BY NORMAN J CLEMENT RPH, DDS

WARNING: THIS ARTCLE CONTAINS GROSS HUMAN AND NECK DISSECTIONS FOR EDUCATIONAL PURPOSES AND MUST BE USED WITH DIGNITY AND THE UTMOST RESPECT

The Field of Dentistry, including its specialties, can ill-afford to sit at home and must change their roles as providers of dental oral health to “a covered person” during this Sars-2 pandemic. We cannot permit those most knowledgeable in Oral Health and Oral Pathology to be sidelined. The failure to implement Oral Health protocols will result in unnecessary deaths and destruction of the world/s economy. We are at war. Dentistry has a role in our Healthcare Armed Forces and will primarily be:

a) Oral and nasal testing to identify presence or non-presence of COVID-19 Virus

b) Intervention and Prevention

c) Adopting an Oral-Healthcare Guideline.(1) 

COVID-19 is an oral pharyngeal disease before it becomes a pulmonary and systemic disease.(id.) Once this virus gets past your hands and into your mouth and nose, your dentist, the dental office, Dental schools must be brought on board and utilized for testing and identification of preventive, intervention procedures.(2) 

DENTISTRY’S EXPANDED ROLE IN THE HEALTHCARE ARMED FORCES

Dental schools, and private dental offices could be delivering health services such as:

1. Large testing centers with outreach clinics to identify those testing positive or negative and coordinating their findings with a COVID-19 National Data Bank, similar to the Prescription Drug Monitoring Program(PDMP). (3)
2. Outreach clinics made up of the offices of private dental practitioners will then coordinate their findings with a COVID-19 National Data Bank, CDC and World Health Organization. 
3. The information gathered would be used for analyzing, tracking and intervention (response phase) into triaging areas of the country for effective mobilization against this disease.
4. Dental centers and private offices would be further utilized in the response phase for Periodontal Scaling and Root Planing, Dental Prophylaxis oral hygiene with instruction and follow-up visits.

Once this virus gets past your hands and into your mouth and nose, specialties and Dental schools must be on board as part of the Healthcare Armed Forces in this War to defeat COVID-19.

THE IDEA OF MAYOR BILL de BALSIO OF NEW YORK CITY USING LOCAL PHARMACIES TO SELF TEST IN NEW YORK CITY IS INSANE, HOWEVER!

The Mayor of New York City Bill de Blasio and New York’s Governor Andrew Coumo’s plan to use local pharmacies has serious flaws.

“Under a new executive order, Cuomo plans to grant independent pharmacists the authority to conduct diagnostic tests for COVID-19 – collected samples will be tested at labs off-site. This could add an additional 5,000 testing locations in New York State. “

Yet, this executive order can be improved by using both oral and nasal cavity testing through a Pharmacy/ Dental partnership. Using just the nasal cavity test alone will lead to inconclusive results if further testing of the oral cavity is not performed. Thus, wasting large amounts of limited testing materials that could, in fact, further endanger large segments of populations if a person believes they are negative when in fact, they are carrying the virus in their mouth and are asymptomatic.

THE UNITED STATES SURGEON GENERAL JEROME ADAMS MD AND AMERICAN DENTAL ASSOCIATION PRESIDENT GEHANI

The United States Surgeon General Dr. Jerome Adams has rightly stated his concept: “Better health through better health partnerships.” Each one will teach one, Dr. Adams concept using the Pharmacist/Dental partnership here will lead to better health outcomes and success in New York. Yet, success can only be possible with more testing, testing, testing, 90 million more testing Nation-Wide. 

The American Dental Association (ADA) has sent a letter to the U.S. Department of Health and Human Services April 17 asking the agency to “issue federal recognition that licensed dentists may administer point of service tests authorized by the Food and Drug Administration” during the COVID-19 pandemic, in response of concerns why Dentistry has been relegated to the sidelines. stating:(4)

In the letter to Adm. Brett P. Giroir, M.D., HHS assistant secretary for health, the ADA explained that administering these types of tests falls under licensed dentists’ scope of practice. The Association said by issuing federal recognition; dentists would qualify as “covered persons” under the Public Readiness and Emergency Preparedness Act, which may extend protection from liability associated with the administration or use of FDA-authorized COVID-19 tests. 

“Dentistry is essential to the public’s health. Enabling dentists to test patients prior to dental treatment will help lower the ‘very high exposure risk’ of dental personnel in contracting COVID-19 when treating infected but asymptomatic patients,” wrote ADA President Chad P. Gehani and Executive Director Kathleen T. O’Loughlin in the HHS letter. “It would add a layer of safety for both dental personnel and the patients they treat. This is important not only now — when most dentists are performing only urgent and emergency dental procedures — but also as the nation cautiously reopens.”

The ADA also said front-end testing would “enable dental offices to optimize their personal protective equipment,” noting, “optimizing the use of PPE is particularly important now when PPE is scarce in all health care settings, including emergency departments.”

More importantly, it has been reported in the literature, The Journal of the American Dental Association, Vol 135, issue April 4 2004, Pages 429-437, Aerosols and Splatter in Dentistry: A Brief Review of the Literature and Infection Control Implications, by Stephen K. Harreld, DDS., John Molinari, Ph.D.;(2)

” The saliva and nasopharyngeal secretions also may contain other pathogenic organisms. These may include common cold and influenza viruses, herpes viruses, pathogenic streptococci and staphylococci, and the SARS virus. The use of universal precautions with all patients initially was based on the assumption that all patients may have an infectious bloodborne infection, such as with hepatitis B virus, hepatitis C virus and HIV. It also should be assumed that all patients may have an infectious disease that has the potential to be spread by dental aerosols; thus, universal precautions to limit aerosols also should be in place.”

Drs. Gehani and O’Loughlin said the Association recognizes that COVID-19 testing kits are “currently scarce,” but pointed out that approving dentists to administer the tests now “will expand the nation’s medical surge capacity, optimize the use of PPE in health care settings, and create a safer environment for treating dental patients who would otherwise seek care in overburdened emergency departments.”

Citing research from the ADA Health Policy Institute, they noted, every year, more than 27 million people visit a dentist but do not see a physician:

“Federal guidance for dentists to administer FDA-authorized COVID-19 tests would help make every encounter an opportunity to test those individuals,” they concluded. Therefore we must increase testing by manufacturing 80 million oral-nasal tests.

BETTER HEALTH THROUGH BETTER PARTNERSHIPS

The United States Surgeon General Dr. Jerome Adams, who advocates “Better Health through Better Partnership,” he believes, “there is no us or them,”

Dr. Adams stated.

” I have seen this throughout my career in Indiana, “I’ve seen this in the operating room, and I’ve have seen it as The United States Surgeon General.”

“We have to bring together people who have not worked together,” says John Nichols of The Nation Magazine. “Better health through better partnerships,” says United States Surgeon General Jerome Adams, “if you make forging better partnerships better health is sure to follow.”

Dr. Jerome Adams States:

“We’ve got an opportunity, a mandate to win this game if we all figure out our roles, where we can be valuable on the field and play our part.” 

See below video U.S. Surgeon General Jerome Adams/from the conference on mental health/opioid. Crisis April 26, 2018) Let Philip Adams out of prison and into life long rehabilitation.

dac32633-4f04-4509-b7ce-0d17039e6005“Better Health through Better Partnerships”

When these above points become accepted, the World will prevail in defeating COVID-19

Drs. Gehani and O’Loughlin said the American Dental Association recognizes that COVID-19 testing kits are “currently scarce,” but pointed out that approving dentists to administer the tests now “will expand the nation’s medical surge capacity, optimize the use of PPE in health care settings, and create a safer environment for treating dental patients who would otherwise seek care in overburdened emergency departments.”

Citing research from the ADA Health Policy Institute, they noted, every year more than 27 million people visit a dentist but do not see a physician.

“Federal guidance for dentists to administer FDA-authorized COVID-19 tests would help make every encounter an opportunity to test those individuals,” they concluded. 

THROUGH DENTISTRY WE CAN REDUCE OR CONTROL THE DENTAL VIRAL LOAD

As the coughing increases, negative pressure causes the COVID virus, to jump into the lungs. Thus the understanding of the Clement Jumping Penguin Postulate(CJPP). However, through dentistry and dental oral hygiene, and Pharmacy followed by COVID-19 dental intervention guidelines ,we can reduce Oral Viral Load (OVL).

In gross dissected structures, we can see the anatomical relationship between the nasal sinus. oral cavity. and tongue to get a better understanding of the oral physiological component 

In the next gross dissection, the tongue is drawn back to demonstrate the teeth, tongue, and nasal sinus relationship. 

Also seen here, is very a small section of the lower part of the nasopharynx wall and the oropharynx wall which sits directly behind the back part of the tongue. It is from this section of the oral structures where it is theorized the COVID virus jumps into the esophagus and trachea. 

This photo gives the reader a clear understaning of the relationship of the nasal sinus, oral cavity and tongue for a better understanding of dental oral anatomical components

Therefore, along with washing your hands frequently, one should brush your teeth/ tongue and roof of your mouth, along with flossing at least 6 to 8 times daily, as well as rinsing your mouth with an over-the-counter antiseptic mouthwash and swishing, and expectorate(spitting)and at least 5 to 7 times daily. It may save your life.

DON’T DISCOUNT GRANDMA’S HAND

While having attained degrees in both health sciences of Pharmacy and Dentistry, let’s not forget our faith, spiritual beliefs and some of those cultural and generational remedies from those who have endured and gone before us or Grandma’s hands.

Every person whom I’ve spoken to that has recovered from COVID-19, has had two strong beliefs in common:

1. A strong sense of Spirit, Faith and God; “…after you’ve done all you can…you just stand and let the Lord see you through“
2. Ginger, Ginger root, Jamaican Ginger Beer warmed and with a slice of lemon.

While Grandmas may have not been physicians, pharmacists, dentists or lawyers, their remedies work because warm ginger with lemon reduces the Oral Viral Load(OVL) in the oral pharyngeal Cavity because the Achilles heel of the COVID virus is heat.

I grew up in Detroit so my preference has always been warm Vernors Ginger Ale with a slice of lemon, sipped slowly. Of course one can use Ginger Beer, Ginger Root boiled and served, but there is a third belief which comes from Grandma.

3. “USE GOOD COMMON SENSE,” because, ” A HARD HEAD WILL MAKE A SOFT BEHIND”

FOR NOW

YOU’RE WITHIN THE NORMS

BY NORMAN J CLEMENT RPH., DDS

WARNING: THIS ARTCLE CONTAINS GROSS HUMAN AND NECK DISSECTIONS FOR EDUCATIONAL PURPOSES AND MUST BE USED WITH DIGNITY AND THE UTMOST RESPECT

This article advances the theory of the Clement Postulate of The Jumping Penguin, that Dentistry may save millions of lives once the COVID-19 Virus enters the oral pharyngeal(mouth and nose) region by the increase brushing teeth, tongue and roof of the mouth, and most importantly, gargling with an antiseptic mouth rinse (Listerine, Crest Pro-Health Advanced, Hydrogen Peroxide)

GOOD ORAL HYGIENE MAY HELP SAVE YOUR LIFE

COVID-19 is an oral pharyngeal disease before it becomes a pulmonary and systemic disease.(1) Once this virus gets past your hands and into your mouth and nose, your dentist, the dental office, Dental schools must be brought on board and utilized for testing and identification of preventive procedures. Therefore, along with washing your hands frequently, one should brush your teeth/ tongue and roof of your mouth, along with flossing at least 6 to 8 times daily, as well as rinsing your mouth with an over-the-counter antiseptic mouthwash and swishing, and expectorate(spitting)and at least 5 to 7 times daily. It may save your life.

THE CLEMENT POSTULATE and THE JUMPING ROCK HOPPER PENGUIN

Both the United States Center for Disease Control (CDC) and the World Health Organization(WHO) have failed to address the mechanism of action of the COVID-19 virus once it goes beyond your hands and masks and enters the oral pharyngeal cavity. More importantly, CDC and WHO have failed to address how long the virus survives in dental plague or its relationship to poor oral hygiene. Think about it, if the virus can stick to a golf flag pole several hours, it will likely live on dental restorations, tongue, throat, inside your nose several days, and especially a poorly cared for mouth.

The Clement Jumping Penguin Postulate(CJPP) is designed around the anatomy of oral pharyngeal structures and their relationship to the Nasopharynx, Oropharynx, Hypopharynx, followed by the larynx which lies in front of the esophagus. Below the larynx, as seen here in orange is the trachea or windpipe and most importantly is the relationship of these structures to the tongue.

• 

• 

MOUTH ANATOMY (ORAL ANATOMY) 101

Once the COVID-19 virus passes one’s hand and enters the mouth through either the oral cavity and/or nasal cavity, it sticks onto or between teeth , dental plaque, dental restorations (fillings), inside the cheeks (buccal mucosa), the tongue, roof of mouth (palate, palatal rugae), tonsillar crypts and fissures within the oral cavity, where it accumulates to grow or multiply. (2)

1.) The virus is moved around by saliva or food or simple breathing. Therefore brushing alone does not totally rid a person of the virus. In order for the virus to live the dirtier, the mouth the better.

2.) At some point a person, may notice a loss or change of taste. This is because the outside of the tongue is sensory and detects taste within the mouth or when something within the mouth is bitter or sweet. These symptoms to a oral health specialist would indicate involment of some kind to the glossopharyngeal nerve or the ninth cranial nerve (IX), (see above or above diagram)

3.) Within the nasal cavity the Covid-19 virus begins to affect sense of smell. This would indicate involvement of the Olfactory Nerve (smell nerve) cranial nerve one (I).

Here’s where it gets interesting:

4.) The COVID-19 Virus moves into the deep oral pharyngeal structures (the Nasopharynx, Oropharynx Hypopharynx), The effected person(s) might complain of a slight sore throat, tingling or scratchy sensation. While on the Back of the tongue the COVID-19 virus sits there and waits for the opportunity to jump similar to the Rock Hopper Penguin .

5) When the virus has accumulated on the back of the tongue and pharyngeal walls, coughing allows the COVID-19 Virus to fall into the esophagus where it is neutralized. However, some of the virus will be successful in jumping into the larynx, and descend into the trachea, and then to the lungs where it goes to work.

More importantly, it has been reported in the literature, The Journal of the American Dental Association, Vol 135, issue 4 April 2004, Pages 429-437, Aerosols and Splatter in Dentistry: A Brief Review of the Literature and Infection Control Implications, by Stephen K. Harreld, DDS., John Molinari, Ph.D.;(1)(2)

” The saliva and nasopharyngeal secretions also may contain other pathogenic organisms. These may include common cold and influenza viruses, herpes viruses, pathogenic streptococci and staphylococci, and the SARS virus. The use of universal precautions with all patients initially was based on the assumption that all patients may have an infectious bloodborne infection, such as with hepatitis B virus, hepatitis C virus and HIV. It also should be assumed that all patients may have an infectious disease that has the potential to be spread by dental aerosols; thus, universal precautions to limit aerosols also should be in place.”

THROUGH DENTISTRY WE CAN REDUCE OR CONTROL DENTAL THE DENTAL VIRAL LOAD

As the coughing increases, negative pressure causes the COVID virus, to jump into the lungs. Thus the understanding of the Clement Jumping Penguin Postulate(CJPP). However, through dentistry and dental oral hygiene, followed by COVID-19 dental intervention guidelines ,we can reduce Oral Viral Load (OVL).

In gross dissected structures, we can see the anatomical relationship between the nasal sinus. oral cavity. and tongue to get a better understanding of the oral physiological component

In the next gross dissection, the tongue is drawn back to demonstrate the teeth, tongue, and nasal sinus relationship.

Also seen here, is very a small section of the lower part of the nasopharynx wall and the oropharynx wall which sits directly behind the back part of the tongue. It is from this section of the oral structures where it is theorized the COVID virus jumps into the esophagus and trachea.

This photo gives the reader a clear understaning of the relationship of the nasal sinus, oral cavity and tongue for a better understanding of dental oral anatomical components

DON’T DISCOUNT GRANDMA’S HAND

While having attained degrees in both health sciences of Pharmacy and Dentistry, let’s not forget our faith, spiritual beliefs and some of those cultural and generational remedies from those who have endured and gone before us or Grandma’s hands.

Every person whom I’ve spoken to that has recovered from COVID-19, has had two strong beliefs in common:

1. A strong sense of Spirit, Faith and God; “…after you’ve done all you can…you just stand and let the Lord see you through“
2. Ginger, Ginger root, Jamaican Ginger Beer warmed and with a slice of lemon.

While Grandmas may have not been physicians, pharmacists, dentists or lawyers, their remedies work because warm ginger with lemon reduces the Oral Viral Load(OVL) in the oral pharyngeal Cavity because the Achilles heel of the COVID virus is heat.

I grew up in Detroit so my preference has always been warm Vernors Ginger Ale with a slice of lemon, sipped slowly. Of course one can use Ginger Beer, Ginger Root boiled and served, but there is a third belief which comes from Grandma.

3. “USE GOOD COMMON SENSE,” because, ” A HARD HEAD WILL MAKE A SOFT BEHIND”

BRUSH YOUR TEETH, YOUR TONGUE AND THE ROOF OF YOUR MOUTH, AND FLOSS 6 TO 8 TIMES PER DAY. RINSE WITH STRONG MOUTH WASH 5 TO 7 TIMES PER DAY AND DON’T WAIT ON THE CDC

So, once again, along with washing your hands frequently, brushing your teeth, tongue and roof of the mouth, floss at least 6 to 8 times daily. Rinsing with an over-the-counter mouthwash, swish, and expectorate (spit) at least 5 to 7 times daily, along with Grandma’s remedies will reduce the viral load within the mouth (Oral Cavity) and MAY SAVE YOUR LIFE.

FOR NOW: FOR BETTER DENTAL HEALTH CARE

YOU ARE WITHIN THE NORMS

END NOTES

1. https://reader.elsevier.com/reader/sd/pii/S0002817714612277?token=41CD393AB2087BC88AD9D8C560B22A061E406565CDBC6817398BDF347DF9C8D1148CE8899CD49D42AD25812A4DD9E27C
2. https://www.sciencedirect.com/…/pii/S0002817714612277

BY NORMAN J CLEMENT RPH, DDS

WE ARE AT WAR AND WE MUST MOBILIZE OUR ENTIRE HEALTHCARE ARMED FORCES

We are at War, and Oral Health will likely be the key to controlling the Novel Corona Virus COVID-19. Yet we have ordered a valued regiment of our healthcare armed forces home (on the sidelines). Contributing to this misguided short sidedness are both CDC and World Health Organization and their failure to mobilize those who are knowledgable of oral diseases such as dental practitioners in the testing, detection, and prevention of COVID-19 during this pandemic. Thus, resulting in prolonging this War and causing unnecessary disastrous out-comes.

Instead, in most of the United States of America and likely around the World, those who are most learned and knowledgeable of oral diseases and know the ORAL CAVITY were ordered to the sidelines and sent home to apply for SBA PPP, and watch the SARS-2, VIRUS express itself around the World.

Even more tragically, Dental Training Institutions such as The University of Michigan School of Dentistry, University of Oregon School of Dentistry, University of Florida College of Dentistry, The Ohio State College of Dentistry, Meharry Medical College Dental School, Howard University School of Dentistry are closed and shut down. The continued failure to utilize Oral Health Care practitioners and not recognize them as a part of the healthcare armed forces will become our greatest tragedy.

BETTER HEALTH THROUGH BETTER PARTNERSHIPS:

The failure to dismiss and diminish the critical role this institution could and should play has resulted in a tragic loss of life and the literal destruction of the World’s economy.

Who better to use and where better could testing, identification, and prevention procedures be performed than in the dental office. Dental Schools, private dental offices could be delivering health services as:

1. Large testing centers with outreach clinics to identify those testing positive or negative and coordinating their findings with a National Data Bank or even the individual State Departments of Health.
2. These outreach clinics, made up of the offices of private dental practitioners will then coordinate their findings with a COVID-19 National Data Bank. The information gathered would be used for analyzing, tracking and intervention (response phase) into triaging areas of the country for effective mobilization against this disease.
3. Dental centers and private offices would be used in the response phase for Periodontal Scaling and Root Planing, Dental Prophylaxis Hygiene and instruction.

COVID-19, is an Oral Pharyngeal Disease before it becomes a Pulmonary and Systemic Disease. Once this virus gets past your hands and into your mouth and nose, your dentist, the dental office, Dental schools must be brought on board and utilized for testing and identification preventive procedure.

POWER WILL YIELDS NOTHING WITHOUT A DEMAND

In the absence of elected Presidential leadership, it is, therefore, incumbent upon my friends at the significant dental organizations and societies such as American Dental Association(ADA), Chad P. Gehani, DDS President, South African Dental Association, Nthabiseng Metsing DDS president, American Academy of General Dentistry(AGD), Connie L. White DDS, FAGD president, National Dental Association, Sheila Armstrong, president, American Association of Oral and Maxillofacial Surgeons (AAOMS) Victor L. Nannini DDS FACS, president, Hispanic Dental Association (HDA) Edwin A, del Valle-Sepulveda, DMD, JD., president American Association of Endodontist (AAE) Keith V. Krell DDS, MS., MA., president, with their cadres of well-minded highly educated people to order them off the sidelines and into the fight.

“We have to bring together people who have not worked together,” says John Nichols of The Nation Magazine. “Better health through better partnerships,” says United States Surgeon General Jerome Adams, “if you make forging better partnerships better health is sure to follow.”

Dentistry must wage a highly strategic, coordinated action. Frederick Douglas’ 1857 speech best reflects our purpose in this life or death fight is for humanity, our culture and our nation in 2020, if we fail to act.

“Power concedes nothing without a demand. It never did, and it never will. Find out just what any people will quietly submit to, and you have found out the exact measure of injustice and wrong which will be imposed upon them, and these will continue till they are resisted with either words or blows or with both. The limits of tyrants are prescribed by the endurance of those whom they oppress.”

CONGRESS MUST INVESTIGATE THE CDC

The CDC leadership under Dr. Robert Redfield has mismanaged the world’s efforts to contain this disease by issuing faulty testing procedures and stopping small private laboratories from developing their tests. CONGRESS MUST INVESTIGATE CDC.

Dr. Robert Redfield has gone to great length to give large Chain Pharmacies . Walgreens, CVS, and Walmart such as testing centers. While those proficient in Oral Health diseases are benched on the sidelines. I imagine if Dunkin Donuts had pharmacies, they would likely be testing centers as well. CONGRESS MUST INVESTIGATE

BRUSH YOUR TEETH AND YOUR TONGUE, FLOSS 6 TO 8 TIMES PER DAY AND RINSE 5 TO 7 TIMES PER DAY AND DON’T WAIT ON THE CDC

So, once again, along with washing your hands frequently, brushing (both teeth and tongue) flossing at least 6 to 8 times daily, you should rinse your mouth with an over-the-counter mouthwash, swish and expectorate (spit) at least 5 to 7 times daily.

The CDC nor the World Health Organization has failed to address how long this virus survives in dental plague or its relationship to poor oral hygiene. Once again, if the virus can stick to a golf flag pole several hours, it will live on dental restorations, especially poorly cared for the mouth.

GOOD ORAL HYGIENE MAY HELP SAVE YOUR LIFE

Therefore, along with washing your hands frequently, one should brush teeth and tongue, and floss at least 6 to 8 times daily, as well as rinsing your mouth with an over-the-counter mouthwash, swish, and expectorate(spit) at least 5 to 7 times daily. It may save your life.

LET DR. FAUCI BE FAUCI AND DR. JEROME ADAMS BE ADAMS

Let Dr. Tony Fauci, who advocates and urges, follow the science, and demanding increase in testing, testing, and more testing, be Fauci. Let Dr. Fauci, be Dr. Fauci.

Let the United States Surgeon General Dr. Jerome Adams who advocates “Better Health through Better Partnership,” be Dr. Adams. Jerome Adams MD., believes, “there is no us or them,” and

“We’ve got an opportunity, mandate to Win this game if we all figure out our roles, where we can be valuable on the field and play our part”

Dr. Adams stated. ” I have seen this throughout my career in Indiana, “I’ve seen this in the operating room and I’ve have seen it as The United States Surgeon General. ” Let The United States Surgeon General Jerome Adams be The United States Surgeon General.

(See below video US Surgeon General Jerome Adams/from the conference on mental health/opioid. crisis April 26, 2018) Let Philip Adams out of prison and into life long rehabilitation.

Most importantly, let the elected Executive non-leadership get out of the way.

When these above points become accepted, the World will prevail in defeating COVID-19.

FOR NOW

YOU’RE WITHIN THE NORMS

https://www.agd.org/docs/default-source/advocacy-papers/governor-letter-from-azar-march-24—de-identified.pdf?sfvrsn=cbc55c4e_0

https://www.cdc.gov/coronavirus/2019-ncov/hcp/dental-settings.html

http://youarewithinthenorms.com/2020/02/03/poor-oral-health-in-african-american-women-risk-increase-pancreatic-cancer/

By Norman J Clement RPH., DDS,

Oral Health is an essential component of overall health. Yet the most likely tragedy perhaps will be how many well-meaning Dental Boards, (Louisiana, Pennsylvania) Public Health spoke persons, Governors and News Media outlets have failed to comprehend the importance of Oral Healthcare during the Corona Virus Pandemic. Dental Care is healthcare.

Now think about it. We are told to wash our hands, not touch our face and cover our mouths. According to the CDC SARS-CoV-2,:(1)

“the virus that causes COVID-19, is thought to be spread primarily through respiratory droplets. Airborne transmission from person-to-person over long distances is unlikely. However, the contribution of aerosols, or droplet nuclei, to close proximity transmission is currently uncertain. The virus has been shown to survive in aerosols for hours and on surfaces for days. There are also indications that patients may be able to spread the virus while pre-symptomatic or asymptomatic. Covid-19 can survive on surfaces such as counter tops for 5 days, your cloths for 5 hours plastic surface for 2 days”.

Yet what happens after you wash your hands and the virus still gets into your mouth? The CDC has not clearly addressed how long this virus survives in dental plague or even its relationship to poor oral hygiene. So now ask yourself if the virus can stick to a golf flag pole several hours, then how many days can it live on a dental restoration or a poorly cared for mouth? Rather than waiting for CDC to respond, I suggest:

1. That COVID-19 sticks to dental plaque and on dental restorations(particularly those that are poorly surfaced), dentures, partial and implants.
2. I believe many who have succumbed to this outbreak were likely to have maintained poor oral hygiene.

Therefore, along with washing your hands frequently, one should brush and floss at least 6 to 8 times daily, as well as rinsing your mouth with an over-the-counter mouthwash, swish and expectorate at least 5 to 7 times daily.

The significance of poor oral health and its effects on overall systemic disease should neither be ignored nor dismissed. A precise alarming study on “Oral Health in Relation to Pancreatic Cancer Risk in African American Women,” by Hanna Gerlovin, Dominique S. Michaud, Yvette C. Cozier, and Julie R. Palmer DOI: 10.1158/1055-9965.EPI-18-1053, (2) reported in the Journal of Cancer Epidemiology Biomarkers and Prevention April 19, 2019, demonstrated a high prevalence of pancreatic cancer in Black women who had poor oral health and missing teeth.

Portrait Western Cape, Cape Town South Africa

So, again, along with washing your hands frequently, brushing(teeth, tongue roof mouth and flossing at least 6 to 8 times daily, you should rinse your mouth with an over-the-counter mouthwash, swish and expectorate at least 5 to 7 times daily.

FOR NOW

YOU ARE WITHIN THE NORMS

1. https://www.cdc.gov/coronavirus/2019-ncov/hcp/dental-settings.html

2. http://youarewithinthenorms.com/2020/02/03/poor-oral-health-in-african-american-women-risk-increase-pancreatic-cancer/

REPORTED BY NORMAN J CLEMENT RPH., DDS

” FIGHTING NARROW-MINDEDNESS IN WORLD HEALTH”

By

ANDREA RODRÍGUEZ April 3, 2020

HAVANA (AP) — For two years the Trump administration has been trying to stamp out one of Cuba’s signature programs __ state-employed medical workers treating patients around the globe in a show of soft power that also earns billions in badly needed hard currency.

Labeling the doctors and nurses as both exploited workers and agents of communist indoctrination, the U.S. has notched a series of victories as Brazil, Ecuador and Bolivia sent home thousands after leftist governments allied with Havana were replaced with ones friendlier to Washington.

The coronavirus pandemic has brought a reversal of fortune for Cuban medical diplomacy, as doctors have flown off on new missions to battle COVID-19 in at least 14 countries including Italy and the tiny principality of Andorra on the Spanish-French border, burnishing the island’s international image in the middle of a global crisis.

“I am aware of the position of the United States, but we are a sovereign country and we can choose the partners with which we are going to have cooperation,” Andorran Foreign Minister María Ubach said.

In the city of Crema in the hard-hit Lombardy region of northern Italy, 52 Cuban doctors and nurses set up a field hospital with 32 beds equipped with oxygen and three ICU beds.

“This is a strongly symbolic moment because the Crema hospital has been going through an extremely complicated situation from the start,” Lombardy’s top social welfare official, Giulio Gallera, said at the inauguration last week. “The number of patients who have filled and continue to fill the emergency room and departments has truly put the medical personnel to a hard test.”

The Trump administration has sought to cut off income to Havana as part of a long-term tightening of sanctions. And it continues to discourage countries from contracting Cuban medical workers despite the pandemic, arguing that their pay and conditions fall short of industry standards.

“The government of #Cuba keeps most of the salary its doctors and nurses earn while serving in its international medical missions while exposing them to egregious labor conditions,” the State Department said on Twitter last week. “Host countries seeking Cuba’s help for #COVID-19 should scrutinize agreements and end labor abuses.”

Cuba currently has about 37,000 medical workers in 67 countries, most in longstanding missions. Some doctors have been sent as part of free aid missions, but many countries pay the government directly for their services. In some other cases international health bodies have paid.

The most recent deployments of at least 593 doctors from the Henry Reeve Brigade — founded by Fidel Castro in 2005 and named after a 19th-century American volunteer who fought for Cuban independence from Spain — have also been to Suriname, Jamaica, Dominica, Belize, Saint Vincent and the Grenadines, St. Kitts and Nevis, Venezuela and Nicaragua, some of them reinforcing existing medical missions.

All have been billed as tied to the coronavirus epidemic, even though some of the countries have few confirmed cases so far. None of the agreements or financial terms have been made public.

Havana has said it receives about $6 billion a year from the export of public services, and medical services make up most of that. When Brazil expelled Cuban doctors in 2018, a few details emerged including that the country had been paying $3,100 per month for each doctor with 70% of that going into the pockets of the Cuban government.

Doctors typically make less than $100 per month working on the island, so doing an overseas mission means a significant pay hike even if those salaries remain low by international standards.

Andorran newspaper Diari d’Andorra reported Wednesday, citing Health Minister Joan Martínez Benazet, that one of the 39 Cuban doctors in the country had tested positive for coronavirus and was quarantined in a hotel. The Cuban government did not immediately respond to a request for comment.

Infection is a serious risk for those on the front lines. In Italy alone, over 10,000 medical workers have contracted the coronavirus and more than at least 69 doctors have died.

For most people the coronavirus causes mild or moderate symptoms, such as fever and cough. But for others, especially older adults and people with existing health problems, it can cause severe, life-threatening symptoms like pneumonia.

Cuban officials have been proudly posting videos of doctors being applauded as they arrive to begin work, and blasting the Trump administration for its criticisms.

“Shame on you. Instead of attacking Cuba and its committed doctors, you should be caring about the thousands of sick Americans who are suffering due to the scandalous neglect of your government and the inability of your failed health system to care for them,” Josefina Vidal, Cuba’s ambassador to Canada, wrote on Twitter.

Argentine officials have also said they are discussing possible coronavirus help from Cuba, and another mission should leave soon for Angola.

Cuba has a relatively high number of medical workers per capita — officials say there are currently about 90,000 in the country of 11 million.

The Henry Reeve Brigade has deployed previously on infectious disease missions, famously helping fight Ebola in West Africa in 2014.

That effort took place in cooperation with the administration of then-President Barack Obama, seen as easing relations ahead of the diplomatic thaw between the two countries later that year.

___

Andrea Rodríguez on Twitter: http://www.twitter.com/ARodriguezAP

FOR NOW:

YOU’RE WITHIN THE NORMS

REPORTED BY NORMAN J CLEMENT

“It pays to sometimes open your mouth, write and complain… I spoke and wrote a letter to my Congressman, Florida A&M University Classmate and Kappa Alpha Psi Fraternity Brother Alfred Lawson of Tallahassee, Florida then forwarded to XM 127 Progressive Channel Radio Talk Show Host Dean Obeidallah, Lwayer, Comedian, Activist and this was the results”

FROM THE DAILY BEAST ARTICLE BY DEAN OBEIDALLAH

Insurance Companies to Small Businesses: Sorry, We Don’t Cover Viruses

THE FINE PRINT

Millions of small businesses pay insurance companies for “business interruption insurance.” But it does not cover virus-related closure. Isn’t that special?Dean ObeidallahUpdated Mar. 28, 2020 9:45AM ET / Published Mar. 27, 2020 5:17AM ET 

“Running a business can be difficult without the right business insurance. One coverage most businesses need is business interruption insurance, also known as business income insurance. It can help replace any income your business loses if you can’t open for a time after a covered loss.” 

Those words appear on a major insurance company’s website, as it, like insurers across the country, tries to entice small-business owners to plunk down anywhere from a few hundred to a few thousand dollars a month for business interruption coverage that promises to help “pay bills, replace lost income, and cover payroll when a covered event forces your business to close temporarily.” 

Well, if ever we were in a situation where that’s the case, it’s now. But now that the owners finally need this coverage to keep their small businesses afloat, insurance companies are telling them they’re not covered for COVID-19 related closures. 

• Coronavirus Heroes Are Getting Tossed From Their Homes‘DEVASTATING’Emily Shugerman

At one time, before I saw the light, I was a lawyer in a big law firm where we represented large insurance companies. As I saw firsthand, everyone thinks they have a great insurance policy—until they make a claim. And then it becomes like the classic scene in Willie Wonka & the Chocolate Factory where Wonka tells Charlie’s grandfather that Charlie doesn’t get the promised chocolate factory because he violated a little-known term of the contract: “Under section 37B of the contract… ‘I, the undersigned, shall forfeit all rights, privileges, and licenses herein and herein contained, et cetera, et cetera…’” ending with Wonka telling them, “You lose! Good day, sir!”

“You lose! Good day, sir!” is exactly what insurance companies are now telling small-business owners based on an exclusion in the policy called—wait for it—the “Exclusion for Loss Due to Virus or Bacteria.” Yep, tucked into just about every commercial business-insurance policy since 2006 is language that states“We will not pay for loss or damage caused by or resulting from any virus, bacterium or other microorganism that induces or is capable of inducing physical distress, illness, or disease.” 

In fact, as insurance lawyers have noted, this exclusion was inserted by insurance companies to prevent coverage for the very type of shutdowns we are seeing now caused by the COVID-19 outbreak. You think casinos rig the odds in their favor? You haven’t seen anything until you’ve read the list of exclusions in a commercial insurance policy. 

True, everyone should read all the fine print before signing an insurance contract. But few small-business owners will, and even if they do, it’s unlikely all will understand the nuances of what is covered and what is not. And who, before now, would think of asking an insurance broker: “In the case of worldwide pandemic caused by a coronavirus outbreak, am I covered?!”  

Instead, people considering insurance more likely will look at an insurance company’s website for guidance about what is not covered, such as at the bottom of one company’s page that states, “Closures caused by flood, earthquakes or broken glass typically are not covered in a business interruption policy.” (No other exclusions of coverage are noted.)ADVERTISING

But now people like Norm, a small-business owner from Florida (and a listener to my SiriusXM radio show), who forwarded me the denial of coverage letter from his insurance agent, are told no coverage “due to loss by virus or bacteria.” In Louisiana, the owner of several truck stops, who is now losing $30, 000 to $40,000 a month, is also out of luck due to that same exclusion, and the list of small-business owners denied coverage goes on and on. 

This situation did get the attention of some elected officials. In the House, a bipartisan group of 18 members of Congress sent a letter last week to four of the largest insurance trade organizations urging them to provide business interruption coverage despite the “virus” exclusion. However, the response by the insurers was a resounding “no”: “Business interruption policies do not, and were not designed to, provide coverage against communicable diseases such as COVID-19.”  

The stimulus bill expected to be signed into law shortly does provide billions in loans for small-business owners, but that’s far different than getting a check from your insurance company to cover a loss. Instead, now small-business owners will be required to apply to the government and comply with any terms imposed (it’s not clear yet what those will be) as they compete with hundreds of thousands of others business owners for limited resources. Plus a federal government loan has to be repaid, while proceeds from your insurer do not. “Members of Congress sent a letter last week to four insurance trade groups, but the answer came back a resounding “no.””

I discussed this issue on my show Wednesday with Rep. Mikie Sherrill (D-NJ), who explained that Congress is monitoring the issue and specific aid for business interruptions may be included in a future stimulus bill. In fact, it’s such a growing issue in the Garden State that the New Jersey State Assembly is considering a bill to compel insurers to cover small business for business interruptions caused by COVID-19. The bill was recently pulled from a full vote over concerns about the legality of rewriting an insurance policy after it has been entered into by the parties.  

So what happens if you are a small-business owner and you’re denied coverage for the business interruptions caused by the virus? Simple, you can, as the insurance company hopes, just move on. Or you can hire an attorney, at your own cost—it may be pricey, given its commercial litigation—and sue the insurance company. 

Last week, a Louisiana business sued its insurance company over this very issue, reportedly marking the first such lawsuit in the nation. Expect more lawsuits. A lot more. But while these cases make their way through the courts, expect insurance companies to keep doing what they’ve been doing all along: Collecting premiums and denying claims.     

FOR NOW;

YOU’RE WITHIN THE NORMS

READ THIS LIST

Trump Literally Laughed at Media Coverage of His ‘New Tone’ASAWIN SUEBSAENG, JUSTIN BARAGONAWhat if This Lockdown Is Only the Beginning?LYNNE PEEPLESMike Francesa Defends His Anti-Trump Coronavirus RantROBERT SILVERMANSean Hannity Melts Down Over Kara Swisher’s NY Times ColumnLLOYD GROVEFlorida Megachurch Pastor Cancels Services After ArrestTRACY CONNORADSponsored VideoBY AIMOVIGADSponsored VideoBY AIMOVIGADSponsored VideoBY AIMOVIG

BY

NORMAN J CLEMENT RPH., DDS JACK FOLSON RPH, MARTIN NDJOU RPH., RICARDO FERTIL PHARMD,NORMAN L CLEMENT JR., PHARM-TECH, JELANI ZIMBABWE CLEMENT, BS., MBA, ALEXANDER R. BLUE B.S, MS.,MBA.,  BRIAN OLIATUNJI, RPH, BERES MUSCHETT B.S., MILITARY PERSONNEL AND LOGISTIC CONSULTANT

THIS PRESENTATION CONTAINS MUST SEE VIDEOS WHICH SUPPORTS THE NARRATIVE OF THIS ARTICLE

The DEA has acted as an unregulated medical agency policing medical facilities and medical practices without legal standards and grounds and the DEA Administration Court System body, which operates within the Department of Justice (DOJ), as a run away unconstitutionally entity, and immune to all laws of governance to all courts within the Justice System. 

THE CONGRESS MUST INVESTIGATE DEA AND THEIR COURT SYSTEM.

THE HOUSE JUDICIARY COMMITTEE MUST INVESTIGATE

The DEA Court is known to those Attorneys who choose to defend their clients in these “Orders To Show Cause” proceedings as the Court of the  Kangaroos. The DEA Court System, is so unique its conduct is separate from any of DOJ formal guidelines; which permits the DEA Agents to operate like un-regulated gangsters.

THE CONGRESS MUST INVESTIGATE DEA AND THEIR COURT SYSTEM.

While in my attorney’s office on February 24, 2020, I over heard a call, placed, to one attorney co-counsel who had his first case representing a Pharmacy vs. Uttam Dhillion et al. acting administrator of Drug Enforcement Agency.  The Attorney pointed out, he had clerked in both the Federal District Court and Federal 4th Circuit Appeals Court Systems, and never in his legal career had he ever seen such Court rules and procedures as he described as arcane, stealthy, bizarre as found in DEA Administrative Court System. 

THE CONGRESS MUST INVESTIGATE DEA AND THEIR COURT SYSTEM.

Currently, there is not one law in America the DEA or its Court System is bound to respect.

1. Federal RULES OF CIVIL PROCEDURES ARE NOT PERMITTED.
2. Jenks rulings or procedures are not allowed.
3. Gigilio rulings or protections are not allowed.
4. Federal rules of evidence are not allowed.
5. The Judge of a DEA Court works for the DEA Administrator (DRUG CZAR), and he/she has final say so in all hearing decisions.
6. If the DEA administrator does not agree with the Administrative Judges recommendations, the Judge is terminated.
7. Attorneys who practice before this Court, describe rules as arcane, stealthy, very bizarre.
8. Most of All cases are heard in Virginia, putting the Respondents from around the Country and their Attorneys in a logistical disadvantage and nightmare.
9. Until recently, the DEA Administrator has final decision on all recommendations, he/she has can sit on a recommended order as long as 3 years.
10. THE CONGRESS MUST INVESTIGATE DEA AND THEIR COURT SYSTEM.

THE TERM RED FLAG

The DEA has set up a system of de facto discrimination through Cognitive Dissonance which encourages Pharmacists to profiling patients by the Processes of “RED FLAGGING.”  The term Red Flag has no statutory meaning in the areas of pharmacy and or within the medical profession.  Those pharmacists who merely question these DEA policies risk loss of employment and/or administrative sanctions. The DEA can impose these errant actions because they possess un-checked authority and weapons the ability to intimidate by seizings property and assets.  That these DEA policies are applied so arbitrarily makes them discriminatory. (see below video traumatizing those afflicting)

THE CONGRESS MUST INVESTIGATE DEA AND THEIR COURT SYSTEM.

The DEA continues and explicitly express actions that prohibit officers from targeting people based on their religion, national origin, or other characteristics.  The DEA agents have substituted the legal standing of reasonable suspicion and probable cause and applied a lesser standard of cause to single out pharmaceutical facilities to obtain their organizational objectives. (see below video i’m not a criminal)

THE CONGRESS MUST INVESTIGATE DEA AND THEIR COURT SYSTEM.

The constitution protects for unwarranted government intrusions.  Whereby the government DEA agents express that filled prescriptions without corresponding responsibility is the fundamental actions of a pharmacist.  This assumption by the DEA is fundamentally incorrect.  

DANGEROUS MIS-INTERPRETATIONS OF THE LAW

DEA agents across the country have applied what they reason as the law or searching and seizing medical facilities.  This act in which the DEA agents apply is too vague to be valid.   The DEA executed a show cause search warrant in August 2019 at Pronto Pharmacy LLC 1461 W Busch Blvd, Tampa, FL 33612.  ( see below video Walgreens, CVS denied care treatment based on a bias)

While the purpose of the search was to obtain evidence of illegal Opioid distribution. The agents took files in the act of searching to discover items to suggest a criminal act took place or is taking place. The act of taking files, remove all electronic devices, remove scales, capsule making machines, ungunator an ointment maker.

Diversion Investigator Richard James Alpert, along with his crew, the Miami DEA Head Director, Supervisors, legal counsel, agents of the DEA who were on site participants of the August 29. 2019 raid, set out to damaged Pronto Pharmacy computer hard drives and returned the monitor with smash screens 60 days later.

Thus the goal and purpose of this raid was to inflict such physical destruction to put Pronto Pharmacy out of business. See below video, as computer tech Erlin Daniel Clement, the 3rd., points out the effects on what DEA attack had done. It is further clear here, DEA wanted to send their calling card message to Pronto Pharmacy or to any other Pharmacy they feel that gets out of line. (See below video DEA Agent destroyed Pronto Pharmacy monitors screens and computers)

THE CONGRESS MUST INVESTIGATE DEA AND THEIR COURT SYSTEM.

The Search team, dismantle camera systems, removed and destroyed a private camcorder.   This is not implied within the warrant and the act of looking to find a criminal act is not supported by probable cause.  The DEA agents retuned the electronic device; two computer screens were crackled; the computers were nonoperational.  Agents should be charged with a common-law misconduct in office1 as well as larceny in a building. (see below video two DEA Agents work to dismantle and disable Pronto Pharmacy security cameras)

PHOTOS OF COMPUTER MONITORS SCREEN RETURNED DESTROYED BY DEA OCTOBER 30, 2019

The search conducted was not specific in nature, whereby the agents confiscated a black three-ring binder that was located on top of a desk.  Therefore, the removal of such documents and listed items serve the purpose of developing a case beyond the scope and statues of the search warrant, when the ordering and dispensing ‘Approved Medicinal Drug Products’ is viewed as a criminal act and thus created tacit reasons to search.  

THE CONGRESS MUST INVESTIGATE DEA AND THEIR COURT SYSTEM.

Whereas DEA selectively enforces their arbitrary Red Flag rule of suspicious against the small mom and pop Pharmacy, stating small pharmacies must take 89% insurances and 11% cash (debt. credit card, cash), while large chain drug store companies can freely select-out which insurances they choose to take and not worry about DEA’s interference. The following videos shows a patient, and Ellen Corcorhan is describing her experience when she presents her insurance card at a Walgreens Pharmacy. (SEE BELOW VIDEOS ELLEN CORRAHANN MIS-TREATMENT BY WALGREEN’S PHARMACIST)

THE CONGRESS MUST INVESTIGATE DEA AND THEIR COURT SYSTEM.

Most notably, the chain pharmacies (CVS, Walgreens) are now owners of the drug insurance companies. So, these large chain pharmacies now own the market, the pricing and which pharmacies plays and which pharmacies are excluded. The problem is so extensive, Walmart had to lay-off 40% of its pharmacy staff around the country in part because of a dispute with CVS CAREMARK over reimbursements. 

THE CONGRESS MUST INVESTIGATE DEA

DEA’S CORRESPONDING RESPONSIBILITY VIOLATES PRACTITIONER PATIENT RELATIONSHIP AND THEIR RIGHT TO MEDICAL CARE.

Whereby, 1306.04 Purpose of issue of prescription 

(a) A prescription for a controlled substance to be effective must be issued for a legitimate medical purpose by an individual practitioner acting in the usual course of his professional practice. The responsibility for the proper prescribing and dispensing of controlled substances is upon the prescribing practitioner, but a corresponding responsibility rests with the pharmacist who fills the prescription. An order purporting to be a prescription issued not in the usual course of professional treatment, or legitimate and authorized research is not a prescription within the meaning and intent of section 309 of the Act (21 U.S.C. 829) and the person knowingly filling such a purported prescription, as well as the person issuing it, shall be subject to the penalties provided for violations of the provisions of law relating to controlled substances.

(b) A prescription may not be issued in order for an individual practitioner to obtain controlled substances for supplying the individual practitioner for the purpose of general dispensing to patients.

THE CONGRESS MUST INVESTIGATE DEA AND THEIR COURT SYSTEM.

The DEA follows code 1306.04 with states, “the corresponding responsibility rests with the pharmacist who fills the prescription.”  This policy is in the absence of medical logic unless a pharmacist has equal access to the patients’ entire medical/dental records, including treatment plans, radiographs, study models. Further, a pharmacist would require equal knowledge or equal training to the standards of a physician, dentist, or any prescribing practitioner and be capable of conducting a physical examination leading to a diagnosis.

It is more than clear that a pharmacist is incapable of offering a second opinion, altering treatment to the patients or further suggesting changing the dosage to a lesser or greater amount from behind a dispensing counter. Such opinions, would be considered a second opinion and comes dangerously close to practicing medicine without the proper credentials. More importantly, we would need to request a signature from the patient to gain his or her medical record from the prescribing practitioner. (Must See below Video Patient didn’t know he was classified as a criminal)

More further, 1306.04 fails to be gender-neutral as it further implies all prescribing practitioner to be male. Whereby the Florida standard of medical and medicine depending is based and practiced by license pharmacists.  Thus, in the actions of the DEA, the agency is acting upon the citizens based on an unreasonable standard in absences of Reasonable and/or Probable Cause.   THE CONGRESS MUST INVESTIGATE DEA AND THEIR COURT SYSTEM.

The warrant issued identified Items that are evidence of violations of 21 U.S.C. §§ 841(a)(1) possession with the intent to distribute and distribution of oxycodone and hydromorphone.  (see below video I give my permission) 

The intent of this law implies that it shall be unlawful for any person knowingly or intentionally— to manufacture, distribute, or dispense, or possess with intent to manufacture, distribute, or dispense, a controlled substance; or to create, distribute, or dispense, or possess with intent to distribute or dispense, a counterfeit substance.

The DEA applied their reinterpretation of the law to identify licensed, Pharmacist, as a person that illegally distribute, or dispense, a controlled substance.  The DEA has failed to understand or has deliberately used to law to their advantage to attack African American Pharmacists.   THE CONGRESS MUST INVESTIGATE DEA.

In the case of Pronto Pharmacy LLC, Tampa Florida, owner Norman J. Clement was acting in the capacity of a licensed pharmacist. Whereby a registered Pharmacist is a person who is professionally qualified to prepare and dispense the medicinal drug.  This definition and is a statue within the Florida Administrative Code & Florida Administrative Register.  The officer acted upon an oath to enter the premises to secure evidence of violations of 21 U.S.C. §§ 841(a)(1) (possession with the intent to distribute and distribution of oxycodone and hydromorphone. 

The issue in the case is whether the record as a whole establishes by a preponderance of the evidence that Pronto Pharmacy’s DEA Certificate of Registration Number FP2302076 should be revoked and whether any pending applications for renewal or modification of such registration and applications for any other pending DEA registrations should be denied pursuant to 21 U.S.C. 824(a) (4) and 21 U.S.C. 823(f).

THE CONGRESS MUST INVESTIGATE DEA AND THEIR COURT SYSTEM.

The DEA agents removed files with the intent of searching to discover items to suggest a criminal act took place or is taking place.  This is not implied within the warrant, and the act of looking to find a criminal act is not supported by probable cause.  Such act to search to find without stated cause for the search is an investigative function that violates the premise of a search warrant and violates the basis of Probable Cause and elements of Reasonable Suspicion.  The search conducted was not specific in nature, whereby the agents confiscated items not specific to the warrant.

The removal of such documents and items serves no purpose of criminal activity but only to developing a case beyond the scope and statues of the search.  The intent that a person and not a sold medication and criminalizing the job of a licensed Pharmacist.

THE CONGRESS MUST INVESTIGATE DEA.

The Fourth Amendment

The Fourth Amendment was intended to create a constitutional buffer between U.S. citizens and the intimidating power of law enforcement.  The officers failed to indicate within their search warrant the components of what was to be seized.  Therefore, the officers exercised undue discretion when they choose to search and seize.  Therefore, the interest of the defendant was violated when the search and seizures became “unreasonable” and not authorized by the warrant based upon probable cause, to remove personal artifacts such as documents of academic research.  This binder contained copyrighted academic research. THE CONGRESS MUST INVESTIGATE DEA.

The officers apparently did not know that a pharmacist is not just a person but a license individual to compound, distribute, or dispense, or possess control substance.  The act to remove all electronic devices is an act to suspend the income and eliminate the practice of filling legal prescriptions.

DEFECTIVE SEARCH WARRANT DESIGN TO BE DECEPTIVE: 21 U.S.C. 841(a)( 1)

The officers should have known Pronto Pharmacy is a license pharmaceutical medical facility whereby Class 2 narcotic analgesics are stored and sold.  The officers made a deliberate choice to reclassify, without legally redefining or understanding the different between a license’s pharmaceutical facility and a street corner drug operation.   By their actions, the DEA agents ignored the laws in that they identified the pharmacist as a person. THE CONGRESS MUST INVESTIGATE DEA.

This allowed them to deceive the courts to cause a signature to support their deception of probable cause that a person, not a pharmacist was compounding and or manufacturing drugs.   Items that are evidence of violations of 21 U.S.C. 841(a)( 1) (possession with the intent to distribute and distribution of oxycodone and hydromorphone substances) and 846 (conspiracy to do the same) and 843 (fraud/deception regarding the same), including the following:  Distributing, ordering, purchasing, or the loss or disposal of oxycodone and hydromorphone.  These items can be found in a licensed Pharmacy such as was in Pronto Pharmacy LLC on August 29, 2020. 

On this statement, the agents fully knew and understood that these medical narcotic analgesics will be found. They further knew and failed to understand the distinct difference and the lack of cognitive distinctive analytical differential association. Whereby they could not differentiate between a licensed pharmaceutical facility and an illegal non licensed drug house.  The police acted far outside of their scope of training when they wrote “Information to Be Searched and Items to Be Seized” All capsules and powder, including capsules containing suspected controlled substances. 

This warrant plainly violates the due processes clause of the Constitution 1st, 4th 8th and 14th amendments.  Whereby, capsules and powder, including capsules containing suspected controlled (see below videos “why Small Pharmacies are fee for Service)

substances.   Will be naturally found in a licensed facility pharmacy (Pronto Pharmacy) and to list such as suspected controlled items is a clear and deliberate to operate under illusion that a crime is afoot. THE CONGRESS MUST INVESTIGATE DEA.

Moreover, If the prescriptions were fraudulent than how did law enforcement obtained the records of each prescription transactions?  If the records were obtained from Pronto’s computer and subsequently transmitted to the PDMP (the DEA computer systems).  Via the PDMP computer system, the DEA has full knowledge of each medical Class 2 prescription that was filled.  The DEA agents should have known from the ARCOS system what prescriptions were filled. THE CONGRESS MUST INVESTIGATE DEA. (see below videos “why Small Pharmacies are fee for Service)

Therefore, the criminalization of medical practices was a clear intent to undermined a legitimate pharmaceutical operation and to personalize a templet to initiating a warrant and raid must be questioned.   Did the DEA agents inquire if the individual has medical insurance?  Most insurance do not cover oxycodone, and a business has to right to deny taking insurance because many insurances do not pay.

 THE CONGRESS MUST INVESTIGATE DEA AND THEIR COURT SYSTEM.

COMPOUNDING CONTROL MEDICATIONS

During January 28, 2020, Drug Enforcement Administration Hearing, Agent Richard James Albert Jr.,  Diversion Investigator for the Drug Enforcement Administration.  Agent Albert stated that he “became involved after receiving a phone call from the Department of Health about a pharmacy compounding Hydromorphone and Oxycodone.”  THE CONGRESS MUST INVESTIGATE DEA AND FDA.

There is a conflict in order whereby Norman Clement, is licensed to compounding Hydromorphone and Oxycodone under license number PS37644.  The agent displayed and lack of knowledge of the law whereby a phone call does not give an officer probable cause and the right to search on mere suspicion.

THE CONGRESS MUST INVESTIGATE DEA, THIS AGENT MUST BE TERMINATED FOR VIOLATIONS OF THE LAW.

The initial contact shows a lack of significant knowledge and training whereby the act of compounding was a legal act, and anything based on this assumption fall under “The Fruit of The Poisonous Tree.”  

THE CONGRESS MUST INVESTIGATE DEA AND THEIR COURT SYSTEM.

64B16-27.700 Definition of Compounding

“Compounding” is the professional act by a pharmacist or other practitioner authorized by law, employing the science or art of any branch of the profession of pharmacy, incorporating ingredients to create a finished product for dispensing to a patient or for administration by a practitioner or the practitioner’s agent; and shall specifically include the professional act of preparing a unique finished product containing any ingredient or device defined by Sections 465.003(7) and (8), F.S. 

The term also includes the preparation of nuclear pharmaceuticals and diagnostic kits incident to use of such nuclear pharmacies. The term “commercially available products,” as used in this section, means any medicinal product as defined by Sections 465.003(7) and (8), F.S., that are legally distributed in the State of Florida by a drug manufacturer or wholesaler.

(1) Compounding includes:

(a) The preparation of drugs or devices in anticipation of prescriptions based on routine regularly observed prescribing patterns.

(b) The preparation pursuant to a prescription of drugs or devices which are not commercially available.

(c) The preparation of commercially available products from bulk when the prescribing practitioner has prescribed the compounded product on a per prescription basis, and the patient has been made aware that the pharmacist will prepare the compounded product. 

The reconstitution of commercially available products pursuant to the manufacturer’s guidelines is permissible without notice to the practitioner.

If the officers were asked the difference between compounding and manufacturing, they must know what they are being asked. A reasonable officer could not support or testify to the facts of any item or file that was within the seized computer or secondary storage systems.  

Based on the initial phone from a unknowlegable Department of Health Inspector Cheryl Eschear of the Tampa office call to say Pronto Pharmacy was compounding control medication which was legal, the DEA stigmatize the disease immediately jumped to criminalize treatment, payment and therefore, they (see below videos “why Small Pharmacies are fee for Service)

Had the agents studied pharmacology, they would have known the chemical composition and the treatment rate of various medications.  These agents should have known the multifaced functions of pharmaceutical procedures of chronic pain therapeutic plans.  Therefore, what law enforcement saw from their lack of knowledge of pharmacology was the perception that a criminal act was taken place.

 THE CONGRESS MUST INVESTIGATE DEA, AND BOTH HEALTH DEPARTMENT INSPECTORS AND DEA ALL DEA PERSONNEL MUST BE TERMINATE

The police are not trained or knowledgeable of medical treatment plans.  This process is similar to Tylenol, and Motrin asks the police are the difference between these two medications.  With adequate knowledge in pharmacology, the police certainly would have known the difference in drug interactions.  

Therefore, the search through the computer was and after facts search for the discovery information to support the Law Enforcement accusation of what was perceived by them as a fraud.    

DEA TARGETING AND PROFILING OF PRONTO PHARMACY WENT ON FOR YEARS

According to the DEA Certificate of Registration Number FP230207621, U.S.C. § 824(d), “because Pronto Pharmacy’s continued registration constitutes an imminent danger to the public health or safety.” During the period of DEA operation upon Pronto’s Pharmacy, there were nine pharmaceutical facilities within a six-mile radius of Pronto Pharmacy, operating and sell opioids.  Moreover, two months before the federal raid, Pronto Pharmacy was inspected by the Florida Board of Pharmacy.  Pronto pharmacy passed the inspection.   

During the same time, the DEA’s raided Ponto’s Pharmacy. Several white males owned pharmacies filling opioid prescriptions and are permitted to operate to this day.  Of the nine pharmaceutical facilities currently operating each pharmacy, they are filling more prescriptions for Opioids than Pronto Pharmacy.  The acts and actions of the DEA, has made it clear that federal agents have targeted Pronto Pharmacy. THIS IS CLANDESTINE DIABOLICAL RACISMO!!!

The DEA targeting tactics have identified and Pronto Pharmacy with false claims.  The DEA has ignored their data and caused to blame the owner-operator of Pronto Pharmacy for placing the public in imminent danger under U.S.C. § 824(d).

 THE CONGRESS MUST INVESTIGATE DEA AND THEIR COURT SYSTEM.

Examining two of the nine pharmacies located in Hillsborough County along with Pronto Pharmacy:

Exabit 1.

PMSI Pharmacy, 4502 WOODLAND CORPORATE BLVD SUITE 105 TAMPA FL 33614

• Twenty-six million two hundred fifty-three thousand eight hundred pills were shipped to this pharmacy between 2006 and 2012.
• About enough for 44 pills per year for each of the 83,874 people who live within five miles of Pronto Pharmacy.

Exhibit 2.

OMNICARE PHARMACY OF FL, LP8603 FLORIDA MINING BOULEVARD TAMPA FL 33634

• Thirteen million eight hundred sixteen thousand nine hundred pills were shipped to this pharmacy between 2006 and 2012.
• About enough for 22 pills per year for each of the 86,780 people who live within five miles of this Pronto Pharmacy.

It becomes clear that individually each of these two pharmaceuticals received and produces more opioids sales to the streets than Pronto Pharmacy.  THIS IS CLASSIC RACIAL PROFILING!

Whereas with Pronto Pharmacy, had 

• Three hundred forty-eight thousand pills shipped to Pronto pharmacy between 2006 and 2012. 
• About enough for less than one pill per year for each of the 104,932 people who live within five miles of this pharmacy. THIS IS CLASSIC RACIAL PROFILING!!

After examining the DEA database, it becomes apparent their data points are inaccurate.  Each of these pharmacies is within 6 miles of each other.   These data points would seem, therefore, to overlap multiple pharmacies within the data areas.  If the DEA included the entire area, it would be plain to see that Pronto Pharmacy would produce less than one pill per year for each of the 104,932 people who live within five miles of this pharmacy.  The actual number would most likely be .5 pill per year of each.  THIS IS CLASSIC RACIAL PROFILING!!!

The DEA used an arbitrary level of calculation to single out Norman Clement, an African American male, owner-operator of Pronto’s Pharmacy. These calculations are applied to support the efforts to convince judges to sign warrants to raid and destroy businesses.  Although Pronto pharmacy fills the least amount of opioids among competing pharmacies, with in the area.  Using the DEA PDMP system is clear to see that no other pharmacy within the area is being forced to stop business operations.  The DEA has claimed that Pronto’s Pharmacy presents an imitate danger to the community.    THIS IS CLASSIC RACIAL PROFILING!!!!

If it could be the reason that an African American Male single handily contributed to the growth of the opiate crises.  How then is PMSI Pharmacy be allowed to operate when they are filing 25,905,800 92% more opioids within the same time frame and geographical location as Pronto Pharmacy.  This PMSI Pharmacy is still operating.  Yet, an African American male filling fewer pills that are sounding counterparts is prevented from conducting business in Tampa, Florida, Hillsborough County.  Why? 

The federal Drug Enforcement Agents assigned to opioid enforcement operating in Tampa, Florida, in August 2019, acted more liken to criminal intervention team’ assigned mostly to investigate, and that focuses on African Americans to justify drug enforcement.  ESTE E’ RACISMO DIABO’LICO CLANDESTINO!!!!!

The removal of files is an act of searching to discover items to suggest a criminal act took place or is taking place.  The searching and removal and destruction are not implied within the warrant, and the act of looking to find a criminal act or function is not supported by probable cause.  Such act to see is an investigative function that violates the premise of a search warrant.  The aspect of a search is the basis of reasonable suspicion.  

THE CONGRESS MUST INVESTIGATE DEA AND THEIR COURT SYSTEM.

TRIBUTE TO QUILOMBO dos PALMARES, GREENWOOD, TULSA, AND ROSEWOOD AND BLACK BOTTOM DETROIT

African American Pharmacist at Risk of Elimination

Ability to past on generational wealth is effectively thwarted by the Department of Justice in 2 distinct ways, wealth and education. Despite the levels of training and knowledge of the African American Pharmacists, or for that manner, any pharmacists receive the DEA continues to profile these persons and facilities as a place of criminal activity; we are deemed as both upidity and arrogant, yet we are but role models and invisible men all in the same day. 

GENERATIONAL WEALTH

In the United States, Brazil Quilombo dos Palmares 1699, Cuba 1912, China African Town 2003 the challenges of African business to develop and sustainment had been fraught with unusual challenges.  In 1921, the Tulsa Race Riot (or the Greenwood Massacre) mobs of white residents attacked black residents and businesses.  In 1923, the Rosewood Massacre in Florida several black American citizens considerably propertied businesses owners alone with the African American citizenry were killed, and the property destroyed. We are not seen as humans beings with a God given brain to reason or be analytical and the manifestation of which XM Radio host Joseph Madison Says ” is to be underestimated, under-valued and marginalized.”

EDUCATIONAL WEALTH

We would like to express my sincere gratitude to the African American entrepreneurs for their continuous efforts to open and operate licenses pharmacies. Despite the historical threat to their survival. These pioneers attended universities to gain knowledge and college degrees in pharmacy, Ph.D.’s in pharmacy, dentistry and many other academic fields.   My support for their academics and entrepreneurial efforts is unending.  

They know the United States Government, DEA, cannot and will not tolerate an African American pharmaceutical Business to survive.  While conducting this research, I could not have imagined having a better mentor for academic and entrepreneurial teachings than the African American medical practitioners throughout the United States.

Their patience, motivation, and immense knowledge of the dangers from government intrusions are a factor for all Africans who were knowledgeable/entrepreneurial by owning a pharmaceutical business is a danger to their health, life, and economic stability. 

THE CONGRESS MUST INVESTIGATE DEA AND THEIR COURT SYSTEM. THE CONGRESS MUST INVESTIGATE DEA.

Living in the Spirit of Sankofa

for now, you’re within the norms

“A TRIBUTE TO THE GREAT MADIBA IN HIS QUEST FOR FREEDOM THIS 30th ANNIVERSARY OF HIS RELEASE FROM VICTOR VERSTER PRISON IN THE WESTERN CAPE“

THIS PRESENTATION CONTAINS MUST SEE VIDEOS WHICH SUPPORTS THE NARRATIVE OF THIS ARTICLE

BY

WALTER R. CLEMENT B.S, MS.,MBA., NORMAN J CLEMENT RPH., DDS JACK FOLSON RPH, MARTIN NDJOU RPH., RICARDO FERTIL PHARMD, NORMAN L CLEMENT JR., PHARM-TECH, JELANI ZIMBABWE CLEMENT, BS., MBA, BRIAN OLIATUNJI, RPH, BERES MUSCHETT B.S., MILITARY PERSONNEL AND LOGISTIC CONSULTANT

Black Pharmacy Owners, AT Cost Pharmacy, Ft. Myers Fl.,  Aaron Howard PharmD owner, Gulf Med Pharmacy  Cape Coral Fl., Ricardo Fertil PharmD owner, Pronto Pharmacy LLC, Tampa Fl, Norman J Clement RPh., DDS, owner, Oak Hill Hometown Pharmacy owner Martin Ndjou, Top Line Pharmacy, owner Brian Olatunji, have joined together in exposing the Drug Enforcement Agency (DEA) for harassment, and malicious targeting and return of properties unjustifiably seized. 

THE RED FLAG – Distance

In the exploring role and purpose of the DEA that acts as an unregulated medical agency policing the medical profession without legal standards and grounds.  The DEA Diversion Investigator claims in arbitrary reasoning; their actions are based factors applied that “traveling long distances to fill prescriptions can be a red flag of abuse and diversion if a patient travels a significant distance to a particular pharmacy. 

The DEA has developed criminal elements of free commerce by criminalizing distance travel as elements of criminal conduct.  Whereby a pharmacist is a licensed practitioner who has advanced knowledge of the chemical-physical properties of medications, mechanism of actions, their dosage forms design, will likely not refer to GOOGLE MAPS as an element of patient treatments.  More dangerously, as a result of the DEA’s aggressive policing of community pharmacies many are reluctant to fill any legitimate narcotic analgesic medication prescriptions for non-acute pain patients. 

Some patients are known to spend days on end looking for a pharmacy to fill their prescriptions to no avail.  This has caused massive concerns in the chronic pain disease medical/dental community, where one of the most important goals of any therapy is continuing staple treatment without disruptions. 

It is well understood amongst medical/dental practitioners when disruptions in therapy occur, many of the deleterious effects are likely to happen. For example, patients diagnosed with Sickle Cell Anemia are many times profiled as addicts, rather than as persons with a chronic disease condition needing treatment for pain.

Other examples include persons who have survived traumatic accidents such as automobile accidents, gunshot wounds (civilian and military), notwithstanding leukemia and other cancers.

Indeed, pain management becomes even much more difficult when anxiety and diminished mobility complicates the treatment plans.  

Further, it is well understood, when both medical/dental practitioners and patients can locate a Pharmacy that will fill pain control prescriptions with dignity and respect, both parties will often share that information with others. 

DEA’s RED FLAGS OF OLD JIM CROW

Throughout this entire presentation, it becomes nearly impossible to ignore the racial disparities, and dehumanization without taken into the historical connotation of society as the whole. It is a giant elephant walking in front of us.

However, the difficulty becomes how RACISMO will often deflect from the diverse issue that touches every individual of this nation and beyond versus a bunch of guys who happen to be black pharmacists, who present a matter of human disparities which effects the foundation of our existence. (see below video elephants walking)

DEA’s Pharmacy expert, Don Sullivan, interviewed no physicians/dentist, no patient receiving prescriptions, nor reviewed any prescriptions of any patients from Pronto PHARMACY. Further DEA, expert Don Sullivan reviewed no radiographs, performed no physical examinations on patient of Pronto Pharmacy to impeach the primary physician initial diagnosis. 

What DEA expert Don Sullivan a Pharmacy Clinical Professor at The Ohio State University College of Pharmacy, do is profiling each patient forming an opinion base on bias by cleverly eviscerating  the physician-patient relationship.  Then erroneously supports his conclusion of bias with tools such as GOOGLE MAPS were he claims he can effectively conclude the distance patient travels to fills a concluding prescription establish they are illegitimate medical purposes. (SEE VIDEO BELOW “IT SOUNDS LIKE PROFILING)

Ironically Professor Don Sullivan, works in the vicinity of the James Cancer Hospital Solve Research Institute at The Ohio State University (right next to the College of Pharmacy at The Ohio State University).

Patients travel great distances from all over the world to receive services and have their prescriptions filled, utilizing their hospital pharmacy and neighboring pharmacies. Yet, there is no judgement by the mile marker or suggestions of unresolvable “red flags being opined by Professor Don Sullivan pertaining to prescriptions being written at the James Cancer Hospital. These pharmacies are far exceeding the 30 mile limitation of many these patients being treated at the James Cancer Center; as Professor Sullivan testified to as being RED FLAGGS in DEA’s Order To Show Cause Hearing in Tampa Florida January 28-29, 2020.

What further serves to undermines the credibility of both Don Sullivan and DEA Diversion Investigator Richard Alpert are the 11 patients they identified as unresolvable ‘RED FLAGGS,” are still being treated today, by the same doctor for the same amounts at non- black own Pharmacies. Most importantly, prescriptions filled at these other pharmacies and the physicians are no longer classified RED FLAGGS. Both DEA Diversion Investigator Richard Albert and Pharmacy Expert Don Sullivan could have easily verified this by using the PDMP. So what happened to the RED FLAG?????

These patients continue to contact Pronto Pharmacy to inquire when are we resuming services. They are concerned under this current hostile environment aboutthe increase cost they are now paying for their medications at other Pharmacies.

THE DEA’S JUDGEMENT BY THE MILE MARKER

Currently, the DEA has no statistical guidelines or law to support or establish boundary levels, which are indicative of criminal acts when filling any Control prescription written for patients by a physician who has performed a thorough physical examination, diagnoses supported by medical/dental radiographs and treatment plan.  The DEA guidelines are tactic acts that specifically target American pharmacist.   

In the case of AARRIC Pharmacy, Ft. Myers, Fl., the DEA reasoned that the pharmacist regularly filled controlled substance prescriptions for individuals who traveled an unusual distance.  The DEA further stated that “Obtain or fill a controlled substance is indicative of diversion and/or abuse, and

that such behavior is a red flag that must be addressed prior to dispensing.”  The DEA reasoned that traveling 78 miles round trip and over 53 miles round trip is a red flag that must be addressed prior to dispensing. The DEA also claimed that traveling 45 miles round trip and or 44 miles round trip is a red flag that must be addressed prior to dispensing.

THE DEA AND GOOGLE MAPS

The DEA in their Order to Show Cause on Pronto Pharmarcy, LLC, applied the distance rule using GOOGLE MAPS. Using GOOGLE MAPS, the DEA cited several filled orders. One was stated as approximately 140 miles from the patient to Pronto Pharmacy, LLC (Respondent’s registered address); another was “located approximately 130 miles; the third patient lived “approximately 145 miles, and yet the fourth patient lived approximately 160 miles from Pronto Pharmacy, LLC.( see below video I’m not the right Criteria, my teeth are too shiny)

It must be noted the DEA agents applied a higher mileage factor in different warrants to obtain a sense of urgency to support their cause.  We observe in the case of AARRIC pharmacy, the DEA said that traveling 78 miles round trip, and over 53 miles round trip is a red flag that must be addressed prior to dispensing. 

Once again, in the Pronto Pharmacy case, the DEA using GOOGLE MAP stated, a patient was “located approximately 130 miles from Respondent’s registered address, and another lived “approximately 145 miles yet another lived approximately 160 miles.  

If the distance of traveling to obtain a prescription is a factor, these rules should apply to mail-order pharmacies, to citizens driving to Canada and to other pharmacies that fill prescriptions to individuals. Moreover, these Class 2 medications are delivered from manufactures via UPS and other delivery services and all retail stores that sell goods and services. if mishandled can cause harm to the public.   

THE DEA MUST BE DISBAND OR REFORM

CONGRESS MUST INVESTIGATE

By the DEA standards, the manufacturers are operating a criminal drug enterprise, and the delivery service operated as drug carriers. Therefore, the entire pharmaceutical industry is at risk when the DEA applies its unabashed rules. Such actions of a government agency are to be feared. And such actions violated the 1^st, 4^th, 8^th and 14^th amendments.        

The DEA’s expert opined that “traveling long distances can be a red flag of abuse and diversion if a patient travels a significant distance to a specific pharmacy, especially if the patient also travels significant distance to a particular prescriber”.  The facts to support the probable cause cannot be justified by mere suspicion. “DEA’s expert opined that it can be a red flag of abuse” this cannot support an express intent that a crime is or was afoot. Thus, it cannot establish probable cause.  In fact, the DEA statements that ‘long distances  using GOOGLE MAPS “can be” a red flag of abuse and diversion,’ is a clear application that fails to supports Responsible Suspicion.  

THE US HOUSE OF REPRESENTATIVES CONGRESS MUST INVESTIGATE

The DEA has no supportive measures to apply further or support their claim that a crime was committed.  Their tacit applications can be applied to any and all retail outlets.  Whereby the acts and application and their idea of enforcement are so vague, that its strikes at the core values of our law.  This agency can no longer be entrusted to protect and serve the citizenry. Their conduct throughout the nation strikes fears in that a law enforcement agency can act at will to claim that a citizen violated the law by merely stating that a specific law was violated. With no supporting facts and or articulations of how the citizen violated the law, this agency acts at will. With little and no restraints.    

DEA’S MATTERS OF ENFORCEMENT ARE BASELESS THE U.S. CONGRESS MUST INVESTIGATE

This lack of knowledge violates the 4th amendment rights.   It becomes apparent the DEA agents lacked sufficient training that their actions violated the constitutional rights under Harris vs. Canton when the failure to train your officers amounts to a policy of no training. 

The actions and acts of performance displayed that the DEA agents show the inadequacy of training in that the DEA Agents failed to adequately understand the scientific methodologies of pharmacology.  Yet, they chose to enforce rules and regulations without adequate pharmacology schooling.  The agents relied on mere Here Say and applied what was heard to medical doctoral professionals.  

Their failure of medical knowledge and training serves as the basis for liability only where the failure to train in relevant respect amounts to deliberate indifference to the constitutional rights of persons with whom the DEA Agents came into contact.  The elements of the DEA agents’ during the

search displayed a lack of significant training.  Whereby in on instant it can be seen that agents disabled and removed the camera system before they searched the facility.  

CONGRESS MUST INVESTIGATE

Therefore, the acts and actions of the DEA’s application fall under the “Fruit of the Poisonous Tree.”  Therefore, these matters of enforcement are baseless, and all items removed must be immediately returned, and all losses of wages and profits must be restored.  

Living in the Spirit of Sankofa

for now, you’re within the norms