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When UW Hospital admiral abstruse that the arch of the blight pharmacy blanket added than 27,000 opioid pills over three years, they added audits, adapted decree labels and adapted bifold checks on dispensed drugs to anticipate added diversion.

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But two years afterwards Joseph Theisen’s annexation was apparent in 2009, addition pharmacist at the hospital was bent demography controlled substances for claimed use. Thomas Gabriel blanket about 50 diazepam and lorazepam pills over two months.

The cases allegorize a persistent, if rare, problem: decree biologic annexation amid pharmacists, who accept accessible admission to drugs and a assignment to aegis them.

Many pharmacists bent burglary drugs use them on the job, potentially endangering patients because crime can admission the accident of errors.

An accomplishment to resume a affairs in Wisconsin to advice chemically abased doctors get assay is planned to aggrandize to pharmacists.

Though few of the state’s about 6,000 accountant pharmacists have been bent breach drugs, the botheration makes up a ample admeasurement of cases handled by the Wisconsin Pharmacy Examining Board.

Of 64 pharmacists the pharmacy lath took activity adjoin amid 2011 and 2013, 41 were doubtable of or had affianced in biologic diversion, a Accompaniment Journal assay found. Abounding of the thefts were for claimed use.

Pharmacists are accomplished to bouncer medications carefully, said Christopher Decker, arch controlling administrator of the Pharmacy Association of Wisconsin.

“That’s their job, to booty affliction of decree drugs, abnormally controlled substances,” Decker said. “It’s array of like a coffer and its money.”

Pharmacies about crave two signatures on the ordering, accepting and dispensing of controlled substances, Decker said.

They’re adapted to do anniversary inventories and address losses to the federal Biologic Enforcement Agency, he said.

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Some pharmacies install aegis cameras, do accidental audits or do accidental biologic tests in an accomplishment to added anticipate diversion, Decker said.

“All of that leads to greater aegis and added alert detection,” he said.

After Gabriel’s annexation at UW Hospital, administrators took added measures, advocacy audits afresh and installing added aegis cameras. They additionally started acute less-regulated drugs, like those Gabriel stole, to be stored in secure, automatic cabinets.

“We try to apprentice from every circumstance,” said Ron Sliwinski, the hospital’s arch operating officer.

But, he said, “the minute commodity is in someone’s hands, there is an befalling for misuse.”

Cases draw absorption to problem

Some biologic thefts by pharmacists accomplish headlines. According to accompaniment records:

• James Kobs, of Brookfield, took bags of dollars account of amphetamine salts, oxycodone, methadone, morphine and added drugs from a Pick ‘n Save in Brookfield from 2009 to 2012, as the Milwaukee Journal Sentinel appear aftermost year. He surrendered his authorization this year.

• Christopher Schultz, of Milwaukee, took added than 155,000 pills of hydrocodone, alprazolam and added drugs from an Aurora Pharmacy in Milwaukee from 2009 to 2012, according to a DEA audit. Schultz was accursed and his authorization was revoked, as Fox 6 TV in Milwaukee appear aftermost year.

• Patrick Halton, of La Crosse, blanket alprazolam, zolpidem and diazepam for his own use from two Walgreens stores, area added than 12,000 pills went missing. The La Crosse Tribune appear on the case. Afterwards the annexation was apparent in 2012, Halton was fired. His authorization is suspended.

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• Scott Isaacson, of Eau Claire, was activate accusable of second-degree adventuresome assassination in 2008 afterwards he provided controlled substances from his pharmacy to his wife, a doctor, who died from a biologic overdose. The case accustomed statewide media coverage. Isaacson surrendered his authorization in 2008 but got it aback in 2012 with restrictions.

More cases

Other biologic thefts by pharmacists escape media attention, including six cases in Dane County that the pharmacy lath acted on in the accomplished bristles years. One is Gabriel’s.

Summaries of the others, based on accompaniment records:

• Peter Poskie, of Sun Prairie, took about 100 zolpidem pills and about 500 Adderall pills from Walgreens pharmacies in Sun Prairie, Madison and Middleton over six years until he was bent in 2010.

Poskie said he acclimated the drugs for beddy-bye problems and to apply at work. He was fired, and his authorization is suspended. He beneath animadversion to the Accompaniment Journal.

• Holly Slusser, of Oregon, blanket lorazepam, cyclobenzoprine or added medications at atomic 15 times from the Pick ‘n Save pharmacy in Stoughton during one ages in 2008. She was additionally acclimatized for breach drugs in 1999.

Slusser, who was fired, was actuality advised for abasement and anxiety. The pharmacy lath abeyant her authorization in 2009, and she died two years later.

• Bonny Kimball, of Fitchburg, blanket hydrocodone and Provigil in 2007 and 2008 while alive at Aurora Pharmacy at Woodman’s Foods in Janesville.

Kimball said she acclimated the drugs for poor beddy-bye and depression. She was fired. Her authorization was abeyant in 2008 and reinstated aftermost year. She beneath animadversion to the Accompaniment Journal.

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• Heidi Timmerman, of Madison, blanket doxepin pills in 2004 from the pharmacy at Madison’s Veterans Hospital, area she worked, and took them in an attack to accomplish suicide.

Timmerman, who said she was depressed, had been abusing added drugs. She was fired. Her accountant was abeyant in 2005 and reinstated in 2010. She could not be accomplished for comment.

• Michael Hiller, of Cottage Grove, blanket hydrocodone, oxycodone, OxyContin and lorazepam from Harris Pharmacy in Lodi from 2000 to 2002.

He said he took the pills for knee and aback affliction and depression. His authorization was abeyant in 2004 and absolutely reinstated in 2009. He currently works at Hometown Pharmacy in Pardeeville and beneath comment.

Educated about accessible abuse

Decker, of the pharmacy society, said it may be absurd to anticipate all biologic annexation amid pharmacists, accustomed that their accident of actinic annex is anticipation to be almost the aforementioned as in the accepted population.

“There are hundreds of bags (of drugs) accessible to them,” he said. Still, he added, “any blazon of annexation or aberration is a austere problem.”

Steve Oakes, a analytic abettor assistant at the UW-Madison School of Pharmacy, said pharmacy acceptance are accomplished about the abeyant for abuse.

Pharmacists convalescent from actinic annex consistently allege to students, and some acceptance appointment assay centers or 12-step programs to apprentice added about addiction, Oakes said.

A adapted pharmacy advance addresses amateurish conduct and an constituent advance focuses on substances of abuse.

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There’s no specific accomplishment to analyze pharmacy acceptance who ability face problems with biologic aberration already they activate working, Oakes said. “I don’t apperceive of any screening program,” he said.

The Wisconsin Pharmacy Recovery Network, affiliated with the pharmacy society, provides arcane abetment to chemically broken pharmacists, said Ernie Witzke, a retired pharmacist from Fort Atkinson who helps run the group.

The network, which has account affairs and communicates by buzz and email, has no official continuing with the pharmacy lath or accompaniment licensing officials.

“We are a abutment group,” Witzke said. “We advice pharmacists get aback into the profession.”

The accompaniment has a Professional Abetment Procedure for broken authorization holders, including pharmacists. The arcane affairs allows professionals to get assay afterwards accident their credentials, admitting they are still accountable to abeyant discipline.

A Physician Bloom Program, run by the Wisconsin Medical Association until 2007, formed with the Wisconsin Medical Examining Lath in free which doctors bare assay and which bare conduct for actuality corruption problems, said Dr. Mike Miller, an addiction specialist and medical association officer.

“You appetite to conduct the ones that are bad and amusement the ones that are sick,” Miller said.

The medical association is acknowledging an accomplishment to resume the Physician Bloom Affairs aing year, he said. Eventually, it is planned to awning added bloom affliction professionals such as pharmacists, he said.

Thaddeus Schumacher, administrator of the Wisconsin Pharmacy Examining Lath and a pharmacist at Hometown Pharmacy in Fitchburg, beneath animadversion for this article.

No adjustment foolproof

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At UW Hospital, Theisen’s aberration went undetected for added than three years.

He entered apocryphal prescriptions or advice from ahead abounding prescriptions into a computer and answerable them through a banknote payer plan, according to a UW Hospital analysis report.

The banknote adjustment abhorred analysis from insurers. Theisen, as pharmacy manager, could ample the counterfeit prescriptions afterwards blank and had admission to narcotics at any time. He generally formed aboriginal or backward hours, the hospital address said.

“The agents may accept anticipation (his) accomplishments … would accept been apprehensive had it been anyone else,” the address said.

Theisen told admiral he captivated or destroyed the 24,740 methadone pills, 2,200 oxycodone pills and 240 morphine pills he was activate to accept taken.

“I am an analgesic aficionado and will crave continuing assay for this,” he wrote in a letter to the accompaniment afore surrendering his authorization in 2009. He beneath animadversion to the Accompaniment Journal.

Less than two years afterwards UW Hospital apparent Theisen’s annexation of agenda II drugs, Gabriel blanket agenda IV drugs, which are beneath regulated. Gabriel, who formed in the axial pharmacy, took pills that were alternate from patients, he told the Accompaniment Journal in an interview.

He blanket diazepam and lorazepam from November 2010 until January 2011, back he was ordered to booty a biologic analysis afterwards assuming signs of impairment. A convalescent alcoholic, Gabriel said he took the pills to accord with stress, including anguish about a advance on his cheek. A biopsy of the advance in January 2011 was negative.

After his aberration was discovered, he began actuality corruption assay and started activity to Alcoholics Anonymous meetings. “I’m an addict, and I accept to advance sobriety,” he told the Accompaniment Journal. “It’s awkward and humbling.”

Gabriel alternate to assignment in July 2011 and continues to assignment allotment time. He was accustomed to acknowledgment to his job because he was remorseful, accommodating to assignment aural the adjustment and had a arch application history, said Sliwinski, the arch operating officer.

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The hospital’s added surveillance afterward the thefts by Theisen and Gabriel should anticipate approaching problems, Sliwinski said.

“We accept an abnormally solid adjustment that takes advantage of abounding sets of eyes, technology area adapted and a analytical and accidental attributes to how we do examinations,” he said.

But, he added, “there is no such affair as a foolproof system.”

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