Free Republic
Browse · Search
News/Activism
Topics · Post Article

Skip to comments.

At Trial, Pain Has a Witness
NY Times ^ | April 24, 2007 | JOHN TIERNEY

Posted on 04/23/2007 8:20:23 PM PDT by neverdem

ALEXANDRIA, Va. —William E. Hurwitz, the prominent doctor on trial here for drug trafficking, spent more than two days on the witness stand last week telling a jury why he had prescribed painkillers to patients who turned out to be drug dealers and addicts. But the clearest explanation of his actions — and of the problem facing patients who are in pain — came earlier in the trial.

It occurred, oddly enough, during the appearance of a hostile witness, Dr. Robin Hamill-Ruth, one of the experts who was paid by the federal prosecutors to analyze Dr. Hurwitz’s prescriptions for OxyContin and other opioids.

Dr. Hamill-Ruth, who noted that she never prescribed the highest-strength OxyContin tablet, said some of Dr. Hurwitz’s actions were “illegal and immoral” because he prescribed high doses despite warning signs in patient behavior that the opioids were being resold or misused.

Then, during cross-examination by the defense, Dr. Hamill-Ruth was shown records of a patient who had switched to Dr. Hurwitz after being under her care at the University of Virginia Pain Management Center. This patient, Kathleen Lohrey, an occupational therapist living in Charlottesville, Va., complained of migraine headaches so severe that she stayed in bed most days.

Mrs. Lohrey had frequently gone to emergency rooms and had once been taken in handcuffs to a mental-health facility because she was suicidal. In 2001, after five years of headaches and an assortment of doctors, tests, therapies and medicines,...

-snip--

“You gave her BuSpar and told her to come back in two and a half months?” Richard Sauber, Dr. Hurwitz’s lawyer, asked Dr. Hamill-Ruth. Dr. Hamill-Ruth replied that unfortunately, the clinic was too short-staffed at that point to see Mrs. Lohrey sooner. Under further questioning Dr. Hamill-Ruth said that she was not aware that BuSpar’s side effects included headaches.

(Excerpt) Read more at nytimes.com ...


TOPICS: Crime/Corruption; Culture/Society; Government; News/Current Events
KEYWORDS: drugabuse; drugtrafficing; hurwitz; williamehurwitz
John Tierney appears to have a regular column again as opposed to TierneyLab.

For more on the trial of Dr. Hurwitz, go to John Tierney's blog. Go to TierneyLab »

Further Reading

War on Doctors / Pain Crisis." Dr. Deluca's Blog. Pain Relief Network.

"Findings: Trafficker or Healer? And Who's the Victim?" John Tierney. March 27, 2007.

"Dose Response." Jacob Sullum. Reason, April 1, 2005.


1 posted on 04/23/2007 8:20:25 PM PDT by neverdem
[ Post Reply | Private Reply | View Replies]

To: neverdem
Prescribing opioids was once taboo because of concerns over patients’ becoming addicted. But medical opinion gradually shifted over the past two decades as researchers concluded that high doses of opioids could sometimes be safer and more effective than alternatives like surgery or injections.
2 posted on 04/23/2007 8:44:56 PM PDT by secretagent
[ Post Reply | Private Reply | To 1 | View Replies]

To: El Gato; Ernest_at_the_Beach; Robert A. Cook, PE; lepton; LadyDoc; jb6; tiamat; PGalt; Dianna; ...
Daily pill to beat genetic diseases (MD, cystic fibrosis, haemophilia & many more)

Tamiflu Key To Treat Bird Flu, Avoid Steroids

Sheryl Crow takes a swipe at toilet paper use

Bedlam Revisited

FReepmail me if you want on or off my health and science ping list.

3 posted on 04/23/2007 8:56:43 PM PDT by neverdem (May you be in heaven a half hour before the devil knows that you're dead.)
[ Post Reply | Private Reply | To 1 | View Replies]

To: neverdem

I shouldn’t read stories like this when I’m in an arthritis flair. NSAIDS hurt my tummy and opiates hurt my biliary system...and these stories make me ache more! LOL!


4 posted on 04/23/2007 9:07:53 PM PDT by Knitting A Conundrum (Act Justly, Love Mercy, and Walk Humbly With God Micah 6:8)
[ Post Reply | Private Reply | To 1 | View Replies]

To: neverdem

God I hate doctors who don’t take pain seriously....maybe coward by over zealous DEA and prosecution.


5 posted on 04/23/2007 9:21:10 PM PDT by the_daug
[ Post Reply | Private Reply | To 1 | View Replies]

To: neverdem
William E. Hurwitz, the prominent doctor on trial here for drug trafficking, spent more than two days on the witness stand last week telling a jury why he had prescribed painkillers to patients who turned out to be drug dealers and addicts. But... hostile witness, Dr. Robin Hamill-Ruth, ...was shown records of a patient who had switched to Dr. Hurwitz after being under her care at the University of Virginia Pain Management Center. This patient, Kathleen Lohrey, an occupational therapist living in Charlottesville, Va., complained of migraine headaches so severe that she stayed in bed most days... Dr. Hamill-Ruth replied that unfortunately, the clinic was too short-staffed at that point to see Mrs. Lohrey sooner. Under further questioning Dr. Hamill-Ruth said that she was not aware that BuSpar’s side effects included headaches.
Apropos of nothing, I really despise hyphenated names (all present company excepted of course).

This is a legit issue -- oxys were intended for use by terminal patients because there's no worry about withdrawal (the patient is going to die). It is overprescribed. No idea about this particular doctor, but I very much doubt he was unaware of what he was doing.
6 posted on 04/23/2007 9:31:00 PM PDT by SunkenCiv (I last updated my profile on Monday, April 18, 2007. https://secure.freerepublic.com/donate/)
[ Post Reply | Private Reply | To 1 | View Replies]

To: the_daug

I hate more the idiots in the DEA and the government who are constantly obsessing over whether someone, somewhere is using a drug recreationally. They will let hundreds of people suffer pain unnecessarily, including terminal patients, to prevent other people from getting high. What a world.


7 posted on 04/23/2007 9:33:53 PM PDT by edweena
[ Post Reply | Private Reply | To 5 | View Replies]

To: Knitting A Conundrum

Did you know that some meds come in suppositories? I cannot take anything that will sit on my liver. I spend a lot of time in bed, with my best friend Mr. Heating Pad.

That and a few other fun things.


8 posted on 04/23/2007 9:41:57 PM PDT by TheSpottedOwl (Head Caterer for the FIRM)
[ Post Reply | Private Reply | To 4 | View Replies]

To: TheSpottedOwl

Uhhh, fun things=ailments, not real fun things LOL!


9 posted on 04/23/2007 9:43:11 PM PDT by TheSpottedOwl (Head Caterer for the FIRM)
[ Post Reply | Private Reply | To 8 | View Replies]

To: neverdem

Having been a chronic pain patient myself, it sounds like this is a rare doctor who understands what someone in daily pain goes through and genuinely desired to help. It looks like he’s being put on the cross by the government because of the actions of a few of his patients, who were bad apples. I truly resent such people because they make it hard on everyone with legitimate issues.


10 posted on 04/23/2007 9:58:40 PM PDT by KoRn (Just Say NO ....To Liberal Republians - FRED THOMPSON FOR PRESIDENT!)
[ Post Reply | Private Reply | To 1 | View Replies]

To: SunkenCiv
This is a legit issue -- oxys were intended for use by terminal patients because there's no worry about withdrawal (the patient is going to die). It is overprescribed.

In fields of medicine involving controlled substances, especially addiction medicine and pain medicine, the doctor-patient relationship has been grossly distorted by drug war imperatives imposed by the federal govt through the Controlled Substances Act.................

“The ‘chilling effect’ is the withdrawal, for fear of litigation, by physicians from the appropriate treatment of pain. It is important to note that much of the public health damage here is caused not by the doctors accused of wrongdoing, rather it is caused by doctors-in-good-standing who, faced with a patient in pain and therefore at risk of being targeted by the DEA, modify their treatment in an attempt to avoid regulatory attention.

I guess that means my doctor fears the DEA more than me......

11 posted on 04/23/2007 10:08:55 PM PDT by the_daug
[ Post Reply | Private Reply | To 6 | View Replies]

To: the_daug
the withdrawal, for fear of litigation, by physicians from the appropriate treatment of pain
There is one major problem with health care, and that is a lack of tort reform.
12 posted on 04/23/2007 10:35:00 PM PDT by SunkenCiv (I last updated my profile on Monday, April 18, 2007. https://secure.freerepublic.com/donate/)
[ Post Reply | Private Reply | To 11 | View Replies]

To: SunkenCiv
There is one major problem with health care, and that is a lack of tort reform Federal involvement in a area they aren't Constitutionally authorized to be in.

Fixed that for ya buddy.

First one's free.

L

13 posted on 04/23/2007 10:37:57 PM PDT by Lurker (Comparing 'moderate' islam to 'extremist' islam is like comparing small pox to plague.)
[ Post Reply | Private Reply | To 12 | View Replies]

To: SunkenCiv
What are you talking about?......The litigation is the DEA and the government...... You know the guys with real deep pockets to litigate! So then doctors do not act in the best interest of the patient.
14 posted on 04/23/2007 10:45:12 PM PDT by the_daug
[ Post Reply | Private Reply | To 12 | View Replies]

To: Lurker

TY


15 posted on 04/23/2007 10:46:20 PM PDT by the_daug
[ Post Reply | Private Reply | To 13 | View Replies]

To: Knitting A Conundrum

Alrighty then. YOU’re on today’s prayer list!


16 posted on 04/24/2007 4:21:40 AM PDT by Mad Dawg (Jesus loves me, this I know, for his Mother tells me so. (and the Church and the Bible too))
[ Post Reply | Private Reply | To 4 | View Replies]

To: TheSpottedOwl

I have my alternatives, too....but some days I’m just crabby!


17 posted on 04/24/2007 4:48:29 AM PDT by Knitting A Conundrum (Act Justly, Love Mercy, and Walk Humbly With God Micah 6:8)
[ Post Reply | Private Reply | To 8 | View Replies]

To: Mad Dawg

why thank you!


18 posted on 04/24/2007 4:48:54 AM PDT by Knitting A Conundrum (Act Justly, Love Mercy, and Walk Humbly With God Micah 6:8)
[ Post Reply | Private Reply | To 16 | View Replies]

Disclaimer: Opinions posted on Free Republic are those of the individual posters and do not necessarily represent the opinion of Free Republic or its management. All materials posted herein are protected by copyright law and the exemption for fair use of copyrighted works.

Free Republic
Browse · Search
News/Activism
Topics · Post Article

FreeRepublic, LLC, PO BOX 9771, FRESNO, CA 93794
FreeRepublic.com is powered by software copyright 2000-2008 John Robinson