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Higher standards
Two say the board's action was helpful.

Photo illustration by CORY YOUNG / Tulsa World
 
By KIM ARCHER & GAVIN OFF World Staff Writers
Published: 11/22/2009  2:19 AM
Last Modified: 11/22/2009  3:37 AM


Search a Tulsa World database of disciplined doctors from 2000 through 2009.

Editor’s note: This is the first in a two-part series examining the consequences doctors face in oklahoma for medical errors and unethical behavior. Inside, find stories on how to check out your doctor and more. on Monday, find out how many patients win lawsuits against doctors and why you can’t tap into a federal lawsuit database.

Related Story: One doctor has been given one last chance by the board


Five years ago, Dr. Billy Conn Beets prescribed 11 prescriptions for a 2-month-old baby he diagnosed with acute bronchitis.

He prescribed eye drops and allergy medications, antifungals, antibiotics and asthma medication. He even proscribed Zofran — an anti-nausea drug that is typically "given to patients on chemotherapy and radiation, which should not be given to any child under the age of 4," according to documents obtained from the Oklahoma Board of Medical Licensure and Supervision.

"I didn't know what I didn't know," Beets told the Tulsa World about the matter. "Looking back now, yes, I know better. But, then, I didn't have the training and knowledge base I needed to be a doctor."

Beets' disciplinary record is one of the longest in the board's database.

Charged with overseeing the practice of medicine in the state, the Oklahoma Board of Medical Licensure and Supervision disciplined Beets for prescribing medication without medical necessity. A separate board oversees the practice of the state's osteopathic physicians.

Since 2000, the Oklahoma board has disciplined 328 practitioners for various things including sexual misconduct, writing false prescriptions, unprofessional conduct and alcohol abuse, according to an analysis by the World.

Of those, nearly 190 are still active medical professionals whose disciplinary background remains largely hidden from patients who don't know how or where to look for the information.

Just because a doctor has been disciplined by the state medical board doesn't mean he or she is necessarily a "bad" doctor, said Lyle Kelsey, the board's executive director.

"They may become better doctors because they've been to the mountain and back," he said.

Beets' license was suspended twice and reinstated twice, the last time with training restrictions. But Beets notes that each action was related to the initial complaint, which shows he overprescribed medication to nine separate children.

The medical board gave him another chance, but it has required him to complete a three-year family medicine residency at the University of Oklahoma in Tulsa. In his third year, Beets said the residency has been a blessing in disguise.

"I never knew what a residency was about," he said. Beets had a year in a psychiatric residency, but he didn't like the specialty and dropped out. Oklahoma law requires U.S. medical school graduates to complete a minimum one year in a residency to be licensed.

Veteran doctors have now overseen his work and taught him how to be a good doctor, he said.

In fact, he received the Patients Choice Award in 2008, based on thousands of patient reviews tabulated by MDx Medical, Inc. He was among only 5 percent of the nation's 720,000 doctors to be awarded the distinction, which he said demonstrates the high regard his patients have for him.

"I've changed so much as a person and a physician. I always wanted to be a physician because I want to serve," Beets said.

Tulsa alone has 27 active medical doctors who have been disciplined by the medical board, while Oklahoma City has 36.

Statewide offenses include at least one case of striking a patient, two for molestation or inappropriate touching, seven for fraud and 33 for wrongly prescribing drugs, board records show.

Earlier this year, a Tahlequah psychiatrist had a sexual relationship with an adult male patient she was treating for bipolar disorder. The medical board launched an investigation based on a complaint filed with the entity. In July, the board suspended her license for a month and placed her on probation for five years.

In her more than 20 years of work, the psychiatrist, Dr. Deborah Sue Jennings, had never been disciplined by the board, records show. In addition to her own practice, she had been chief of staff at Tahlequah City Hospital.

"I had 18 1/2 years of sobriety," she said of her fall from grace. Then, her husband died of cancer in January 2008. At the same time, one of her adopted teen daughters — who has reactive attachment disorder — was having extreme emotional problems.

"They brought my daughter in shackles to my husband's service," Jennings said.

Shortly thereafter, she began drinking again. She said her tumultuous personal life is no excuse for breaching doctor-patient ethics but that it did play a part.

"We're people like anybody else. I wish I hadn't done what I did. My bucket was beyond empty," Jennings said. "And believe me, nobody has paid for it any more than I have."

She and her family are now in therapy, and she attends Alcoholics Anonymous meetings. She is subject to clinical supervision for the next five years. Her openness with the medical board and her community has allowed her to work through her issues, and she believes it is the reason she was only suspended for 30 days.

"I told the truth the whole way through this thing," Jennings said. "Hopefully, my life is getting back together."

Both Beets and Jennings say they believe in what the medical board does, and both say they are on a better path because of the action taken.

"For many of us, there is so much more than what appears in the disciplinary report," Jennings said. "The information's out there, but it is just one of many tools."

She urged patients seeking doctors to seek personal recommendations and then ask to interview their prospective doctor.

"If they have a disciplinary action, just ask them to help you understand what happened," Jennings said. "Just how willing someone is to discuss that with you will tell you a lot."


Kim Archer 581-8315
kim.archer@tulsaworld.com
By KIM ARCHER & GAVIN OFF World Staff Writers

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Report Comment
T.B'Ville, Bruins (11/22/2009 5:58:36 AM)
What? She is using her husbands death as an excuse to screw a bipolar patient! Geez.
Report Comment
gfy, Tulsa (11/22/2009 7:57:10 AM)
We need tort reform on medical malpractice cases so we don't put more stress on these poor doctors. Reform would also keep these doctors in state because as we all know they are leaving Oklahoma in droves. The trial lawyers are the real cause of these doctors stress, the pain they have to endure and putting these poor professionals in the poor house.
Report Comment
jubilo1, Hugo (11/22/2009 8:23:00 AM)
"Of those, nearly 190 are still active medical professionals whose disciplinary background remains largely hidden from patients who don't know how or where to look for the information."

Anyone notice the writer does NOT tell us how or where to look for the information so we can check out our own doctor. Why keep the secret Kim?
Report Comment
fld11, (11/22/2009 8:46:08 AM)
Most of these clowns prescribe only a very few medications. This is usually based on which drug reps give them the best "deals" and perks. It has nothing to do with the best medication for the illness. We all know that these guys make way too much money for the jobs they do. The way to drive down costs is to stay away from the doctor's office unless it's a life threatenting condition. Works in other countries just fine.
Report Comment
Loophole, (11/22/2009 8:58:09 AM)
gfy, your prescription needs a refill. . .
Report Comment
FUTURE WORLD, Tulsa (11/22/2009 9:27:26 AM)
And conservative are howling about the need for medical tort reform. Please give the average citizen a break.
Report Comment
gfy, Tulsa (11/22/2009 9:27:54 AM)
Loopy-You mean you don't agree with my assessment?
Report Comment
gfy, Tulsa (11/22/2009 9:30:19 AM)
Loopy-By the way, thanks, I'll call Dr. Beet's and get a refill.
Report Comment
Captain BlackBeaver, Bat-Poop Crazy Island (11/22/2009 10:16:46 AM)
Sometimes good people make poor decisions.
Report Comment
Jinxed, CA (11/22/2009 10:30:26 AM)
He prescribed eye drops and allergy medications, antifungals, antibiotics and asthma medication. He even proscribed Zofran — an anti-nausea drug that is typically "given to patients on chemotherapy and radiation, which should not be given to any child under the age of 4," according to documents obtained from the Oklahoma Board of Medical Licensure and Supervision.

"I didn't know what I didn't know," Beets told the Tulsa World about the matter. "Looking back now, yes, I know better. But, then, I didn't have the training and knowledge base I needed to be a doctor."

Beets' disciplinary record is one of the longest in the board's database.

------------------------------

This paragraph is all you need to read in this article - I would prescribe "a grain of salt" if reading the rest of it. All I am hearing is excuses excuses excuses and far too lenient as to discipline.

Are you kidding me? His disciplinary record is the longest in Oklahoma? And still practicing? Well, not surprising I guess...

He says "I didn't know what I didn't know".... Well DUH???? Oh, now that's a GREAT excuse eh? Even after giving a tiny 2 month old baby harsh and unecessary medicine like Zofran reserved for CANCER patients?

Oh my god. Scary.

This article also doesn't address the doctors who say.....travel from Arizona to do business in OK because they were disciplined in AZ and escaped that med board. Remember the freak from out of State who was arrested for I think it was molesting his step daughter not too long ago? All kinds of discipline records and where did he end up? Oklahoma.

Doctors policing doctors? Yeah right. That works.
Report Comment
gfy, Tulsa (11/22/2009 10:43:40 AM)
So Cappin Beav, when a good doctor attaches a vein to an artery and the patient is paralyzed from the waste down, the patient should just tell himself "good people make poor decisions" and roll on his way. Forget about the hundreds of thousands of medical bills not mention the millions of dollars of medical bills he will incur over the rest of his life. Oh and mental pain and suffering, forget about it, after all the doctors are "good people". Yea, that works. Unless, of course, it is you or your child. Just ask our US Rep. Sullivan.
Report Comment
Captain BlackBeaver, Bat-Poop Crazy Island (11/22/2009 10:45:35 AM)
Like I said...sometimes good people make poor decisions!
Report Comment
confederateU, (11/22/2009 10:55:06 AM)
It appears judging by the tw records that the beets guy was disciplined for prescribing unecessary meds more than once - even as he was still on discipline from the other infractions? Sure doesn't give me a lot of faith in the medical review board decisions.

And about the shrink - her husband dies of cancer in 2008, and she's having an affair with a male patient in 2009. hmmmmmm...... and her license is only suspended for one month after breaking the ultimate ethical no no for pyschiatrists?
Report Comment
Peepleus, (11/22/2009 11:01:49 AM)
Thanks TW for the article. I've always contended that doctors are no better then mechanics, and shouldn't be revered. This article demonstrates such.
Report Comment
Stratolifter, (11/22/2009 11:02:59 AM)
Question: can a doctor prescribe anti depressants even though a patient has not been diagnosed as depressed by a psychologist?
Report Comment
Stratolifter, (11/22/2009 11:07:15 AM)
I think the article gives the impression that the medical review boards are doing a great job based on the high number of disciplines. Well, define discipline. The better question is: Is the discipline imposed sufficient to protect the general public from bad doctors?

Our personal experience with the medical board after filing our complaint was disbelief that a doctor could get away with what that doctor was getting away with.
Report Comment
Kim Archer, medical writer, (11/22/2009 11:15:29 AM)
Jubilo1, you will find a separate sidebar on how to search the state's database for information on your own doctor or prospective physician by clicking View All News.
Report Comment
DirtyWhiteHouse, (11/22/2009 11:28:32 AM)
captain blackbeaver: Sometimes good people make bad decisions that could kill in an instant. You only have one life; how many chances do you want to give someone who is in charge of it?
Report Comment
out of tulsa, (11/22/2009 12:17:31 PM)
Is it true that a doctor only needs one year of residency in Oklahoma before he can legally practice in this state? Are you kidding me? Is this standard in all 50 states? What you are saying is, a young man or woman who graduates from med school at the age of 26, can do a year of residency in any field - ie psychiatry - and, then practice as a doctor?????????? Truly - don't other states require more years of residency and preferably in their field of practice? Who ever is researching this story for the TW - can you let us know????
Report Comment
Jinxed, CA (11/22/2009 12:35:32 PM)
so, out of about 6000 complaints over the past 10 years, they have only had 45 revoked licenses. 17 licenses were reinstated so does that mean about 28 revoked for good in a 10 year period? That's all?
Report Comment
whitehawk, Tulsa (11/22/2009 1:14:49 PM)
Need to keep in mind that many of these guys and gals just move to other states and in many cases are welcome to start up again to do MAYBE the same.
Report Comment
DeltaDon, Geneva, Switz & Tulsa (11/22/2009 2:45:14 PM)
Hey Tulsa World, The "Search TW database for disciplined Docs" noted in this story, is only for MD's. How do we check up on DO"s?
Report Comment
Jinxed, CA (11/22/2009 3:00:58 PM)
lyle kelsey? what EVER!
Report Comment
Carl, Henryetta (11/22/2009 3:35:33 PM)
Allow me to make a few points from THIS side of the stethescope.

1. fld has no concept of reality in terms of doctors' prescribing habits. We do NOT prescribe whatever the rep presents. And we don't get "deals and perks" unless you're referring to a few crummy pens that skip the next day or some note pads. I was a drug rep for two years before med school - and it just doesn't happen anything like you imagine it does.

2. You can check us DOs out on the web, too. The TW is supposedly providing the links - since they make it impossible for us to post links. It's okay - anyone with a modicum of computer savvy can find it out - it's all public info. read especially the minutes of the Medical Boards meetings - it'll shed some light. Remember this please, though: DISCIPLINARY action and MALPRACTICE lawsuits are two ENTIRELY different things, although one may certainly influence the other.

3. Tort reform......are there bad doctors? You bet. Are there bad doctors that get sued and LOSe malpractice suits? You bet. Are there bad doctors that never get sued for whatever reason? Yup. Are there good doctors who make honest mistakes - or like me NO MISTAKES at all and get raked over the proverbial coals for a year or two of endless depositions, motions, countermotions, court appearances????? Yes, indeed. In this country, it is VERY easy to sue anyone for anything. If you find a greedy, unethical lawyer (real tough), you can sue a doctor if you don't like their attitude. Trust me, I'm a doctor and I've been there. Never a penny given on my behalf to anyone - ever - because I was proven to not have done the things they claimed. Yet every day - i and all of my colleagues across the country order test after test - to rule out the SLIGHTEST possibility that we might miss something. There simply HAS to be SOME degree of honest reform. The costs - notwithstanding whatever the lawyers' lobby might have you believe - are enormous.

4. Good - and bad - people make mistakes. Sometimes they're important - sometimes, most times - in fact - they're not. Many times malpractice suits are brought over BAD OUTCOMES. Bad outcomes can be totally unforseen or unpredictable. Most of the time - it doesn't matter to someone who been injured in some way - SOMEBODY has to pay. Who else but the doctor? ANd the hospital...and the nurse...and the parent company of the hospital...and the pharmaceutical or medical device manufacturer...and the housekeeper......and, of course, demanding at least ONE medical opinion before a suit can be filed....OH NO, that would "limit access" to the legal system.

5. Peepless - maybe so, maybe not so. Ever hear anyone scream "is there a mechanic in the house?"

6. Stratolifter - almost without exception any doctor can presribe ANY medicine. A good Family Practice or Internal Medicine specialist can prescribe antidepressants, antipsychotics, etc to the appropriate patient. It all depends on their relative degree of knowledge and personal comfort as to whether they prescribe drugs. it is largely a self-regulated area of medical practice. As an ER doc, for example, I would NEVER prescribe a chemotherapeutic med or hormones to an ER patient. An Internist - generally wouldn't be presribing a baby's antiobiotic, either - althoug he or she might prescribe the same medicine to an adult and so on. Also in terms of a complaint not being acted upon....well, I can't dispute that, but don't confine it to doctors. Try complaining about a lawyer and see how seriously you get taken by the Bar Association. Try complaining about a certain rogue OHP trooper to the OHP or the Governor and see what happens.
Report Comment
Carl, Henryetta (11/22/2009 3:35:48 PM)
7. out of tulsa - Yes, it's true. The last I checked - only NH and NC required at least TWO years of post-medical school (residency) training before "hanging a shingle". MOST modern doctors have completed a residency - usually minimum of three years after med school. After that, they can become Board Certified in their particular specialty. You can only claim to be a "cardiologist" for instance - if you have at least completed a residency or better become Baorded in that area.
Personally, I am or was Board Certified in the are of Family Medicine, BUT I have practiced as an Emergency Medicine specialist for most of my 22 years in practice - since there is a great deal of overlap between those two. Incidientaly, those two (FP and EM) are the NEWEST of the specialty Boards - as "boarding" in various specialties is a relatively NEW thing. Then there are the "grandfathers" who just happened to have been doing - for example - nephrology - for so long that they get to be boarded just because they struck out on that area of medicine before it became "official", etc - it's quite a complicated system really. It DOES allow, however, some bozo that just barely squeaked by to open up a practice with LITTLE actual "apprentice" training. The medical consumer should ALWAYS interview a prospective new doctor and don't be afraid to ASK QUESTIONS.
Remember - the rules that govern all this are official LAWS - if you disagree - contact your local State legislators.

8. It is NOT just as easy as moving. if the State Board of Medine or of Osteopathic Medicine is doing their jobs - they carefully research a doctor's past. All they would have to do is go to the State website to read all about Dr. Beets' past discipline record.
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