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Mason City doctor fined by Iowa Board of Medicine after charge of improper pain management

DES MOINES – A doctor practicing in Mason City is working through an Iowa Board of Medicine charge of improper pain management, state documents show.

Janice A. Kirsch, M.D., a 56-year-old Iowa-licensed physician who practices family medicine in Mason City, Iowa, had an amended order issued by the Iowa Board of Medicine on August 2, 2019.

On February 15, 2018, Dr. Kirsch entered into a combined Statement of Charges and Settlement Agreement with the Board. The Board charged Dr. Kirsch with improper pain management. The Board alleged that Dr. Kirsch violated the laws and rules governing the practice of medicine in Iowa when she failed to provide appropriate pain management to multiple patients in Mason City, Iowa, between 2010 and 2017. Under the terms of the February 15, 2018, combined Statement of Charges and Settlement Agreement, the Board prohibited Dr. Kirsch from prescribing, administering or dispensing controlled substances for the treatment of *chronic* pain under her Iowa medical license. This prohibition did not prohibit Dr. Kirsch from prescribing, administering or dispensing controlled substances for the treatment of *acute* pain.  The board gave Kirsch a warning, 3 years of probation, a $5,000 civil penalty and she had to complete a records-keeping course.

On June 24, 2019, Dr. Kirsch requested that she be permitted to provide refill prescriptions of Tramadol for patients currently taking Tramadol and be allowed to prescribe controlled substances to patients in nursing homes. Under the terms of the August 2, 2019, Amended Order, the Board permitted Dr. Kirsch to prescribe controlled substances to patients in residential hospice and nursing home settings and refill prescriptions of Tramadol for patients who currently have a prescription for Tramadol.

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Anonymous

December 25, 2019 at 2:54 am
“The Board charged Dr. Kirsch with improper pain management. The Board alleged that Dr. Kirsch violated the laws and rules governing the practice of medicine in Iowa when she failed to provide appropriate pain management to multiple patients in Mason City, Iowa, between 2010 and 2017.”

Improper pain management,failed to provide, these are things they usually say when they slap a doctor for bogus prescriptions, or OVER MEDICATING CAUSING AN ADDICTION.
So, I think I do comprehend it just fine.

There are people that desperately need these drugs for pain. They are being denied because of illegal addiction.

Do not help people in pain we will punish you for that

How about, don’t give a prescription for controlled substances for the treatment of *acute* or *chronic* pain.
Now, for us normal people, we read it as don’t give a prescription for controlled substances to addicts.

You think you are better than the person you just belittled. All because of her/his choice of sentence structure and word usage. If anyone is an addict, it’s more likely than not, you.

You, obviously, can not comprehend what you read. How unfortunate for you.
They said, “Do not help people in pain we will punish you for that.” Saying that the doctor was doing things that were LEGAL and just giving these to people that truly did have a NEED(other than addiction) for them.
What I said was the doctor got themselves in trouble for writing bogus prescriptions to addicts.
If YOU can’t figure that out, there is something wrong between your ears.

Sorry, I let a conversation I was having at the time side track me.

They said, “Do not help people in pain we will punish you for that.” Meaning they assumed the doctor was doling out the prescriptions only were legitimately needed, and got sanctioned(punished) for it.

Don’t think you are the one who can’t comprehend!! Sarcasm = Don’t help people in pain because they may punish you. There are patients who actually need the medication, but because of the huge straight across the board cuts of prescriptions to anyone, they failed the people who actually needed them. Dr Kirsch was probably refilling meds for patients in need, but the board didn’t like the amount of patients that included. She was probably following her ethics treating those patients in need and got punished for it.

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