In 2008, Dr. Gerard Dileo got in trouble with the Louisiana Board of Medical Examiners. Investigators said he was prescribing pain pills without fully examining his patients. In some cases, he used scripts created before patients even turned up in the office. Yet, he still kept working as an obstetrician/gynecologist and assistant professor at the University of South Florida. The next year, medical boards in California and Florida disciplined Dileo for those Louisiana violations. Still, he remained at USF, where top leaders had no idea of the trouble he was in. Dileo's case reveals that even within the state of Florida, officials aren't talking to each other.