JUDGMENT BY THE MILE MARKER, THE DEA'S RED FLAGS OF OLD JIM CROW, GOOGLE MAPS, BLACK LICENSE PHARMACIST FIGHT BACK: PART-2

A TRIBUTE TO THE GREAT MADIBA IN HIS QUEST FOR FREEDOM THIS 30th ANNIVERSARY OF HIS RELEASE FROM VICTOR VERSTER PRISON IN THE WESTERN CAPE

THE MADIBA” NELSON ROLIHLAHLA MANDELA

BY

WALTER R. CLEMENT B.S MS., NORMAN J CLEMENT RPH., DDS JACK FOLSON RPH

Black Pharmacy Owners, AT Cost Pharmacy, Ft. Myers Fl.,  Aaron Howard PharmD owner, Gulf Med Pharmacy  Cape Coral Fl., Ricardo Fertil PharmD owner, Pronto Pharmacy LLC, Tampa Fl, Norman J Clement RPh., DDS, owner, Oak Hill Hometown Pharmacy owner Martin Ndjou, Top Line Pharmacy, owner Brian Olatunji, have joined together in exposing the Drug Enforcement Agency (DEA) for harassment, and malicious targeting and return of properties unjustifiably seized. 

THE RED FLAG – Distance

In the exploring role and purpose of the DEA that acts as an unregulated medical agency policing the medical profession without legal standards and grounds.  The DEA Diversion Investigator claims in arbitrary reasoning; their actions are based factors applied that “traveling long distances to fill prescriptions can be a red flag of abuse and diversion if a patient travels a significant distance to a particular pharmacy. 

OPE’RA, PARIS, lie-de-France, France September 4, 2017

The DEA has developed criminal elements of free commerce by criminalizing distance travel as elements of criminal conduct.  Whereby a pharmacist is a licensed practitioner who has advanced knowledge of the chemical-physical properties of medications, mechanism of actions, their dosage forms design, will likely not refer to GOOGLE MAPS as an element of patient treatments.  More dangerously, as a result of the DEA’s aggressive policing of community pharmacies many are reluctant to fill any legitimate narcotic analgesic medication prescriptions for non-acute pain patients. 

REBBECCA

Some patients are known to spend days on end looking for a pharmacy to fill their prescriptions to no avail.  This has caused massive concerns in the chronic pain disease medical/dental community, where one of the most important goals of any therapy is continuing staple treatment without disruptions. 

CANCER OF LEG 9/29/17 PRONTO PHARMACY

It is well understood amongst medical/dental practitioners when disruptions in therapy occur, many of the deleterious effects are likely to happen. For example, patients diagnosed with Sickle Cell Anemia are many times profiled as addicts, rather than as persons with a chronic disease condition needing treatment for pain.

PATIENT APPEARED NORMAL, STATES HE WAS SHOT 9 TIMES
ABDOMINAL WOUND

Other examples include persons who have survived traumatic accidents such as automobile accidents, gunshot wounds (civilian and military), notwithstanding leukemia and other cancers.

BULLET WOUND WHERE RIGHT ELBOW WAS DESTROYED (PRONTO PHARMACY 05/18)

Indeed, pain management becomes even much more difficult when anxiety and diminished mobility complicates the treatment plans.  

Further, it is well understood, when both medical/dental practitioners and patients can locate a Pharmacy that will fill pain control prescriptions with dignity and respect, both parties will often share that information with others. 

DEA’s RED FLAGS OF OLD JIM CROW

Throughout this entire presentation, it becomes nearly impossible to ignore the racial disparities, and dehumanization without taken into the historical connotation of society as the whole. It is a giant elephant walking in front of us.

PILANESBURG NATIONAL PARK NORTHWEST SOUTH AFRICA SEPTEMBER 21. 2019

However, the difficulty becomes how RACISMO will often deflect from the diverse issue that touches every individual of this nation and beyond versus a bunch of guys who happen to be black pharmacists, who present a matter of human disparities which effects the foundation of our existence.

DEA’s Pharmacy expert, Don Sullivan, interviewed no physicians/dentist, no patient receiving prescriptions, nor reviewed any prescriptions of any patients from Pronto PHARMACY. Further DEA, expert Don Sullivan reviewed no radiographs, performed no physical examinations on patient of Pronto Pharmacy to impeach the primary physician initial diagnosis. 

What DEA expert Don Sullivan a Pharmacy Clinical Professor at The Ohio State University College of Pharmacy, do is profiling each patient forming an opinion base on bias by cleverly eviscerating  the physician-patient relationship.  Then erroneously supports his conclusion of bias with tools such as GOOGLE MAPS were he claims he can effectively conclude the distance patient travels to fills a concluding prescription establish they are illegitimate medical purposes.

Ironically Professor Don Sullivan, works in the vicinity of the James Cancer Center at Ohio State University(right next to the College of Pharmacy at The Ohio State University). Patients travel great distances from all over the world to receive services and have their prescriptions filled, utilizing the hospital pharmacy and neighboring pharmacies. These pharmacies are far exceeding the 30 miles limit from of these patients being treated at the James Cancer Center; Professor Sullivan testified to as being RED FLAGGS in DEA Show Cause Hearing in Tampa Florida January 28-29, 2020.

What further undermines the credibility of both Don Sullivan and DEA Diversion Investigator Richard Alpert most is the 11 patients they identified as unresolvable ‘RED FLAGGS,” are still being treated today, by the same doctor for the same amounts at non- black own Pharmacies. Most importantly, prescriptions filled at these other pharmacies and the physicians are no longer classified RED FLAGGS. Both DEA Diversion Investigator Richard Albert and Pharmacy Expert Don Sullivan could have easily verified this by using the PDMP. So what happened to the RED FLAG?????

These patients continue to contact Pronto Pharmacy to inquire when are we resuming services. They are concerned under this current hostile environment aboutthe increase cost they are now paying for their medications at other Pharmacies.

HISTORIC CENTRE OF SALVADOR De BAHIA,SALVADOR,BAHIA, BRAZIL AUGUST 17, 2017

THE DEA’S JUDGEMENT BY THE MILE MARKER

Currently, the DEA has no statistical guidelines or law to support or establish boundary levels, which are indicative of criminal acts when filling any Control prescription written for patients by a physician who has performed a thorough physical examination, diagnoses supported by medical/dental radiographs and treatment plan.  The DEA guidelines are tactic acts that specifically target American pharmacist.   

In the case of AARRIC Pharmacy, Ft. Myers, Fl., the DEA reasoned that the pharmacist regularly filled controlled substance prescriptions for individuals who traveled an unusual distance.  The DEA further stated that “Obtain or fill a controlled substance is indicative of diversion and/or abuse, and

THE UNIVERSITY of FLORIDA, COLLEGE OF DENTISTRY, GAINESVILLE FL. August 20, 2017

that such behavior is a red flag that must be addressed prior to dispensing.”  The DEA reasoned that traveling 78 miles round trip and over 53 miles round trip is a red flag that must be addressed prior to dispensing. The DEA also claimed that traveling 45 miles round trip and or 44 miles round trip is a red flag that must be addressed prior to dispensing.

THE DEA AND GOOGLE MAPS

The DEA in their Order to Show Cause on Pronto Pharmarcy, LLC, applied the distance rule using GOOGLE MAPS. Using GOOGLE MAPS, the DEA cited several filled orders. One was stated as approximately 140 miles from the patient to Pronto Pharmacy, LLC (Respondent’s registered address); another was “located approximately 130 miles; the third patient lived “approximately 145 miles, and yet the fourth patient lived approximately 160 miles from Pronto Pharmacy, LLC.

It must be noted the DEA agents applied a higher mileage factor in different warrants to obtain a sense of urgency to support their cause.  We observe in the case of AARRIC pharmacy, the DEA said that traveling 78 miles round trip, and over 53 miles round trip is a red flag that must be addressed prior to dispensing. 

WESTMINISTER, ENGLAND SEPTEMBER 1, 2017

Once again, in the Pronto Pharmacy case, the DEA using GOOGLE MAP stated, a patient was “located approximately 130 miles from Respondent’s registered address, and another lived “approximately 145 miles yet another lived approximately 160 miles.  

If the distance of traveling to obtain a prescription is a factor, these rules should apply to mail-order pharmacies, to citizens driving to Canada and to other pharmacies that fill prescriptions to individuals. Moreover, these Class 2 medications are delivered from manufactures via UPS and other delivery services and all retail stores that sell goods and services. if mishandled can cause harm to the public.   

THE DEA MUST BE DISBAND OR REFORM

CONGRESS MUST INVESTIGATE

By the DEA standards, the manufacturers are operating a criminal drug enterprise, and the delivery service operated as drug carriers. Therefore, the entire pharmaceutical industry is at risk when the DEA applies its unabashed rules. Such actions of a government agency are to be feared. And such actions violated the 1st, 4th, 8th and 14th amendments.        

ALASKA, United States, TRACY ARM SEPTEMBER, 20 2017

The DEA’ S expert opined that “traveling long distances can be a red flag of abuse and diversion if a patient travels a significant distance to a specific pharmacy, especially if the patient also travels significant distance to a particular prescriber”.  The facts to support the probable cause cannot be justified by mere suspicion. “DEA’s expert opined that it can be a red flag of abuse” this cannot support an express intent that a crime is or was afoot. Thus, it cannot establish probable cause.  In fact, the DEA statements that ‘long distances  using GOOGLE MAPS “can be” a red flag of abuse and diversion,’ is a clear application that fails to supports Responsible Suspicion.  

THE US HOUSE OF REPRESENTATIVES CONGRESS MUST INVESTIGATE

The DEA has no supportive measures to apply further or support their claim that a crime was committed.  Their tacit applications can be applied to any and all retail outlets.  Whereby the acts and application and their idea of enforcement are so vague, that its strikes at the core values of our law.  This agency can no longer be entrusted to protect and serve the citizenry. Their conduct throughout the nation strikes fears in that a law enforcement agency can act at will to claim that a citizen violated the law by merely stating that a specific law was violated. With no supporting facts and or articulations of how the citizen violated the law, this agency acts at will. With little and no restraints.    

DEA’S MATTERS OF ENFORCEMENT ARE BASELESS THE U.S. CONGRESS MUST INVESTIGATE

This lack of knowledge violates the 4th amendment rights.   It becomes apparent the DEA agents lacked sufficient training that their actions violated the constitutional rights under Harris vs. Canton when the failure to train your officers amounts to a policy of no training. 

HISTORIC CENTRE SALVADOR, BHAIA, BRASIL AUGUST 17, 2017

The actions and acts of performance displayed that the DEA agents show the inadequacy of training in that the DEA Agents failed to adequately understand the scientific methodologies of pharmacology.  Yet, they chose to enforce rules and regulations without adequate pharmacology schooling.  The agents relied on mere Here Say and applied what was heard to medical doctoral professionals.  

SEATTLE, WASHINGTON SEPTEMBER 15, 2017

Their failure of medical knowledge and training serves as the basis for liability only where the failure to train in relevant respect amounts to deliberate indifference to the constitutional rights of persons with whom the DEA Agents came into contact.  The elements of the DEA agents’ during the

British Columbia PARLIAMENT BUILDING, VANCOUVER ISLAND, VICTORIA, British Columbia, CANADA SEPTEMBER 23, 2017

search displayed a lack of significant training.  Whereby in on instant it can be seen that agents disabled and removed the camera system before they searched the facility.  

CALGARY, ALBERTA NOVEMBER 19, 2017 LP-3 NETWORK LECTURE KEN SPEIDEL PAIN; PATHO-PHYSIOLOGY, ME AND NORM JR.

CONGRESS MUST INVESTIGATE

Therefore, the acts and actions of the DEA’s application fall under the “Fruit of the Poisonous Tree.”  Therefore, these matters of enforcement are baseless, and all items removed must be immediately returned, and all losses of wages and profits must be restored.  

for now, you’re within the norms

DRUG ENFORCEMENT AGENCY (DEA) ARMED WITH BADGES GUNS AND PROFOUND STUPIDITY NEEDS CONGRESSIONAL REFORM OR BE DISBAND

By

Norman J Clement RPh., DDS, Jack Folson RPh., RPh, Ricardo Fertil PharmD., Walter R. Clement, Bs., Ms., Norman L. Clement, Pharm Tech., Martin NdJou, RPh, Jelani Z. Clement BS., MBA., Pharm Tech, Brian Olatunji, RPh.

Beyond race, it is The Drug Enforcement Agency’s stupidity, and its incompetence which troubles us more.” 

Mural found in Cape Town South Africa International Airport

“WE MUST GO PUBLIC AND CONGRESS MUST INVESTIGATE”

THE DEA CAMPAIGN OF STUPIDITY

Over the years, the DEA has cleverly captured the ability  to mis-classify, eviscerate patient practitioner relationships, and willfully  redefine  medical, pharmaceutical, and dental procedures to the detriment of the greater society. DEA’s policies are often in conflict with modern Public Health Medicine, which recognizes addiction, mental health, substance abuse, acute and chronic pain as diseases. (see video by Norman and Jelani Clement of US Surgeon General Jerome M. Adams MD., statement on Mental Health and Substance Abuse) “Congress Must Investigate.”

photo by Norman J Clement US Surgeon General Jerome M. Adams MD

We reported in earlier articles of  a disturbing trend within DEA whereby medical practitioners are being targeted.( i.)  (see video below)

A campaign of false information has been generated and disseminated to sway the public into believing that these medications are on par with street drugs, dangerous drugs that contribute to abuse and trafficking and the so-called ‘Opioid crisis’ in America. The Agency has raided and arrested medical personnel for dispensing prescription ordered medications, particularly control medications, to the community.”

Kafk’s Curse, District 6 Museum, Cape Town South Africa

CONGRESS MUST INVESTIGATE THESE ILLEGAL ACTIVITIES OF THE DRUG ENFORCEMENT AGENCY (DEA)” 

Washington , District of Columbia, United States April 25, 2018 10:24 am, United States Surgeon General Jerome M. Adams, MD, MPH speaks at Behavioral and Opioid Conference on his brother Philip serving 10 years imprisonment, near D.C.,(video 1) and removing stigma of mental and drug addiction(thru partnering) to medical and Public Health treatment. Attended by Jelani Z Clement Pharm Tech., Pronto Pharmacy and Norman J Clement Rph., DDS., Conference Office of Minority Health on Opioid Overdose and Mental Health Disparities, Hubert Humphrey Bldg.

While it is easier to divert our attention on racismo, this is only an anodyne, masking how the DEA has become the sole heinous government agency whose tactics have increased costs of medications and healthcare all across America.   They’ve accomplished this by misinterpreting the purpose and roles of medications needed to treat acute, chronic, neuropathic and psychological pain. 

MASKING

“Congress Must Investigate.” (see my skin is too dark)

These authors, have found that the DEA has unfortunately lost sight of their true mission and now effectively uses bullying, threats and intimidation tactics such as; 

1. Raids and Arrests, 

2. Forfeitures, 

3. Prison Time 

“CONGRESS MUST INVESTIGATE THESE ILLEGAL ACTIVITIES OF THE DEA.”

DEA agents lack knowledge and understanding of Opioid Pain receptors, but armed with badges, guns and profound stupidity, are imposing their new misguided mission onto the medical profession; (nurses, pharmacists, physicians, dentists, drug wholesalers, and their patients)

“Congress Must Investigate.”

According to The New York Times article called Federal Agency That Fuels The Opioid Crisis written September 17, 2018, “The Drug Enforcement Administration (DEA) has proved itself incompetent for decades.” Most notably it was reported; (see video below ” I’m not the right criteria” and my teeth are too shiny”)

“The agency’s enforcement strategies, and the support it has lent to local and state police departments, have also fueled abusive police tactics including dangerous no-knock-raids and ethnic profiling of drivers. It has eroded civil liberties through the expansion of warrantless surveillance, and overseen arbitrary seizures of billions of dollars of private property without any clear connection to drug-related crimes. These actions have disproportionately targeted people of color, contributing to disparities in mass incarceration, confiscated property, and collective trauma.”

CONGRESS MUST INVESTIGATE THESE ILLEGAL ACTIVITIES OF THE DRUG ENFORCEMENT AGENCY (DEA)”

Authors Professor Leo Beletsky and Jeremiah Goulka further reported: 

1. “ The Drug Enforcement Administration, the agency that most directly oversees access to opioids, deserves much of the blame for these deaths. Because of its incompetence, the opioid crisis has gone from bad to worse. The solution: overhauling the agency, or even getting rid of it entirely.”

2. “The problem begins with poor design. A brainchild of Richard Nixon’s “war on drugs,” the agency sought to cut off supplies of drugs on the black market, here and abroad. But in passing the Controlled Substances Act of 1970, Congress also gave the agency broad authority over how prescription opioids and other controlled substances were classified, produced and distributed.” 

3. “The agency was supposed to curb problematic drug use, but failed to do so because its tactics were never informed by public health or addiction science.(iii.) Despite the investment of hundreds of billions of taxpayer dollars and the earnest efforts of thousands of employees, the D.E.A.’s track record is abysmal.” “Congress Must Investigate.”

4. “The agency has been unable to balance legitimate access to and control of prescription drugs. The widespread over-reliance on opioids, along with benzodiazepines, amphetamines and other scheduled medications, has created a booming black market.” “Congress Must Investigate.”

THE DEA’s RED FLAGS PILL MILLS, COCKTAILS AND HOLY GRAILS (TRINITY) vs THE PATHOPHYSIOLOGY OF PAIN, ANXIETY AND SLEEP DISORDERS

Pain Management is a very complex issue.  More often than not in chronic (non-acute) pain which is considered a disease, comorbidities need to be addressed.(iv.)  We further must have a basic understanding of pain patho-physiology and neuroscience and the basic structures and function of the nervous system which is a complex structure that coordinates voluntary and involuntary actions by transmitting signals to and from different parts of the body.(v.) (see video below “then I was Red Flagged”)

Pain is a complex and subjective experience initiated by an unpleasant (or noxious) stimulus associated with actual or potential tissue damage. Pain is a primitive response that motivates us to withdraw from the source that is causing the pain and protect the body from further damage.  The unpleasant feeling associated with pain is also stored in our memory so that we can avoid similar situations in future.(vi.) While the pain complex may seemingly be intimidating, its basic understanding is not all that difficult. 

According to LP-3 network, Publication PAIN: PATHO-PHYISIOLGY AND NEUROSCIENCE; (see I have an artificial from tractor injury)

5. “The nervous system is divided into two main parts: the Central Nervous System (CNS) and the Peripheral Nervous System (PNS). The CNS consists of the brain and spinal cord, while the PNS consists of all the nerves that branch out of the spinal cord into the body.” 

6. “The PNS is divided into the somatic, autonomic, and enteric nervous system. The somatic nervous system is responsible for transmitting information from motor and sensory neurons to the CNS. 

7. “The autonomic nervous system is largely responsible for regulating autonomic functions, such as digestion, respiratory and heart rate, pupillary response, and certain reflexes (e.g., coughing, sneezing, swallowing, and vomiting)  activities that occurs in response to a perceived harmful event, attack, or threat to survival i.e. fight-or-flight response.

Figure 1. The nervous system: CNS and PNS (left) and autonomic nervous system (right).Image modified from http://www.biologyreference.com/Oc-Ph/Peripheral-Nervous-System.html.. The nervo: pastedGraphic.png

Types of Pain 

According to LP3 Network, Pain: Patho-Physiology and Neuroscience, “it is important to remember that pain is a multidimensional sensory experience. Pain may vary in intensity (mild, moderate, or severe), quality (sharp, burning, or dull), duration (transient, intermitent, or persistent), and dermatomal or referred (from somatic or visceral structures). “

LP3 Network, Pain; Patho-Physiology, points out, “Pain can be classified in terms of its duration, etiology, and physiology, namely as acute or chronic pain.” (see “video not being judged by the mile marker in Durbanville, South Africa)

Acute pain, usually follows a physical injury, is transient and resolves with healing. Conversely, Chronic pain, is often defined as any pain lasting more than 12 weeks, which usually has unclear etiology or multiple causes, persisting even after healing. Acute pain usually serves a protective function, whereas chronic pain usually performs no adaptive function.”(v.) 

Carrollwood Country Club, Tampa, Florida

More importantly, LP3 Network defines, “An example of acute pain is touching a very hot object. The brief exposure to this hot object will cause a rapid but brief pain sensation and initiate a withdrawal reflex to prevent and/or minimize tissue injury. In so doing, this type of pain also serves a protective (or adaptive) function because it protects the individual from further injury.”(v) 

Kalbaka, Trikala, Greece

“Hence, acute pain is often categorized as adaptive pain. In contrast, chronic pain is often categorized as maladaptive pain as it serves no protective function, but instead results from abnormal functioning or damage to the nervous system.” “Maladaptive pain is not associated with noxious stimuli but to abnormal sensory processing. In addition to these categories, pain can be separated into the following different types of pain: nociceptive, inflammatory, neuropathic, and functional. “

Nociceptive Pain 

Nociceptive pain, according to LP3-Network Pain; Patho-Physiology,  “results from noxious stimuli that are either mechanical, thermal, or chemical, and that elicit tissue damage and activate nociceptors. This type of pain can further be divided into somatic pain, which affects somatic structures; visceral pain, which affects visceral structures; and inflammatory pain, which results from the release of inflammatory substances in the periphery by cells in the affected area. “(v)

Pain; Patho-Physiology, states, “Nociceptive pain usually results from tissue damage following injury (e.g., surgery, trauma, or wounds). At times nociceptive pain can persist after healing and cause chronic pain (e.g., after surgery). “

Archea Olympia, Elis, Greece

Therefore, it is very important to treat acute pain to prevent it from becoming chronic pain.  “The treatment of nociceptive pain usually involves analgesics, nonsteroidal anti-inflammatory drugs (NSAIDs), and Na+ channel blockers.” 

“Opioid medications (narcotic analgesics) can also be used in the treatment of pain because peripheral opioid receptors are increased after an inflammatory response,” as clearly define in the Pain; Patho-Physiology.(vi)

Neurogenic Pain 

“Neurogenic pain is a direct consequence of diseases that affect the somatosensory system. Neurogenic pain can further be divided into neuropathic and functional pain. Neuropathic pain often results from lesions to the PNS and CNS.  For example, neuropathic pain that occurs from CNS lesions includes diabetic neuropathy or acquired immune deficiency syndrome (AIDS) polyneuropathy, post-herpetic neuralgia, or lumbar radiculopathy.” 

Groot Constania, Southern Suburb, South Africa

Pain; Patho-Physiology by LP3 Network states, “Neuropathic pain that results from lesions to the nervous system include spinal cord injury, multiple sclerosis, or a stroke. Functional pain is different from neuropathic pain in that it occurs in the absence of a defined anatomic lesion within the nervous system.” 

LP3-Network Pain; Path-Physiology further states and reports, “Instead, functional pain results from an abnormal responsiveness or function of the nervous system. In other words, functional pain occurs from the dysfunction of pain modulation mechanisms, such as the activation of endogenous excitatory systems that amplify nociceptive signals or the dysfunction of inhibitory mechanisms.”(vii.)

Thalamic pain syndrome, which usually occurs after a thalamic stroke or lesion to the thalamic nuclei, is an example of functional pain. The thalamus contains many inhibitory interneurons that can modulate transmissions to the brain.” 

Therefore, “a lesion to the thalamic nuclei can often cause hyperactivity of the thalamic neurons, which are normally inhibited by a complex network of interneurons, to cause an intense pain covering a large part of the body. “

“Other examples of functional pain include fibromyalgia, irritable bowel syndrome, and some forms of noncardiac chest pains. The treatment of neurogenic pain often involves using pharmacologic approaches that reverse or reduce the hyperactivity of nociceptive neurons or activation of endogenous inhibition. For example, opioids, anticonvulsants, antidepressants, and cannabinoids are used to treat neurogenic pain. “(viii)

Groot Constantia, Winery , South Africa

Therefore, when a practitioner finds a combination of medications that successfully treats chronic pain, they are reluctant to stray from that protocol.  It’s akin to other protocols that are used in medicine that address chronic conditions such as cancer protocols, ALS protocols, hypertension step-care therapy, anti-coagulation protocols and others.  “CONGRESS MUST INVESTIGATE THE DRUG ENFORCEMENT AGENCY (DEA)”(see video “Walgreens says I’m a dope addict”)

Typically, there is inflammation and therefore non-steroidal anti-inflammatories are used.  Patients often experience anxiety so anti-anxiety agents such as benzodiazepines or tricyclics are used.  In nociceptive pain, Gabapentin is often the first drug of choice.  In lower back pain, whose underlying causes can be quite different from each other the presentation of muscle spasm or hypersensitivity, muscle relaxers such as cyclobenzaprine, metaxolone, baclofen, carisoprodol or others represent standard therapy.

DRUG ADDICTION IS NOT A CRIME

It is unreasonable to expect a Diversion Investigator to have a complete understanding of these complex issues. Notwithstanding the basic foundation of patho-physiology is not in their 12-week course as compared to Physicians and Pharmacists requiring years of training to make adequate choices in this arena.  “CONGRESS MUST INVESTIGATE”

ENOUGH IS ENOUGH 

According to Professor Leo Beletsky and Jeremiah Goulka, (ii.) Director of Northeastern University’s Health in Justice Action Lab, where Jeremiah Goulka is a senior fellow in their September 17, 2018 New York Times article; “Congress Must Investigate.”

9.“Overdose deaths soared since so many people were prescribed opioids and many mixed them with alcohol and other sedative drugs. The D.E.A. could have marshaled a calibrated response, expanding evidence-based treatment and reducing the prescription of especially risky drug combinations.” “The Congress Must Investigate.”

10. “Meanwhile, lifesaving opioid treatments that the D.E.A. closely regulates, like methadone, have remained extremely difficult to obtain. Indeed, these problems were much broader than the alleged industry machinations to muzzle the agency.“(ii)

11.“Instead, the agency pushed for surveillance of prescription records and electronic communication, doubled down on prosecuting prescribers and helped to tighten the screws on patients seeking pain relief.” 

12. “A decade into the crisis, more and more prescription drug users turned to the black market. Even though the D.E.A. had tried to “eradicate” illicit drugs for nearly 50 years, users could easily buy stolen and counterfeit pills, along with a cheaper option, heroin.”(ii.)

THE CONGRESS MUST REFORM OR DISBAND THE DRUG ENFORCEMENT AGENCY (DEA)

Today hundreds of medical practitioners sit in prison, their lives destroyed, property seized and stolen, families disrupted, due to of 40 years of the incompetence of this single heinous agency.  The September 17, 2018 article concludes: “CONGRESS MUST INVESTIGATE THESE ILLEGAL ACTIVITIES OF THE DRUG ENFORCEMENT AGENCY (DEA)”

According to Professor Leo Beletsky and Jeremiah Goulka,

“ We ought to reinvent the Drug Enforcement Administration. Considering its lack of public health and health care orientation, the agency’s regulatory authority over the pharmaceutical supply could be transferred to a strengthened and independent Food and Drug Administration, while the regulation of medical and pharmacy practice can be ceded to the states.” “CONGRESS MUST INVESTIGATE THE DRUG ENFORCEMENT AGENCY (DEA)”

We have seen the culture of song and dance. Its power is always captured within a movement, while having traveled the passage from Barbados, Panama, Cuba Haiti, United States, Brazil, South Africa:(see video)

CHOP THEM UP

According to Professor Leo Beletsky and Jeremiah Goulka,

“Parts of the D.E.A.’s law enforcement mandate should be transferred to the F.B.I., delegated back to the local or state, or eliminated. A significant portion of the D.E.A.’s budget should be reinvested in lifesaving measures like access to high-quality treatment.” AND WE CONCUR

AND WE CONCUR

According to Professor Leo Beletsky and Jeremiah Goulka, and Norman J Clement, Jack Folson et al.

” It is more than clear Congress must take actions to reform or disband The Drug Enforcement Administration (DEA). We concur, DEA has had over 40 years to win the war on drugs. Instead its tactics have fueled the opioid crisis. To finally make a dent in this national emergency, we need to rethink the agency from the bottom up.”  

My soul is liberated, from the Anthem of the “Good Death” “Festiva De Boa Morte,” the Good Death of Slavery, Cachoeria, Brazil. “Da me liberdante”(see video)

For Now You’re Within The Norms

i. https://youarewithinthenorms.com/2019/12/10/since-when-has-it-become-the-job-or-the-role-of-law-enforcement-dea-to-dictate-and-define-medical-procedures-and-protocols-a-reflection/

ii. Professor Beletsky is the faculty director of Northeastern University’s Health in Justice Action Lab, where Jeremiah Goulka is a senior fellow.reported in article https://www.nytimes.com/2018/09/17/opinion/drugs-dea-defund-heroin.html 

iii. https://www.nytimes.com/2018/09/17/opions/drugs-dea-defund-heroin.html

iv. https://youarewithinthenorms.com/2020/01/15/black-pharmacist-fight-back-the-deas-red-flags-of-old-jim-crow/

v.,vi., vii., viii., Pain: PATHOPHYSIOLOGY AND NEUROSCIENCE, Editors 

Daphnee Lalonde, BSc, MSc. Radia Johnson, BSc, PhD, Miguel de la Garza, MD, DABA, DAPM, Kenneth Latta, BS Pharm, RPh, FIACP, FACA   

LP3 Network CE Coordinator Disclosure – Medisca Consultant 

Senior Associate, Gates Healthcare Associates 

Disclosure – Health System Consulting Group LLC Consultant; Gates Healthcare Associates Consultant; Accreditation Commission for Health Care (ACHC); North Carolina Board of Pharmacy; Visante UK; Visante Inc.; and Medisca Consultant 

Ken Speidel, BS Pharm, PharmD, RPh, FIACP, FACA 

Senior Associate, Gates Healthcare Associates
Disclosure – Accreditation Commission for Health Care (ACHC) Surveyor; Gates Healthcare Associates Consultant; Medisca Consultant 

THE AMAZING DOUBLE STANDARDS: WHILE DEA IS ATTACKING BLACK OWN PHARMACIES, CVS IS SQUEEZING MOM AND POP

REPORTED BY 

NORMAN J CLEMENT DDS, RPH., AND JACK FOLSON RPh, JELANI Z. CLEMENT BS., MBA., PHARM TECH, MARTIN NDJOKU RPH

February 10, 2020

So, one more time, while most of the population were focused on Iran, Iraq, and Impeachment, CVS- Caremark, acting in greed and behind the scenes is squeezing Mom and Pop Independent Pharmacy.

The process is being accomplished  through the CVS Pharmacy Benefit Managers, thus putting small Mom and Pop Independent Pharmacies out of business. (see attachment)

CVS, actions are appalling yet, even more appalling is the US Attorney Generals Office, through the DEA, prosecuting Black Own fee for services pharmacies, like Oak Hill Hometown Pharmacy, Oak

Hill WV, Gulf Med Pharmacy, Cape Coral Fl., Pronto Pharmacy LLC, Tampa Fl., Top line Pharcies, Lutz, Fl., Best Aide Pharmacy Lancaster, Tx., et al, for limiting insurances intakes.

To this date, not one CVS top management, has been warned or prosecuted for this type of greed.

For Now, You’re Within The Norms

POOR ORAL HEALTH in AFRICAN AMERICAN WOMEN, RISK INCREASE PANCREATIC CANCER

reported by norman j clement rph.,dds

Oral Health in Relation to Pancreatic Cancer Risk in African American Women (see attached full text)

Hanna Gerlovin, Dominique S. Michaud, Yvette C. Cozier, and Julie R. Palmer DOI: 10.1158/1055-9965.EPI-18-1053 Published April 2019 

Abstract 

Background: Incidence of pancreatic cancer is higher in African Americans than in U.S. whites. We hypothesized that poor oral health, disproportionately common in African Americans and associated with increased risk of pancreatic cancer in several studies of predominantly white populations, may play a role in this disparity. 

Methods: We examined the relation of self-reported measures of oral health (periodontal disease and adult tooth loss) in relation to pancreatic cancer incidence in the prospective Black Women’s Health Study (BWHS). Cox proportional hazard analyses were used to calculate HRs of pancreatic cancer for women with periodontal disease, tooth loss, or both, relative to women who reported neither. Multivariable models adjusted for age, cigarette smoking, body mass index (BMI), type 2 diabetes, and alcohol consumption. 

Results: Participants aged 33 to 81 were followed for an average of 9.85 years from 2007 through 2016, with occurrence of 78 incidence cases of pancreatic cancer. Multivariable HRs for pancreatic cancer incidence were 1.77 [95% confidence interval (CI) 0.57–5.49] for periodontal disease with no tooth loss, 2.05 (95% CI, 1.08–3.88) for tooth loss without report of periodontal disease, and 1.58 (95% CI, 0.70–3.57) for both tooth loss and periodontal disease. The HR for loss of at least five teeth, regardless of whether periodontal disease was reported, was 2.20 (95% CI, 1.11–4.33). 

Conclusions: The poor oral health experienced by many African Americans may contribute to their higher incidence of pancreatic cancer. 

Impact: Future research will assess associations between the oral microbiome and pancreatic cancer risk in this population. 

For Now You’re Within The Norms

THE STRANGE CASE OF AYANA SMITH:

by norman j clement rph., dds

 Masters Case presentation University of Florida, College of Dentistry CDP-29, May 2018, candidate American Academy of General Dentistry (FAGD)

“A Re-Examination of Dental Competency, the mistreatment of an African-American young woman by The Chief Examiner William Bell DDS, and the failure of The Commission on Dental Competency Assessment  (CDCA) to address her complaint and the dentist candidate’s appeal”

District 6 Museum, Cape Town South Africa

THE STATEMENT OF FACTS

  1. The Patient Ayana Smith of Tampa Fl., was presented as a candidate for Periodontal Scaling for The Commission on Dental Competency Assessment (CDCA).
  2. Pre-exam photographs, radiographs and oral exam demonstrated, Ms. Smith Generalized Gingivitisto localized Periodontitis.
  3. Ms. Smith, states upon examination for Periodontal Scaling, two of the Examiners greeted her professionally utilizing Universal Precautions, Face mask, grown, caps, and magnification headlights.
  4. The two Examiners agreed she was a candidate the Periodontal Scaling.
  5. Ms. Smith, then sates suddenly a man identified as “The Chief Examiner” came into the dental cubicle began arguing with the two examiners, he put on pair of gloves, told her to open up and replied “NO.”
  6. Ms. Smith states, “The Chief Examiner” stated, “Your mouth wasn’t dirty enough,” the Dental candidate failed this section of the examination for “Lack of Clinical Judgment”

RE: CANDIDATE APPEAL

My name is Norman J Clement, I am both Dentist/Pharmacist currently enrolled in my second year Comprehensive Dentistry Program, Class 29(CDP 29), The Academy of General Dentistry (AGD) (Master track program) at the University of Florida College of Dentistry (see exhibit 1).

I am generating this appeal because I strongly believe my results on The Commission on Dental Competency Assessments (CDCA) were adversely affected by extraordinary conditions during the examination which affected the final outcome of my examination.

This appeal arises from the demonstrated outright failure by a CDCA examiner WILLIAM  “BILL” BELL, (THE CHIEF EXAMINER)  “to comply with CDCA material examination requirements, as contained in the Candidates Manual, that directly caused this candidate to fail the examination.”

STATEMENT OF CONTENT OF APPEAL

  1. The examination date May 5-6, 2017
  2. University of Florida School of Dentistry, Gainesville, Florida.
  3. Norman J Clement (candidate)
  4. THE CHIEF EXAMINER, WILLIAM “BILL” BELL, MORE THAN DEMONSTRATED A CRITICAL LACK OF CLINICAL JUDGEMENT, DIAGNOSTIC SKILLS, BY FURTHER DEMONSTRATING COMPLETE DISREGARD FOR THE ORAL STRUCTURES AND WELFARE BY VIOLATION OF UNIVERSAL PRECATIONS[i] OF THE (MY) PATIENT AYANA SMITH (see patients exhibit 2).

ARGUMENT

I failed the Restorative/Periodontal CDCA examination because of the Critical Lack of Clinical Judgment/Diagnostic Skills and bias directed toward me by of Chief Examiner William “Bill” Bell during the entire exam. On Saturday, while setting up for the exam, Dr. Bell came over to me an asked what was my candidates number. I told him 161, but I also thought that to be somewhat unusual.  I further strongly know I passed the entire Manikin Portion of the CDCA Board Examination of May 5, 2017.

METHODOLOGY

PERIODONTAL POST RE-XAMINE

Patient Ayana Smith was re-examined (post CDCA board exam) using criteria procedures similarly to those established for Periodontal Scaling Examination on the CDCA Dental Examination Board.[ii]  Three (3) examiners, William “Bill” Bell DDS The Chief Examiner CDCA, Nora Delgado-Velasquez DDS, Practice Limited to Periodontics and Implants, Diplomate, America Board of Periodontology, Tampa, FL 33609 (see Delgado-Velasquez, exhibit- 3), and Darnell Kaigler DDS.MS, PhD, Diplomate, American Board of Periodontology, Associate Professor Department of Periodontics and Oral Medicine, University of Michigan Professor  (see Kaigler’s exhibit-4) determined if patient Ayana Smith met specifications of a CDCA Dental Board candidate.  Both Drs. Delgado-Velasquez and Kaigler’s findings are published and found in exhibits 3 and 4, of this Appeal. Dr. William “Bill” Bell’s findings are found from CDCA examination results and his observed behavior in patient Ayana Smith’s exhibit -2.

RESTORATIVE:

Patient Ayana Smith was a candidate for the Restorative Class-II, composite. Patient Smith had two clinical lesions, tooth 29, MESIAL-OCCUSAL (MO) and tooth 12, DISTAL-OCCUSSAL (DO) that met CDCA Board Criteria. Tooth #29 was selected, as this was the most ideal and simplest lesion.

Ms. Smith states upon presentation at least 2 clinical examiners agreed tooth #29 met CDCA Board criteria however Dr. Bell somehow intervened and tooth #29 was rejected (see exhibit-2 overall statement of patient).

Patient Ayana Smith returned for examination of tooth 12, DO (which was much more difficult) and stated Dr. Bell appeared outraged at her presence again. After a long discussion with other examiners the procedure was allowed. Patient Ayana Smith states, Dr. Bell wore gloves only during his examination of her throughout the restorative exams (see patient exhibit-2, pg2, 3).

STATEMENT OF FACTS

Patient Ayana Smith of Tampa, Fl. (see exhibit-6) was presented as a candidate for Periodontal Scaling for the CDCA examine held May 5-6, 2017, University of Florida College of Dentistry. Both pre-exam photographs (see exhibit-5, radiographs) and oral exam showed Patient Ayana Smith to have Generalized Gingivitis to localized Periodontitis. Patient Ayana Smith was selected as a candidate for the board using guidelines of CDCA Candidates Manual, [iii] lower anterior and posteriors 22 thru 31 were then selected.

Patient Ayana Smith, states upon examination for Periodontal Scaling, two of the Examiners greeted her professionally utilizing Universal Precautions, facemask, gowns, caps and magnification, headlights (see patient exhibit-2, pg2, 3).  Patient Ayana Smith further states these two examiners agreed she was a candidate. Patient Ayana Smith said Dr. Bell then came into the dental cubicle argued with the two examiners, put on a pair of gloves only, said “open up” and replied “NO.” I failed this part of the exam.

“YOUR MOUTH WASN’T DIRTY ENOUGH”

“YOU MUST BE HUNGRY”

In Patient Ayana Smith’s own hand writing she describes the deplorable way William “Bill” Bell degraded her, then made the statements directly to her that “YOUR MOUTH WASN’T DIRTY ENOUGH” AND OTHER DERAGATORY, DENIGRATING REMARKS (see patient exhibit-2 pg. 3).

Dr. Darnell Kaigler Jr., was asked to chart the teeth he would have chosen for scaling on the CDCA exam (see Kaigler’s exhibit-4) using their criteria. Dr. Kaigler’s charting of  Patient Ayana Smith’s lower dentition was nearly identical to the charting I presented on the day of the exam (see Kaigler’s exhibit-4).

“OVERWHELMING CLINICAL EVIDENCE”

The Clinical evidence against Dr. William “Bill” Bell’s complete failure to identify moderate generalize gingivitis (see Delgado-Velasquez, Kaigler exhibits 4&5) in  Patient Ayana Smith is simply overwhelming, and has to be based on a biased conclusion which doesn’t belong in the field of Dentistry.

Notwithstanding, Dr. William “Bill” Bell failed to use Universal Precaution Infection Control Procedures as published by the Center for Disease Control and Prevention,[iv]  by failing to wear a masks and gowns during examinations of patient Ayana Smith (see patient’s exhibits 7,8,9).

“OPEN YOUR MOUTH”

Ms. Ayana Smith stated in her own words and handwriting (see exhibit-2, pg-2) during both Periodontal and Restorative examination procedures “Mr. Bell, examine my mouth…by simply  throwing on a pair of gloves  and quickly uttering open up.” Ms. Smith was so outraged with Dr. William “Bill” Bell, she felt  compelled to further document his “sub par treatment” and took pictures (see exhibit-2, pg-3).

In patient Ayana Smith’s photos of William “Bill” Bell DDS, he is seen writing and doesn’t appear to have worn universal protective gown or mask (see patient exhibit-7, 8,9). Dr. Bell’s badge is clearly identifiable (see exhibit-7).

In preparation of tooth #12 access ideal opening and proximal box were completed. Dental caries was extensive involving areas under Dentin Enamel Junction (DEJ), which required I approximately 11 modifications, in which all caries were removed. The Examiners approved “Every Modification”. My final request was placement of dycal, glass ionomer base, and then final composite restoration.

According to Patient Ayana Smith all examiners agreed except Dr. William “Bill” Bell. I was terminated from CDCA Examination and prevented from moving forward on remaining of CDCA Exam.

FINDINGS

PERIODONTICS

The finding from Nora Delgado-Velasquez, DDS and Darnell Kaigler Jr DDS, both of whom are Diplomate America Board of Periodontology are more than clear Patient Ayana Smith was a candidate for Periodontal Scaling the day before the CDCA Board Examination, the day of the CDCA Board Examination on May 6. 2017, (at the time she was presented for treatment) and the days after the CDCA Board Examination (see Delgado-Velasquez, Kaigler exhibits 3&4).

On the day of the exam William “Bill” Bell DDS, adversely influenced and rejected Patient Ms. Smith as a candidate on the Periodontal section of the CDCA Exam, and said to her directly “Your mouth wasn’t dirty enough.” (See patient’s exhibit-2 pg. 3)

Dr. Nora Delgado-Velasquez, DDS, evaluated Patient Ayana Smith post exam, May 8, 2017, in her office in Tampa, Fl., and found “Heavy generalized plaque, Moderate supragingival calculus on lower anterior teeth and #3.  Generalized light subgingival calculus detected on probing mostly on enamel surfaces”(see Delgado-Velasquez, exhibits 3)

Near District 6, Old Cape Town South Africa

Patient Ayana Smith was flown to Detroit and was further evaluated by Darnell Kaigler Jr. DDS, MS, PhD in his Detroit Dental Specialty Center, May 22, 2017, and recorded during the exam:

Plague Score (O’Leary 1972) estimate 90%, Bleeding Index 63%, Calculus Moderate supragingival (generalized) Detectable subgingival (all upper and lower molars; 23-26) Probing Depths, 2-4mm in the upper and lower anterior; 2-5mm in the upper and lower posterior. In the Field of Law these Clinical Finding are Prima Fascia Evidence (see Kaigler’s exhibits 4).

PERIODONTAL THERAPY

On May 22, 2017, Patient Ayana Smith received periodontal therapy while at the Detroit Dental Specialty Center (prophy plus) with generalized scaling throughout the dentition to remove supra and sub-gingival deposits. It was recommended that Patient Ayana Smith seek regular dental care at her previous dental office or another local dental office for follow-up and long-term maintenance. Ms. Ayana Smith flew back and returned safely to Tampa, Florida that very night.

RESTORATIVE

I did not lack Clinical judgment and I strongly believe had it not been for Dr. Bell’s interferences I would have passed the Restorative section of this test. I was told by another examiner, Dr.Bell  stated the cavity prep was going all over the place.

I agree, this was not going to be an ideal prep. Good clinical judgment is “one must go where the caries goes.”  I did not have a pulp exposure. The internal prep was less than ideal but I removed all the caries and Patient Ayana Smith experienced no post-op pain.

I should have been approved to complete the exam. I was stopped by Dr. William Bell’s lack of clinical judgment. The failure to remove dental caries is Poor Clinical judgment. I know I had passed this exam.

DISCUSION

No disease state can ever be treated if there is a failure to properly diagnose and more specifically when bias is allowed to interfere with overwhelming clinical evidence[v].

Yet, “I Know Where I Have Been” and while it is not easy and painful challenging any individual Dental Board Examiner, without a full understanding of the potential adverse consequence. 

I could have just as easily sat back and done nothing or like many of my dental colleagues said to me, “ Norm, just pray about it” and “get ready for the next dental board exam.”

Yet, in the song “I Know Where I Have Been” as sung by Dana Owens also known as Queen Latifah, “from the movie Hair Spray it is stated:

“There’s a road we’ve been traveling, lost so many on the way, but riches

will be plenty, what the price we had to pay,

There’s a dream with a future,

There’s a struggle that we have yet to win,

And there’s pride in my heart because I know where I’m going

Yes I do…because

I know where I’ve been.”

USE THAT PRIDE IN OUR HEARTS

To lift ourselves up into tomorrow

JUST TO SIT STILL WOULD BE A SIN

Lord Knows

“I Know Where I’ve been”

I’ve come to be compelled always to be an advocate for my patient and for better dental healthcare inspight of myself.

YET ON THIS DAY

On this day William “Bill” Bell was so busy trying to be a bigot, so busy trying to be a racist, so busy trying to be the toughest Dental Examiner on the CDCA Dental Board Examination, he forgot how to be fair. 

However, I don’t believe William “Bill” Bell DDS is a racist, or bigot at all. The eight hundred pound monster in this room is the Critical Lack of Clinical Judgment, diagnostic skills, demonstrating complete disregard for the oral structures and welfare of Patient Ayana Smith by violation of universal precautions[vi]

Groots Constantia Winery, Southern Suburbs, Cape Town South Africa

So on that day of May 6, 2017, William “Bill” Bell DDS was so busy trying to be someone he isn’t, he forgot who he was, and what he was, …. A Dentist…A Clinical Examiner. Instead he just looked at Patient Ayana Smith and looked right through her…. as a modern day Sarjie Bartman[vii] (Hottenot Venus)[viii] as he looked at me and looked right through me.

CONCLUSION

WILLIAM “BILL” BELL DDS must be removed as Chief Examiner of the CDCA Dental Board Examination as having demonstrated poor clinical judgment and failure to meet minimum appropriate clinical standard of care for the patient.

More Importantly William “Bill” Bell failed to use Universal Precaution Infection Control Procedures as published by the Center for Disease Control and Prevention,[ix] by failing to wear masks and gowns when examining Patient Ayana Smith. 

Patient Ayana Smith (see exhibit-2, pg-2) felt mistreated Dr. William “Bill” Bell and became so outraged. 

Therefore, I file this timely Appeal and request review and redress of the entire exam I took at the University of Florida College of Dentistry May 5 thru 6, 2017.

In these times of fake news and alternative facts (both which have absolutely no merits in the Profession of Dentistry)…. There is one thing I’ve learned in life from a man neither I liked nor voted for, but have come to greatly respect: PRESIDENT RONALD REAGAN;

“WE MUST TRUST AND VERIFY”

norman j clement rph dds


[i] CANDIDATE MANUAL, America Board of Dental Examiners (ADEX) 2015, The Commission on Dental Competency Assessments, www.nerb.org, (PENALTIES) pg.9.

[ii] CANDIDATE MANUAL, America Board of Dental Examiners (ADEX) 2015, The Commission on Dental Competency Assessments, www.nerb.org, pg.33-35.

[iii] Et al., pg.34.

[iv] Et al., …pg.102.

[v] Martin Luther King Cultural conditioning, “in America we are culturally condition t to under estimate, under value, and marginalize”

[vi] CANDIDATE MANUAL, America Board of Dental Examiners (ADEX) 2015, The Commission on Dental Competency Assessments, www.nerb.org, (PENALTIES) pg.9.

[vii] https://en.wikipedia.org/wiki/Sarah_Baartman

[viii] https://www.youtube.com/watch?v=gj4x-6UMg9M

[ix] Et al., pg.102. pg.102..

FOR NOW YOU’RE WITHIN THE NORMS

Norman J Clement RPh, DDS

DRUG ENFORCEMENT AGENCY (DEA) POLICIES UNDERMINES MEDICAL TREATMENT AND CARE

page1image62802992
BY NORMAN J CLEMENT RPH., DDS

Gerald Kiley 

Respondents pre hearing statements 

Pronto Pharmacy LLC v United States Drug Enforcement

HEARING JANUARY 28-31 Tampa Fla., (Federal Timberlake Building)

TAMPA FLORIDA

Gerald Kiley 61 year old male, has for the past 3 years traveled every 30 days to Pronto Pharmacy each month  round trip more than 340 miles to fill his prescriptions. lives in Cape Coral, Fort Myers area 

Mr. Kiley states: 

“ I come to Pronto because the availability of his prescription medication, is not down there (Ft. Myers Cape Coral area). He furthers states when he brings his prescription into a regular pharmacy such as CVS or a Walgreens they tell him they don’t have it, we don’t carry it anymore.

He fines, these pharmacy attitudes a suspect and profiling.

Mr. Kiley further states 

“ I have severe back pain, degenerative disk in his neck. sometime I can’t sit many times, i’m dependent on this medications and I’ve been of these medications for nearly 5 years. his pain his related to  injuries in several car accidents, he was a painter and has fallen off ladders before. (see IMG_9157.mov_Gerald Kiley, 3.21 mins)

Mr. Gerald Kiley States:

He heard about Pronto Pharmacy thru a friend of his who had been coming to Pronto because he too was having problem getting his prescriptions filled in the Fort. Meyer, Cape Coral area.

Mr. Kiley, after reviewing statement from the August 23, 2019 Order To Show Cause (OTSC-PP8-19) issue to Pronto Pharmacy,  states he pays by cash because he has no insurance, that he is not a junkie and not selling his medications and he has to pay by cash and that he is not wealthy.  He refutes the DEA assertion he is abusing his medication(see IMG_9158.mov-gerald_k_se.copy,2.52mins)

Mr. Kiley, further reviewed and was read the OTSC(PP8-19) in which the DEA opined that traveling distance was a significant “red flag” and the prescriptions being filled by Pronto-Pharmacy were being diverted and should not have been filled.

Mr. Kiley, strongly disagree with the DEA’s assertion, he states: he is not abusing his medication, diverting his medication,  he says “I’m am 61 years old and falling apart,” and has not violated any State or Federal law…(see img_9159mov-GK-reviews_OTSC-pp8-19_and Don_Sullivan…copy, 3mins)

Mr. Kiley, states: He’s driving more than 200 miles to have his prescription for non acute pain, which is typed on the prescription. Mr. Kiley, also states in this video he went to the Pharmacy next door to his physicians off, and that pharmacist told him he didn’t have the medication (see img_9162.mov-GK_identified_disease-states_copy,2.37 mins). 

Pharmacist, Norman J Clement stated at the time he believed the pharmacist next door to his physician was lying. Pharmacist, Norman J Clement latter learned the Pharmacy was “AT COST PHARMACY”, the Pharmacist was Aaron Howard PharmD. Pharmacist, Clement also learn he and Howard had worked together while both had been employed by CVS Pharmacy.  Aaron Howard had graduated from Florida A&M University College of Pharmacy with my daughter (AC Clement) in 2003.

Pharmacist, Aaron Howard spoke with Clement on December 8th, 2019 stated “Clement’s statement are correct and true,” and that he did mis-lead Mr. Kiley and many other patients because he was becoming increasingly afraid to fill control medication because the DEA was harassing him at his store. 

https://www.nhregister.com/technology/businessinsider/article/What-CVS-is-doing-to-mom-and-pop-pharmacies-in-12793335.php

Pharmacist, Aaron Howard,  learned of the Pronto Pharmacy plight and called Clement while he was on the Golf Course Sunday morning November 24, 2019. The two struck it well and Clement learned of a 3rd DEA raid on Gulf Coast Pharmacy, 11/18/2019 where an Order To Show Cause (OTSC-GCP11-19)

was issued to Pharmacy owner Ricardo Fertil PharmD. Fertil and Howard had been business partner but separated in early 2016.

Howard and Fertil are not generally on speaking terms however realize DEA was targeting Black Owned Pharmacies likely under the believe they were easy enforcement targets. Yet despite their difference and grievance both have united/join forces together with Clement, Guy Decker RPh., Jack Folson RPh., Walter R Clement, law enforcement, Richard C. Clement, C-Systems tech., Norman L Clement, pharm-tech., Jelani Z. Clement B.S., MBA as “THE TEAM”, our Coach is DALE SISCO Esq.

Mr. Kiley, agrees he’s been profiles and being punished and assigned both State and Federal Criminal Violation of the law (see img_9163.mov_Miles_Disease-states_1.04 mins).

because he is having to travel, “as far he knows everything is legal, it has the doctors DEA number on the prescriptions.”  I din’t know there was going to be a problem (see OTSC-pp8-19),

Mr. Kiley, pulls up his shirt, show he has a large umbilical hernia , liver leaks fluid into his abdomen which causes server pain which has to have drained every two weeks especially when it fills up on my and my spine I have a couple of tears in both my neck and my spine which causes severe pain, I’m just trying to get my prescription filled. img_9185.mov_Medical-Conditions_1.31 mins). 

Mr. Kiley, states he has never been examine physically, or spoken with DEA investigator Rich Alpert, or DEA’s Pharmacist Expert Don Sullivan, or United States Attorney Beerbower. (see WM_Gerald_Kiley Profiled Copy2.21 mins). Mr. Kiley, States “I’m not a criminal”

SEE ATTACHED PHOTOS AND VIDEOS   

by norman j clement rph.,dds

PHARMACIES OWN BY BLACKS "are and imminent danger to public health or safety"

BY NORMAN J CLEMENT, WALTER R, CLEMENT

PRACTICING PHARMACY WHILE BLACK A NEW KIND OF THREAT TO AMERICA

So, while we are affixed to Iran, Iraq, and Impeachment, Black Owned Pharmacies in the normal practice of Pharmacy, through out the country are being summarily targeted, raided, property (see video below Rebecca)

illegally seized, and issued orders as “Imminent Threats to Public Health and Safety” by the DEA (Drug Enforcement Agency). See below Order to Show Cause Pronto Pharmacy

More importantly, DEA’s pharmacy expert Donal Sullivan, a Clinical Professor at The Ohio State University College of Pharmacy, opines people like Rebecca who come to Pronto Pharmacy are abusers and their prescriptions are not for legitimate purposes.

Kafka’s Curse, District 6 Museum, Cape Town, South Africa

Dr. Sullivan, classifies patients like Rebecca as unresolvable “Red Flags” and no reasonable Pharmacist, would ever fill her prescription. Patient Rebecca, states she comes to Pronto Pharmacy because a Walgreen Pharmacist, on 78th and Palm River Road called her a dope addict and refused to fill her prescriptions (see video below)

Dr. Sullivan testified, under cross examination from Attorney for Pronto Dale Sisco of Tampa Fl., in a DEA Administrative Court proceedings January 29, 2020, Timberlake Bldg., he has never interviewed both Rebecca or any patient being treated at Pronto Pharmacy or for that matter any prescribing practitioners. Nor, has Dr. Sullivan reviewed any patient(s) charts or radiographs. In fact, he testified he didn’t have to because the Red Flags were unresolvable.

Many of these Black owned Pharmacies have been in business more than 10 years.
In just the past 6 months at least 7 or more Black owned Pharmacies have been attacked and classified as “Public Health Threats” and Control Substance Registration suspended. See below Order to Show Cause Oak Hill Hometown Pharmacy


We have been able to document some of these Black own Pharmacies which have been targeted profiled:


At Cost Pharmacy, Ft. Meyers, owner Aaron Howard in business 10 years, raided January 7, 2020 “an imminent danger to the public health or safety”, (see below Order to Show Cause At Cost Pharmacy Ft. Meyers, Fl.)


Gulf Med Pharmacy, Cape Coral, Fl owner Ricardo Fertil in business 10 years, raided Nov 19, 2019, “an imminent danger to the public health or safety,”


Oak Hill Home Town Pharmacy, Oak Hill, WV owner Martin Mnjoku in business 15 years, raided Aug, 6, 2019 “an imminent danger to the public health or safety”,


Pronto Pharmacy LLC, Tampa, Fl owner Norman J Clement, in business 10 years, raided Aug 29, 2019 “an imminent danger to the public health or safety”,

Top Line Pharmacy, Tampa, Fl owner Brian Olatunji, in business 20 years raided 2017-18, “an imminent danger to the public health or safety”, out of business

https://youarewithinthenorms.com/2019/12/05/pronto-pharmacy-under-attack-by-trumps-dea-the-raid-on-pronto-pharmacy-august-29-2019-by-walter-r-clement-and-norman-j-clement-rph-dds/