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. 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., TERENCE SASAKI, 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
“…FROM COPS TO CLINICIANS…”
Perhaps America must view May 3, 2023, Atlanta, VA shooting incident with a different introspection of various contributing factors that haven’t been discussed in the media. Medical disparities (bias), NarxCare Software.
That Law Enforcement itself was a major contributing cause and most specifically speaking of the DEA and its NarxCheck Programs and Prescription Drug Monitoring Program (PDMP)
On April 28, 2023, a Citizen Petition was Submitted by the Center for U.S. Policy to request the Commissioner of the U.S. Food and Drug Administration (“FDA”) to deem the Bamboo Health (“Bamboo”) NarxCare software a prescription tracking program, a misbranded device and take administrative action to prevent serious, adverse health consequences and death.
NarxCare is not intended for maintaining or encouraging a healthy lifestyle, and its intended use is related to the mitigation or prevention of disease.
In many states, including Georgia, PDMP laws require health care providers (HCPs) and pharmacists to query the PDMP under certain circumstances, such as the first time an opioid prescription is issued or upon set intervals for patients treated with pain and anxiety disorders.
The PDMP system started as a law enforcement tool but “has migrated to a Clinical decision support focus with hopes that providers and pharmacist will be more carefully consider, manage the risk and benefit of collection and storage programs, but rather sophisticated electronic databases that store and analyze vast amounts of information and apply algorithms to score patient risk for controlled substances misuse and to guide treatment decisions.”
However, States like Colorado have passed a recent bill protecting doctors and patients. Check it out. SB23-144 “Prescription Drugs For Chronic Pain.” Concerning prescription drugs for the treatment of chronic pain in their Regular Session.
THE COLORADO LAW PROHIBITS
In summary, the bill allows a health-care provider to prescribe, dispense, or administer a schedule II, III, IV, or V controlled substance (drug) to a patient during treatment for a diagnosed condition that causes chronic pain. The bill also clarifies that the prescribing health-care provider is not subject to disciplinary action by the appropriate regulator for prescribing a dosage of a drug that is equal to or more than a morphine milligram equivalent dosage recommendation or threshold specified in state or federal opioid prescribing guidelines or policies.
The bill prohibits a health-care provider from refusing to accept or continue to treat a patient solely based on the dosage of a drug the patient requires for the treatment of chronic pain. A health-care provider is also prohibited from tapering a needed dosage solely to meet a predetermined dosage recommendation.
The bill also prohibits a pharmacist, health insurance carrier, or pharmacy benefit manager from refusing to fill or approve the coverage for a drug solely based on the dosage requirement of a patient.
“They wouldn’t listen to me,.”
In the case of Deion Patterson, 24, a United States Coast Guard Veteran suffering from mental illness, his mother, Minyone Patterson, said her son had wanted Ativan to deal with anxiety and depression but that the Veterans Affairs health system wouldn’t give it to him because they said it would be “too addicting.
Minion Patterson, a nurse, stated she told them( VA personnel) he would only have taken the proper dosage.
“Those families, those families,” she said, sobbing. “They’re hurting because they wouldn’t give my son his damn Ativan. Those families lost their loved ones because he had a mental break. After all, they wouldn’t listen to me.”
VETERAN ADMINISTRATION HEALTHCARE, CDC, AND DEA HAVE FAILED AMERICA
“…FROM COPS TO CLINICIANS…”
After all, the Veteran Administration appears not to have listened to the cries of many military veterans within their healthcare system, where a drastic increase in suicide among ranks of those voluntarily protect the United States of America.
According to Jeff Singer, MD, a practicing general Surgeon and Senior fellow at the Cato Institute along with Josh Bloom, Ph.D., Director of Chemical and Pharmaceutical Science at the American Council on Science and Health published October 02, 2021, and a study investigated VA policies have contributed to an increase in suicide which stated:
“…the results of the Opioid Safety Initiative (OSI), a poorly conceived plan implemented in 2013 by the Veterans Health Administration to discourage opioid prescribing and dependence. OSI “succeeded” in that it caused opioid prescribing to drop 41% between 2012 to 2017 and 64% by 2020. But, as with chronic pain patients in the general population, the curtailment greatly impacted veterans’ mental health, especially rural veterans who are more likely to get health care through the VA…”
The researchers found a 75% “…increase in suicides among rural veterans relative to civilians between the start of the OSI and 2018. Writing in the Washington Post, the study’s authors found the increase in suicides among urban veterans was “also disturbing, although less dramatic,” increasing one-third over that of civilians. Perhaps, a true measure of the damage caused by OSI is that a 33% increase in suicides over five years is considered “less dramatic.”
Must Notably, the article pointed out:
“In 2011, researchers at the Department of Veterans Affairs and the University of Michigan Medical School followed 150,000 chronic non-cancer pain patients treated with prescription opioids over five years in the VHA system and found the overdose rate to be 0.04%.
Yet this did not stop the CDC from publishing the flawed Guideline for Prescribing Opioids for Chronic Pain-United States, 2016. Although the CDC not only explicitly stated the guidelines were not based on “settled” science and that they were meant to be general rules to aid practitioners, that didn’t stop policymakers from codifying them, effectively casting in stone what are now five-year-old unsound suggestions.
To date, 36 states have imposed limits on opioid prescriptions despite today’s “drug of choice” being illicit fentanyl, which is far more dangerous than any prescription opioid; it was involved in roughly 83% of opioid-related overdose deaths in 2020.”
VENDOR FRAUD: WE HAVE BEEN BAMBOOZLED BY BAMBOO
Vets, the American Taxpayer, and our entire health system have been Bamboozle by Bamboo Health; we have been ripped off and led astray by Vendor Fraud:
“Bamboo’s software has fundamentally altered the practice of medicine in the U.S. to the detriment of patients like Patterson with a legitimate need for controlled prescription medications and the health care providers who treat such patients….”
While Veterans Affairs Press Secretary Terrence Hayes claims in an emailed statement they: “are horrified and saddened to hear of the active shooter situation in Atlanta today,” They were made fully aware or chose to ignore.”
NarxCare is not intended for maintaining or encouraging a healthy lifestyle, and its intended use is related to the mitigation or prevention of disease. There is a reasonable probability that NarxCare could cause serious, adverse health consequences or death for people with a legitimate need for controlled prescription medications, given that
(1) NarxCare is used millions of times per day;
(2) the software has a significant impact on prescribers’ and dispensers’ judgment regarding treatment with controlled medications;
and
(3) reducing access to medically necessary treatments can have devastating outcomes, as described in Section II-C above, especially in light of the nation’s drug poisoning crisis.
Therefore, FDA should commence mandatory recall procedures to limit the threat of serious adverse health consequences and death of patients who NarxCare impacts negatively.
WHAT ARE WE TO DO?
READ!!!
SENATOR WARNOCK:
TO THE CONGRESS AND PRESIDENT OF THE UNITED STATES
“…FROM COPS TO CLINICIANS…”
It is past time to move the mission of medical Control Substance Registration and licensing from Cops to clinicians from the Department of Justice, specifically the United States Drug Enforcement Administration (DEA), to the Office of the United States Surgeon General. Law enforcement has absolutely no business in the practice of medicine and the dictation of medical protocols.
CONGRESS: CLEAN UP THIS MESS
“…FROM COPS TO CLINICIANS…”
SEE C-SPAN VIDEO FROM THE COMMITTEE ON GOVERNMENT OPERATION.
1990
“WHAT THEY FOUND ACROSS THE BOARD THE WAR ON DRUGS WAS HAVING A DISPROPORTION IMPACT ON BLACK PEOPLE”
https://www.c-span.org/video/?14263-1/jails-prisons-drugs
It is past time for Congress to correct the mess they have made of the regulation of opioid pain relievers. Contact information for your Senators, Representatives, and governor’s offices is here. Call them and demand that they:
- Familiarize themselves with the problems they have created by reading this article in STAT news.
- Begin work on legislation to force the repeal of the CDC Guidelines.
- To reign in regulators and drug enforcement authorities from their senseless and unfounded persecution of doctors.
“To make it easy for them, here is model legislation that, if enacted, will do all of the above.”
SENATOR WARNOCK:
THE DEATH SPIRAL FOR ALL
From: WALTER F. WRENN III, MD., Philadelphia, Pa., a convicted pain doctor felon, Norman J Clement RPh, DDS writes:
Several errors made by the CDC have led to misinformation, harming patients on opiate pain medication and physicians who prescribe opiate pain medication.
SENATOR WARNOCK
THE CDC HAS FAILED US
“…FROM COPS TO CLINICIANS…”
When the CDC began reporting the result of opiate overdose deaths from fentanyl, they failed to differentiate between prescription fentanyl from illegal fentanyl.
This led to the belief that physicians were responsible for overprescribing, causing the opiate epidemic.
The second and more serious event was issuing of the 2016 CDC guidelines for prescribing opiate pain medication. Yet, before The CDC had clarified them on April 24, 2019, the New England Journal of Medicine issue, thousand of patients on opiate pain medication had suffered irreparable harm.
Deaths from opiate overdose (98.6% of deaths caused by the illicit non-medical market) had increased, as well as a 75% increase in Veterans deaths from suicide. At the same time, DOJ-DEA used the CDC Guidelines and Narrxscore and PDMP data to arrest and incarcerate Physicians, Pharmacists, Dentists, and Nurse Practitioners who are legally authorized to prescribe opiate pain medication.
PRACTICING MEDICINE FROM THE BENCH, OUR COURTS HAVE FAILED US
Meanwhile, Prosecutors and DEA have enjoyed the protection of the mostly medical science incompetent Federal Bench from Administrative Kangaroo Courts and their Judges (where Federal Rules of Civil Procedure are not permitted) whose opinions then lack knowledge of medical science and overturn years of medical science research and doctrine based on their ignorance and bias.
The aberrant opinions of the Administrative Courts are further protected and supported by the complete incompetence that has been revealed on the Court of Appeals in nearly all circuits. Sadly, many of these Judges had been determined to be judicially unfit, and their ascension to the Federal bench HAS APPEARED to be more based on favor. Yet, they all literally are practicing medicine from the Federal Bench.
THE MEDICAL INSURANCE COMPANIES HAVE FAILED ALL OF US
“…FROM COPS TO CLINICIANS…”
Nearly all, Insurance companies require prior authorizations that prevent patients from continuing on their opiate pain medication. The only way to correct this wrong and restore sanity to treating chronic pain patients with opiate pain medication is to issue a public statement admitting to your errors. Anything less will continue to cause harm to patients and healthcare providers.
SENATOR WARNOCK
U.S. chronic pain patients and thousands of U.S. clinicians who have been substantively harmed:
“…FROM COPS TO CLINICIANS…”
From: Richard A “Red” Lawhern, Ph.D., Patient Advocate:
To:
Dear Doctor Walensky et al.:
I write this letter for 50 million US chronic pain patients and thousands of US clinicians who have been substantively harmed by the 2016 CDC Guidelines on prescribing Opioids to Adults With Chronic Non-Cancer Pain.
In at least hundreds of cases, patients have predictably been killed not only by the “misapplication” of these guidelines but by their long-known errors of medical ethics, science, methodology, and deliberate cherry-picking of data to support a fringe element of anti-opioid political agenda.
Hundreds of physicians have been forced out of pain medicine and, in some cases, imprisoned by the Drug Enforcement Administration, which persists in conducting an unjustifiable witch hunt against doctors — for no crime other than trying to alleviate pain by means of safe and effective prescription opioid therapies.
The very definition of madness is “trying to do the same things over and over again, expecting outcomes to be different.” Concerning national policy on treating chronic and acute pain, this is precisely what the US CDC and DEA have been doing.
It is time for the madness to stop before the little remaining credibility of the CDC is irrevocably trashed.
On behalf of the patient communities that I serve as an unpaid volunteer advocate, I thus propose the following needed measures for immediate consideration and action:
- The following named individuals must resign immediately from all participation in the CDC guidelines process or otherwise be terminated from Government service and academic employment for cause.
a)Deborah Dowell, MD b) Kathleen Ragan, MSPH c)Christopher M. Jones, PharmD, DrPH d) Grant T. Baldwin, Ph.D. e) Roger Chou, MD - Proposed “revisions” to the 2016 CDC guidelines generated by these authors and reviewed in the July 16, 2021, public meeting of the NCIPC BSC — must be publicly repudiated and withdrawn immediately.
- CDC must convene a timely and publicly transparent National Consensus Review on the practice of pain medicine to generate not only “opioid guidelines” but, instead, a scientifically supported standard of practice for the use of prescription opioids. One way to hasten this process may be to re-convene the BSC Opioid Workgroup for a period of not more than one year and charge them with a definitive and documented resolution of the many issues and concerns expressed in their July 2021 report to the BSC before the circulation of a redirected practice standard for public review in the Federal Register. I also strongly advise that the nomination of additional qualified patient advocates augmenting the Workgroup.
In support of these proposals, I commend three references for reading by all addressees of this letter.
The first reference establishes beyond any possible contradiction that the US CDC has violated its own rules and procedures in the nomination of professionally unqualified and financially self-interested “experts” both to write the original CDC guidelines and to revise them to address their many and well-documented negative (sometimes fatal) consequences.
These so-called “experts” do not represent patients. They instead represent fringe-element.
Mr. Patterson
“…FROM COPS TO CLINICIANS…”
The U.S. Coast Guard said Patterson had joined the service in 2018 and was discharged from active duty in January. He was an electrician’s mate second class at the time.
Atlanta Mayor Andre Dickens applauded the fact that Patterson was arrested and taken into custody alive so he could be prosecuted. However, when a person cries out that he is sick and hungry, do we choke him to death???
SENATOR WARNOCK
A MOCKERY OF PRAYER
Thoughts and Prayers
“ain’t going to do it this time”
WE NEED YOU TO HOLD HEARINGS
A SPECIAL SENATE TASK FORCE ON HOLDING DEA, CDC ACCOUNTABLE
END THE WAR ON DRUGS
CHART COURTESY FROM LAW ENFORCEMENT ACTION PARTNERSHIP
FOR NOW, YOU ARE WITHIN
THE TROUBLE DEA APPLYING PROBABILITY MATHEMATICS
However, what the DEA is doing is applying probability mathematics. Probability is a mathematical tool used to study randomness. It deals with the chance of an event occurring. Through this agency’s application of probability statistical mathematics, the DEA uses its ARCOS as an instigation tool to identify the diversion of controlled substances into illicit distribution channels.
In essence, this agency monitors and prosecutes medical professionals for performing their licensed medical fiduciary responsibilities on patients. The trouble with probability mathematics is if a doctor is good and performs exemplary service, medical professionals would be targeted despite his or her professional services.
THE NORMS
OR SEND
$100, $250, 500 DOLLARS SEND
TO ZELLE: 3135103378 OR CASH APP: $docnorm
REFERENCES:
1.”This message is in reference to the Updated Draft Opioid Prescribing Guideline, which the CDC National Center for Injury Prevention and Control (NCIPC) released on Friday, July 16. 2021.
2.”These Guidelines are virtually identical to the 2016 version and focus extensively on reducing and eliminating the legitimate use of opioids for pain management, which has harmed many pain patients who have been abruptly forced off medication they use appropriately and rely on to function. Yet the Guideline remains silent on what patients living with high-impact, relentless, severe pain should do for pain management beyond recommending non-opioid therapies, many of which have significant access barriers.
3. Of central concern is that the entire conceptual framework of this fatally flawed document is centered on restrictions of Morphine Milligram Equivalent Dose. This concept is long known to be actively harmful” Junk Science.”
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