribed narcotics
without conducting a proper history or physical examination to support the need
for narcotics. The allegations arose after an undercover officer from the
narcotics task force posed as a patient and was prescribed drugs by Dr. Basped.
BURKS,
WILLIAM RANDOLPH, M.D., MARGATE, FL, Lic. #F9257
On December 9, 2005, the Board and Dr. Burks
entered into an Agreed Order assessing an administrative penalty of $1,000. The
action was based on action taken by the Florida Board of Medicine finding that
Dr. Burks had accidentally implanted the wrong intraocular lens in a cataract
patient.
CANTU,
GEORGE, M.D., RAYMONDVILLE, TX, Lic. #J5271
On December 9, 2005, the Board and Dr. Cantu
entered into an Agreed Order assessing an administrative penalty of $500. The
action was based on allegations that Dr. Cantu failed to provide properly
requested medical records within 15 business days.
CAPLAN,
BRIAN JEFFREY, M.D., MANSFIELD, TX, Lic. #F0142
On December 9, 2005, the Board and Dr. Caplan
entered into an Agreed Order requiring Dr. Caplan to complete within one year a
course of at least 40 hours in coronary heart disease and a course of at least
10 hours in record-keeping/risk management, and to pay an administrative
penalty of $2,500. The action was based on allegations that, for one patient,
Dr. Caplan failed to appropriately interpret an EKG, including failing to timely
diagnose congestive heart failure.
CARTER,
KAYWIN MAHONEY, M.D., LUFKIN, TX, Lic. #H3992
On December 9, 2005, the Board and Dr. Carter
entered into an Agreed Order requiring Dr. Carter to complete a course of at
least 10 hours in the area of gynecological surgery and to pay an
administrative penalty of $1,000. The action was based on allegations that Dr.
Carter was not diligent in a patients' care, misdiagnosing her ectopic
pregnancy.
CHANDRAN,
RANGRAM, M.D., MODESTO, CA, Lic. #L2180
On December 9, 2005, the Board and Dr. Chandran
entered into an Agreed Order assessing an administrative penalty of $250. The
action was based on action taken by the Florida Board of Medicine assessing an
administrative fine based on a finding that Dr. Chandran failed to disclose in
his application for a Florida license that he had repeated classes for his
first year of medical school.
COMEAUX,
TAMYRA YVETTE, M.D., HOUSTON, TX, Lic. #L0096
On December 9, 2005, the Board and Dr. Comeaux
entered into an Agreed Order requiring Dr. Comeaux to provide satisfactory
evidence that she is acting as medical director of a specified fetal ultrasound
facility, that another physician is providing supervision at the facility, or
that the ultrasound equipment is no longer being used; requiring her to
complete 20 hours in courses or programs in ethics/risk management; and
requiring her to pay an administrative penalty of $5,000. The action was based
on allegations that Dr. Comeaux failed to supervise the use of a prescription
medical device, specifically ultrasound equipment, leased under her name.
COTTER,
JOHN KERN, M.D., SHREVEPORT, LA, Lic. #G5883
On December 9, 2005, the Board and Dr. Cotter
entered into an Agreed Order suspending Dr. Cotter's license until such time as
he appears before the Board and provides clear and convincing evidence and
information that, in the discretion of the Board, adequately indicates that he
is physically, mentally, and otherwise competent to safely practice medicine.
The action was based on allegations of Dr. Kotter's substance abuse. Dr. Cotter
was arrested and pled guilty to the third degree felony of unlawfully obtaining
a controlled substance.
CRANDALL,
DORA BUSBY, M.D., NEW BRAUNFELS, TX, Lic. #G5884
On December 9, 2005, the Board and Dr. Crandall
entered into a five-year Mediated Agreed Order requiring Dr. Crandall to
complete a course of at least two days in the area of appropriate prescribing
of controlled substances; to complete 10 hours of continuing medical education
in medical records; and requiring that her practice be monitored by another
physician during the term of the order. The action was based on allegations
that, with regard to three patients, Dr. Crandall's records were sparse, poorly
kept, and did not contain adequate information.
CUNADO,
CARLOS DOMINGO, M.D., PEARLAND, TX, Lic. #K6556
On December 9, 2005, the Board and Dr. Cunado
entered into an Agreed Order extending his prior order by one year and
requiring an additional 20 hours of continuing medical education in the area of
evaluation, management, billing and documentation. The action was based on
allegations that Dr. Cunado's coding for the purpose of billing was inadequate
for the follow-up visits of nine patients given the general lack or scarcity of
documentation.
DE
WET, PIETER JUAN, M.D., TYLER, TX, Lic. #J0470
On December 9, 2005, the Board and Dr. De Wet
entered into an Agreed Order assessing an administrative penalty of $1,000. The
action was based on allegations that Dr. De Wet caused the dissemination of
false, deceptive, or misleading advertising concerning the benefits of
chelation therapy.
FRUGE,
LLOYD MASON, M.D., ATLANTA, TX, Lic. #G5067
On December 9, 2005, the Board and Dr. Fruge
entered into an Agreed Order requiring Dr. Fruge to complete a total of at
least 20 hours of continuing medical education in emergency medicine and in
record keeping/risk management. The action was based on allegations that Dr.
Fruge's management of the treatment of one patient fell below the standard of
care and that his documentation of the history and physical examination of that
patient were inadequate.
GARDNER,
JAMES FRANCIS III, M.D., SAN ANTONIO, TX, Lic. #G3382
On December 9, 2005, the Board and Dr. Gardner
entered into an Agreed Order assessing an administrative penalty of $1,000. The
action was based on allegations that Dr. Gardner did not complete the required
one hour of continuing medical education in ethics for the period of December
1, 2002, through November 30, 2003.
GARZA,
GUMARO xxx, M.D., EDINBURG, TX, Lic. #E7943
On December 9, 2005, the Board and Dr. Garza
entered into an Agreed Order suspending Dr. Garza's license, staying the
suspension and placing him on probation for five years; requiring that he
abstain from the consumption of drugs and alcohol; that he participate in
testing for drugs and alcohol; that he continue to receive psychiatric care and
treatment; that he refrain from treating or prescribing for his immediate
family; and that he pay an administrative penalty of $5,000. The action was
based on allegations that Dr. Garza failed to fully comply with a prior
confidential rehabilitation order entered into with the Board on February 7,
2003, including testing positive on two occasions for ethylglucuronide, a
bio-marker for alcohol use.
GOTTLIEB,
LEWIS RAVENET, M.D., SPRING, TX, Lic. #G8538
On December 9, 2005, the Board entered a Final
Order revoking Dr. Gottlieb's medical license. The action was based on Dr.
Gottlieb's failure to respond to a complaint filed with the State Office of
Administrative Hearings alleging that he was convicted of conspiracy to commit
health care fraud on April 1, 2004. Dr. Gottlieb may file a Motion for
Rehearing within 20 days of the Order. If a Motion for Rehearing is filed and
the Board denies the motion, the Order is final. If a Motion for Rehearing is
filed and the Board grants the motion, the Order is not final and a hearing
will be scheduled.
ISERN,
REUBEN A., M.D., BEAUMONT, TX, Lic. #E8585
On December 9, 2005, the Board entered a Final
Order assessing an administrative penalty of $10,000. The action was based on a
determination of Dr. Isern's failure to comply with the Board's subpoena of
medical records; failure to correspond with the Board regarding the matter in
question; failure to appear at an informal settlement conference; failure to
respond to a complaint filed with the State Office of Administrative Hearings;
and apparent willful disregard for the Board's authority in that he is
attempting to thwart the Board's ability to investigate and monitor him and
ensure that he is safe to practice medicine. Continued non-cooperation by Dr.
Isern may result in further disciplinary action by the Board. Dr. Isern may
file a Motion for Rehearing within 20 days of the Order. If a Motion for
Rehearing is filed and the Board denies the motion, the Order is final. If a
Motion for Rehearing is filed and the Board grants the motion the Order is not
final and a hearing will be scheduled.
JANJUA,
AAMER WALI, M.D., BEAUMONT, TX, Lic. #L8385
On December 9, 2005, the Board and Dr. Janjua entered
into an Agreed Order assessing an administrative penalty of $1,000. The action
was based on allegations that Dr. Janjua did not timely sign a death
certificate.
JONES,
JAMES STEPHEN, M.D., LUBBOCK, TX, Lic. #M1806
On December 9, 2005, the Board and Dr. Jones
entered into an Agreed Order suspending his medical license for a minimum of 12
months and thereafter until he demonstrates to the Board that he is physically,
mentally, and otherwise safe to practice medicine; requiring him to abstain
from the consumption of alcohol and drugs and to participate in drug and
alcohol screening during his suspension. The action was based on allegations
that Dr. Jones abused Fentanyl and Sufentanyl during his anesthesiology
residency and that there was an incident involving the administration of a
paralytic agent while he was impaired that may have caused harm to a patient.
The Agreed Order superseded a Temporary Suspension Order Without Notice that
was entered on October 21, temporarily suspending Dr. Jones' medical license
based on evidence that his continuation in the practice of medicine would
constitute a continuing threat to public welfare due to his abuse of controlled
substances and resulting impairment.
KLEIN,
IRA, M.D., HOUSTON, TX, Lic. #E3574
On December 9, 2005, the Board and Dr. Klein
entered into an Agreed Order of Voluntary Surrender whereby Dr. Klein's
voluntary surrender of his medical license was accepted by the Board. The
action was based on Dr. Klein's belief that this order is the most efficient
resolution to the continued probation and monitoring requirements required by a
prior agreed order with the Board.
KOPPERSMITH,
DANIEL LEONCE, M.D., TIKI ISLAND, TX, Lic. #H3691
On December 9, 2005, the Board and Dr.
Koppersmith entered into an Agreed Order requiring Dr. Koppersmith to complete
at least 10 additional hours of continuing medical education in medical record
keeping. The action was based on allegations that Dr. Koppersmith did not
adequately document his review, analysis, and consideration of symptoms
supporting his diagnosis and rule-out diagnosis for one patient.
KULUBYA,
EDWIN S., M.D., LAREDO, TX, Lic. #L1100
On November 21, 2005, the Board and Dr. Kulubya
entered into an Agreed Order requiring Dr. Kulubya to complete an additional 10
hours of continuing medical education each year for three years and to comply
with the terms and conditions placed on his practice by the California Medical
Board. The action was based on action taken by the California Medical Board
revoking Dr. Kalubya's medical license effective April 26, 2004, staying the
revocation and placing Dr. Kulubya on probation for five years for gross
negligence and incompetence.
KURI,
JOSE A., M.D., BROWNSVILLE, TX, Lic. #E3723
On December 9, 2005, the Board and Dr. Kuri entered
into an Agreed Order assessing an administrative penalty of $500. The action
was based on allegations that Dr. Kuri failed to provide the properly requested
medical records of one patient within 15 business days and requested a fee in
excess of that permitted by Board rules.
LEAHEY,
EDWARD WILLIAM, M.D., BAYTOWN, TX, Lic. #E9763
On December 9, 2005, the Board and Dr. Leahey
entered into an Agreed Order assessing an administrative penalty of $500. The
action was based on allegations that Dr. Leahey failed to provide properly
requested medical records within 15 business days of receipt of the request.
LEE,
CYNTHIA JEANNE, M.D., COTATI, CA, Lic. #F6869
On December 9, 2005, the Board entered a Final
Order revoking Dr. Lee's medical license. The action was based on Dr. Lee's
failure to respond to a complaint filed with the State Office of Administrative
Hearings alleging that she has not complied with the requirements of an Agreed
Order she entered into with the Board on April 5, 2002. Dr. Lee may file a Motion
for Rehearing within 20 days of the Order. If a Motion for Rehearing is filed
and the Board denies the motion, the Order is final. If a Motion for Rehearing
is filed and the Board grants the motion, the Order is not final and a hearing
will be scheduled.
LINDE,
STUART ALLEN, M.D., HOUSTON, TX, Lic. #F1750
On December 9, 2005, the Board and Dr. Linde
entered into an Agreed Order requiring Dr. Linde to complete a course of at
least 10 hours in the area of medical records and to pay an administrative penalty
of $2,500. The action was based on allegations that Dr. Linde administered
Midazolam to a patient awaiting a surgical procedure whom he mistakenly
believed to be under his care and failed to document his error or inform that
patient's physician.
LOUKAS,
DEMETRIUS FRED, M.D., AUSTIN, TX, Lic. #D8329
On December 9, 2005, the Board and Dr. Loukas
entered into an Agreed Order requiring Dr. Loukas to prepare and submit to the
Board a policy regarding procedures for having chest X-rays for his patients to
be over-read by either a qualified physician or qualified radiologist. The
action was based on allegations that a lesion on the lung of a patient that was
revealed by X-rays taken in August and December of 2002 was missed by Dr.
Loukas when he read the X-rays.
MAY,
LANCE A., M.D., APO, AP, Lic. #L5830
On November 30, 2005, the Board and Dr. May
entered into an Agreed Order suspending Dr. May's medical license until such
time as he demonstrates that he is physically, mentally, and otherwise
competent to safely practice medicine. The action was based on Dr. May's
self-report of intemperate use of drugs or alcohol that could adversely affect
his ability to practice medicine safely and on allegations of chemical
dependency.
MILLER,
ROBERT MICHAEL, M.D., KEENE, TX, Lic. #J8317
On December 9, 2005, the Board and Dr. Miller
entered into an Agreed Order requiring Dr. Miller to complete a course in pain
management of at least 10 hours. The action was based on allegations that Dr.
Miller's medical records for one patient did not reflect an adequate treatment
plan for management of that patient's pain.
MONZON,
MIGDALIA, M.D., ODESSA, TX, Lic. #K8354
On December 9, 2005, the Board and Dr. Monzon
entered into an Agreed Order requiring Dr. Monzon to provide to the Board a
copy of her revised patient termination notice; to complete an additional 10
hours of continuing medical education in the area of dealing with difficult
patients; and to pay an administrative penalty of $500. The action was based on
allegations that Dr. Monzon terminated care of a patient without providing
reasonable notice to the patient.
MOORE,
CHARLES THOMAS, M.D., AUSTIN, TX, Lic. #E4539
On December 9, 2005, the Board and Dr. Moore
entered into an Agreed Order placing Dr. Moore on probation for eight years;
requiring that his practice be monitored by another physician for the term of
the order; that he provide to the Board a copy of the lab charges from the lab
companies that he utilizes; and that he not charge patients more than 15 per
cent above what the lab company charges or accept any additional compensation
or payment of any kind from the lab companies. The requirements of the Agreed
Order supersede and replace the requirements of the April 2, 2004, Agreed Order
between the Board and Dr. Moore. The action was based on allegations that Dr.
Moore ordered a multitude of laboratory tests for one patient without
correlating the patient's history with the medical necessity, repeating, in
some instances, these laboratory tests without a finding of medical necessity
being indicated in the records, and continuing to treat the patient when a
referral to a consultant would have been appropriate.
MUNOZ,
ALEJANDRO, M.D., IOWA PARK, TX, Lic. #G8549
On December 9, 2005, the Board and Dr. Munoz
entered into an Agreed Order requiring Dr. Munoz to complete the course
offered by the Vanderbilt Medical Center for Professional Health entitled ÒA
Continuing Education Course for Physicians Who Cross Sexual Boundaries;Ó and to
pay an administrative penalty of $2,000. The action was based on allegations
that Dr. Munoz became personally involved in an inappropriate manner with a
patient.
NAAMAN,
ADAM, M.D., HOUSTON, TX, Lic. #E3591
On December 9, 2005, the Board and Dr. Naaman
entered into a Mediated Agreed Order requiring Dr. Naaman to complete a course
in medical record keeping of at least 10 hours and that he pay an
administrative penalty of $1,200. The action was based on allegations that Dr.
Naaman failed to adequately document treatment of postoperative care for one
patient.
NEEDLEMAN,
LOUIS J., M.D., CORPUS CHRISTI, TX, Lic. #J1547
On November 30, 2005, the Board and Dr.
Needleman entered into an Agreed Order requiring Dr. Needleman to complete 25
hours of courses in ethics and to pay an administrative penalty of $1,000. The
action was based on the action of the Massachusetts State Board of Medicine in
entering into a Consent Agreement with Dr. Needleman that contained a reprimand
and assessed a $5,000 fine for failing to respond to inquiries for additional information
relating to his registration renewal.
NGUYEN,
SON KIM, M.D., HOUSTON, TX, Lic. #G9040
On December 9, 2005, the Board and Dr. Nguyen
entered into a two year Agreed Order requiring that Dr. Nguyen establish and
adopt a pain management protocol complying with Board Rule 170; that his
practice be monitored by another physician; that he obtain 20 hours of
continuing medical education in record keeping; and that he pay an
administrative penalty of $5,000. The action was based on allegations that Dr.
Nguyen inadequately documented his treatment of one patient and thereby
violated Board Rule 170 regarding the treatment of pain with respect to that
patient.
OLOFSSON,
SHATHA M., M.D., CORPUS CHRISTI, TX, Lic. #J2459
On December 9, 2005, the Board and Dr. Olofsson
entered into an Agreed Order accepting the voluntary surrender of Dr.
Olofsson's medical license. The action was based on Dr. Olofsson's desire to
surrender her license because of her continued physical disability.
O'NEAL,
KENNETH W., M.D., ABILENE, TX, Lic. #D6119
A Temporary Suspension Order Without Notice was
entered on November 28, 2005, temporarily suspending Dr. O'Neal's license due
to evidence that the physician's continuation in the practice of medicine would
constitute a continuing threat to public welfare. The Temporary Suspension
Order shall remain in effect until such time as it is superseded by a
subsequent order of the Board. The action was based on allegations that Dr.
O'Neal's treatment of three patients, who died immediately after receiving
intravenous infusion of various mixtures from Dr. O'Neal, fell below the
standard of care.
ORZECK,
ERIC A., M.D., HOUSTON, TX, Lic. #D6513
On December 9, 2005, the Board and Dr. Orzeck
entered into an Agreed Order assessing an administrative penalty of $500. The
action was based on allegations that Dr. Orzeck charged a fee to provide
medical records related to a social security claim for disability in violation
of Board rules and state law.
PEARCE,
DAVID EARL, M.D., CORPUS CHRISTI, TX, Lic. #G9510
On December 9, 2005, the Board and Dr. Pearce
entered into an Agreed Order requiring Dr. Pearce to complete 10 hours of
courses in each of the areas of medical record keeping and risk management. The
action was based on allegations involving the removal of a laparotomy pad by
Dr. Pearce after an abscess formed after surgery and Dr. Pearce's lack of
immediate notification to the patient or the patient's family.
PETERSEN,
WILLIAM ALPHONSE, M.D., CHARLESTON, WV, Lic. #G3687
On December 9, 2005, the Board and Dr. Petersen
entered into an Agreed Order assessing an administrative penalty of $250 and
requiring Dr. Petersen to comply with any terms and conditions imposed by the
Florida Board of Medicine. The action was based on the action of the Florida Board
of Medicine in fining Dr. Petersen for failing to disclose on his licensing
application that he had failed a final exam in medical school.
REICH,
STEPHANIE JILL, M.D., AUSTIN, TX, Lic. #H7340
On December 9, 2005, the Board and Dr. Reich
entered into an Agreed Order requiring Dr. Reich to obtain a total of 25 hours
of continuing medical education in the areas of physician/patient
relationships, ethics and record keeping; and that she pay an administrative
penalty of $2,000. The action was based on allegations that Dr. Reich entered
into a close personal relationship with a patient without appropriately
terminating the physician-patient relationship and authorized prescriptions for
two of the patient's minor children without maintaining a medical record for
either child.
ROUTH,
LISA CAROLE, M.D., HOUSTON, TX, Lic. #H2742
On December 9, 2005, the Board and Dr. Routh
entered into a five-year Agreed Order publicly reprimanding Dr. Routh and
requiring her to obtain an additional 50 hours of continuing medical education
per year divided among the areas of physician/patient relationships, ethics and
record keeping, and that she pay an administrative penalty of $5,000. The
Agreed Order additionally requires Dr. Routh's practice to be monitored by
another physician if she changes her area of practice from neuro-imaging to
another area of practice. The action was based on disciplinary action taken
against Dr. Routh by the Alaska Medical Board relating to allegations of
unprofessional conduct by the submission of false or misleading information to
the Alaska board; failure to maintain adequate medical records; and violating a
regulation of the Alaska board by entering into a dual (financial) relationship
with a patient. Dr. Routh reached an agreement with the Alaska board that the
allegations would be dismissed if she agreed not to ever reapply for an Alaska
license (which had lapsed) and to pay a fine of $10,000.
RUMSEY,
BRUCE G., M.D., PLANO, TX, Lic. #G6007
On December 9, 2005, the Board and Dr. Rumsey
entered into an Agreed Order suspending Dr. Rumsey's medical license until such
time as he demonstrates that he is physically, mentally, and otherwise
competent to safely practice medicine. The action was taken based on
allegations that Dr. Rumsey used alcohol in an intemperate manner that could
endanger a patient's life.
SAYERS,
STEPHEN CHARLES, M.D., BRIGHTON, IL, Lic. #G5574
On December 9, 2005, the Board and Dr. Sayers
entered into an Agreed Order suspending his medical license for a minimum of 24
months and until he demonstrates that he is physically, mentally, and otherwise
competent to safely practice medicine. During the period of Dr. Sayers' active
suspension he is required to abstain from the consumption of alcohol and drugs
and undergo alcohol and drug screening. The action was based on Dr. Sayers'
arrest for possession of cocaine, his plea of guilty for possession of a
controlled substance and subsequent receipt of deferred adjudication.
SCOTT,
TEDDY CHARLES, M.D., EL CAMPO, TX, Lic. #E1481
On December 9, 2005, the Board and Dr. Scott
entered into an Agreed Order restricting Dr. Scott's license for three years by
requiring that he be supervised by another physician when performing any
bariatric procedures; that he obtain 10 hours of continuing medical education
in post-surgical complications each year of the order; that he complete a
course in record keeping of at least 10 hours; and that he pay an
administrative penalty of $5,000. Dr. Scott is not permitted to supervise or
delegate prescriptive authority to a physician assistant or advanced nurse
practitioner or supervise a surgical assistant during the term of the order.
The action was based on allegations that Dr. Scott did not meet the standard of
care in his postoperative treatment of a patient on whom he performed an open
vertical banded gastroplasty, because the patient showed signs of deterioration
and organ failure in the immediate postoperative period and should have been
re-explored in spite of non-revealing CT results and drain output.
SEIDEL,
CLIFFORD CHARLES, M.D., DALLAS, TX, Lic. #C1355
On December 9, 2005, the Board and Dr. Seidel
entered into an Agreed Order whereby Dr. Seidel, who is 82 years of age,
voluntarily surrendered his medical license.
SHIPPEL,
ALLAN HENDLEY, M.D., ROSWELL, GA, Lic. #G6613
On December 9, 2005, the Board and Dr. Shippel
entered into an Agreed Order requiring Dr. Shippel to notify the Board if he
intends to return to practice in Texas and, if he does so, requiring him, for a
period of seven years following his return, to abstain from the consumption of
alcohol and other substances as described in the order; submit to screening for
these substances as requested by the Board; to participate in the programs of
Alcoholics Anonymous at least three times per week; to limit his practice to 40
hours per week; and not treat his immediate family. Additionally, Dr. Shippel
must obtain a forensic psychiatric evaluation from a board-appointed
psychiatrist upon his return to Texas. The action was based on the action of
the Georgia Board of Medical Examiners in placing Dr. Shippel on indefinite
probation under various terms and conditions following his completion of an
alcohol rehabilitation program.
STINNETT,
JAMES TAYLOR III, M.D., COMMERCE, TX, Lic. #D3411
On December 9, 2005, the Board and Dr. Stinnett
entered into an Agreed Order suspending Dr. Stinnett's license, staying the
suspension and placing him on probation for five years under the following
terms and conditions: he must have a chaperone present anytime he sees a female
patient; he must complete a course in physician-patient boundaries of at least
10 hours; he may not perform massage therapy on any of his psychiatric
patients; and he must undergo psychiatric evaluation. If recommended by the
evaluating psychiatrist, he must undergo continued psychiatric care and
treatment. He was also assessed an administrative penalty of $2,500. The action
was based on allegations that Dr. Stinnett touched a patient in an intimate
manner while demonstrating massage techniques in the massage room in his home.
TALLAPUREDDY,
SREEDHAR REDDY, M.D., WICHITA FALLS, TX, Lic. #BP30020971
On December 9, 2005, the Board and Dr.
Tallapureddy entered into an Agreed Order publicly reprimanding him. The action
was based on allegations that Dr. Tallapureddy failed to disclose on his
application for a physician in training permit that he had been placed on
academic probation and subsequently dismissed from a residency program at the
University of Oklahoma Health Sciences Center.
THARAKAN,
DAVID K., M.D., SAN ANTONIO, TX, Lic. #L0646
On December 9, 2005, the Board and Dr. Tharakan
entered into a three-year Agreed Order requiring his practice to be monitored
by another physician; that he obtain 20 hours of continuing medical education
in each of the areas of pain management and record keeping/risk management in
the first year of the order and 10 hours in each of these areas in each of the
next two years of the order. The action was based on allegations that Dr.
Tharakan failed to meet the standard of care in treating five patients and that
he prescribed controlled substances in a nontherapeutic manner for these five
patients.
TRIPLETT,
RICHARD DANIEL, M.D., SPRING, TX, Lic. #J3251
On December 9, 2005, the Board and Dr. Triplett
entered into an Agreed Order accepting the voluntary surrender of his medical
license. Dr. Triplett's license was suspended by an Agreed Order with the Board
in 2001 and he has not practiced since that time. He now wishes to surrender
his license because he is physically unable to satisfactorily practice
medicine.
WALLACE,
BRENT HOLMES, M.D., CLEBURNE, TX, Lic. #F2093
On December 9, 2005, the Board and Dr. Wallace
entered into an Agreed Order requiring Dr. Wallace to complete 20 hours of
continuing medical education in the area of medical record keeping and risk
management. The action was based on allegations that Dr. Wallace, through an
oversight, failed to ensure that a follow-up X-ray was ordered for a patient
for whom an X-ray some nine months later revealed adenocarcimona.
WALLIS,
HAROLD F., M.D., LANCASTER, TX, Lic. #F7957
On December 9, 2005, the Board and Dr. Wallis
entered into an Agreed Order whereby Dr. Wallis voluntarily surrendered his
medical license.
WARR,
ROBERT B., M.D., TEXARKANA, TX, Lic. #H6977
On December 7, 2005, a panel of the Texas
Medical Board temporarily suspended Dr. Warr's license after determining that
his continuation in the practice of medicine constitutes a continuing threat to
the public welfare. The action was based on the finding that Dr. Warr has a
mental and/or physical condition that impairs his ability to safely practice
medicine, as evidenced by his erratic behavior while employed as a radiologist,
self-prescribing of multiple medications, refusal to submit to a physical or
psychiatric evaluation, testimony that he was making errors in his work,
failure to report to the Board in his renewals of his license his treatment for
depression; and his dismissal by his employer.
WIKOFF,
RICHARD PAUL, M.D., FORT WORTH, TX, Lic. #L4807
On December 9, 2005, the Board and Dr. Wikoff
entered into an Agreed Order suspending Dr. Wikoff's license until he
demonstrates he is physically, mentally, and otherwise competent to safely
practice medicine; publicly reprimanding Dr. Wikoff; and requiring him to pay
an administrative penalty of $1,000. The action was based on allegations that
Dr. Wikoff abused drugs and alcohol in an intemperate manner that could
endanger a patient's life.
ZEPEDA,
LUIS ERNESTO, M.D., HOUSTON, TX, Lic. #K1739
On December 9, 2005, the Board and Dr. Zepeda
entered into an Agreed Order assessing an administrative penalty of $1,000. The
action was based on allegations that Dr. Zepeda failed to keep adequate medical
records for a number of patients from 2002 through February of 2003.
Physician Assistants
COOK,
GARY STEVEN, PORT LAVACA, TX, Lic. #PA00886
On November 4, 2005, the Texas Physician
Assistant Board and Mr. Cook entered into an Agreed Order assessing an
administrative penalty of $500. The action was based on allegations that Mr.
Cook failed to timely provide properly requested medical records.
KINGDON,
DANA COKER, PLANO, TX, Lic. #PA01448
On November 4, 2005, the Texas Physician
Assistant Board and Ms. Kingdon entered into an Agreed Order assessing an
administrative penalty of $500. The action was based on allegations that Ms.
Kingdon violated Board rules by failing to report, on a license renewal
application, an arrest and conviction for the offense of evading arrest.
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The Texas Medical Board, the state agency that
regulates physicians, physician assistants, surgical assistants and
acupuncturists, provides consumer protection through licensure, investigation
and disciplinary action. The Board, under President Roberta M. Kalafut, D.O.,
and Executive Director Donald W. Patrick, M.D., J.D., and mandated by Senate
Bill 104 of the 78th Legislature and S.B. 419 of the 79th Legislature, is
strengthening and accelerating the disciplinary process for licensees who fail
to meet the required standards of professional proficiency and behavior.
Information on filing a complaint is on the agency web site at www.tmb.state.tx.us or by calling (800)
201-9353.