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Alexander DeLuca, M.D., MPH
Main website: http://www.doctordeluca.com/
Published: Sat, 07 Apr 2007 23:47:02 GMT
David E. Joranson and Aaron M. Gilson; Pharmacoepidemiology and Drug Safety; 15(9): 632-634; 2006.
[Efforts] to reduce mortality from opioids must be [targeted] at those who cause the problem... 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, in response to Paulozzi (below), 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 creative analysis we should expect, but never get, from our academic and federal patriarchs.
The Challenge of Prescription Drug Misuse: A Review and Commentary
- William Hurwitz; Pain Medicine; 6(2); 152-161; March 2005. Posted: 2005-03-29.
Increasing Deaths from Opioid Analgesics in the United States
- Leonard J. Paulozzi, Daniel S. Budnitz, and Yongli Xi; Pharmacoepidemiology and Drug Safety; 15(9); 618-627; 2006. Posted: 2006-09-14.
Dr. Fishman's Response to Paulozzi et al.: Prescription Drug Abuse and Safe Pain Management
(PDF) - Scott M. Fishman; Pharmacoepidemiology and Drug Safety; 15(9): 628-631; 2006. Posted: 2006-09-14.
Drug Crime (Not Pain Docs) a Source of Abused Pain Medications in the U.S.
- David E. Joranson and Aaron M. Gilson, Journal of Pain and Symptom Management; 30(4): 299-301; 2005. Posted: 2006-02-21.
The Pathological DEA: Aftermath of the DEA FAQ Debacle (Articles from the January 2006 issue of Pain Medicine, and Related Resources)
- compiled by Alexander DeLuca; WAR ON PAIN SUFFERERS series #11; 2006.
The War on Drugs, War on Doctors, and the Pain Crisis in America
- Alexander DeLuca; MPH thesis; Columbia University; 2004.
Published: Fri, 15 Sep 2006 03:05:13 GMT
Joel Hochman, M.D. and the membership of the National Foundation for the Treatment of Pain and the Pain Relief Network; Treatment and Prevention of Pain and Chemical Dependency listServ; Summer 2006. Posted: 2006-09-01.
THE PROJECT for PAIN and CHEMICAL DEPENDENCY:
Defining What Is Right, Not What is Wrong
Standard pharmacological resources (such as the Physicians Desk Reference) should be utilized in the choice of initial doses... These standard resources do not reflect [individual] variations and are not the final word on dosing...
As no maximum dose or schedule exists for any opioid medication, the maximum dose or schedule utilized shall be determined only by clinical outcome...
Physiological dependency shall be carefully explained to patients and distinguished, in writing, from Addictive Disorders...
Pseudoaddiction, in which the patient seeks additional medication because they have not been prescribed sufficient medication to contain their pain, shall not be misidentified as addiction, and patients suffering this situation shall not be pejoratively labeled as 'drug-seeking'.
Chronic Pain and Opioids - Debunking the Myths
- Frank Fisher; ?Date?. Posted: 2006-06-25.
'High Dosage' Opioid Management - Considerations in Treating Intractable Pain
- Joel Hochman, MD, Executive Director: National Foundation for the Treatment of Pain; Practical Pain Management; 5(2); page 39; March 2005. Posted 2005-04-09; Modified: 2006-09-01.
The Role of Opioids in Cancer Pain Management
- M. Fukshansky, M. Are, A.W. Burton; Pain Practice, 5(1), page 43; 2005. Posted: 2005-11-27.
White Paper on Opioids and Pain: A Pan-European Challenge
- compiled by OPEN Minds - Opioid and Pain European Network of Minds; 2005-06. Posted: 2005-06-22; Modified: 2005-09-01. 2005.
Chronic Pain: I - A New Disease? ; II - The Case for Opiates
- Daniel Brookoff; Hospital Practice; 35(7), page 45 / 35(9), page 69; 2000. Posted: 2003-11-16; Modified: 2006-06-25.
Pain and Opioid Therapy archives
War on Docs Academic, Legal, Official archives
Drug War Journalism and Advocacy archives
WAR ON PAIN SUFFERERS Special Collections - Introduction and Table of Contents
Published: Sat, 02 Sep 2006 02:28:47 GMT
Published: Wed, 30 Aug 2006 21:32:07 GMT
Drug War Chronicle #450; 2006-08-25. Posted: 2006-08-29; Modified: 2006-08-30. Source
"'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."
US v Hurwitz Appeal Decision
(PDF) - Widener, Traxler, and urrie; 4th Circuit Appeals Court; 2006-08-22.
Brief of Appellant William Eliot Hurwitz
(PDF) - Robbins, Russell, & Taaffe; 2005.
and The Appeal
- two poems by Dr. Hurwitz; Federal Detention; 2005
Published: Wed, 30 Aug 2006 21:16:11 GMT
Lisa Thompson; Erie Times-News; 2006-05-30.
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.
No Convictions - but Dr. Fisher's Practice is in Ruins
- Eric Snider, Weekly Planet, 2004-06-21.
- Frank Fisher, M.D., Harvard Medical Alumuni Bulletin, 2006.
'The Doctor Wasn't Cruel Enough'
- Maia Szalavitz, ReasonOnline, 2006-06-02.
Erie - Dr. Klees Incarcerated, Dr. Heberle Exonerated, Pain Patients Abandoned
- WAR ON PAIN SUFFERERS #10, 2006.
The Trials of Dr. Frank Fisher: the Cost of Exoneration
- WAR ON PAIN SUFFERERS #7, 2006.
Published: Sun, 20 Aug 2006 20:04:31 GMT
Published: Sat, 15 Jul 2006 14:01:03 GMT
Published: Wed, 28 Jun 2006 03:18:11 GMT
Frank Fisher, M.D., Harvard Medical Alumni Bulletin, 2006
"In 1995, the Medical Board of California declared that the undertreatment of chronic pain was more problematic than its overtreatment [and set forth] guidelines for treating chronic pain with controlled substances. I believed the reign of terror directed at palliative-care physicians had finally ended.
"I was mistaken. Within weeks of incorporating the guidelines into my practice, I learned I had become the target of a criminal investigation."
The persecution of Dr. Fisher is a classic example of the 'reign of terror' being waged against pain management physicians. The above article inspired me to compile a collection of articles by, about, and related to Dr. Frank Fisher and the issues his trials raise:
The Trials of Dr. Frank Fisher: the Cost of Exoneration
- WAR ON PAIN SUFFERERS Special Collection #7; 2006-06-23.
No Convictions - But His Practice is in Ruins
- Eric Snider, Weekly Planet, 2004-06-21.
War on Pain Sufferers Special Collections - Table of Contents
Published: Sun, 25 Jun 2006 03:59:09 GMT
Mohamed Ben Amar; Journal of Ethnopharmacology, 102(1-2), 1-25; 2006-04-21. Posted: 2006-06-14.
Seventy-two controlled studies evaluating the therapeutic effects of cannabinoids were identified. For each clinical trial, the country where the project was held, the number of patients assessed, the type of study and comparisons done, the products and the dosages used, their efficacy and their adverse effects are described. Cannabinoids present an interesting therapeutic potential as antiemetics, appetite stimulants in debilitating diseases (cancer and AIDS), analgesics, and in the treatment of multiple sclerosis, spinal cord injuries, Tourette's syndrome, epilepsy and glaucoma.
See also (
these articles newly added to the Medical Marijuana: 2000-2006 Collection):
Pot Smoking Not Linked to Lung Cancer - Study Shows No Increased Risk for Even the Heaviest Smokers
- Salynn Boyles; WebMD Medical News; 2006-05-23. Posted: 2006-06-15.
Marijuana Smoking and Head and Neck Cancer
- Hashibe, M., Ford, D.E., and Zhang, Z.; Journal of Clinical Pharmacology, 42 (11 Suppl), 103S-107S; 2002. et al.; J. Clinical Pharmacology; 2002. Posted: 2006-06-14.
Nonacute (Residual) Neuropsychological Effects of Cannabis Use
- Gonzalez, R., Carey, C., and Grant, I.; Journal of Clinical Pharmacology, 42(11 Suppl), 48S-57S, 2002. Posted: 2006-06-14.
Published: Fri, 16 Jun 2006 02:06:45 GMT
Wayne J. Guglielmo; Medical Economics; 2006-05-19. Posted: 2006-06-12. Source
Does the US Attorney General and the prosecutors who work for him have the right to decide whether a doctor is practicing good medicine? Stutsman thinks not. "As we showed in the Oregon case, the Controlled Substances Act was never intended to allow an unelected law-enforcement official to make subjective medical determinations," he says, adding that federal prosecutors are now getting criminal convictions based on a civil standard of care. "If these doctors are guilty of malpractice, that's one thing—but malpractice isn't a crime."
The Amazing Vanishing DEA Pain FAQ
- Drug War Chronicle, #358; 10/15/2004. Posted 2004-10-15.
Drug War Chronicle, #358; 2004-10-15
Assisted-Suicide Ruling May Affect Painkiller Cases
- Marc Kaufman; Washington Post, A04; 2006-01-22. Posted: 2006-01-22.
DEA’s 'One-tenth of 1 Percent' Myth
- Ron Libby; talk given at the Drug Cops and Doctors conference; Cato Institute; 2005-09-09.
The Dr. William Hurwitz Collection
Published: Tue, 13 Jun 2006 11:26:25 GMT
Ed Swaim (husband of Dr. Bordeaux); Addiction, Pain and Public Health website; 2006-06-07.
Letter from Ed Swaim to the pain management advocates of the listServs of the Pain Relief Network] (PRN
) and the National Foundation for the Treatment of Pain (NFTP
). His wife, Dr. Deborah Bordeaux, a noble and brave soul and fine physician, is now in federal prison. She had to report on June 5, 2006, and will be serving two years. This is a black day for us.
Why We Lost
- Deborah Bordeaux, M.D.; listServs of PRN and NFTP; 2005-12-13.
Dirty Deals, Perjury, Confused Jury
- Deborah Bordeaux, M.D.; The Pain and Chemical Dependency listServ, NFTP; 2005-12-13.
DEA Motivation for Targeting Small Rural Medical Practices and Older Physicians
- Ed Swaim (Husband of Dr. Deborah Bordeaux); Pain & Social Policy listServ; Pain Relief Network; 2005-05-08.
The Myrtle Beach Massacre collection
Published: Sun, 11 Jun 2006 03:03:39 GMT
William Fisher; OpEdNews.com; 2006-03-22. Posted: 2006-06-09. Source
Hundreds of physicians have been put on trial for charges ranging from health insurance fraud to drug distribution, even to manslaughter and murder for over-prescribing prescription narcotics. Investigators have also seized doctors’ homes, offices, and bank accounts, leaving them with no resources for their defense.
Alexander DeLuca, M.D., MPH, a Board Member of PRN, told us, "Relations between physicians and the DEA have probably never been worse in modern times." He added, "Law enforcement does not deserve a place at the table where physicians, social workers, and politicians of good will need to meet to deal with drug use and pain problems as public health, not criminal, matters."
Mandatory Madness – What Happened to Pain Patient Richard Paey
– Eric Snider; Weekly Planet; 2004-06-17.
THE WAR ON PAIN SUFFERERS (WPS) Special Collections – TOC
WPS #11 – Major Media on the War on Doctors & the Pain Crisis, 2005-2006
WPS #4 – The Hurwitz Collection
WPS #9 – USA v. Dr. McIver: Zero Tolerance for Opioid Therapy
Published: Sun, 11 Jun 2006 02:27:27 GMT
Published: Sat, 03 Jun 2006 07:38:25 GMT
WAR ON PAIN SUFFERERS collection #10. Compiled by: Alexander DeLuca, M.D. and the Pain Relief Network,; Addiction, Pain, & Public Health website; 2006-05-27; Last updated: 2006-05-31.
The complete journalistic record thus far, and commentary from pain advocacy experts from the Pain Relief Network
and the National Foundation for the Treatment of Pain
, regarding the ongoing persecution of pain doctors and patients in Erie, PA. Specifically considered are the conviction of Dr. Klees, and the acquittal of Dr. Heberle, and misconduct of state and federal law enforcement agencies in Erie who have precipitated, through their reckless, vindictive prosecutions, a horrific crisis of lack of access to medical care for patients in chronic pain. Excerpts from the Heberle trial transcript will be added when available.
Pain Relief Network in Erie, PA collection
- compiled by Siobhan Reynolds; Pain Relief Network
Pain Politics - info on 120 persecuted pain doctors
- compiled by Cyn Hoard and Our Chronic Pain Mission
; Last updated: 2005-05-22]
THE WAR ON PAIN SUFFERS series of special collections - Table of Contents
Published: Wed, 31 May 2006 15:53:33 GMT
Charlie Deitch; Pittsburgh City Paper; 2006-05-25. Posted: 2006-05-28. Source
"Prosecutions aren’t always necessary to have a chilling effect, DeLuca says. The government’s MO, he says, it to have agents raid doctors’ and send them target letters. Some doctors stop prescribing [opioids] at that point...
Others decide, as DeLuca says he did, that they can’t operate under the fear and still treat patients correctly. 'I got out of clinical practice because I couldn’t sit across from someone in extreme pain, have the ability to ease their pain, [and] do nothing because I was afraid of the government."
Third Circuit Denies Dr. Rottschaefer Appeal
(PDF) – Circuit Judges Rendell, Becker, and Greenberg; 2006-03-03.
Sad: Dr. Rottschaefer Appeal Denied
- Radley Balko; The Agitator; 2006-04-28
Rottschaefer's Drug Verdict Fought
- Jason Cato; Pittsburgh Tribune-Review.; 2006
The Outrageous Case of Dr. Bernard Rottschaefer
- Radley Balko; The Agitator; 2005-08-30
Sex, Lies, and OxyContin
– John Tierney, Editorial, Page A21, New York Times, 2006-01-24
Selected Major Media on the War on Doctors and the Pain Crisis, 2005 - 2006
Published: Wed, 31 May 2006 12:50:26 GMT
Press Release; Pain Relief Network; 2006-05-04. Posted: 2006-05-07.
"[The] Rev. Jackson did not think Dr. Nucklos was fairly treated and [is] demanding to know, 'Is justice really being served?,' and announcing his commitment to 'seeing William Nucklos granted a new trial, judged by an impartial jury and presided over by an impartial judge.'"
John Flannery - see link below):
"We objected in our papers and at oral argument that the trial court had failed to act on our bail application, that jury selection was racially discriminatory, that the evidence was insufficient, that the prosecutor had offered prejudicial and inflammatory evidence that should have been excluded, that the instructions were in error, as they criminalized Dr. Nucklos's treatment of chronic non malignant pain because the state prosecutor has a policy of intolerance for any opioid medicine."
Court Releases Nucklos Pending Appeal
(PDF) - John Flannery, attorney for Dr. Nucklos' appeal, from a memo to a pain advocacy listServ; 2006.
Nucklos Freed on Bail Appealing Drug Trafficking Conviction
- Drug War Chronicle #430; 2006. (links to stopthedrugwar.org)
Published: Mon, 08 May 2006 00:40:28 GMT
Published: Sun, 07 May 2006 18:53:01 GMT
Diane Cochran; Billings Gazette; 2006-04-29. Posted: 2006-04-30. Source URL
OK. DEA raids doc
- seizes patient records - suspends DEA license forcing abandonment of patients - conducts an 'inquiry'
that 'focused on diversion' that results only in media smear
of doc. No Charges.
One year later DEA it is off the case
, and U.S. Attorney Kurt Alme has 'no comment'. Meanwhile, patients suffered
, 'We weren't treated good by doctors at the hospitals, DEA has really intimidated [them].' The doc's life is upside down, his practice a shambles.
This is how it works
- how DEA can continue to mislead the press saying: We arrest so few docs - how could we be responsible for the Chilling Effect and the Pain Crisis?
This is how you get an entire community of docs to serve a police agenda to the detriment of patient care with nothing more than a innuendo and an 'inquiry.'
Why do you support this when the price is so high?
DEA Raid on Doctor (Nelson) Brings Pain Wars to Montana
- David Borden, Editor; Drug War Chronicle #392; 2005.
WAR ON PAIN SUFFERERS #1: Montana 2005: the War on Sick People archives
Published: Sun, 30 Apr 2006 21:54:45 GMT
Selected articles from the January 2006 issue, Volume 7, Number 1, of Pain Medicine and related documents.
"If those at the top of the DEA hierarchy can be so manifestly indifferent, if not hostile, to the insights and perspectives of such groups [as the NAAG and PPSG], then... we are tilting at windmills when we... beseech the DEA to genuinely embrace the [principle] of balance..." - Ben Rich, Of Smoke and Mirrors and Passive-Aggressive Behaviors
, Pain Medicine, 7(1), 2006.
articles by Heit, Fishman, Passik, and Rowe - who contributed mightily to the FAQ - and by Rich commenting on the ethical-moral disaster in pain medicine. A must-read
for serious students of the War on Doctors.
Healthcare Professionals and the DEA: Trying to Get Back in Balance
- Howard Heit; Pain Medicine; 7(1): 72-74; 2006. Posted: 2006-04-16.
Pain Management Misstatements: Ceiling Effects, Red and Yellow Flags
- Steven D. Passik; Pain Medicine; 7(1): 76-77; 2006. Posted: 2006-04-16.
Of Smoke, Mirrors, and Passive-Aggressive Behaviors
- Ben A. Rich, JD, PhD; Pain Medicine; 7(1): 78-79; 2006. Posted: 2006-04-16.
Pain, the DEA, and the Impact on Patients
- Will Rowe, MA; Pain Medicine; 7(1): 86-86; 2006. Posted: 2006-04-16.
Pain and Politics: DEA, Congress, and the Courts, Oh My!
- Scott Fishman; Pain Medicine; 7(1): 87-88; 2006. Posted: 2006-04-16.
Now You See It, Now You Don't: The Amazing Vanishing DEA
Pain FAQ - Drug War Chronicle, #358; 2004-10-15.
Drug Crime Is a (Major) Source of Abused Pain Medications in the United States
- D.E. Joranson and A.M. Gilson, Journal of Pain and Symptom Management, 30(4): 299-301, 2005.
An Ethical Analysis of the Barriers to Effective Pain Management
- Ben Rich; Cambridge Quarterly of Healthcare Ethics, 2000.
Comment on Prescribing Controlled Substances for the Treatment of Pain
(PDF) - National Association of Attorneys General; 2005-03-21.
H.R. 3015 (NASPER) Continues War Against Pain Patients and Doctors
- Michael Glueck, and Robert Cihak; NewsMax.com; 2004-11-23
The War on Drugs, War on Doctors, and the Pain Crisis in America: Eighty Years of Naked Emperors
- Alexander DeLuca; 2002.
The Dr. William Hurwitz Collection
- War on Pain Suffferers #4; compiled by DeLuca; 2005, 2006.
Introduction and Index to the War on Pain Sufferers Special Resource Collections
Published: Sun, 16 Apr 2006 16:16:18 GMT
Published: Tue, 04 Apr 2006 12:47:45 GMT
Kenneth Gailliard; The Sun News, Myrtle Beach Online; 2006-03-28. Posted: 2006-03-29.
"A federal judge [Houck] on Monday slashed prison sentences for three former doctors from a now-closed Myrtle Beach pain clinic where federal prosecutors say drugs were illegally prescribed. <A Fed> appeals court ruled in 2005 that Houck... could have used more discretion in those sentences."
NOT. GOOD. ENOUGH. Dr. Bordeaux et al. deserve ZERO prison time - anything else reinforces the 'chilling effect' and deepens the Pain Crisis in America. Defense attorney Stutsman plans to ask the Supreme Court to review the case.
Dirty Deals, Perjury, Confused Jury'
- Deborah Bordeaux, M.D., The Pain and Chemical Dependency listServ, NFTP; 2005-12-13. Posted: 2006-01-13.
Doctor Feelscared: Drug Warriors Put Fear of Prosecution into Docs Who Dare to Treat Pain
- Maia Szalavitz; ReasonOnline, 2004.
The Myrtle Beach Massacre archives
Published: Wed, 29 Mar 2006 17:41:57 GMT
Larry O’Dell, Associated Press Writer; Richmond Times-Dispatch; 2006-03-17. Posted: 2006-03-20.
This Resource Is an example of, I am sorry to say typical, Trash Journalism - in this case regarding U.S. v Hurwitz. 'Journalist' O'Dell takes pains to specifically recount State charges against Dr. Hurwitz without making clear that Virginia ultimately exonerated him BEFORE the Fed brought the case for which Hurwitz is currently serving 25 years (life).
Brief of Appellant William Eliot Hurwitz
(PDF) - Appeal from the U.S. District Court of the Eastern District of Virginia; Robbins, Russell, & Taaffe; 2005.
Weighing the Difference Between Treating Pain and Dealing Drugs
- Tina Rosenberg; Editorial Observer, New York Times; 2005-03-27.
WAR ON PAIN SUFFERERS #4: The Dr. Hurwitz Collection
Published: Tue, 21 Mar 2006 01:21:51 GMT
David B. Brushwood, J.D.; American Journal of Health-Systems Pharmacy; 63(5); 2006
"If the U.S. Attorney General had won this case, DOJ, through the DEA, would have been given the authority to make decisions about the legality of prescriptions in all situations, not just end-of-life care... Perhaps now the medical and pharmacy professions can reclaim authority over their standards of practice..."
Excellent Brushwood. He analyzes Gonzalez v Oregon in terms of what it means in the War on Doctors and Pain Crisis. The Supreme Court decision is placed in the historical context of the DEA's 'Myth of the Chilling Effect' myth, the DEA FAQ debacle, and the recent revelations about where major diversion happens, and who is responsible for preventing that. (And it's not doctor-patients). The links below provide additional depth on the topic areas Brushwood covers.
Defining "Legitimate Medical Purpose"
(PDF) - David B. Brushwood; American Journal of Health-Systems Pharmacy; 62(3):306-308; 2005.
Drug Crime (Not Doctors) Is a (Huge) Source of Abused Pain Meds in the U.S.
- D.E. Joranson and A.M. Gilson; Journal of Pain and Symptom Management, 30(4): 299-301, 2005.
Analysis of DEA's 2003 Press Release: 'The Myth of the Chilling Effect'
- Alexander DeLuca; Addiction, Pain, and Public Health website; 2003-12-06.
Non-Negotiables in the DEA FAQ Redux
– David B. Brushwood; Pain and the Law; February 2005.
Published: Sun, 19 Mar 2006 15:03:13 GMT
Derek Simmonsen; TCPalm.com; 2006-03-09. Posted: 2006-03-12
"'We were like six college students researching a paper,' said <juror> Sanders, <recalling> counting pills in bottles and passing around autopsy records, medical charts and pharmacy notes so each <juror> could read the evidence and give their opinions."
Every doctors nightmare: jurors without medical education, led by venal prosecutors, passing judgment on the basis of medical documents they are unqualified to interpret, in a criminal case. <shudder>
Luyao Trials Part of Wider Debate
- Derek Simmonsen; TCPalm.com Local News; 2006-03-12. Posted: 2006-03-12.
Reynolds (PRN) Comments on Luyao Conviction
(PDF) - Siobhan Reynolds, President: Pain Relief Network
; Pain and Social Policy listServ; 2006-03-07. Posted: 2006-03-12.
Drug War Journalism and Advocacy Library
Published: Mon, 13 Mar 2006 02:21:53 GMT
Lindsey Nair; The Roanoke Times; 2006-03-02. Posted: 2006-03-02.
"Heidi Coy, spokeswoman for the U.S. Attorney's Office in Roanoke, would neither confirm nor deny an investigation. 'Charges have not been filed, but the justification for the search warrant was billing,' Cheek, 57, wrote in an e-mail to The Roanoke Times. 'The hidden agenda is pain management... I have to be true to the science more than I have to be true to the government.'"
Sounds like the usual fishing expedition - Brownlee will see what innuendo he can manufacture and then decide whether to unleash the full wrath of the state and federal drug warriors down upon her.
U.S. Attorney, Heal Thyself
- DeLuca, 2006; this is an unpublished Letter to the Editor in response to Brownlee's First Do No Harm
editorial in The Roanoke Times, 2006-01-30.
War on Pain Sufferers #5: Cecil Knox and Beverly Boone: Racketeers?
Drugs and Drug Policy
- Bill Marcus, Deputy Attorney General, California, Retired 2001; Narc Officer, 6(5): 23-29; 1989.
I want to be clear - not all AG's are sleazy liars like John Brownlee and Mary Beth Buchanan. This last article is by a man I respect very much who is very much a friend to the pain movement. This is a thoughtful and courageous work, especially considering the venue it was delivered in and issue date.
Published: Thu, 02 Mar 2006 18:58:23 GMT
Jason Cato; Pittsburgh Tribune-Review; 2006-02-28
"'The same rule and statute that the attorney general was interpreting wrong in Oregon is the same rule and standard that is being interpreted wrong in Pennsylvania,' said [defense attorney] Stutsman, who filed documents last week informing the 3rd U.S. Circuit Court of Appeals in Philadelphia that he plans to use the Oregon ruling in arguing Rottschaefer's case."
The Outrageous Case of Dr. Rottschaefer
- Radley Balko; The Agitator; 2005.
Sex, Lies, and OxyContin
- John Tierney, NYTimes; 2006.
Major Media on the War on Doctors - Pain Crisis: 2005-2006
Published: Tue, 28 Feb 2006 12:20:52 GMT
Published: Sat, 25 Feb 2006 19:41:20 GMT
Published: Sat, 25 Feb 2006 01:35:02 GMT
Eric D. Collins, Herbert D. Kleber, Robert A. Whittington, Nicole E. Heitler, JAMA, 294:903-913, 2005. Posted: 2006-02-22
"[Withdrawal] severities were comparable... [no differences] in rates of completion [or] retention [or urine tox]... The anesthesia procedure was associated with 3 potentially life-threatening adverse events. Conclusion: These data do not support the use of general anesthesia for heroin detoxification and rapid opioid antagonist induction.
What is Ultra-Rapid Opiate detox (UROD) and how is it different from Rapid Opiate detox (ROD)?
- Alexander DeLuca, Addiction-related FAQ #18, 2001.
- Michael M. Miller, Letter to the Editor, JAMA, 295:885-886, 2006.
Two Doctors May Lose Licenses Over Fast-Detox Method Medicine
- Associated Press; 2000-12-31.
Published: Thu, 23 Feb 2006 06:16:07 GMT
Published: Tue, 21 Feb 2006 17:56:08 GMT
Shewan and Dalgarno, British J. Health Psychology, 2005. Posted: 2006-02-17.
In this study, subjects had occupational and educational status comparable to that of general UK pop. Ongoing problems were rare; heroin was not a significant predictor. Use frequency data suggests importance psych factors. The pharmacological properties of opioids, per se, do not inevitably lead to harmful use patterns.
Occasional and Controlled Heroin Use - Not a Problem?
- Warburton et al., report from The Rowntree Foundation, 2005.
Some Eminent Narcotics Addicts
, and: The Heroin Overdose Mystery
- Edward Brecher; Chapters 5 and 12, "Licit and Illicit Drugs"; 1972.
How Bad is Heroin Withdrawal?
- Jara Krivanek; Chapter in "Heroin, Myths and Realities"; 1988.
Published: Fri, 17 Feb 2006 20:03:17 GMT
Fred Gardner; Counterpunch,; 2006-02-11. Posted: 2006-02-16
"There has been a division of prosecutorial labor, with the state going after the docs and the feds going after the growers and providers. They all claim to be supportive of 'individual patients' while trying to destroy the networks patients need."
Taking a Leaf from 'Pot Docs'
- subtitled: 'A Tiny Cadre of California Physicians has been Recommending Medical Marijuana at Their Professional Peril' by Eric Bailey, Los Angeles Times, 2004. This article reviews the medical marijuana movement and puts Dr. Mikuriya's case into a larger professional perspective by introducing us to the work of several other physicians recommending cannabis under Prop 215 in California.
Decreased Depression in Marijuana Users
- Densona, Addict.Behav., 2005. From the Abstract: "Daily users reported less depressed mood and more positive affect than non-users... medical users reported more depressed mood and more somatic complaints than recreational users."
Medical Marijuana: 2000-2005
- this War on Pain Sufferers collection currently has 28 documents, half are from academic journals, and half are journalism and advocacy. This 2004 Scientific American article: The Brain's Own Marijuana
will get you up to speed on major recent advances clinical research into cannabinoids, and the graphics and photos are excellent. Enjoy! ..alex...
Published: Fri, 17 Feb 2006 09:46:15 GMT
Published: Thu, 16 Feb 2006 03:46:48 GMT
Published: Mon, 13 Feb 2006 19:58:46 GMT
LTE in Response to "Prescription for Pain" - Balko, Boston Globe, 2006-01-13
"The medical literature overwhelmingly shows that so-called accidental addiction is rare... Obviously, one wouldn't expect a district attorney to be up on all the medical literature. But the fact that we don't expect such knowledge from our law-enforcement officials is a pretty convincing argument against letting police and prosecutors determine what is and isn't acceptable medical treatment."
The Chilling Effect
- a documentary film by Reynolds and Hendler, Pain Relief Network, Released: 2006. (Download .zip file; run the .mov file; requires free Apple Quicktime Player for Windows or Mac)
Prescription for Pain (for Richard Paey)
- Boston Globe Editorial, 2006-02-05.
Published: Mon, 13 Feb 2006 17:33:52 GMT
Published: Mon, 13 Feb 2006 17:20:26 GMT
Published: Sun, 12 Feb 2006 16:21:50 GMT
Frank Fisher, M.D.; NFTP listServ, 2006-02-07.
"Mr. John Flannery argued (Richard Paey's) case brilliantly, engaging the entire panel of judges in a passionately argued cruel and unusual argument, supplemented by an astonishing record of misconduct by a rogue prosecutor."
See also this beautiful and moving film:
The Chilling Effect
by Reynolds and Hendler (link to video from the Pain Relief Network homepage)
If you want to understand the experience of being a pain patient, or a family member, SEE THIS FILM!
Also, Dr. Fisher is excellent throughout - he presents the medical aspects beautifully. Most. Highly. Recommended.
Published: Thu, 09 Feb 2006 16:57:35 GMT
Published: Wed, 08 Feb 2006 03:02:04 GMT
Published: Tue, 07 Feb 2006 21:42:54 GMT
Published: Tue, 07 Feb 2006 02:28:36 GMT
Excellent, important, review of fitness-for-duty testing of employees - a field not rich in well-designed, clear-cut research. Document greatly revised: 2006-02-06, including the addition of an interactive Table of Contents.
A Critical Assessment of Workplace Drug Testing
- Alexander DeLuca, M.D., 2002.
Published: Mon, 06 Feb 2006 21:25:16 GMT
Alexander DeLuca, M.D., MPH; Addiction, Pain and Public Health website; 2006-02-04 (unpublished letter to Editor, Roanoke Times)
"In "First Do No Harm" Brownlee luridly presents a medical anecdote suggesting that the continuance of opioid medications in pregnancy is inappropriate medical practice. He is factually wrong... I can't blame Brownlee for trying to spin the farce that the "racketeering" trials of Dr. Knox and Beverly Boone became. Over 300 charges were brought in a long federal prosecution that ultimately cost Dr. Knox his license. This end could have been accomplished by simple administrative action of the state medical board."
See also: First Do No Harm
- John Brownlee, The Roanoke Times, 2006-01-30.
Dr. Cecil Knox and Beverly Boone: Racketeers? archives
Published: Sun, 05 Feb 2006 05:14:52 GMT
Morley Safer; 60 Minutes; CBS News; 2006-01-26; aired: 2006-01-29.
CBS web page with link to the video of the segment
"Paey denies selling his meds, saying he took and needed all 18,000 pills [25 Vicodin a day]. The same judicial system that prosecuted Paey for obtaining too much pain medication is now supplying him in prison with more than (3 times) that amount to ease his tremendous pain."
- Eric Snider, Weekly Planet, 2004.
- John Tierney, NY Times, 2005.
Info about Paey from the Pain Relief Network website
'Toons by Richard Paey
- a series of cartoons about his legal and law enforcement experiencs. Caution: some of this is raw and strong -- insanity and despair shot through with irrational exuberance and a lust for life. Very, highly, recommended.
Published: Thu, 02 Feb 2006 00:43:21 GMT
Deborah Bordeaux, M.D.; The Pain and Chemical Dependency listServ, NFTP; 2005-12-13.
"The prosecutors kept saying, 'We don't want you to lie, but you need to understand that testifying about the drug dealing you witnessed is the only thing that's going to save you.' I did not witness any drug dealing... Nobody seemed to understand the law, so the jury got to decide what the terms 'legitimate medical purpose' and 'course of professional practice' meant."
Appellants' Petition for Rehearing
- Eli Stutsman; 2005. A document that raises serious points of law and procedure. I guess the judge didn't agree with me; the Petition was summarily denied.
WAR ON PAIN SUFFERERS #6-The Myrtle Beach Massacre
Published: Thu, 02 Feb 2006 01:06:00 GMT
Donna Knox, The Roanoke Times, 2006-01-2.
Comment (DeLuca): Knox was stripped of his license and sentenced to probation, the end of a years long, bumbling, vindictive, tax-wasteful, and unnecessary prosecution. Patients pay the price for this madness when they can't find a doctor to treat their pain properly.
See also the complete Knox / Boone archives:
Dr. Cecil Knox and Beverly Boone: Racketeers?
Published: Wed, 01 Feb 2006 19:11:48 GMT
Published: Wed, 01 Feb 2006 19:28:42 GMT
Anonymous Reporter; CantonRep.com; 2006-01-14. Posted: 2006-01-19.
Comment (DeLuca): the usual reporter-as-prosecutor-conduit drug war reportage about the conviction of Dr. Martinez for "health care fraud resulting in death. The only other doctor convicted under the 1996 act was Dr. William Hurwitz, December 2004. The Dr. William Hurwitz collection
I can't tell much of anything from this article about what Dr. Martinez did that was so criminal it brought the wrath of the federal drug warriors down upon him. Luckily we know someone reliable who WAS there at the trial: Dr. Fisher Comments on the Conviction of Dr. Martinez
Published: Thu, 02 Feb 2006 01:34:47 GMT
Doug Smith; Arkansas Times; 2005-12-14; Posted: 2005-12-15.
"In 2002, the Medical Board charged Kale with over-prescribing and suspended his license [later exonerating him]... He was told a year later that he had given up his registration 'in lieu of DEA charges and prosecutions.'"
The War on Drugs, War on Doctors, and the Pain Crisis in America
- DeLuca; 2002.
Published: Thu, 02 Feb 2006 01:19:12 GMT
David Borden, Editor; Drug War Chronicle
"Police will be able to acces the database after presenting probable cause to the state Dept. of Health."
Comment (DeLuca): Great. Unqualified law enforcement gets access to raw, highly personal, medical data to interpret how they wish in pursuit of police priorities - the war on doctors - while simultaneously promoting and ignoring the chilling effect on pain management that will surely intensify a pain crisis that is already a public health nightmare. A fabulously BAD idea.
NASPER Continues War Against Pain Patients and Doctors
Published: Wed, 01 Feb 2006 11:10:23 GMT
Published: Thu, 02 Feb 2006 01:53:02 GMT
Bruera et al., Cancer, 78(4), 852-857, 1996.
Comment (DeLuca): In this brief abstract the authors present the results of a retrospective series of 48 med changes from morphine to hydromorphone (Dilaudid), and 65 changes between hydromorphone and methadone. Data is given that underscores the need for close clinican observation of the patient over time, and adherence to rational regimens
Opiate Rotation, Incomplete Cross-Tolerance, and Hyperalgesic Metabolites
– DeLuca; 2001. This was my first attempt at researching and understanding some of these interesting ideas.
Expect an update on this topic and on related recent work on Ultra Low Dose Naltrexone in an upcoming War on Doctors and Pain Crisis Weekly Update feed.
Published: Thu, 02 Feb 2006 02:11:39 GMT
Published: Sat, 04 Feb 2006 10:59:56 GMT