Hulse v. Sheriff

498 P.2d 1317, 88 Nev. 393, 1972 Nev. LEXIS 479
CourtNevada Supreme Court
DecidedJune 29, 1972
DocketNo. 6742
StatusPublished
Cited by2 cases

This text of 498 P.2d 1317 (Hulse v. Sheriff) is published on Counsel Stack Legal Research, covering Nevada Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hulse v. Sheriff, 498 P.2d 1317, 88 Nev. 393, 1972 Nev. LEXIS 479 (Neb. 1972).

Opinions

[395]*395OPINION

By the Court, Batjer, J.:

The appellant is a licensed physician practicing medicine in Las Vegas. He was charged by criminal complaint with unlawfully prescribing narcotic drugs in violation of NRS 453.0301 and NRS 453.080(1).2 After a preliminary examination the appellant was bound over to the district court for trial. He petitioned for a writ of habeas corpus, contending that there was not sufficient evidence presented to the magistrate to constitute probable cause to believe that a crime had been committed or that he had committed a crime. The district corat denied the writ and dismissed the petition. This appeal followed.

The appellant practiced medicine in Las Vegas in association with two other physicians. On several occasions one Larry Chapman had been treated by one of the appellant’s associates for a bowel disorder known as diverticulitis. That physician had prescribed an antibiotic and the drug “numorphan,”3 a narcotic, to relieve the patient’s pain. According to that doctor’s records the patient was allergic to analgesics, but he had been able to take numorphan without a reaction.

[396]*396In January of 1970, the appellant’s associate was unable to see Chapman, and he was given an appointment with the appellant. The appellant reviewed the patient’s medical record and took from him a history of abdominal pain which had been diagnosed as diverticulitis. The patient also related that he had been treated by other physicians for that condition before seeing the appellant’s associate. A physical examination of the patient conducted by the appellant revealed that he had considerable pain in the lower left side of his abdomen. This fact, together with the patient’s medical history, suggested to the appellant that Chapman was suffering from recurring diverticulitis. The appellant suggested a diet and prescribed a combination of antibiotics to combat any infection that might be causing intestinal inflammation, and numorphan to relieve pain.

The appellant saw Chapman at periodic office visits during the next several months. He testified that he continued to prescribe antibiotics and numorphan to enable the patient to function normally in his occupation. On one of the office visits, when the appellant suspected that a complication had developed in the nature of a diverticular abscess, he referred the patient to another physician who saw him on several occasions. That physician’s examination of the patient essentially confirmed that Chapman suffered pain and had symptoms characteristic of diverticulitis. A berium enema was given by a radiologist and x-rays were taken, but the quality of the x-rays was such that the actual presence of diverticulitis could neither be confirmed nor excluded. The appellant arranged for Chapman to receive hospital treatment, but according to appellant’s testimony the patient contended that his finances would not permit hospitalization.

Over the course of approximately seven months the appellant saw Chapman some twenty-four times. Some visits were at regularly scheduled appointments and some were unscheduled. A total of sixty-eight prescriptions were written for the patient, all for ten milligram numorphan tablets. The appellant’s office records were somewhat sketchy. Sometimes he would make an entry describing what occurred at an office visit, and sometimes he would not. Sometimes he would note what medication he prescribed for the patient, and sometimes he would not. On several of the patient’s visits the appellant wrote out more than one prescription for the drug numorphan, and some of the prescriptions were undated. In all, the appellant prescribed numorphan for the patient at the rate of approximately 50 tablets per day over the seven month period.

The appellant testified that he wrote multiple prescriptions, [397]*397and that he wrote undated prescriptions because occasionally he planned to be out of town and away from his office, and he did not want the patient to run out of the medication. His testimony was to the effect that he was genuinely concerned about the amount of pain the patient was suffering and the persistence of that pain.

Eventually the appellant became concerned about the amount of numorphan Chapman seemed to require, and he testified that they discussed its narcotic characteristics. He claimed to have encouraged the patient to try to control his use of numorphan, and that he believed the patient was tapering off in his use of the drug. Later, however, when the patient’s tolerance seemed to be increasing, the appellant became concerned about possible addiction. He further testified that he had no prior experience with any addict so he made inquiry of the Las Vegas police department to see if Chapman had any record of drug addiction. He was informed that there was no record.

In August of 1970 an investigator from the Clark County District Attorney’s office informed the appellant that Chapman was being investigated for forged prescriptions, and that several physicians were under investigation also. The appellant asked the investigator what he should do if he saw Chapman again. He was told to telephone the investigator. The appellant did have occasion to see Chapman again, at the hospital parking lot, and they discussed the forged prescriptions. The appellant told the patient that unless he consented to being hospitalized he could not prescribe any more medication for his pain. The patient continued to deny financial means to become hospitalized, complained of continuing pain and requested another prescription. The appellant gave the patient a final prescription, then called the investigator and related what had happened at this confrontation with Chapman.

Throughout the entire period of some seven months the appellant charged the patient only for the office visits, and then only the routine fee. No charge was made for the unscheduled visits or for the times the appellant saw the patient without making a notation on his chart. No charge was ever made for the prescriptions. The investigator who testified at the preliminary examination admitted that there was no evidence that the appellant received anything by way of profit from the prescriptions given to Chapman, and the state acknowledged that the investigation of the appellant failed to disclose any evidence that he had prescribed the narcotic numorphan for any other individual.

On the record before us it appears that the relationship [398]*398between appellant and Chapman was a genuine physician-patient relationship. Furthermore, it appears that the appellant’s prescription of the drug numorphan was in good faith. There is nothing in the record to suggest that the appellant was concerned with anything except the treatment of a genuine physical ailment and the relief of the pain that such ailment was causing to the patient. Even the final prescription was given to relieve Chapman’s professed pain and in the hope that it would lead to his hospitalization. Moreover, the appellant reported what he had done to the district attorney’s office in accordance with instructions.

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Related

Commonwealth v. Wood
457 N.E.2d 1131 (Massachusetts Appeals Court, 1983)
Beutler v. State
504 P.2d 699 (Nevada Supreme Court, 1972)

Cite This Page — Counsel Stack

Bluebook (online)
498 P.2d 1317, 88 Nev. 393, 1972 Nev. LEXIS 479, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hulse-v-sheriff-nev-1972.