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University of Washington cited for drug laxity as far back as early '80s

A confidential report from state pharmacy investigators in 1985 found University of Washington team doctors and trainers violating federal and state laws in the loose ways they distributed prescription drugs and controlled substances in the early 1980s.

The 88-page report, marked confidential, was obtained by The Seattle Times under the state open records law.

The findings weren't publicized then because the investigation had started with more sensational charges of steroid use by UW athletes, which were proved true but not linked to UW staff or doctors.

Behind the scenes, though, state investigators had shifted their focus to the painkillers and other legal, but potentially dangerous and addictive, prescription drugs in the training room.

They found dispensing of drugs without doctors ever seeing patients, uncontrolled use of sample drugs, lack of DEA licenses, and the disappearance of hundreds of narcotic pills — an amalgam of abuse similar to the alleged actions by the softball team doctor now under investigation by state and federal authorities.

Donald Williams, executive secretary of the state Board of Pharmacy, ordered the university in July 1985 to remove all controlled substances from the training room and discontinue its entire drug distribution system.

A UW news release five days later was titled, "Drug allegations unfounded." It emphasized the lack of evidence that coaches had encouraged steroid use. It mentioned the pharmacy problems only in passing.

"While our system has flaws in it, there were no major problems reported and certainly no intention on our part to violate any regulations," then-athletic director Mike Lude said in the statement.

The newly released records show training room prescription abuses were rampant until they were cleaned up with help from the College of Pharmacy in 1985. Inspections in 1992 and 1999 found limited, ongoing problems.

Only this year, when the pharmacy board suspended the license of Dr. William Scheyer, the issue has emerged again. Scheyer, 76, of Kirkland, failed to account for thousands of doses of narcotic pain pills, muscle relaxants and steroid gels.






His license was suspended Oct. 16, and he is under criminal investigation. Scheyer denies any wrongdoing.

Dr. Steven Bramwell, the former UW star halfback and orthopedic surgeon who directed medical care for many UW athletes from 1977 to 1999, was reported in 1985 to be in violation of drug laws, but credited with "the best intentions."

The 1985 investigation found:

• Bramwell failed to renew his federal Drug Enforcement Administration registration for years, apparently from 1976 to 1985. Thus, he had been ineligible to prescribe controlled substances — as was Scheyer.

• Bramwell bought drugs with his own money and donated the drugs and his time to university athletes — a practice also followed by Scheyer.

• Controlled substances were dispensed by trainers who were not authorized to do so. The trainers were employed by the UW but reporting to Bramwell.

• The UW training room was a de facto pharmacy, storing and dispensing drugs, but it did not have the required DEA license.

• The athletics department stocked Class III narcotic drugs with codeine despite a written policy against it. Codeine is a painkiller made from opium.

• More than 400 Tylenol with codeine No. 3 tablets and an unspecified amount of codeine cough syrup disappeared from UW athletic drug supplies in a four-month period.

The drugs were never found. Dennis Sealey, then the head trainer, said he didn't realize Tylenol No. 3 was a controlled drug. Bramwell told investigators then that they may have been handed out on flights or at bowl games "when things are very hectic" without keeping records — a practice also later followed by Scheyer. A former volunteer trainer said drugs were stored on open shelves where anybody could grab them.

Bramwell did not return calls for comment yesterday.

Sealey, head trainer from 1978 to 2000 and now a physical therapist in Kirkland, said he remembered the 1985 investigation leading to improvements. He said many of the problems came from poor record-keeping on sample drugs and misunderstanding of legal requirements.

"I don't question at all there were a lot of things that needed to be changed," Sealey said, "and I was really thankful for the attitude of the state Board of Pharmacy and their assistance."

After that, he said, "I thought we had a model program."

The other findings in the 1985 investigation failed to sustain charges in the University of Washington Daily student newspaper that men's track and field athletes had used anabolic steroids for 11 years with the knowledge of the coach.

Three former track athletes and a weight lifter admitted to the state investigators they'd used steroids, but they all said the coach didn't know. Then-football coach Don James told investigators that perhaps three football players had used steroids during the previous 10 years without knowledge of the coaches. A private doctor was believed to have provided many of the steroids.

The UW Sports Medicine Clinic was part of the School of Medicine Department of Orthopedics through the 1970s. Bramwell took over the clinic in 1977 while he was on the UW faculty, then took it private and renamed it the Husky Medical Group when he left the UW in 1981.

William Campbell, then-chairman of the UW School of Pharmacy, wrote Lude and pharmacy dean Milo Gibaldi in August 1985 to confirm the problems found in the state investigation.

He noted two more:

• Bramwell gave drugs to fans, employees, dependents and others during out-of-state events such as bowl games. Campbell recommended this unlicensed activity be stopped unless Bramwell "would assume all liability." • Sealey prescribed drugs without a doctor's exam in some situations. He used "starter doses" of muscle relaxants, anti-diarrheal drugs and sedatives, then got a doctor's OK later.

Sealey yesterday said those must have been sample drugs or verbal referrals from doctors. "I just don't have any recollection of the total report," he said.

Pharmacy chairman Campbell concluded, "It is important to keep in mind that problems being addressed in this report are entirely 'process' in nature. That is, there has been no evidence of injurious therapy and the impression one receives is of a high quality of care and concern for student-athletes at (UW)."

The system could be fixed, he wrote, "with modest change" and "replaced with a model system."

The athletics department did make changes in 1985, including better records, more locks and weekly drug audits.

Scheyer joined Bramwell's sports medicine practice in 1986 — the same year Scheyer's son married the daughter of Dave Cohn, then a UW regent and noted Huskies booster.

Six years later, the newly released records show, a brief inspection of the training room pharmacy showed drugs were still being dispensed by trainers illegally. The 1992 inspection also showed lack of safeguards for a football travel kit with narcotics.

Paul Davis, the responsible pharmacist for the Rubenstein Memorial Pharmacy, told investigators in February 1993 that "drugs were often dispensed in the absence of a physician" but at the request of a doctor on the practice field by telephone.

Investigators found Xanax, an anti-anxiety drug, and Toradol, a powerful non-steroidal anti-inflammatory, in a cabinet in the head trainer's office.

"The drugs are dispensed by Dr. Bramwell and associates to non-athletes, i.e., coaches, trainers, training staff and other employees of the University of Washington," according to a Feb. 3 memo from pharmacy investigators. "Occasionally the physicians ask the trainers to dispense drugs from this cabinet."

The formulary cabinet was, in effect, still an illegal pharmacy. The investigators recommended eliminating it.

Williams, director of the Board of Pharmacy, wrote athletics director Barbara Hedges and Bramwell in March 1992, praising them for improvements but noting continued problems with records, dispensing and DEA registration.

He called for better controls. He insisted that athletic trainers stop initiating drug therapy and dispensing controlled substances.

A brief inspection in early 1994 found the program in compliance. State records do not show any new inspections until May 1999.

Then, investigators found drugs stored in an unlocked cabinet — again, "unacceptable" — and trainers continuing to dispense starter doses on their own. By then, the interpretation of law had been changed to allow trainers to do that under some circumstances, but the state officials suggested the UW follow stricter NCAA guidelines.

Their handwritten notes say, "Autumn will bring new changes. (A) Bramwell & associates will be discontinuing their treatment of students. (B) All care will be provided by UW physicians."

Scheyer, at the request of the women's softball coach, was the exception to that change.


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