BY
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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
CORRECTING THE UNITED STATES DEPARTMENT OF JUSTICE TASK FORCE GRAND OPIOID DECEPTION
I continue to see articles on treatments and medication for pain relief. All of the treatments and medications fall short of their goals. In addition, every medication has side effects that far outweigh their benefits.
“judicious use of opiate pain medication as well as the treatment of addiction, requires a combined approach using every tool, scientific and social, that is available.”
NSAIDs can cause GI bleeding, kidney failure, and peripheral edema. Tylenol can cause liver failure. Neurontin can cause dizziness and mental confusion and are known to be abused. Lyrica has limited effectiveness and is used mostly for diabetic neuropathy and polymyalgia rheumatica.
NARCOTIC ANALGESIC/ BENZODIAZEPINES NECESSARY TOOLS IN THE TREATMENT OF PAIN AND ANXIETY
In writing this book, I felt it was important not only to show the assault on physicians like myself but to offer solutions to a difficult problem facing society. The judicious use of opiate pain medication as well as the treatment of addiction, requires a combined approach using every tool, scientific and social, that is available.
The most effective medication are opiate pain medications. The side effects are even better when the opiate is not combined with other drugs. Why do we continue to substitute things that are not proven to work or where the side effects are severe?
The risk of addiction. The problem with using addiction as a reason for not using opiate pain medication is that it ignores the facts and misrepresents the benefits. The medication had proven effective since 1803, when morphine was synthesized. Patients deserve to have safe and adequate proven pain relief.
Appropriate clinical trials combined with new approaches to treating addiction will achieve the reachable goal of decreasing opiate overdose deaths.
NIXONS WAR ON DRUGS IS A FAILURE
We must admit that the “War On Drugs” is a failure. When we read about addiction and overdose deaths, heroin, fentanyl, and prescription opiates are mentioned in the same breath.
But are they equal?
Heroin and fentanyl are not standardized. Opiate pain medication has gone through a long process and is approved by the FDA.
I believe that very few individuals actually die from prescription opiates. We have never determined the mechanisms involved in opiate overdose deaths, whether with prescription opiates or illicit opiates.
What is clear, however, is that since the government started compiling data on opiate overdose deaths, illicit drug use has been the leading cause of death. The problem with compiling data is that no one knows the drug dose that causes death. In addition, the CDC failed to separate deaths from illicit fentanyl and prescription fentanyl.
Unfortunately, determining the cause of death is a complicated process. Even in the cases of suspected prescription opiate overdose deaths, data such as prescription bottles at the scene is seldom mentioned.
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The DEA is not a medical entity and has no authority to limit treatment and treatment options within the medical community. As a UNITED STATES citizen and A RARE DISEASE AND CHRONIC PAIN PATIENT NEGATIVELY impacted and hurt directly by the incompetent actions of the DEA, a non-healthcare department that operates under the JUDICIAL Department within the UNITED STATES GOVERNMENT, I call for a congressional hearing and action to stop the illegal actions and effects of this rogue department that is killing and harming United States Citizens many who the ADA protects.
IS ADDICTION A PERSONAL CHOICE
Is addiction a personal choice or the result of an accidental occurrence? We know that addiction doesn’t happen to everyone who abuses drugs. Some individuals are “weekend” drug abusers. Some are “every once in a while” drug abusers. Some are “recurrent drug abusers”. No individual I know of intended to die due to drug abuse. So every overdose death is “Accidental.”
The average age of drug abuse and overdose deaths is above 20 years of age. I return to my original question, is drug abuse and the negative consequence, overdose deaths, a choice or the result of an accidental occurrence? Both are right. Individuals make choices and are victims of those choices.
The criminalization of addiction places the blame for overdose deaths on someone or something other than the choices made by the drug abuser. This thinking is a recipe for failure when it comes to reducing drug abuse and drug overdose deaths.
Our new goal should be “Reducing Overdose Deaths.” This will require decriminalizing drugs, educating the public on the physiological reason for addiction, directing them to effective treatment, and teaching providers how to take patients from Methadone to Suboxone, the preferred treatment.
Using Sublacade in cases where relapse and noncompliance is an issue. Knowing that illicit fentanyl is the leading cause of overdose deaths, safe needle sites and fentanyl test strips will go a long way in preventing accidental overdose deaths. Ignorance causes harm. Knowledge reduces harm.
DR. WALTER F. WRENN, MD
FOR NOW, YOU ARE WITHIN
THE NORMS
