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Ann Barbara Seig: Did The Colorado Medical Board Discipline This Psychiatrist Appropriately?

Englewood, Colorado psychiatrist Ann Barbara Seig is the subject of disciplinary action by the Colorado Medical Board for unprofessional conduct. According to a Second Stipulation and Final Agency Order dated March 10, 2011 and publicly posted on the Colorado Department of Regulatory Agencies (DORA) website, psychiatrist Seig (referred to in the document as “Respondent”) did the following:

“Respondent treated patient C.H. from approximately November 2006 through April 2009. C.H. presented with panic attacks, alcohol use and a history of delirium tremens. Respondent began treatment of a previously untreated hairline fracture of C.H.’s heel with Percocet, without data to support the diagnosis. Respondent doubled C.H.’s dose of Percocet within one week. Respondent doubled patient C.H.’s dose of Percocet in the following six months, adding Vicodin to 120 mg. daily doses, and refilled prescriptions by telephone, without office visits. In August 2007, Respondent made a note in patient C.H.’s medical record that the patient was emaciated, but made no plan to evaluate. In December 2007, patient C.H. continued to prescribe narcotics, but did not make any referral to or consultation with an orthopedist or podiatrist. After Respondent surrendered her DEA [U.S. Drug Enforcement Administration] registration, Respondent changed her diagnosis of patient C.H. from panic disorder to bipolar disorder, despite continued alcohol use and symptoms of benzodiazepine withdrawal. Respondent proceeded to treat patient C.H. with a combination of two antipsychotic medications, mood stabilizers, antidepressants and anticonvulsants.”

More unprofessional conduct with other patients is also detailed in the Second Stipulation and Final Agency Order. You can read the whole document here. (If the DORA login page appears, select Division of Registrations Board/Program Action Documents, click Login, and the document will appear.)

The disciplinary actions available to the Medical Board include suspending, revoking, placing on probation or otherwise restricting, limiting or placing conditions on a medical license. They also include a letter of admonition or other letter of reprimand.

So what did the Medical Board’s Panel of Inquiry decide to do with this psychiatrist? Answer: her license remains active with conditions, including five years of probation, an education program and practice monitoring, as detailed here. (If the DORA login page appears, select Division of Registrations Board/Program Action Documents, click Login, and the document will appear.)

What do you think? Did the Medical Board act appropriately under the circumstances?

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