Pubdate: Sun, 30 Oct 2005 Source: Ogdensburg Journal/Advance News (NY) Copyright: 2005 Johnson Newspaper Corp. Contact: http://www.ogd.com/letter.htm Website: http://www.ogd.com/ Details: http://www.mapinc.org/media/689 Author: Executive Board, St. Lawrence County Medical Society Referenced: http://www.mapinc.org/drugnews/v05.n1665.a04.html MEDICAL SOCIETY To The Editor: We would like to inform our community that the St. Lawrence County Medical Society executive board met with the District Attorney and a DEA official and we held several meetings with our physicians to discuss the recent situation which led to Dr. Latimer's license revocation. We are very disappointed how the case of Dr. Latimer was handled by the District Attorney's Office. To our knowledge, Dr. Latimer's prescribing anti-pain medication pattern did not justify criminal charges to be applied. We feel that the "excessive medications prescribing pattern" be better addressed by peer review medical organizations and the Organization of Professional Medical Conduct (OPMC). Dr. Latimer has provided an important medical service to the community including the treatment of many low socioeconomic patients. The decision of his medical license revocation by the District Attorney's Office is causing a major disruption to the medical care of our community. Approximately 4,000 patients loss their primary provider. In addition, other primary providers, including physician assistants who were supervised by Dr. Latimer, have problems with continuation of their clinics. We are living in a medically undeserved area therefor, any loss of a medical doctor creates a substantial problem in medical care continuation. In addition, we are sadden how we were informed about Dr. Latimer's case from the newspapers when practically all the decisions were already made by the District Attorney's Office. We would prefer to work with local authorities from the beginning when the case was started to be investigated in order to have prevented any possible future medical misconduct which effects or community. We are afraid that this type of decision will also create major drawbacks in the future treatment of chronic pain patients since many physicians may be afraid to prescribe stronger medicines resulting in undertreatment of medical conditions and unnecessary suffering. We would like to express our concerns regarding the recent events that have taken place in our area, and to present options to prevent the reoccurrences in the future. Education and awareness are our strongest tools to use against drug abuse. We highly encourage continuing education programs for doctors and other health professionals in all disciplines to recognize the signs of possible abuse in both prescribing and using prescription medications. The public needs to be kept informed, as well, with siminars, information sessions, educational displays and literature. These ideas, combined with working with officials/authorities, can help build awareness before the situation becomes a very serious problem. Identification of the individuals who have become local "street drug vendors" given to medical providers by local authorities will also be beneficial in future prevention. Medical Society of the County of St. Lawrence Executive Board: President; J. Lucas Koberda, MD, PhD Vice President; Lars Thompson, MD Secretary; William Petersen, MD Treasurer; Louis Canales, MD Executive Vice President; Manuel Palao, MD - --- MAP posted-by: Larry Seguin