In the state of New York (you already know it’s going to be bad), a doctor and a pharmacist were arrested in a sting operation conducted by a joint task force of the DEA, FBI, IRS, and probably CIA and CBS, though I have no proof of the latter two. The doctor, Mordechai Bar, and the pharmacist, Feroze Nazirbage, have been accused of “violating their oaths,” something you almost never …
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Australia is a very beautiful and unique place. I first went to Sydney in 1996 to present some research I had accomplished together with a much more brilliant and capable research physician. I was able to ride the monorail, now gone I’m told, and travel to the Outback, or at least the edge of it. My wife and the two oldest still at home at that time went there a …
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When it comes to science and medicine, knowing where you are and where you want to go is only part of the problem. That’s because no matter how strictly you try to control your system, chaos theory dictates that there will be perturbations which, if not corrected for, will lead you far astray. Trying to stay on course in a dynamic environment has been a problem since humanity began traveling …
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In most physician prosecutions for treating pain or addiction, there is never any actual evidence of criminal intent. Just the nebulous argument that a doctor “ignored the risk of overdose,” “ignored the risk of addiction,” or performed “an insufficient medical exam.” I have a big problem with these because the doctor didn’t ignore anything in about 80 percent of the cases I evaluated. Indeed, the DEA had to lie to …
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A doctor in Virginia named Joel Smithers was serving a 40-year sentence in an Atlanta prison when he won his appeal to the 4th Circuit. No, he didn’t shoot someone. That’s probably 25 years. He treated patients in pain. Now, he will get a new trial where he will be bludgeoned again with false metrics and innuendo. To ensure that the benefit of the doubt prevails, a Reuters article starts …
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Expert witness testimony is critical to the pursuit of justice. There are always arcane matters that the general public and even many otherwise knowledgeable people don’t understand. That makes it impossible for a judge or jury to come to an evidence-based decision without an expert clarifying and explaining the basics of the science behind the situation. This started with forensics and got off to a bad start with bite mark …
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This is a strange time in America. While tools for treating pain and addiction, unchanged essentially from the late 1800s to the early 2000s, are now being developed, daring to try to utilize these medications and the science we have learned about them can be a huge risk. Not for the patient but for the doctor. There is a stigma that has always been attached to these areas of medicine, …
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Unlike almost every other industrialized nation on Earth, independent American physicians running their own clinics must all be entrepreneurs. Unlike all other businesses, however, there are special rules related to the business side of U.S. medical practice. These are exemplified by the Stark laws. Aptly named, these strict provisions forbid doctors from engaging in what is called physician self-referral.
Doctors are required to avoid referring patients to entities in which they …
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Drug use has a complicated history in the Western World. Not quite two hundred years ago, starting in the Fall of 1839, Britain attacked the nation of China for having the audacity to ban an addictive substance, opium, that the British were selling to the Chinese people. Opiate addiction was rampant in China at the time, and the emperor had issued a prohibition on the drug. Britain destroyed much …
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In one of my favorite movies, Star Trek IV: The Voyage Home, the original crew of the Enterprise has traveled through time, back to the, to them ancient, city of San Francisco circa the 1980s. It’s all about Earth whales and alien cetaceans being none too pleased that we killed them all … And Klingons, of course. There must be Klingons. But what stuck in my young mind at the …
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Today, in China, if you walk across the street where you are not supposed to, expect a ticket to arrive in the mail. Somehow. Out of all the faces in China. An AI-monitored camera will see you and report your crime to the authorities. Lately, these fines have been coming almost instantly by text message. This is not just about pedestrian safety, though that will be the …
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Memorial Day just passed, and I reflected on those in my extended family who were lost in battle. My stepfather’s two brothers, whose names are carved in the World War II monument of a nearby small town, are most prominent in my mind. If I remember correctly, one died in Germany and the other in the Pacific. My stepdad was so affected by the loss of his older brothers that …
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I have been writing for a while about how the DEA will run out of targets for opioid prosecutions because most doctors are too terrified to treat pain, and now it looks like it has happened. Three doctors in Tennessee were recently convicted of prescribing controlled medications “outside the usual practice of medicine” and “not for a legitimate medical purpose.” The interesting thing is that these doctors weren’t treating pain; …
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When it comes to journalism and health care prosecutions, today’s “papers” are so yellow that they could damage vision like a 580 nm laser. I have personally seen and suffered from this unbalanced approach to reporting and felt a need to provide a counternarrative based on reason instead of hyperbole. After studying hundreds of cases, I will argue that in roughly fifty percent of these, the government has paid hundreds …
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Xylazine has been found to be adulterating pills in America, and doctors will need to understand this new threat. First, xylazine is not “krokodil,” although it produces somewhat similar-looking skin ulcers. Krokodil is a pseudonym for desomorphine, which is created from a precursor chemical called alpha-chlorocodide. Desomorphine is dihydrodesoxymorphine and was developed in Germany in 1932. It is a very fast but short-acting, semi-synthetic opioid used mainly in Russia. Xylazine …
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I am very concerned about the mislabeling of patients who suffer from pain that is being carried out in a wholesale fashion by some in the American medical community. This mislabeling is the result of the most dangerous combination in the world: good intentions and avarice. These two have recently combined to create distortions that are now to the point of wholesale fraud. Calling something what it is not can …
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When I heard about the new AvertD genetic test, pronounced like “averted,” I was compelled to contact the CEO of SOLVD Health, the maker of AvertD, and ask him to answer some of my questions. To my surprise, he was willing to do so, and here is what I learned from the training documents that will be mandatory for all prescribing MDs.
First, AvertD is not for use in patients receiving …
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On August 8, 2023, DEA agents shut down the Oak Hill Hometown Pharmacy in the Southern District of West Virginia. Their crime? Having filled more than 2,000 prescriptions for Subutex over more than two years “in the face of obvious red flags of drug abuse and diversion,” according to the U.S. Attorney for that district. I guess someone needs to explain to the government what the heck Subutex is prescribed …
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I hate to say that we should follow the Fox Mulder School of Paranoia on this one, but the evidence is clear. You can go to prison for what others do with your credentials. Being a doctor comes with incredible privileges, or at least it used to. Now, with the corporate takeover of medical care, we get to work ourselves to death and be hung out to dry if someone’s …
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A recent New York Times opinion piece detailed a lack of available pain medications. While the DEA claims that it is not purposefully restricting legitimate medication availability, even the names of its own operations belie this statement. On Halloween 2023, the DEA launched Operation “Bottleneck,” serving immediate suspension orders to six large pharmaceutical supply companies. These companies were accused of having failed to account for “a million doses” of …
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