DOC-TALKS EPISODE S7E-14A: DR FOREST TENNANT, MD, WITH DR. HARVEY JENKINS, MD, ON THE BASICS OF MEDICAL SCIENCE AND THE HIGH STAKES OF PAIN CARE AND LEGAL WARFARE

you are within the norms

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, IN THE SPIRIT OF 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

Dr. Forest Tennant and his colleagues analyze a complex case of intractable pain

In this DocTalks episode, Dr. Forest Tennant and his colleagues analyze a complex case of intractable pain involving a patient who has developed a tolerance to fentanyl. The medical panel debates various treatment strategies, such as opioid rotation to methadone, hormone replacement, and the use of non-opioid adjuncts like DHEA.

A significant portion of the discussion features guest Dr. Harvey Jenkins, a retired orthopedic surgeon with a PhD in biochemistry, who shares his professional journey and his transition into pain management. Jenkins details his legal struggles with the state of Oklahoma, arguing that aggressive regulatory oversight and restrictive opioid policies have harmed both physicians and patients. He also introduces his new educational initiative, unbedsidemanners.com, which aims to improve scientific literacy among the public.

Finally, the speakers emphasize the life-threatening nature of untreated chronic pain and advocate for a risk-benefit approach to specialized medical care.

What is the ABC protocol for pain?

The ABC protocol, also known as the Anand Burrell Clement protocol, is a pharmacological strategy for treating severe, intractable pain that combines three classes of medication to achieve a synergistic effect.

According to the source, the protocol consists of:

• A – Narcotic Analgesics: Such as methadone, which is often preferred in difficult cases due to its unique mechanism of action with the NMDA receptor,.
• B – Benzodiazepines (Anti-anxiety medications): These are included to address anxiety and help patients achieve necessary sleep,.
• C – Muscle Relaxants: Examples mentioned include baclofen (referred to as “blein”) or tizanidine (“taanadine”).

Key Insights into the Protocol:

Alternative Support: While the ABC protocol focuses on these three categories, clinicians also suggest supplementing it with the “Tenant Protocol,” which involves hormonal support with DHEA (Dehydroepiandrosterone ), pregnenolone, and PEA (Palmitoylethanolamide).

Synergy over Monotherapy: The primary goal of the ABC protocol is for the drugs to work together more effectively than any of them would individually.

Medical vs. Street Terminology: The source notes that this combination is sometimes pejoratively referred to as the “Holy Trinity” by law enforcement or in street terms,. However, the clinicians in the source reject this name, arguing it is misleading and that the term is often used by prosecutors to criminalize what is actually an important medical procedure.

How do hormone panels improve pain treatment?

Hormone panels improve pain treatment by identifying physiological deficiencies that can render standard pain medications ineffective. According to the sources, severe and intractable pain is a life-threatening condition that can throw a patient’s metabolism off and cause their hormone levels to drop significantly.

Specifically, hormone panels help treatment in the following ways:

• Restoring Medication Efficacy: A critical insight shared by Dr. Tennant is that if key hormones like testosterone, pregnenolone, or DHEA (DHCA) are severely depleted, opioid medications may stop working. Identifying and correcting these deficiencies is necessary for the primary pain treatment to be successful.
• Providing Early Effectiveness: Supplementing hormones, such as testosterone, can help a patient achieve “really early effectiveness” from their prescribed pain relievers.
• Guiding Specific Protocols: Results from these panels allow clinicians to implement targeted hormonal support, often referred to in the sources as the “tenant protocol” or the “PA DHEA pregnenolone protocol”. This approach involves using substances like DHEA, pregnenolone, and PEA to support the patient’s physiological ability to manage pain.

In summary, hormone panels transition pain management from simply masking symptoms to addressing the biochemical and metabolic disruptions caused by chronic pain, ensuring that the body is capable of responding to analgesic therapy.

HOW FLAWED AI CREATES INJUSTICE

“It is also questionable whether clinical reliance on PDMP risk scores is truly voluntary, given that the regulatory environment leaves providers with little choice but to take seriously the information generated by proprietary PDMP algorithms.”

This creates a conflict for providers, who may be caught between their own expert clinical judgment about a patient’s needs and the demands of a surveillance system they are compelled to use. This shifts the locus of medical authority from the provider’s professional judgment to the algorithm’s opaque and unsubstantiated output.

🔥🔥🔥

EVIDENCE ON FIRE

unbedsidemanner:

railroading of Dr. Neil Anand, md

ALL WATCHED OVER BY MACHINES OF LOVING GRACE

DONATE THIS HOLY DAY SEASON TO MAINTAINING THIS BLOG. YOU ARE WITHIN THE NORMS FIGHT FOR PAIN CARE JUSTICE TO ZELLE 3135103378

OR TO CASH APP:$docnorm

BE SURE TO DONATE TO THE MARK IBSEN GOFUNDME DEFENSE FUND, WHERE THE SON ALWAYS RISES!!!

“..one day you will make a difference..”

FOR NOW, YOU ARE WITHIN

THE NORMS

REFERENCES:

The Anand-Clement Rule and Predictive Justice Systems

Executive

PART-1

PART-2

PART-3

PART-4