Addiction, Pain, and Public Health website doctordeluca.com - war on doctors/pain crisis blog [Home] [Library]  [Slides] [Search] [Medline] [Links] [Statements of Purpose, Ownership, Sponsorship. Privacy, Email Confidentiality, and Advertising Policies]
Drug War Journalism and Advocacy Collection Compiled by Alexander DeLuca: 1998 - 2007. Most recent addition(s): 2007-10-24- ! New ! See also these related Collections: Peer-reviewed /Academic Literature & Official Reports ; Classic Works in the War on Doctors Selected Major Media on the War on Doctors and the Pain Crisis archives The WAR ON PAIN SUFFERERS - Index to the Special Collections War on Doctors/Pain Crisis blog and RSS feed
ONLY this site
Vindicated Doctor [Heberle] Returns to Medicine - David Bruce; Erie Times-News; 2007-04-05 -- "The community spoke when the jury acquitted Dr. Heberle and he deserves a chance like any member of the community in the same situation who wants to return to his or her job," [Millcreek Community Hospital spokesman] Bellicini said. ... [Heberle] still thinks about his former chronic-pain patients. 'Nothing has changed for them, except that there are fewer doctors than ever who are willing to prescribe the drugs they need to manage their pain,' [he] said."
See also: 'The Doctor Wasn't Cruel Enough' - Szalavitz, 2006 No Convictions - but Dr. Fisher's Practice is in Ruins Eric Snider, Weekly Planet, 2004-06-21 Erie: Dr. Klees Incarcerated, Dr. Heberle Exonerated, Pain Patients Abandoned - WAR ON PAIN SUFFERERS #10 Blog entry about this article
Drugs-for-Sex-Case [Dr. Rottschaefer] Claims Reversal of Misfortune - Charlie Deitch; Pittsburgh City Paper; 2006-08-21 -- "U.S. Attorney [Mary Beth Buchanan] alleged during the Rottschaefer prosecution that the women were addicts and that the pills, which included OxyContin, were prescribed in exchange for sex, rather than for medicinal use. However, [Defense attorney] Stutsman’s brief claims that in their depositions, the women acknowledge having had medical ailments requiring treatment with painkillers."
Stutsman Explains Basis of Second Motion See also: for a New Trial - Stutsman; TPPCD listServ; 2006-09-06 Brief: Dr. Rottschaefer's 2nd Motion for a New Trial (PDF) - Ceraso et al.; 2006 Sex, Lies and OxyContin - Tierney; NY Times; 2006 The Outrageous Case of Dr. Rottschaefer - Radley Balko; The Agitator; 2005-08-30 The Sex-for-Drugs Trials of Dr. Rottschaefer - compiled by DeLuca; War on Pain Sufferers #14; 2006
U.S. Rx Painkiller Deaths Up - Miranda Hittite; reviewed by Louise Chang, M.D.; WebMD; 2006-07-24. Posted: 2006-09-14. -- "[Efforts] to reduce mortality from opioids must be [targeted] at those who cause the problem while not impeding... patient care. However, targeting interventions requires information about why prescription drugs are misused, how they are diverted, and who diverts them. This area continues to be ripe for a public health examination." - Joranson and Gilson, 2006 (see below)
Comment (DeLuca): The WebMD article is fairly confused. It mainly reports on a terrible article by Paulozzi et al., which is soundly criticized in Commentaries by Fishman and Joranson & Gilson (see below). Joranson describes a basic public health approach to the 'drug abuse crisis.' One wonders whether the combined brain power of the NIH, CDC and FDA would not have accomplished this, except for the imperatives of the drug war. Hurwitz 2005 (see below) is an example of the sort of analyses we should expect, but never get, from our academic and federal patriarchs. See also: The Challenge of Prescription Drug Misuse: A Review and Commentary - William Hurwitz; Pain Medicine; 2005 Increasing Deaths from Opioid Analgesics in the United States - Paulozzi et al.; Pharmacoepi.Drug Safety; 2006 Dr. Fishman's Response to Paulozzia's 'Increased Deaths from Opioid[s]' (PDF) - Scott M. Fishman; Pharmacoepi.Drug Safety; 2006 Wanted: Public Health Approach to Prescription Opioid Abuse and Diversion (PDF) - Joranson and Gilson; Pharmacoepi.Drug Safety; 2006 Drug Crime [Not Pain Docs] Source of Abused Pain Meds in the U.S. - Joranson and Gilson, J.Pain and Symptom Manage.; 2005 The War on Drugs, War on Doctors, and the Pain Crisis in America - Alex DeLuca; Columbia University; 2004 Related resources: War on Doctors Academic, Official, and Legal archives The Pathological DEA: Aftermath of the DEA FAQ Debacle - compiled: DeLuca; War on Pain Sufferers series #11; 2006
Principles of Opioid Management of Pain - Joel Hochman and members of NFTP and PRN listServ; Summer 2006
The Project for Pain and Chemical Dependency: 'Defining What is Right, Not What is Wrong' Comment (DeLuca): A consensus document defining medically correct, ethical, patient-centric, respectful opioid treatment for pain. Unlike almost every other such effort promulgated by pain societies or Fed. agencies, Principles does not encourage physicians take on a law enforcement role, and does not discriminate against high-dose patients or non-medical drug users in pain. See also: 'High Dosage' Opioid Management - Hochman; Practical Pain Management; 2005 Chronic Pain: I - A New Disease? ; II - The Case for Opiates - Daniel Brookoff; Hospital Practice; 2000 White Paper on Opioids and Pain: A Pan-European Challenge - compiled by OPEN Minds; 2005
The Accidental Drug Trafficker - A Repudiation of Prosecutions that Treat Doctors’ Errors in Judgment as Felonies - Jacob Sullum; ReasonOnline; 2006-08-30 -- "[Sullum repudiates] prosecutions that treat doctors’ errors in judgment as felonies... Docs who err on the side of trusting their patients risk their licenses and their livelihoods. They should not have to risk their freedom."
See also: Unbalanced Coverage of [Hurwitz'] Successful Appeal - Maia Szalavitz, STATS, 2006-08-23 Conviction Overturned , Judge Erred in Jury Instructions - Markon; Washington Post; 2006-08-23 Hurwitz Wins Appeal - Letter from Family to Advocates and Former Patients - 2006-08-23 Ominous Implications of the Hurwitz Appeal Decision? - Bill Marcus; NFTP listServ; 2006-08-22
Dr. Hurwitz Wins Appeal - Gets New Trial - Drug War Chronicle #450; 2006-08-25 -- "'The district court effectively deprived the jury of the opportunity to consider Hurwitz's defense.' That was a fatal error. 'We cannot say that no reasonable juror could have concluded that Hurwitz's conduct fell within an objectively-defined good-faith standard,' wrote Judge Traxler."
See also: US v Hurwitz Appeal Decision (PDF) - Widener, Traxler, and Currie; 4th Circuit Appeals Court; 2006-08-22 Brief of Appellant William Eliot Hurwitz (PDF) - Robbins, Russell, & Taaffe; 2005 Billy's Lament and The Appeal - two poems by Dr. Hurwitz; Federal Detention; 2005 The Dr. William Hurwitz Collection - WAR ON PAIN SUFFERERS #4, 2005
Trouble Lingers for Acquitted Dr. Heberle - Lisa Thompson; Erie Times-News; 2006-05-30
Comment (DeLuca): A follow-up on Dr. Heberle and his family months after his complete exoneration by jury trial. It is a Pyrrhic victory. He has incurred tremendous debt, is losing his office and home, is essentially unemployable in Erie due to the publicity and employers' fears of state law enforcement reprisals. In the War on Doctors, even when we win, we lose. Even when we are vindicated by a jury, our lives and those of our patients are destroyed. Even when we win the Chilling Effect worsens, and fewer and fewer docs will treat chronic pain, and there is less and less access to chronic opioid therapy for patients with severe chronic pain. This is the Pain Crisis in America. See also: No Convictions - but Dr. Fisher's Practice is in Ruins - Eric Snider, Weekly Planet, 2004-06-21 WAR ON PAIN SUFFERERS #10: Erie: Dr. Klees Incarcerated, Dr. Heberle Exonerated, Pain Patients Abandoned, 2006 Pain Killer - Frank Fisher, M.D., Harvard Medical Alumni Bulletin, 2006 'The Doctor Wasn't Cruel Enough' - Maia Szalavitz, ReasonOnline, 2006 WAR ON PAIN SUFFERERS #7: The Trials of Dr. Frank Fisher: the Cost of Exoneration, 2006
Desperate Florida Gov. Candidate Gallagher Strikes Out Unjustly at Dr. Merrill to Distract from Crippled Campaign - John P. Flannery; PRN press release; 2006-07-01 -- "'Florida,' Flannery said, 'has a policy of intimidating any doctor who would dare to help chronic pain patients and [the prescribing doc] and the patients [are] criminalized. Gallagher makes great pretense at having 'family values' and yet he has thrown his political weight against those families who value a loved one suffering from chronic pain.'"
Comment (DeLuca): Drug War prosecutors and pathological liars like Karen Tandy can consider this a warning shot. If you attack a pain doc for selfish and venal political reasons, expect to be held to account in the press by PRN. I applaud the more aggressive stance PRN is taking - for ex the recent Heberle victory and Paey appeal. See also: Trial Begins for [Dr. Merrill] - Nelson; AP; 2006 Paey Appeal Selected Transcripts: Defense Attorney Flannery Addresses the Court, February 2006 Reply Brief of the Appellant Dr. McIver - J.P. Flannery; Forth Circuit Appeals Court; 2006
Portraying Doctors as Dealers [Trash Journalism and the Case of Dr. Martinez] - Maia Szalavitz, STAT blog, 2005-12-08 -- "What [the reporters don't] seem to understand is that if Dr. Martinez is giving painful and unnecessary treatments, this is medical malpractice and not a criminal act. Just because the prosecutors are conflating Martinez' alleged poor medical treatment with his alleged drug dealing, doesn't mean that journalists have to do so as well."
See also: Physician [Martinez] Gets Life for Drug Deaths - [Trash Journalism by] Mike Tobin, Cleveland Plain Dealer, 2006 Dr. Fisher Comments on the Martinez Conviction - Frank Fisher, Expert Witness; PRN; 2006