Pubdate: Mon, 07 Mar 2005
Source: American Medical News (US)
Section: Professional Issues
Copyright: 2005 American Medical Association
Contact: http://www.ama-assn.org/apps/amednews/edlet.pl
Website: http://www.amednews.com/
Details: http://www.mapinc.org/media/1235
Author: Andis Robeznieks
Bookmark: http://www.mapinc.org/find?232 (Chronic Pain)

PHYSICIAN CLEARED OF LAWSUITS TIED TO PAIN PRESCRIBING

The Doctor Is Now Working To Rebuild His Practice

Six years, four lawsuits and two arrests later, Frank Fisher, MD, is 
finally out from under the legal cloud that hovered over him since the 
opioid prescriptions he wrote for his patients in Anderson, Calif., 
attracted law enforcement's attention.

The Shasta County Superior Court in late January dismissed three 
wrongful-death civil lawsuits pending against him. The dismissal marked the 
last legal hurdle that Dr. Fisher needed to overcome to begin clearing his 
name and rebuilding his practice.

"There is a Chinese curse that says, 'May you live in interesting times,' " 
he said. "Well, the last six years for me have been very interesting."

In the late '90s, Dr. Fisher had about 3,000 patients, of which 150 
received oxycodone prescriptions for pain treatment.

In 1999, Dr. Fisher was arrested on murder, fraud and drug-related 
conspiracy charges stemming from his pain prescribing practices. He 
subsequently spent five months in jail.

Of five murder charges, two were quickly dismissed and three others were 
reduced to manslaughter. In January 2003, the conspiracy and manslaughter 
charges were dismissed. He was acquitted of the fraud charge in May 2004.

Dr. Fisher's case helped spark California legislation calling for medical 
experts and law enforcement officials to create protocols to ensure that a 
"competent medical" review takes place before physicians are charged with 
prescribing-related offenses. The California Medical Assn. backed the measure.

Dr. Fisher has been working as a consultant and expert witness for civil, 
criminal and administrative cases involving prescribing-related charges. 
Now he plans to rebuild his medical practice.

He has a probation agreement with the Medical Board of California. In it, 
Dr. Fisher made no admission of wrongdoing and agreed to take a refresher 
course in general medicine, receive an evaluation on his fitness to 
practice and keep a list of any controlled substances he prescribes. He 
said the agreement is expected to go into effect this month.

He also said that he applied to perform critical care work at the VA 
Northern California Health Care System, Martinez Outpatient Clinic in 
Martinez, Calif. In addition, he is laying the groundwork to open a rural 
community health center.

Dr. Fisher said he may prescribe opioids for acute pain but doesn't plan to 
treat patients with chronic pain.

"It's not that I don't want to or don't think that I wouldn't be good at 
it," he said. "But the current regulatory climate makes it impossible to do 
it right for very long."
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