They entered the office and ordered the clinics staffers to lie on the floor. [A moment of indistinct crosstalk.] The agents seized about 350 of Youngs patient charts and every computer in the office, according to Gutgsell, the former office manager, and the notice of seizure states that about 10,000 individual doses of hydrocodone were also taken. Young had an active channel on Periscope, where he and Phillips drank and waxed philosophical. Several others dismissed the notion that Young could be sexually coercive. No one else seemed capable of treating all her problemsthroat swelling, high blood pressure, attention issues. Mellow and slow, it moves under the narration the way water moves through a stream.). Another said, I was thinking of you today and how much you have helped me.. 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. Naylor: And I remember him saying, Bring him to the office. Heres what I can tell you about the JY2, all right? If PreventaGenix staffers suspected that a patient was abusing drugs, they would sometimes try to fire the patient, by telling him or her not to return to the clinic. Patients would spend an hour or two in the waiting room, only to get a rushed exam and prescription. The sharpteeth charge through and run into the rock spire and fall down. After PreventaGenix shut down, Young told his patients on Facebook that they could contact Reitz and Patels attorney to get their medical records. (Laughs heartily.). But they helped create the opioid crisis all the same. Khazan: Jeff had been good to Tanya in the clinic, which was an experience that she didnt usually have with doctors. In an email to The Atlantic, Working said that when it came to Phillipss actions, there was no direct threat. Naylor: I said, Go see Jeff. And she said, Id rather not. And I said, Why? And she said, Because if I go see him, hell start texting me and calling me. And I said, And wanting to go out with you? And she said, Yeah. Thats the thing. In September 2014, Young, Reitz, and Patel opened their first clinic and called it PreventaGenix. [Laughs.] Khazan: A lot of them, unfortunately, went with it. Throughout Jackson, he had created for himself a reputation as a rock-and-roll renegade, happily showing off his piercings, tattoos, and goatee. Trial dates have been set for "Rock Doc" Jeffery Young, his supervising physicians, and two more medical professionals recently indicted on additional drug trafficking charges. Young: Listen, I am for the patient. You may not like my tattoos. (Later, Phillips pleaded guilty to threatening a Drug Enforcement Administration agent who was investigating Young. He made them feel comfortable in a way that no other doctor did. Instead, Young began by kicking Reitz out of the business, Reitz told me. I cant wait to start being your patient again, one woman wrote. Once again, there was an outpouring of support. I cant say for sure what the right course of treatment for LaRhonda was, and where opioids fit into that. (Dawn did not press charges at the time, and she declined to speak with me for this story.). And whats remarkable about the Rock Doc is that he streamed his private interactions with patients online. Thats the big joke. every time. An obese man explains that Young helped him with his swollen leg. Khazan: Christi Calles was the patient who loved listening to Stairway to Heaven.. Still, the citys southernness peeks through. Jackson nurse-practitioner Jeffrey Young, known as the "Rock Doc," was released on bond and will be allowed to continue treating patients, a federal judge ruled Thursday. In his early adulthood, he was a straitlaced young Republican who had short hair and wore a tie much of the time, one of his former co-workers told me. Theres this moment in one of the videos that I keep thinking about: Young: (Over more pool filtration.) His followers across social-media accounts numbered in the low thousandshigher than a casual users, but a trifle compared with even a C-list celebritys fan base. (A moment of narrative silence. 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. Through his attorney, he declined to comment on this and the other allegations in this story because of a gag order issued by the judge in the case.). Kevin: And were going to ask our friendsour warriors out thereto put these folks in their place, because, you know, the Golden Rule. You may not like what I stand for. 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. The first move of any significant consequence for Young came in early 2017, when the DEA raided the clinic. This episode was reported by Olga Khazan and produced by Alvin Melathe. But Young was eager to let the world know that he was no typical nurse practitioner. Jeffrey Young was one of those people. At other times, PreventaGenix staffers would stumble upon a woman he had brought to the clinic the previous night. Not that theyre not watching internet porn. Khazan: But the pilot also showed the other side of Jeff. Sound design by David Herman. Yeah, thats prettythats very distressing. With a heavy Mercy me, Phillips produces a pair of womens panties from a bag. In recent years, the Justice Department has started coming for unscrupulous doctors and pharmacists, too. Naylor: Yes, he does. We put out calls and emails to dozens of Jeff Youngs patients. (A long moment of music with no narration before it fades out. And it was immediately clear that he is not your average medical provider. He has three children, two sons, and a daughter, from his first marriage. ET on January 28, 2021. But it played [Emphasizing.] The cause of death, according to the letter, was a probable cardiac event due to polypharmacy, or the simultaneous use of multiple drugs.. Toward the end of PreventaGenix, the nurse practitioner so many people had praised deteriorated, according to former employees. The allegations against Young seemed to take a toll on him, though. So you got to be a good judge of character. States largely rely on medical boards to regulate practitioners, but these entities have a reputation for leniency. I had a lot of Why on earth? questions, the Atlantic reporter Olga Khazan says. In addition to steroid shots, Young prescribed her oxycodone, Xanax, and Adderall for her various medical issues. She became his patient around 2016. In one post, tagged with American holocaust, he writes, I have always been a survivor and have scars of significance to symbolize thus, and this is where they have underestimated me and my resolve., In March 2020, after the coronavirus pandemic broke out, Young petitioned the court to be released to house arrest because he was on immunosuppressive drugs for a kidney transplant he had years ago and was concerned about the risk of complications from COVID-19. Many medical providers are small-business owners who operate with limited oversight from authorities. To get from pharma lab to medicine cabinet, the drug needed to pass through one of the most sacred spaces in America. There were reports of after-hours partiespossibly of Jeff having sex with his patients. Khazan: When Jeffs indictment became public, LeAnnlike many of his former patientswas suspicious at first. Jeffrey Young wanted to give you a real look inside his clinic. Despite some patients praise for Young, the evidence that he routinely walked far over that line remains alarming. Im like, Im as outspoken as he is. A year later, the Tennessee nursing board suspended his ability to prescribe most opioids and other controlled substances for two years, saying that he had prescribed them irresponsibly. Having hordes of fans seems to have allowed Young to buy more deeply into his own rock-and-roll fantasy, which in turn gave him the confidence to broadcast his life through even more videos and updates. Hes just laid back. 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.*. Jeff immediately sees that he is inyou know, hes in pretty bad shape. Hed also given her tips on how to eat better and how to lose weight. But when he suggested it the way he did, I took it seriously. Hed wandered off into the woods. Purdue ad doctor: These drugswhich, I repeat, are our best, strongest pain medicationsshould be used much more than they are for patients in pain. 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. Though the system came slowly for Young, during the years he was being investigated America underwent a national reckoning about opioids. He didnt pull any punches, she said. Throughout the opioid epidemic, a distressing number of doctors have seen a perverse opportunity in Americans suffering. The former patient told me she became afraid to leave her house. I am very nervous about it, she replied. Unnamed guest: I cant believe he stabbed himself (Fades under.). In his frequent social-media updates, he would drink and flip off the camera. Wear a short skirt and no panties.. He never admitted to anything that would make him look bad. Jeff didnt monitor M.Y.s use, or talk to him about the danger of combining drugs. Tennessees nursing board, the main agency that has power over nurse practitioners in the state, launched its investigation into Young within a year of PreventaGenix opening. Off camera, Young allegedly prescribed 1.4 million addictive pills and had sex with female patients. Like many actual rock stars, he flamed out on his own extravagant lifestyle. 2,760 Followers, 1,655 Following, 2,046 Posts - See Instagram photos and videos from Jeff Young II (JY2) #RockDoc (@jeffyoungii) 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. Nearly a fifth of the citys residents live below the poverty line, and many are afflicted with chronic diseases that often accompany the stresses of a low income. He invited a cameraman to document his life and eventually had it edited into a pilot for a reality-TV show. Young benefited from an almost reflexive societal trust in the medical profession. the rock doc' jeff young. Khazan: LeAnns story was similar to Tanyas and LaRhondas and Christis. (Fades under.). Thats okay. When one video was apparently manipulated by one of his detractors and posted online, Young threatened whoever might have done it. In 2012, Young was working at a cardiology practice in Jackson when, with a consultant named Rich Reitz and cardiologist named Dharmesh Patel, he set up a side business giving talks to doctors about treating heart attacks and strokes. Some speculated that it could have been drugs, alcohol, the prospect of fame, a divorce from his second wife the year after PreventaGenix launched, or a combination of all of them. How was a nurse practitioner whose behavior was so outrageous allowed to treat patients for so long? Doctors offices make money by billing insurance companies for the services the providers perform, but it was hard to do this at PreventaGenix because the documentation for Youngs visits was so shoddy. was found dead of an apparent overdose. Reitz says he and his girlfriend came up with the unwieldy namea futuristic combination of prevent and genetics. 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. (They relied on messages obtained by agents during the investigations into Young.) And doctorswho work in what is, after all, a service professionsometimes feel that its easier to pacify the patient than to push back. (Somber, reflective droning notes play up. Copyright 2021 The Atlantic and New York Public Radio. 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. Make and Model: The only Billboard Hot 100 entry for new wave greats The Cars with an automotive title to match their band name . Khazan: And he posted dozens of videos there. 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. Calles: I really am so thankful that he suggested that to me, because if he hadnt have, I probably wouldve never done it, because I wouldnt take anybody else seriously enough to even think about doing it. 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. 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.] Why would you go to this doctor? Multiple surveys show that people tend to trust health-care workers more than they trust many other professionals, including police officers and clergy members. Young did seem to be famous enough in Jackson, however, to reinforce his own grand vision of himself. He graduated from Musicians Institute in 1985, and is best known for his time with the thrash metal band Megadeth, appearing on the 1988 album So Far, So Good. I mean, if somebody pats you on the back, that aint coming on to you. #coffeeplease #noontime #rockrageradio www.rockrageradio.com Despite the accumulation of evidence suggesting that Young was running his practice recklessly and endangering patients, he remained licensed to write prescriptions for five years after PreventaGenix opened its doors. Oh, look, I got a new haircut today (Fades under.). Editing by Katherine Wells, Julia Longoria, and Denise Wills. Longoria: The indictment against the Rock Doc alleges that he prescribed more than a million addictive pills, treated patients while intoxicated, and used his prescribing power to have sex with womenincluding women who were his patients. [Khazan laughs.] Sometimes patients seeking opioids go to different providers until they find one who is willing to prescribe to them. Jeff wanted what was best for his patient. Young was, in short, a medical provider who acted like everyones best friend. Khazan: The way I first got to know Jeff Young was through videos he posted online. Whether or not Young is convicted, the perverse incentives for doctors to see patients for short visits and to prescribe too many unnecessary drugs will remain. He graduated from Union University, an evangelical Christian school, in 1995, then earned a degree from the University of Tennessee College of Nursing in 2003. He exhibited a certain tenderness as he filled syringes and sutured skin. The clinic sat on a quiet road crammed with other medical practicesa sleep doctor, a dentist, a nephrologist, an orthodontisteach in its own . ], Oh, you look fine to me.. Young would call these liaisons nooners or say it was tap-that-ass Tuesday, according to court testimony. They do not have serious medical side effects. Will be glad to take the balance out of your ass. He asked another patient, to whom he prescribed the opioid hydrocodone, to come in for a checkup the following day and wear a short skirt and no panties., Young was sometimes even more direct. It feels claustrophobic.). I just didnt feel comfortable. (Fades under.). When the local news station, WBBJ, posted a story about Youngs case on Facebook, the usual chorus of defenders raised their voices. Khazan: Like, for example, here he is sniffing a pair of womens underwear with his sidekick, a friend named Kevin. American doctors went on to prescribe opioids at much higher rates than their counterparts in other countries. Khazan: And some of what she saw really weirded her out. Then it rewinds into nothingness.). I am a, uh, nurse practitioner. You can all suck my dick! he yells at the camera in one Periscope video, a stethoscope around his neck and a cigar in his hand. So it just kind of, I guess, comforted me. One January morning, officers swarmed the road outside the PreventaGenix building, guns drawn. Thats very distressing Yeah, Im shocked, you know? Fullington, who was also let go, told me she got a threatening call from Young. Though Young claimed that he also fired drug-seeking patients, Gutgsell testified in a deposition that he would meet some patients after hours and write them prescriptions anyway. I mean, you wouldve thought they were giving away meds for free, to be honest. Women were drawn to Young; he had a big house and was the first to buy everyones drink. 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. The scenes are meant to serve as a testament to the effectiveness of Youngs work hard, play harder ethos. Khazan: LeAnn Naylor was the secretary for the mayor of Jackson when she started seeing Jeff as a patient. Federal prosecutors say his help often amounted to dealing drugs for sex. JACKSON, Tenn. The end is nowhere close for three medical professionals charged in a federal opioid crackdown earlier this year. They painted a picture of the kind of medical office where you might actually want to hang out. 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. 1,274 likes. At the beginning of the opioid epidemic, the autonomy of doctors to prescribe opioids was almost limitless, Keith Humphreys, a Stanford University professor who researches mental-health policy, says. Khazan: He worked in the timber industry, and one day at work, he got overheated and disoriented. It was just rocked out. Khazan: I talked to many of Jeffs patients. This requirement is waived, however, in cases where public health, safety, or welfare imperatively requires emergency action.). He was the casual party guy, not the stuffy doctor. So hes a little out there. No one could quite tell me who or what was responsible for Youngs transformation. And no education whatsoever, Phillips jokes. Our team also includes Gabrielle Berbey, Emily Botein, Matt Collette, Tracie Hunte, and me, Natalia Ramirez. Khazan: Thirty-one doctors and seven other nurse practitioners were busted in that same Justice Department sweep that caught Jeff. 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. (The synthesizer takes over the harmony, traipsing up and down the melody line before it quiets and the episode ends.). Naylor: (A long beat and a breath.) So what, I dont go get fucked up at the country club with the rest of the stiffs here in J-Town? Thrash metal, heavy metal, speed metal, blues, classical. On my trip, I strolled by a glass case near the federal courthouse that held a large Bible opened to the Gospel of John. The lack of oversight in the Young case is in keeping with practices seen throughout the opioid crisis. M.Y. Thats the only way you can describe it. Khazan: In the pilot, he presents himself as more of a friend than a medical professional. had lower back pain and complained of numbness in his left arm. Branding himself the Rock Doc in a self-produced reality-TV pilot, Young would wear band T-shirts and blast music as he met with patients; he sometimes broadcast appointments and medical procedures on the live-streaming app Periscope. Young was by no means nationally or even regionally known. The resulting addictions were blamed on reckless patients, rather than the fundamental chemistry of the opioids themselves. Longoria: There are many pieces to the puzzle of how opioids found their way into so many medicine cabinets. 14:46. (Youngs attorney claimed in court that only about 25 percent of his patients were.) Occasionally he would glare at his ex-wife Dawn, who was in the gallery. A few months into their new venture, Reitz and Young were supposed to meet to discuss the running of the clinic. 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. There was no statement even made to the Feds. Khazan: So, like, that doctor-patient interaction and how the opioids actually got prescribed. While Youngs antics could be a nightmare for his staff, his pool of patients increased as word about his practice spread. Purdue ad doctor: They dont wear out. Why didnt anyone try to put a stop to this? I just had a lot of questions about how could this happen., Further reading: The Hard-Partying, Rock-Obsessed Nurse at the Center of a Massive Opioid Bust. One employee recalled him sometimes being too drunk to see patients. A transcript of this episode is presented below: (Abruptly, rock music begins to play, and then, just as quickly, it ends with a light echo.). Young: (Just after another person laughs.) Otherwise, fledgling practices, in particular, risk losing patients. Even if the treatment doesnt work, it feels good to be listened to when youre used to being ignored. Jackson, TN USA. Naylor: They would look at me and say [Dismissively. Stephanie, who returned to Youngs clinic after the incident at the club, said Young helped her more than any doctor shes ever seen. 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. Jeffrey " Jeff " Young (born March 31, 1962) is an American guitarist. Natalia Ramirez: This episode of The Experiment was reported by Olga Khazan and produced by Alvin Melathe, with editing by Katherine Wells, Julia Longoria, and Denise Wills. A former employee said that staffers had to go to Youngs houseanother McMansionto drag him out of bed, and that he would occasionally arrive at the clinic drunk. Actually very nice, yeah. (The background music shifts tone dramatically to a wispy, light, contemplative energy.). During one club night, Young bought Stephanie two drinks and his friends handed them to her. 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. He seemed, to his former employees, constitutionally unable to deny patients the pills they wanted, even if it was the last thing they needed. There is a friendliness, too, that one associates with the South. Youngs second marriage was already in trouble by the time PreventaGenix launched, and after his divorce he quickly found new girlfriends. You ready? Young: So Im gonna not have a cigar. 0:06. An active and fun show following the life of FNP Jeff Young II at work and his life after work. Calles: I just wasnt getting the care I needed. ), (What sounds like road noise plays in the background of a Periscope clip. I tried to reach out to women who Jeff was rumored to have exchanged drugs for sex with, but none of them wanted to talk on the record. I asked to speak with him for this story, but because of a gag order on the case, his lawyer declined interviews with me. The allegations against Young point toward an especially sordid type of abuse in which some doctors victimize patients twice: first by getting them addicted to drugs, and then by sexually exploiting them. By 2012, Young was allegedly supplying testosterone without a clear medical reason to high schoolers who wanted to bulk up. In May 2019, shortly after Young was indicted, I traveled to Jackson to try to understand the place that gave rise to the Rock Doc. 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.). (Fades under.). I mean, I worked at a bank for 15 years, and when youve worked at a bank and youve cashed checks, you have to judge people in two seconds. Young was among them. 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. Khazan: In 2017, the very public world Jeff had built around himself started attracting a different kind of attention. Bad shape woman wrote you might actually want to hang out similar to Tanyas and LaRhondas and Christis female.... 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