Friday, January 30, 2015

The next epidemic caused by inadequate care for chronic pain sufferers




Adaptation to the limits posed by government on legitimate chronic pain sufferers - trying their best to live as close to a normal life as possible.
D E Emison
Since the crackdown on pill mill mills, which was necessary,  many legitimate pain patients have felt the crunch as the government went too far, making it harder for them to live healthy lives despite their illnesses.  The result, dangerous alternatives, persons living in pain to the point of suicide.  Persons no longer to enjoy the freedom of integrating with family and friend, bound to bed or couches, with a minimal of medications while the industry plows on looking for alternatives.  In the meantime, many are doing whatever necessary to live their lives the best they can.  Even if it means risking their lives for a short term of happiness.

By the government’s actions, a new and more dangerous option has opened to legitimate patients:  Illicit drugs.  Where the Suppliers feel no pressure from the AMA, DEA, or other organizations.  And where they can procure medication allowing them to live their lives with minimal pain, while pursuing what dreams they may have left, dreams as simple as playing with children, visiting parks, and spending time with family and friends.
An unforeseen consequence of sorts.  In Florida for example, for every decrease in overdose deaths by Oxycontin, the brand name of the powerful and widely reported abused drug Oxycodone found in such pills as its namesake, and Percocet, reported by State Medical Examiners Offices, there were two increases for overdose by Heroin.  That is only what is known and reported!  Where instead of overdose deaths, Hepatitis C, finally brought to a controlled level with modern antiviral medications, and even HIV have the potential to resurface and increase spreading like never before!

Monday, October 13, 2014

Nice idea, horrifiic consequences for public health. Nobodies ears open?

Criminalization of the ill in Florida
An insider peek at what happens when politics dictate science.
Two plus two may equal four, but what happens if the number four stands for the devil or something altogether popularly inherently evil?  Well, then two plus two equals three, and many cars run out of fuel on the highway!  Nevertheless, as much as we all love analogies in journalism let us talk about a serious issue affecting a countless American  on the edge of an issue destroying our civilization, their lives, their families, even their neighborhoods.  Drugs.

You see, Florida, like many states thought if if could shut down the producer, or supplier, the problems would go away!  (In the public’s eyes, truth is ,they don’t want it to go away, because of all the federal money they get to fight it, with it having no effect, plus, all the seizures they are allowed from it!)  Again, Digress.  Apologies to all.  They went through Medical Examiner Reports (coroner) and decided to any people were doing and dying of OxyContin (brand name)  Oxycodone is the generic name, included in everything from tablets by themselves, to mixed with acetaminophen, ibuprofen, or aspirin.  The trust is, Pain Management trained Specialists like using them because they are not as sedating at other opioids are!  Anyone that has been to the dentist and taken one of those “Dentist” pills knows what I am talking about.  Therefore, If you have a chronic Severe Pain Problem, that’s 24/7/356 or close to it, well, that’s just a godsend!

Well, Florida did successfully shut down many doctors’ practices that were less than model.  (I would not go there and trust my life to them!)  Nevertheless, there was an unforeseen consequence.  As the legal drugs were cut off. In addition, there was no affordable medical detoxification rehabilitation facility, those addicted, or those who could not find new doctor  just went to Heroin, and for a price comparison of around one  dollars a month, depending on the dosage your currently titrated too!  (Of course your funding terrorism and war on our southern border instead of doctors and pharmaceuticals companies here in the USA?!)  Its sort of just like not having insurance, just affordable.  The bad thing is that most Heroin Users and or Addicts escalate to using syringes.  This escalates to sharing.  Health wise extremely dangerous in many ways!   So the State of Florida, has just created a gigantic public health emergency in relation to Hepatitis C and HIV-1 New Infections.  Sadly, It will not stick to just Florida.


October 13, 2014

The Most Reverend David Erik Emison

Lapsed Membership (hope to rejoin soon!)  US Pain Ambassador,  spreading news, raising awareness, about painful chronic diseases, outreach, best practices, and an infrastructure of help that is out there for YOU! 1012-p
Former Volunteer:  ACLU of OH, ACLU of FL, American Red Cross, Muscular Dystrophy Association, Minor Political Party Secretary of State FL,  CWA local Shop 4351 Steward.
Sinclair Community College
Miami University (Ohio)


First they criminalized the poor, but I did nothing because it did not affect me. Then they criminalized they mentally handicapped, and those suffering from chronic pain...  That is where we are ladies and gentlemen.  A crossroads for whether we wish to rise up as proud Americans and allow science to once again solve our problems?  Or go the way of many of the worlds evil nation states, and criminalize behavior and mental health disease?!  What fifty years ago made lobotomy a common term!


An insider peek at what happens when politics dictate, and I'm not even talking Obama-care!
Two plus two may equal four, but what happens if the number four stands for the devil or something altogether popularly inherently evil?  Well, then two plus two equals three, and many cars run out of fuel on the highway!  Nevertheless, as much as we all love analogies in journalism, let’s talk about a serious issue affecting countless American’s on the edge of an issue destroying our civilization.
D. Erik Emison
9/6/2012
 Come to Florida and you can walk into a pain clinic anywhere and get as much Oxycodone as your addicted heart and mind can bear!  Or at least that is what the popular media would have you believe, right?
I have called the state of Florida home for just over two years now after having moved from the conservative and Republican Congressional District that is House Speaker's John Boehner’s.  And why we do not mock this man for his name more publicly and in our news evades me, but digress I must not.  In many ways Florida shares its scenery with Ohio.  There are farms, both produce and cattle.  We had that in Ohio.  There are small towns, we also had those in Ohio.  And we have disabled and elderly persons here.  But one problem they have here that they do not have so much back in Ohio is the ability to be treated for Chronic Non-Malignant Pain (that is, pain that does not stem from cancer and is fatal).  I had never before heard the term “Pill Mill” until I moved to Florida, and for some, even the definition is as variable as the political environment.  It would seem that the true definition is something along the lines of, illegal activities within the medical community to divert controlled substances onto the black market.  But now loosely can mean any Doctor or any healthcare provider that prescribes “too many controlled prescriptions”.  Obviously, “too many” is a very arguable and loose to define, and it is defined exactly that way.  So lets first talk about what can be “too much”?  Narcotics when used long term for the relief of pain (like they have been for thousands of years) become more and more tolerated by the individual the longer they are taken, so in effect if a person has required their use for a decade, they will be substantially more medication dosage, than somebody who has just gone to the dentist and prescribed a pain medication for only a week.  “How in the world do people drive while taking that?”  Well its very easy, what feels like five milligrams of drug X to you, also feels the same as fifty milligrams of the same drug to somebody who has been on it for several years and their doctor has titrated, or increased little by little over time, the dosage, so that its effectiveness can remain the same.  They are not, as many would have you believe, taking insane amounts of drugs that cause them not to cognitively function.


Thursday, August 29, 2013

Media influence on modern medicine and criminal justice.

In 2005 I wrote a paper for my Forensic Psychology class about how television fiction influences jurors. The term "SCI Effect" was coined by both psychologists and legal professionals.  In summary, the abundance of television drama around the use of scientific evidence such as DNA is so common, that when it is absent in a real life courtroom, jurors acquit simply because, "that's not how they do it on TV.  I would hypothesize the same dilemma is now presenting itself into popular debate about the use of opiods in pain management. With popular television shows such as "House" portraying an addicted Dr, inaccurately, people believe they can spot and diagnose addiction. Where in reality, Dr. HOUSE is more accurately portraying a pain patient that is merely dependent. In real life, he would not be on the same dose of medication of Vicodin for several years, as they would require titration to maintain the same effectiveness over time. However, because viewers have seen this on TV, and repeated across airwaves, they have made themselves experts, based wholly on fiction.  Problematic when it comes time to vote, because it would seem many of our legislators are guilty of the same fallacy.