Ferris doctor disciplined for administrative error
By 10/26/2006 00:00:00
The Ellis County Press
FERRIS - On Oct. 6 cardiologist Fred Maese was disciplined for unprofessional conduct violations by the Texas Medical Board due to an administrative error.
State and federal law requires doctors to use a triplicate form when prescribing a potentially habit-forming medicine or a narcotic.
On June 23, 2005 Maese phoned in a prescription for a three-day supply of fentanyl, a patch used to provide relief from chronic pain.
The patient suffering from severe pain had previously underwent a lap-band procedure, but could not reach his surgeon and asked Maese to help provide some pain relief until the surgeon would be available the following week, said Jim Kuit, Dr. Maese's business manager. Lap-band procedures reduce the size of a person's stomach limiting the amount of food that could be ingested, helping the patient lose weight.
Under the Texas Department of Health guidelines, a doctor could call a prescription order into a pharmacy, yet if a medicine order was phoned in, the doctor must ensure the pharmacy receives a written prescription within one week.
Pharmacists must report any violations to the Texas Medical Board if the proper documentation was not received.
Kuit said Maese was well-aware of this fact and intended to submit the proper paperwork within the required deadline, but his triplicate prescription forms could not be found.
Once this was discovered new forms were immediately ordered, he said.
Triplicate forms must be purchased from the federal Drug Enforcement Agency in Atlanta and take up to two months to arrive, Kuit said.
'All he did was screw up administratively,' Kuit said.
'This is the first and only narcotic prescription he's prescribed in 10 years.'
Paperwork from the Texas Medical Board showed they believed this was a mistake, but wanted to ensure Maese knew the proper procedures.
'Respondent's failure to timely provide the triplicate prescription was not intentional, but was related to a lack of knowledge regarding the laws governing triplicate prescriptions,' the TMB stated in their findings.
Under the agreed order Maese must complete a 20-hour course in office management, pass a medical exam certifying of office management within a year and pay a fine of $2,500.
'This is a heavy price to pay for an honest mistake,' Kuit said.
Maese, 46, was originally issued his medical license in November 1993 after completing Baylor College of Medicine in the July of the same year.