Posts Tagged With: prescription drug abuse

***The Deception: Tylenol, Opioids and the DEA***; Alex DeLuca; [Addiction, Pain and Public Health website][app]; Date. [*Source*][source] —- We are in the midst of a fascinating media firestorm, an ejaculation of drug war Trash Journalism brought about by a veritable perfect storm of events including: The rediscovery by the FDA that acetaminophen (Tylenol) and NSAID (aspirin, ibuprophen, naprosyn, Vioxx, etc) toxicity are serious public health problems; A focus on “Vicodin” and “Percoset” as representatives of the class of low-potency opioid formulations which include Tylenol, and widespread calls for [banning these …

“I will not be intimidated and I will not be silenced,” said Reynolds, who founded PRN… “As I testified before Congress, an obsession with prescription drug abuse has resulted in the gross under-treatment of pain in this country. We have turned honest physicians and desperate patients into criminals, and policymakers and the public need to hear about it…”

Maybe we all deserve the pain. If we are too stupid to understand that aspirin kills way more people than morphine, and that there are a whole lot worse things for you and your damn Federal prosecutors to worry about than if maybe your neighbor is getting too much pain relief (sheesh!) – if you are that effin stupid then maybe you deserve the chronic pain which YOUR government has already imposed on you and your children as the defacto law of the land.

We keep hearing about how the War on Drugs has failed. But the truth is, the War on Drugs has been tremendously successful, that is if you wanted your country to be a police state, your Congress completely unresponsive to the needs of the people, and your doctors letting you and your loved ones live and die in unnecessary pain.

Wow. To win acquittal on federal drug trafficking charges is very difficult and very rare, as I have [discussed before][rm]. A resounding win is almost unheard of. I will be very interested in the outcome of the prosecutorial misconduct case being brought by Dr. Shaygan’s defense attorney, Mr. Markus.

I am republishing these “Principles of Opioid Management of Pain“, by Dr. Joel Hochman, et al., because of the explosion of deeply flawed and misguided “Guidelines” for pain management in recent years. This document stands alone in meeting the (textbook, ‘responsible physician’) standard for pain management while not violating core ethical obligations of the doctor-patient relationship and is useful, I think, for comparison when studying promulgated Guidelines. [See also: The Distortion of Medicine and Confusion of Standards]

Excerpt: “Dr. Mangino has been unjustly prosecuted and convicted in Pennsylvania. His case is unusual. He is currently incarcerated at SCI-Cresson… Essentially, in PA and nationwide, if this conviction is allowed to stand on the grounds presented by prosecution, then any single opioid prescription can be deemed illegal.” — Dr. Mangino

criticisms and description of federal prosecutorial behavior rings true to me from my experience and knowledge of war on docs/pain crisis cases. Our justice system is withering, ‘the drugs exception to the Bill of Rights’ has gone from being a tragic lawyers joke to business as usual, and we now routinely apply asset forfeiture and RICO laws, intended by Congress to combat drug cartels, to individual pain-treating physicians. Doctors and sick people are easy, profitable prey for law enforcement and federal prosecutors pandering to the electorate through a media willing to be exploited for their share of the spoils.

There are so many who need opioid pain medications and can not get them… These people have their lives destroyed every day as they drag themselves from doctor to doctor being lied to, verbally and sometimes physically abused, forced into unnecessary rounds of expensive testing… They are sneered at by pharmacists, called addicts by doctors, drug tested, called “frequent-flyers” and other derogatory names by emergency room nurses and doctors, denied reimbursement…

Unrelieved pain has a devastating impact on the physical, emotional, social, and economic well being of patients and their families. Diagnosing and treating pain is, therefore, fundamental to the public health. Terminology is review, myths identified, and medical understanding is stated.

I spoke to Billy’s wife briefly, recently, and am very happy to be able to report that Dr. Hurwitz is no longer in federal prison. He is currently in a half-way house in D.C. and will be transitioning to house arrest as part of his parole and probation requirements… He is in a sort of “titration to house arrest” best I understand it. Meaning, he is starting to get overnight visits with his family – YEA! – and more and more of that till he sort of “stabilizes” on a regimen of maintenance house arrest. (Is house arrest a substitution therapy for …

Experts: Untreated pain as serious a problem drug abuse. By Tristan Scott of the Missoulian. With the specter of prescription drug abuse looming large, health care workers stressed Friday that untreated pain in Montana is a public health crisis commensurate to that of addiction.

Press release from the Competitive Enterprise Institute regarding their Politics of Pain initiative, and video interviews with combat vet chronic pain patient James Fernandez, and with Dr. Alex DeLuca of the Pain Relief Network. CEI Calls for End to DEA Harassment of Pain Doctors.

This Resource Is an article by Dr. Frank Fisher published in the Harvard Medical Alumni Bulletin. He recounts his tale of persecution for practicing excellent pain management – a quintessencial example of the War on Doctors and the Pain Crisis in America.

This Resource Is a peer-reviewed analysis of Gonzalez v Oregon. “If the U.S. Attorney General had won this case, DOJ, through the DEA, would have been given the authority to make decisions about the legality of prescriptions in all situations, not just end-of-life care.” After analyzing the Supreme Court decision, Brushwood reviews DEA identification of physicians and pharmacists despite information obtained from a Freedom of Information Act by Joranson documenting DOJ knowledge of massive theft and loss of controlled substances having nothing to do with the doctor – patient relationship. He also reviews the DEA FAQ debacle, the “Myth of …

Article by Dr. DeLuca regarding Jacob Sullum\’s comments about a recent SAMHSA analysis showing low addiction rates for most substances of abuse, and also discusses Hurwitz\’ excellent 2005 analysis of Government data, the peer reviewed

When prosecutors want to convict a doctor of “drug dealing,” they often sow suspicions by alerting the media. But in a Kansas case, they appear to be fighting dirty by trying to prevent the other side from speaking out. [...]

Blog post about an example of war on doctors Trash Journalism, which is analyzed. Excerpt: “So what is the message? Well one clear message to me is that the line between pain patient and ‘addict’ – that pitiable dregs of humanity; the walking dead; that criminal scourge; is thin and vague. In fact it is presented as the slippery slope if not an inevitability – people on chronic opioid therapy are, or will become, addicts. Pain patient, drug addict, who cares? Drug are bad, people who use them are bad, you and I are better than that; they deserve what …

In this full text medical journal article, Joranson, in response to Paulozzi (below), describes a basic public health approach to the ‘drug abuse crisis.’ One wonders whether the combined brain power of the NIH, CDC and FDA would not have accomplished this, except for the imperatives of the drug war. Hurwitz 2005 (see below) is an example of the sort of creative analysis we should expect, but never get, from our academic and federal patriarchs.

Testimony of Siobhan Reynolds, President of the Pain Relief Network (PRN), to Senator Biden and the Judiciary Subcommittee on Crime and Drugs, March 2008. Concludes: