A Dubuque dentist with a history of disciplinary issues has been sanctioned by the state for inadequate infection controls in his practice.
The Iowa Dental Board recently charged 74-year-old James Conrad Walgren with failure to maintain adequate safe and sanitary conditions for a dental office.
The board alleges that at some unspecified time in the past, it received a complaint “alleging areas of concern related to infection control” at Walgren’s practice. An inspection revealed what the board calls “some failures with regard to the sterilization of instruments,” which the board says Walgren has since addressed.
In order to resolve the case, the parties have agreed to a settlement that involves a $500 civil penalty. The settlement also calls for Walgren to complete a board-approved educational course focusing on infection control.
In addition, Walgren’s license has been placed on probation for two years, during which he will submit to worksite monitoring.
The monitoring program will require Walgren to hire a registered dental assistant or dental hygienist to assist with infection control and serve as a worksite monitor. The monitor will then submit quarterly reports to the board detailing the infection control measures that Walgren is following — such as sanitization of instruments and Walgren wearing a face mask as recommended by the U.S. Centers for Disease Control and Prevention.
Prior sanctions were tied to cocaine use and sales
In May 1989, the board charged Walgren with nine separate regulatory violations, including failure to maintain a reasonable standard of competency, dishonorable or unprofessional conduct in the practice of dentistry by ingesting cocaine on numerous occasions between 1979 to 1988, diverting or distributing cocaine through his dental practice from 1979 to 1982, and selling cocaine to friends on at least one occasion in 1984.
The board also charged Walgren with an inability to practice dentistry with reasonable skill and safety due to the habitual or excessive use of drugs, habitual intoxication or addiction to the use of drugs, the willful or repeated prescribing or dispensing of drugs for illegal purposes, numerous instances of failing to record required information in patient records, and the willful or repeated prescribing or dispensing of drugs for uses not directly related to dentistry.
At the time, the board alleged Walgren had started using cocaine and marijuana during college from 1969 to 1973, continued using cocaine and marijuana while in dental school from 1974 to 1978, and then began practicing dentistry in Dubuque in July 1978.
According to the board, Walgren admitted to diverting about 20% of the clinic’s pharmaceutical cocaine to his own personal use, and to his friends’ use, from 1979 to 1982.
The board alleged Walgren also admitted to frequent use of cocaine from 1984 to 1986, and alleged that Walgren stated he had last used cocaine in early 1988 while vacationing in Jamaica.
The case was resolved with a board order suspending Walgren’s dental license for two years, followed by an indefinite period of probation and board supervision.
