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., IN THE SPIRIT OF LEROY BAYLOR, JAY K. JOSHI MD., MBA,AISHA GARDNER, 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

SUMMARY

This text details a case in which ten minority medical professionals in Northern Texas were convicted on drug-related charges in 2021. 

The author Dr. Linda Cheeks, MD of Doctors of Courage alleges the convictions resulted from government misconduct and prosecutorial overreach, claiming the professionals were unfairly targeted due to their minority status and the government’s anti-opioid bias.  

The Dr. Cheeks argues that the government used false accusations of knowing that drugs were diverted illegally, despite the patients’ legitimate pain complaints. 

The Dr. Cheeks lists the convicted individuals and their sentences, identifying specific government officials as responsible for what the author describes as an unjust prosecution.

The author calls for the repeal of the Controlled Substances Act and an end to these alleged attacks on medical professionals.

BY

LINDA CHEEKS, MD LEADING DOCTORS OF COURAGE

How about taking out ten minority medical professionals in one fell swoop?

This was the outcome in Northern Texas in 2021.  I learned about this case last week through the daughter of pharmacist Ethel Oyekunle-Bubu, who is incarcerated at FMC Carswell. She, like all the others, was convicted through government misconduct and the propaganda-filled minds of the jurors.

So if you know of any medical professional who has been attacked by the government and they aren’t on our list of professionals attacked, please inform us so we can add them and possibly write about their case.

In this case in Texas, all of those charged were minority.  Minorities are the most targeted professionals in this arena.  The government allows medical schools and residencies to bring foreign nationals in to work as slave labor through their programs. 

Then, if they stay in the US—which they usually do—they use the CSA to charge them with a crime, convict them, and send them to more slave labor in a prison for years, garnishing all their income since coming here.

This must end.

We must repeal the CSA and stop these attacks on medicine and the patients we serve.

The Innocent Victims

Medical Practitioners include:

• Caesar Mark Capistrano, 64, oncologist and owner of G. Medical, a family medicine clinic in Fort Worth, TX and Lancaster Oncology in Lancaster, Tx. He was convicted at trial in January, 2021 on three counts of conspiracy to dispense a controlled substance and two counts of possession with intent to distribute a controlled substance. Capistrano is an oncologist who went to medical school in the Philippines. He had been practicing in Texas for 22 years. He was sentenced to 20 years in prison.
• Tameka Lachelle Noel, MD, 39, pleaded guilty in Nov, 2020 to conspiracy to dispense a controlled substance and was sentenced to eight years in prison.
• Ngozika Tracey Njoku, nurse practitioner, pleaded guilty in Nov, 2020 to conspiracy to dispense a controlled substance and was sentenced to six months in prison.

Clinic staff convicted includes:

• Shirley Ann Williams, clinic office manager, 51, pleaded guilty in Nov, 2020 to conspiracy to disperse a controlled substance and was sentenced to six years in prison.
• Latonya Ann Tucker, office staff
  Pleaded guilty in Nov, 2020 to  conspiracy to distribute a controlled substance and was sentenced to five years in prison

Pharmacists convicted include:

• Wilkinson Oloyede Thomas, of Calvary Pharmacy in Cedar Hill, TX was convicted at trial on 1/28/2021 of three counts of conspiracy to dispense controlled substances and one count of possession with intent to distribute controlled substances.
• Christopher Kalejaiye Ajayi, of Remcare Pharmacy in Arlington, TX was convicted at trial on March 2, 2021 of three counts of conspiracy to dispense controlled substances, and two counts of possession with intent to distribute controlled substances.
• Bartholomew Anny Akubukwe, of Beco Pharmacy in Arlington, TX pleaded guilty in Nov, 2020 to conspiracy to dispense a controlled substance and was sentenced to 11 years in prison.
• Nedal Helmi Naser, of Brandy Pharmacy in Garland, TX pleaded guilty on March 16, 2021 to conspiracy to dispense a controlled substance.
• Ethel Oyekunle-Bubu, of Ethel’s Pharmacy in Grand Prairie, TX was convicted at trial on Jan. 28, 2021 of three counts of conspiracy to dispense a controlled substance and two counts of possession with intent to distribute controlled substances.

THESE MEDICAL PROFESSIONALS WERE EASY ENFORCEMENT TARGETS OF D.E.A. TO HIDE FROM THE AMERICAN PUBLIC THEIR CORRUPTION IN AFGHANISTAN

These medical professionals were targets in DEA Dallas’ “Operation Wasted Daze”.

The charges were for prescriptions for hydrocodone, oxycodone, alprazolam, carisoprodol, zolpidem, phentermine, and promethazine with codeine, all legal prescription medicines per the FDA, to legitimate patients.

The government got them convicted by lying to the jury, stating that they “knew” that the drugs were being diverted for illegal use on the streets.  But those people that were seen, evaluated, diagnosed, and treated appeared in the clinic with pain complaints.  No doctor has a crystal ball to know a person’s intent or that he/she is lying. But with the propaganda against opioids, jurors see doctors as “drug-pushers” and therefore criminals.

The real criminals are:

Acting U.S. Attorney for the Northern District of Texas Prerak Shah. Eduardo A. Chávez, Special Agent in Charge of the DEA’s Dallas Field Division. Assistant U.S. Attorneys Laura Montes and Shawn Smith, the prosecutors in the case.

At the time of the US invasion of Afghanistan in 2002, an estimated 31k to 72k hectors poppies were produced. By 2017,. That number increased to 328k, all under the US and its allies like Turkey, and Ukraine, 90% of which was made into heroin.

Read the Sigar report by John Sopko, Special inspector general of Afghanistan reconstruction 

THE UNITED STATES DRUG ENFORCEMENT ADMINISTRATION’S (DEA) SYMBIOTIC RELATIONSHIP WITH AFGHANISTAN’S WARLORDS EXPLAINS (DOCTORS AND PHARMACISTS ARE NOT THE SOURCES OF OPIOID CRISIS) WHY THIS AGENCY MUST BE ABOLISHED UNDER DOGE:

PART-1

These sources in the Sigars Report (Special Inspectors General for Afghanistan Reconstruction) explore the complexities surrounding the opioid crisis, highlighting failures in past and current strategies. 

The blame for this crisis is examined, with emphasis given to the role of the DEA, pharmaceutical companies, Afghanistan, and U.S. foreign policy rather than medical professionals. The impact of Trump’s trade war with China on fentanyl is discussed, alongside the allegations of U.S. support for Afghan opium production. 

The sources criticize the DEA’s aggressive tactics toward physicians and pharmacies while pointing to potential corruption and a lack of oversight within the White House Medical Unit. 

Moreover, they critique the failures of U.S. counternarcotics efforts in Afghanistan, suggesting a need for improved data-driven strategies and international collaboration.

PART-2

This document examines the Drug Enforcement Administration’s (DEA) approach to prescription painkillers, particularly OxyContin, and its impact on chronic pain treatment. 

It argues that the DEA’s aggressive tactics, modeled after the War on Drugs, have created a climate of fear among physicians, leading to the undertreatment of chronic pain. 

The author, Ronald T. Libby, contends that the DEA’s focus on prescription drug diversion has led to the prosecution of well-meaning doctors and a chilling effect on the doctor-patient relationship. 

The report suggests that the DEA’s methods are driven by a need for measurable results and are financially motivated through asset forfeiture. It also highlights the media’s role in creating an “OxyContin hysteria” based on flawed data and sensationalized stories. 

The report concludes that the government’s war on pain doctors is unjustified and exacerbates the problem of untreated pain.

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references

Understanding the Intractable Pain Patient Experience and the DEA’s Role

Briefing Document: “Operation Wasted Daze” and the Prosecution of Minority Medical Professionals

Date: October 26, 2023

Subject: Review of the Case of Medical Professionals Targeted in “Operation Wasted Daze” in Northern Texas

Summary:

This document authored by the brave work of Dr. Linda Cheeks, MD of Doctors of Courage analyzes the provided text, which details the prosecution and conviction of a group of medical professionals in Northern Texas, primarily minorities, as part of a DEA operation dubbed “Operation Wasted Daze.”

The text argues that these individuals were unjustly targeted and convicted due to government misconduct, anti-opioid propaganda, and a biased legal system that exploits foreign-born medical professionals.

The document asserts the need to repeal the Controlled Substances Act (CSA) and end what it describes as attacks on medicine and patient care.

Key Themes and Arguments:

• Targeted Prosecution of Minorities: The central claim of the text is that the medical professionals targeted in “Operation Wasted Daze” were disproportionately minorities. It states: “In this case in Texas, all of those charged were minority. Minorities are the most targeted professionals in this arena.” The text suggests a pattern of discrimination against minority medical professionals.
• Exploitation of Foreign-Born Medical Professionals: The text accuses the government of using medical schools and residencies to bring in foreign nationals as “slave labor.” It argues that after these professionals establish themselves in the U.S., they are then targeted with CSA charges, convicted, and subjected to prison labor, “garnishing all their income since coming here.”
• Government Misconduct and Propaganda: The text strongly condemns the government’s actions, accusing it of “government misconduct” and “lying to the jury.” It asserts that prosecutors used anti-opioid propaganda to sway jurors against the medical professionals, portraying them as “drug-pushers” rather than legitimate practitioners caring for patients with pain complaints. The text highlights that the prescriptions were for legal medications and that the government used a narrative about these being diverted to illegal street use without sufficient evidence.
• Unjust Convictions: The document emphasizes that the medical professionals were charged with and convicted of conspiracy to dispense or possession with intent to distribute a controlled substance, based on the claim that they knew the prescribed medications were being used illegally. The text argues that it is impossible for a doctor to “know” the intent of a patient, and that these practitioners were acting in accordance with their medical evaluations and the law.
• Call for Reform: The document calls for the repeal of the CSA, asserting that it is a tool used to persecute medical professionals. It also demands an end to what it calls attacks on medicine and the patients they serve, which, it argues, come in the form of prosecuting medical practitioners.

Key Facts and Individuals:

The document lists the names, professions, and sentences of numerous individuals convicted in connection to “Operation Wasted Daze.” These include:

• Physicians:Caesar Mark Capistrano (Oncologist): 20 years in prison
• Tameka Lachelle Noel (MD): 8 years in prison
• Nurse Practitioner:Ngozika Tracey Njoku: 6 months in prison
• Clinic Staff:Shirley Ann Williams (Office Manager): 6 years in prison
• Latonya Ann Tucker (Office Staff): 5 years in prison
• Pharmacists:Wilkinson Oloyede Thomas: Convicted at trial
• Christopher Kalejaiye Ajayi: Convicted at trial
• Bartholomew Anny Akubukwe: 11 years in prison
• Nedal Helmi Naser: Pleaded guilty
• Ethel Oyekunle-Bubu: Convicted at trial.

Key Quotes:

• “How about taking out ten minority medical professionals in one fell swoop?” This quote highlights the perceived targeting of minorities.
• “The government allows medical schools and residencies to bring foreign nationals in to work as slave labor through their programs.” This quote reveals the claim of exploitation of foreign-born professionals.
• “The government got them convicted by lying to the jury, stating that they “knew” that the drugs were being diverted for illegal use on the streets.” This describes the alleged government misconduct.
• “But with the propaganda against opioids, jurors see doctors as “drug-pushers” and therefore criminals.” This describes the alleged unfair bias jurors have due to propaganda.

Key Individuals Accused of Misconduct:

• Acting U.S. Attorney for the Northern District of Texas Prerak Shah.
• Eduardo A. Chávez, Special Agent in Charge of the DEA’s Dallas Field Division.
• Assistant U.S. Attorneys Laura Montes and Shawn Smith.

I. Review of Key Concepts

This section outlines the core concepts and themes presented in the provided text to help you focus your study efforts:

• The Plight of Intractable Pain Patients: Understand the severity of suffering, the limitations of existing treatments, and the social and economic consequences of untreated pain.
• Kenji’s Perspective: The email from Kenji offers a personal account of the frustrations and grievances of an intractable pain patient. Analyze the accusations made against the DEA, the demands for justice, and the overall tone of the message.
• The DEA’s Role and Controversy: Consider the criticisms leveled against the DEA regarding their actions and alleged intrusion into medical practice. Evaluate the issues surrounding transparency, corruption, and the targeting of pain management doctors.
• Under-treatment of Pain: Examine the statistics and research highlighting the widespread issue of under-treated pain. Identify the factors that contribute to this problem, including fear of addiction, lack of knowledge, and legal concerns.
• The Shortage of Pain Specialists: Investigate the reasons for the limited number of doctors specializing in pain management. Analyze the historical context and the impact of societal attitudes towards narcotics.
• Historical Context: Understand the connection between the DEA’s focus on Afghanistan and its domestic actions.
• Legislative and Policy Implications: Consider the impact of the Trump administration’s push for transparency and the potential implications for the DEA.

II. Short-Answer Quiz

Answer the following questions in 2-3 sentences each, drawing from the provided text.

1. What is Kenji’s primary concern regarding the DEA?
2. According to the text, what are some societal costs associated with untreated pain?
3. What are some common illnesses mentioned in the provided text that can cause chronic pain?
4. What are some of the reasons cited by the California medical board for the systematic under-treatment of chronic pain?
5. According to the American Medical Association, what are some of the most common types of pain that Americans suffer from?
6. What did a 2004 survey in the Annals of Health Law find regarding pain treatment?
7. According to Dr. J. David Haddox, how many pain specialists are estimated to be treating chronic pain patients in the United States?
8. What is one reason that the text offers for the shortage of doctors who specialize in the field?
9. What are the names of any doctors mentioned in Kenji’s letter who are having issues with the DEA?
10. According to Kenji, what are the historical origins of the DEA’s more recent targeting of pain doctors?

III. Quiz Answer Key

1. Kenji is primarily concerned with what he perceives as the DEA’s unjust targeting of intractable pain patients and the intrusion into the doctor-patient relationship, leading to under-treatment and suffering. He calls for transparency, accountability, and the reinstatement of licenses for targeted doctors.
2. Societal costs of untreated pain include needless suffering, broken marriages, alcoholism and family violence, absenteeism and job loss, depression, and suicide. These factors collectively contribute to significant economic burdens.
3. Chronic pain can be brought on by illnesses such as cancer, lower back disorders, rheumatoid arthritis, shingles, post-surgical pain, fibromyalgia, sickle cell anemia, diabetes, HIV/AIDS, and various types of headaches. These conditions often require specialized pain management.
4. The California medical board attributed the systematic under-treatment of chronic pain to factors like the low priority of pain management in the healthcare system, incomplete integration of knowledge, lack of patient knowledge, fears of opioid addiction, and fear of legal consequences. These barriers hinder effective pain relief.
5. The American Medical Association stated that millions of Americans suffer from common types of pain like headaches, backaches, muscle pains, and neck pain. A significant number also experience intense, intractable pain unrelated to cancer, often receiving inadequate care.
6. The 2004 survey in the Annals of Health Law documented widespread under-treatment of pain among vulnerable populations like the terminally ill, cancer patients, nursing home residents, and chronic pain patients. This issue was also prevalent in emergency rooms, postoperative units, and intensive care units.
7. Dr. J. David Haddox estimates that there are between four to five thousand doctors specializing in pain management in the United States. This translates to roughly one doctor for every 6,000 chronic pain patients, highlighting the shortage of specialists.
8. One reason for the shortage of pain doctors is that pain medicine is a relatively new and dynamic field. The field is only recently expanding beyond care for terminal cancer patients into non-terminal chronic pain management.
9. Kenji mentions Doctor Joseph Parker, Doctor Merideth Norris, Doctor Mark Ibsen, Doctor Norman Clement, and Neil Anand in his letter as being targeted by the DEA. Kenji would like to see the DEA reinstate Doctor Clement and Neil Anand’s DEA licenses.
10. Kenji claims that the agency’s termination of operation America grows opium in Afghanistan allowed the agency to focus on pain management doctors after 2018. He sees this as an abuse of power.

IV. Essay Questions

Consider these essay questions as opportunities to synthesize the information and develop nuanced arguments:

1. Analyze Kenji’s email from a rhetorical perspective. What persuasive strategies does he employ to convey his message to the DEA? How effective do you find his approach, and why?
2. To what extent is the DEA responsible for the under-treatment of intractable pain in the United States? Consider the arguments presented in the text and formulate your own balanced assessment.
3. Discuss the various factors contributing to the under-treatment of chronic pain. How do these factors interact, and what steps could be taken to address this complex problem?
4. Evaluate the claim that the American medical system prioritizes fear of addiction over effective pain management. Provide evidence from the text and your own understanding of the issue to support your argument.
5. Explore the ethical considerations surrounding the use of opioid medications for chronic pain management. How can the medical community balance the need for pain relief with the risks of addiction and abuse?

V. Glossary of Key Terms

• Intractable Pain: Chronic pain that is resistant to standard treatments and persists despite various interventions.
• DEA (Drug Enforcement Administration): A United States federal law enforcement agency under the Department of Justice, tasked with combating drug trafficking and distribution within the U.S.
• Opioid Medications: A class of drugs that include powerful pain relievers, such as morphine, oxycodone, and hydrocodone, which can be highly addictive.
• Pain Management: The practice of alleviating or reducing pain, often involving a multidisciplinary approach that includes medication, therapy, and lifestyle changes.
• Under-treatment of Pain: The inadequate or insufficient treatment of pain, leading to unnecessary suffering and reduced quality of life.
• Chronic Pain: Pain that lasts for more than three months.
• Schedule Three: The designation of a drug, substance, or chemical according to the controlled substances act.
• OxyContin: A brand name for the drug oxycodone, an opioid pain reliever.
• MSContin: A brand name for morphine sulfate, a controlled-release formulation of morphine used for the management of chronic pain.
• PPiP (Patients and Physicians Integrative Program): A group that advocates for intractable pain patients.

“Operation Wasted Daze”: A Study Guide

This study guide is designed to help you understand the case presented in the provided text regarding “Operation Wasted Daze” in Northern Texas and the convictions of several medical professionals.

I. Comprehension Review Quiz

Answer the following questions in 2-3 sentences each.

1. What was “Operation Wasted Daze”?
2. What are the specific charges levied against the medical professionals mentioned in the text?
3. According to the text, what is the primary reason the author believes these medical professionals were wrongly convicted?
4. What role does the Controlled Substances Act (CSA) play in the author’s argument?
5. Who does the author identify as the “real criminals” in this situation?
6. What professions did those convicted hold?
7. What role did foreign nationals play in the supposed crimes, according to the author?
8. What is the name of the incarcerated pharmacist, whose daughter informed the author about the injustice?
9. What is the author’s proposed solution to prevent similar events from occurring in the future?
10. According to the text, what are some of the drugs involved in the case, and what government agency approved their use?

II. Quiz Answer Key

1. “Operation Wasted Daze” was an operation conducted by the DEA’s Dallas Field Division targeting medical professionals in Northern Texas. The operation resulted in the convictions of several individuals for allegedly illegally dispensing controlled substances.
2. The medical professionals were primarily charged with conspiracy to dispense a controlled substance and possession with intent to distribute a controlled substance. These charges stem from prescriptions they wrote for drugs like hydrocodone and oxycodone.
3. The author believes the medical professionals were wrongly convicted because the government allegedly lied to the jury and exploited the anti-opioid sentiment to portray them as “drug-pushers.” The author also states the drugs prescribed were legal prescription medicines, and that the professionals properly evaluated, diagnosed, and treated patients.
4. The author suggests that the government uses the CSA to target foreign national medical professionals. After allowing them to work in the U.S., the government allegedly uses the CSA to charge and convict them, subjecting them to further “slave labor” in prisons.
5. The author identifies Acting U.S. Attorney Prerak Shah, DEA Special Agent in Charge Eduardo A. Chávez, and Assistant U.S. Attorneys Laura Montes and Shawn Smith as the “real criminals.” They are blamed for orchestrating the legal proceedings against the medical professionals.
6. Those convicted held various professions, including oncologist, medical doctor, nurse practitioner, clinic office manager, office staff, and pharmacists.
7. According to the author, foreign nationals are brought into the U.S. to work as “slave labor” through medical schools and residencies. The government then uses the CSA to charge them with crimes if they remain in the US after their programs.
8. The incarcerated pharmacist is Ethel Oyekunle-Bubu, who was convicted as part of “Operation Wasted Daze.”
9. The author’s proposed solution is to repeal the Controlled Substances Act (CSA) to prevent the government from targeting medical professionals.
10. Some of the drugs involved include hydrocodone, oxycodone, alprazolam, carisoprodol, zolpidem, phentermine, and promethazine with codeine. These drugs were approved by the FDA.

III. Essay Questions

Consider the following questions and formulate well-supported arguments based on the provided text.

1. Critically analyze the author’s argument that the medical professionals convicted in “Operation Wasted Daze” are innocent victims of government overreach. What evidence supports and contradicts this claim within the text?
2. Discuss the potential biases that may be present in the author’s portrayal of “Operation Wasted Daze.” How might these biases impact the interpretation of the events described?
3. To what extent does the author’s argument rely on the assertion that the targeted medical professionals were minorities? How does this claim contribute to or detract from the overall message?
4. Evaluate the author’s proposed solution of repealing the Controlled Substances Act (CSA). What are the potential benefits and drawbacks of such a drastic measure, based on the information provided and your understanding of the CSA’s purpose?
5. Based on the text, what systemic issues within the American legal and healthcare systems are highlighted by “Operation Wasted Daze?” How might these issues contribute to the alleged injustices described by the author?

IV. Glossary of Key Terms

• Controlled Substances Act (CSA): A United States federal law that regulates the manufacture, importation, possession, use, and distribution of certain substances classified as controlled substances.
• DEA (Drug Enforcement Administration): A United States federal law enforcement agency under the Department of Justice, tasked with combating drug smuggling and distribution within the United States.
• Conspiracy to Dispense a Controlled Substance: A legal charge alleging that two or more individuals agreed to illegally distribute or provide controlled substances.
• Possession with Intent to Distribute a Controlled Substance: A legal charge alleging that an individual possessed a controlled substance with the intention of selling or distributing it to others.
• FDA (Food and Drug Administration): A federal agency responsible for protecting and promoting public health through the regulation and supervision of food safety, tobacco products, dietary supplements, prescription and over-the-counter pharmaceutical drugs (medications), vaccines, biopharmaceuticals, blood transfusions, medical devices, electromagnetic radiation emitting devices (ERED), cosmetics, animal foods & feed and veterinary products.
• Hydrocodone, Oxycodone, Alprazolam, Carisoprodol, Zolpidem, Phentermine, and Promethazine with Codeine: Examples of legal prescription medicines that may be abused and are regulated under the Controlled Substances Act.
• FMC Carswell: Federal Medical Center, Carswell, is a prison in Fort Worth, Texas, for female inmates with special medical and mental health needs.
• “Operation Wasted Daze”: The name given to the DEA Dallas’ investigation that led to the arrest and conviction of the medical professionals discussed in the text.

Conclusion:

This document paints a disturbing picture of “Operation Wasted Daze” as a case of government overreach and persecution of minority medical professionals.

It argues that these individuals were unfairly convicted due to a combination of bias, propaganda, and the exploitation of the legal system, specifically referencing the CSA.

The document acts as a call to action, advocating for reform of the CSA and an end to what it views as an attack on medicine and the patients it serves.