May 15, 2019 - Oregon

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Oregon Medical BoardBOARD ACTION REPORTMay 15, 2019The information contained in this report summarizes new, interim, and final actions taken by theOregon Medical Board between April 16, 2019, and May 15, 2019.Scanned copies of Interim Stipulated Orders, Orders of Emergency Suspension, StipulatedOrders, Final Orders, Termination Orders, Modification Orders and Voluntary Limitations areincluded at the end of this report in the order that they appear in the report. These orders aremarked with an * asterisk. Scanned copies of Consent Agreements are not posted, as theyare not disciplinary action and impose no practice limitations. Complaint and Notices ofProposed Disciplinary Action are not listed in this report, as they are not final actions by theBoard. Both Orders, however, are public and are available upon request.Printed copies of the Board Orders not provided with this report are available to the public. Toobtain a printed copy of a Board Order not provided in this report, please complete the LicenseVerification and Malpractice Report Request ee-info-verification.pdf) found under the Forms link on the Board's web site. Submit it withthe 10.00 fee per licensee and mail to:Oregon Medical Board1500 SW 1st Ave, Ste 620Portland, OR 97201Copies of the Orders listed below are mailed to Oregon hospitals where the Licensee had selfreported that he/she has privileges.Castillo, Caroline Grady, MD; ApplicantOn May 14, 2019, Applicant entered into a non-disciplinary Consent Agreement for Re-Entryto Practice with the Board. In this Agreement, Applicant agreed to practice under thesupervision of a pre-approved mentor for six months, to include chart review and reports to theBoard by the mentor; obtain certification in Infectious Disease with the American Board ofInternal Medicine within six months; complete 109.5 hours of CME; and only practice at preapproved sites.*Hill, Andrew James, LAc; AC01243; Portland, OROn May 8, 2019, Licensee entered into an Interim Stipulated Order to voluntarily withdrawfrom practice and place his license in Inactive status pending the completion of the Board'sinvestigation into his ability to safely and competently practice acupuncture.Nelson, Joan Catherine, PA; PA00882; Portland, OROn May 6, 2019, Licensee entered into a non-disciplinary Consent Agreement for Re-Entry toPractice with the Board. In this Agreement, Licensee agreed to specific requirements regardingsupervision and chart review from her supervising physician, and that her supervising physicianwould submit reports to the Board regarding her progress in her return to the practice ofmedicine.

*Schrader, Jerry Lee, MD; MD06736; Salem, OROn May 6, 2019, the Board issued an Order of Emergency Suspension to immediately suspendLicensee's medical license due to the Board's concern for the safety and welfare of Licensee'scurrent and future patients. This Order is in effect until otherwise ordered by the Board.*Trotta, Adam Levi, MD; MD184793; Medford, OROn May 6, 2019, the Board issued an Order Terminating Interim Stipulated Order. This Orderterminates Licensee's December 28, 2018, Interim Stipulated Order.*Tsen, Andrew Cho, MD; MD20029; Portland, OROn May, 2, 2019, Licensee entered into an Interim Stipulated Order to voluntarily ceaseperforming robotic mitral valve surgery pending the completion of the Board's investigationinto his ability to safely and competently practice medicine.If you have any questions regarding this service, please call the Board at (971) 673-2700 or tollfree within Oregon at (877) 254-6263.

1BEFORE THE2OREGON MEDICAL BOARD3STATE OF OREGON4In the Matter of)ANDREW JAMES HILL, LACLICENSE NO. AC012437)))81.56INTERIM STIPULATED ORDER9The Oregon Medical Board (Board) is the state agency responsible for licensing,10regulating and disciplining certain healthcare providers, including acupuncturists, in the State of11Oregon. Andrew Janies Hill, LAc (Licensee) is a licensed acupuncturist in the State of Oregon.2.12The Board received credible information regarding Licensee that resulted in the Board1314initiating an investigation. The results of the Board’s investigation to date have raised concerns15to the extent that the Board believes it necessary that Licensee agree to cease the practice of16acupuncture until the investigation is completed.3.17In order to address the concerns of the Board, Licensee and the Board agree to enter into1819this Interim Stipulated Order, which is not an admission of any wrongdoing on the part of the20Licensee, and provides that Licensee shall comply with the following conditions effective the21date this Order is signed by Licensee:3.122Licensee voluntarily withdraws from the practice of acupuncture and his license is23placed in Inactive status pending the completion of the Board’s investigation into his ability to24safely and competently practice acupuncture.3.225Licensee understands that violating any term of this Order will be grounds for26disciplinary action under ORS 677.190(17).27///Page -1 INTERIM STIP ULA TED ORDER - Andrew James Hill, LAc

123.3Licensee must notify the Oregon Medical Board within 10 days as to how patientsmay access or obtain their acupuncture records.34.4At the conclusion of the Board’s investigation, Licensee’s status will be reviewed in an5expeditious manner. Following that review, if the Board determines that Licensee shall not be6permitted to return to the practice of medicine, Licensee may request a hearing to contest that7decision.895.This Order is issued by the Board pursuant to ORS 677.265(1) and (2) for the purpose10of protecting the public, and making a complete investigation in order to fully inform itself with11respect to the performance or conduct of the Licensee and Licensee’s ability to safely and12competently practice acupuncture. Pursuant to ORS 677.425, Board investigative materials are13confidential and shall not be subject to public disclosure. However, as a stipulation this Order is14a public document and is reportable to the National Certification Commission for Acupuncture15and Oriental Medicine and the Federation of State Medical Boards.16176.This Order becomes effective the date it is signed by the Licensee.1819IT IS SO STIPULATED THIS !P day of,2019.j7.2021, LAC22232425IT IS SO ORDERED THIS fo-k day ofH&J, 2019.State of OregonOREGON MEDICAL BOARD2627NICOLE KRISHNASWAMI, JDEXECUTIVE DIRECTORPage -2 INTERIM STIPULATED ORDER - Andrew James Hill, LAc

1BEFORE THE2OREGON MEDICAL BOARD3STATE OF OREGON4In the Matter of7)))))81.569JERRY LEE SCHRADER, MDLICENSE NO. MD06736ORDER OF EMERGENCYSUSPENSIONThe Oregon Medical Board (Board) is the state agency responsible for licensing,10regulating and disciplining certain health care providers, including physicians, in the State of11Oregon. Jerry Lee Schrader, MD (Licensee) is a licensed physician (emeritus) in the State of12Oregon.132.14The Board has determined from the evidence available at this time that Licensee’s15continued practice of medicine would pose an immediate danger to the public and to his patients.16The Board has attempted to contact Licensee at the address he provided to the Board. Licensee17has failed to respond to the Board’s investigative letters and phone calls. Therefore, it is18necessary7 to immediately suspend his license to practice medicine. To do otherwise would19subject Licensee’s patients and Licensee to the risk of harm while this case remains under20investigation.213.22The acts and conduct that support this Order for Emergency Suspension follow:233.1Licensee is a board certified 84-year-old psychiatrist in Salem who has held an24emeritus1 status license since 2001. Patient A is an adult female who was seen by Licensee for25severe anxiety over the course of several years while Licensee was in active practice. At least26271 OAR 847-008-0030(1); “A licensee who has retired from active practice, but does only volunteer, nonremunerative practice and receives no direct monetary compensation, may register and pay an annual emeritusregistration fee.”Page 1 - ORDER OF EMERGENCY SUSPENSION - Jerry Lee Schrader, MD

1three times a year for the last three years, Licensee has prescribed alprazolam (Xanax, Schedule2IV) 0.25 mg, #100 tablets, to Patient A. Licensee has not maintained a medical chart for this3patient. Licensee’s treatment of Patient A with Xanax without the benefit of a medical chart or4ongoing patient assessment breaches the standard of care and exposes Patient A to the risk of5harm. Licensee’s conduct is in violation of ORS 677.190(1)(a) unprofessional conduct, as6defined by ORS 677.188(4)(a) any conduct or practice contrary to recognized standards of ethics7of the medical profession or any conduct or practice which does or might constitute a danger to8the health or safety of a patient or the public, and ORS 677.190(24), prescribing a controlled9substance without a legitimate medical purpose, or without following accepted procedures for1011examination of patients, or without following accepted procedures for record keeping.3.2Licensee has been self-prescribing Xanax, 0.75 mg per day, as well as12amitriptyline (an anti-depressant) 10 mg per day. In addition, Licensee self-prescribed13acetaminophen and codeine (Tylenol #3, Schedule III) #40, in May of 2018. Licensee is14endangering his own health by self-prescribing medications, to include controlled substances.15Licensee’s conduct is in violation of ORS 677.190(1 )(a) unprofessional conduct, as defined by16ORS 677.188(4)(a) any conduct or practice contrary to recognized standards of ethics of the17medical profession or any conduct or practice which does or might constitute a danger to the18health or safety of a patient or the public, and ORS 677.190(24), prescribing a controlled19substance without a legitimate medical purpose, or without following accepted procedures for20examination of patients, or without following accepted procedures for record keeping.213.3Licensee has a diagnosed mental health condition which impairs his ability to22safely practice medicine. Licensee also customarily consumes 350 - 500 ml of fortified wine a23day with 17% alcohol content. Licensee does not appear to recall previous conversations with24Board representatives. Licensee is an impaired physician, and lacks the ability to practice with25reasonable competence and safety due to habitual or excessive use of drugs or alcohol, other26chemical dependency or a mental health condition, in violation of ORS 677.190(l)(a)27unprofessional conduct, as defined by ORS 677.188(4)(a) any condition which does or mightPage 2 - ORDER OF EMERGENCY SUSPENSION - Jerry Lee Schrader, MD

1adversely affect a physician’s ability safely and skillfully to practice medicine; and ORS2677.190(7) impairment.33.4The Board attempted to contact Licensee on multiple occasions by letter and4phone, and conducted one in-person visit, requesting that Licensee retire his medical license.5Licensee has failed to respond to the Board’s requests. Licensee’s failure to respond to multiple6Board requests violates ORS 677.190(l)(a) unprofessional conduct as defined in ORS7677.188(a) any conduct or practice contrary to recognized standards of ethics of the medical8profession; and ORS 677.190(17) failing to comply with a board request.94.10Licensee is entitled to a hearing as provided by the Administrative Procedures Act11(chapter 183), Oregon Revised Statutes. Licensee may be represented by legal counsel at a12hearing. If Licensee desires a hearing, the Board must receive Licensee’s written request for13hearing within ninety (90) days from the date the mailing of this Notice to Licensee, pursuant to14ORS 183.430(2). Upon receipt of a request for a hearing, the Board will notify Licensee of the15time and place of the hearing and will hold a hearing as soon as practical.161718195.The Board orders that pursuant to ORS 677.205(3), the license of Jerry Lee Schrader, DO,be suspended on an emergency basis, effective May .2 2019. at 5:00 p.m. Pacific Daylight Timeand that Licensee cease the practice of medicine until otherwise ordered by the Board.206.21NOTICE TO ACTIVE DUTY SERVICEMEMBERS: Active Duty Servicemembers22have a right to stay these proceedings under the federal Servicemembers Civil Relief Act. For23Hl24///25///26///27///Page 3 - ORDER OF EMERGENCY SUSPENSION - Jeny Lee Schrader, MD

1more information contact the Oregon State Bar at 800-452-8260, the Oregon Military2Department at 503-584-3571 or the nearest United States Armed Forces Legal Assistance Office3through http .7/legalassistancc.law. af.mil. The Oregon Military Department does not have a toll-4free telephone number.5IT IS SO ORDERED THIS U iav of May, 2019.67OREGON MEDICAL BOARDState of Oregon8910K. DEAN GUBLER,DOBOARD CHAIR1112131415161718192021222324252627Page 4 - ORDER OF EMERGENCY SUSPENSION - Jerry Lee Schrader, MD

1BEFORE THE2OREGON MEDICAL BOARD3STATE OF OREGON4In the Matter of5ADAM LEVI TROTTA, MDLICENSE NO. MD1847936ORDER TERMINATING INTERIMSTIPULATED ORDER781.9On December 28, 2018, Adam Levi Trotta, MD (Licensee) entered into an Interim10Stipulated Order with the Oregon Medical Board (Board). This Order placed Licensee’s medical11license at inactive status.12132.At its meeting on May 2, 2019, the Board reviewed this matter. The Board terminates the14December 28,2018, Interim Stipulated Order, effective the date this Order is signed by the15Board Chair.161719IT IS SO ORDERED thisday of May, 2019.OREGON MEDICAL BOARDState of Oregon202122K. DEAN GUBLER, DOBoard Chair2324252627Page -1 ORDER TERMINATING INTERIM STIPULATED ORDER - Adam Levi Trotta, MD

1BEFORE THE2OREGON MEDICAL BOARD3STATE OF OREGON456In the Matter ofANDREW CHO TSEN, MDLICENSE NO. MD200297)))))INTERIM STIPULATED ORDER1.8The Oregon Medical Board (Board) is the state agency responsible for licensing,910regulating and disciplining certain health care providers, including physicians, in the state of11Oregon. Andrew Cho Tsen, MD (Licensee) is a licensed physician in the State of Oregon and12holds an active medical license.2.13The Board received credible information regarding Licensee that resulted in the Board1415initiating an investigation. The results of the Board’s investigation to date have raised concerns16to the extent that the Board believes it necessary that Licensee agree to certain terms until the17investigation is completed.3.1819In order to address the Board’s concerns, Licensee and the Board agree to the entry of20this Interim Stipulated Order, which is not an admission of any wrongdoing on the part of the21Licensee, and will remain in effect while this matter is under investigation, and provides that22Licensee shall comply with the following conditions:233.1Licensee must not perform robotic mitral valve surgery on any patient.243.2Licensee understands that violating any term of this Order will be grounds for24disciplinary action under ORS 677.190(17).3.32526Licensee understands this Order becomes effective the date he signs it.///Page 1 - INTERIM STIPULATED ORDER - Andrew Cho Tsen, MD

2/2124.At the conclusion of the Board’s investigation, the Board will decide whether to close the3case or to proceed to some form of disciplinary action. If the Board determines, following that4review, not to lift the requirements of tills Order, Licensee may request a hearing to contest that5decision.65.7This order is issued by the Board pursuant to ORS 677.410, which grants the Board the8authority to attach conditions to the license of Licensee to practice medicine, These conditions9will remain in effect while the Board conducts a complete investigation in order to fully inform10itself with respect to the conduct of Licensee, Pursuant to ORS 677.425, Board investigative11materials are confidential and shall not be subject to public disclosure, nor shall they be admissible12as evidence in any judicial proceeding. However, as a stipulation this Order is a public document13and is reportable to the National Practitioner Databank and the Federation of State Medical Boards.1415161718IT IS SO ORDERED THIS Zid day of,2019.192021OREGON MEDICAL BOARDState of Oregon222324NICOLE KR1SHNASWAMI, JDEXECUTIVE DIRECTOR242526Page 2 - INTERIM STIPULATED ORDER - Andrew Cho Tsen, MD

*Trotta, Adam Levi, MD; MD184793; Medford, OR On May 6, 2019, the Board issued an Order Terminating Interim Stipulated Order. This Order terminates Licensee's December 28, 2018, Interim Stipulated Order. *Tsen, Andrew Cho, MD; MD20029; Portland, OR On May, 2, 2019, Licensee entered into an Interim Stipulated Order to voluntarily cease performing robotic mitral valve surgery pending the .