Is this how the EPI “needle jockey” industry gets SHUT DOWN?

 

The distances between the EPIDURAL area and the INTRATHECAL area is JUST MILLIMETERS.  Anything injected into the intrathecal area (spinal fluid) has to be not only sterile, but also preservative free and a solution – as opposed to a suspension.

While injecting a corticosteroids in the epidural area is/can be troublesome.. it is when the person doing the injection inserts the needle just “a tad” to far and the medication gets injected into the intrathecal area is when “all hell breaks loose” for the pt and the pt ends up with adhesive arachnoiditis    A very painful and IRREVERSIBLE condition.

It is stated that there are 10 million ESI’s given every year and 5% of the pts will end up with adhesive arachnoiditis  Should this be considered a MALPRACTICE issue ? Could this be considered UNPROFESSIONAL CONDUCT by practitioners that are providing these treatments ?

Will this video shared with law firms give them enough ammunition to file lawsuits for personal injury ?

Would this video shared with members of Congress persuade them to get Medicare/Medicaid to stop paying for these procedures ?

 

 

 

 

The Screening Test for Lumbar-Sacral Adhesive Arachnoiditis

 

Cavuto goes “rabid” on the disease of addiction and pain

Death of Columbine survivor Austin Eubanks renews discussion on opioid crisis

Greg Gutfeld and Kennedy and Eliz Mac Donald on Fox cable and Fox business are all PRO OPIATE but apparently the rest of the  “talking head” are left to use their on air time to rant about their opiate phobias and biases

A Million Lawsuits Are Coming, And About Time Too !

a million lawsuits are coming...

www.flickr.com/photos/scleroplex/47803586491/in/photostream

who is going to become a WHISTLE BLOWER ?

It is claimed that 10 million Epidural Spinal Injections (ESI) are given every year and 5% of the pts who get these ESI’s end up with Adhesive Arachnoiditis https://en.wikipedia.org/wiki/Arachnoiditis  which is a very painful and irreversible condition. Generally caused by the practitioner inserting the needle a “bit to far” and end up injecting fluids into the spinal fluid.

The only medication(s) that can be safely injected into that the spinal fluids must be not only STERILE, but must also be PRESERVATIVE FREE and a SOLUTION – NOT A SUSPENSION.

The class of medications used in ESI’s – Cortisteroids – and particularly Methylprednisolone is ONLY STERILE, contains PRESERVATIVES and is a SUSPENSION.

That same class of medication is discouraged by both the FDA and the company that discovered/produces it – Pfizer – to be used in ESI’s.

These ESI’s at $1000 to $3000 a pop means that Medicare/Medicaid/Insurance is putting out 10’s of billions of dollars EVERY YEAR.  Not to mention the untold number of pts that are added to the list of pts suffering with Adhesive Arachnoiditis and how many are not getting proper pain management for a disease caused by a careless healthcare professional ?

Pain clinics that “force” pts to get routine ESI’s with the promise of relief of pain for weeks or months and in reality the pt may only get relief for days or weeks, or requiring pts to get ESI’s at certain intervals because the “insurance will pay again”.. even though the relief of pain has left weeks/months ago.

Often pts are told that they must get ESI’s and/or other procedures that do not provide the promised relief in order for the prescriber to provide the pt with oral pain meds.

Congress is always talking about all the fraudulent billings.. according to this article https://khn.org/news/fraud-and-billing-mistakes-cost-medicare-and-taxpayers-tens-of-billions-last-year/

it was 60 billion in 2016 alone JUST FOR MEDICARE.  Billing for medically unnecessary procedures is considered FRAUD.

Is it time for pts of these “needle jockey” pain clinics to start taking notes because some/many of you are going to get dismissed from the practice at some time in the future, often for nebulous or fabricated reasons.  This is the time to BLOW THE WHISTLE… don’t call and file a complaint with Medicare, contact your Federal Senators or Representatives.

Successful whistler blower cases the whistle blower gets a percentage of what is recouped.   If you have already been tossed out of the practice… why not try to get some revenge ?

 

 

Pete Hegseth adorns a RED BASEBALL CAP after delivering his commencement address

https://video.foxnews.com/v/6038562414001/#sp=show-clips

 

Another “mental health” addiction crisis that few are talking about ?

Suburban Teen Binge Drinking Rates Outpace Nation

While some parents may think it’s better to allow their kids and friends to drink supervised at home, social hosting, as it’s called, is punishable by jail time in Illinois.

https://www.nbcchicago.com/investigations/Suburban-Teen-Binge-Drinking-Rates-Outpace-Nation-510098251.html

Suburban Chicago teens are getting their hands on alcohol and drinking to excess more often than most of their peers across the country.

NBC 5 Investigates has learned that about 24-27% of suburban Chicago high school seniors admitted to drinking to excess once every two weeks. The information was collected via the Illinois Youth Survey. For comparison, a 2017 Centers for Disease Control study indicated 19% of all high school students binge drink.

Teen Binge Drinking Rates Outpace Nation: Web Extra 1Teen Binge Drinking Rates Outpace Nation: Web Extra 1

Local police explain how parents can get involved to help reduce teen drinking.

(Published Friday, May 17, 2019)

Binge drinking is defined as 4 drinks for a woman and 5 drinks for a man in a 2-3 hour time frame.

Surveys also show teen binge drinking in some of Chicago’s north suburbs far outpaces the national average.

For example, New Trier Township High School District 203 said 33% of its students answered “yes” to binge drinking at least once in the last 30 days in the CDC’s 2018 Youth Risk Behavior Survey. School district officials announced the findings in a February report and said binge drinking is a significant health concern that may be an issue to which the community is predisposed.

Teen Binge Drinking Rates Outpace Nation: Web Extra 2

Patrolman Robert Nichols explains how Portage, Indiana, has taken steps to reduce teen binge drinking rates by more than half since 2009.

(Published Friday, May 17, 2019)

“We have taken significant steps to address this issue within the school and now need to shift our focus to confronting binge drinking as a community issue,” wrote Assistant Superintendent for Student Services Timothy Hayes.

Still, Deputy Chief Brian O’Connell of the Winnetka Police Department said there has not been an increase in teen-related alcohol arrests.

“The New Trier survey results do not reflect what law enforcement is seeing,” said O’Connell .

NBC 5 Investigates talked to North Shore high schoolers who said today’s teens face a lot of real world pressures that could lead some to drink alcohol.

“Everything’s just kind of out in the open now with the influence of the Internet in a way that makes like even the littler things just a lot more high stress,” said one Lake Forest High School junior.

A Lake Forest High School senior said, “There’s kids here that are running businesses, making films, doing these internships that are out-of-this-world and going to these, like, unbelievable colleges. So it’s like they’re living an adult life and so those things kind of come with being an adult.”

Todd Nahigian manages the Committee Representing Our Young Adults (CROYA) after school program in Lake Forest. He said teens often model the behaviors they see from their parents.

“In this area it almost seems that there’s a level of acceptance, that that’s the drug of choice, that that’s a socially acceptable way to have a cocktail at a party or enjoy yourself at the end of a long day,” Nahigian said.

According to Nahigian, parents are the one factor that will have the biggest impact on reducing teen drinking.

“It doesn’t mean that they’re not going to drink if their parents don’t want them to, but they’re more cautious, they’re more safe, they’re more interested in making the right decision knowing that their parents will be awake when they get home, knowing that their parents will be asking where they’ve been,” Nahigian said.

While some parents may think it’s better to allow their kids and friends to drink supervised at home, social hosting, as it’s called, is punishable by jail time in Illinois.

NBC5 Investigates searched through state records and found that state liquor-control officers have cited more than thirteen hundred (1,349) bars, restaurants, groceries and liquor stores for selling alcohol to minors in the greater Chicagoland area — including northwest Indiana – in the past five years.

• We found 161 places that have been cited more than once.

• Another 13 places have been cited three times.

• A liquor store in south-suburban Calumet Park has been cited four separate times.

• And we discovered a convenience store in Crown Point, Indiana that has been cited five separate times – just in the past five years.

But state liquor control officers only focus on certain towns and areas – so this does NOT include all citations and arrests made by local police.

The CDC’s 500 Cities Project also surveyed adults (18 +) about binge drinking and found Arlington Heights, Schaumburg and Palatine ranked among the top ten highest binge drinking cities in the country.

“We’ve wiped out literally most of the prevention money in the state of Illinois. It is important to get prevention education back into schools so that people can learn about drugs and alcohol,” said addiction treatment specialist Dr. Dan Lustig.

Sgt. Doug Hajek of the Arlington Heights Police Department said several northwest suburban police departments are participating in a program to keep alcohol out of the hands of those under 21 years of age, by reminding those over 21 that it is illegal to buy for those who are underage.

Teen binge drinking rates in Portage, Indiana, have been reduced by more than half in the past decade, according to the Porter County Substance Abuse Council. Law enforcement said a combination of proactive policing, students participating in school programs and local business involvement have helped reduce teen binge drinking rates, per youth surveys, from 32.1% in 2009 to 9.1% in 2018.

$15,000 confiscated .. didn’t cover the cost of the “heroin bust ” ?

135 officers arrest 50 people in massive Connecticut heroin bust: 11 suspects on the run

https://www.foxnews.com/us/police-arrest-51-people-in-massive-connecticut-heroin-bust

State and Federal law enforcement arrested 50 people in Connecticut on Friday as part of a massive undercover operation that resulted in the seizure of thousands of bags of heroin, guns and $15,000 in cash.

Police in Waterbury say the arrests were part of an investigation called “Operation Raw Deal” that began in September “in response to an increase in heroin overdoses and heroin-related deaths in the city.”

According to Fox 61, detectives issued 92 warrants for the 52 suspects, with charges ranging from the sale of narcotics, conspiracy at the sale of narcotics, firearm violations and possession in a school zone. Thirteen police teams carried out those warrants in a series of raids across the quiet Connecticut town.

The arrest phase of “Operation: Raw Deal” consisted of 135 detectives, officers, agents and investigators, from the VICE and Intelligence Division, Criminal Investigation Bureau (CID), Gang Task Force (GTF), Street Crime Unit (SCU), Emergency Response Team (ERT), Patrol Division, forensic technicians and investigators from other local and federal law enforcement agencies.

Forty-one suspects from the original list of 52 were arrested for various drug-related offenses, while nine people were arrested for various drug-related offenses and other crimes.

Detectives seized 8 ounces of raw heroin, thousands of bags of heroin packaged for sale, $15,000 in cash, two cars, two handguns, bullets and a rifle.

Waterbury police say most of those arrested in the monthlong operation were mid-level heroin dealers.

Lt. David Silverio says this operation was about saving lives, not just making arrests.

“You have the people that have a medical need and may need treatment and then we have traffickers and suppliers. This kind of operation is targeting the trafficker side of the narcotics problem,” Lt. Silverio of the Waterbury Police Department told Fox 61.

“As of May 4, there’s been 24 deaths in Waterbury this year alone and 99 overdoses. This year, the numbers hopefully will get better, but we have a problem right here in this city,” added Lt. Silverio.

In a nationwide study by the CDC, overdose deaths in 2017 are nearly four times as frequent as they were in 1999. Heroin overdoses have remained stagnant, as other forms of opioid use have increased dramatically.

Fox 61 says there are still 11 people on the run from the operation. The Waterbury Police says if you recognize one of the suspects, do not approach them and contact police immediately.

 

Pts die in hospital BECAUSE ….

 

 

Is the path that the chronic pain community is on … heading for a DEAD END ?

Here is a recent article stating that legal opiates filled is down to 34 doses per adult. 

Hope in the drug crisis: New data shows prescription opioid use fell at a historic rate last year

If one presumes that the minimum treatment for a intractable chronic pain pt’s treatment would be TWO LONG ACTING DOSES PER DAY…  would “take care of” < 50% of the estimated 20-35 million intractable chronic pain pts.  Maybe this why many hospitals are giving post surgery pts Tylenol & Motrin because they know that the day is coming when opiates may not be available at all.

I case you haven’t noticed … the DEA has been ABSENT and TOTALLY SILENT in regards to any/all meetings with HHS, FDA, CDC and others..

Oregon recently rescinded their rule that all chronic pain pts on Medicaid has to be off opiates by the end of the year – but if the DEA continues to cut production quota… being prescribed pain meds that there is little/no availability.. does Oregon’s action really mean anything to those seeking pain treatment.

Here is a story that suggests that the DEA is using the state’s PMP database to extract fines out of pharmacies  https://www.providencejournal.com/news/20190416/cvs-to-pay-535000-for-filling-forged-prescriptions

39 forged Rxs filled at several CVS stores in Rhode Islands… and how did the DEA find all of these forged Rxs in several stores ?   Perhaps one CVS Pharmacist caught one and they turned it over to police or DEA and they went data mining in the State’s PMP database to see what other stores have filled the same C-II from the same doctor and then went to the particular store to look at the Rx.. to see if it is a forged Rx..

If you also notice that the DEA is fabricating cases against prescribers based on GROSS NUMBERS.. here is one in Munster Indiana

Munster doctor sentenced for over-prescribing pain pills

this doc was the 9th largest prescriber of CONTROLLED SUBSTANCES in Indiana and largest in Lake County, but they got him to PLEAD guilty to prescrobing hydrocodone, an opioid, for non-medical purposes.  Nothing in the news article which indicated the reason for their original data mining of the state’s PMP (INSPECT).

Maybe the chronic pain community should look at to what is now starting to happen after a couple of states that have passed anti-abortion laws where abortions can’t be preformed after fetal heart beat can be heard – around 6 weeks… normally before the woman even knows that she is pregnant.  There is already talk of LAWSUITS being filed, because it is believed that these state laws are in conflict with the Supreme Court decision of Roe v Wade. The outcome of this/these lawsuits will just validate that politicians can create laws that are UNCONSTITUTIONAL and unless they are challenged in our court system… they will be enforced.

Then we have HR 6 – Opioid Crisis Response Act of 2018 – National Key Vote   Which throws 8 BILLION toward treating substance abuse and in this Congress that is highly partisan… this bill got ONE NO VOTE in the SENATE and NINE NO VOTES in the House.. That means that 98% of Congress VOTED FOR THIS BILL.

Until the chronic pain community gets the attention of this Administration, Congress and DOJ/DEA and drag them into the conversation…  the path that the chronic pain community is on … IS A DEAD END !