Longoria: This week, Olga Khazan peers into an internet portal to try to find one answer to how on earth we found ourselves in an opioid crisis. His case offers a unique look at the opioid crisis. I dont. The nurse practitioner Jeffrey Young produced a reality-TV pilot in which he branded himself "the Rock Doc., The week that followed Martin Luther King Jr.s assassination was revolutionaryso why was it nearly forgotten? Julia Longoria: Over 20 years ago, pharmaceutical companies began to market the use of a magical pill. Jeff wanted what was best for his patient. In August 2015, Young prescribed MY what the letter calls a dangerous combination of an opioid, a benzodiazepine, and a muscle relaxant. Weeks after the indictment made national news, the clinic was packed with people coming and going, one woman who worked in a building with a view of the parking lot told me. The scenes are meant to serve as a testament to the effectiveness of Youngs work hard, play harder ethos. One former employee told me its not clear whether Young was exchanging prescriptions for sex or just giving his many girlfriends the medications they asked for. He tied the knot with his beautiful wife Dr. Petra. FNP Jeff Young Jr. shares his life with his fans and promotes a healthy and fun lifestyle to make you "young" at heart! Before long, the three men hatched a plan to found a network of health clinics that would check patients cholesterol levels and offer diet and exercise advice. If a patient would text him a compliment, he would blast it all over Facebook, one former employee told me. Young put his name behind charity projects around town, took health insurance, and offered discounts for people who otherwise couldnt afford care. The grosser side. One of them was that I had the story all wrong. was found dead of an apparent overdose. Years before the launch of PreventaGenix, Young had already been accused of abusing his nurse-practitioner license. And Im like, Oh. [A beat.] JACKSON, Tenn. The end is nowhere close for three medical professionals charged in a federal opioid crackdown earlier this year. Listen to the trailer for. The Experiment is a co-production of The Atlantic and WNYC Studios. Scott Deberry: Everyone in his office was all white. Its light and upbeat.). Then it rewinds into nothingness.). The next year, Jeff prescribed M.Y. He was the casual party guy, not the stuffy doctor. Young: So, the, uh, the sinister ministerthat would be me (Fades under again.). Khazan: So, like, that doctor-patient interaction and how the opioids actually got prescribed. 1:07. Young: Hi, my name is Jeff Young. Khazan: And some of what she saw really weirded her out. Young appeared to operate more subtly. The cause of death, according to the letter, was a probable cardiac event due to polypharmacy, or the simultaneous use of multiple drugs.. It feels claustrophobic.). Federal prosecutors who charged him in a massive opioid bust say he overprescribed painkillers, often for "money, notoriety, and sexual favors." Young's case provides a rare gl Christi Calles lived 30 miles away in Lexington. Listen to the trailer for, The Hard-Partying, Rock-Obsessed Nurse at the Center of a Massive Opioid Bust. (Lo-fi synthesizer music plays up. One employee recalled him sometimes being too drunk to see patients. (A long beat of music. About four years after its investigation began, the nursing board finally held a hearing to consider his fate. Khazan: Jeff and his friend Kevin would often head to Periscope to defend themselves. The clinic sat on a quiet road crammed with other medical practicesa sleep doctor, a dentist, a nephrologist, an orthodontisteach in its own brick McMansion. You may not like my piercings. The waiting room often overflowed with patients. LaRhonda Scott Deberry: When I first met him, I thought maybe he was prejudiced. They go on working. Multiple surveys show that people tend to trust health-care workers more than they trust many other professionals, including police officers and clergy members. In July 2016, the Tennessee Bureau of Investigation began looking into allegations that Young was overprescribing opioids. The lack of oversight in the Young case is in keeping with practices seen throughout the opioid crisis. You ready? He would try to squeeze in even more patient visits each daysometimes well over 50, former employees sayand would either forget to document services or would document services he hadnt provided. On my trip, I strolled by a glass case near the federal courthouse that held a large Bible opened to the Gospel of John. I mean, you could just kind of tell you could trust him. Phillips popped off to a friend.). Its heavy, and it loops. Fact-check by Michelle Ciarrocca and Jack Segelstein. Hed wear Halloween masks and make off-color jokes. Furthermore, Dr. Young along with his wife and daughter Melody works at his clinic. Thank you for listening. Theres actually a diagnosis called white-coat hypertension. Its when your blood pressure spikes in a doctors office because the whole experience is nerve-racking. (She did not want to be named for fear of jeopardizing her business.) 1:32. Longoria: Opioids would be a new kind of painkiller to treat not just acute pain after an event like a surgery, but also pain that was more mundane, like chronic back pain that patients would complain about for years, but which doctors didnt have a clear cure for. Lax regulations played a role. Young was by no means nationally or even regionally known. Hes prescribing drugs that people want, another man added. Jeffery Dale Young known as Dr. Jeff Young or Dr. Jeff is American Veterinarian and a reality TV actor. And were gonna send a message. They called it the single largest crackdown on prescription opioids in history. But tonally, much of the footage betrays him. Jackson, a city of about 70,000 people, looks like almost any midsize patch of America that sprang up sometime after the Pilgrims but before Microsoft. Young: (Over hard-rock music.) To one patient, who he prescribed hydrocodone, amphetamines, and fentanyl, he said, I accept all insurance. Former employees speculated that he met the women in bars. And the consequences might have gone beyond sexual abuse and addiction. Young neither admits nor denies the following allegations, Tracy Alcock, a lawyer with the state health department, said at the hearing, but he acknowledges that the departments proof would show the following: From August 2013 to November 2016, Young prescribed controlled substances in amounts and for durations that were not medically necessary, advisable, or justified for a diagnosed condition. The board put his license on probation for two years, during which time he could not prescribe certain Schedule II or Schedule III controlled substances, including drugs such as oxycodone, fentanyl, Vicodin, and Adderall. Together, they are the parents of three children and have seven grandchildren. He seemed, to his former employees, constitutionally unable to deny patients the pills they wanted, even if it was the last thing they needed. Rachel Fullington, an early employee of Youngs, told me Young wanted the clinics atmosphere to be loose and fun, while the others wanted it to be more buttoned-up. Rudins lawyer did not respond to a request for comment. They didnt have tattoos. I mean, if somebody pats you on the back, that aint coming on to you. And I said, And they say that youre trading sex for medication. He was like, You know, these motherfuckers lie all the damn time. [Chuckles.] Do you feel safe with Mr. Young being out there? a prosecutor on the case, Andrew Pennebaker, asked Pickering in court. Strippers, tattoo artists, and rock-band groupies saw a kindred spirit in Young and came to him as patients. [A moment of indistinct crosstalk.] In the past five years, at least 40 medical providers nationwide have been accused of exchanging sex for addictive drugs. Jeff refilled M.Y.s prescriptions for Percocet and Valium and gave him a new one for hydrocodone. PreventaGenix had a back door, and before long employees started noticing that some female patients would come in through it and go directly to Youngs office. A new court filing, first reported by The Tennessean last week, portrays the Rock Doc as a menacing figure at the intersection of the opioid crisis and the #MeToo movement. Im Julia Longoria. Im too good for you because I got this money, or whatever. 40 members in the TDBauto community. To have a medical provider be polite to you, accept you, maybe even dig through your charts to find the root cause of your ailmentsit can be validating. As so often happens with irresponsible medical providers, Youngs popularity in the communityalong with an indifferent, slow-moving bureaucracyallowed him to operate for half a decade despite initial warning signs and then multiple arrests and investigations. At the same time, building himself up as a renegade nurse practitioner seems to have allowed Young to sweep his faults under the rug of unconventionality. A Professional theme for architects, construction and interior designers Naylor: They would look at me and say [Dismissively. After PreventaGenix shut down, Young told his patients on Facebook that they could contact Reitz and Patels attorney to get their medical records. The daughter, Melody, actually works in her dad's vet clinic. Trust me, I got people, he says to the camera. His lawyer also declined to answer any specific allegations. The clinic sat on a quiet road crammed with other medical practicesa sleep doctor, a dentist, a nephrologist, an orthodontisteach in its own . Ill meet you there. Young became known for putting drugs into the hands of almost anyone who asked. Listen and subscribe: Apple Podcasts | Spotify | Stitcher | Google Podcasts, The patients of the nurse practitioner and aspiring reality star Jeffrey Young say he helped them like nobody else could. As the cameraman who filmed the pilot told me, Everywhere he went, it was like the Beatles., But the way in which Young gained some of these fans has become the focus of a federal court case. Were going to take the worst of the worst. Why would you go to this doctor? LeAnn Naylor: I have not had a lot of positive interactions with doctors. Khazan: In his Periscope videos, Jeff insisted it was all fun and games, and people were just criticizing him because of his style. You need to be a certain kind of person to want a reality-TV show about yourself. Calles: Doctors judged me because of my weight. One person with knowledge of the case gave me a list of several women who, the person believed, were having sex with Young in exchange for drugs. Will be glad to take the balance out of your ass. To another, Jeff asked, You want to come by for a checkup tomorrow? Longoria: Olga Khazan is a staff writer at The Atlantic whos been covering the opioid epidemic for the last seven years. This ingratiating tendency allegedly extended to handing out prescriptions. This striking 6ft 3in person embodies kanji tattoos on his biceps, and the effortlessly cool personality will describe how one sees him. Rumors started to spread in town that strange things were going on in Jeffs office. (Patel did not respond to requests for comment.) Young: That was what Im going to say. Jeffrey Young wanted to give you a real look inside his clinic. This distinction is important, because while nurse practitioners are functioning in the same capacity as physiciansordering and interpreting And, to be honest, most of the time when you see a white male with a lot of tattoos, theyre usually not someone that hangs around with people of different races. His vision was, evidently, to one day launch a reality series of the same name. Federal prosecutors say his help often amounted to dealing drugs for sex. He wasnt in pain. Whenever he ran into trouble, his fans would fill his social-media feeds with pledges of support. Youngs story raises the question of where care crosses into harm. The judge denied this request, in part because, he wrote, Young has chosen to not wear a mask or practice social distancing consistently in jail., In September, Gutgsell, Youngs former office manager, pleaded guilty to federal charges for her involvement in prescribing opioids without a legitimate medical purpose.*. But that did not put a stop to Youngs ambitions. We wont know if Young is guilty of everything the government says he is, or how much additional time, if any, he will serve, until later this year. And that was not the case at all. Our team also includes Gabrielle Berbey, Emily Botein, Matt Collette, Tracie Hunte, and me, Natalia Ramirez. He gave Young total control over what was recorded. Find Instagram, Twitter, Facebook and TikTok profiles, images and more on IDCrawl - free people search website. It doesnt sound like much of a sella middle-aged man doling out medical advice in a city midway between Memphis and Nashville. Music by Tasty Morsels and Nelson Nance. We thought we would close out the daythe third Periscope of the daywith a little fireside chat. He invited a cameraman to document his life and eventually had it edited into a pilot for a reality-TV show. Khazan: Thirty-one doctors and seven other nurse practitioners were busted in that same Justice Department sweep that caught Jeff. Longoria: And what part of the crisis were you most focused on? ], Oh, you look fine to me.. Why didnt anyone try to put a stop to this? I just had a lot of questions about how could this happen, you know? Because he prescribed my opiates, and I took them as prescribed, and I had no problems with it. His black shirt collar didnt quite hide the tattoos on the back of his neck. He was like, No, we do Botox and stuff for people, and dah-dah-dah-dah. Defending himself in one of his on-camera interviews, Young acknowledges that he is maybe a little untraditional and that he might like to drink a little bit after hours. But, he says, Im very passionate about what I do I work hard, but I play harder. Youngs practice was, for a time, an inexpensive, reliable option for medical care in Jackson. Otherwise, fledgling practices, in particular, risk losing patients. Kevin: Jeff and I are full of antics. Thats okay. All of them said that they didnt think Jeff sexually abused them. She would get phone calls at her house, answer, and hear only strange whispers, she said in a court hearing. Young is . In addition to steroid shots, Young prescribed her oxycodone, Xanax, and Adderall for her various medical issues. Patients would spend an hour or two in the waiting room, only to get a rushed exam and prescription. Youngs devotees have maintained for years that he was a great man on a noble mission, and that people who spoke against him didnt understand his radical approach. The man says if he were ever shot, he would go to Young before going to the hospital. In March 2019, the health department received a complaint that Young had inappropriate sexual contact with patients, and sent him a letter of warning without disciplining him. You may not like what I stand for. They entered the office and ordered the clinics staffers to lie on the floor. Of course other doctors dont write as many prescriptions, the implication seemed to be. With Young at least temporarily behind bars, some of his fans seem to have reached a point of disillusionment with the Rock Docor, at least, a point of fatigue. And even then, I didnt want to hear it. Mellow and slow, it moves under the narration the way water moves through a stream.). And most doctors youve seen, they give off this persona as like, Im too cool. On it, they found evidence of Young having sex with many different women, one of whom appeared to be motionless and had her eyes closed, a DEA agent testified later. Young was among them. (The drugmaker that is most often blamed for the epidemic doesnt agree with this assessment: Suggesting that activities that last occurred more than 16 years ago are responsible for todays complex and multifaceted opioid crisis is deeply flawed, a Purdue Pharma spokesperson, Robert Josephson, said in a statement to The New York Times for a story on this issue.). I visited Youngs clinic, but, through a staffer, he declined to speak with me. Not all of them were into the whole edgy hard-rock thing at first. He has pleaded not guilty to all the charges against him. Purdue ad doctor: These drugswhich, I repeat, are our best, strongest pain medicationsshould be used much more than they are for patients in pain. Young benefited from an almost reflexive societal trust in the medical profession. And he said, You be sure and tell them that Jeff is the best doctor Ive ever seen. He said, Promise me you will tell them that. I said, I promise I will. I said, I will tell them that., (The music plays up for a long moment, then fades out under the narration.). Khazan: When Jeffs indictment became public, LeAnnlike many of his former patientswas suspicious at first. But the allegations against him point toward what can be permissible, even celebrated, in a medical system built on profit. Young: (Serious, and a little angry.) Ultimately, what hastened Youngs downfall is that some of the female patients asking him for drugs were undercover officers. The pilot footagesome of which Young posted to YouTube, and some of which I obtained from a person who was once close to Youngportrays the Rock Doc as a medical bad boy whos willing to break free from the establishment to deliver real talk. Young was late to the office almost every day. It was just rocked out. After the raid, Young spent the night in jail on an outstanding warrant, and PreventaGenix closed soon after. Young would continue to prescribe drugs there for two more years. Khazan: He had an account on Periscope, the live-streaming site. Less than half answered. In 2014, Jeff started seeing a patient with the initials M.Y. Obesity and diabetes are rampant; so is chronic pain. Young failed to diagnose the mans hypertension and overprescribed to him, according to court testimony, and later the patient suffered a stroke. Not that theyre not cheating on their wives. Its a small town; people talk. Most doctor appointments, after all, average a nerve-racking 17 minutes, in which you spill out a complicated medical history and pray the doctor has a good solution. Khazan: When I first started talking to Jeffs former patients, I thought I understood this story. Moreover, throwing some glimpse of lights to his personal life, Dr. Jeff is a happily married man. Calles: I dont know. One former patient who had a falling-out with Young told me he or someone associated with him attacked her on the internet forum Topix, calling her a whore and a drunk. She said her home address and photos of her adult daughters were posted on the site, along with rape threats directed at her daughters. Khazan: And Christi also told me a very similar thing as the other patients I talked to: Shes had terrible experiences with other doctors. His lawyer also declined to answer any specific allegations. (Plucky yet funky music plays. Then it fades out.). Employees I spoke with said he eventually was seeing 50 to 85 patients a day, compared with about 20 for the average doctor, and most of them seemed to be on opioids. Khazan: Her husband had severe dehydration and was suffering from a heat stroke. Khazan: Not long after Jeff opened Preventagenix, the Tennessee nursing board started to investigate him for prescribing high doses of opioids to his patients, even when he didnt have a good medical reason. The clinic mostly offered cosmetic treatments, and it was located in a strip mall in a more industrial part of town, next to a chiropractor and a place called Genes Tire & Wrecker. You may not like my sexy-ass beard. Khazan: In 2016, Jeff tried to broadcast his world even more widely. The week that followed Martin Luther King Jr.s assassination was revolutionaryso why was it nearly forgotten? Without doing a physical exam, Young diagnosed MY with chronic lower-back pain and anxiety, the letter details. The week that followed Martin Luther King Jr.s assassination was revolutionaryso why was it nearly forgotten? had lower back pain and complained of numbness in his left arm. I had had back surgery, and I really had real problems that no one wanted to listen to me about. M.Y. Yeah. Well all be killed., It helped that Young had prominent friends he could call on for help. Additional audio from Purdue Pharma, The Rock Doc TV Show, @JY2RocDoc, and Bat Pig Pictures. Updated at 10:28 p.m. Fullington, who was also let go, told me she got a threatening call from Young. Hey! Khazan: Tanya had a different theory about where all the criticism was actually coming from. Longoria: And one of those worst of the worst providers stood out from the others. every time. He helped her a lot with her pain. So what, I dont go get fucked up at the country club with the rest of the stiffs here in J-Town? Young was indicted on drug-trafficking charges in April 2019. Khazan: The Rock Doc, Jeff Young, has been in jail for almost two years, awaiting trial. Ballard: I dont believe Jeff overprescribed medication. (A moment of narrative silence. (Laughs heartily.). (A meandering guitar melody enters the background. We put out calls and emails to dozens of Jeff Youngs patients. Later that month, M.Y. But Young soon revealed a blustering personality that started to overwhelm the team project. One admitted that Young had flirted with her. Throughout Jackson, he had created for himself a reputation as a rock-and-roll renegade, happily showing off his piercings, tattoos, and goatee. Opioid manufacturers such as Endo, the maker of Opana, and Purdue Pharma, the maker of OxyContin, targeted high-volume providers, in particular generalists, nurse practitioners, and physician assistants, who generally had less expertise in pain management and were more receptive to marketing from sales consultants, according to a lawsuit filed by the state of Tennessee against Endo in May 2019. Prosecutors say Young used his rebellious persona to take advantage of patients, distributing highly addictive painkillers on demand and in large quantities for profitand, often, his own sexual gratification. They would shut off the power so they had an excuse to close the clinic on those days. Longoria: There are many pieces to the puzzle of how opioids found their way into so many medicine cabinets. At Youngs practice, the quantities of opioids were larger than many investigations that I conducted, Shirley Pickering, a nursing-board investigator, later said in court. [Chuckles.] Looking for Jeff Young online? Long after the criminal charges against him became known, many of Youngs patients and friends came to his defenseincluding some whom he had seemingly wronged. For the cosmetically minded, he hosted alcohol-fueled Botox parties. He would chitchat with his patients, ask them about their latest tattoos. Five other medical providers, just in Jackson, were indicted too. He may have that, but hes not Hes down to earth. (A long moment of music with no narration before it fades out. Khazan: LaRhonda was skepticalbut she was also dealing with a lot of pain. And now we see the result. In confessional-style interviews, Young seems to enjoy offending anyone whos shocked by his approach. He never admitted to anything that would make him look bad. Off camera, Young allegedly prescribed 1.4 million addictive pills and had sex with female patients. (Four years later, the health department received a complaint about this testosterone sideline, but the complaint was never assigned to an investigator, according to Pickering.) Calles: Oh my gosh. Khazan: Anyone online could watch him, say, biopsy someones skin while listening to hard rock. Occasionally he would glare at his ex-wife Dawn, who was in the gallery. Apparently she felt strongly enough about it that he wouldnt leave her alone if she went to see him. Hed also given her tips on how to eat better and how to lose weight. He has been arrested several times, though not convicted, for assaulting women. Stephanie had been in an abusive relationship and dealt with a slew of other traumas. (Soft percussive synthesizer music plays.). They are often too under-resourced and understaffed to keep a watchful eye on all medical providers. Dr. Jeff is married to Petra Mickova Petra though she is his second wife. On Instagram, photos tagged #preventagenix show Young on a motorcycle, surrounded by women. But it seemed like she wasnt the only one getting pain meds from the Rock Doc. She told me that Jeff took her pain seriously. For the occasion of his detention hearing, Young wore a cerulean suit and a comb-over. Hes just one of the guys that you could drink a beer with, or you can go let him give you a shot in the ass (Fades under.). That would make him look bad the stuffy doctor over what was.! Really weirded her out would get phone calls at her house, answer, Bat! Of support the Tennessee Bureau of investigation began looking into allegations that Young had prominent friends he could call for! Then, I accept all insurance past five years, at least 40 rockdoc jeff young. 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