from youarewithinthenorms.com republished and reported original february 2020
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., IN THE SPIRIT OF C.T. VIVIAN, JELANI ZIMBABWE CLEMENT, BS., MBA., IN THE SPIRIT OF THE HON. PATRICE LUMUMBA, IN THE SPIRIT OF ERLIN CLEMENT SR., EVELYN J. CLEMENT, WALTER F. WRENN III., MD., JULIE KILLINGSWORTH, RENEE BLARE, RPH, DR. TERENCE SASAKI, MD 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
Drug Possession Arrests—A Misunderstood Statistic — a False Conclusion
Jeff Singer, MD Senior Fellow Cato Institue and Josh Bloom, Ph.D. of the America Council of Science and Health, co-authored and wrote in “We Are Measuring Opioid Strengths The Wrong Way,” February 17, 2022;
” When junk science is enacted into law, innocent people become “guilty.” In many cases, innocent physicians have ended up in prison for exceeding the 90 MME law, even though this number was never properly determined. And innocent chronic pain patients fared even worse. Many of them who had been on long-term high-dose opioid therapy found themselves in unbearable pain after their pain meds were cut, sometimes sharply, because their doctors were afraid of the consequences of exceeding the 90 MME limit — even when medically appropriate. In desperation, an increasing number have turned to street drugs or, worse, to suicide.
Realizing the mess it created, the CDC issued an advisory in 2019 stating their 2016 guidelines were “misapplied” and that the 90 MME benchmark was never meant to be a “hard limit.” The CDC admonished doctors for cutting off or abruptly tapering patients whose pain had been well-controlled with doses exceeding 90 MME, even though this practice continues. That same year, the American Medical Association officially stated, “No entity should use MME (morphine milligram equivalents) thresholds as anything more than guidance.”
James Linn writes: “This assemblage of articles and viewpoints are critically on target. The DEA is to the American citizens today what the IRS was during the period that J Edgar Hoover was Director of the FBI. The IRS became the strong-arm agency that the FBI could not legally accomplish.
Al Capone was a historical example. There was no question this criminal shouldn’t have been convicted of numerous crimes, but corruption with the courts and elected officials was so great that little tax evasion was all that could be used effectively. “
“Now the DEA hunts down doctors and their extremely ill patients instead of pursuing illegal enterprises that cause the true illicit opioid crisis fueled by Mexican Cartels, corruption in the courts and elected officials.”
“…As a 25-year veteran agent for the DEA, Michael Levine worked deep-cover cases from Bangkok to Buenos Aires and witnessed firsthand scandalous violations of drug laws by U.S. officials…”
Gabe a Chronic pain patient, commented:
“Deprivation of pain relief is a “censored” issue in this nation. People without pain always like to scapegoat the sufferers as “drug-seekers,” etc. So, the pain sufferers are discredited & shamed into silence. As you said – Oversight is a very good start.”
JUSTIN, CHRONIC PAIN PATIENT(CPP) 2019 PRONTO PHARMACY “IM’ TREATED LIKE DIRT.”
(must see video I have an artificial from a tractor injury)
FROM MICHAEL LEVINE BOOK Fight Back:
A Solution Between Prohibition and Legalization As a DEA supervisory agent assigned to New York City. A 25-year veteran agent for the DEA, Michael Levine worked deep-cover cases from Bangkok to Buenos Aires and witnessed firsthand scandalous violations of drug laws by U.S. officials.
“..One of the most important lessons to be learned from the 92nd Street Operation came during the dealer arrest stage. Within two weeks, my task force had made close to 80 dealer arrests, most of which were made based on observations alone. This meant that proving the sale of drugs in court was virtually impossible. A lawyer from 1-800 AMBULANCE CHASER could get an innocent verdict, and we all knew it.
Thus, most of the arrested dealers were only charged with Possession.
Of the 10,000 plus narcotic investigations that I have been associated with during my career, 99 percent targeted dealers—not buyers. However, most arrested dealers were either charged with or plea bargained for a Possession violation because it is simply a legal expedient that saves time and court costs.
Now, the reason I mention this important fact is that I have heard many experts state that since the highest percentage of jailed drug cases results from Possession arrests, the US drug war is, therefore, a “war on drug users.”
“CONGRESS MUST TRANSFER THE DUTIES OF MEDICAL CONTROL REGISTRATION AWAY FROM THE DEA TO THE OFFICE OF THE UNITED STATES SURGEON GENERAL”
The reason drug war bureaucrats and politicians usually don’t even respond to this accusation is that it could not be further from the truth, yet the notion persists. Many of the drug war bureaucrats are actually happy to hear the false claim repeated over and over in the media because it acts to discredit much of the otherwise credible drug war opposition and to maintain the status quo.
(see video “Walgreens says I’m a dope addict”)
In fact, an interesting statistic proves my point: according to DEA, 85 percent of drug consumers are white. My personal experience indicates that figure to be closer to 90 percent. If the drug war was truly being waged against consumers, these statistics would be reflected in jail populations, but as we all know—they are not…”
THE CONCEPT OF TULSIFICATION IS A CULTURE WITHIN RACISM OF NON-ACCEPTANCE
…RET. LATE DETROIT POLICE SGT. WALTER R. CLEMENT
DEA AND DOJ’s FAILURES TO UNDERSTANDING THE COMPLEXITY OF PAIN
According to the LP-3 network, Publication PAIN: PATHOPHYSIOLOGY AND NEUROSCIENCE;
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, PNS (left), and autonomic nervous systems (right). Image modified from http://www.biologyreference.com/Oc-Ph/Peripheral-Nervous-System.html… The nervo:
Types of Pain
According to LP3 Network, Pain: Pathophysiology 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, intermittent, or persistent), and dermatomal or referred (from somatic or visceral structures). “
LP3 Network, Pain; pathophysiology, points out, “Pain can be classified in terms of its duration, etiology, and physiology, namely as acute or chronic pain.” (see “video below 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.)
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)
“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 with 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
According to LP3-Network Pain; Pathophysiology, ” Nociceptive pain “results from noxious, mechanical, thermal, or chemical stimuli 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 releasing inflammatory substances in the periphery by cells in the affected area. “(v)
Pain: Pathophysiology 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). “
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 defined in the Pain; pathophysiology.(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.”
Pain; Pathophysiology 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 differs from neuropathic pain in that it occurs without a defined anatomic lesion within the nervous system.”
LP3-Network Pain; Path-Physiology further states and reports, “Instead, functional pain results from 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.) (must see video OPA)
“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)
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Therefore, when practitioners find a combination of medications that successfully treat 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.
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, metaxalone, baclofen, carisoprodol or others represent standard therapy.
“CONGRESS MUST INVESTIGATE THE DRUG ENFORCEMENT AGENCY (DEA)”
It is unreasonable to expect a Diversion Investigator to understand these complex issues completely. Notwithstanding, the basic foundation of pathophysiology is not in their 12-week course as compared to physicians and pharmacists, who require 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, and families disrupted due to 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)”
“it ain’t what you see it’s how you feel”
(see video)
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 regulating 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, the United States, Brazil, and South Africa (see video)
“CULTURE IS OUR WORLD VILLAGE”
CHOP THEM UP
According to Professor Leo Beletsky and Jeremiah Goulka, Norman J Clement, Neil Anand, Bob Sheerin, Claudia Merandi, Jack Folson, Pharmacist Steve, Belinda Parker-Brown, Nancy Seefeldt, Terence Sasaki, Wilmer Leon, Leroy Baylor, et al.
” It is more than clear Congress must take actions to reform or disband The Drug Enforcement Administration (DEA).
We concur that the DEA has had over 50 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.”
AND WE CONCUR
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)
“Anthem of The Good Death of Slavery, Brazil”
“Living in the Spirit of Sankofa“
FOR NOW, YOU ARE WITHIN
THE NORMS