BY
NORMAN J CLEMENT RPH., DDS, NORMAN L.CLEMENT PHARM-TECH, MALACHI F. MACKANDAL PHARMD, BELINDA BROWN-PARKER, IN THE SPIRIT OF JOSEPH SOLVO ESQ., IN THE SPIRIT OF REV. C.T. VIVIAN, JELANI ZIMBABWE CLEMENT, BS., MBA., WILLIE GUINYARD BS., JOSEPH WEBSTER MD., MBA, BEVERLY C. PRINCE MD., FACS., LEROY BAYLOR, JAY K. JOSHI MD., MBA, ADRIENNE EDMUNDSON, ESTER HYATT PH.D., WALTER L. SMITH BS., IN THE SPIRIT OF BRAHM FISHER ESQ., MICHELE ALEXANDER MD., CUDJOE WILDING BS, MARTIN NDJOU, BS., RPH., IN THE SPIRIT OF DEBRA LYNN SHEPHERD, BERES E. MUSCHETT, STRATEGIC ADVISORS
A COMPARATIVE ANALYSIS BETWEEN CLAIMS OF UNSCIENTIFIC METHODOLOGIES FOUND IN ORTHODONTICS AND OPIOID CRISIS INSPIRED BY A LECTURE WEBINAIRE FROM THE SOUTH AFRICAN DENTAL ASSOCIATION
“IF YOU EVER THINK YOU ARE TOO SMALL TO MAKE A CHANGE, THEN YOU HAVE NEVER BEEN IN BED WITH A MOSQUITO”
THIS ARTICLE IS SUPPORTED BY REQUIRED VIDEO AND AUDIO NARRATIVES
INTRODUCTION
Norman J. Clement RPh., DDS owner Pronto Pharmacy LLC.:
As a dentist/pharmacist and a member of the South African Dental Association, I was intrigued by a recent lecture given by Kevin Obrien BDS, FDS, D.Orth, Ph.D. Orthodontist Manchester, England on ” Orthodontic Quackery and Snake Oil,” which took a serious look at several new claims in the treatment of Cranio-Facial growth development.
What I found most interesting is that many of the factors exposed in “Orthodontic Quackery” bore erringly resemblance to the claims espoused by the CDC Opioid Guidelines, then enforced by the United States Department of Justice, Drug Enforcement Administration, uncomfortable Pharmacist then sold to the public as truths.
Yet the bases upon the foundation these entities have supported their claims are unscientific, unproven data junk science which has strikingly similar origins.
THE SETTLEMENT AND ESTABLISHING THE ELEMENTS OF QUACKERY
Jeff Singer MD of CATO Institute wrote:
“On July 22, 2021, a settlement was announced between several states and the pharmaceutical distributors McKesson, Cardinal Health, and Amerisource Bergen, along with drug maker Johnson and Johnson, who were accused of contributing to the opioid overdose crisis.
The three distributors agreed to pay the states $21 billion over 18 years and Johnson and Johnson agreed to pay $5 billion over 5 years, ostensibly to go towards drug treatment and education programs. Johnson and Johnson and the three distributors continue to dispute the allegations while agreeing to the settlement.
Some, like the editors of the Wall Street Journal, criticize the outcome because roughly 10 percent of the settlement goes toward legal fees. They also argue that the defendants were wrongly accused.”
Norman J Clement RPh.,DDS states:
#SpeakingOut“These agencies have failed to recognize a people’s chronic disease conditions of intractable pain, while further failing to understand or comprehend human suffering, the science of clinical medical treatment and the value of human life.”
What is DEA, Pharmacist OPIOID Quackery?
“In relation to Orthodontics”
A. The promotion of unsubstantiated methods that lack a scientifically plausible rationale
B. They recommend against conventional therapies
C. Promote potentially harmful therapies: such as MME
D. Promote Magical thinking: always a little mystic
E. You criminalize medical protocols, physician diagnosis, and treatments, “drain the medical healthcare providers bank accounts”
This article is supported by required audio and video narratives (a detailed read/study/videos)
THE ORTHODONTIC QUACKERY CHECKLIST
THE ABSENCE OF EVIDENCE
Pharmacists cannot predict, prevent, diagnose, or cure drug addiction (opioids) that simply is not part of their training, expertise or licensure.
Yet, in these cases, the pharmacist acts by using no sound scientific materials to support their “uncomfortable foundation.”
- The pharmacist does no physical examination on the patients.
- The pharmacist reviews nor orders any lab work.
- The pharmacist reviews nor orders additional radiographs and views no progress report.
- The pharmacist further fails by entering nothing into writing as to the decision of how they determine the prescription(s) to be illegitimate and why they’ve interjected themselves into the practitioner-patient relationship by withholding or denying patients their medications.
The American Medical Association strongly supports a pharmacist carrying out his or her corresponding responsibility under state and federal law, but the past few years are rife with examples of patients facing what amounts to interrogations at the pharmacy counter as well as denial of legitimate medications.
THE UNCERTAINTY
Uncertainty is increased by claims based on low-level evidence which we see in the 2016 CDC Guidelines use of Morphine Milligram Equivalence and to quantify recommendations, policies, or laws. The use of MME was automatically flawed because it ignored even the most basic tenets of pharmacology, the absence of which made it impossible to rationally determine the relative strength of one drug to another.
Unfortunately, this methodology, which became the foundation of the CDC’s catastrophic 2016 publication Prescribing Guideline for Prescribing Opioids, has metastasized ever since as one state after another has passed laws limiting the prescribing of opioids analgesic, often based on the Guideline’s erroneous conclusions.
Jeff Singer MD States:
As I have written before, data from the Centers for Disease Control and Prevention as well as the National Survey on Drug Use and Health show no correlation between the number of opioid prescriptions written by doctors and the non-medical use of opioids or opioid use disorder.
And Drs. Nora Volkow and Thomas McLlellan of the National Institutes on Drug Abuse pointed out in the New England Journal of Medicine in 2016 that, “Unlike tolerance and physical dependence, addiction is not a predictable result of opioid prescribing. Addiction occurs in only a small percentage of persons who are exposed to opioids — even among those with preexisting vulnerabilities.”
Policymakers and the press continue to confuse chemical dependency with addiction. They are two completely different things.
Research from the University of Pittsburgh shows that the overdose rate has been following a steady exponential growth curve since at least the late 1970s—well before the invention of OxyContin in 1996—with no signs of slowing. The only changes over the years relate to the particular drugs in vogue.
Yet policymakers squeeze doctors and their patients in pain while non-medical users of drugs in the black market have long ago moved on to more readily available and dangerous drugs like illicit fentanyl.
This has always been a drug prohibition crisis—not an opioid crisis. The attorneys general can claim a few scalps from the pharma industry, but until we end the war on drugs nothing else will change.
THE DEA OPIOID QUACKERY CHECKLIST
- Develope a new disease: Opioid Crisis, Opioid nieve
- Develope a new method of diagnosis: MME Red Flags of diversion without the a of patient record, radiographs, physical examination. Pharmacist to insure cash ratio. Patients paying cash. Distant travels
- New Name for treatment: Tappering doses
- Set up course for Pharmacist (target Pharmacist) and you criticizes others)
- Resist debate and dismiss research evidence.
WALL STREET JOURNAL:
” THE FEDS SEEK BILLIONS IN PENALTIES FOR FILLING VALID OPIOID PRESCRIPTIONS”
Breaking Down how DOJ, DEA, CDC, Pharmacist Opioid Quackery, using the Dr. Kevin O’Brien Orthodontic Quackery Snake-Oil Salesman Methodology!
Using Dr. O’Brien’s model we demonstrate a comparative analysis of O’Brien’s elements of the creation of the quack field of Craniofacial-Osteodental Dysplasticum or COD to the similarities of Opioid Crisis claims made by Prop, CDC Guidelines and enforced by DOJ and DEA:
Develop Information.
I will prepare information and course material that simply underpins my new treatment. If I use references, I will dig out some old ones that support my treatment. Importantly, they will be so old that they do not stand up to contemporary scrutiny. I will quote them as the “truth” to course delegates.
i.e.:
“The ‘so-called’ RED FLAGS of diversion can incite the wrath for as little as a patient getting their prescription for pain medication too far away from home.”
or
“cracking down on doctors, pharmacies, drug manufacturers and distributors who did not follow the nation’s prescription drug laws.“
or
” develop issues, and enforce guideline based on low-level evidence or protocols such as Morphine Milligram Equivalents which unscientific yet promote them as facts”
Set up a Website
I will set up a series of websites to promote Cranial Release Aquatherapy Provision, along with a Facebook page. I will get some poorly documented case records and only provide limited details on my therapy and results.
i.e.: Create a movie equating all “opioid” with Heroin
Criticise other orthodontists
I need to state that orthodontic treatment provided by other specialists is “traditional”. This will make Cranial Release Aquatherapy Provision more attractive. Then I will expand on this by claiming that Universities and training programs teach that most orthodontic treatment is based around extraction therapy. I will then follow this up and claim that those who run the training programs are in a conspiracy to deny orthodontic knowledge.
i.e: A program of Intimidation and Criminalization
“Physician convicted of illegally prescribing opioids says the DEA has turned doctoring into ‘another aspect of the war on drugs”
The DEA has waged misinformation to persuade the public that these medications are dangerous drugs whose dosages are “RED FLAGS,” indicating abuse and trafficking, contributing to the so-called opioid crisis in America.
These agents lacking in both knowledge and understanding of Opioid Pain receptors come armed with “BADGES, GUNS AND PROFOUND STUPIDITY.” They impose their will on the medical profession (nurses, pharmacists, physicians, dentists, especially drug wholesalers
1. Tactics of no-knock raids and arrest,
2. Forfeiture,
3. Threats of prison time
4. Forced Tappering of Narcotic medication used to treat chronic disease states
5. Economics of Employment: Judges, Bail Bondsman, Barb wire and Prisons
Resist challenge
I will be challenged to provide evidence for my treatment and philosophy. Firstly, I will not respond. Then when I am challenged further, I will misquote my collection of carefully selected old papers. Finally, I will argue that it is not possible to measure the effects of my treatment and philosophy.
I.E: The Other Side of Opioids- Series
Become a maverick
I will call myself a maverick and free thinker.
i.e:
1) Dr. Andrew Kolodny, a Director of Opioid Policy Research at Brandeis University.
2) Joe Rannazzisi, a pharmacist, Former Deputy Assistant Administrator at US Department of Justice Drug Enforcement Administration:
” is a man of strong passions who admits that he has a temper. For more than a decade, he was the frontman in the government’s war against opioid abuse. As head of the Office of Diversion Control for the Drug Enforcement Administration, he was responsible for cracking down on doctors, pharmacies, drug manufacturers, and distributors who did not follow the nation’s prescription drug laws.”
Completely dismiss research evidence
I will not believe, or totally ignore, any trials or systematic reviews that do not support my treatment. If this is pushing it a bit, I will just state that my treatment cannot be trialed.
i.e.: dismissing the research of medical scientists such as:
a) Jeff Singer MD CATO Institute:
https://www.cato.org/multimedia/cato-daily-podcast/follow-science-opioids
b) Richard Lawhern PHD:
http://www.face-facts.org/Lawhern
c) Sally Satel MD:
https://nationalaffairs.com/publications/detail/the-truth-about-painkillers
d) Jack Folson RPH:
e) Josh Bloom PH.D:
Resist debate
When pushed I will raise multiple side issues that are not concerned with my treatment and build as much confusion as possible around my treatment, courses, and philosophy.
If this is successful we will gain sufficient moment around the new treatment and philosophy. Most importantly, I will have built a critical mass of followers who believe everything I say and do without question.
What do you think? Will this work? Could I sleep at night?
The Pharmacist Role of Uncertainty through the Field of Orthodontics Science
FOR NOW
YOU ARE WITHIN THE NORMS
reference: LAWHERN FILES
| Opioids in 2021: Enforcement Strategies and Policy PrescriptionsOpioid deaths in the US rose 29% during the course of the recent COVID pandemic. More than 55,000 Americans die annually from opioid consumption. Overtaken to some extent by other events, the opioid crisis is still with us and might be getting worse. The four participants in this panel discussion brought a wealth of experience and insight to …www.youtube.com |
