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“Ms. Treadway’s conduct in the case has been nothing short of shocking and ruthless; she has in fact displayed the kind of ‘win at all costs’ mentality that you have publicly stated your department will no longer tolerate,” Reynolds wrote in her June 18 letter to U.S. Attorney General Eric Holder… The ACLU has taken up the Reynolds defense in the grand jury proceedings, claiming in initial court papers that subpoenas sought by a “frustrated prosecutor seeking to silence a dissenting advocate” have a chilling effect on First Amendment rights.

“Given the sweeping nature of the subpoenas here, their chilling effect on First Amendment rights, and the circumstances under which they were obtained – a frustrated prosecutor seeking to silence a dissenting advocate – this Court should quash the subpoenas as an unjustified infringement on Ms. Reynolds’ and PRN’s First Amendment rights,” the ACLU wrote in its pleading.

“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…”

These subpoenas constitute an abuse of the grand jury process… Because [Treadway's obstruction of justice] investigation lacks any good faith basis, Ms. Reynolds does not claim a Fifth Amendment privilege with respect to any of the materials sought by the subpoena.(1) Ms. Reynolds maintains that she has committed no crime and that there is nothing in the requested materials that could inculpate her in the obstruction of justice, witness tampering or jury tampering. For all of these reasons, this Court should quash the March 10 subpoenas issued to Siobhan Reynolds and PRN.

In pain medicine we have the deeply disturbing situation that what most doctors do (medical community norm) is at odds with, and clearly below, the medical standard of care. Literally, in the treatment of chronic pain, an ethical physician attempting to practice in good faith, according to the clinical literature, is an outlier deviating from how most reputable physicians would practice.

Many physicians are concerned that prescribing opioid analgesics in chronic pain treatment is accompanied by an unacceptable risk of unwarranted prosecution. The validity of this fear is evaluated by examining the standards through which physicians are targeted and prosecuted. Prohibition law is identified as an error in social policy that distorts medical standards.

Article from PascoTribune, including video interview of Paey, about Paey’s readjustment to live out of prison as a pardoned chronic pain patient. Permalink:

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.

Excerpt: “As usual, the academics ignore the elephant in the living room. Regarding review articles that wring their hands about the lack of long term evidence of the safety and efficacy of opioid analgesic therapy, they never discuss the impossibility of measuring the efficacy and safety of a therapy that almost no physician is comfortable doing properly. For an excellent analysis of what we might call the “new academic opiophobia,” see the Pain Relief Network’s 2008 “WA State Tort Claim” pages 34 – 37.”

Academic quality, fully footnoted, article on why untreated or undertreated chronic pain is a medical emergency.

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 …

Associated Press story about pressure being put on the Pain Relief Network, it’s president, Siobhan Reynolds, because of PRN’s involvement in helping the abandoned pain patients of Dr. Schneider which has interfered with Kansas AG Tanya Treadway drug war prosecution of that physician.

Well, I guess [PRN has] hit a nerve, huh? I had to read todays AP article (linked to) three times to figure out what good ‘ole Tanya Treadway, federal prosecutor, thinks we did wrong here. I mean, it is clear that she is angry, and clearly wanted the opportunity to call Siobhan and the Schneiders\’s names and get all the usual buzzwords in the paper – “parasitic”, “pill mill” – but I think this is the beef [...]

Blogged analysis by DeLuca about a confused opinion article in Wall Street Journal regarding the relationship between law enforcement imperatives on doctors and the resulting routine undermedication of pain patients. [...]