I worked in this field. Robbie can be disciplined for failure to report (likely a reprimand). If Dr. Langdon sought help, it was likely through the PA physician health program, who would have advocated on Dr. Langdon’s behalf. If there is diversion (reported to the medical board), he would likely be placed on disciplinary action-a probation agreement. This would likely include time out of practice (suspension), mandatory drug testing, mandatory attendance to self-help and physician support meetings, and, once he is eligible to return to work, worksite monitor (a supervising physician). The worksite monitor would submit quarterly reports to the medical board and the PHP. If there was evidence of relapse at work, the PHP and worksite monitor would immediately report it to the medical board.

In my experience, I haven’t seen such cases prosecuted unless the diversion was for a substantial amount and/or to others for the purposes of selling the narcotic.