Bradley v. Medical Board

56 Cal. App. 4th 445, 65 Cal. Rptr. 2d 483, 97 Cal. Daily Op. Serv. 5663, 97 Daily Journal DAR 9089, 1997 Cal. App. LEXIS 561
CourtCalifornia Court of Appeal
DecidedJuly 15, 1997
DocketD025434
StatusPublished
Cited by7 cases

This text of 56 Cal. App. 4th 445 (Bradley v. Medical Board) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Bradley v. Medical Board, 56 Cal. App. 4th 445, 65 Cal. Rptr. 2d 483, 97 Cal. Daily Op. Serv. 5663, 97 Daily Journal DAR 9089, 1997 Cal. App. LEXIS 561 (Cal. Ct. App. 1997).

Opinion

Opinion

WORK, Acting P. J.

After the Medical Board of California’s (the Board) 1 undercover investigation, it brought a disciplinary action against Vincent Bradley, M.D., charging him with unprofessional conduct consisting of “[prescribing . . . dangerous drugs . . . without a good faith prior examination and medical indication therefor . . . .” (Bus. & Prof. Code, §§ 2234, 2242, subd. (a).) Ultimately, Dr. Bradley voluntarily surrendered his medical license. He then sued the Board, the State of California (the State) and numerous individuals for violating his federal and state constitutional due process rights, and here appeals a defense summary judgment motion, in part based on defendants’ immunities. We affirm the judgment.

Factual and Procedural Background

In 1988, the Board received a letter from Mrs. B., registering a complaint against her daughter-in-law Lori B.’s physician, Dr. Bradley. According to Mrs. B., Lori was “seriously hooked on drugs,” and “when confronted with her drug problem [Lori] states she knows she is hooked on pain killing drugs and that ‘Dr. Bradley keeps her comfortable’.” Within a two-week period, Dr. Bradley purportedly wrote Lori six prescriptions for more than three hundred fifty tablets of various drugs, including Demerol, Percocet, Vicodin and Dalmane.

*450 Ed Raley, a senior investigator with the Board, decided to conduct an undercover investigation into Dr. Bradley’s prescription writing practices. Cynthia Brandenburg, also a Board investigator, Lisa Vitali and Deborah Giles, none of whom had a weight problem, agreed to act as Dr. Bradley’s “patients.” Raley instructed them “to request a drug, but to not suggest an ailment or a medical condition, nor admit to a medical problem.” Raley obtained the district attorney’s permission to record the “patients’ ” conversations with Dr. Bradley; however, only some of the conversations were actually recorded.

The women visited Dr. Bradley several times over approximately nine months, complaining of vague stomach problems. In addition, they requested drug prescriptions for unrelated reasons. For instance, at the end of one visit, Giles asked Dr. Bradley for a Fastin prescription, not for weight control but because she had been taking it daily for “energy.” Dr. Bradley complied. Giles returned a few months later for a prescription renewal, again advising Dr. Bradley she took Fastin only for extra energy. Again, Dr. Bradley complied.

Similarly, Brandenburg told Dr. Bradley she regularly took Fastin before exercising because it gave her extra energy. He complied with her request for a prescription. When Brandenburg returned for a renewal prescription, Dr. Bradley told her Fastin was not meant for extra energy and that she should try to taper off; however, he wrote her a prescription. On a third visit, Dr. Bradley noted Brandenburg took Fastin “mainly just for energy,” and did not “really need it.” Dr. Bradley told Brandenburg, “[y]ou probably aren’t as dependent on [Fastin] as you think, but it’s the idea—it has helped you for a period of time, and your body thinks it’s dependent on it.” While advising Brandenburg to taper off the drug, he wrote her another Fastin prescription.

Dr. Bradley prescribed one hundred Valiums for Vitali, after she told him she was not under stress, but customarily took them four or five times a week because they made her “feel good.” A month later, Vitali told Dr. Bradley she had misplaced the Valium during a move, and he prescribed another 100 tablets.

Raley sent the women’s declarations regarding the above to Irving Horowitz, M.D., a licensed physician with expertise in chemical dependency, drug abuse and inappropriate drug prescribing. In a written report, Dr. Horowitz stated “no medical indication or pathology was demonstrated for [Dr. Bradley’s] writing of [the] prescriptions,” and thus he concluded “the prescribing practices of Dr. Bradley in these instances [were] ill-advised, anti-therapeutic and inappropriate.”

*451 Based upon Dr. Horowitz’s report, Raley obtained a search warrant under Penal Code section 1524 2 and seized Dr. Bradley’s records regarding Brandenburg, Giles and Vitali. While the records showed the Fastin prescriptions, they did not show Vitali’s prescriptions for Valium. After reviewing the records, Dr. Horowitz wrote in a supplemental report he believed Dr. Bradley’s practices constituted incompetence, described as “a lack of knowledge and/or ability in discharging professional medical judgment,” and simple negligence, described as “a simple departure from the standard of medical practise [sz'c].” Raley referred the matter to the state Attorney General’s office for disciplinary action. 3

Deputy Attorney General Robert Whitlock filed an accusation against Dr. Bradley, charging him with seven counts of unprofessional conduct and requesting his license be suspended or revoked. After Dr. Bradley was served, the case was transferred to Deputy Attorney General Sherry Ledakis, and she filed an amendment to the accusation charging that in 1990 Dr. Bradley had pled no contest to a misdemeanor violation of Business and Professions Code section 4232, which requires physicians to maintain records of the disposition of dangerous drugs during business hours. 4

Ledakis also realized the accusation contained no charge regarding Lori B. She obtained Lori’s authorization to release her medical records; however, Dr. Bradley refused to comply. In the meantime, Ledakis sent Mrs. B.’s letter to David Bortz, M.D., for an evaluation. Dr. Bortz also spoke with Lori, who told him Dr. Bradley’s drug prescriptions “led to her becoming seriously drug addicted.” Dr. Bortz issued a preliminary report stating, “[o]n the basis of the information supplied by the patient, I feel that Dr. Bradley has been negligent in providing this standard of care. If in addition it turns out that he failed to inform the patient of the addictive nature of the medications prescribed, he will have shown to be grossly negligent. [*]D My final point is to emphasize that patients with narcotic additions [szc] can be extremely manipulative and accordingly, Dr. Bradley’s input is of great importance.”

*452 After Ledakis amended the accusation to include a charge Dr. Bradley violated Business and Professions Code section 725 by excessively prescribing drugs to Lori, he released her records. After reviewing them, Dr. Bortz changed his mind and determined Dr. Bradley’s treatment of Lori was appropriate. However, he noted the medical records were “nearly perfect” and suggested a handwriting expert examine the originals to see if they were authentic. Because the handwriting expert could not determine if any alterations had been made, Ledakis dismissed the charge pertaining to Lori.

On the fourth day of the hearing on the accusation, Dr. Bradley’s attorney, Ron Frant, advised the administrative law judge Dr. Bradley had been admitted to an emergency room with chest pains. The matter was continued, and at a status conference a week later Frant submitted declarations from a cardiologist and a psychiatrist attesting that Dr.

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Bluebook (online)
56 Cal. App. 4th 445, 65 Cal. Rptr. 2d 483, 97 Cal. Daily Op. Serv. 5663, 97 Daily Journal DAR 9089, 1997 Cal. App. LEXIS 561, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bradley-v-medical-board-calctapp-1997.