Fwd: TMB Release: 59 Doctors Disciplined- Do you know any of these docs?

April 13, 2006

I see that one doc from our list-Dr. Orlov in Lufkin-has been disciplined. I will not remove him from the list, but will make a note of board actions when I update the list. If you are are thinking of seeing a doc with board actions against him, I would suggest that you visit the TSBME website, read the board orders, and judge for yourself whether those board orders would disqualify this doc. Jill Wiggins wrote: Subject: TMB Release: 59 Doctors DisciplinedDate: Thu, 13 Apr 2006 15:06:55 -0500To: "Jill Wiggins" Texas Medical Board Press Release FOR IMMEDIATE RELEASE Thursday, April 13, 2006 Media contact: Public Information Officer Jill Wiggins at jill.wiggins@... or Non-media contact: or 59 Doctors Disciplined Since its last Board meeting in December, the Texas Medical Board has taken disciplinary action against 59 licensed physicians. Actions included 14 violations based on quality of care; 10 actions based on unprofessional conduct; one action based on nontherapeutic prescribing; three actions based on inappropriate conduct involving physician-patient relationships; seven

actions based on inadequate medical records; five actions based on impairment due to alcohol or drugs; three actions based on impairment due to physical or mental conditions; three actions based on violations of probation or prior orders; three actions based on other state board actions; three actions based on criminal convictions; two actions based on peer review actions; and five minimal statutory violations. Administrative penalties totaling $65,000 were assessed. New Licenses Issued During its April 6-7 Board meeting, the Board approved the licensure applications of 324 physicians. Rule Changes The Board adopted the following proposed rule changes that were published in the Texas

Register: Proposed amendments to Chapter 175, Fees, Penalties, and Applications to include amendments to §175.2 Renewal Fees regarding increase in Physician Assistant renewal fee. Chapter 183, Acupuncture, relating to changes mandated by SB419. Proposed Rule Changes The following rule changes will be published in the Texas Register for comment: Chapter 163, Licensure, amended to include a limit on Texas medical jurisprudence examination attempts, delegated authority to staff to issue licenses, alternative requirements for graduates of unapproved medical schools, and general rule cleanup. Re-proposed amendments to Chapter 165, Medical Records, to include amendments to 165.1 Medical Records and the addition of 165.6, Medical Records Regarding an Abortion on an Unemancipated Minor. Chapter 166, Physician Registration, amended to include the addition of continuing medical education in forensic evidence collection, modifications to voluntary charity care practice by retired physicians, and general rule cleanup. Repeal of Chapter 170, Authority of Physician to Prescribe for the Treatment of Pain. New Chapter 170, Pain Management. Chapter 171, Postgraduate Training Permits, to include clarification of reporting requirements, modifications to requirements for

board-approved postgraduate fellowship training programs, and general rule cleanup. Chapter 172, Temporary Licenses, to include the addition of section 172.13 relating to Conceded Eminence Licenses and general rule cleanup. Chapter 174, Telemedicine to include amendments to §174.2, Definitions and to §174.6 Delegation to and Supervision of Telepresenters regarding delegation of tasks and activities by a physician to a telepresenter. Chapter 175, Fees, to include amendments to §175.2, Registration and Renewal Fees, regarding Texas Online fees for office-based anesthesia, and new §175.5, Payment of Fees or Penalties regarding the form of payment accepted for fees and penalties. Chapter 178, Complaints, to include amendments to §178.8, Appeals regarding the deletion of the deadline for filing an appeal. Chapter 185, Physician Assistants, relating to changes mandated by SB419. Chapter 199, Public Information to include new §199.5, Notice of Ownership Interest in a Niche Hospital regarding requirements of physicians to notify the Department of State Health Services of an ownership interest in a niche hospital. Disciplinary Actions The following are summaries of the Board actions and were taken based on the types of violations listed. 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@... . Media contact Jill Wiggins at or jill.wiggins@... . QUALITY OF CARE VIOLATIONS: · AKKANTI, VENKAT REDDY, M.D., BASTROP, TX, Lic. #J8868 On April 7, 2006, the Board and Dr. Akkanti entered into an Agreed Order requiring Dr. Akkanti’s practice to be monitored by another physician for one year and requiring him to obtain 20 hours of continuing medical education in record-keeping, dealing with difficult patients, or risk management. The action was based on allegations that Dr. Akkanti failed to meet the standard of care in treating one patient in that he did not adequately manage her asthma, failed to maintain an adequate medical record and failed to reasonably evaluate her for

diabetes risk. · ANDREWS, SARAH ELIZABETH, M.D., KATY, TX, Lic. #H9753On April 7, 2006, the Board and Dr. s entered into an Agreed Order requiring Dr. s’ practice to be monitored by another physician for one year; requiring her to obtain 15 hours of risk management courses; and assessing an administrative penalty of $5,000. The action was based on allegations that Dr. s failed to meet the standard of care in her treatment of four patients in 1998 and 1999. · CORLEY, RONALD G., M.D., LUFKIN, TX, Lic. #D8519On April 7, 2006, the Board and Dr. Corley entered into an Agreed

Order whereby Dr. Corley agreed to cease performing any procedures that require the use of implants without first obtaining permission from the Board. Additionally, Dr. Corley on his own initiative resigned all surgical privileges and, under the Order, may not reapply for surgical privileges without first obtaining permission from the Board, and must complete a course in record-keeping of at least eight hours and an Internal Medicine Board Review Course of at least 30 hours. The action was based on allegations that Dr. Corley failed to meet the standard of care in his performance of orthopedic surgery on two patients. · DELANEY, SUSAN DELPHINE, M.D., PLANO, TX, Lic. #G9447On April 7, 2006, the Board and Dr. Delaney entered into an Agreed Order requiring Dr. Delaney to complete 10

hours of continuing medical education in risk management; to take and pass the Medical Jurisprudence Examination; and assessing an administrative penalty of $2,000. The action was based on allegations that Dr. Delaney prescribed a Schedule II drug to the son of a physician with whom she cross-covered, but from whom she had not taken a history or independently established a diagnosis to support the prescription. Additionally, Dr. Delaney also accepted from one of her patients a supply of the same drug and dispensed it to the patient’s mother without making a record or properly labeling the medication. · DESHMUKH, AVI TRIMBAK, M.D., STEPHENVILLE, TX, Lic. #H1067On April 7, 2006, the Board and Dr. Deshmukh entered into an Agreed Order requiring Dr. Deshmukh to complete a course in

risk management of at least 10 hours and assessing an administrative penalty of $1,000. The action was based on allegations that Dr. Deshmukh prescribed a sulfa drug to a patient with a known allergy to the drug. · DUBBERLY, DANNY LEE, M.D., ROCKPORT, TX, Lic. #E8447On April 7, 2006, the Board and Dr. Dubberly entered into an Agreed Order requiring Dr. Dubberly to take and pass the Medical Jurisprudence Examination within one year and to attend at least 15 hours of continuing medical education in risk management and dealing with the difficult patient. The action was based on allegations that Dr. Dubberly failed to meet the standard of care by failing to prescribe testosterone therapy for one patient. As a mitigating factor, the circumstances surrounding the fact that the patient

was a prison inmate impeded clear communication between Dr. Dubberly and the patient. · FINLEY, KEVIN WAYNE, D.O., MUNDAY, TX, Lic. #K5525On April 7, 2006, the Board and Dr. Finley entered into an Agreed Order requiring Dr. Finley to complete 25 hours of continuing medical education in emergency medicine. The action was based on allegations that Dr. Finley failed to meet the standard of care because of an inadequate evaluation of one patient who presented to the emergency room where he was the on-call physician. · MARINO, BARBARA DOYLE, M.D., TOMBALL, TX, Lic. #H7724On April 7, 2006, the

Board and Dr. Marino entered into a five-year Agreed Order requiring Dr. Marino’s practice to be monitored by another physician; requiring her to complete the National Board of Medical Examiners’ Post-Licensure Assessment program at the University of Florida Comprehensive Assessment and Remedial Education Services; and to complete courses of at least 20 hours in gynecological complications. The action was based on allegations that Dr. Marino failed to meet the standard of care with her sequential use of instruments in the delivery of a baby, that she failed to appropriately treat bowel leakage in one patient following surgery, that she failed to document the need for surgery and continued use of hydrocodone in one patient and that she failed to adequately document complications of surgery for another patient. · McBATH, J.

MARK, M.D., HOUSTON, TX, Lic. #G8265On April 7, 2006, the Board and Dr. McBath entered into an Agreed Order publicly reprimanding Dr. McBath; requiring him to completed at least 20 hours of courses per year for three years in the areas of pre-operative and post-operative complications and medical record-keeping; and assessing an administrative penalty of $15,000. The action was based on allegations that Dr. McBath failed to practice medicine in an acceptable professional manner in his treatment of four surgical patients. As a mitigating factor, the incidents occurred from 1997 through 1999 and Dr. McBath engaged in additional study following these cases. · McCRORY, BEAU LAWSON, M.D., COMANCHE, TX, Lic. #K7823On April 7, 2006, the Board

and Dr. McCrory entered into an Agreed Order requiring Dr. McCrory to complete 10 hours of continuing medical education in the area of medical record-keeping and prohibiting him from performing non-emergency gynecological surgery until such time as he obtains acceptable additional training or otherwise demonstrates to the Board that he is qualified for such surgery. Dr. McCory may assist other qualified surgeons in emergency surgery with the approval and informed consent of the patient. The action was based on allegations that Dr. McCory failed to meet the standard of care for one patient by not maintaining adequate medical records, by undertaking surgery without giving sufficient time for iron supplements to work, by failing to discuss with the patient other available treatment options, by failing to adequately disclose that he had not been formally trained in obstetrics/gynecology, by failing to perform an endometrial biopsy prior to surgery, by ordering a blood

transfusion in an otherwise healthy woman and by continuing surgery once the pelvic adhesions presented a significant problem for the surgeons. · ORLOV, ALEXANDER, D.O., LUFKIN, TX, Lic. #J4402On April 7, 2006, the Board and Dr. Orlov entered into an Agreed Order requiring Dr. Orlov to complete a course in risk management/medical records of at least 20 hours and assessing an administrative penalty of $5,000. The action was based on allegations that Dr. Orlov failed to ensure that a patient with lesions determined to be squamous cell carcinoma followed up for treatment. As mitigating factors, Dr. Orlov did make attempts to contact the patient, who had a caregiver because of mental deficiencies, and whose caregiver was aware of the patient’s medical condition. However, Dr. Orlov’s

duty to this patient was higher due to her mental deficiencies and inability to care for herself. · ORTIZ, AURELIO ANTONIO, M.D., MIAMI, FL, Lic. #F7870On April 7, 2006, the Board and Dr. Ortiz entered into an Agreed Order publicly reprimanding Dr. Ortiz; suspending his medical license; staying the suspension and placing him on probation for three years; requiring that he obtain 10 hours of ethics courses; pass the Medical Jurisprudence Examination within one year; and assessing an administrative penalty of $3,000. The action was based on allegations that Dr. Ortiz did not examine a patient admitted to the emergency room for which he was the assigned physician. · SHIN, HYON-HO, M.D., AUSTIN, TX, Lic. #J6724On April 7, 2006, the Board and Dr. Shin entered into an Agreed Order requiring Dr. Shin to complete a course in risk-management of at least 10 hours and assessing an administrative penalty of $2,000. The action was based on allegations that Dr. Shin performed a right inguinal hernia repair after he had diagnosed a left inguinal hernia. As mitigating factors, the patient did in fact also have a right inguinal hernia, the hospital staff incorrectly identified the site, Dr. Shin immediately notified the patient of the error and offered to perform the left inguinal hernia repair for no charge, did not bill the patient for the right inguinal hernia repair and had changed his procedures to avoid similar incidents. · SIEWERT, RICKY ALLEN, D.O., PERRYTON, TX, Lic. #G2576On April 7, 2006, the Board and Dr. Siewert entered into an Agreed Order requiring Dr. Siewert’s practice to be monitored by another physician for the time period required by the monitor to complete and submit four quarterly reports; and requiring Dr. Siewert to attend at least 20 additional hours of continuing medical education, at least 10 of which must be in medical record-keeping. The action was based on allegations that Dr. Siewert failed to practice medicine in an acceptable professional manner in his treatment of one patient who was later admitted to the hospital for sepsis and an incarcerated hernia. UNPROFESSIONAL CONDUCT: · ADAIR, MAUREEN LENORE, M.D., AUSTIN, TX, Lic. #F6376On April 7, 2006, the Board and Dr. Adair entered into an Agreed Order requiring Dr. Adair to complete a course in the area of risk management and assessing an administrative penalty of $1,000. The action was based on allegations that Dr. Adair failed to provide properly requested medical records within 15 business days and failed to timely respond to correspondence from the Board. · AHMAD, NASIHA, M.D., CARROLLTON, TX, Lic. #G9703On April 7, 2006, the Board and Dr. Ahmad entered into an Agreed Order requiring Dr. Ahmad to complete a course in ethics of at least 10 hours and assessing an

administrative penalty of $1,000. The action was based on allegations that Dr. Ahmad failed to adequately disclose to the board her hospital practice history in her Medical Practice Questionnaire. · BEAR, RONALD LYNN JR., M.D., SAN ANTONIO, TX, Lic. #BP20020214On April 7, 2006, the Board and Dr. Bear entered into an Agreed Order requiring Dr. Bear to complete 10 hours of ethics courses and assessing an administrative penalty of $500. The action was based on allegations that Dr. Bear failed to disclose his arrest for assault in 2004 on his application for renewal of his physician training permit. As a mitigating factor, the charges were dismissed and Dr. Bear believed the arrest had been expunged. · GHELBER, OSCAR, M.D., Lic. #40245On April 7, 2006, the Board and Dr. Ghelber entered into an Agreed Order assessing an administrative penalty of $250. The action was based on allegations that Dr. Ghelber administered Fentanyl as the anesthetic to a child even though his mother objected to the use of Fentanyl, mistakenly believing her child was allergic to it. As a mitigating factor, Dr. Ghelber did discuss the use of Fentanyl with the mother and thought she understood Fentanyl was acceptable for use in the child’s surgery. · GRUESBECK, CLAY, M.D., SAN ANTONIO, TX, Lic. #H7749On April 7, 2006, the Board and Dr. Gruesbeck entered into an

Agreed Order assessing an administrative penalty of $500. The action was based on allegations that Dr. Gruesbeck failed to disclose on his annual registration form that he had been arrested for a class C misdemeanor and had paid a $200 fine. · LINAN, LUIS ENRIQUE, M.D., EL PASO, TX, Lic. #H8214On April 7, 2006, the Board and Dr. Linan entered into an Agreed Order requiring Dr. Linan to successfully complete the Anger Management for Healthcare Professionals course provided by the University of California, San Diego, School of Medicine Physician Assessment and Clinical Education Program, or substantially similar course approved by the Executive Director. The action was based on allegations that Dr. Linan slapped a surgical assistant on the hand during an emergency cesarean

section. · PIERCE, DAMON SCOTT, M.D., DALLAS, TX, Lic. #BP30021144On April 7, 2006, the Board and Dr. Pierce entered into an Agreed Order assessing an administrative penalty of $250. The action was based on allegations that Dr. Pierce failed to disclose on his 2004-2005 postgraduate training permit renewal application a 1998 arrest for criminal mischief relating to damage to a restaurant’s table and chair. Dr. Pierce erroneously thought the 1998 arrest had been expunged. · RODRIGUEZ, PAUL LOPEZ, M.D., WICHITA, KS, Lic. #K9889On April 7, 2006, the Board and Dr. entered into an

Agreed Order suspending the Dr. ’s medical license, staying the suspension and placing him on probation for five years; requiring that he complete 20 additional hours of continuing medical education each year in the area of ethics or risk management; prohibiting him from supervising physician assistants, advanced practice nurses or surgical assistants; and assessing an administrative penalty of $10,000. The action was based on allegations that Dr. failed to notify the Board on his license renewal form that he had been suspended by the Oklahoma State Board of Medical Licensure and Supervision for six months in 2004 and placed on probation by the Medical Board of California. The action of the Oklahoma Board was based on Dr. allowing an unlicensed individual to prescribe to patients and operate a laser for hair removal owned by Dr. . The California Board action was based on the Oklahoma Board action. · TREVINO, ROGELIO, M.D., McALLEN, TX, Lic. #BP20019970On April 7, 2006, the Board and Dr. Trevino entered into an Agreed Order assessing an administrative penalty of $500. The action was based on allegations that Dr. Trevino failed to disclose on his Postgraduate Resident Permit Applications that he had been arrested in 1990 for driving while intoxicated. · WILLOWS, BARBARA JEAN, D.O., COLUMBUS, OH, Lic. #E8918On April 7, 2006, the Board and Dr. Willows entered into an Agreed Order accepting the voluntary and permanent surrender of Dr. Willows’ medical license. The action was based on Dr. Willows’ wish to

surrender her Texas medical license as she has no intention of returning to Texas to practice, and followed the indefinite suspension of her Ohio medical license for a conviction for operating a motor vehicle while intoxicated and for alcohol abuse. NONTHERAPEUTIC PRESCRIBING: · WOMACK, ROBERT, M.D., AMARILLO, TX, Lic. #G6773On April 7, 2006, the Board entered a Final Order revoking Dr. Womack’s medical license. The action was based on findings of the Board that a Complaint was filed with the State Office of Administrative Hearings on August 22, 2005, alleging that Dr. Womack prescribed for himself nontherapeutic prescriptions of hydrocodone, doxycycline/vibramycin, erythromycin, diflucan/fluconazole, neomycin,

amoxil/amoxicillin and phentermine and that no adequate medical records or documentation of need were maintained, and that he additionally nontherapeutically prescribed phentermine for his wife. Dr. Womack did not respond to the Complaint or to correspondence from the Board and on February 17, 2006, the Board’s Hearings Counsel issued a Determination of Default that was served on Dr. Womack in accordance with law. Dr. Womack did not respond to the Complaint within 20 days and all facts alleged in the Complaint were deemed to have been admitted. Dr. Womack 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 in 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. INAPPROPRIATE CONDUCT INVOLVING PHYSICIAN-PATIENT RELATIONSHIP: · GRUHLKEY, JAY LOYD, M.D., NEW BRAUNFELS, TX, Lic. #K7750On April 7, 2006, the Board and Dr. Gruhlkey entered into a one-year Agreed Order requiring Dr. Gruhlkey to complete “A Continuing Education Course for Physicians Who Cross Sexual Boundaries” presented by the Center for Professional Health at the Vanderbilt Medical Center; to complete 10 hours of continuing medical education in each of the areas of ethics and risk management; to speak to three local county medical society meetings on the topic of maintaining proper boundaries; and assessing an administrative penalty of $10,000. The action was based on allegations that Dr. Gruhlkey was sexually involved with a patient, who was also an employee, while functioning as the physician for her and her two small children · KUHNE, ROBERT CHRISTOPHER, M.D., RICHARDSON, TX, Lic. #H2519On April 7, 2006, following a rehearing granted to Dr. Kuhne, the Board issued a Final Order publicly reprimanding Dr. Kuhn and requiring him to write a letter of apology to a patient acknowledging that his conduct was improper and to complete within one year “A Continuing Education Course for Physicians Who Cross Sexual Boundaries” presented by the Center for Professional Health at the Vanderbilt Medical Center and the “Maintaining Professional Boundaries and Managing Difficult and Frustrating Patients” course offered by the Texas Medical Association’s Committee on Physician Health and Rehabilitation. The action was based on a finding by an Administrative Law Judge of the Texas State Office of Administrative Hearings that Dr. Kuhne, while

examining a patient seeking treatment of FSD (female sexual dysfunction) made a comment relating to oral sex that was unprofessional and dishonorable. · ROUNTREE, RANDOLPH WINSLER, M.D., SAN ANGELO, TX, Lic. #F7123On April 7, 2006, the Board and Dr. Rountree entered into an Agreed Order suspending Dr. Rountree’s medical license until such time as he demonstrates to the Board that he is safe and competent to practice medicine. The action was based on allegations that Dr. Rountree sexually assaulted a patient and had inappropriate sexual contact with three other patients. INADEQUATE MEDICAL RECORDS: ·

DUARTE, LUIS E, M.D., SAN ANGELO, TX, Lic. #K2451On April 7, 2006, the Board and Dr. Duarte entered into an Agreed Order publicly reprimanding Dr. Duarte; requiring him to complete the medical record-keeping course and physician-patient communication course provided by the University of California, San Diego, School of Medicine Physician Assessment and Clinical Education Program; to complete an additional course in record-keeping or risk management of at least 10 hours; and assessing an administrative penalty of $1,000. The action was based on allegations that Dr. Duarte’s documentation failed to provide sufficient information of the continued care he provided to two spinal surgery patients. · HEINEMANN, JEFFREY JOHN, M.D., HOUSTON, TX, Lic.

#L0818On April 7, 2006, the Board and Dr. Heinemann entered into an Agreed Order requiring Dr. Heinemann to obtain 10 hours of continuing medical education in risk management and record-keeping. The action was based on allegations that Dr. Heinemann failed to maintain an adequate anesthesia medical record for one surgery patient. · LUECKE, JAMES DAVIS, M.D., FORT DAVIS, TX, Lic. #H4504On April 7, 2006, the Board and Dr. Luecke entered into an Agreed Order requiring Dr. Luecke to complete 20 hours of continuing medical education in the areas of record-keeping and risk management; and assessing an administrative penalty of $1,000. The action was based on allegations that Dr. Luecke’s nurse practitioner failed to document vital signs and

physical examination for one patient, that Dr. Luecke failed to document home visitations for one patient, and that his medication log did not reflect the administration of all medications. · SCHRAPPS, JEROME FRANCIS, M.D., BEAUMONT, TX, Lic. #J2907On April 7, 2006, the Board and Dr. Schrapps entered into an Agreed Order assessing an administrative penalty of $1,000. The action was based on allegations that Dr. Schrapps failed to maintain adequate medical records for two patients. · SINGH, HARRYPERSAD, M.D., SILSBEE, TX, Lic. #G1310On April 7, 2006, the Board and Dr. Singh entered into an

Agreed Order requiring Dr. Singh’s practice to be monitored by another physician for one year and requiring him to complete a course of at least eight hours in medical records. The action was based on allegations that Dr. Singh failed to keep adequate medical records due to illegible handwriting and not providing information necessary for patient continuity. · WILLIAMS, GWENEVERE EVETTE, M.D., KINGWOOD, TX, Lic. #H7587On April 7, 2006, the Board and Dr. entered into an Agreed Order requiring Dr. to obtain at least 10 additional hours of continuing medical education in the area of risk management, billing or record-keeping; and assessing an administrative penalty of $1,000. The action was based on allegations that Dr. ’ medical records lacked sufficient

information in relation to the service rendered. · LONG, JAMES MICHAEL, M.D., WACO, TX, Lic. #K1753On April 7, 2006, the Board and Dr. Long entered into an Agreed Order requiring that Dr. Long refrain from treating or otherwise serving as a physician for his immediate family, prescribing or refilling by telephone or permitting any individual under his supervision or control to prescribe or refill any prescription for narcotics or employing any family members in his medical practice or office; requiring that he maintain adequate medical records and complete 15 hours of continuing medical education in medical records, ethics and appropriate prescribing practices. The action was based Dr.Long’s failure to maintain adequate medical records when prescribing to family

members. IMPAIRMENT DUE TO ALCOHOL OR DRUGS: · CONNER, PATRICK TRAVIS, M.D., SPRINGFIELD, MO, Lic. #G3243On April 7, 2006, the Board and Dr. Conner entered into an Agreed Order whereby the Board accepted the voluntary surrender of Dr. Conner’s medical license. The action was based on Dr. Connor's disability due to drug addiction and bipolar disorder. · DEMBERG, JAMES HAROLD, M.D., TYLER, TX, Lic. #F3096On April 7, 2006, the Board and Dr. Demberg entered into a 10-year Agreed Order requiring Dr. Demberg to abstain from the

consumption of prohibited substances, including alcohol; submit to screenings for drugs and alcohol; continue to participate in Alcoholics Anonymous at least five times per week; complete eight hours of continuing medical education in anger management; continue psychotherapy; limit his medical practice to a group or institutional setting approved by the Executive Director; and prohibiting him from supervising a physician assistant, advanced practice nurse or surgical assistant. The action was based on Dr. Demberg’s admission that he is an alcoholic and on allegations that he was arrested for driving while intoxicated and that his privileges were suspended by the East Texas Medical Center for inappropriate behavior. · DUNCAN, CHRISTOPHER W., M.D., SAN ANTONIO, TX, Lic. #G3314On

April 7, 2006, the Board and Dr. Duncan entered into an Agreed Order suspending Dr. Duncan’s license for an additional six months, at a minimum, and until he demonstrates to the Board he is safe and competent to practice medicine, and requires him to abstain from the consumption of drugs and alcohol and to submit to screening for drugs and alcohol as requested by the Board for a period of 15 years from the date of staying his suspension, if his suspension is stayed by future Board action. The action was based on Dr. Duncan’s positive test for cocaine and his admission of relapse on cocaine during the Christmas 2005 holiday. · PATT, RICHARD BERNARD, M.D., HOUSTON, TX, Lic. #J5440On April 6, 2006, a disciplinary panel of the Board temporarily suspended Dr. Patt’s medical license

following a temporary suspension hearing without notice. The action was based on a finding by the panel that Dr. Patt is a real danger to the health of his patients or to the public due to his impaired status and that there was an imminent peril to the public health, safety, or welfare that required immediate effect of the Order of Temporary Suspension. As findings of fact, the panel also found that Dr. Patt had been suspended from St. Luke’s Episcopal Hospital based upon indications that he was impaired in the operating room as reported by nursing staff. A brief physical examination of Dr. Patt revealed what appeared to be needle marks in his antecubital fossae. A drug screen from a urine specimen provided the same day tested positive for amphetamine, methamphetamine, oxazepam and morphine. · KESSELER, RANDALL GENE, D.O.,

SANGER, TX, Lic. #G8212On April 7, 2006, the Board and Dr. Kesseler entered into an Agreed Order in which Dr. Kesseler agreed to the voluntarily suspension of his medical license until such time as he demonstrates to the Board that he is physically, mentally and otherwise competent to practice medicine. The action was based on Dr. Kesseler’s self-reported chemical dependence and his desire to enter a voluntary suspension of his medical license while seeking treatment. IMPAIRMENT DUE TO PHYSICAL OR MENTAL CONDITIONS: · HENSHAW, CLYDE VERNON JR., D.O., FORT WORTH, TX, Lic. #H0446On April 7, 2006, the Board and Dr. Henshaw entered into an Agreed Order whereby the Board accepted Dr.

Henshaw’s voluntary and permanent surrender of his medical license. The action was based on allegations that Dr. Henshaw failed to meet the standard of care in his treatment of one patient and because Dr. Henshaw has found it difficult to practice medicine with reasonable skill and safety because of illness. · TORRES, ARTURO A., M.D., HOUSTON, TX, Lic. #H2085On March 24, 2006, a disciplinary panel of the Texas Medical Board entered an Order of Temporary Suspension that temporarily suspended Dr. ’ medical license, effective immediately. The action was based on a finding by the panel that Dr. ; practice of medicine constitutes a continuing threat to the public welfare because of his impaired status or lack of competence. · VON HENNER, CHARLES MASON, M.D., SAN MARCOS, TX, Lic. #C2803On April 7, 2006, the Board and Dr. Von Henner entered into an Agreed Order whereby Dr. Von Henner voluntarily surrendered his medical license. Dr. Von Henner wished to retire and surrender his medical license as a result of his concern regarding age-related physical changes that could possibly impact the future treatment of his patients. VIOLATION OF PROBATION OR PRIOR ORDER: · BROWN, MICHAEL GLYN, M.D., HOUSTON, TX, Lic. #G3190On March 1, 2006, the Board revoked Dr. Brown’s license. The action followed an

Informal Show Compliance Proceeding/Modification Hearing at which representatives of the Board determined that Dr. Brown had violated the terms of his December 18, 2002, Agreed Order by testing positive for cocaine, and directed the Executive Director to execute an Order of Revocation pursuant to the mandatory revocation provisions of the December 18, 2002, Order. · RANELLE, JOHN B., D.O., HARLINGEN, TX, Lic. #E9349On April 5, 2006, the Board, acting through its Executive Director, entered an Order suspending Dr. Rannelle’s medical license for at least 60 days, at which time he must personally appear before the Board and provide a practice plan before the suspension may be lifted. The action was based on Dr. Rannelle’s admission that he signed another physician’s name on

patient charts at the request of Wellcare Clinic administrators for purposes of billing the Texas Workers Compensation Commission, thereby violating the terms of his December 1, 2003, Agreed Order. That Agreed Order required Dr. Ranelle to comply with all of the provisions of the Medical Practice Act and other applicable provisions of law. · SHARY, JOHN H. III, M.D., PLAINVIEW, TX, Lic. #E8903The Board suspended Dr. Shary’s medical license on March 14, 2006. The suspension is effective until Dr. Shary appears before the Board and demonstrates that he is safe and competent to practice medicine and is authorized to do so by subsequent order of the Board. The action was based on Dr. Shary’s failure to cooperate with the Board in providing observed specimens for drug testing and for

refusing to provide further specimens as required by the Agreed Order entered into by the Board and Dr. Shary on August 28, 1999. The 1999 Order followed two prior suspensions of Dr. Shary, in 1996 and 1998, for cocaine and alcohol use. OTHER STATES’ BOARD ACTIONS: · DILSAVER, STEVEN CHARLES, M.D., MERCED, CA, Lic. #J3272On April 7, 2006, the Board and Dr. Dilsaver entered into an Agreed Order suspending Dr. Dilsaver’s medical license until such time as he demonstrates that he has a clear and unconditioned license to practice in California and that he is physically, mentally and otherwise competent to practice medicine. The action was based on the action of the Medical Board of California in placing Dr. Dilsaver on

probation relating to his informing that Board that he had bipolar disorder, which has since been diagnosed as being in remission. · JALFON, ISAAC MITRANI, M.D., MEMPHIS, TN, Lic. #H1885On April 7, 2006, the Board and Dr. Jalfon entered into an Agreed Order requiring Dr. Jalfon to appear before the Board before practicing medicine in Texas. The action was based on the action of the Tennessee Board of Medical Examiners placing Dr. Jalfon’s license on probation for two years for a self-reported substance abuse problem. Dr. Jalfon practices in Tennessee. · MEHARRY, LEROY IRWIN, M.D., UMATILLA, OR, Lic. #F4955On April 7, 2006, the Board and Dr. Meharry entered into an Agreed Order publicly reprimanding Dr. Meharry and requiring him to comply with all terms and conditions imposed by an Order of the Oregon Board of Medical Examiners. The action was based on the action of the Oregon Board in disciplining Dr. Meharry for issues relating to prescribing and dispensing of controlled substances to staff and family members without proper documentation and controls. ACTIONS BASED ON CRIMINAL CONVICTIONS: · HARRIS, PAUL P., M.D., SUGARLAND, TX, Lic. #J9776On April 7, 2006, the Board and Dr. entered into an Agreed Order accepting the voluntary surrender of Dr. ’ medical license and requiring him to

cease the practice of medicine as of March 9, 2006. The action was based on Dr. ’ request that the voluntary surrender of his medical license be accepted by the Board. · PLATT, THOMAS CARROLL, M.D., DEXTER, MI, Lic. #K9872On April 7, 2006, the Board and Dr. Platt entered into an Agreed Order accepting the voluntary and permanent surrender of Dr. Platt’s medical license. The action was based on Dr. Platt’s plea of guilty to a final conviction for a felony, committed in Michigan, involving possession of pornography. · WOODS, RONALD ALFRED JR., M.D., SHERMAN, TX, Lic. #H4808On April 7,

2006, the Board and Dr. Woods entered into a five-year Agreed Order publicly reprimanding Dr. Woods and requiring him to be evaluated by a Board-appointed psychiatrist; to follow any continued care recommendations and to have any continued treatment and care monitored by the psychiatrist; to continue counseling as directed by 336th District Court of Grayson County; to keep a log of community service as required by the Court; to comply with all other terms and conditions of his court-ordered probation; to have a chaperone, or parent or legal guardian, present in the examination room any time he examines a patient 18 years of age or younger; to attend at least 25 hours per year of continuing medical education in ethics, risk management and maintaining proper boundaries; and assessing an administrative penalty of $5,000. The action was based on an Order of Deferred Adjudication; Community Supervision from the 336th District Court for the offense of obscenity, a felony. The

order resulted from an incident in which Dr. Woods videotaped his 11 year-old daughter and two of her friends playing and dancing in the nude and performing excretory functions at his home. PEER REVIEW ACTIONS: · MAEWAL, HRISHI KESH, M.D., FORT WORTH, TX, Lic. #E7175On April 7, 2006, the Board and Dr. Maewal entered into an Agreed Order restricting Dr. Maewal’s license for three years under the following terms and conditions: Dr. Maewal is not to perform interventional cardiac procedures until he has completed a period of training in interventional cardiology to consist of a minimum of 100 proctored cases with a proctor approved by the Executive Director. The Order also requires Dr. Maewal to obtain at least 50 hours of

continuing medical education in the area of invasive cardiology. The action was based on the action of the board of trustees for Plaza Medical Center in Fort Worth in suspending Dr. Maewal’s interventional cardiac catheterization privileges based on the care of two patients. · NEPPER, LEONARD GAYLON, D.O., BROWNWOOD, TX, Lic. #J9240On April 7, 2006, the Board and Dr. Nepper entered into a Mediated Agreed Order requiring Dr. Nepper to pay an administrative penalty of $3,000 and to complete continuing medical education in the areas of boundaries, ethics, and record-keeping. The action was based on action taken against Dr. Nepper by Brownwood Regional Medical Center for an alleged violation of the Medical Center’s personnel policies. Dr. Nepper denies the underlying allegations, but

entered into this Order in lieu of litigation. MINIMAL STATUTORY VIOLATIONS: The following licensees agreed to enter into orders with the Board for minimal statutory violations such as failure to send medical records within 15 business days or failure to complete required continuing medical education. Clayton, Randall, M.D., Beaumont, TX, Lic. #H5430 , Ellis, M.D., Austin, TX, Lic. #H8934 Polinger, Iris , M.D., Stafford, TX, Lic. #E8117 Pucek, Mark s, M.D., Dickinson, TX, Lic. #G3707 Saifee, Nafees Fatima, M.D., Fort Worth, TX, Lic. #E3762 -30- 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 a M. Kalafut, D.O., and Executive Director W. , 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 <http://www.tmb.state.tx.us> or by calling .

New Yahoo! Messenger with Voice. Call regular phones from your PC and save big.

April 13, 2006

I appreciate this info since I am in Lufkin,

Thanks,

Pickle

TMB Release: 59 Doctors DisciplinedDate: Thu, 13 Apr 2006 15:06:55 -0500To: "Jill Wiggins"

Texas Medical Board Press Release FOR IMMEDIATE RELEASE Thursday, April 13, 2006

Media contact: Public Information Officer Jill Wiggins at jill.wiggins@... or Non-media contact: or

59 Doctors Disciplined Since its last Board meeting in December, the Texas Medical Board has taken disciplinary action against 59 licensed physicians. Actions included 14 violations based on quality of care; 10 actions based on unprofessional conduct; one action based on nontherapeutic prescribing; three actions based on inappropriate conduct involving physician-patient relationships; seven actions based on inadequate medical records; five actions based on impairment due to alcohol or drugs; three actions based on impairment due to physical or mental conditions; three actions based on violations of probation or prior orders; three actions based on other state board actions; three actions based on criminal convictions; two actions based on peer review actions; and five minimal statutory violations. Administrative penalties totaling $65,000 were assessed.

New Licenses Issued During its April 6-7 Board meeting, the Board approved the licensure applications of 324 physicians.

Rule Changes The Board adopted the following proposed rule changes that were published in the Texas Register: Proposed amendments to Chapter 175, Fees, Penalties, and Applications to include amendments to §175.2 Renewal Fees regarding increase in Physician Assistant renewal fee.

Chapter 183, Acupuncture, relating to changes mandated by SB419.

Proposed Rule Changes The following rule changes will be published in the Texas Register for comment:

Chapter 163, Licensure, amended to include a limit on Texas medical jurisprudence examination attempts, delegated authority to staff to issue licenses, alternative requirements for graduates of unapproved medical schools, and general rule cleanup.

Re-proposed amendments to Chapter 165, Medical Records, to include amendments to 165.1 Medical Records and the addition of 165.6, Medical Records Regarding an Abortion on an Unemancipated Minor.

Chapter 166, Physician Registration, amended to include the addition of continuing medical education in forensic evidence collection, modifications to voluntary charity care practice by retired physicians, and general rule cleanup.

Repeal of Chapter 170, Authority of Physician to Prescribe for the Treatment of Pain.

New Chapter 170, Pain Management.

Chapter 171, Postgraduate Training Permits, to include clarification of reporting requirements, modifications to requirements for board-approved postgraduate fellowship training programs, and general rule cleanup.

Chapter 172, Temporary Licenses, to include the addition of section 172.13 relating to Conceded Eminence Licenses and general rule cleanup.

Chapter 174, Telemedicine to include amendments to §174.2, Definitions and to §174.6 Delegation to and Supervision of Telepresenters regarding delegation of tasks and activities by a physician to a telepresenter.

Chapter 175, Fees, to include amendments to §175.2, Registration and Renewal Fees, regarding Texas Online fees for office-based anesthesia, and new §175.5, Payment of Fees or Penalties regarding the form of payment accepted for fees and penalties.

Chapter 178, Complaints, to include amendments to §178.8, Appeals regarding the deletion of the deadline for filing an appeal.

Chapter 185, Physician Assistants, relating to changes mandated by SB419.

Chapter 199, Public Information to include new §199.5, Notice of Ownership Interest in a Niche Hospital regarding requirements of physicians to notify the Department of State Health Services of an ownership interest in a niche hospital.

Disciplinary Actions The following are summaries of the Board actions and were taken based on the types of violations listed. 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@... . Media contact Jill Wiggins at or jill.wiggins@... .

QUALITY OF CARE VIOLATIONS:

· AKKANTI, VENKAT REDDY, M.D., BASTROP, TX, Lic. #J8868 On April 7, 2006, the Board and Dr. Akkanti entered into an Agreed Order requiring Dr. Akkanti’s practice to be monitored by another physician for one year and requiring him to obtain 20 hours of continuing medical education in record-keeping, dealing with difficult patients, or risk management. The action was based on allegations that Dr. Akkanti failed to meet the standard of care in treating one patient in that he did not adequately manage her asthma, failed to maintain an adequate medical record and failed to reasonably evaluate her for diabetes risk.

· ANDREWS, SARAH ELIZABETH, M.D., KATY, TX, Lic. #H9753On April 7, 2006, the Board and Dr. s entered into an Agreed Order requiring Dr. s’ practice to be monitored by another physician for one year; requiring her to obtain 15 hours of risk management courses; and assessing an administrative penalty of $5,000. The action was based on allegations that Dr. s failed to meet the standard of care in her treatment of four patients in 1998 and 1999.

· CORLEY, RONALD G., M.D., LUFKIN, TX, Lic. #D8519On April 7, 2006, the Board and Dr. Corley entered into an Agreed Order whereby Dr. Corley agreed to cease performing any procedures that require the use of implants without first obtaining permission from the Board. Additionally, Dr. Corley on his own initiative resigned all surgical privileges and, under the Order, may not reapply for surgical privileges without first obtaining permission from the Board, and must complete a course in record-keeping of at least eight hours and an Internal Medicine Board Review Course of at least 30 hours. The action was based on allegations that Dr. Corley failed to meet the standard of care in his performance of orthopedic surgery on two patients.

· DELANEY, SUSAN DELPHINE, M.D., PLANO, TX, Lic. #G9447On April 7, 2006, the Board and Dr. Delaney entered into an Agreed Order requiring Dr. Delaney to complete 10 hours of continuing medical education in risk management; to take and pass the Medical Jurisprudence Examination; and assessing an administrative penalty of $2,000. The action was based on allegations that Dr. Delaney prescribed a Schedule II drug to the son of a physician with whom she cross-covered, but from whom she had not taken a history or independently established a diagnosis to support the prescription. Additionally, Dr. Delaney also accepted from one of her patients a supply of the same drug and dispensed it to the patient’s mother without making a record or properly labeling the medication.

· DESHMUKH, AVI TRIMBAK, M.D., STEPHENVILLE, TX, Lic. #H1067On April 7, 2006, the Board and Dr. Deshmukh entered into an Agreed Order requiring Dr. Deshmukh to complete a course in risk management of at least 10 hours and assessing an administrative penalty of $1,000. The action was based on allegations that Dr. Deshmukh prescribed a sulfa drug to a patient with a known allergy to the drug.

· DUBBERLY, DANNY LEE, M.D., ROCKPORT, TX, Lic. #E8447On April 7, 2006, the Board and Dr. Dubberly entered into an Agreed Order requiring Dr. Dubberly to take and pass the Medical Jurisprudence Examination within one year and to attend at least 15 hours of continuing medical education in risk management and dealing with the difficult patient. The action was based on allegations that Dr. Dubberly failed to meet the standard of care by failing to prescribe testosterone therapy for one patient. As a mitigating factor, the circumstances surrounding the fact that the patient was a prison inmate impeded clear communication between Dr. Dubberly and the patient.

· FINLEY, KEVIN WAYNE, D.O., MUNDAY, TX, Lic. #K5525On April 7, 2006, the Board and Dr. Finley entered into an Agreed Order requiring Dr. Finley to complete 25 hours of continuing medical education in emergency medicine. The action was based on allegations that Dr. Finley failed to meet the standard of care because of an inadequate evaluation of one patient who presented to the emergency room where he was the on-call physician.

· MARINO, BARBARA DOYLE, M.D., TOMBALL, TX, Lic. #H7724On April 7, 2006, the Board and Dr. Marino entered into a five-year Agreed Order requiring Dr. Marino’s practice to be monitored by another physician; requiring her to complete the National Board of Medical Examiners’ Post-Licensure Assessment program at the University of Florida Comprehensive Assessment and Remedial Education Services; and to complete courses of at least 20 hours in gynecological complications. The action was based on allegations that Dr. Marino failed to meet the standard of care with her sequential use of instruments in the delivery of a baby, that she failed to appropriately treat bowel leakage in one patient following surgery, that she failed to document the need for surgery and continued use of hydrocodone in one patient and that she failed to adequately document complications of surgery for another patient.

· McBATH, J. MARK, M.D., HOUSTON, TX, Lic. #G8265On April 7, 2006, the Board and Dr. McBath entered into an Agreed Order publicly reprimanding Dr. McBath; requiring him to completed at least 20 hours of courses per year for three years in the areas of pre-operative and post-operative complications and medical record-keeping; and assessing an administrative penalty of $15,000. The action was based on allegations that Dr. McBath failed to practice medicine in an acceptable professional manner in his treatment of four surgical patients. As a mitigating factor, the incidents occurred from 1997 through 1999 and Dr. McBath engaged in additional study following these cases.

· McCRORY, BEAU LAWSON, M.D., COMANCHE, TX, Lic. #K7823On April 7, 2006, the Board and Dr. McCrory entered into an Agreed Order requiring Dr. McCrory to complete 10 hours of continuing medical education in the area of medical record-keeping and prohibiting him from performing non-emergency gynecological surgery until such time as he obtains acceptable additional training or otherwise demonstrates to the Board that he is qualified for such surgery. Dr. McCory may assist other qualified surgeons in emergency surgery with the approval and informed consent of the patient. The action was based on allegations that Dr. McCory failed to meet the standard of care for one patient by not maintaining adequate medical records, by undertaking surgery without giving sufficient time for iron supplements to work, by failing to discuss with the patient other available treatment options, by failing to adequately disclose that he had not been formally trained in obstetrics/gynecology, by failing to perform an endometrial biopsy prior to surgery, by ordering a blood transfusion in an otherwise healthy woman and by continuing surgery once the pelvic adhesions presented a significant problem for the surgeons.

· ORLOV, ALEXANDER, D.O., LUFKIN, TX, Lic. #J4402On April 7, 2006, the Board and Dr. Orlov entered into an Agreed Order requiring Dr. Orlov to complete a course in risk management/medical records of at least 20 hours and assessing an administrative penalty of $5,000. The action was based on allegations that Dr. Orlov failed to ensure that a patient with lesions determined to be squamous cell carcinoma followed up for treatment. As mitigating factors, Dr. Orlov did make attempts to contact the patient, who had a caregiver because of mental deficiencies, and whose caregiver was aware of the patient’s medical condition. However, Dr. Orlov’s duty to this patient was higher due to her mental deficiencies and inability to care for herself.

· ORTIZ, AURELIO ANTONIO, M.D., MIAMI, FL, Lic. #F7870On April 7, 2006, the Board and Dr. Ortiz entered into an Agreed Order publicly reprimanding Dr. Ortiz; suspending his medical license; staying the suspension and placing him on probation for three years; requiring that he obtain 10 hours of ethics courses; pass the Medical Jurisprudence Examination within one year; and assessing an administrative penalty of $3,000. The action was based on allegations that Dr. Ortiz did not examine a patient admitted to the emergency room for which he was the assigned physician.

· SHIN, HYON-HO, M.D., AUSTIN, TX, Lic. #J6724On April 7, 2006, the Board and Dr. Shin entered into an Agreed Order requiring Dr. Shin to complete a course in risk-management of at least 10 hours and assessing an administrative penalty of $2,000. The action was based on allegations that Dr. Shin performed a right inguinal hernia repair after he had diagnosed a left inguinal hernia. As mitigating factors, the patient did in fact also have a right inguinal hernia, the hospital staff incorrectly identified the site, Dr. Shin immediately notified the patient of the error and offered to perform the left inguinal hernia repair for no charge, did not bill the patient for the right inguinal hernia repair and had changed his procedures to avoid similar incidents.

· SIEWERT, RICKY ALLEN, D.O., PERRYTON, TX, Lic. #G2576On April 7, 2006, the Board and Dr. Siewert entered into an Agreed Order requiring Dr. Siewert’s practice to be monitored by another physician for the time period required by the monitor to complete and submit four quarterly reports; and requiring Dr. Siewert to attend at least 20 additional hours of continuing medical education, at least 10 of which must be in medical record-keeping. The action was based on allegations that Dr. Siewert failed to practice medicine in an acceptable professional manner in his treatment of one patient who was later admitted to the hospital for sepsis and an incarcerated hernia.

UNPROFESSIONAL CONDUCT:

· ADAIR, MAUREEN LENORE, M.D., AUSTIN, TX, Lic. #F6376On April 7, 2006, the Board and Dr. Adair entered into an Agreed Order requiring Dr. Adair to complete a course in the area of risk management and assessing an administrative penalty of $1,000. The action was based on allegations that Dr. Adair failed to provide properly requested medical records within 15 business days and failed to timely respond to correspondence from the Board.

· AHMAD, NASIHA, M.D., CARROLLTON, TX, Lic. #G9703On April 7, 2006, the Board and Dr. Ahmad entered into an Agreed Order requiring Dr. Ahmad to complete a course in ethics of at least 10 hours and assessing an administrative penalty of $1,000. The action was based on allegations that Dr. Ahmad failed to adequately disclose to the board her hospital practice history in her Medical Practice Questionnaire.

· BEAR, RONALD LYNN JR., M.D., SAN ANTONIO, TX, Lic. #BP20020214On April 7, 2006, the Board and Dr. Bear entered into an Agreed Order requiring Dr. Bear to complete 10 hours of ethics courses and assessing an administrative penalty of $500. The action was based on allegations that Dr. Bear failed to disclose his arrest for assault in 2004 on his application for renewal of his physician training permit. As a mitigating factor, the charges were dismissed and Dr. Bear believed the arrest had been expunged.

· GHELBER, OSCAR, M.D., Lic. #40245On April 7, 2006, the Board and Dr. Ghelber entered into an Agreed Order assessing an administrative penalty of $250. The action was based on allegations that Dr. Ghelber administered Fentanyl as the anesthetic to a child even though his mother objected to the use of Fentanyl, mistakenly believing her child was allergic to it. As a mitigating factor, Dr. Ghelber did discuss the use of Fentanyl with the mother and thought she understood Fentanyl was acceptable for use in the child’s surgery.

· GRUESBECK, CLAY, M.D., SAN ANTONIO, TX, Lic. #H7749On April 7, 2006, the Board and Dr. Gruesbeck entered into an Agreed Order assessing an administrative penalty of $500. The action was based on allegations that Dr. Gruesbeck failed to disclose on his annual registration form that he had been arrested for a class C misdemeanor and had paid a $200 fine.

· LINAN, LUIS ENRIQUE, M.D., EL PASO, TX, Lic. #H8214On April 7, 2006, the Board and Dr. Linan entered into an Agreed Order requiring Dr. Linan to successfully complete the Anger Management for Healthcare Professionals course provided by the University of California, San Diego, School of Medicine Physician Assessment and Clinical Education Program, or substantially similar course approved by the Executive Director. The action was based on allegations that Dr. Linan slapped a surgical assistant on the hand during an emergency cesarean section.

· PIERCE, DAMON SCOTT, M.D., DALLAS, TX, Lic. #BP30021144On April 7, 2006, the Board and Dr. Pierce entered into an Agreed Order assessing an administrative penalty of $250. The action was based on allegations that Dr. Pierce failed to disclose on his 2004-2005 postgraduate training permit renewal application a 1998 arrest for criminal mischief relating to damage to a restaurant’s table and chair. Dr. Pierce erroneously thought the 1998 arrest had been expunged.

· RODRIGUEZ, PAUL LOPEZ, M.D., WICHITA, KS, Lic. #K9889On April 7, 2006, the Board and Dr. entered into an Agreed Order suspending the Dr. ’s medical license, staying the suspension and placing him on probation for five years; requiring that he complete 20 additional hours of continuing medical education each year in the area of ethics or risk management; prohibiting him from supervising physician assistants, advanced practice nurses or surgical assistants; and assessing an administrative penalty of $10,000. The action was based on allegations that Dr. failed to notify the Board on his license renewal form that he had been suspended by the Oklahoma State Board of Medical Licensure and Supervision for six months in 2004 and placed on probation by the Medical Board of California. The action of the Oklahoma Board was based on Dr. allowing an unlicensed individual to prescribe to patients and operate a laser for hair removal owned by Dr. . The California Board action was based on the Oklahoma Board action.

· TREVINO, ROGELIO, M.D., McALLEN, TX, Lic. #BP20019970On April 7, 2006, the Board and Dr. Trevino entered into an Agreed Order assessing an administrative penalty of $500. The action was based on allegations that Dr. Trevino failed to disclose on his Postgraduate Resident Permit Applications that he had been arrested in 1990 for driving while intoxicated.

· WILLOWS, BARBARA JEAN, D.O., COLUMBUS, OH, Lic. #E8918On April 7, 2006, the Board and Dr. Willows entered into an Agreed Order accepting the voluntary and permanent surrender of Dr. Willows’ medical license. The action was based on Dr. Willows’ wish to surrender her Texas medical license as she has no intention of returning to Texas to practice, and followed the indefinite suspension of her Ohio medical license for a conviction for operating a motor vehicle while intoxicated and for alcohol abuse.

NONTHERAPEUTIC PRESCRIBING:

· WOMACK, ROBERT, M.D., AMARILLO, TX, Lic. #G6773On April 7, 2006, the Board entered a Final Order revoking Dr. Womack’s medical license. The action was based on findings of the Board that a Complaint was filed with the State Office of Administrative Hearings on August 22, 2005, alleging that Dr. Womack prescribed for himself nontherapeutic prescriptions of hydrocodone, doxycycline/vibramycin, erythromycin, diflucan/fluconazole, neomycin, amoxil/amoxicillin and phentermine and that no adequate medical records or documentation of need were maintained, and that he additionally nontherapeutically prescribed phentermine for his wife. Dr. Womack did not respond to the Complaint or to correspondence from the Board and on February 17, 2006, the Board’s Hearings Counsel issued a Determination of Default that was served on Dr. Womack in accordance with law. Dr. Womack did not respond to the Complaint within 20 days and all facts alleged in the Complaint were deemed to have been admitted. Dr. Womack 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 in 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.

INAPPROPRIATE CONDUCT INVOLVING PHYSICIAN-PATIENT RELATIONSHIP:

· GRUHLKEY, JAY LOYD, M.D., NEW BRAUNFELS, TX, Lic. #K7750On April 7, 2006, the Board and Dr. Gruhlkey entered into a one-year Agreed Order requiring Dr. Gruhlkey to complete “A Continuing Education Course for Physicians Who Cross Sexual Boundaries” presented by the Center for Professional Health at the Vanderbilt Medical Center; to complete 10 hours of continuing medical education in each of the areas of ethics and risk management; to speak to three local county medical society meetings on the topic of maintaining proper boundaries; and assessing an administrative penalty of $10,000. The action was based on allegations that Dr. Gruhlkey was sexually involved with a patient, who was also an employee, while functioning as the physician for her and her two small children

· KUHNE, ROBERT CHRISTOPHER, M.D., RICHARDSON, TX, Lic. #H2519On April 7, 2006, following a rehearing granted to Dr. Kuhne, the Board issued a Final Order publicly reprimanding Dr. Kuhn and requiring him to write a letter of apology to a patient acknowledging that his conduct was improper and to complete within one year “A Continuing Education Course for Physicians Who Cross Sexual Boundaries” presented by the Center for Professional Health at the Vanderbilt Medical Center and the “Maintaining Professional Boundaries and Managing Difficult and Frustrating Patients” course offered by the Texas Medical Association’s Committee on Physician Health and Rehabilitation. The action was based on a finding by an Administrative Law Judge of the Texas State Office of Administrative Hearings that Dr. Kuhne, while examining a patient seeking treatment of FSD (female sexual dysfunction) made a comment relating to oral sex that was unprofessional and dishonorable.

· ROUNTREE, RANDOLPH WINSLER, M.D., SAN ANGELO, TX, Lic. #F7123On April 7, 2006, the Board and Dr. Rountree entered into an Agreed Order suspending Dr. Rountree’s medical license until such time as he demonstrates to the Board that he is safe and competent to practice medicine. The action was based on allegations that Dr. Rountree sexually assaulted a patient and had inappropriate sexual contact with three other patients.

INADEQUATE MEDICAL RECORDS:

· DUARTE, LUIS E, M.D., SAN ANGELO, TX, Lic. #K2451On April 7, 2006, the Board and Dr. Duarte entered into an Agreed Order publicly reprimanding Dr. Duarte; requiring him to complete the medical record-keeping course and physician-patient communication course provided by the University of California, San Diego, School of Medicine Physician Assessment and Clinical Education Program; to complete an additional course in record-keeping or risk management of at least 10 hours; and assessing an administrative penalty of $1,000. The action was based on allegations that Dr. Duarte’s documentation failed to provide sufficient information of the continued care he provided to two spinal surgery patients.

· HEINEMANN, JEFFREY JOHN, M.D., HOUSTON, TX, Lic. #L0818On April 7, 2006, the Board and Dr. Heinemann entered into an Agreed Order requiring Dr. Heinemann to obtain 10 hours of continuing medical education in risk management and record-keeping. The action was based on allegations that Dr. Heinemann failed to maintain an adequate anesthesia medical record for one surgery patient.

· LUECKE, JAMES DAVIS, M.D., FORT DAVIS, TX, Lic. #H4504On April 7, 2006, the Board and Dr. Luecke entered into an Agreed Order requiring Dr. Luecke to complete 20 hours of continuing medical education in the areas of record-keeping and risk management; and assessing an administrative penalty of $1,000. The action was based on allegations that Dr. Luecke’s nurse practitioner failed to document vital signs and physical examination for one patient, that Dr. Luecke failed to document home visitations for one patient, and that his medication log did not reflect the administration of all medications.

· SCHRAPPS, JEROME FRANCIS, M.D., BEAUMONT, TX, Lic. #J2907On April 7, 2006, the Board and Dr. Schrapps entered into an Agreed Order assessing an administrative penalty of $1,000. The action was based on allegations that Dr. Schrapps failed to maintain adequate medical records for two patients.

· SINGH, HARRYPERSAD, M.D., SILSBEE, TX, Lic. #G1310On April 7, 2006, the Board and Dr. Singh entered into an Agreed Order requiring Dr. Singh’s practice to be monitored by another physician for one year and requiring him to complete a course of at least eight hours in medical records. The action was based on allegations that Dr. Singh failed to keep adequate medical records due to illegible handwriting and not providing information necessary for patient continuity.

· WILLIAMS, GWENEVERE EVETTE, M.D., KINGWOOD, TX, Lic. #H7587On April 7, 2006, the Board and Dr. entered into an Agreed Order requiring Dr. to obtain at least 10 additional hours of continuing medical education in the area of risk management, billing or record-keeping; and assessing an administrative penalty of $1,000. The action was based on allegations that Dr. ’ medical records lacked sufficient information in relation to the service rendered

April 14, 2006

IMO the Orlov thing is pretty iffy. I read that twice trying to

understand why it was bad enough to be before the board. There are

limits to what docs can do when it comes to enforcing follow up.

Subject: TMB Release: 59

Doctors Disciplined

> Date: Thu, 13 Apr 2006 15:06:55 -0500

>

> To: " Jill Wiggins "

>

> Texas Medical Board

> Press Release

> FOR IMMEDIATE RELEASE

> Thursday, April 13, 2006

> Media contact: Public Information Officer Jill Wiggins at

jill.wiggins@... or

> Non-media contact: or

> 59 Doctors Disciplined

> Since its last Board meeting in December, the Texas Medical Board

has taken disciplinary action against 59 licensed physicians. Actions

included 14 violations based on quality of care; 10 actions based on

unprofessional conduct; one action based on nontherapeutic

prescribing; three actions based on inappropriate conduct involving

physician-patient relationships; seven actions based on inadequate

medical records; five actions based on impairment due to alcohol or

drugs; three actions based on impairment due to physical or mental

conditions; three actions based on violations of probation or prior

orders; three actions based on other state board actions; three

actions based on criminal convictions; two actions based on peer

review actions; and five minimal statutory violations. Administrative

penalties totaling $65,000 were assessed.

> New Licenses Issued

> During its April 6-7 Board meeting, the Board approved the licensure

applications of 324 physicians.

> Rule Changes

> The Board adopted the following proposed rule changes that were

published in the Texas Register:

> Proposed amendments to Chapter 175, Fees, Penalties, and

Applications to include amendments to §175.2 Renewal Fees regarding

increase in Physician Assistant renewal fee.

> Chapter 183, Acupuncture, relating to changes mandated by SB419.

> Proposed Rule Changes

> The following rule changes will be published in the Texas Register

for comment:

> Chapter 163, Licensure, amended to include a limit on Texas

medical jurisprudence examination attempts, delegated authority to

staff to issue licenses, alternative requirements for graduates of

unapproved medical schools, and general rule cleanup.

> Re-proposed amendments to Chapter 165, Medical Records, to include

amendments to 165.1 Medical Records and the addition of 165.6, Medical

Records Regarding an Abortion on an Unemancipated Minor.

> Chapter 166, Physician Registration, amended to include the

addition of continuing medical education in forensic evidence

collection, modifications to voluntary charity care practice by

retired physicians, and general rule cleanup.

> Repeal of Chapter 170, Authority of Physician to Prescribe for the

Treatment of Pain.

> New Chapter 170, Pain Management.

> Chapter 171, Postgraduate Training Permits, to include

clarification of reporting requirements, modifications to requirements

for board-approved postgraduate fellowship training programs, and

general rule cleanup.

> Chapter 172, Temporary Licenses, to include the addition of

section 172.13 relating to Conceded Eminence Licenses and general rule

cleanup.

> Chapter 174, Telemedicine to include amendments to §174.2,

Definitions and to §174.6 Delegation to and Supervision of

Telepresenters regarding delegation of tasks and activities by a

physician to a telepresenter.

> Chapter 175, Fees, to include amendments to §175.2, Registration

and Renewal Fees, regarding Texas Online fees for office-based

anesthesia, and new §175.5, Payment of Fees or Penalties regarding the

form of payment accepted for fees and penalties.

> Chapter 178, Complaints, to include amendments to §178.8, Appeals

regarding the deletion of the deadline for filing an appeal.

> Chapter 185, Physician Assistants, relating to changes mandated by

SB419.

> Chapter 199, Public Information to include new §199.5, Notice of

Ownership Interest in a Niche Hospital regarding requirements of

physicians to notify the Department of State Health Services of an

ownership interest in a niche hospital.

> Disciplinary Actions

> The following are summaries of the Board actions and were taken

based on the types of violations listed. 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@...

. Media contact Jill Wiggins at

or jill.wiggins@... .

> QUALITY OF CARE VIOLATIONS: · AKKANTI, VENKAT REDDY,

M.D., BASTROP, TX, Lic. #J8868

> On April 7, 2006, the Board and Dr. Akkanti entered into an Agreed

Order requiring Dr. Akkanti's practice to be monitored by another

physician for one year and requiring him to obtain 20 hours of

continuing medical education in record-keeping, dealing with difficult

patients, or risk management. The action was based on allegations that

Dr. Akkanti failed to meet the standard of care in treating one

patient in that he did not adequately manage her asthma, failed to

maintain an adequate medical record and failed to reasonably evaluate

her for diabetes risk.

> · ANDREWS, SARAH ELIZABETH, M.D., KATY, TX, Lic. #H9753

> On April 7, 2006, the Board and Dr. s entered into an Agreed

Order requiring Dr. s' practice to be monitored by another

physician for one year; requiring her to obtain 15 hours of risk

management courses; and assessing an administrative penalty of $5,000.

The action was based on allegations that Dr. s failed to meet

the standard of care in her treatment of four patients in 1998 and 1999.

> · CORLEY, RONALD G., M.D., LUFKIN, TX, Lic. #D8519

> On April 7, 2006, the Board and Dr. Corley entered into an Agreed

Order whereby Dr. Corley agreed to cease performing any procedures

that require the use of implants without first obtaining permission

from the Board. Additionally, Dr. Corley on his own initiative

resigned all surgical privileges and, under the Order, may not reapply

for surgical privileges without first obtaining permission from the

Board, and must complete a course in record-keeping of at least eight

hours and an Internal Medicine Board Review Course of at least 30

hours. The action was based on allegations that Dr. Corley failed to

meet the standard of care in his performance of orthopedic surgery on

two patients.

> · DELANEY, SUSAN DELPHINE, M.D., PLANO, TX, Lic. #G9447

> On April 7, 2006, the Board and Dr. Delaney entered into an Agreed

Order requiring Dr. Delaney to complete 10 hours of continuing medical

education in risk management; to take and pass the Medical

Jurisprudence Examination; and assessing an administrative penalty of

$2,000. The action was based on allegations that Dr. Delaney

prescribed a Schedule II drug to the son of a physician with whom she

cross-covered, but from whom she had not taken a history or

independently established a diagnosis to support the prescription.

Additionally, Dr. Delaney also accepted from one of her patients a

supply of the same drug and dispensed it to the patient's mother

without making a record or properly labeling the medication.

> · DESHMUKH, AVI TRIMBAK, M.D., STEPHENVILLE, TX, Lic. #H1067

> On April 7, 2006, the Board and Dr. Deshmukh entered into an Agreed

Order requiring Dr. Deshmukh to complete a course in risk management

of at least 10 hours and assessing an administrative penalty of

$1,000. The action was based on allegations that Dr. Deshmukh

prescribed a sulfa drug to a patient with a known allergy to the drug.

> · DUBBERLY, DANNY LEE, M.D., ROCKPORT, TX, Lic. #E8447

> On April 7, 2006, the Board and Dr. Dubberly entered into an Agreed

Order requiring Dr. Dubberly to take and pass the Medical

Jurisprudence Examination within one year and to attend at least 15

hours of continuing medical education in risk management and dealing

with the difficult patient. The action was based on allegations that

Dr. Dubberly failed to meet the standard of care by failing to

prescribe testosterone therapy for one patient. As a mitigating

factor, the circumstances surrounding the fact that the patient was a

prison inmate impeded clear communication between Dr. Dubberly and the

patient.

> · FINLEY, KEVIN WAYNE, D.O., MUNDAY, TX, Lic. #K5525

> On April 7, 2006, the Board and Dr. Finley entered into an Agreed

Order requiring Dr. Finley to complete 25 hours of continuing medical

education in emergency medicine. The action was based on allegations

that Dr. Finley failed to meet the standard of care because of an

inadequate evaluation of one patient who presented to the emergency

room where he was the on-call physician.

> · MARINO, BARBARA DOYLE, M.D., TOMBALL, TX, Lic. #H7724

> On April 7, 2006, the Board and Dr. Marino entered into a five-year

Agreed Order requiring Dr. Marino's practice to be monitored by

another physician; requiring her to complete the National Board of

Medical Examiners' Post-Licensure Assessment program at the University

of Florida Comprehensive Assessment and Remedial Education Services;

and to complete courses of at least 20 hours in gynecological

complications. The action was based on allegations that Dr. Marino

failed to meet the standard of care with her sequential use of

instruments in the delivery of a baby, that she failed to

appropriately treat bowel leakage in one patient following surgery,

that she failed to document the need for surgery and continued use of

hydrocodone in one patient and that she failed to adequately document

complications of surgery for another patient.

> · McBATH, J. MARK, M.D., HOUSTON, TX, Lic. #G8265

> On April 7, 2006, the Board and Dr. McBath entered into an Agreed

Order publicly reprimanding Dr. McBath; requiring him to completed at

least 20 hours of courses per year for three years in the areas of

pre-operative and post-operative complications and medical

record-keeping; and assessing an administrative penalty of $15,000.

The action was based on allegations that Dr. McBath failed to practice

medicine in an acceptable professional manner in his treatment of four

surgical patients. As a mitigating factor, the incidents occurred from

1997 through 1999 and Dr. McBath engaged in additional study following

these cases.

> · McCRORY, BEAU LAWSON, M.D., COMANCHE, TX, Lic. #K7823

> On April 7, 2006, the Board and Dr. McCrory entered into an Agreed

Order requiring Dr. McCrory to complete 10 hours of continuing medical

education in the area of medical record-keeping and prohibiting him

from performing non-emergency gynecological surgery until such time as

he obtains acceptable additional training or otherwise demonstrates to

the Board that he is qualified for such surgery. Dr. McCory may assist

other qualified surgeons in emergency surgery with the approval and

informed consent of the patient. The action was based on allegations

that Dr. McCory failed to meet the standard of care for one patient by

not maintaining adequate medical records, by undertaking surgery

without giving sufficient time for iron supplements to work, by

failing to discuss with the patient other available treatment options,

by failing to adequately disclose that he had not been formally

trained in obstetrics/gynecology, by failing to perform an endometrial

biopsy prior to surgery,

> by ordering a blood transfusion in an otherwise healthy woman and

by continuing surgery once the pelvic adhesions presented a

significant problem for the surgeons.

> · ORLOV, ALEXANDER, D.O., LUFKIN, TX, Lic. #J4402

> On April 7, 2006, the Board and Dr. Orlov entered into an Agreed

Order requiring Dr. Orlov to complete a course in risk

management/medical records of at least 20 hours and assessing an

administrative penalty of $5,000. The action was based on allegations

that Dr. Orlov failed to ensure that a patient with lesions determined

to be squamous cell carcinoma followed up for treatment. As mitigating

factors, Dr. Orlov did make attempts to contact the patient, who had a

caregiver because of mental deficiencies, and whose caregiver was

aware of the patient's medical condition. However, Dr. Orlov's duty to

this patient was higher due to her mental deficiencies and inability

to care for herself.

> · ORTIZ, AURELIO ANTONIO, M.D., MIAMI, FL, Lic. #F7870

> On April 7, 2006, the Board and Dr. Ortiz entered into an Agreed

Order publicly reprimanding Dr. Ortiz; suspending his medical license;

staying the suspension and placing him on probation for three years;

requiring that he obtain 10 hours of ethics courses; pass the Medical

Jurisprudence Examination within one year; and assessing an

administrative penalty of $3,000. The action was based on allegations

that Dr. Ortiz did not examine a patient admitted to the emergency

room for which he was the assigned physician.

> · SHIN, HYON-HO, M.D., AUSTIN, TX, Lic. #J6724

> On April 7, 2006, the Board and Dr. Shin entered into an Agreed

Order requiring Dr. Shin to complete a course in risk-management of at

least 10 hours and assessing an administrative penalty of $2,000. The

action was based on allegations that Dr. Shin performed a right

inguinal hernia repair after he had diagnosed a left inguinal hernia.

As mitigating factors, the patient did in fact also have a right

inguinal hernia, the hospital staff incorrectly identified the site,

Dr. Shin immediately notified the patient of the error and offered to

perform the left inguinal hernia repair for no charge, did not bill

the patient for the right inguinal hernia repair and had changed his

procedures to avoid similar incidents.

> · SIEWERT, RICKY ALLEN, D.O., PERRYTON, TX, Lic. #G2576

> On April 7, 2006, the Board and Dr. Siewert entered into an Agreed

Order requiring Dr. Siewert's practice to be monitored by another

physician for the time period required by the monitor to complete and

submit four quarterly reports; and requiring Dr. Siewert to attend at

least 20 additional hours of continuing medical education, at least 10

of which must be in medical record-keeping. The action was based on

allegations that Dr. Siewert failed to practice medicine in an

acceptable professional manner in his treatment of one patient who was

later admitted to the hospital for sepsis and an incarcerated hernia.

>

> UNPROFESSIONAL CONDUCT: · ADAIR, MAUREEN LENORE, M.D.,

AUSTIN, TX, Lic. #F6376

> On April 7, 2006, the Board and Dr. Adair entered into an Agreed

Order requiring Dr. Adair to complete a course in the area of risk

management and assessing an administrative penalty of $1,000. The

action was based on allegations that Dr. Adair failed to provide

properly requested medical records within 15 business days and failed

to timely respond to correspondence from the Board.

> · AHMAD, NASIHA, M.D., CARROLLTON, TX, Lic. #G9703

> On April 7, 2006, the Board and Dr. Ahmad entered into an Agreed

Order requiring Dr. Ahmad to complete a course in ethics of at least

10 hours and assessing an administrative penalty of $1,000. The action

was based on allegations that Dr. Ahmad failed to adequately disclose

to the board her hospital practice history in her Medical Practice

Questionnaire.

> · BEAR, RONALD LYNN JR., M.D., SAN ANTONIO, TX, Lic. #BP20020214

> On April 7, 2006, the Board and Dr. Bear entered into an Agreed

Order requiring Dr. Bear to complete 10 hours of ethics courses and

assessing an administrative penalty of $500. The action was based on

allegations that Dr. Bear failed to disclose his arrest for assault in

2004 on his application for renewal of his physician training permit.

As a mitigating factor, the charges were dismissed and Dr. Bear

believed the arrest had been expunged.

> · GHELBER, OSCAR, M.D., Lic. #40245

> On April 7, 2006, the Board and Dr. Ghelber entered into an Agreed

Order assessing an administrative penalty of $250. The action was

based on allegations that Dr. Ghelber administered Fentanyl as the

anesthetic to a child even though his mother objected to the use of

Fentanyl, mistakenly believing her child was allergic to it. As a

mitigating factor, Dr. Ghelber did discuss the use of Fentanyl with

the mother and thought she understood Fentanyl was acceptable for use

in the child's surgery.

> · GRUESBECK, CLAY, M.D., SAN ANTONIO, TX, Lic. #H7749

> On April 7, 2006, the Board and Dr. Gruesbeck entered into an Agreed

Order assessing an administrative penalty of $500. The action was

based on allegations that Dr. Gruesbeck failed to disclose on his

annual registration form that he had been arrested for a class C

misdemeanor and had paid a $200 fine.

> · LINAN, LUIS ENRIQUE, M.D., EL PASO, TX, Lic. #H8214

> On April 7, 2006, the Board and Dr. Linan entered into an Agreed

Order requiring Dr. Linan to successfully complete the Anger

Management for Healthcare Professionals course provided by the

University of California, San Diego, School of Medicine Physician

Assessment and Clinical Education Program, or substantially similar

course approved by the Executive Director. The action was based on

allegations that Dr. Linan slapped a surgical assistant on the hand

during an emergency cesarean section.

> · PIERCE, DAMON SCOTT, M.D., DALLAS, TX, Lic. #BP30021144

> On April 7, 2006, the Board and Dr. Pierce entered into an Agreed

Order assessing an administrative penalty of $250. The action was

based on allegations that Dr. Pierce failed to disclose on his

2004-2005 postgraduate training permit renewal application a 1998

arrest for criminal mischief relating to damage to a restaurant's

table and chair. Dr. Pierce erroneously thought the 1998 arrest had

been expunged.

> · RODRIGUEZ, PAUL LOPEZ, M.D., WICHITA, KS, Lic. #K9889

> On April 7, 2006, the Board and Dr. entered into an Agreed

Order suspending the Dr. 's medical license, staying the

suspension and placing him on probation for five years; requiring that

he complete 20 additional hours of continuing medical education each

year in the area of ethics or risk management; prohibiting him from

supervising physician assistants, advanced practice nurses or surgical

assistants; and assessing an administrative penalty of $10,000. The

action was based on allegations that Dr. failed to notify

the Board on his license renewal form that he had been suspended by

the Oklahoma State Board of Medical Licensure and Supervision for six

months in 2004 and placed on probation by the Medical Board of

California. The action of the Oklahoma Board was based on Dr.

allowing an unlicensed individual to prescribe to patients

and operate a laser for hair removal owned by Dr. . The

California Board action was based on the

> Oklahoma Board action.

> · TREVINO, ROGELIO, M.D., McALLEN, TX, Lic. #BP20019970

> On April 7, 2006, the Board and Dr. Trevino entered into an Agreed

Order assessing an administrative penalty of $500. The action was

based on allegations that Dr. Trevino failed to disclose on his

Postgraduate Resident Permit Applications that he had been arrested in

1990 for driving while intoxicated.

> · WILLOWS, BARBARA JEAN, D.O., COLUMBUS, OH, Lic. #E8918

> On April 7, 2006, the Board and Dr. Willows entered into an Agreed

Order accepting the voluntary and permanent surrender of Dr. Willows'

medical license. The action was based on Dr. Willows' wish to

surrender her Texas medical license as she has no intention of

returning to Texas to practice, and followed the indefinite suspension

of her Ohio medical license for a conviction for operating a motor

vehicle while intoxicated and for alcohol abuse.

>

> NONTHERAPEUTIC PRESCRIBING: · WOMACK, ROBERT, M.D.,

AMARILLO, TX, Lic. #G6773

> On April 7, 2006, the Board entered a Final Order revoking Dr.

Womack's medical license. The action was based on findings of the

Board that a Complaint was filed with the State Office of

Administrative Hearings on August 22, 2005, alleging that Dr. Womack

prescribed for himself nontherapeutic prescriptions of hydrocodone,

doxycycline/vibramycin, erythromycin, diflucan/fluconazole, neomycin,

amoxil/amoxicillin and phentermine and that no adequate medical

records or documentation of need were maintained, and that he

additionally nontherapeutically prescribed phentermine for his wife.

Dr. Womack did not respond to the Complaint or to correspondence from

the Board and on February 17, 2006, the Board's Hearings Counsel

issued a Determination of Default that was served on Dr. Womack in

accordance with law. Dr. Womack did not respond to the Complaint

within 20 days and all facts alleged in the Complaint were deemed to

have been admitted. Dr. Womack 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 in 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.

>

> INAPPROPRIATE CONDUCT INVOLVING PHYSICIAN-PATIENT RELATIONSHIP:

· GRUHLKEY, JAY LOYD, M.D., NEW BRAUNFELS, TX, Lic. #K7750

> On April 7, 2006, the Board and Dr. Gruhlkey entered into a one-year

Agreed Order requiring Dr. Gruhlkey to complete " A Continuing

Education Course for Physicians Who Cross Sexual Boundaries " presented

by the Center for Professional Health at the Vanderbilt Medical

Center; to complete 10 hours of continuing medical education in each

of the areas of ethics and risk management; to speak to three local

county medical society meetings on the topic of maintaining proper

boundaries; and assessing an administrative penalty of $10,000. The

action was based on allegations that Dr. Gruhlkey was sexually

involved with a patient, who was also an employee, while functioning

as the physician for her and her two small children

> · KUHNE, ROBERT CHRISTOPHER, M.D., RICHARDSON, TX, Lic. #H2519

> On April 7, 2006, following a rehearing granted to Dr. Kuhne, the

Board issued a Final Order publicly reprimanding Dr. Kuhn and

requiring him to write a letter of apology to a patient acknowledging

that his conduct was improper and to complete within one year " A

Continuing Education Course for Physicians Who Cross Sexual

Boundaries " presented by the Center for Professional Health at the

Vanderbilt Medical Center and the " Maintaining Professional Boundaries

and Managing Difficult and Frustrating Patients " course offered by the

Texas Medical Association's Committee on Physician Health and

Rehabilitation. The action was based on a finding by an Administrative

Law Judge of the Texas State Office of Administrative Hearings that

Dr. Kuhne, while examining a patient seeking treatment of FSD (female

sexual dysfunction) made a comment relating to oral sex that was

unprofessional and dishonorable.

> · ROUNTREE, RANDOLPH WINSLER, M.D., SAN ANGELO, TX, Lic. #F7123

> On April 7, 2006, the Board and Dr. Rountree entered into an Agreed

Order suspending Dr. Rountree's medical license until such time as he

demonstrates to the Board that he is safe and competent to practice

medicine. The action was based on allegations that Dr. Rountree

sexually assaulted a patient and had inappropriate sexual contact with

three other patients.

>

> INADEQUATE MEDICAL RECORDS: · DUARTE, LUIS E, M.D., SAN

ANGELO, TX, Lic. #K2451

> On April 7, 2006, the Board and Dr. Duarte entered into an Agreed

Order publicly reprimanding Dr. Duarte; requiring him to complete the

medical record-keeping course and physician-patient communication

course provided by the University of California, San Diego, School of

Medicine Physician Assessment and Clinical Education Program; to

complete an additional course in record-keeping or risk management of

at least 10 hours; and assessing an administrative penalty of $1,000.

The action was based on allegations that Dr. Duarte's documentation

failed to provide sufficient information of the continued care he

provided to two spinal surgery patients.

> · HEINEMANN, JEFFREY JOHN, M.D., HOUSTON, TX, Lic. #L0818

> On April 7, 2006, the Board and Dr. Heinemann entered into an Agreed

Order requiring Dr. Heinemann to obtain 10 hours of continuing medical

education in risk management and record-keeping. The action was based

on allegations that Dr. Heinemann failed to maintain an adequate

anesthesia medical record for one surgery patient.

> · LUECKE, JAMES DAVIS, M.D., FORT DAVIS, TX, Lic. #H4504

> On April 7, 2006, the Board and Dr. Luecke entered into an Agreed

Order requiring Dr. Luecke to complete 20 hours of continuing medical

education in the areas of record-keeping and risk management; and

assessing an administrative penalty of $1,000. The action was based on

allegations that Dr. Luecke's nurse practitioner failed to document

vital signs and physical examination for one patient, that Dr. Luecke

failed to document home visitations for one patient, and that his

medication log did not reflect the administration of all medications.

> · SCHRAPPS, JEROME FRANCIS, M.D., BEAUMONT, TX, Lic. #J2907

> On April 7, 2006, the Board and Dr. Schrapps entered into an Agreed

Order assessing an administrative penalty of $1,000. The action was

based on allegations that Dr. Schrapps failed to maintain adequate

medical records for two patients.

> · SINGH, HARRYPERSAD, M.D., SILSBEE, TX, Lic. #G1310

> On April 7, 2006, the Board and Dr. Singh entered into an Agreed

Order requiring Dr. Singh's practice to be monitored by another

physician for one year and requiring him to complete a course of at

least eight hours in medical records. The action was based on

allegations that Dr. Singh failed to keep adequate medical records due

to illegible handwriting and not providing information necessary for

patient continuity.

> · WILLIAMS, GWENEVERE EVETTE, M.D., KINGWOOD, TX, Lic. #H7587

> On April 7, 2006, the Board and Dr. entered into an Agreed

Order requiring Dr. to obtain at least 10 additional hours of

continuing medical education in the area of risk management, billing

or record-keeping; and assessing an administrative penalty of $1,000.

The action was based on allegations that Dr. ' medical records

lacked sufficient information in relation to the service rendered.

> · LONG, JAMES MICHAEL, M.D., WACO, TX, Lic. #K1753

> On April 7, 2006, the Board and Dr. Long entered into an Agreed

Order requiring that Dr. Long refrain from treating or otherwise

serving as a physician for his immediate family, prescribing or

refilling by telephone or permitting any individual under his

supervision or control to prescribe or refill any prescription for

narcotics or employing any family members in his medical practice or

office; requiring that he maintain adequate medical records and

complete 15 hours of continuing medical education in medical records,

ethics and appropriate prescribing practices. The action was based

Dr.Long's failure to maintain adequate medical records when

prescribing to family members.

>

> IMPAIRMENT DUE TO ALCOHOL OR DRUGS: · CONNER, PATRICK

TRAVIS, M.D., SPRINGFIELD, MO, Lic. #G3243

> On April 7, 2006, the Board and Dr. Conner entered into an Agreed

Order whereby the Board accepted the voluntary surrender of Dr.

Conner's medical license. The action was based on Dr. Connor's

disability due to drug addiction and bipolar disorder.

> · DEMBERG, JAMES HAROLD, M.D., TYLER, TX, Lic. #F3096

> On April 7, 2006, the Board and Dr. Demberg entered into a 10-year

Agreed Order requiring Dr. Demberg to abstain from the consumption of

prohibited substances, including alcohol; submit to screenings for

drugs and alcohol; continue to participate in Alcoholics Anonymous at

least five times per week; complete eight hours of continuing medical

education in anger management; continue psychotherapy; limit his

medical practice to a group or institutional setting approved by the

Executive Director; and prohibiting him from supervising a physician

assistant, advanced practice nurse or surgical assistant. The action

was based on Dr. Demberg's admission that he is an alcoholic and on

allegations that he was arrested for driving while intoxicated and

that his privileges were suspended by the East Texas Medical Center

for inappropriate behavior.

> · DUNCAN, CHRISTOPHER W., M.D., SAN ANTONIO, TX, Lic. #G3314

> On April 7, 2006, the Board and Dr. Duncan entered into an Agreed

Order suspending Dr. Duncan's license for an additional six months, at

a minimum, and until he demonstrates to the Board he is safe and

competent to practice medicine, and requires him to abstain from the

consumption of drugs and alcohol and to submit to screening for drugs

and alcohol as requested by the Board for a period of 15 years from

the date of staying his suspension, if his suspension is stayed by

future Board action. The action was based on Dr. Duncan's positive

test for cocaine and his admission of relapse on cocaine during the

Christmas 2005 holiday.

> · PATT, RICHARD BERNARD, M.D., HOUSTON, TX, Lic. #J5440

> On April 6, 2006, a disciplinary panel of the Board temporarily

suspended Dr. Patt's medical license following a temporary suspension

hearing without notice. The action was based on a finding by the panel

that Dr. Patt is a real danger to the health of his patients or to the

public due to his impaired status and that there was an imminent peril

to the public health, safety, or welfare that required immediate

effect of the Order of Temporary Suspension. As findings of fact, the

panel also found that Dr. Patt had been suspended from St. Luke's

Episcopal Hospital based upon indications that he was impaired in the

operating room as reported by nursing staff. A brief physical

examination of Dr. Patt revealed what appeared to be needle marks in

his antecubital fossae. A drug screen from a urine specimen provided

the same day tested positive for amphetamine, methamphetamine,

oxazepam and morphine.

> · KESSELER, RANDALL GENE, D.O., SANGER, TX, Lic. #G8212

> On April 7, 2006, the Board and Dr. Kesseler entered into an Agreed

Order in which Dr. Kesseler agreed to the voluntarily suspension of

his medical license until such time as he demonstrates to the Board

that he is physically, mentally and otherwise competent to practice

medicine. The action was based on Dr. Kesseler's self-reported

chemical dependence and his desire to enter a voluntary suspension of

his medical license while seeking treatment.

>

> IMPAIRMENT DUE TO PHYSICAL OR MENTAL CONDITIONS: ·

HENSHAW, CLYDE VERNON JR., D.O., FORT WORTH, TX, Lic. #H0446

> On April 7, 2006, the Board and Dr. Henshaw entered into an Agreed

Order whereby the Board accepted Dr. Henshaw's voluntary and permanent

surrender of his medical license. The action was based on allegations

that Dr. Henshaw failed to meet the standard of care in his treatment

of one patient and because Dr. Henshaw has found it difficult to

practice medicine with reasonable skill and safety because of illness.

> · TORRES, ARTURO A., M.D., HOUSTON, TX, Lic. #H2085

> On March 24, 2006, a disciplinary panel of the Texas Medical Board

entered an Order of Temporary Suspension that temporarily suspended

Dr. ' medical license, effective immediately. The action was

based on a finding by the panel that Dr. ; practice of medicine

constitutes a continuing threat to the public welfare because of his

impaired status or lack of competence.

> · VON HENNER, CHARLES MASON, M.D., SAN MARCOS, TX, Lic. #C2803

> On April 7, 2006, the Board and Dr. Von Henner entered into an

Agreed Order whereby Dr. Von Henner voluntarily surrendered his

medical license. Dr. Von Henner wished to retire and surrender his

medical license as a result of his concern regarding age-related

physical changes that could possibly impact the future treatment of

his patients.

>

> VIOLATION OF PROBATION OR PRIOR ORDER: · BROWN, MICHAEL

GLYN, M.D., HOUSTON, TX, Lic. #G3190

> On March 1, 2006, the Board revoked Dr. Brown's license. The action

followed an Informal Show Compliance Proceeding/Modification Hearing

at which representatives of the Board determined that Dr. Brown had

violated the terms of his December 18, 2002, Agreed Order by testing

positive for cocaine, and directed the Executive Director to execute

an Order of Revocation pursuant to the mandatory revocation provisions

of the December 18, 2002, Order.

> · RANELLE, JOHN B., D.O., HARLINGEN, TX, Lic. #E9349

> On April 5, 2006, the Board, acting through its Executive Director,

entered an Order suspending Dr. Rannelle's medical license for at

least 60 days, at which time he must personally appear before the

Board and provide a practice plan before the suspension may be lifted.

The action was based on Dr. Rannelle's admission that he signed

another physician's name on patient charts at the request of Wellcare

Clinic administrators for purposes of billing the Texas Workers

Compensation Commission, thereby violating the terms of his December

1, 2003, Agreed Order. That Agreed Order required Dr. Ranelle to

comply with all of the provisions of the Medical Practice Act and

other applicable provisions of law.

> · SHARY, JOHN H. III, M.D., PLAINVIEW, TX, Lic. #E8903

> The Board suspended Dr. Shary's medical license on March 14, 2006.

The suspension is effective until Dr. Shary appears before the Board

and demonstrates that he is safe and competent to practice medicine

and is authorized to do so by subsequent order of the Board. The

action was based on Dr. Shary's failure to cooperate with the Board in

providing observed specimens for drug testing and for refusing to

provide further specimens as required by the Agreed Order entered into

by the Board and Dr. Shary on August 28, 1999. The 1999 Order followed

two prior suspensions of Dr. Shary, in 1996 and 1998, for cocaine and

alcohol use.

>

> OTHER STATES' BOARD ACTIONS: · DILSAVER, STEVEN CHARLES,

M.D., MERCED, CA, Lic. #J3272

> On April 7, 2006, the Board and Dr. Dilsaver entered into an Agreed

Order suspending Dr. Dilsaver's medical license until such time as he

demonstrates that he has a clear and unconditioned license to practice

in California and that he is physically, mentally and otherwise

competent to practice medicine. The action was based on the action of

the Medical Board of California in placing Dr. Dilsaver on probation

relating to his informing that Board that he had bipolar disorder,

which has since been diagnosed as being in remission.

> · JALFON, ISAAC MITRANI, M.D., MEMPHIS, TN, Lic. #H1885

> On April 7, 2006, the Board and Dr. Jalfon entered into an Agreed

Order requiring Dr. Jalfon to appear before the Board before

practicing medicine in Texas. The action was based on the action of

the Tennessee Board of Medical Examiners placing Dr. Jalfon's license

on probation for two years for a self-reported substance abuse

problem. Dr. Jalfon practices in Tennessee.

> · MEHARRY, LEROY IRWIN, M.D., UMATILLA, OR, Lic. #F4955

> On April 7, 2006, the Board and Dr. Meharry entered into an Agreed

Order publicly reprimanding Dr. Meharry and requiring him to comply

with all terms and conditions imposed by an Order of the Oregon Board

of Medical Examiners. The action was based on the action of the Oregon

Board in disciplining Dr. Meharry for issues relating to prescribing

and dispensing of controlled substances to staff and family members

without proper documentation and controls.

>

> ACTIONS BASED ON CRIMINAL CONVICTIONS: · HARRIS, PAUL

P., M.D., SUGARLAND, TX, Lic. #J9776

> On April 7, 2006, the Board and Dr. entered into an Agreed

Order accepting the voluntary surrender of Dr. ' medical license

and requiring him to cease the practice of medicine as of March 9,

2006. The action was based on Dr. ' request that the voluntary

surrender of his medical license be accepted by the Board.

> · PLATT, THOMAS CARROLL, M.D., DEXTER, MI, Lic. #K9872

> On April 7, 2006, the Board and Dr. Platt entered into an Agreed

Order accepting the voluntary and permanent surrender of Dr. Platt's

medical license. The action was based on Dr. Platt's plea of guilty to

a final conviction for a felony, committed in Michigan, involving

possession of pornography.

> · WOODS, RONALD ALFRED JR., M.D., SHERMAN, TX, Lic. #H4808

> On April 7, 2006, the Board and Dr. Woods entered into a five-year

Agreed Order publicly reprimanding Dr. Woods and requiring him to be

evaluated by a Board-appointed psychiatrist; to follow any continued

care recommendations and to have any continued treatment and care

monitored by the psychiatrist; to continue counseling as directed by

336th District Court of Grayson County; to keep a log of community

service as required by the Court; to comply with all other terms and

conditions of his court-ordered probation; to have a chaperone, or

parent or legal guardian, present in the examination room any time he

examines a patient 18 years of age or younger; to attend at least 25

hours per year of continuing medical education in ethics, risk

management and maintaining proper boundaries; and assessing an

administrative penalty of $5,000. The action was based on an Order of

Deferred Adjudication; Community Supervision from the 336th District

Court for the offense of obscenity, a

> felony. The order resulted from an incident in which Dr. Woods

videotaped his 11 year-old daughter and two of her friends playing and

dancing in the nude and performing excretory functions at his home.

>

> PEER REVIEW ACTIONS: · MAEWAL, HRISHI KESH, M.D., FORT

WORTH, TX, Lic. #E7175

> On April 7, 2006, the Board and Dr. Maewal entered into an Agreed

Order restricting Dr. Maewal's license for three years under the

following terms and conditions: Dr. Maewal is not to perform

interventional cardiac procedures until he has completed a period of

training in interventional cardiology to consist of a minimum of 100

proctored cases with a proctor approved by the Executive Director. The

Order also requires Dr. Maewal to obtain at least 50 hours of

continuing medical education in the area of invasive cardiology. The

action was based on the action of the board of trustees for Plaza

Medical Center in Fort Worth in suspending Dr. Maewal's interventional

cardiac catheterization privileges based on the care of two patients.

> · NEPPER, LEONARD GAYLON, D.O., BROWNWOOD, TX, Lic. #J9240

> On April 7, 2006, the Board and Dr. Nepper entered into a Mediated

Agreed Order requiring Dr. Nepper to pay an administrative penalty of

$3,000 and to complete continuing medical education in the areas of

boundaries, ethics, and record-keeping. The action was based on action

taken against Dr. Nepper by Brownwood Regional Medical Center for an

alleged violation of the Medical Center's personnel policies. Dr.

Nepper denies the underlying allegations, but entered into this Order

in lieu of litigation.

>

> MINIMAL STATUTORY VIOLATIONS:

> The following licensees agreed to enter into orders with the Board

for minimal statutory violations such as failure to send medical

records within 15 business days or failure to complete required

continuing medical education.

> Clayton, Randall, M.D., Beaumont, TX, Lic. #H5430

> , Ellis, M.D., Austin, TX, Lic. #H8934

> Polinger, Iris , M.D., Stafford, TX, Lic. #E8117

> Pucek, Mark s, M.D., Dickinson, TX, Lic. #G3707

> Saifee, Nafees Fatima, M.D., Fort Worth, TX, Lic. #E3762

> -30-

> 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

a M. Kalafut, D.O., and Executive Director W. ,

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 <http://www.tmb.state.tx.us> or by calling (800)

201-9353.

>

> ---------------------------------

> New Yahoo! Messenger with Voice. Call regular phones from your PC

and save big.

>

April 14, 2006

Jan, Thank you for putting this info "out there" and making it so easy for us to be informed -- it is very interesting to get a glimpse of how this all works! Jan wrote: I see that one doc from our list-Dr. Orlov in Lufkin-has been disciplined. I will not remove him from the list, but will make a note of board actions when I update the list. If you are are thinking of seeing a doc with board actions against him, I would suggest that you visit the TSBME website, read the board orders, and judge for yourself whether those board orders would disqualify this doc. Jill Wiggins wrote: Subject: TMB Release: 59 Doctors DisciplinedDate: Thu, 13 Apr 2006 15:06:55 -0500To: "Jill Wiggins" Texas Medical Board Press Release FOR IMMEDIATE RELEASE Thursday, April 13, 2006 Media contact: Public Information Officer Jill Wiggins at jill.wiggins@... or Non-media contact: or 59 Doctors

Disciplined Since its last Board meeting in December, the Texas Medical Board has taken disciplinary action against 59 licensed physicians. Actions included 14 violations based on quality of care; 10 actions based on unprofessional conduct; one action based on nontherapeutic prescribing; three actions based on inappropriate conduct involving physician-patient relationships; seven actions based on inadequate medical records; five actions based on impairment due to alcohol or drugs; three actions based on impairment due to physical or mental conditions; three actions based on violations of probation or prior orders; three actions based on other state board actions; three actions based on criminal convictions; two actions based on peer review actions; and five minimal statutory violations. Administrative penalties totaling $65,000 were assessed. New Licenses Issued

During its April 6-7 Board meeting, the Board approved the licensure applications of 324 physicians. Rule Changes The Board adopted the following proposed rule changes that were published in the Texas Register: Proposed amendments to Chapter 175, Fees, Penalties, and Applications to include amendments to §175.2 Renewal Fees regarding increase in Physician Assistant renewal fee. Chapter 183, Acupuncture, relating to changes

mandated by SB419. Proposed Rule Changes The following rule changes will be published in the Texas Register for comment: Chapter 163, Licensure, amended to include a limit on Texas medical jurisprudence examination attempts, delegated authority to staff to issue licenses, alternative requirements for graduates of unapproved medical schools, and general rule cleanup. Re-proposed amendments to Chapter 165, Medical Records, to include amendments to 165.1 Medical Records and the addition of 165.6, Medical Records Regarding an Abortion on an Unemancipated Minor. Chapter 166, Physician Registration, amended to include the addition of continuing medical education in forensic evidence collection, modifications to voluntary charity care practice by retired physicians, and general rule cleanup. Repeal of Chapter 170, Authority of Physician to Prescribe for the Treatment of Pain.

New Chapter 170, Pain Management. Chapter 171, Postgraduate Training Permits, to include clarification of reporting requirements, modifications to requirements for board-approved postgraduate fellowship training programs, and general rule cleanup. Chapter 172, Temporary Licenses, to include the addition of section 172.13 relating to Conceded Eminence Licenses and general rule cleanup. Chapter 174, Telemedicine to include amendments to §174.2, Definitions and to §174.6 Delegation to and Supervision of Telepresenters regarding delegation of tasks and activities by a physician to a telepresenter. Chapter 175, Fees, to include amendments to §175.2, Registration and Renewal Fees, regarding Texas Online fees for office-based

anesthesia, and new §175.5, Payment of Fees or Penalties regarding the form of payment accepted for fees and penalties. Chapter 178, Complaints, to include amendments to §178.8, Appeals regarding the deletion of the deadline for filing an appeal. Chapter 185, Physician Assistants, relating to changes mandated by SB419. Chapter 199, Public Information to include new §199.5, Notice of Ownership

Interest in a Niche Hospital regarding requirements of physicians to notify the Department of State Health Services of an ownership interest in a niche hospital. Disciplinary Actions The following are summaries of the Board actions and were taken based on the types of violations listed. 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@... . Media contact Jill Wiggins at or jill.wiggins@... . QUALITY OF CARE VIOLATIONS: · AKKANTI, VENKAT REDDY, M.D., BASTROP, TX, Lic. #J8868 On April 7, 2006, the Board and Dr. Akkanti entered into an Agreed Order requiring Dr. Akkanti’s practice to be monitored by another physician for one year and requiring him to obtain 20 hours of continuing

medical education in record-keeping, dealing with difficult patients, or risk management. The action was based on allegations that Dr. Akkanti failed to meet the standard of care in treating one patient in that he did not adequately manage her asthma, failed to maintain an adequate medical record and failed to reasonably evaluate her for diabetes risk. · ANDREWS, SARAH ELIZABETH, M.D., KATY, TX, Lic. #H9753On April 7, 2006, the Board and Dr. s entered into an Agreed Order requiring Dr. s’ practice to be monitored by another physician for one year; requiring her to obtain 15 hours of risk management courses; and assessing an administrative penalty of $5,000. The action was based on allegations that Dr. s failed to meet the standard of care in her treatment of four

patients in 1998 and 1999. · CORLEY, RONALD G., M.D., LUFKIN, TX, Lic. #D8519On April 7, 2006, the Board and Dr. Corley entered into an Agreed Order whereby Dr. Corley agreed to cease performing any procedures that require the use of implants without first obtaining permission from the Board. Additionally, Dr. Corley on his own initiative resigned all surgical privileges and, under the Order, may not reapply for surgical privileges without first obtaining permission from the Board, and must complete a course in record-keeping of at least eight hours and an Internal Medicine Board Review Course of at least 30 hours. The action was based on allegations that Dr. Corley failed to meet the standard of care in his performance of orthopedic surgery on two patients. · DELANEY, SUSAN DELPHINE, M.D., PLANO, TX, Lic. #G9447On April 7, 2006, the Board and Dr. Delaney entered into an Agreed Order requiring Dr. Delaney to complete 10 hours of continuing medical education in risk management; to take and pass the Medical Jurisprudence Examination; and assessing an administrative penalty of $2,000. The action was based on allegations that Dr. Delaney prescribed a Schedule II drug to the son of a physician with whom she cross-covered, but from whom she had not taken a history or independently established a diagnosis to support the prescription. Additionally, Dr. Delaney also accepted from one of her patients a supply of the same drug and dispensed it to the patient’s mother without making a record or properly labeling the medication. · DESHMUKH, AVI TRIMBAK, M.D., STEPHENVILLE, TX, Lic. #H1067On April 7, 2006, the Board and Dr. Deshmukh entered into an Agreed Order requiring Dr. Deshmukh to complete a course in risk management of at least 10 hours and assessing an administrative penalty of $1,000. The action was based on allegations that Dr. Deshmukh prescribed a sulfa drug to a patient with a known allergy to the drug. · DUBBERLY, DANNY LEE, M.D., ROCKPORT, TX, Lic. #E8447On April 7, 2006, the Board and Dr. Dubberly entered into an Agreed Order requiring Dr. Dubberly to take and pass the Medical Jurisprudence Examination within one year and to

attend at least 15 hours of continuing medical education in risk management and dealing with the difficult patient. The action was based on allegations that Dr. Dubberly failed to meet the standard of care by failing to prescribe testosterone therapy for one patient. As a mitigating factor, the circumstances surrounding the fact that the patient was a prison inmate impeded clear communication between Dr. Dubberly and the patient. · FINLEY, KEVIN WAYNE, D.O., MUNDAY, TX, Lic. #K5525On April 7, 2006, the Board and Dr. Finley entered into an Agreed Order requiring Dr. Finley to complete 25 hours of continuing medical education in emergency medicine. The action was based on allegations that Dr. Finley failed to meet the standard of care because of an inadequate evaluation of one

patient who presented to the emergency room where he was the on-call physician. · MARINO, BARBARA DOYLE, M.D., TOMBALL, TX, Lic. #H7724On April 7, 2006, the Board and Dr. Marino entered into a five-year Agreed Order requiring Dr. Marino’s practice to be monitored by another physician; requiring her to complete the National Board of Medical Examiners’ Post-Licensure Assessment program at the University of Florida Comprehensive Assessment and Remedial Education Services; and to complete courses of at least 20 hours in gynecological complications. The action was based on allegations that Dr. Marino failed to meet the standard of care with her sequential use of instruments in the delivery of a baby, that she failed to appropriately treat bowel leakage in one patient following surgery,

that she failed to document the need for surgery and continued use of hydrocodone in one patient and that she failed to adequately document complications of surgery for another patient. · McBATH, J. MARK, M.D., HOUSTON, TX, Lic. #G8265On April 7, 2006, the Board and Dr. McBath entered into an Agreed Order publicly reprimanding Dr. McBath; requiring him to completed at least 20 hours of courses per year for three years in the areas of pre-operative and post-operative complications and medical record-keeping; and assessing an administrative penalty of $15,000. The action was based on allegations that Dr. McBath failed to practice medicine in an acceptable professional manner in his treatment of four surgical patients. As a mitigating factor, the incidents occurred from 1997 through

1999 and Dr. McBath engaged in additional study following these cases. · McCRORY, BEAU LAWSON, M.D., COMANCHE, TX, Lic. #K7823On April 7, 2006, the Board and Dr. McCrory entered into an Agreed Order requiring Dr. McCrory to complete 10 hours of continuing medical education in the area of medical record-keeping and prohibiting him from performing non-emergency gynecological surgery until such time as he obtains acceptable additional training or otherwise demonstrates to the Board that he is qualified for such surgery. Dr. McCory may assist other qualified surgeons in emergency surgery with the approval and informed consent of the patient. The action was based on allegations that Dr. McCory failed to meet the standard of care for one patient by not maintaining adequate medical

records, by undertaking surgery without giving sufficient time for iron supplements to work, by failing to discuss with the patient other available treatment options, by failing to adequately disclose that he had not been formally trained in obstetrics/gynecology, by failing to perform an endometrial biopsy prior to surgery, by ordering a blood transfusion in an otherwise healthy woman and by continuing surgery once the pelvic adhesions presented a significant problem for the surgeons. · ORLOV, ALEXANDER, D.O., LUFKIN, TX, Lic. #J4402On April 7, 2006, the Board and Dr. Orlov entered into an Agreed Order requiring Dr. Orlov to complete a course in risk management/medical records of at least 20 hours and assessing an administrative penalty of $5,000. The action was based on

allegations that Dr. Orlov failed to ensure that a patient with lesions determined to be squamous cell carcinoma followed up for treatment. As mitigating factors, Dr. Orlov did make attempts to contact the patient, who had a caregiver because of mental deficiencies, and whose caregiver was aware of the patient’s medical condition. However, Dr. Orlov’s duty to this patient was higher due to her mental deficiencies and inability to care for herself. · ORTIZ, AURELIO ANTONIO, M.D., MIAMI, FL, Lic. #F7870On April 7, 2006, the Board and Dr. Ortiz entered into an Agreed Order publicly reprimanding Dr. Ortiz; suspending his medical license; staying the suspension and placing him on probation for three years; requiring that he obtain 10 hours of ethics courses; pass the Medical

Jurisprudence Examination within one year; and assessing an administrative penalty of $3,000. The action was based on allegations that Dr. Ortiz did not examine a patient admitted to the emergency room for which he was the assigned physician. · SHIN, HYON-HO, M.D., AUSTIN, TX, Lic. #J6724On April 7, 2006, the Board and Dr. Shin entered into an Agreed Order requiring Dr. Shin to complete a course in risk-management of at least 10 hours and assessing an administrative penalty of $2,000. The action was based on allegations that Dr. Shin performed a right inguinal hernia repair after he had diagnosed a left inguinal hernia. As mitigating factors, the patient did in fact also have a right inguinal hernia, the hospital staff incorrectly identified the site, Dr. Shin immediately

notified the patient of the error and offered to perform the left inguinal hernia repair for no charge, did not bill the patient for the right inguinal hernia repair and had changed his procedures to avoid similar incidents. · SIEWERT, RICKY ALLEN, D.O., PERRYTON, TX, Lic. #G2576On April 7, 2006, the Board and Dr. Siewert entered into an Agreed Order requiring Dr. Siewert’s practice to be monitored by another physician for the time period required by the monitor to complete and submit four quarterly reports; and requiring Dr. Siewert to attend at least 20 additional hours of continuing medical education, at least 10 of which must be in medical record-keeping. The action was based on allegations that Dr. Siewert failed to practice medicine in an acceptable professional

manner in his treatment of one patient who was later admitted to the hospital for sepsis and an incarcerated hernia. UNPROFESSIONAL CONDUCT: · ADAIR, MAUREEN LENORE, M.D., AUSTIN, TX, Lic. #F6376On April 7, 2006, the Board and Dr. Adair entered into an Agreed Order requiring Dr. Adair to complete a course in the area of risk management and assessing an administrative penalty of $1,000. The action was based on allegations that Dr. Adair failed to provide properly requested medical records within 15 business days and failed to timely respond to correspondence from the Board. · AHMAD, NASIHA, M.D., CARROLLTON, TX, Lic. #G9703On April 7, 2006, the Board and Dr. Ahmad entered into an Agreed Order requiring Dr. Ahmad to complete a course in ethics of at least 10 hours and assessing an administrative penalty of $1,000. The action was based on allegations that Dr. Ahmad failed to adequately disclose to the board her hospital practice history in her Medical Practice Questionnaire. · BEAR, RONALD LYNN JR., M.D., SAN ANTONIO, TX, Lic. #BP20020214On April 7, 2006, the Board and Dr. Bear entered into an Agreed Order requiring Dr. Bear to complete 10 hours of ethics courses and assessing an administrative penalty of $500. The action was based on allegations that Dr. Bear failed to disclose his arrest for assault

in 2004 on his application for renewal of his physician training permit. As a mitigating factor, the charges were dismissed and Dr. Bear believed the arrest had been expunged. · GHELBER, OSCAR, M.D., Lic. #40245On April 7, 2006, the Board and Dr. Ghelber entered into an Agreed Order assessing an administrative penalty of $250. The action was based on allegations that Dr. Ghelber administered Fentanyl as the anesthetic to a child even though his mother objected to the use of Fentanyl, mistakenly believing her child was allergic to it. As a mitigating factor, Dr. Ghelber did discuss the use of Fentanyl with the mother and thought she understood Fentanyl was acceptable for use in the child’s surgery. · GRUESBECK, CLAY, M.D., SAN ANTONIO, TX, Lic. #H7749On April 7, 2006, the Board and Dr. Gruesbeck entered into an Agreed Order assessing an administrative penalty of $500. The action was based on allegations that Dr. Gruesbeck failed to disclose on his annual registration form that he had been arrested for a class C misdemeanor and had paid a $200 fine. · LINAN, LUIS ENRIQUE, M.D., EL PASO, TX, Lic. #H8214On April 7, 2006, the Board and Dr. Linan entered into an Agreed Order requiring Dr. Linan to successfully complete the Anger Management for Healthcare Professionals course provided by the University of California, San Diego, School of Medicine

Physician Assessment and Clinical Education Program, or substantially similar course approved by the Executive Director. The action was based on allegations that Dr. Linan slapped a surgical assistant on the hand during an emergency cesarean section. · PIERCE, DAMON SCOTT, M.D., DALLAS, TX, Lic. #BP30021144On April 7, 2006, the Board and Dr. Pierce entered into an Agreed Order assessing an administrative penalty of $250. The action was based on allegations that Dr. Pierce failed to disclose on his 2004-2005 postgraduate training permit renewal application a 1998 arrest for criminal mischief relating to damage to a restaurant’s table and chair. Dr. Pierce erroneously thought the 1998 arrest had been expunged. · RODRIGUEZ, PAUL LOPEZ, M.D., WICHITA, KS, Lic. #K9889On April 7, 2006, the Board and Dr. entered into an Agreed Order suspending the Dr. ’s medical license, staying the suspension and placing him on probation for five years; requiring that he complete 20 additional hours of continuing medical education each year in the area of ethics or risk management; prohibiting him from supervising physician assistants, advanced practice nurses or surgical assistants; and assessing an administrative penalty of $10,000. The action was based on allegations that Dr. failed to notify the Board on his license renewal form that he had been suspended by the Oklahoma State Board of Medical Licensure and Supervision for six months in 2004 and placed on probation by the Medical Board of California. The action of the Oklahoma Board

was based on Dr. allowing an unlicensed individual to prescribe to patients and operate a laser for hair removal owned by Dr. . The California Board action was based on the Oklahoma Board action. · TREVINO, ROGELIO, M.D., McALLEN, TX, Lic. #BP20019970On April 7, 2006, the Board and Dr. Trevino entered into an Agreed Order assessing an administrative penalty of $500. The action was based on allegations that Dr. Trevino failed to disclose on his Postgraduate Resident Permit Applications that he had been arrested in 1990 for driving while intoxicated. · WILLOWS, BARBARA JEAN, D.O., COLUMBUS, OH, Lic.

#E8918On April 7, 2006, the Board and Dr. Willows entered into an Agreed Order accepting the voluntary and permanent surrender of Dr. Willows’ medical license. The action was based on Dr. Willows’ wish to surrender her Texas medical license as she has no intention of returning to Texas to practice, and followed the indefinite suspension of her Ohio medical license for a conviction for operating a motor vehicle while intoxicated and for alcohol abuse. NONTHERAPEUTIC PRESCRIBING: · WOMACK, ROBERT, M.D., AMARILLO, TX, Lic. #G6773On April 7, 2006, the Board entered a Final Order revoking Dr. Womack’s medical license. The action was based on findings of the Board that a Complaint was

filed with the State Office of Administrative Hearings on August 22, 2005, alleging that Dr. Womack prescribed for himself nontherapeutic prescriptions of hydrocodone, doxycycline/vibramycin, erythromycin, diflucan/fluconazole, neomycin, amoxil/amoxicillin and phentermine and that no adequate medical records or documentation of need were maintained, and that he additionally nontherapeutically prescribed phentermine for his wife. Dr. Womack did not respond to the Complaint or to correspondence from the Board and on February 17, 2006, the Board’s Hearings Counsel issued a Determination of Default that was served on Dr. Womack in accordance with law. Dr. Womack did not respond to the Complaint within 20 days and all facts alleged in the Complaint were deemed to have been admitted. Dr. Womack 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 in 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. INAPPROPRIATE CONDUCT INVOLVING PHYSICIAN-PATIENT RELATIONSHIP: · GRUHLKEY, JAY LOYD, M.D., NEW BRAUNFELS, TX, Lic. #K7750On April 7, 2006, the Board and Dr. Gruhlkey entered into a one-year Agreed Order requiring Dr. Gruhlkey to complete “A Continuing Education Course for Physicians Who Cross Sexual Boundaries” presented by the Center for Professional Health at the Vanderbilt Medical Center; to complete 10 hours of continuing medical education in each of the areas of ethics and risk management; to speak to three local county medical society meetings on the topic of maintaining proper boundaries; and assessing an administrative penalty of

$10,000. The action was based on allegations that Dr. Gruhlkey was sexually involved with a patient, who was also an employee, while functioning as the physician for her and her two small children · KUHNE, ROBERT CHRISTOPHER, M.D., RICHARDSON, TX, Lic. #H2519On April 7, 2006, following a rehearing granted to Dr. Kuhne, the Board issued a Final Order publicly reprimanding Dr. Kuhn and requiring him to write a letter of apology to a patient acknowledging that his conduct was improper and to complete within one year “A Continuing Education Course for Physicians Who Cross Sexual Boundaries” presented by the Center for Professional Health at the Vanderbilt Medical Center and the “Maintaining Professional Boundaries and Managing Difficult and Frustrating Patients” course offered by the

Texas Medical Association’s Committee on Physician Health and Rehabilitation. The action was based on a finding by an Administrative Law Judge of the Texas State Office of Administrative Hearings that Dr. Kuhne, while examining a patient seeking treatment of FSD (female sexual dysfunction) made a comment relating to oral sex that was unprofessional and dishonorable. · ROUNTREE, RANDOLPH WINSLER, M.D., SAN ANGELO, TX, Lic. #F7123On April 7, 2006, the Board and Dr. Rountree entered into an Agreed Order suspending Dr. Rountree’s medical license until such time as he demonstrates to the Board that he is safe and competent to practice medicine. The action was based on allegations that Dr. Rountree sexually assaulted a patient and had inappropriate sexual contact with three other

patients. INADEQUATE MEDICAL RECORDS: · DUARTE, LUIS E, M.D., SAN ANGELO, TX, Lic. #K2451On April 7, 2006, the Board and Dr. Duarte entered into an Agreed Order publicly reprimanding Dr. Duarte; requiring him to complete the medical record-keeping course and physician-patient communication course provided by the University of California, San Diego, School of Medicine Physician Assessment and Clinical Education Program; to complete an additional course in record-keeping or risk management of at least 10 hours; and assessing an administrative penalty of $1,000. The action was based on allegations that Dr. Duarte’s documentation failed to provide sufficient information of the continued care he provided to two spinal surgery

patients. · HEINEMANN, JEFFREY JOHN, M.D., HOUSTON, TX, Lic. #L0818On April 7, 2006, the Board and Dr. Heinemann entered into an Agreed Order requiring Dr. Heinemann to obtain 10 hours of continuing medical education in risk management and record-keeping. The action was based on allegations that Dr. Heinemann failed to maintain an adequate anesthesia medical record for one surgery patient. · LUECKE, JAMES DAVIS, M.D., FORT DAVIS, TX, Lic. #H4504On April 7, 2006, the Board and Dr. Luecke entered into an Agreed Order requiring Dr. Luecke to complete 20 hours of continuing medical education in

the areas of record-keeping and risk management; and assessing an administrative penalty of $1,000. The action was based on allegations that Dr. Luecke’s nurse practitioner failed to document vital signs and physical examination for one patient, that Dr. Luecke failed to document home visitations for one patient, and that his medication log did not reflect the administration of all medications. · SCHRAPPS, JEROME FRANCIS, M.D., BEAUMONT, TX, Lic. #J2907On April 7, 2006, the Board and Dr. Schrapps entered into an Agreed Order assessing an administrative penalty of $1,000. The action was based on allegations that Dr. Schrapps failed to maintain adequate medical records for two patients. · SINGH, HARRYPERSAD, M.D., SILSBEE, TX, Lic. #G1310On April 7, 2006, the Board and Dr. Singh entered into an Agreed Order requiring Dr. Singh’s practice to be monitored by another physician for one year and requiring him to complete a course of at least eight hours in medical records. The action was based on allegations that Dr. Singh failed to keep adequate medical records due to illegible handwriting and not providing information necessary for patient continuity. · WILLIAMS, GWENEVERE EVETTE, M.D., KINGWOOD, TX, Lic. #H7587On April 7, 2006, the Board and Dr. entered into an Agreed Order requiring Dr. to obtain at least 10

additional hours of continuing medical education in the area of risk management, billing or record-keeping; and assessing an administrative penalty of $1,000. The action was based on allegations that Dr. ’ medical records lacked sufficient information in relation to the service rendered. · LONG, JAMES MICHAEL, M.D., WACO, TX, Lic. #K1753On April 7, 2006, the Board and Dr. Long entered into an Agreed Order requiring that Dr. Long refrain from treating or otherwise serving as a physician for his immediate family, prescribing or refilling by telephone or permitting any individual under his supervision or control to prescribe or refill any prescription for narcotics or employing any family members in his medical practice or office; requiring that he maintain adequate medical

records and complete 15 hours of continuing medical education in medical records, ethics and appropriate prescribing practices. The action was based Dr.Long’s failure to maintain adequate medical records when prescribing to family members. IMPAIRMENT DUE TO ALCOHOL OR DRUGS: · CONNER, PATRICK TRAVIS, M.D., SPRINGFIELD, MO, Lic. #G3243On April 7, 2006, the Board and Dr. Conner entered into an Agreed Order whereby the Board accepted the voluntary surrender of Dr. Conner’s medical license. The action was based on Dr. Connor's disability due to drug addiction and bipolar disorder. · DEMBERG, JAMES HAROLD, M.D., TYLER, TX, Lic. #F3096On April 7, 2006, the Board and Dr. Demberg entered into a 10-year Agreed Order requiring Dr. Demberg to abstain from the consumption of prohibited substances, including alcohol; submit to screenings for drugs and alcohol; continue to participate in Alcoholics Anonymous at least five times per week; complete eight hours of continuing medical education in anger management; continue psychotherapy; limit his medical practice to a group or institutional setting approved by the Executive Director; and prohibiting him from supervising a physician assistant, advanced practice nurse or surgical assistant. The action was based on Dr. Demberg’s admission that he is an alcoholic and on allegations that he was arrested for driving while intoxicated and that his privileges were suspended by the East Texas Medical Center for inappropriate behavior. · DUNCAN, CHRISTOPHER W., M.D., SAN ANTONIO, TX, Lic. #G3314On April 7, 2006, the Board and Dr. Duncan entered into an Agreed Order suspending Dr. Duncan’s license for an additional six months, at a minimum, and until he demonstrates to the Board he is safe and competent to practice medicine, and requires him to abstain from the consumption of drugs and alcohol and to submit to screening for drugs and alcohol as requested by the Board for a period of 15 years from the date of staying his suspension, if his suspension is stayed by future Board action. The action was based on Dr. Duncan’s positive test for cocaine and his admission of relapse on cocaine during the Christmas 2005 holiday. · PATT, RICHARD BERNARD, M.D., HOUSTON, TX, Lic. #J5440On April 6, 2006, a disciplinary panel of the Board temporarily suspended Dr. Patt’s medical license following a temporary suspension hearing without notice. The action was based on a finding by the panel that Dr. Patt is a real danger to the health of his patients or to the public due to his impaired status and that there was an imminent peril to the public health, safety, or welfare that required immediate effect of the Order of Temporary Suspension. As findings of fact, the panel also found that Dr. Patt had been suspended from St. Luke’s Episcopal Hospital based upon indications that he was impaired in the operating room as reported by nursing staff. A brief physical examination of Dr. Patt revealed what appeared to be needle marks in his antecubital fossae. A drug screen from a

urine specimen provided the same day tested positive for amphetamine, methamphetamine, oxazepam and morphine. · KESSELER, RANDALL GENE, D.O., SANGER, TX, Lic. #G8212On April 7, 2006, the Board and Dr. Kesseler entered into an Agreed Order in which Dr. Kesseler agreed to the voluntarily suspension of his medical license until such time as he demonstrates to the Board that he is physically, mentally and otherwise competent to practice medicine. The action was based on Dr. Kesseler’s self-reported chemical dependence and his desire to enter a voluntary suspension of his medical license while seeking treatment. IMPAIRMENT DUE TO PHYSICAL OR MENTAL CONDITIONS: · HENSHAW, CLYDE VERNON JR., D.O., FORT WORTH, TX, Lic. #H0446On April 7, 2006, the Board and Dr. Henshaw entered into an Agreed Order whereby the Board accepted Dr. Henshaw’s voluntary and permanent surrender of his medical license. The action was based on allegations that Dr. Henshaw failed to meet the standard of care in his treatment of one patient and because Dr. Henshaw has found it difficult to practice medicine with reasonable skill and safety because of illness. · TORRES, ARTURO A., M.D., HOUSTON, TX, Lic. #H2085On March 24, 2006, a disciplinary panel of the Texas Medical Board entered an Order of Temporary Suspension that temporarily

suspended Dr. ’ medical license, effective immediately. The action was based on a finding by the panel that Dr. ; practice of medicine constitutes a continuing threat to the public welfare because of his impaired status or lack of competence. · VON HENNER, CHARLES MASON, M.D., SAN MARCOS, TX, Lic. #C2803On April 7, 2006, the Board and Dr. Von Henner entered into an Agreed Order whereby Dr. Von Henner voluntarily surrendered his medical license. Dr. Von Henner wished to retire and surrender his medical license as a result of his concern regarding age-related physical changes that could possibly impact the future treatment of his patients. VIOLATION OF PROBATION OR PRIOR ORDER: · BROWN, MICHAEL GLYN, M.D., HOUSTON, TX, Lic. #G3190On March 1, 2006, the Board revoked Dr. Brown’s license. The action followed an Informal Show Compliance Proceeding/Modification Hearing at which representatives of the Board determined that Dr. Brown had violated the terms of his December 18, 2002, Agreed Order by testing positive for cocaine, and directed the Executive Director to execute an Order of Revocation pursuant to the mandatory revocation provisions of the December 18, 2002, Order. · RANELLE, JOHN B., D.O., HARLINGEN, TX, Lic. #E9349On April 5, 2006, the Board, acting through its Executive

Director, entered an Order suspending Dr. Rannelle’s medical license for at least 60 days, at which time he must personally appear before the Board and provide a practice plan before the suspension may be lifted. The action was based on Dr. Rannelle’s admission that he signed another physician’s name on patient charts at the request of Wellcare Clinic administrators for purposes of billing the Texas Workers Compensation Commission, thereby violating the terms of his December 1, 2003, Agreed Order. That Agreed Order required Dr. Ranelle to comply with all of the provisions of the Medical Practice Act and other applicable provisions of law. · SHARY, JOHN H. III, M.D., PLAINVIEW, TX, Lic. #E8903The Board suspended Dr. Shary’s medical license on March 14, 2006. The suspension is

effective until Dr. Shary appears before the Board and demonstrates that he is safe and competent to practice medicine and is authorized to do so by subsequent order of the Board. The action was based on Dr. Shary’s failure to cooperate with the Board in providing observed specimens for drug testing and for refusing to provide further specimens as required by the Agreed Order entered into by the Board and Dr. Shary on August 28, 1999. The 1999 Order followed two prior suspensions of Dr. Shary, in 1996 and 1998, for cocaine and alcohol use. OTHER STATES’ BOARD ACTIONS: · DILSAVER, STEVEN CHARLES, M.D., MERCED, CA, Lic. #J3272On April 7, 2006, the Board and Dr. Dilsaver entered into an Agreed Order suspending Dr. Dilsaver’s

medical license until such time as he demonstrates that he has a clear and unconditioned license to practice in California and that he is physically, mentally and otherwise competent to practice medicine. The action was based on the action of the Medical Board of California in placing Dr. Dilsaver on probation relating to his informing that Board that he had bipolar disorder, which has since been diagnosed as being in remission. · JALFON, ISAAC MITRANI, M.D., MEMPHIS, TN, Lic. #H1885On April 7, 2006, the Board and Dr. Jalfon entered into an Agreed Order requiring Dr. Jalfon to appear before the Board before practicing medicine in Texas. The action was based on the action of the Tennessee Board of Medical Examiners placing Dr. Jalfon’s license on probation for two years for a

self-reported substance abuse problem. Dr. Jalfon practices in Tennessee. · MEHARRY, LEROY IRWIN, M.D., UMATILLA, OR, Lic. #F4955On April 7, 2006, the Board and Dr. Meharry entered into an Agreed Order publicly reprimanding Dr. Meharry and requiring him to comply with all terms and conditions imposed by an Order of the Oregon Board of Medical Examiners. The action was based on the action of the Oregon Board in disciplining Dr. Meharry for issues relating to prescribing and dispensing of controlled substances to staff and family members without proper documentation and controls. ACTIONS BASED ON CRIMINAL CONVICTIONS: · HARRIS, PAUL P., M.D., SUGARLAND, TX, Lic. #J9776On April 7, 2006, the Board and Dr. entered into an Agreed Order accepting the voluntary surrender of Dr. ’ medical license and requiring him to cease the practice of medicine as of March 9, 2006. The action was based on Dr. ’ request that the voluntary surrender of his medical license be accepted by the Board. · PLATT, THOMAS CARROLL, M.D., DEXTER, MI, Lic. #K9872On April 7, 2006, the Board and Dr. Platt entered into an Agreed Order accepting the voluntary and permanent surrender of Dr. Platt’s medical license. The action was based on Dr. Platt’s plea of guilty to a final

conviction for a felony, committed in Michigan, involving possession of pornography. · WOODS, RONALD ALFRED JR., M.D., SHERMAN, TX, Lic. #H4808On April 7, 2006, the Board and Dr. Woods entered into a five-year Agreed Order publicly reprimanding Dr. Woods and requiring him to be evaluated by a Board-appointed psychiatrist; to follow any continued care recommendations and to have any continued treatment and care monitored by the psychiatrist; to continue counseling as directed by 336th District Court of Grayson County; to keep a log of community service as required by the Court; to comply with all other terms and conditions of his court-ordered probation; to have a chaperone, or parent or legal guardian, present in the examination room any time he examines a patient 18 years of age

or younger; to attend at least 25 hours per year of continuing medical education in ethics, risk management and maintaining proper boundaries; and assessing an administrative penalty of $5,000. The action was based on an Order of Deferred Adjudication; Community Supervision from the 336th District Court for the offense of obscenity, a felony. The order resulted from an incident in which Dr. Woods videotaped his 11 year-old daughter and two of her friends playing and dancing in the nude and performing excretory functions at his home. PEER REVIEW ACTIONS: · MAEWAL, HRISHI KESH, M.D., FORT WORTH, TX, Lic. #E7175On April 7, 2006, the Board and Dr. Maewal entered into an Agreed Order restricting Dr. Maewal’s license for three

years under the following terms and conditions: Dr. Maewal is not to perform interventional cardiac procedures until he has completed a period of training in interventional cardiology to consist of a minimum of 100 proctored cases with a proctor approved by the Executive Director. The Order also requires Dr. Maewal to obtain at least 50 hours of continuing medical education in the area of invasive cardiology. The action was based on the action of the board of trustees for Plaza Medical Center in Fort Worth in suspending Dr. Maewal’s interventional cardiac catheterization privileges based on the care of two patients. · NEPPER, LEONARD GAYLON, D.O., BROWNWOOD, TX, Lic. #J9240On April 7, 2006, the Board and Dr. Nepper entered into a Mediated Agreed Order requiring Dr. Nepper to pay an

administrative penalty of $3,000 and to complete continuing medical education in the areas of boundaries, ethics, and record-keeping. The action was based on action taken against Dr. Nepper by Brownwood Regional Medical Center for an alleged violation of the Medical Center’s personnel policies. Dr. Nepper denies the underlying allegations, but entered into this Order in lieu of litigation. MINIMAL STATUTORY VIOLATIONS: The following licensees agreed to enter into orders with the Board for minimal statutory violations such as failure to send medical records within 15 business days or failure to complete required continuing medical education. Clayton, Randall, M.D., Beaumont, TX, Lic. #H5430 , Ellis, M.D., Austin, TX, Lic. #H8934 Polinger, Iris , M.D., Stafford, TX, Lic. #E8117 Pucek, Mark s, M.D., Dickinson, TX, Lic. #G3707 Saifee, Nafees Fatima, M.D., Fort Worth, TX, Lic. #E3762 -30- 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 a M. Kalafut, D.O., and Executive Director W. , 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 <http://www.tmb.state.tx.us> or by calling . New Yahoo! Messenger with Voice. Call regular phones from your PC and save big.

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Fwd: TMB Release: 59 Doctors Disciplined- Do you know any of these docs?

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