Posts Tagged With: doctor-patient

Talk given by Frank Fisher, M.D.; Drug Cops and Docs, Cato Institute Conference; 2005-09-09. Introduction — The undertreatment of chronic pain is an ongoing public health disaster. The means to reverse this disaster is a class of medications known as opioid analgesics. The pain crisis exists for just one reason. Physicians don’t prescribe enough of these medications. I’m going to explain why we don’t. — The war on drugs has become a war on legal drugs. This exposes physicians to the risk of unwarranted prosecution. In response to this threat, the academic pain establishment has developed a set of standards …

This Resource Is an article discusses the failure of the ‘barriers to pain care’ literature to analyze those barriers from an ethical POV. The author relates this to ‘the collective failure of the profession to recognize the ethical implications of undertreated pain.’

Associated Press article about PRN\’s lawsuit against the State of Kansas, the Kansas medical board, and Attorney General Mukasey and the Department of Justice. The article focuses on the continuing plight of the legitimate pain patients of federally indicted and imprisioned Dr. Schneider. The patients claim no local doctors or hospitals will treat them properly for chronic pain out of fear of becoming targets of drug war zealotry, like Dr. Schneider.

Chronic pain patient experience of abuse and neglect from a medical system distorted by drug war law enforcement imperatives placed on physicians.

Blog post about the case of U.S.A. v Dr. Rosa Martinez by Dr. Alexander DeLuca, defense medical expert. Case involves federal overreaching, and groundless charges that Dr. Martinez was drug criminal instead of the caring family doctor caring for her chronic pain patients entirely up to the medical standard of care for pain management.

Blog entry about typical drug war Trash Journalism – this time regarding the federal indictment of Dr. Stack in Utah on drug charges. “Stack was arrested in May for investigation of dealing large quantities of narcotic pain killers to people without a legitimate medical reason.” And so on. No cognizance we’ve only heard one side of the story so far, that Warren Stack is innocent until proven guilty. This isn’t journalism, it’s a press release for the government.

Purdue Pharma was coerced, under threat of destruction by the U.S. Department of Justice (DOJ), into pleading guilty to charges that their drug was “more addictive” than they had claimed, the government alleging that the company failed to inform both doctors and the public of this information when it came available. The problem for Americans in pain is that this private deal creates, if you will, a “fact” on the public record that is not factual, a “fact” that severely prejudices the interests of patients in pain. [...]

Experience of chronic pain patient with gross undertreatment of pain, and substandard medical care in general, at the hands of VA medical providers.

Blog entry about the distortion of medical ethics and of medical practice of pain management using opioid therapy by drug war imperatives on physicians to value catching drug abusers over providing compassionate and rational medical care to their patients.

Dr. Frank Fisher relates a chilling experience with a hospitalized friend in horrifically undertreated pain to a recent New York Times article on torture and American foreign and domestic policy.

Blog post about a Continuing Medical Education (CME) course based solely on one interesting and flawed article about the prevalence of addiction in primary care chronic pain patients treated with chronic opioid therapy.

Siobhan Reynolds, president of the Pain Relief Network, Testimony before the Senate committee on the Judiciary, regarding the Purdue Oxycontin settlement. Link to full text PDF. Excerpt: “Many people in severe pain, especially those with high dose requirements, have been maimed or killed as a result of this department’s campaign against pain management. But we haven’t, as of yet, seen Senate Judiciary Committee hearings about that ongoing atrocity.” [...]

Excerpt: “You captured the absurdity of these trials beautifully. I remember when I watched my first one of these, the “trial” of Drs. Bordeaux, Allere, Jackson et al of the Comprehensive Care clinic in Myrtle Beach, South Carolina. There, the prosecution could make no allegations of high pill counts or “addicted” babies, so instead, they added little dramatic touches into the statements the doctors supposedly gave to the DEA agents. These touches gave the scene, as portrayed by prosecutors, what theater artists call the “feel of reality”… The stunning thing was, the topic at hand was pain care, so the …

First of a series of blog posts regarding the trial of pain doctor William Mangino. Excerpt: “The prosecution asked only one question on cross examination of defense expert Dr. Tennant. The prosecution brought forth no further expert testimony. The defense felt Tennant’s testimony was sufficiently strong and his credibility and professional stature so huge relative to the prosecution expert, and that the prosecution had failed to make it’s case. And so on 2007-07-03, the defense choose not to call it’s second defense expert (myself) and choose not to put Dr. Mangino on the stand, and rested.”

John Tierney (”A Taste of His Own Medicine,” column, May 6) hits the nail on the head when he suggests that drug war prosecutions, like those of Rush Limbaugh or Richard Paey, are more for show than for actual enforcement purposes. Unfortunately, these prosecutions also reinforce a medical culture that routinely hardens itself against the anguished pleas of people in serious pain. — An Internet study presented at the annual meeting of the American Pain Society last week in San Antonio, Tex., revealed that while 88 percent of those who visit emergency rooms do so because of out-of-control pain, only …