The Kentucky Board of Medical Licensure (KBML) has issued an emergency order of suspension against Jessamine County physician, Paul V. Brooks, a physician who frequently testifies in Kentucky workers’ compensation claims, following an investigation spurred by an overdose related death of a former patient, identified in the order as Patient A.
The matter came before the KBML following a grievance filed by Patient A’s mother, who alleged Brooks had prescribed and obtained pain medications for her daughter while he was dating and living with Patient A and that her daughter suffered from a drug addiction known to Brooks.
The patient’s mother informed investigators Brooks allegedly wrote prescriptions for pain medications using other patients’ names, that he distributed pain medications to her daughter from the clinic where he worked and that he had visited her daughter’s home the night before and the morning of the day her daughter was found in her home dead from what was described as “acute combined effects of morphine and hydrocodone.”
The order described that in addition to those medications, the Fayette County Deputy Coroner gathered evidence at the scene consisting of various loose pills (including morphine); professional sample drugs; prescription bottles with the labels torn off; a bottle marked Ciprofloxacin which contained three (3) Tramadol; a prescription bottle for Patient B from [Brooks] for #60 Nexium with fourteen (14) remaining and dated December 11, 2008; and a prescription bottle for Patient B from [Brooks] for #100 Diphenoxylate/Atropine with twenty-seven (27) remaining, dated December 17, 2008.”
The Board’s medical investigator interviewed witnesses consisting of Patient A’s two sisters, who together alleged Brooks had on one occasion provided pills to their sister requesting that the capsules be saved “so that he could put powdered gelatin into them so that the pills would be present for a pill count” and that Brooks had even requested that one of the sisters, who also suffered from drug addiction, purchase $300 in 30 mg Percocet pills during one of her trips to Florida pill mill clinics.
The investigation also revealed that Brooks allegedly, using another patient’s name (identified as Patient B) and medical chart, prescribed medications for Ambien, generic zolpidem; Ultram, generic tramadol; Phenergan suppositories, generic promethazine suppositories; Oxycontin, oxycodone; Wellbutrin, generic buproprion; Prednisone; Neurontin, generic gabapentin; Lomotil, generic diphenoxylate/atropine; Cytotec, generic misoprostol.
When interviewed, Patient B denied ever being prescribed those medications. The Board further found that Brooks himself would allegedly purchase these medications with prescriptions he had written to Patient B.
The Board’s investigator also alleged Brooks had established a false medical chart for Patient A’s son, described as patient C, and that prescriptions were allegedly written in his name by Brooks for Lortab pain pills. Patient C denied having been treated by Brooks or prescribed such medications and he also informed investigators he had observed bottles of prescription pills in patient B’s name at his mother’s house before her death.
These findings, along with others set forth in a 10 page opinion with 24 pages of exhibits, resulted in an Emergency Order of Suspension which found there was probable cause to believe Brooks’ practice constituted a danger to the health, welfare and safety of his patients or the general public.