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., DR. LINDA WHITBY, MD., L.JOSEPH PARKER, MD., 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
!!WE FIND FAITH IN THIS WORLD OF SIN!! IN THE BLOOD OF JESUS
UNA VEZ MAS: DEFINITIVE TRUTH ON WHAT IS PAIN!!!
According to LP-3 network, Publication PAIN: PATHOPHYSIOLOGY AND NEUROSCIENCE;
Central and Peripheral nervous system
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.”
“…the only way to know humanity is to study the history of mankind…”
dr. clarence verdell, md
CLICK HERE BELOW
understanDINg the Peripheral Nervous System
6. The peripheral nervous system (PNS) refers to all the neurons (and their supporting cells, or glia) of the body outside the brain and spinal cord (central nervous system [CNS]). The brain is the organ that decides how a person responds to what happens in the surrounding world.
While this is an extremely important function, the brain relies upon the peripheral nervous system, and its information gathering capabilities, to receive information about the world and to send appropriate responses to various body parts, such as muscles and glands.
“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.
Image modified from http://www.biologyreference.com/Oc-Ph/Peripheral-Nervous-System.html..
Types of Pain
According to LP3 Network, Pain: Patho-Physiology 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, intermitent, or persistent), and dermatomal or referred (from somatic or visceral structures). “
LP3 Network, Pain; Patho-Physiology, points out, “Pain can be classified in terms of its duration, etiology, and physiology, namely as Acute or Chronic pain.”
“Not judged by A d.e.a. GOOGLE MAPS”
“Acute pain, usually followed by 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)
“SUICIDE IS PERHAPS THE MOST DEVASTATING CONSEQUENCE OF THE CRACKDOWN ON OPIOID PRESCRIPTIONS.”
“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 to 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
Nociceptive pain, according to LP3-Network Pain; Patho-Physiology, “results from noxious stimuli that are either mechanical, thermal, or chemical, and 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 the release of inflammatory substances in the periphery by cells in the affected area. “(v)
#Opioid Reductionists have weaponized rhetorical arguments to advance flawed public policy that benefits them financially or professionally and has harmed patients in pain in that process. Calling out their mischaracterizations and disinformation is an important step in achieving #BalancedOpioidPolicy (which encourages effective and compassionate pain care while mitigating risks for harms or side effects).
DR. CHAD KOLLAS, MD @chadkollas
Pain; Patho-Physiology, 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 define 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; Patho-Physiology 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 is different from neuropathic pain in that it occurs in the absence of a defined anatomic lesion within the nervous system.”
LP3-Network Pain; Path-Physiology further states and reports, “Instead, functional pain results from an 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 click here “Too Young…I have an artificial from tractor injury they read me like dirt”)
“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)
Therefore, when a practitioner finds a combination of medications that successfully treats 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.
OR SEND
TO CASH APP:$docnorm ZELLE 3135103378
“OPA”
“CONGRESS MUST INVESTIGATE THE DRUG ENFORCEMENT AGENCY (D.E.A.)”
see video “Walgreens PHARMACIST says I’m a dope addict”
“One of the most important principles underlying the CSA and its implementing regulations is that to be valid, every prescription for a controlled substance must be based on a determination by an individual practitioner that the dispensing of the controlled substance is for a legitimate medical purpose in the usual course of professional practice. United States v. Moore, 423 U.S.C. 122 (1975) and 21 CFR 1306.04(a). Federal regulations do not define the term legitimate medical purpose, nor do they set forth the standards of medical practice. It is up to each. “
From: Thomas W. Prevoznik, DEA Deputy Assistant Administrator Diversion Control Division, LETTER To: Richard A. Lawhern, Ph.D. DATED FEBRUARY 12, 2021
“I’m not a dope addict”
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, metaxolone, baclofen, carisoprodol or others represent standard therapy.
It is unreasonable to expect a Diversion Investigator to have a complete understanding of these complex issues.
Notwithstanding the basic foundation of patho-physiology is not in their 12-week course as compared to Physicians and Pharmacists requiring years of training to make adequate choices in this arena.
“The DEA lacks the authority to issue guidelines that constitute advice relating to the general practice of medicine. The DEA DEA has not promulgated new regulations regarding the treatment of pain.”
From: Thomas W. Prevoznik, DEA Deputy Assistant Administrator Diversion Control Division, LETTER To: KEVIN NICHOLSON, RPH. DATED NOVEMBER 04, 2019
REMEDY
“CONGRESS MUST INVESTIGATE”
HOW LONG CONGRESS HOW LONG ??ENOUGH IS ENOUGH??
September 17, 2018 New York Times article; “Congress Must Investigate.”
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 (D.E.A.)
Today hundreds of medical practitioners sit in prison, their lives destroyed, property seized and stolen, families disrupted, due to of 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)”
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 the regulation of medical and pharmacy practice can be ceded to the states.”
“CONGRESS MUST INVESTIGATE THE DRUG ENFORCEMENT AGENCY (D.E.A.)”
“Culture Is Our World Village”
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, United States, Brazil, South Africa:
(see video link below)
2b276dfe-2c61-4b7a-9cc8-5dd026b2a553
CHOP THEM UP
According to Professor Leo Beletsky and Jeremiah Goulka,
“Parts of the D.E.A.’s law enforcement mandate should be transferred to the F.B.I., delegated back to the local or state, or eliminated. A significant portion of the D.E.A.’s budget should be reinvested in lifesaving measures like access to high-quality treatment.” AND WE CONCUR
According to Professor Leo Beletsky and Jeremiah Goulka, and Norman J Clement, Jack Folson et al.
” It is more than clear Congress must take actions to reform or disband The Drug Enforcement Administration (DEA). We concur, DEA has had over 40 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.”
“Anthem of The Good Death of Slavery, Brazil”
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”
a63788c0-4d17-4a18-860c-bd506b7fc112
Living in the Spirit of Sankofa
FOR NOW YOU ARE WITHIN
1. Yimani isibindi, (Stand up with courage!) Mabutho akaJesu, (You soldiers of Jesus),
UMkhosi niwuhlabe (Blow the royal trumpet) Ngayenganqotshwa, qha (It must not suffer loss);
Enqob ’uyakunqoba (From victory unto victory) Esabahola abakhe (He will lead His army),
Izitha wozinqoba (Until every enemy is defeated) Abus ’indawo zonke. (He will rule everywhere).
2. Yimani isibindi (Stand up with courage), Imbande nans ’ikhala (Obey the call), Yiyani ekulweni (Go to the fight) Kuseyinamhlanje (While it is today);
Yibani amaqhawe, (You must be victors) Nilwel ’iNkosi yenu; (Fighting for your King). Igwal ’alingabikho, (Let cowardice be missing) Yimani nithi ngqo! (Stand up straight!)
3. Yimel ’uJesu Kristu, (Stand up for Jesus Christ), Yim ’emandleni akhe, (Stand in His strength) ;
THE NORMS
