State reprimands local doctor for prescription irregularities
The Virginia Board of Medicine has disciplined a Fredericksburg doctor
Date published: 5/1/2009
BY JIM HALL
A Fredericksburg physician has been reprimanded by state medical authorities for liberally prescribing pain medicines and for failing to keep good records.
A committee of the Virginia Board of Medicine told Dr. Larry Boulware this month that he is permanently barred from treating chronic-pain patients.
The committee also said that he must:
Attend 35 hours of classes on proper prescribing and medical record-keeping.
Notify his pain patients of the state's action.
And transfer their care to another doctor.
Boulware is an internist at the Medic 1 clinic in Fredericksburg. He appeared before the disciplinary board in Richmond April 9.
Boulware said this week that he will appeal the committee's decision. He has until May 20 to request a hearing before the full Board of Medicine, or the committee's action stands.
"This has been devastating to me," he said in a phone interview. "I have worked all my life to do positive things for patients."
Boulware was critical of the medical board, saying that he felt that he was guilty until proven innocent.
"My trip down there and the time I spent with them, two hours being grilled, meant nothing. They didn't prove anything other than I'm sloppy," he said.
The allegations center on events that occurred from 2005 to 2007 while Boulware was medical director at the Colonial Beach Medical Center.
He was medical director at Stafford Primary Care in Garrisonville before moving to Colonial Beach. He has been at Medic 1 for the past 14 months.
Boulware said the state began an investigation of him in 2006, after one of his patients was heard to say in a local pharmacy, "You can call Dr. Boulware. He'll give me anything that I need."
The allegations focus on three patients, listed as "Patient A," "Patient B" and "Patient C" in state records.
Boulware is alleged to have prescribed narcotics for these patients even though he:
Did not have a treatment plan for them.
Did not document why he chose the medicines he did.
Did not monitor their progress on the medicines he prescribed.
Did not require them to sign pain-management contracts, which spell out their responsibilities.
The controlled substances he prescribed were alprazolam, Ambien, Dalmane, diazepam, Dilaudid, Endocet, flurazepam, hydrocodone, hydromorphone, Lorcet, methadone, oxycodone, Percocet, Valium and Vicodin.
Read more stories about Fredericksburg
Date published: 5/1/2009
Most recent reader comments:
In addition to previous post from CEO
(posted by
, May 5, 2009 9:06 pm)  
This doctor has the courage and compassion to care for all his patients needs. He has never been afraid of the very real consequences to himself for the way he CHOOSES to practice medicine. The patient comes first to this man; not the bill, or even whether they can pay. He is not in the BUSINESS of medicine as is the case with 80% of doctors today.He is a rare breed in the practice of the Healing Arts and all that entails. The bottom line for this doctor is a healthy patient, and it has cost him dearly.
Article about local physician promotes more fear among physicians
(posted by
, May 5, 2009 8:40 pm)  
The article written about Dr. Boulware serves only one purpose. It creates more fear among area physicians, and tragically, will cause more patients to suffer needlessly because of this kind of irresponsible biased reporting. Statistically, the number of patients that come into a doctors office for the sole purpose of obtaining narcotics is small compared to the patients with substantiated claims with records & tests documenting the desperate need for chronic pain management.Quality of life loses, fear wins
You have to be kidding!
(posted by
brksnny
, May 3, 2009 12:52 am)  
1. Dr. Boulware is the best doctor I have been to in my 52 years. he is kind, compassionate...and he LISTENS! 2.Yes, he spends a lot of time with us....yes, that is good medical practice, not cookbook medicine. 3. I was devistated when Dr. B left Colonial Beach. I have returned to feeling like cattle with a nasty cranky receptionist. Dr. G is great and so is the NP and back office gals...but I still feel like cattle.
One more thing because I know some
(posted by
VALOVER
, May 2, 2009 5:24 am)  
will wonder why my previous doctor's office closed without notice. He got very ill and since he was a sole practitioner who ran his office with his wife who is also a nurse there was no one else to just step in and take over. He is another doctor that is missed by many and probably the best doctor in his field that I have ever had.
When my doctors office closed
(posted by
VALOVER
, May 2, 2009 4:09 am)  
without notice I was told to go see Dr. Boulware. I had to fill out an extensive history since I could not get my records from my previous doctor & bring in all prescription bottles that I had that needed to be refilled. Even then he did NOT just write a prescription because I had them before. Until medical records could be obtained from other doctors I had seen he prescribed very little but did do something must other doctors don't. Show caring, compassion & concern.
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