Masood v. Division of Professional Regulation

2022 IL App (1st) 211530-U
CourtAppellate Court of Illinois
DecidedMarch 2, 2022
Docket1-21-1530
StatusUnpublished
Cited by1 cases

This text of 2022 IL App (1st) 211530-U (Masood v. Division of Professional Regulation) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Masood v. Division of Professional Regulation, 2022 IL App (1st) 211530-U (Ill. Ct. App. 2022).

Opinion

2022 IL App (1st) 211530-U

THIRD DIVISION March 2, 2022

No. 1-21-1530

NOTICE: This order was filed under Supreme Court Rule 23 and is not precedent except in the limited circumstances allowed under Rule 23(e)(1). ______________________________________________________________________________

IN THE APPELLATE COURT OF ILLINOIS FIRST JUDICIAL DISTRICT ______________________________________________________________________________

SHAHID MASOOD, M.D., ) Appeal from the ) Circuit Court ) of Cook County Plaintiff-Appellant, ) ) v. ) ) No. 21 CH 05718 DIVISION OF PROFESSIONAL REGULATION of the ) ILLINOIS DEPARTMENT OF FINANCIAL AND ) PROFESSIONAL REGULATION, and CECILIA ) ABUNDIS, in her official capacity as ACTING ) DIRECTOR of the DIVISION OF PROFESSIONAL ) REGULATION, ) Honorable ) David B. Atkins, Defendants-Appellees. ) Judge Presiding. _____________________________________________________________________________

JUSTICE McBRIDE delivered the judgment of the court. Presiding Justice Gordon and Justice Ellis concurred in the judgment.

ORDER

¶1 Held: Denial of physician appellant’s motion to stay the suspension of his medical licenses affirmed where appellant failed to provide a sufficient record to support his claim that the circuit court abused its discretion.

¶2 This is an interlocutory appeal from a circuit court order denying Plaintiff-Appellant Dr.

Shahid Masood’s motion to stay the suspension of his medical licenses pending administrative No. 1-21-1530

review. The Director of the Division of Professional Regulation of the Illinois Department of

Financial and Professional Regulation (“Department”) indefinitely suspended Masood’s medical

licenses for a minimum period of two years, finding that Masood excessively overprescribed

controlled substances over extended periods of time to two patients with underlying substance

abuse issues. The circuit court denied Masood’s motion to stay that suspension, finding that a stay

was not supported by public policy, and that Masood failed to establish a reasonable likelihood of

success on the merits on administrative review. Masood appeals, arguing that the circuit court

abused its discretion in denying his request for a stay.

¶3 The record shows that Masood is a physician holding a Physician and Surgeon License and

a Controlled Substance License, both issued by the Department, an administrative agency tasked

with licensing and regulating professions and trades, including physicians in Illinois. See 20 ILCS

2105/2105-1, et seq. (2020); 225 ILCS 60/1, et seq. (2020).

¶4 The Department filed an administrative complaint against Masood on August 18, 2017,

and an amended administrative complaint thereafter, on March 4, 2019. Although copies of the

complaint and amended complaint do not appear in the common law record filed on appeal, other

filings in the record indicate that the amended complaint alleged four counts. Specifically, (1) that

Masood prescribed very large amounts of several controlled substances—totaling more than

750,000 tablets over a two-year period—to multiple patients at his practice, including out of state

patients; (2) that Masood engaged in improper care of patient S.J.; (3) that Masood improperly

treated S.W., a registered nurse employed by Masood with a history of substance abuse, by

prescribing her excessive quantities of controlled substances and failing to monitor her drug use;

and (4) that Masood improperly treated patient M.S. by failing to evaluate him for warning signs

of addiction and continuing to prescribe him excessive quantities of controlled substances.

2 No. 1-21-1530

¶5 The matter proceeded to a hearing over the course of several days before an administrative

law judge (ALJ). At that hearing, the ALJ heard testimony from 10 witnesses and 17 exhibits were

entered into evidence. Neither a transcript of the hearing, nor the exhibits, appear in the record on

appeal.

¶6 Following the hearing, the ALJ issued an 89-page “Report and Recommendation,” in

which the ALJ extensively described the hearing and the evidence presented. The ALJ noted that

during the hearing, the Department withdrew the second count against Masood regarding patient

S.J., and that the Department was given leave to supplement its complaint with another count

alleging that Masood failed to comply with the Department’s subpoena.

¶7 The ALJ found that the Department proved counts three and four, regarding his treatment

of patients S.W. and M.S., by clear and convincing evidence. These charges alleged that Masood

violated his duty of care and various provisions of the Medical Practice Act, 225 ILCS 60/1, et

seq. (2020), as well as the Illinois Controlled Substances Act, 720 ILCS 570/100, et seq. (2020),

when treating these two patients over extended periods of time. The ALJ found that by prescribing

excessive quantities of controlled substances to these two patients, Masood breached the accepted

standard of care, engaged in dishonorable and unethical conduct, and prescribed medication for

uses other than those medically accepted. The ALJ noted that in 2018, the United States Drug

Enforcement Administration (DEA) investigated Masood regarding his narcotic prescription

practices, and the investigation ultimately resulted in him entering into a Memorandum of

Agreement with the DEA that, among other things, restricted him from prescribing, administering,

or dispensing Schedule II controlled substances for three years.

¶8 The ALJ found that Masood prescribed excessive amounts of controlled substances when

treating S.W., a registered nurse with a history of substance abuse who worked at Masood’s

3 No. 1-21-1530

practice. At the time Masood treated her, she was on probation with the Department as a result of

her substance abuse. While the ALJ noted Masood’s testimony that he was unaware of S.W.’s

probation, the ALJ found Masood’s testimony incredible. Over the course of nearly eight months,

Masood repeatedly prescribed S.W. large quantities of Xanax (a Schedule IV benzodiazepine),

OxyContin (a Schedule II opioid), Soma (a Schedule IV muscle relaxant), and Adderall (a

Schedule II stimulant), totaling more than 400 tablets in any given month. The ALJ explained that

the combination of a benzodiazepine, an opioid, and a muscle relaxer is known colloquially as

“trinity,” and is “used as an intoxicant” and “metabolized into a sedative barbiturate.”

¶9 The ALJ then explained the testimony of the Department’s expert, Dr. Asokumar

Buvanendran, who had reviewed the medical records of S.W. Dr. Buvanendran testified that the

records indicated S.W. complained of “minimal” and “non-specific” pain, and that the dosages

prescribed were not consistent with the pain reflected in S.W.’s records. Dr. Buvanendran testified

that Masood repeatedly prescribed a “very high dosage” that was “not clinically justified” for

S.W.’s complaints. The ALJ further noted that on several occasions, the medical records reflected

no discomfort or other pain, which the ALJ found strongly supported a conclusion that the

medications administered were excessive.

¶ 10 The ALJ concluded that Masood was not prescribing medication for a medically accepted

therapeutic purpose but rather with the intent to provide S.W. with sufficient controlled substances

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