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Dr. Paul Volkman Claims Innocence In Ohio Pill Mill Case

Dr Paul Volkman

ANDREW WELSH-HUGGINS   02/13/12 05:07 PM ET  AP

COLUMBUS, Ohio — Dr. Paul Volkman has long denied charges that he doled out prescription painkillers so frequently and with so little regard to the health of the people he saw that he caused the deaths of four patients and may have played a role in eight other deaths.

Volkman maintained his innocence even after a federal jury convicted him of multiple counts last year, and he now wants a judge to release him rather than sentence him to a single extra day behind bars.

Volkman, 64, faces up to 20 years in prison Tuesday when he appears before Judge Sandra Beckwith in federal court in Cincinnati for sentencing.

The only appropriate sentence is "no further punishment beyond the ordeal to which V has already been subjected," Volkman, referring to himself as V, said in a 28-page handwritten filing submitted Monday after he fired his attorneys.

"In fact, at trial there was no evidence or testimonials presented to the jury that V ever exhibited any of the behaviors or characteristics commonly identified with a drug dealer," Volkman wrote. "V's medical charts, his former patients, and his nurses testified that his real conduct was that of a pain management physician and nothing else."

Volkman said he kept a regular office, obtained patients' prior treatment records, performed physicals to verify their condition, and required patients to sign forms promising to take the medication as prescribed.

Volkman was also convicted of eight other distribution counts that prosecutors said resulted in fatal overdoses but did not leave enough evidence to convict him of the deaths.

Volkman declined to testify at a lengthy trial last spring that saw 70 government witnesses, including pharmacists, police investigators, clinic employees and patients who received pills from Volkman.

Federal prosecutors have asked for the harshest penalty possible, saying Volkman's actions destroyed many lives.

"Volkman acted not out of any medical purpose, but out of greed," Assistant U.S. Attorney Adam Wright said in a filing earlier this year. "This criminal conduct had devastating consequences to the community Volkman was supposed to serve."

Beckwith allowed Volkman to represent himself after he expressed "strong distrust and dissatisfaction" with his lawyers.

A 2007 indictment alleged Volkman went to work at the Tri-State Health Care and Pain Management clinic in southern Ohio in 2003. The clinic was operated by a mother and daughter who have since pleaded guilty to one count of operating Tri-State as a place whose primary purpose was the illegal distribution of prescription drugs.

Denise Huffman and her daughter, Alice Huffman Ball, testified against Volkman at trial. Huffman Ball was sentenced to five years in prison last year, while Denise Huffman was also scheduled for sentencing Tuesday.

The indictment said patients came from hundreds of miles away and were charged $125 to $200 in cash for visits to see a doctor.

Prosecutors said Volkman rarely, if ever, counseled patients on alternative treatments for pain, such as physical therapy, surgery or addiction counseling. Volkman denied the allegations and said he always acted in good faith.

The Drug Enforcement Administration has identified southern Ohio as one of the hardest hit spots in the country for painkiller abuse. Overdose deaths driven by prescription painkiller abuse are now the leading cause of accidental death in Ohio over car crashes.

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Andrew Welsh-Huggins can be reached at . http://twitter.com/awhcolumbus

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COLUMBUS, Ohio — Dr. Paul Volkman has long denied charges that he doled out prescription painkillers so frequently and with so little regard to the health of the people he saw that he caused the...
COLUMBUS, Ohio — Dr. Paul Volkman has long denied charges that he doled out prescription painkillers so frequently and with so little regard to the health of the people he saw that he caused the...
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12:15 AM on 02/17/2012
It is amazing that treating pain or even things like depression elicit such a presumption of illicit activity that is pursued with a zeal approaching witch-hunting by law enforcement. It seems that pain is considered an earned or deserved punishment and that depression is a fault of character rather than a disease.
06:37 PM on 02/15/2012
Sounds like a legalized dope dealer!
04:57 PM on 02/15/2012
How much you want to bet he graduated 499th out of 500 in medical school. The 500th is in jail also.
04:23 AM on 02/15/2012
You can hardly to any doctor today who doesn't recommend you take a bunch of pills for one thing or another. The medical profession, in general, is pill-oriented. Some of it is due to the drug salesmen rewarding the doctors for recommending their drugs, and some it is due to simply the medical profession's false belief that drugs are the cure-all for every medical ailment that exists. It's more of a pharmaceutical issue than a medical issue.
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maybesomeday
War is not about who is right its about who's left
07:17 AM on 02/15/2012
I've said the same thing for years. Once this new profession "Pain Management" came about it was created by Pharmaceutical companies who have the most to gain from offering patients pills. Imagine the billions of dollar's big pharm is raking in each year because of this.

10 years ago there was no such thing as pain management physician's, there was no such thing as prescribing dangerous narcotic drugs for simple pain. Nowadays every one is in pain and I doubt very much the prescriptions justified the medical necessity that is written on a chart.

My best friend who loves her pills od'ed two weeks ago because she has this careless pain doctor that she doesn't even have to visit at his office, she just calls him up tells him what she wants and her husband goes to pick up the script. How's that for pain management? There was never a need to pain management, they just needed the doctor's who specialize in whatever field the specialize in to do their jobs and weed out pill poppers.
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Karissa36
Saving lost boys and fighting pirates.
09:47 AM on 02/15/2012
Originally, in the early 1990's, the specialty of pain management was designed to get people off of pain drugs. There were clinics with psychologists, physical therapists, and doctors, using things like massage, tens units, exercise, group therapy, and visualization. Some patients attended 4 to 6 hours a day, for 6 weeks or more. They were very successful, and worker's compensation and other companies often sent patients to them.

The "pill mill" doctors co-opted the name, but pain management as a specialty was never about just writing prescriptions.
11:42 AM on 02/15/2012
I've never been to a pain management doctor. How ever, my family doctor has written prescriptions, for over 20 years for pain, and has sent me to different rehabs. I've never lost any work time during these proccess. I'm close to 60, and never heard of a pain management office. Specialists in hospital offices, yes. A couple of times chiropractors had me to were I could barely move, but worked anyway. lol I have been on some strong pills on, and off. Without these aids I don't know where I'd have been. Probably not living.
11:45 AM on 02/15/2012
I think it is the pharmacuetical industry. They do the research. They cherry pick the results. They control and pay for continuing education. The doctors are resaponding to what is called evidence based medicine. It is a lie. I call it psuedo evidence based. A proper evaluation can not be done unless all sides are looked at. The industry only presents one side. Someone is getting rich here.
02:05 AM on 02/15/2012
Sounds like "V" is taking some of his own medicine! Hope his sorry backside rots in jail.
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DismayedRepub
300km/s Not just common sense, it’s the law
01:52 AM on 02/15/2012
When all of you start getting older and your bodies start giving way to the ravages of age. When your personality is destroyed by chronic pain, remember this persecution of the doctors that treat pain. There won’t be any of them left to help relive yours and improve the quality of your remaining days. If you’re unlucky enough that cancer invades your spine, the agony of living one more instant becomes too much to bear. I hope you have the decency to put a bullet in your head instead of letting your doctor take the fall of all those hydromorphone pills you took at one time to end your miserable existence.
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maybesomeday
War is not about who is right its about who's left
07:23 AM on 02/15/2012
What your talking about and what this doctor was doing are two different things. Of course there are real sufferer's who need pain medication in order to have quality of life. But what this doctor was doing was writing prescriptions for unnecessary problems. His medical records didn't justify his script writing.

In case you haven't noticed there are millions of people hooked on prescription drugs that they shouldn't have acces to. What 20 year old needs pain management medications? People are dying everyday and this doctor is part of the problem, now if only other doctor's would sit up and take notice that there is accountability and responsibility this will put an end to free wheeling doctor's looking to make money, rather than dispensing drugs that aren't necessary.
11:48 AM on 02/15/2012
Prohibition never works. If drugs were available we would not even have these stronger and more elaborate medications the companies make a fortune on. Withhold from the population and this is what we get. The law of unintended consequences.
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kevinbaja
politicians hate uninsured peasants....
01:06 AM on 02/15/2012
i wonder if mr. bouncy-bouncy is mourning this lost connection ?
12:45 AM on 02/15/2012
This rwaller individual has a badge. So this person is allowed to type something like that, to bring peoples spirts down? That doesn't promote conversation, and enjoyment in doing so. It's just a bunch of random negative comments put out their like this person is stating fact. Crimes happen in all states. I happen to be from Ohio, and don't appreciate you allowing comments like that. And yet you leave it there? I know it's freedom of speech, and all, but this individual goes to far. It's like a troll comment to start a bunch of bickering. Am I the only one to complain?
12:33 AM on 02/15/2012
An Addict is an Addict weather Prescription or Otherwise! No Two Ways about It.
I've dealt with Pain, (Emotional and Physical) Everyday as I gotten Older, But By God, I won't Let Medications Dictate My Live.
I've Made Some Drastic Life Changes and My Pain is Now Managaeable Without Meds!
Believe Me, If I can Do It Anyone Can Do It!
GOODDOC1
"civil war" is an oxymoron
01:03 AM on 02/15/2012
Until you have walked in the shoes of some of the people who have severe, chronic pain, you have no clue. Not everyone is able to do what you say you have done. Some can't even get out of bed without help, and have tried everything else. Their only other option may be suicide. Does it make you feel "good" to think you're superior to theres, because you're NOT. Your compassion is underwhelming!
06:32 AM on 02/15/2012
well said
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maybesomeday
War is not about who is right its about who's left
07:28 AM on 02/15/2012
I 100% agree with you. My Uncle may he rest in peace killed himself 2 years ago because of the pain. He spent his entire life as a fitness/health/bodybuilder. He would never put anything in his body unless it was healthy.

But then age caught up with him and he was suffering in unrelenting pain for years. Yes he was given medications for the pain, but he was miserable. He took his own life because he couldn't take the pain and didn't want to wind up in a nursing home. So he died on his terms and I miss him everyday.
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DismayedRepub
300km/s Not just common sense, it’s the law
02:06 AM on 02/15/2012
No! I don't believe you.
11:59 PM on 02/14/2012
Too many pills.
This user has chosen to opt out of the Badges program
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rwaller
My bio never meets guidelines!
10:12 PM on 02/14/2012
Ohio, isn't that part of the red, whiter and bluer heart land/bible belt? Odd how the most vocally pious states lead the country in EVERY negative social marker from divorce to infant mortality. Are the prayers simply not working or are they being lifted up to the wrong god?
10:00 PM on 02/14/2012
These comments and the present attitude scare me to death!!! I suffer from chronic pain and am on high doses of opiates just to get through each day. I tried many, many alternative means to cope with my deblitating pain, with no success, before I had to accept that, in order to participate in life, I would have to take these strong medications. Yes, I have become physically dependant on my pain medications (as well as on my blood pressure medication) but I am not a drug addict. A drug addict abuses these medications and becomes manipulative and demanding in attempting to increase the number of pills their doctors will give them. Almost all the people who truly suffer from chronic pain and are on pain medication try very hard not become an "addict" and to remain in control of their medications. The meds have a purpose!! Unfortunetly, there are people and unscrupulous doctors out there who abuse these meds and the medical system. However, we cannot let the behavior of these criminals affect the health and well-being of responsible patients and doctors.
11:02 PM on 02/14/2012
Ya know Jane, I believe it's stories like this that scares my own doctor into not allowing me the proper pain management medications. She had me on a medium dose of vicodine for a few years, and the last time I went for my six month check up, she changed me to something called trammadol. You have to take over the counter medications along with it for it to work as a pain killer. The vicodine worked perfectly, and I was taking it as advised. This new drug makes my ears ring, and I itch all over. I told her about that and, she looks me in the face and asks how many asprins I have to take with it. When Heath Ledger passed away she stopped a pill I took for insomnia, because she claimed he was taking that. So truely I think stories like this scare doctors into not prescribing what a person really needs for pain management. I'm close to 60, so I'm not a youngster, and I still do physical labor. So I really agree with your last sentence especially. Faned, and faved.
01:18 AM on 02/15/2012
I'm also from Ohio. Do you suppose our problems are because of the things super user rwaller states above? ;)
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maybesomeday
War is not about who is right its about who's left
07:33 AM on 02/15/2012
You need to find a different doctor, the one your seeing now is basing her medical practice on hysteria, rather than the patients needs. I wish you the best. Get another doctor who will treat you with respect and listen to your needs and your problems. What your present doctor is doing is basing it on her needs and her problems with abuse issues.

She takes the oath to do no harm yet she's harming you by not allowing you a quality of life you deserve. That's the whole point of being a doctor to help others, not harm them by taking a drugs because some celebrity dies.
11:48 PM on 02/14/2012
very well written. .. a fellow pain. fanned.
bonelessfluff
A mind is a terrible thing to eat
09:23 PM on 02/14/2012
I've never had a doctor this cool, uh, I mean horrible.
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HUFFPOST SUPER USER
tnlcallen
08:45 PM on 02/14/2012
I live in southern Ohio, and these pill mills are nothing more than legalized drug dealing. Thankfully they are finally shutting them down.
08:24 PM on 02/14/2012
I understand the legal bindings that a doctor has, and the recommended dosages that he should prescribe, depending on pain levels... but what dosages was he actually recommending these people take? Honestly, i feel like he should get in trouble to a certain extent... but murder? I mean, that's like cigarette companies being responsible for the deaths of people who smoke them. Or Mcdonalds being responsible for people who die from obesity... People make their own decisions, they willingly went to this guy, got pills, and if he recommended them to only take a certain amount (i wish this article said one way or the other what the actual dosages were) then how would he be responsible if someone OD'd? That's negligence on the patients part as well.
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maybesomeday
War is not about who is right its about who's left
07:38 AM on 02/15/2012
Maybe you could look at what the FDA allows as maxium dosage. Such as 120 oxycodone per month, the formula based on a every 6 hour dosage making it 4 times a day max. Maybe 180 max is allowed under the law, a pharmacist knows the laws and rules regulating maxium dosage's. Doctor's can't write willy nilly, they have to follow the regulations of the government and insurance companies.