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The medical board’s file on Orli lists him as having practiced internal medicine in Winston-Salem. Orli acknowledged in a consent order signed Wednesday that “when abusing substances, he is unable to practice medicine with reasonable skill and safety” within state law. The board suspended his medical license indefinitely, but it then stayed its decision as long as Orli doesn’t use or possess alcohol and all other mind- or mood-altering substances and all controlled substances, unless they were lawfully prescribed by someone else. Those include sedatives, stimulants and pain medication. Orli agreed to supply the board, upon request, with samples of urine, blood, hair, and other bodily fluids and tissue to determine whether he is complying with the recovery policies of the N.C. Physicians Health Program. Orli’s case before the medical board began in July 2012. At that time, he voluntarily surrendered his license after having been determined to have improperly obtained medications for personal use. He agreed to enter inpatient treatment for substance abuse sponsored by the physicians health program. In October 2012, he entered a consent order with the board in which his license was indefinitely suspended with the condition he could not apply for reinstatement for six months. In September 2013, Orli’s license was restored with restrictions, including that he refrain from using all mind- or mood-altering substances unless legally prescribed to him by another doctor. Orli had completed the inpatient substance-abuse treatment, signed a five-year contract with the physicians health program and been interviewed by the board. The board said that in September 2017, it received reports that Orli had improperly obtained the prescription drug gabapentin. Gabapentin, according to WebMD, is used with other medications to prevent and control seizures. It’s also used to relieve nerve pain in adults after a shingles attack. It can produce a hallucinating feeling if taken in large dosages. According to the medical board, Orli’s treatment team had prescribed gabapentin, but he admitted that he had improperly obtained an additional supply of the drug so he could use more than prescribed. After signing a medical non-practice agreement Nov. 7, Orli went to inpatient treatment for three weeks ending Dec. 8.
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