By PETER HUSSMANN
The Iowa Board of Medicine has again pushed back a hearing into disciplinary charges brought against a Newton doctor accusing him of prescribing excessive controlled substances to numerous patients, including those with known drug abuse histories.
The Statement of Charges against Lafeyette J. Twyner accusing him of professional incompetency, inappropriate prescribing, improper pain management and unethical or unprofessional conduct will now be heard on Aug. 16 and 17, information on the Iowa Board of Medicine's hearing calendar indicates. The hearing had previously been reset for July 10 and 11 after the April hearing date was continued.
Dr. Twyner "prescribed large quantities of potentially lethal drugs to numerous patients with known substance abuse histories who exhibited drug-seeking behavior on numerous occasions" without establishing an appropriate physician-patient relationship, without performing or documenting an appropriate physical examination, without establishing appropriate treatment plans and without discussion of the risks of the use of the controlled substances, the charges state.
Dr. Twyner has also been sued in civil court by a Newton woman who claims his "negligent care" of her husband led to his addiction to narcotic drugs and ultimately his premature death.
Federal agents executed a search warrant at Dr. Twyner's medical office in Newton in April 2011.