In May 1999, Dr. Leandro Pasos, an orthopedic surgeon, was accusedof unprofessional conduct by the Washington State Health Departmentfor prescribing sildenafil (Viagra) over the Internet to patientshe had neither seen nor examined.1,2 This case was one of thefirst to highlight changes in medical practice resulting fromthe expanding use of the Internet.3,4,5 Although the Internetmay improve patients' access to medical information and othermedical services, some Internet-based services, such as thoseinvolving the direct sale of medications, bypass protectionsnormally associated with conventional medical practices.
The availability of prescription medicines over the Internetmay increase . . . [Full Text of this Article]
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University of Pennsylvania School of Medicine Philadelphia, PA 19104-6021 Philadelphia Veterans Affairs Medical Center Philadelphia, PA 19104
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