“RACE MATTERS IN PAIN MEDICINE,” BOOK BY ATTORNEY JACKSON DUNBAR ON HIS STRUGGLE TO GET ADEQUATE MEDICAL CARE AFTER A NEAR FATAL CAR ACCIDENT

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REPORTED 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., INC.T. SPIRIT OF REV. IN THE SPIRIT OF WALTER R. CLEMENT BS., MS, MBA. HARVEY JENKINS MD, PH.D., C.T. VIVIAN, JELANI ZIMBABWE CLEMENT, BS., MBA., IN THE SPIRIT OF THE HON. PATRICE LUMUMBA, IN THE SPIRIT OF ERLIN CLEMENT SR., WALTER F. WRENN III., MD., JULIE KILLINGWORTH, LESLY POMPY MD., CHRISTOPHER RUSSO, MD., NANCY SEEFELDT, WILLIE GUINYARD BS., JOSEPH WEBSTER MD., MBA, BEVERLY C. PRINCE MD., FACS., NEIL ARNAND, MD., RICHARD KAUL, MD., 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 NJOKU, BS., RPH., IN THE SPIRIT OF DEBRA LYNN SHEPHERD, BERES E. MUSCHETT, STRATEGIC ADVISORS

RACE MATTERS BY JACKSON DUNBAR

ONE ACCIDENT ONE ILLNESS AWAY FROM STARK INEQUITIES

The US ‘War on Drugs has had a profound role in reinforcing racial hierarchies. Although Black Americans are no more likely than Whites to use illicit drugs, they are 6–10 times more likely to be incarcerated for drug offenses. Meanwhile, a very different system for responding to the drug use of Whites has emerged.” 

Jackson Dunbar, Esq. — A successful serial Entrepreneur and Family Man suffers from Chronic Pain caused by a car accident and failed back surgery. During his journey to become healthy, provide for his family and fight Chronic Pain; he discovered stark inequities in Pain Medicine that impact Men, Women, and Children.

Attorney Jackson Dunbar documents his medical plight of disparity in his book RACE MATTERS IN PAIN MEDICINE: Resulting in the critical under medication of African Americans, who must “LIVE” with unbearable Chronic Pain; and the severe over medication of White Americans, which became a cause of the Opioid Crisis.

A strong believer in Self-Help, Jackson Dunbar Esq. applied solutions-focused “Business Logic” to his own health – He uncovered the depths of racism in Pain Medicine while living with agonizing pain and had to pull it together by himself for himself at a time when all was lost, or so he thought.

The results he was able to Make Money, Lose 90lbs. and Thrive in Chronic Pain. His strategies are contained in this book for every Chronic Pain patient, Caregiver or Medical/Behavioral Health professionals to explore.

EXPOSING THE PAIN OF RACISM AND ITS MINDSET IN TREATMENT OF THE TERMINALLY ILL BLACK AND HISPANIC PATIENTS

According to the May 21, 2022 article called, “Don’t Get Cancer if You Are Black or Hispanic” published in youarewithinthenorms.com

“The year is April 2002, Karen O. Anderson Ph.D. and her colleagues Stephen P. Richman M.D.Judith Hurley M.D.Guadalupe Palos R.N., Dr.PH.Vicente Valero M.D.Tito R. Mendoza Ph.D.Ibrahima Gning D.D.S.Charles S. Cleeland Ph.D. published in the Journal of American Cancer Society, an article called Cancer Pain Management Among Underserved Minority Outpatients ;Perceived Needs and Barriers to Optimal Control, examiing the role of bias and the mindset of medical clinicians in the treatment of pain in terminally ill cancer patients stating:

“Minority patients with cancer are at risk for undertreatment of cancer‐related pain. Most studies of patient‐related barriers to pain control have surveyed primarily non‐Hispanic Caucasian patients. The purpose of the current study was to explore barriers to optimal pain management among African‐American and Hispanic patients with cancer through the use of structured patient interviews. Structured interviews allowed the authors to probe for previously unidentified barriers to pain management in these populations.”

Pain due to cancer often is under-managed, especially among minority patients. Data from outpatients collected through the Eastern Cooperative Oncology Group (ECOG) indicate that 42% of patients with recurrent or metastatic carcinoma and pain are treated inadequately for their pain.

We identified a number of factors that increase the risk of undermanagement of cancer pain, including receiving treatment at an institution that serves primarily African‐American and Hispanic patients and a patient‐physician discrepancy in the estimate of pain severity.

1 Because minority patients are at risk for under management of pain, we completed a second ECOG outpatient study of minority patients. Analysis of this minority extension revealed that 59% of African‐American outpatients and 74% of Hispanic outpatients with cancer‐related pain received less than adequate analgesic prescriptions.2“

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RACIAL INDIFFERENCE IS CORRUPTION

“Recent data suggest some improvement in analgesic prescribing practices for African‐American and Hispanic patients who have cancer. A multisite survey of minority patients with cancer who experienced cancer‐related pain revealed that most of the patients were receiving analgesics of appropriate strength.3 However, 65% of patients reported severe pain and limited pain relief.

The reason for the discrepancy between the analgesic and pain intensity data may be due to inadequate dosages and/or patient nonadherence to analgesic regimens. In addition, the patient’s physicians underestimated the pain severity for over half of the Hispanic and African‐American patients. The patients’ physicians and nurses identified inadequate pain assessment, patient reluctance to report pain, and patient reluctance to take opioids as major barriers to pain management.

Similarly, studies of ECOG and Radiation Therapy Oncology Group physicians revealed that significant barriers to cancer pain control are inadequate pain assessment, patient reluctance to report pain, and patient reluctance to take pain medications.4, 5 

In a study of patients with cancer pain who required opioid analgesics, concerns about addiction and other possible side effects of opioids (e.g., mental confusion, increased tolerance) were associated strongly with reluctance to report pain and willingness to experience pain rather than take opioid analgesics.6 

A separate study of patient‐related barriers in a sample of patients with cancer found that the majority of the patients held beliefs that may be barriers to pain management.7 Patients who were less educated or who had lower incomes were significantly more likely to hold these beliefs.”

FIGHTING THE GOOD FIGHT OF FAITH

Attorney Jackson Dunbar has “fought the good fight of faith for himself, and now he’s ready to fight it for you.

FOR NOW, YOU ARE WITHIN

THE NORMS

So called Opioid pandemic is about saving the lives of ”white peoples” so saying Sam Quiones nothing more nothing less … This confirms what Many Black pharmacists had suspected, pointed out and were right all along see 50 minute mark and beyond https://www.c-span.org/video/?418535-1/opioid-epidemic

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