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., 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
“..From the background of these papers, I suggest that the generalized gaps in treatment for persons with addiction very likely reflect profound misperceptions of both the patient population and the conditions that bring patients into an addiction treatment program in the first place. We have no reason to believe that psycho-social interventions will have lasting positive effects when patients are discharged back into the very conditions of hopelessness and community collapse that drove them to seek oblivion in the first place…”
r. lawhern
INTRODUCTION
“..ADDICTION IS TRULY A BRAIN DISORDER..”
“Substance abuse” is a very different beast: it is characterized by continuing cravings and use of opioids even when the user knows that such use is harmful to their relationships and quality of life. The DSM-5 identifies a spectrum of symptoms to characterize the severity of substance abuse.
However, nowhere in that deeply flawed document is a clinical framework offered within which clinicians may choose a therapeutic course of action that is appropriate to the patient’s needs if they suffer from both chronic pain and substance abuse.
Likewise, the consequence of patient exposure to prescription opioids is almost always an improvement in quality of life.
We now know definitively that — despite repeated misdirection from the US CDC and DEA — there is no relationship between physician prescribing and either opioid addiction or overdose-related mortality.
Many so-called “diagnoses” of opioid use disorder by clinicians actually reflect a disorder called “pseudo-addiction,” suffered not by patients but by clinicians intimidated by the risk of possible criminal sanctions.
THE BRAIN 101 FOR DUMMIES
DISCUSSION
Such doctors may render a diagnosis of substance use disorder or enter case notes on “drug seeking” for any patient who complains of inadequate pain relief or who informs them of a record of successful previous treatment with prescription opioids. Such notes are a “kiss of death” for further effective treatment of pain employing safe and effective prescription opioids. Sometimes, that kiss of death directly results in suicide.
There is definitive evidence to doubt the accuracy of many diagnoses of “Opioid Use Disorder,” particularly in patients clinically managed for chronic and severe pain – a patient cohort increasingly represented among populations treated with Buprenorphine or Naloxone because of the ongoing collapse of American pain medicine as a field of practice.
Dr. Szyman was never able to recoup from the depression the attack on him caused. In February, 2018, he committed suicide. And instead of writing about him as a physician doing his job and helping his patients, the unethical media still just wrote about the charges against him in their announcements of his death. “DR. TIMOTHY KING, MD., WAS THE MEDICAL EXPERT FOR DOJ”
Anyone who reads healthcare news today must be aware that American medicine – and particularly pain medicine – is in crisis. Doctors are experiencing high levels of burnout due to administrative burdens, prior authorization demands, and a healthcare system that often prioritizes efficiency over patient care. This burnout is leading to mental health issues and, in some cases, physician suicides.
Medicare payments to physicians have decreased by 26% since 2001 when adjusted for inflation, putting financial strain on medical practices.
Yet the high cost of healthcare in the U.S. compared to other countries is an ongoing significant issue. The U.S. system of tying healthcare to employment has left millions uninsured or underinsured, especially during economic downturns.
Just as doctors are under enormous pressure, so also are patients dying of medical collapse and suicide due to doctor desertion.
Conditions are especially critical among the 50 million-plus US citizens who suffer yearly from debilitating chronic pain sufficiently intense to bring them to a doctor’s office for help.
Increasingly, there is no help to be had. Vast government overreach has criminalized the practice of medicine in America.
Doctors are being intimidated by an ongoing National witch hunt conducted by the US Drug Enforcement Agency.
Some clinicians are leaving practice. Others are posting prominent notices in their offices, stating that they do not prescribe opioids.
ARGUMENT
OPIOID USE DISORDER IS A GREATLY ERRONEOUS TERM
Contrast this picture to the 2016 declarations of one of America’s most prominent subject matter experts on addiction, Dr Nora Volkow, Director of the US National Institute on Drug Abuse:
“Unlike tolerance and physical dependence, addiction is not a predictable result of opioid prescribing. Addiction occurs in only a small percentage of persons who are exposed to opioids — even among those with preexisting vulnerabilities (Table 3). Older medical texts and several versions of the Diagnostic and Statistical Manual of Mental Disorders (DSM) either overemphasized the role of tolerance and physical dependence in the definition of addiction or equated these processes (DSM-III and DSM-IV).“
However, more recent studies have shown that the molecular mechanisms underlying addiction are distinct from those responsible for tolerance and physical dependence, in that they evolve much more slowly, last much longer, and disrupt multiple brain processes.”
Dr Volkow and her coauthor A. Thomas McLellan may have been too kind to the American Psychiatric Association (APA). “Opioid use disorder” is, in fact, a hugely erroneous term. Its origin is the Diagnostic and Statistical Manual of Mental Disorders, Version 5 (DSM-5), issued by the APA in 2013.
Prior to the DSM-5, substance use problems were categorized as either “substance abuse” or “substance dependence.” The DSM-5 combined these categories into a single disorder called “substance use disorder,” with opioid use disorder being a specific type within this broader classification.
However, it is now widely understood among practicing clinicians that substance dependence is not a psychiatric disorder at all.
As acknowledged by Dr Volkow and others, substance dependence is a physiologic (not mental health) problem characterized by physical withdrawal symptoms when someone is withdrawn too rapidly after a period of extended use.
Some clinicians also characterize breakthrough pain experienced by patients during forced tapering off opioid medications to be a different form of “substance dependence.”
to be continued
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Eminem – Habits
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THE NORMS
Nobody but Red writes this and hits all points. We must become angry enough to take action. A few of the cpp writing legislators is not enough, and now they’ve deliberately made a huge mess of corruption in my state at least, I suspect the ass clowns think it’s just too big a mess for us poor old legacy patients to take swipes at. We can’t sit on our butts just reading anymore, people! Use Reds material… Tell doctors. I find they don’t often appreciate it, but I persevere for some reason … Possibly that old “challenge authority” part of me which won’t die until the grim reaper wins a hellaciously miserable battle. I will not sit still for this bullshit and not speak out while I breathe! They are killing legacy patients, we are the ones most affected. You can talk to anybody you encounter, bringing up the conversation in a particular way. The only way to educate the public and some pretty shitty docs is to continue to push,and speak out. We have to show these folks that we aren’t foggy headed and can focus on one problem at a time, en masse. You don’t need to run marathons just think about the legacy patients who’ve left us by choice in so much pain they didn’t want to live…and those whose health deteriorated so badly they died of strokes and heart attacks and other problems. These people had life and something to give to future generations,and we still do! Get angry, get active, and focus. Push back! It’s a huge job, but we push one arm of corruption at a time with many voices while talking to anybody who will listen about these issues. Otherwise, we are toast.
Make this article and blog go viral and always kindly donate at cash app $docnorm or Zelle 3135103378 we must fight on
I fight the ultimate “Suicide Disease” every day with the best help I can expect in a state under constant attack by the state legislature deceived by DEA, CDC, and FDA. I could once defend patients LIKE ME on the front lines against THESE ATTACKS but now I’m prey to the very missiles, arrows, and bombs I use to deflect or redirect with much effort. Either way, I will continue to fight the battles and war.
Because unlike most, I’ve been fighting this war much, much longer than many others in this country. Why? Because I actually know when this fight started and it wasn’t with the CDC and their guidelines.