• Addiction, Pain and Public Health website
  aka doctordeluca.com - site is a rich repository of full text academic, legal, journalistic and advocacy resources focusing on the federal attacks on pain doctors and pain patients, substance abuse, controlled drinking, harm reduction and psychopharmacology.
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• Chronic Pain in Veterans
  Table of Contents: Introduction // Opiophobia and Opioignorance // Modern Understanding of Chronic Pain // Risk of Addiction in Opioid Therapy // Treatment and Outcomes // Undertreatment of Pain is a National Scourge // Footnotes
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• Dear VA - This is Pain 'Care'?
  ... A few months ago, a new group of what I call “Narco-Nazis” arrived at the VA, and forced all pain patients to sign a draconian pain contract on threat of losing all care. ...
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• Mangino to Represent Self in Nov. 28 Hearing
  Several days ago Dr. William Mangino whose case the <a rel="nofollow" href="http://www.painreliefnetwork.org/">Pain Relief Network</a> has been involved with, and that the <a rel="nofollow" href="http://doctordeluca.com/wordpress/">War on Docs/Pain Crisis</a> blog has followed in depth (see links below), sent me three documents, some fifteen pages in all, handwritten in block text, which I will call Mangino Petitioner's Motion including: 1. a two page letter to Judge Motto, 2. a six page Brief in Support of Petitioner's Motion, and, 3. a nine page Supplement to the Brief in Support All three handwritten documents available, as a <a rel="nofollow" href="http://www.jamesstacks.com/Mangino_1107.pdf"><b>single PDF</b></a>. The Persecution of Dr. Willia
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• Medical Guidelines are not Prosecutorial Tools
  "The WHO guidelines were never intended to be used as a prosecutorial tool. The invocation of the WHO “analgesic ladder” concept of progressive pharmacological treatment of pain, in state investigations of physicians, is sometimes unfair. On the one hand the guidelines are interpreted as rules and the physician is faulted for violating in some aspect. On the other hand, state rules and regulations are often at odds with the spirit and specifics of the WHO guidelines..."
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• PRN in World of Pain - Videos
  This is an addendum to my recent post: PRN on Video, which provided links to the three PRN related videos in the ‘See also’ section, above.<br /><br /> To these: <br /><br /> - Siobhan, Ronan, Dr. Cole and Dr. Siegle on Fox <br /> - AP interview with veteran James Fernandez <br /> - The Chilling Effect - documentary by S. Reynolds <br /><br /> I add this short video of Siobhan Reynolds speaking about her husband, Sean Greenwood, co-founder of the Pain Relief Network, and chronic pain patient who died, in agony, earlier this year. This clip is part of the Associated Press media package, ‘World of Pain.’
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• The Double Effect of Pain Medication - Separating Myth from Reality
  Very good review of this important principle: ..alex... ABSTRACT - The principle of double effect is used to justify the administration of medication to relieve pain even though it may lead to the unintended, although foreseen, consequence of hastening death by causing respiratory depression. Although a review of the medical literature reveals that the risk of respiratory depression from opioid analgesic is more myth than fact and that there is little evidence that the use of medication to control pain hastens death, the belief in the double effect of pain medication remains widespread. Applying the principle of double effect to end-of-life issues perpetuates this myth and results in the undertreatment of physical suffering at the end of life. The concept
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• Treatment of Pain and Substance Abuse
  When specialists and academics and researchers come together to discuss common barriers to optimal pain management, they have found opioid therapy complicated, in both the pain medicine and addiction medicine fields, by misapprehensions and myths. Portenoy and Payne identified “Four types of phenomena that exemplify the accommodations that must be made to further [the goal of dissemination of accurate and up to date information to the fields].” 2 I will consider these briefly, excerpting from “Pain Specialists and Addiction Medicine Specialists Unite to Address Critical Issues.” 3
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• Utah / Feds Boldly Move Toward Solution to Addiction
  Excerpt: So, what have we got? We have local officials running around preparing for a hypothetical law enforcement problem the policeman is hyping. Through some horrific leap of irrationality and probably criminal negligence, state and local officials have taken law enforcement’s worst case scenario - that the doctor was a drug dealer, all of his “patients” criminal addicts, all the meds all of them were ever prescribed were 100% diverted to high school students leading to generations of misery and crime for sure - and blotted out any notion that there might be a medically directed public health approach to consider. And no criminal charges [against Dr. William Stack] have even been filed yet.
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• War on Doctors / Pain Crisis
  War on Doctors / Pain Crisis - the Blog of the Pain Relief Network (PRN), an organization of pain patients, pain docs, and pain relief advocates dedicated to the abolition of the Controlled Substances Act (CSA) which imposes a defacto federal regulation of Medicine, a right constitutionally reserved to the states.
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• End-of-Life Pain Management: - a Criminal Offense?; Robert Weitzel, M.D.; 2003
  End-of-Life Pain Management: - a Criminal Offense?; Robert Weitzel, M.D.; Journal of American Physicians and Surgeons Volume; 8(4); 2003.
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• Red Flags and the Standard of Care
  In summary, in opioid-treated chronic pain populations, ADRBs are very common, addiction as a consequence of treatment is very uncommon, undertreatment of chronic pain is very common, and pain experts lack uniformity in interpreting the relative importance and significance of various ADRBs. Given this context, leaping to a conclusion that any particular behavior is caused by substance abuse or diversion of prescribed medication is unwarranted and represents a failure to employ a proper medical evaluation process.
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• Oakmont doctor loses appeal in drug conviction
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• Peace Corps Online | William E. Hurwitz, M.D., J.D. - 1973-1975 Medical Director, U.S. Peace Corps, Brazil
  Peace Corps Online | William E. Hurwitz, M.D., J.D. - 1973-1975 Medical Director, U.S. Peace Corps, Brazil
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• The American Geriatrics Society
  Persistent Pain Guidelines - AGS Guideline on the Management of Persistent Pain in Older Adults - The AGS Expert Panel on Persistent Pain
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• The Role of Controlled-Release Opioids; Frank Fisher, M.D.;
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opioid-therapy from all users