To: Alan Whirlwind who wrote (15930 ) 10/16/2002 6:58:22 PM From: sea_urchin Read Replies (1) | Respond to of 81191 When ordering Viagra always insist on being well-examined (especially if the practitioner is attractive). Medscape Medical News Medical Board Disciplines Doctor for Online Prescribing Cathy Tokarski Oct. 10, 2002 — Minnesota's Board of Medical Practice has reprimanded a physician who prescribed Viagra over the Internet to a patient he had never met. According to the board, the physician approved the prescription without examining the patient or establishing a physician-patient relationship, which is required under state law. The disciplinary action, the first in Minnesota, signals growing concern among states about how to monitor Internet prescribing of the anti-impotence drug Viagra and other popular medications. Last month, the Council for Responsible Telemedicine issued voluntary standards to educate patients about online healthcare and protect them from unscrupulous telemedicine providers. In this case, the patient filled out an online form and ordered a package of 100-mg tablets of Viagra, according to an Oct. 2 article in the St. Paul Pioneer Press. The prescription was written by Syed T. Hoda, MBBS, who has a medical degree from Pakistan and licenses to practice medicine in Minnesota and North Carolina. In January 2002, Dr. Hoda's medical license had been suspended for 60 days by the North Carolina Medical Board for prescribing medication without performing a physical examination. In addition to the reprimand, the Minnesota board also prohibited Dr. Hoda from prescribing medication to anyone without first performing a physical examination unless a physician-patient relationship had already been established. Under a new law passed by the Minnesota Legislature that took effect on July 1, out-of-state physicians who provide telemedicine services to Minnesota patients must register annually with the Board of Medical Practice. Physicians eligible to register with the state must have an unrestricted medical license in another state and cannot have any actions against their license. Reviewed by Gary D. Vogin, MD