Saturday, September 29, 2018

When Will We Learn?

When will we learn that drug abuse like alcohol abuse is a medical problem, not a law enforcement problem. Like I've said so many times, we can not arrest our way out of this.... 

Over the past 50 years our nations war on drugs has failed it's intended goal of reducing drug use. Today drugs are more potent, cheaper, and easier to get than when we started 50 years ago. 


This is a time our nation is threatened by terrorists and others who would want to damage America. This is a time we need to come together as a nation and not be divided by something as simple as a plant or pill. 


Hubert Humphrey told us “There are not enough jails, not enough policemen, not enough courts to enforce a law not supported by the people”. 


Covert operations the use of undercover officers, informants, and snitches have destroyed the trust between law enforcement and many communities.


I learned this from the damage I did while working undercover. Something I tried to make up for as a speaker for LEAP for the past 15 years. I still have problems talking about the damage I caused even today. I did talk about it in this 2006 documentary Damage Done the Drug War Odyssey 


Sadly nothing has changed.... America the home of the brave and land of the free still imprisons more of it's own citizens than any other country. While the United States has about 4.4 percent of the world's population, it houses around 22 percent of the world's prisoners. More of our own citizens than countries like Thailand, Cuba, Rwanda, and Russia. Really..   Prison Populations by Nation 



I use a couple lyrics from the 1984 song Smugglers Blues to point out that sadly nothing has changed.

You see it in the headlines, you hear it every day
They say they're gonna stop it, but it doesn't go away

They move it through Miami and sell it in L.A. 
They hide it up in Telluride, I mean it's here to stay

It's propping up the governments in Columbia and Peru You ask any D.E.A. man, he'll say there's nothing we can do
 From the office of the president right down to me and you Me and you

It's a losing proposition, but one you can't refuse. 
It's the politics of contraband, it's the smugglers' blues Smuggler's blues

In the same 50 years we have reduced tobacco use by half. Cigarettes used to be everywhere in American society. Fifty years ago, 42.4 percent of U.S. adults smoked. Since then, that figure has declined by more than half, reaching a record low 17.8 percent in 2014.

We did that without SWAT teams, without putting anyone in prison, without destroying any lives or families. We did it by making it not socially acceptable......

We need to stop all this madness? When will we learn that drug abuse like alcohol abuse is a medical problem, not a law enforcement problem. When will we look at history as well as science and learn from both.

Like I've said so many times, we can not arrest our way out of this.... 


Thursday, September 27, 2018

Free Naloxone From Sonoran Prevention Works Kingman Dolan Springs White Hills Meadview Chloride

Sonoran Prevention Works Kingman Harm Reduction Program is in the Mohave Mental Health Building at 3505 Western Ave Suite B in Kingman.

They have free Naloxone info on the Fentanyl laced street drugs and other services for the community.

It doesn't matter if you take prescription opioids from your pain doc, or if you abuse street drugs please keep Naloxone on hand just in case.

If you can't get into Kingman message me or Facebook and I'll get some to you in Dolan.

Jay

Wednesday, September 19, 2018

Prescriber Checkup Check Out Your Physician

ProPublica Prescriber Checkup lets you see how your pain doctor stacks up prescribing opioids, billing patients, and money they receive from drug companies.... 
ProPublica Prescriber Checkup

Monday, September 17, 2018

On Fentanyl: Congress Must Avoid Another Drug War

From the LEAP Blog On Fentanyl: Congress Must Avoid Another Drug War

Congress and the American public had agreed that incarcerating tens of thousands of Americans for nonviolent drug offenses is cruel and ineffective, and does nothing to stop drug use. Then fentanyl arrived.


Thursday, September 13, 2018

And We Wonder Why Kids Use Drugs


The government does study after study spending millions of dollars doing studies on why kids use drugs... 

Let me make it simple for them...

We give kids Adderall (amphetamine) in the morning to get ready for school, they take a Vicodin (opioid) after school for a sports injury, then use medical marijuana in the evening to relax and finally they take a Xanax (benzodiazepine) at night to get to sleep. All prescribed by their family doctor. 

And We Wonder Why Kids Use Drugs? Really

The Role of Suicide in the Opioid Crisis


By Roger Chriss, PNN Columnist
Suicide is an under-appreciated factor in the opioid crisis. Media reports rarely mention it, and pundits and politicians often ignore it. But the reality emerging from experts and a careful study of drug deaths shows that it is very important.

“We’ve done preliminary work suggesting that 22 to 37 percent of opioid-related overdoses are, in fact, suicides or suicide attempts,” Bobbi Jo Yarborough, PsyD, an investigator at the Kaiser Permanente Center for Health Research, told HealthItAnalytics.

Wednesday, September 12, 2018

Complications of Uncontrolled, Persistent Pain

My heros these days are physicians like Dr Forest Tennant who stand up for their patients. Dr Tennant wrote this article in Practical Pain Management on the complications of uncontrolled persistent pain. 
If you or a family member suffers from chronic pain you need to read this article. Most patients and many physicians don't understand how many ways chronic pain adversely affects the human body. 

Persistent, unremitting pain may adversely affect the body’s endocrine, cardiovascular, immune, neurologic and musculo-skeletal systems and require aggressive treatment of the pain as well as the resulting complications.

Tuesday, September 11, 2018

I Didn't See One Mohave County Pain Doctor at PainWeek?

PainWeek was an amazing gathering of 2000 medical professionals with an interest in pain management, but I couldn't find one Mohave County physician was listed as attending.

You would think physicians like those in Kingman, BHC, and LHC who treat pain but are not board certified in pain management, would take any opportunity they have to get the latest training.

Far too many physicians in Arizona hang out signs saying "pain management" "pain specialist" or "pain institute" that make patients believe the physician is actually a pain specialist... They're Not.

Arizona needs a law that requires any physician who hangs out a shingle saying  "pain management" "pain specialist" or "pain institute" actually be a board certified in pain management.

Until pain patients contact their legislators and tell their stories, nothing will change...





Monday, September 10, 2018

PainWeek 2018 WOW

PainWeek 2018

I was lucky enough to spent several days at PainWeek 2018 and it was amazing. Pain specialists from all over the US and the world came together in Las Vegas to share their knowledge and experience.

Over 2000 physicians, nurse practitioners, pharmacists, and other health care providers came together to share the best ways to provide pain relief for patients while lowering overdoses.

It's going to take me a few days to process and share what I learned in the CME courses. I hope what I learned can help other patients, physicians, and families understand the changes in pain management.

NADDI the National Association of Drug Diversion Investigators had maintained a training partnership with PainWeek for the preceding seven years, but choose not to attend this year. With all the changes in opioid guidelines, rules, regulations, and laws I was surprised NADDI choose not to assist physicians in understand the new changes. 

I was also surprised that with all the misunderstandings and confusion physicians in Arizona have about the CDC Guidelines and Arizona's Opioid Epidemic Act, I didn't see one pain management physicians from Mohave County at PainWeek.

Conferences like PainWeek give pain management physicians and other health care providers who treat pain the opportunity to receive continuing medical education credits known as CME's while learning the latest in pain management techniques.

More on PainWeek soon..........