[Home]  [Headlines]  [Latest Articles]  [Latest Comments]  [Post]  [Mail]  [Sign-in]  [Setup]  [Help]  [Register] 

Brett Baier another fag loving catholic

SOCIALIST DREAM TICKET: Ocasio-Cortez, Bernie Sanders To Campaign Together

Seven Days In May

Three Problems for Libertarian Supporters of a Basic Income ...

Nuclear War and Climatic Catastrophe: Some Policy Implications

US diplomats act like imperial governors riding roughshod over sovereignty of national governments

Trump Says He’s ‘Ready’ to Slap Tariffs on Every Chinese Good Imported to the U.S.

NEWS Nucor Earnings Double As Trump Tariffs Lift Steel Prices

The ACLU Has Basically Quit Defending The Constitution

“Stop Fingering Me Bro”: Man Sues After Cops Publicly Sodomize Him Looking for a Plant

Road Raging Cop Beats Innocent Cancer Patient for Telling Him to Slow Down

Estimated 5,000 to 7,000 service members to march in Trump's military parade: Source

Getting conservatives and Libertarians to agree on tariffs

34,704.92 33,685.03 10,300.00

1 House Republican's chilling warning on Trump and Russia

REVISITED: 'I'm a queen and I demand to be treated like a queen!' How Congresswoman involved in race row on plane was chauffeured a block to Congress and was nearly banished from an airline before

The problems with libertarianism. : philosophy

JUDGE JEANINE: Whoopi Goldberg Started Cursing at Me! She Said F-You! F-You! Get the F-ck Out of This Building! (VIDEO)

The Vegas Massacre Exposé: What Really Happened?

Trump under siege from the PNAC crowd for seeking peace with Russia

JOINT NFL-NFLPA STATEMENT - Anthem Policy Standstill Agreement

Reagan on Libertarians & Conservatives VS "Liberal Fascists"

CONTROVERSIAL JEWISH NATION-STATE BILL PASSES INTO LAW

Men Have Forgotten God

Trump: I'll be Vladimir Putin's 'worst enemy' if US-Russia relationship 'doesn't work out'

The great dollar dump: Russia liquidates US Treasury holdings

Humanity Crucified on a Cross of Iron - Eisenhower

President of the United States to Entire World: "THE REAL ENEMY, THE FAKE NEWS MEDIA" (July 19 Tweet)

Planning and Conservation League v. Padilla (Draper) Division SF (18 Jul 2018); CalExit Prop 9 Off Ballot

State of New York v. Mnuchin, SDNY 18-cv-6427 (17 Jul 2018)

The Eruption of the Shills

Legalizing Pot Sales Means...Higher Home Values?

If You Value The Reputation Of Your Restaurant, Maybe You Should Stop Serving Cops

Trump,Putin,and politics

Non-citizens legally register to vote in San Francisco school elections

Why Libertarianism is wrong

Nunes declares war on the media

First Win for Trump-Putin Summit: Agreement to Restrain Iran in Syria

Update: Mueller Suspected of Giving Podesta Brothers Immunity to Indict Manafort and Is HIDING THIS FROM PUBLIC

Crowdstrike Analyst Who Ran Forensics on DNC Server Used to Work For Mueller at FBI

Bill Maher vs. an intelligent Christian (Maher loses). *mirror*

Ladies Professional Golf Association using facial recognition technology to surveil fans and spectators

The world’s most nutritious foods

Papa John's founder 'isn't going quietly,' lawyer says — Schnatter just dragged Kanye West into fight with the board

New Kentucky Law Puts Limits on Drone Spying, Will Help Thwart Federal Surveillance Program

What To Learn From The Social Justice Warrior Who Was Eaten By His Own Mob

Is the Media the “Enemy of the People”?

Well, I think I am going to have to schedule a surgery

War...

Las Vegas Police Body Cam: Cop Fires Through Windshield


Status: Not Logged In; Sign In

Health/Medical
See other Health/Medical Articles

Title: When Good-Faith Medicine Raises ‘Red Flags’
Source: Reason
URL Source: https://reason.com/archives/2017/11 ... faith-medicine-raises-red-flag
Published: Nov 22, 2017
Author: Jacob Sullum
Post Date: 2017-11-23 05:15:40 by Deckard
Keywords: None
Views: 56

The DEA’s investigation of Forest Tennant tries to criminalize differences of opinion about pain treatment.

Forest Tennant, who has been treating and researching pain at his clinic in West Covina, California, since 1975, is well-known as an expert in the field, having published more than 200 articles in medical journals and given more than 130 presentations at professional conferences. According to the Drug Enforcement Administration (DEA), all of that was an elaborate cover for drug trafficking.

Or so you would have to surmise from the affidavit supporting the search warrant that the DEA served on Tennant's offices and home last week, which describes "invalid prescriptions," "red flags of diversion and fraud," and "combinations of drugs that are consistent with 'pill mill' prescribing practices." The allegations and insinuations show how the DEA has tried to criminalize differences of opinion about pain treatment, encouraging doctors to think about their legal exposure first and their patients second.

Tennant says the "red flags" perceived by the DEA are consistent with a practice like his, which specializes in treating severe, intractable pain caused by conditions such as arachnoiditis, Ehlers-Danlos syndrome, reflex sympathetic dystrophy, and post-viral neuropathy. "We only take people who have failed the standard treatments," he says.

Tennant's willingness to take hard cases explains why some of his patients live in other states, a fact the DEA considers suspicious. "We only see them in conjunction with their local doctors," he says.

In addition to severe pain, Tennant's patients often have metabolic abnormalities that make them less sensitive to opioids and have developed tolerance after years of pain treatment. Those factors explain the doses that struck the DEA as suspiciously high and the drug combinations it deemed reckless.

By the time Tennant starts treating them, his patients are already taking large doses of opioids, often in combination with muscle relaxants and benzodiazepines. "We didn't start anybody on high dosages," Tennant says. "We took them to study them to figure out how to get them off of high dosages, and that has remained our goal."

In nine out of 10 cases, Tennant says, he has been able to reduce patients' opioid doses substantially, by as much as 80 percent. At the same time, he defends the use of high doses for patients who need them, a stance that bothers the DEA.

The search warrant affidavit cites a 2009 article in which Tennant and two other doctors defended the prescription of "ultra-high opioid doses" for certain patients with severe chronic pain. The affidavit also notes that Tennant championed the California Pain Patient's Bill of Rights, a 1997 law affirming that "opiates can be an accepted treatment" for "severe intractable pain." The DEA seems to be arguing that Tennant's sincere medical opinions and advocacy on behalf of pain patients should be considered evidence of criminal activity.

The DEA suggests that speaking fees Tennant received from Insys, which makes the oral fentanyl spray Subsys, amounted to kickbacks. The DEA also implies that it's improper to prescribe Subsys for anything other than cancer pain, the application for which it was approved by the Food and Drug Administration.

Tennant notes that it's common practice for doctors who have experience with a drug to get paid for training colleagues to use it. He says Subsys "turned out to be somewhat disappointing," but he prescribes it for half a dozen patients who find it useful for breakthrough pain, including a few who do not have cancer—"off-label" uses that are perfectly legal.

Tennant, who has testified against "pill mills," says his clinic looks quite different: It has a six-hour intake process, sees a maximum of 10 people a day, and has "big thick charts" for its patients, who come with their families and tend to be middle-aged. He adds that his practice, which treats about 150 patients, has never had any overdoses, suicides, or diversion problems.

"I invite anybody to come in and see what we do, talk to our patients, see our financial records, talk to me," Tennant says. "My clinic is wide open."

Post Comment   Private Reply   Ignore Thread  


[Home]  [Headlines]  [Latest Articles]  [Latest Comments]  [Post]  [Mail]  [Sign-in]  [Setup]  [Help]  [Register] 

Please report web page problems, questions and comments to webmaster@libertysflame.com