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Colorado Mental Health Institute News for Colorado You be the Judge...

Colorado Medical Board Takes Emergency Action to Suspend The License of Lakewood Psychiatrist Harry Taub

The Colorado Medical Board took emergency action in January to suspend the license of Lakewood psychiatrist Harry Taub after reviewing information that he deliberately and willfully violated the Medical Practice Act and/or that he has a physical or mental condition that makes him unsafe to practice with reasonable skill and safety to patients.

Documents related to the case, which date back to 2003, are posted on the Colorado Department of Regulatory Agencies website.  The documents detail a history of substance abuse that started with Taub’s addiction to cough syrup, which began sometime after he was issued a resident’s Training License to practice medicine in North Carolina in 2001.

In 2003, Taub was arrested in North Carolina on a felony charge of obtaining a controlled substance by forgery.  Taub admitted he had written prescriptions for Percocet for himself under a fictitious name for about a year.  He entered into a deferral agreement, under which the charge against him would be dismissed if he followed his treatment plan and submitted to drug testing while on supervised probation for one year.

In 2008, Taub was arrested again and charged with two counts of obtaining a controlled substance by fraud/forgery.  He pled guilty to the charges, was given a suspended sentence of four to five months and was placed on supervised probation.  He entered a substance abuse treatment program.  The North Carolina Medical Board indefinitely suspended his license to practice, and records show the license subsequently became inactive in 2009.

In 2011, Taub applied for a license to practice in Colorado.  An evaluation by the Colorado Physician Health Program concluded Taub was safe to practice if he was under treatment and monitoring.

In May 2012, the Colorado Medical Board granted a restricted license that required Taub to comply with numerous conditions for a period of five years, including treatment monitoring and abstinence from addictive substances, monitoring of the prescriptions he wrote, and monitoring of his psychiatric practice.

Taub treated children and adolescents.  In June 2013, a monitor’s review of Taub’s practice found his treatment and medication management of three child and adolescent psychiatric patients fell below generally accepted standards and that he failed to make essential entries in the records of seven patients.  This is unprofessional conduct, as defined in Colorado law.

The Medical Board found that the situation required emergency action.  Instead of an immediate suspension of Taub’s license, it allowed Taub to enter into an agreement not to practice, pending further evaluation and investigation by the Board.

In July 2013, the Medical Board placed Taub’s license on probation for five years and required him to meet a lengthy list of conditions, including treatment and drug monitoring, keeping a log of prescriptions he wrote, practice monitoring, an education program, and quality reviews.

On January 8, 2016, the Colorado Medical Board received information that Taub had used alcohol and a controlled substance and that he has a physical or mental condition that renders him unsafe to practice.  The Medical Board concluded the situation required emergency action and suspended Taub’s license to practice, pending further resolution of the matter.

You decide.  Has the Medical Board handled this psychiatrist’s case appropriately?

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News for Colorado You be the Judge...

Elise Sannar: Did The Colorado Medical Board Discipline This Psychiatrist Appropriately?

The state medical boards of Colorado and California handled the professional misconduct of an Aurora psychiatrist very differently.

Psychiatrist Elise Sannar signed stipulations with the Colorado State Board of Medical Examiners in 2007 and 2009, in which she admitted professional misconduct.  Because she was licensed in both Colorado and California, her conduct was the subject of reviews by the medical boards of both states.

According to the Colorado State Board of Medical Examiners’ Second Stipulation and Final Agency Order dated July 16, 2009 and available on the Colorado Department of Regulatory Agencies website, psychiatrist Sannar admitted to the following facts:

  • From July 2005 to July 2006, she took a leave of absence from a residency program in psychiatry at the University of Colorado Health Sciences Center so she could work as a forensic psychiatrist at the Colorado Mental Health Institute at Pueblo (CMHIP).
  • In August 2005, patient J.M., an inmate, was transferred to CMHIP with a legal status of Incompetent to Proceed in court with criminal charges against him.  Sannar was his treating psychiatrist from roughly the time he arrived at CMHIP through November 2005.
  • While in treatment with psychiatrist Sannar, J.M. informed her that he had developed romantic feelings for her.  Sannar did not transfer J.M. to another psychiatrist for treatment, as was required by generally accepted standards of practice.
  • J.M. left CMHIP in November 2005 with a legal status of Competent to Proceed, after which he was tried on criminal charges and ultimately sentenced to four years in prison.
  • Within six months of the end of treating him at CMHIP, Sannar began a romantic relationship with J.M., which continued until approximately February 2007.  The details were not specified in the public documents.
  • Sannar admits through the documents she signed that she “was aware at all relevant times of the ethical and medical impropriety of beginning and maintaining such a relationship with a patient.”

With a finding of unprofessional conduct, the Colorado State Board of Medical Examiners has a range of disciplinary actions it can take, including suspending, revoking, placing on probation or otherwise restricting, limiting or placing conditions on a license.

What did the Colorado Medical Examiners Board do?  It gave her five years probation, dating from November 16, 2007, with certain treatment and monitoring required for Sannar and certain restrictions on her treatment of patients, as detailed in the Second Stipulation and Final Agency Order.  Her license remained active.

What did the Medical Board of California do with the same set of facts and admissions from Sannar?  It got a signed Stipulation for Surrender of License from her.  (The document can be accessed on the Medical Board of California website by entering license #96357.)  Sannar can no longer practice as a psychiatrist in the state of California.

Last month, the Colorado State Board of Medical Examiners took yet another action, this time to terminate Sannar’s Second Stipulation after just 3½ years of probation, apparently on Sannar’s petition for early termination.  Her license is now active without any conditions in the state of Colorado.

According to her online Physician Profile, Sannar is currently employed as a psychiatrist by the Children’s Hospital in Aurora, and has faculty affiliations at both Children’s Hospital and the University of Colorado Hospital.

What do you think?  Did the Colorado State Board of Medical Examiners act appropriately under the circumstances?

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News for Colorado You be the Judge...

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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