“..COMPASSIONATE PHYSICIANS OR DRUG DEALERS IN WHITE COATS..”
“THE SILENT EPIDEMIC OF ABANDONMENT“
from youarewithinthenorms.com
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., 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., M.B.A., 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
“..Another thing that happened during that time is 911, and our attack on Afghanistan. Heroin went from impossible to find to abundant because our soldiers regarding their fields..”
Criminalizing Compassion in Pain Care THE SILENT EPIDEMIC OF ABANDONMENT
Dear Ben, Katie et al;
“I’m a member of a group called the alliance to treat people in pain. I’m copying some of my co-conspirators on this email. I admire your mission to “ fight for truth and expose corruption no matter how powerful the target “
DOJ?
CDC?
PROP?( please be very Curious here)
If you follow the money, there’s a Pulitzer in it for you.
What happened?
The late 90s there were lots of complaints about how doctors weren’t treating pain effectively and how people were dying and needless agony. These were the days of Dr. Kevorkian. In response to the medical community and the federal government agencies controlling medicine and hospitals came up with a plan to treat Pain better.
“..Once upon a time, there lived a bison who wanted to help other animals, and so spent his life studying medicine to become a doctor..”
They called it treating “the fifth vital sign.” The problem is that pain is subjective, not objective.
There was a backlash. Some people felt forced to treat pain that they didn’t want to treat. Another thing that happened during that time is 911, and our attack on Afghanistan.
Heroin went from impossible to find to abundant because our soldiers regarding their fields.
There was a heroin epidemic in America, and we didn’t want to talk about the abundance of heroine so we accuse doctors of over prescribing opiates in response to the campaign to support the fifth vital sign.
“So it was that the bison came upon a family of mice who were all sick, but they had nothing with which to pay for the doctor’s aid. “But without my care, your children will die. I must help, it is my duty,” he said..”
Now the consequence is multiple millions of pain. Patients are abandoned from their palliative care and have either gone to bed, kill themselves or gone to the other market. I don’t think we can call it a black market anymore because I think it’s the only market that exists.
At any rate, the country has a narrative that Jonnie broke his collarbone in high school and was a football star. He received some Percocet for that fracture and seven years later, dies of a heroin overdose. It must’ve been the Percocet. This is how we’ve oversimplified the issue of pain in America.
Unfortunately, I have so many pain patients that can’t get their pain medication controlled that their fourth vital sign is out of control: their blood pressure.
At any rate, there’s a silent epidemic of abandonment going on with patients who require pain medication and are dependent on it. They are not addicted. They are dependent, and there is a clear difference.
What is that difference?
“..Without a thought, the doctor gave them his aid, one after the other, and each mouse he healed was grateful. Soon, however, he began to tire and eventually became exhausted, yet still more mice came. “Surely, though, this deed will be worth it in the end,” he thought, and strengthened his resolve..”
When an addict uses their substance of abuse, their life gets out of control. In America, especially if you’re an addict out of control, you pretend to be homeless and stealing in order to obtain funds to purchase your illicit drugs.
That is a life that’s unmanageable.
When a pain patient has pain medication they have higher function. They improve. They keep their job. They support their families and they pay their taxes. When we take that medication away from them, they also become dependent on disability payments and the compassion of their family members because they cannot function.
I know this by experience full well because I became an accidental pain doctor in 2011 when hundreds of patients came to me when their doctors cut them off mercilessly. I was able to get 80% of my patience off of opiates, using cannabis and other alternative medications.
Sadly, 20% of my patients could not successfully taper off these medication‘s. They were dying before my eyes. At that time, I was investigated by the board of medicine and the DEA. The DEA decided not to pursue me, but the board of Medicine went after me with a vengeance ended up suspending my license. The license suspension was overturned by district court, because the board of violated my due process rights.
The administrative law judge found that I was justified in treating the pain patients that I had inherited from other doctors who started them on the medications.
In the long tradition of Emergency Physicians cleaning up other people’s messes, I was successful, but it cost me my business two marriages and several million dollars. I fled the field of opiate treatment for fear of my freedom. At the time my kids were in high school.
I disappeared from DEA scrutiny by treating only cannabis patients. I was able to certify many patients to obtain medical cannabis in Montana.
In November 2022, the DEA suspended the DEA license of Dr. David Bockoff.
He’s from Beverly Hills, and he was treating about 240 pain patients. All of them became refugees. Some of them were friends and fellow activists. When these friends and co-activists needed my help, I instinctively gave it. I took on many of these pain refugees and treated their pain.
Many of these patients are palliative in that they have a chronic illness. That’s not curable but not fatal either. Ironically, it’s only fatal when you take their medicines away and they kill themselves. Four people died after Dr. Bockoff was taken out.
I have continued to treat these pain refugees at great risk to myself, financially physically emotionally and now legally. I have my 11th and 12th cases from the Board of medicine to deal with now. I’ve recently received a subpoena from the department of justice in montana.
I’ve also been banned nationally by Walgreens, they won’t fill my prescriptions anywhere in the country now.It’s likely because these patients are the sickest of the sick and they cannot find anyone else to help them besides me.
Sadly, many of them have a genetic defect in their metabolism requiring very high doses of opiates. This is called CYP 450 genetic pleomorphism. It’s a complicated way of saying they’re more than three deviations from the standard mean of average medication requirements.
In 2011 the Institute of medicine funded an investigation called pain in America a blueprint for change: Ultimately, I think this was filed somewhere in the depths of some warehouse next to the ark of the covenant. He has been completely ignored. It does claim that there are over 100 million people in Pain in America at a cost in 2011 of $625 billion a year.
Around the same time, several addiction, specialists lobby, the FDA to limit the access to opiate medication’s. They were shown the door.Then they approach the CDC and the CDC gladly accepted an expansion of their mission in a self appointed way. Keep in mind that opiate addiction does not operate like an infectious disease and that is their lane.
Rate the CDC came out with ill-advised and poorly research guidelines that have transformed the practice of medicine in America. Not in a good way. I recently participated in a panel with the Cato Institute:
During this panel, I’m memorialized six of my patients who died after 2017 from lack of access. The board of medicine in Montana immediately sanctioned me for violating HIPAA, and I fought that sanction.
These people were all dead, known to be dead, and their mode of death was obvious also. Since that victory before the board of medicine, I have had two more complaints from the medical board and now a federal investigation.
I got back into the treatment of pain refugees because of my hypocritical oath: DO NO HARM.
The harm experienced by these patients is in calculable.
Invite you to take a look at this silent, tragic travesty.“
Feel free to give me a call
Mark Ibsen MD
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Summary
This collection of excerpts and anecdotes, primarily from Dr. Mark Ibsen, critiques the criminalization of pain care in the United States, particularly targeting physicians who prescribe opioid medications.
The Dr. Ibsen, argues that a focus on preventing addiction has led to the abandonment of millions of chronic pain patients, forcing them into suffering, suicide, or illicit markets, and highlights instances where doctors face severe legal repercussions for providing necessary treatment.
The article suggests this crisis stems partly from oversimplifying addiction and a misguided response to the opioid epidemic, driven by entities like the DEA, DOJ, and CDC.
What is the main issue discussed in the provided sources?
The sources primarily discuss the “criminalization of compassion” in pain care in America. This refers to the targeting and prosecution of physicians who prescribe FDA-approved narcotic pain medications for patients suffering from chronic pain, leading to a silent epidemic of pain patient abandonment and suffering.
Who are some of the individuals affected by this issue?
Several individuals are highlighted, including Dr. Mark Ibsen himself, who has faced numerous investigations and legal challenges for treating pain patients. Other physicians like Dr. Neil Anand and Dr. David Bockoff are mentioned as having been criminally targeted or had their licenses suspended, leaving their patients without care. Patients themselves are also significantly affected, with many being abandoned, leading to increased suffering, loss of function, and even suicide.
How did the focus on pain management evolve in the late 1990s, and what was the consequence?
In the late 1990s, there was a movement to improve pain treatment, driven by complaints about ineffective pain management and unnecessary suffering. This led to the concept of treating pain as the “fifth vital sign.” However, the sources argue that pain is subjective, and this approach led to a backlash and, eventually, accusations of over-prescribing.
What role did the events following 9/11 and the war in Afghanistan play in this situation?
The sources suggest that the attack on Afghanistan and the subsequent military presence led to an increase in the availability of heroin. Instead of addressing the abundance of heroin, the narrative shifted to blaming doctors for over-prescribing opiates as a response to the earlier campaign to treat pain more effectively.
What is the crucial distinction made between “dependent” and “addicted” patients?
The sources emphasize a critical difference between patients who are dependent on pain medication for functional improvement and those who are addicted. Dependent patients maintain function, keep their jobs, and support their families when on medication. Addicted individuals, in contrast, experience unmanageable lives, often resorting to illicit means to obtain drugs. The sources argue that many chronic pain patients are dependent, not addicted, and suffer greatly when their medication is taken away.
What are the negative consequences faced by pain patients due to the crackdown on pain medication?
The consequences for pain patients are described as severe, including abandonment, increased suffering, inability to function, reliance on disability payments, and tragically, suicide. The sources suggest that many pain patients are left with no options for their pain management.
What is the criticism directed towards the CDC’s role in this issue?
The sources criticize the CDC for expanding its mission into opiate addiction, arguing that addiction does not operate like an infectious disease, which is the CDC’s typical area of focus. They claim the CDC issued “ill-advised and poorly research guidelines” that have negatively transformed pain management in America.
How are physicians like Dr. Ibsen justifying their decision to continue treating pain refugees despite the risks?
Physicians like Dr. Ibsen justify their actions based on their Hippocratic Oath to “do no harm.” They see the immense suffering and harm caused by the abandonment of pain patients and feel a duty to provide care, even at significant personal and professional risk.
This was very informative & explains that there are physicians out there that actually care about their patients. They want to heal their patients & give them their lives back. They didn’t ask for this pain!! They want to live their lives as much as they did before the pain.