The Community for Subjective Diseases

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Everyone that is paying attention, clearly sees that the chronic pain community has little unity. In the future I am no longer going to talk about the chronic pain people…  we have a very large “community of pts”  dealing with subjective diseases which encompasses  – (pain, depression, anxiety, ADD/ADHD, and an array of mental health issues)

One thing that subjective disease have in common is that there is really no diagnosed tests that will confirm the existence of the disease. Most pts are determined to have a disease purely from symptoms.

Perhaps it is time that all those with subjective diseases to come together under one VERY LARGE TENT.

I have created what I have faulted others for doing… I have created a new Face Book page

They claim that there is 100+ million chronic pain pts … how many more millions of pts dealing with subjective diseases could find a common goal under this big tent.

Abt 85% of Congress is up for re-election in abt 7 months… The ENTIRE HOUSE and 33-34 Senators.  The number of votes by those with subjective diseases could control who is elected – or thrown out of any office – that is up for re-election from cities, counties, states, federally.  This community has the ability to dump our ingrained TWO PARTY POLITICAL SYSTEM. Many other countries are not “locked” into a two party system why are we ?

Should many of the thousand odd chronic pain FB pages be deleted and/or “go dark” and point to our community tent ?

This is not MY PROJECT … it is a project that will grow and make a significant impact for those who are dealing with subjective diseases.. if those with subjective work together and take the reigns and create a movement that can neither be ignored nor pushed aside. If those who are part of this community, cannot find the will to cooperate with each other and get things accomplished then it will fail.  If the community allows one person to become a self appointed “king”, “queen” or “dictator” of the community the community will quietly fall apart. 

I welcome input


I reserve the right of editorial censorship

It looks like the political “mud slinging” has already started – IMO – worse than the national election two years ago… I am taking a stand – in particular – against “slanderous name calling”  directed toward specific politicians, particular political parties and/or specific people.  I don’t mind political debate – based on FACTS… when the debate drifts off the road based on FACTOIDS, FAKE NEWS, opinions stated as FACTS.. is where I am going to draw the “line in the sand” and delete comments that go down that path.

While personally, I am not a big fan of our political/bureaucratic system.. IMO.. it is too self serving… Admittedly, politically I tend to lean to the POLITICAL RIGHT but that is because the Libertarian party is seemingly always kept in their place by our dominating “two party system”.

I have belonged to a national pharmacy association for 35 yrs… that promotes the saying “get into politics … or get out of pharmacy ..” If you don’t attempt to influence politicians… someone else will…. and IMO this saying applies to those in the chronic pain community and/or pts who are dealing with subjective diseases.  Legislatures, bureaucrats are doing things that are adversely effecting the quality of life of those pts.  As long as those being affected continue to lack unity and/or a large segment chooses to stand on the sidelines, whoever is successfully “bending the ear” of these politicians … they will continue to do so because they have  little/no concern about the consequences and/or collateral damage that they cause to those suffering and dealing with subjective diseases.

I am sure that the vast majority of my readers will understand and cooperate…those who try to challenge this policy…  It is THREE STRIKES and you are out/banned… and WORDPRESS gives me your IP ADDRESS attached to your comment(s)… Once banned, just posting under a different name – WILL NOT WORK !  Everyone needs to “play nice “

Lastly, please do not post anything promoting a particular vendor or any entity or person selling a product/particular service. Because some may perceive/believe that they have my endorsement which may or may not be the case. Anyone posting a link to a professional selling a product/service will be edited out

2019 in review … what killed us

who will not be here tomorrow


2016 in review … what killed us

2017 in review … what killed us

2018 in review … what killed us

6775 Americans will die EVERY DAY – from various reasons


140 will be SUCCESSFUL – including 20 veterans

270 will die from hospital acquired antibiotic resistant “bug” because staff won’t properly wash hands and/or proper infection control.

350 will die from their use/abuse of the drug ALCOHOL

1200 will die from their use/abuse of the drug NICOTINE

1400 will contract C-DIF from Hospital or Nursing home because staff doesn’t properly wash their hands are adhere to infection control  

80 WILL DIE mostly elderly.

850 will die from OBESITY

700 will die from medical errors

150 will die from Flu/Pneumonia

80 will die from Homicide

80 will die in car accidents


United States of America
from Jan 1, 2018 – Dec 31, 2018 (6:27:30 PM)

Someone just died by: Death Box

Just the Data … Raw and Undigested

Abortion *: 1091318
Heart Disease: 613959
Cancer: 591325
Tobacco: 349779
Obesity: 306806
Medical Errors: 251295
Stroke: 133019
Lower Respiratory Disease: 142853
Accident (unintentional): 135967
Hospital Associated Infection: 98937
Alcohol *: 99937
Diabetes: 76440
Alzheimer’s Disease: 93482
Influenza/Pneumonia: 55192
Kidney Failure: 42735
Blood Infection: 33443
Suicide: 42746
Drunk Driving: 33787
Unintentional Poisoning: 31738
All Drug Abuse: 24989
Homicide: 16788
Prescription Drug Overdose: 14991
Murder by gun: 11486
Texting while Driving: 5985
Pedestrian: 4997
Drowning: 3913
Fire Related: 3498
Malnutrition: 2770
Domestic Violence: 1459
Smoking in Bed: 780
Falling out of Bed: 598
Killed by Falling Tree: 149
Lawnmower: 68
Spontaneous Combustion: 0
Your chance of death is 100%. Are you ready?

Totals of all categories are based upon past trends documented below.



I am being completely weaned off my meds, & suspect I will kill myself with the amount of pain I am in, & will be by the time this is over (the wean that is). Already can’t function.

My husband committed suicide after being abandoned by his pain dr.

Please pray for me as I am on the brink of suicide! I don’t want to die but can’t handle the pain anymore! The doctor that I am currently seeing will not give me enough pills to last all month every month… I have to wait until Oct to get in with a pain management doctor whom I already know by others that I know sees this doctor that he will help me, need prayer to hold on until oct… I keep thinking of my family who needs me hear.

“We just lost another intractable member of our support group two nights ago. She committed suicide because her medications were taken away for interstitial cystitis (a horribly painful bladder condition) and pudendal neuralgia, both of which she had battled for years

D D., journalist and prescribed fentanyl patient for a dozen years joined me on air last weekend with her husband and spoke of her suicide plan should the only relief from constant agony be heavily reduced or taken away.

I was told last Friday that my Dr. will be tapering my meds again . When I told him I didn’t think my body could take another lowering he stated ” it wasn’t my
License on the line”, I stated ” no , but it’s my life on the line”!!!!! I can not continue to live this way . I can not continue to suffer in agony when my medications and dose where working just fine before and I was a productive member of society . I can no longer take this. I have a plan in place to end my life myself When I am forced to reduce my Medications again . I just can’t do it anymore .

On Friday at around 9 p.m. U.S. Navy veteran Kevin Keller parked his red pickup truck in the parking lot at the Wytheville Rite-Aid, walked across the grass and stood in front of the U.S. Veterans Community Based Outpatient Clinic next door.

Sick and tired of being in pain, he pulled out a gun, shot a hole in the office door, aimed the gun barrel at his head and ended his hurt once and for all.

As a longterm pain patient with a current unsupportive pain dr, I just thought I’d share the reality of the position I’m in right now…

I’m in very bad pain all the time for very legit and well documented reasons. My pain dr however never gives me enough meds to help me. He just keeps reducing them, which is causing me to be in even more pain and suffer so much more. My quality of life also continues to go downhill at the same time. I was just given a letter by him recently too about some study indicating an increase in deaths if you take opioids and benzos. It stated he’s no longer going to give pain meds to anyone who is taking a benzo. I take one, because I have to, for a seizure disorder, not because I want to. He told me to pick one or the other though, plus went ahead and reduced my pain meds some more. He doesn’t seem to care the least bit. I’ve looked hard and so far I can’t find another one to get in to see near me at this time, but I’m desperately still trying. Unfortunately, they’re few and far between here, in addition to the wait for an appointment being long. I’ve even called hospice for help. So far, they haven’t been of much help either, because I don’t have a dr who will say I have six months or less to live. I told them either choice my pain dr is giving me is very inhumane, so I’d rather just quit eating and drinking, to the point where I pass away from that, while I get some kind of comfort care from them. I don’t really want to though, although I do have a long list of some very bad health problems, including a high probability that I have cancer and it’s spread. Am I suicidal? No. Will I be if my pain and seizure meds are taken away. Highly likely. I never ever saw this coming either. I don’t have a clue what to do and the clock is ticking, but I’m still fighting for an answer. So far, I can’t find not even one dr to help me though. Not one. I know my life depends on it, but at what point will these drs let my suffering become so inhumane that I just can’t take it anymore. I just don’t know right now. It’s a very scary place to be in for sure. That I do know.

The patient was being denied the medicine that had been alleviating his pain and committed suicide because, “he couldn’t live with the pain anymore. He could not see a future. He had no hope. He had no life.”

I am a chronic pain patient who has been on fairly high doses of opiates for about nine years now. My dose has been forcibly reduced since the cdc guidelines. I moved to Oregon from Alaska and can’t find a doctor to prescribe my medication. I pray I have the strength not to take my own life!

Zach Williams of Minnesota  committed suicide at age 35. He was a veteran of Iraq and had experienced back pain and a brain injury from his time in service. He had treated his pain with narcotics until the VA began reducing prescriptions.

Ryan Trunzo committed suicide at the age of 26. He was an army veteran of Iraq. He had experienced fractures in his back for which he tried to get effective painkillers, but failed due to VA policy. His mother stated “I feel like the VA took my son’s life.”

Kevin Keller, a Navy veteran, committed suicide at age 52. He shot v after breaking into the house of his friend, Marty Austin, to take his gun. Austin found a letter left by Keller saying “Marty sorry I broke into your house and took your gun to end the pain!” Keller had experienced a stroke 11 years earlier, and he had worsening pain in the last two years of his life because VA doctors would not give him pain medicine. On the subject of pain medication, Austin said that Keller “was not addicted. He needed it.”

Bob Mason, aged 67, of Montana committed suicide after not having access to drugs to treat his chronic pain for just one week. One doctor who had treated Mason was Mark Ibsen, who shut down his office after the Montana Board of Medical Examiners investigated him for excessive prescription of opioids. According to Mason’s daughter, Mason “didn’t like the drugs, but there were no other options.”

Donald Alan Beyer, living in Idaho, had experienced back pain for years. He suffered from  degenerative disc disease, as well as a job-related injury resulting in a broken back. After his doctor retired, Beyer struggled without pain medicine for months. He shot himself on his 47th birthday. His son, Garrett, said “I guess he felt suicide was his only chance for relief.”

Denny Peck of Washington state was 58 when he ended his life. In 1990, he experienced a severe injury to his vertebrae during a fishing accident. His mother, Lorraine Peck, said “[h]e has been in severe pain ever since,” and his daughter, Amanda Peck, “said she didn’t remember a time when her dad didn’t hurt.” During the last few years of his life, Peck had received opiates for his pain from a Seattle Pain Center, until these clinics closed. After suffering and being unable to find doctors who would help with his pain, Peck called 911. Two days later, Peck was found dead in his home with bullet wounds in his head. A note found near Peck read: “Can’t sleep, can’t eat, can’t do anything. And all the whitecoats don’t care at all.”

Doug Hale of Vermont killed himself at the age of 53. He had experienced pain from interstitial cystitis, and decided to end his life six weeks after his doctor suddenly cut off his opiate painkillers. He left a note reading “Can’t take the chronic pain anymore” before he shot himself in the head. His doctor said he “was no longer willing to risk my license by writing you another script for opioids”  (see attachment A for details of the problem as relyed by his wife Tammi who is now 10 months without a husband as a direct result of the CDC guidelines to prevent deaths)Bruce Graham committed suicide after living with severe pain for two years. At age 62, Graham fell from a ladder, suffering several severe injuries. He had surgery and fell into a coma. After surgery, he suffered from painful adhesions which could not be removed. He relied on opioid painkillers to tolerate his pain, but doctors eventually stopped prescribing the medicine he needed. Two years after his fall, Graham shot himself in the heart to end the pain.

Travis Patterson, a young combat veteran, died two days after a suicide attempt at the age of 26. After the attempt to take his own life, Patterson was brought to the VA emergency room. Doctors offered therapy as a solution, but did not offer any relief for his pain. Patterson died two days after his attempted suicide.

54-year-old Bryan Spece of Montana  killed himself about two weeks after he experienced a major reduction in his pain medication. The CDC recommends a slow reduction in pain medicine, such as a 10% decrease per week. Based on information from Spece’s relative, Spece’s dose could have been reduced by around 70% in the weeks before he died.

In Oregon, Sonja Mae Jonsson ended her life when her doctor stopped giving her pain medicine as a result of the CDC guidelines.

United States veterans have been committing suicide after being unable to receive medicine for pain. These veterans include Peter Kaisen,Daniel Somers, Kevin Keller, Ryan Trunzo, Zach Williams, and Travis Patterson

A 40-year-old woman with fibromyalgia, lupus, and back issues appeared to have committed suicide after not being prescribed enough pain medicine. She had talked about her suicidal thoughts with her friends several times before, saying “there is no quality of life in pain.” She had no husband or children to care for, so she ended her life.

Sherri Little was 53 when she committed suicide. She suffered pain from occipital neuralgia, IBS, and fibromyalgia. A friend described Little as having a “shining soul of activism” as she spent time advocating for other chronic pain sufferers. However, Little had other struggles in her life, such as her feeling that her pain kept her from forming meaningful relationships. In her final days, Little was unable to keep down solid food, and she tried to get medical help from a hospital. When she was unable to receive relief, Little ended her life.

Former NASCAR driver Dick Trickle of North Carolina shot himself at age 71. He suffered from long-term pain under his left breast. Although he went through several medical tests to determine the cause of his pain, the results could not provide relief. After Trickle’s suicide, his brother stated that Dick “must have just decided the pain was too high, because he would have never done it for any other reason.”

39-year-old Julia Kelly committed suicide after suffering ongoing pain resulting from two car accidents. Kelly’s pain caused her to quit her job and move in with her parents, unable to start a family of her own. Her family is certain that the physical and emotional effects of her pain are what drove her to end her life. Kelly had founded a charity to help other chronic pain sufferers, an organization now run by her father in order to help others avoid Julia’s fate.

Sarah Kershaw ended her life at age 49. She was a New York Times Reporter who suffered from occipital neuralgia.

Lynn Gates Jackson, speaking for her friend E.C. who committed suicide after her long term opiates were suddenly reduced by 50% against her will, for no reason.  Lynn reports she felt like the doctors were not treating her like a human being (Ed:  a common complaint) and she made the conscious decision to end her life.

E.C. committed suicide quietly one day in Visalia California.  She was 40.  Her friend reported her death.  “She did not leave a note but I know what she did”.  The doctor would only write a prescription for 10 vicodin and she was in so much pain she could not get to the clinic every few days.   We had talked many times about quitting life. Then she left.  She just left.

Jessica, a patient with RSD/CRPS committed suicide when the pain from her disease became too much for her to bear. A friend asserted that Jessica’s death was not the result of an overdose, and that “living with RSD isn’t living.”

Aliff, Charles

Beyer, Donald Alan

Brunner, Robert “Bruin”

Graham, Bruce

Hale, Doug

Hartsgrove, Daniel P

Ingram III, Charles Richard

Kaisen, Peter

Keller, Kevin

Kershaw, Sarah

Kimberly, Allison

Little, Sherri

Mason, Bob

Miles, Richard

Murphy, Thomas

Paddock, Karon

Patterson, Travis “Patt”

Peck, Denny

Peterson, Michael Jay

Reid, Marsha

Somers, Daniel

Son, Randall Lee

Spece, Brian

Tombs, John

Trickle, Richard “Dick”

Trunzo, Ryan

Williams, Zack

Karon Shettler Paddock  committed suicide on August 7, 2013 

Jessica Simpson took her life July 2017

Mercedes McGuire took her life on Friday, August 4th. She leaves behind her 4 yr old son. She could no longer endure the physical & emotional pain from Trigeminal Neuralgia.

Another Veteran Suicide In Front Of VA Emergency Department

 Depression and Pain makes me want to kill self. Too much physical and emotional pain to continue on. I seek the bliss fullness of Death. Peace. Live together die alone.

 Dr. Mansureh Irvani  suspected overdose victim

Katherine Goddard’s Suicide note: Due to the pain we are both in and can’t get help, this is the only way we can see getting out of it. Goodbye to everybody,”  

Steven Lichtenberg: the 32-year-old Dublin man shot himself  

Fred Sinclair  he was hurting very much and was, in effect, saying goodbye to the family.

Robert Markel, 56 – June 2016 – Denied Pain Meds/Heroin OD

 Lisa June 2016

Jay Lawrence  March 2017

Celisa Henning: killed herself and her twin daughters...

Karen Boje-58  CPP-Deming, NM

Katherine Goddard, 52 –  June 30, 2017 – Palm Coast, FL -Suicide/Denied Opioids List of Suicides, as of 9–10-17

Suicides: Associated with non-consented Opioid Pain Medication Reductions

Lacy Stewart 59,

Ryan Trunzo of Massachusetts committed suicide at the age of 26,-ryan-j  

Mercedes McGuire of Indiana ended her life August 4th, 2017 after struggling with agony originally suppressed with opioid pain medicine but reappearing after her pain medicine was cut back in a fashion after the CDC regulations. She was in such discomfort she went to the ER because she could not stand the intractable pain by “learning to live with it” as suggested by CDC consultants. The ER gave her a small prescription. She went to the pharmacy where they refused to fill it “because she had a pain contract”. She went home and killed herself. She was a young mother with a 4 year old son, Bentley. Bentley, will never get over the loss of his mom.

“Goodbye” Scott Smith: Vet w/PTSD committed murder/suicide. Killed his wife then himself today 11/27/2017

Pamela Clute had been suffering from agonizing back problems and medical treatment had failed to relieve pain that shot down her legs While California’s assisted suicide law went into effect a couple months before Clute’s death, the law only applies to terminally ill patients who are prescribed life-ending drugs by a physician. Clute wasn’t terminally ill

Kellie Bernsen 12/10/2017 Colorado suicide

Scott Smith: Vet w/PTSD committed murder/suicide. Killed his wife then himself today 11/27/2017

  Michelle Bloem committed suicide due to uncontrolled pain

John Lester shot himself on Jan. 8, 2014.

Anne Örtegrentook her life on Jan. 5  

 Debra Bales, 52 – Civilian – January 10, 2018 – Petaluma, CA – Denied Pain Meds/Suicide

 Aliff, Charles – Could not locate info!
He may be able to help! Charles Aliff –…

Brunner, Robert – Could not locate info!

Cagle, Melvin –…/The-Veteran-Spring-Why-a…


Harold Hamilton –…/chronic-pains-emotional-toll…

Hartgrove, Daniel –…/name/daniel-hartsgrove-obituary…

Ingram III, Charles –…/article_b7a4a712…

Jarvis, Michael…/ct-indiana-doctor……/indiana-man-kills-doctor…

Kevin Keller, 52 – US Navy – July 30, 2014 – Wytheville, VA…/article_65866e4c-18f6-11e4…

Kershaw, Sarah –…/sarah-kershaw-former-times…

Kimberly, Allison…/Allison…/obituary.html…

Lane, Keith – Timothy Shields
August 8, 2017 · Colon, MI I would like you too include Kieth Lane . US Army , Vietnam in country , combat wounded . He died recovering from ulcers surgery of a stroke and heart attack in Battle Creek VA medical center in Michigan .…/sturgisjournal/obituary.aspx…

Lichtenberg, Steven –…/chronic-pains-emotional-toll…

Markel, Robert –…/08/heroin_overdose_deaths.html

Miles, Richard – Could not locate info!

Murphy, Thomas –…/The-Veteran-Spring-Why-a…

Paddock, Karon

Denny Peck, 58 – Civilian – September 17,2016 – Seattle, Wa……/the-whitecoats-dont…/…

Peterson, Michael –…

Reid, Marsha –…/daughter-blames…

Simpson, Jessica –

Daniel Somers, 30 – US Army – June 10, 2013 – Denied Pain Meds/Suicide…

Son, Randall –…/woman-says-marion-va…/…

Bryan Spece, 54 – USMC – May 3, 2017 – Great Falls, Montana – Denied Meds/Suicide…/patient-suicide…

Tombs, John –…/The-Veteran-Spring-Why-a…

 Jennifer E. Adams age 41 of Helena  December 20, 1976April 25, 2018

Jay Lawrence  March 1, 2017  on the same bench in the Hendersonville, Tennessee, park where the Lawrences had recently renewed their wedding vows, the 58-year-old man gripped his wife’s hand and killed himself with a gun.

suicide due to pain video

Eden Prairie Aug 2018 handwritten note, which stated she “could not endure any more pain and needed to escape it.”

Raymond Arlugo  August 29th 2018

Kris Hardenbrook   Oct 2018   What is the difference between patient abandonment and a FIRING SQUAD ? – NOT MUCH ?

Robert Charles Foster,65 Nov 3, 2018 Chronic pain pt …SUICIDE BY COP

Lee Cole 04/23/2018

Peter A. Kaisen  76-year-old veteran committed suicide (Aug. 24, 2016) in the parking lot of the Northport Veterans Affairs Medical Center on Long Island, 

Paul Fitzpatrick, 56 Oct 2018, kills himself blaming 20 years of debilitating pain caused by laser eye surgery

Jessica Starr   Dec, 2018 failed Lasik SMILE eye surgery resulting in chronic pain

Paolo Antonio Argenzio:  Passed away on Monday December 10th 2018, from a self inflicted gunshot wound

Rory G. Hosking, age 50, honorable Army Veteran, passed away Feb. 9, 2019 from his struggle with chronic pain

Sonya White has passed away on Thursday March 7, 2019 at 30 years old

Danielle Byron Henry 10th June, 2017

Kelly Catlin, the 23-year-old Olympic cyclist with debilitating migraines committed suicide 16th March, 2019

Dawn Anderson was 53 years old, and a former Registered Nurse died on March 11, 2019 in untreated agonizing pain

Adam Palmer Jan 20,2019    Family says Pleasant Grove man committed suicide after going off pain meds too quickly

Bobbi Fencl April 9, 2019 My wife Bobbi Fencl is one of the recent casualties of the insane Federal, State and Physician response to the Opioid Crisis. She committed suicide this last Tuesday. She is now out of pain and wrapped in His arms.

Post on FB 07/18/2019 – exact suicide date unknown: 

Remember The Fallen Pain Warriors.
Travis Patterson, a Texan, a decorated Staff Sergeant in the Army, combat veteran of Iraq and Afghanistan, was injured by a road side mine, and discharged from the army in 2016. He was in daily severe pain. He could not get pain treatment, and tried to commit suicide and was admitted to a Topeka Kansas VA hospital by his 26 year old wife. The VA refused to treat his war wounds with pain medicine and offered instead a stress ball. Two days later he made sure of his own method for treating his intractable pain by killing himself. He had a future with his wife and studying law but it did not matter. He showed no signs of mental illness, just the stress of failure to treat his underlying war injuries with long term daily pain. One other veteran remarked the US Government was finding other ways to “kill us”.

Additional information: Travis was denied pain medication for this combat wounds by the VA by law passed without knowledge of most 12–15, deep in a 2000 page budget bill. It is now federal law to forcibly taper wounded veterans with intractable pain to “prevent addiction and heroin overdoses” Traviswas a Texas native).

  Akaiah Nicole Altstock, 14, of Sneads Ferry, North Carolina, died Wednesday, September 25, 2019.

Suicides from under/untreated pain – KNOWS NO AGE LIMITS

David Pezzula: this time the pain was too difficult, and he died by suicide on Friday morning, December 6, 2019

02/14/2020  Last night we suffered a major loss. Our beautiful Jessica hung herself. She was only 24 and left behind 2 beautiful little boys, Kyson age 4 and Kaison age 2. People think pain doesn’t kill but I assure you, it absolutely does. Rest in Peace Jess

Jennifer Hill  CRPS SUICIDE  April 1, 2020  HER 53rd  BIRTHDAY

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When you are a hammer … everything looks like a nail

Bay County’s opioid epidemic turns to fentanyl

For those of you who are unfamiliar with BAY COUNTY in FL.. it contains the infamous PANAMA CITY BEACH… historically has been referred to as the “Red Neck Rivera “. We have owned a condo at the beach since 1994, so we are pretty familiar with the area.

Most of the “problem people” live over in Panama City, FL … except during the spring break period a few years back, but after Fox news did a few nightly reports from the beach during spring break… things have changed as the bureaucrats have changed the course of spring break that has discouraged college kids from coming down.

Now, during the month of March … no alcohol is allowed on the beach by NO ONE.  Curfews have been put in place. Some of the grade-thru high schools in the adjacent states have went to having classes around the year … so there are several two week breaks several times a year.   So peak crowds are no longer spring break and June & July… the local bureaucrats are doing many things to make the beach more “family friend “

I find it rather funny that the cops reported the amount of fentanyl seized in milligrams in 235,000 mgs.  If one converts that number into something that those in our population functions on.. like the pound system… it breaks down as such:

1000 mgs – one Gram… so 235,000 mgs is 235 Gms…  454 Gm = ONE POUND… so that massive 235,000 milligrams is equal to abt EIGHT OUNCES – about the weight of two McDonald 1/4 pound meat patties ( BEFORE COOKING).

More mis-statement of facts is that they claim that Fentanyl is 100 more potent than Morphine is probably true of the legal pharma grade Fentanyl Citrate, but what they seized was probably Fentanyl Acetate which is more likely about 25 times more potent than Morpine and they used graphics of legal pharma grade Fentanyl patches for a comparison.  Which has little to do with the plastic baggies of the real fentanyl that they showed what they really seized.

I don’t know and can’t find out what the density of Fentanyl power is, but suspect that the amount seized in this raid would fit in a pocket or purse.

Here is a interesting fact – which I have asked the pharmas before and they refused to answer – the box of the pharma grade Fentanyl patches states on it that each patch contains 2.66 mg of Fentanyl and since the patch is designed to “release” 25 mcg/hr X 72 hrs for a total of 1.8 mg.. so only about 2/3 of the Fentanyl in the patch is actually designed to be released… leaving ab 0.86 mgs in a “spent patch”.



Bay County’s opioid epidemic turns to fentanyl

BAY COUNTY, Fla. (WMBB) — Removing a mountain of fentanyl from the streets is a major victory but it’s far from the last battle.

On May 13, the Bay County Sheriff’s Office seized 235,000 milligrams of fentanyl from the street. However, Bay County Sheriff Tommy Ford said the problem will return.

“It’s all like a roller coaster,” Ford said. “When we take off a major source of supply, which I would consider this a major source of supply, we see the trends die down for a period until somebody out there finds another source of supply somewhere, or a source of supply is able to reestablish in the area.”

At 100 times stronger than morphine, the lethal dose of fentanyl is a little as three milligrams.

“The addiction is so strong that the risk [of death] is worth it,” said Lieutenant Kevin Francis about addicts.

Officials said that with the introduction of fentanyl, they have seen an increase in drug seizures in size and amount, as well as an increase in overdoses. They added that they are mostly seeing it lacing other street drugs.

“Right now, the trend is to mix heroin and fentanyl to make it stronger,” Francis said.

This means people could be taking lethal doses of fentanyl unknowingly.

“In a situation where somebody bought what they thought was Xanax on the street could actually be a deadly dose of fentanyl,” Ford said.

Ford also said that they are also concerned with poorly mixed drugs. Because of the small lethal amount required of fentanyl, poorly mixed drugs could create hot spots of fentanyl within the main drug.

“The person may be thinking they’re getting a small normal dose of heroin,” Ford said, “but they could actually be pulling from the portion of the substance that has a lethal dose of fentanyl in it and that’s where we’re seeing our drug overdoses and deaths.”

By the end of 2016, Ford said the overdoses became so frequent that the BCSO deployed NARCAN to its deputies. NARCAN is a nasal spray that quickly reverses an opioid overdose and is harmless otherwi

se. It does not work on non-opiates like cocaine overdoses or alcohol poisoning and can sometimes be considered the first sign that an overdose was caused by fentanyl.


Ford said that they also administered special gloves to deputies because any absorption of fentanyl into the skin by touching could lead to an officer overdose.

graphic credit: Miabelle Salzano

The opioid epidemic in Bay County dates back to the late 1990s when OxyContin burst on the scene. Officials say that most of the drugs in Bay County come in from the southern border or are shipped in from China and travel through large cities like Atlanta. But since the coronavirus, most of the drug traffic has stopped.

Francis said that they have seen a shortage of most drugs since the pandemic. He added that drug runners usually try to mix themselves in with the general car traffic on the roads. But there has been a lack of travel since the shutdown.

“People are too paranoid to move anything,” he said.

Francis also said that prescription drugs like pills are easier to access and abuse than illegal drugs like meth. While fentanyl is illegal, it can be administered through a prescription and purchased at most pharmacies as gel patches to treat severe pain in cancer patients. Francis said that it’s possible to manufacture street fentanyl from these patches.

“It just seem like every wave that we see get a little bit worse,” Ford said.







Abbott’s Virus Test Has Potential Accuracy Issues, FDA Warns

An Abbott Laboratories Covid-19 test kit.Abbott’s Virus Test Has Potential Accuracy Issues, FDA Warns

An Abbott Laboratories Covid-19 test has potential accuracy issues, the U.S. Food and Drug Administration warned, citing a number of studies that have raised doubts about the product’s precision when used to quickly diagnose patients.

The FDA issued a public alert Thursday evening, saying that it had become aware of several scientific studies that raised questions about the device, a printer-sized machine called ID Now that can take a sample from a nasal swab and diagnose a coronavirus infection in less than 15 minutes. The agency said that it was particularly concerned about false-negative results, in which an infected person is told by the test that they don’t have the disease.

“We are still evaluating the information about inaccurate results and are in direct communications with Abbott about this important issue,” Tim Stenzel, director of the FDA’s Office of In Vitro Diagnostics and Radiological Health, said in a statement.

Abbott shares fell 2.3% to $89.65 at 12:09 p.m. in New York. The stock is up 3.3% this year to date, in part because the company quickly introduced diagnostic products to help combat the coronavirus pandemic that has killed more than 85,000 people in the U.S.

There have been 15 reports of adverse events tied to the tests, said Health and Human Services Secretary Alex Azar, out of more than 1.8 million that have been run. The agency and the company are studying those cases, which could have stemmed from something as simple as a user error, he said.

“We gotta get to where the evidence is, we gotta get to the bottom of it, but we still have confidence in the test or we wouldn’t have it on the market,” Azar said during an interview on Fox Business Friday.

The company said it’s working with the FDA and health care providers to make sure they understand that negative results should be considered just one part of a person’s health history, along with recent exposure to the virus and signs and symptoms of Covid-19. It is also re-emphasizing the proper way to collect and handle samples, as some tests are being run in ways the device wasn’t intended to be used, the Abbott Park, Illinois-based company said in a statement.

Accurate test results are important for understanding and controlling the outbreak, particularly since they are used to help guide personal behavior. Someone who is erroneously told they aren’t infected may have a false sense of security and could infect others if they don’t take precautions. False-negative results can also impede efforts to identify patients and trace their contacts, a key part of expanding efforts by states to track and contain the virus as they reopen businesses and lift social distancing rules.

The FDA said that the Abbott test, which has been used at the White House, can still be used to diagnose positive results, often within minutes. But it warned that a negative result might need to be confirmed with a high sensitivity test to be certain the person doesn’t have the virus.

The FDA’s alert comes as research is raising more questions about tests used around the U.S. to diagnose Covid-19 patients. One study released this week from researchers at New York University examining the Abbott machine indicated it may miss as many as half of positive cases.

Abbott acknowledged in its statement that some studies have raised questions about how accurate the test is, though it previously said users have reported false-negative rates of only around 0.02%. It is continuing to improve on the test as the world learns more about the virus, the company said.

“While we understand no test is perfect, test outcomes depend on a number of factors,” Abbott said in the statement. The company said that sample handling, storage and transportation could all affect performance, as well as other features.


Could COVID-19 shelter in place have some “good” unintended consequences for the community ?

Since the CDC opiate dosing guidelines were published in early 2016… a lot of chronic pain pts – especially those with intractable pain – have been forced to “shelter in place” … which is really forcing  them to become house/chair/bed confined.

It is now being talked about in the media about this sheltering in place is seeing a increase in spousal abuse and child abuse , suicides and divorces.

Could the community and those in the community try to “ride this wave of enlightenment ” to bring awareness to the media that many of the 100 million in the community have already been suffering from the multi-year involuntary sheltering in place as well as having to do it in up to a torturous level of pain ?

Remdesivir: “Not a panacea” or a “cure-all” – back to the drawing board

Remdesivir Data from NIAID Trial Published

“Not a panacea” or a “cure-all,” expert cautions

Peer-reviewed findings were published late Friday from one of the key trials of remdesivir, perhaps the most promising antiviral agent for COVID-19, confirming and extending topline results announced a month ago via press release.

Hospitalized patients with COVID-19 who received remdesivir had a median recovery time of 11 days versus 15 days with placebo (rate ratio for recovery 1.32, 95% CI 1.12-1.55, P<0.001), reported John Beigel, MD, of the National Institute of Allergy and Infectious Diseases (NIAID), and colleagues.

Mortality estimates by 14 days were lower for the remdesivir group compared to placebo, but non-significant (HR for death 0.70, 95% CI 0.47-1.04), the authors wrote in the New England Journal of Medicine.

Interestingly, when researchers examined outcomes on an 8-point ordinal scale, they found patients with a baseline ordinal score of 5 had a rate ratio for recovery of 1.47 (95% CI 1.17-1.84), while patients with a baseline score of 7 had a rate ratio for recovery of 0.95 (95% CI 0.64-1.42).

Some of these data were released by the NIAID on April 29, but without further details such as 95% confidence intervals. On May 1, the FDA agreed to let remdesivir be used clinically under an emergency use authorization. Since then, however, clinicians and other researchers have clamored for a fuller report, to help guide their clinical practice. For example, questions were raised as to whether particular subgroups got more benefit from the drug than others.

David Aronoff, MD, of Vanderbilt University Medical Center in Nashville, who was not involved in the research, noted the drug seemed more effective when given to patients who weren’t as severely ill, earlier in the course of disease. He added this wasn’t surprising, given remdesivir’s mechanism of action as an antiviral, which works by blocking the virus from replicating.

“The drug doesn’t affect the host, it only affects the virus. What seems to cause major problems late in the course of disease is the inflammatory response to the initial damage the virus causes,” he told MedPage Today.

Aronoff likened the virus to an arsonist setting fires, and antivirals like remdesivir as the police trying to catch the arsonist before they set more fires.

“But once the building is on fire, it doesn’t matter where the arsonist is,” he noted.

This is why combining a drug to address the viral response with a drug to address the host response may be critical to treating the virus. Aronoff cited the NIAID’s ACTT-2 trial in progress, which will examine combination therapy with remdesivir and anti-inflammatory drug, baricitinib, versus remdesivir alone.

In Aranoff’s analogy, the anti-inflammatory would be akin to the firefighters putting out the fires the arsonist set.

Study Details

The Adaptive Covid-19 Treatment Trial (ACTT-1) was comprised of 60 trial sites, including 45 sites in the U.S., along with sites in Europe and Asia. Participants hospitalized with COVID-19 with evidence of lower respiratory involvement were randomized to either intravenous remdesivir or placebo for up to 10 days. Primary outcome was time to recovery, meaning either hospitalization for infection control purposes only or discharge from the hospital.

An independent data and safety monitoring board recommended unblinding the results based on preliminary data from 1,059 patients — 538 assigned to remdesivir and 521 to placebo. As of April 28, only 391 patients in the remdesivir group and 340 in the placebo group had completed the trial through day 29 (either recovered or died).

Patients were a mean age of 59, and almost two-thirds were men, 53% were white, 23% were Hispanic or Latino and 21% were black. About 80% were enrolled at sites in North America. Half of patients had two or more pre-existing conditions, including half with hypertension, 37% with obesity and 30% with diabetes mellitus.

Beigel and colleagues included 33-day Kaplan-Meier curves for recovery among subgroups categorized by oxygen need. The greatest separation between the remdesivir and placebo groups (i.e., the greatest drug benefit) was seen for patients receiving oxygen but not at high flow or with noninvasive mechanical ventilation. There was no advantage for remdesivir in recovery rates among patients on high-flow oxygen or those on mechanical ventilation or extracorporeal membrane oxidation.

Among patients not receiving oxygen, a trend toward benefit with remdesivir was evident, but it did not reach statistical significance, probably because more than 80% of the placebo group in this category recovered.

There was no subgroup in which placebo clearly outperformed remdesivir. Many groups (such as racial minorities) didn’t have enough patients to show meaningful differences.

Notably, however, patients with symptom duration greater than 10 days benefited from remdesivir just as much as those with shorter duration.

Serious adverse events occurred in 21% of patients in the remdesivir group and 27% of patients in the placebo group, and two in each group were judged to be related to the study drug. Anemia or decreased hemoglobin was the most common adverse event in the remdesivir group (7.9% vs 9.0% in the placebo group). Pyrexia and hyperglycemia also occurred more often in the remdesivir group.

Aronoff said more will be known once final results from the study are released in a few weeks, but they will likely confirm the current report.

When asked if it would be appropriate to use this medication outside of a clinical trial setting, he noted there are reasons to hesitate, namely remdesivir’s availability, the optimal duration of therapy, and that it can only be given intravenously.

“It’s hard to implement it really early when you’re at a nursing home or somebody’s house,” Aronoff said. “It’s not a panacea and it’s not a cure-all. It has some barriers to widespread implementation.”

Remdesivir’s manufacturer Gilead Sciences is conducting two trials of its own with remdesivir, one of which includes a placebo control. Results from that trial are expected soon.

Dr. Thomas Kline, MD, PhD: Medical Myths Revealed: COVID-19 getting back to normal with control plans

COVID-19 getting back to normal with control plans

Nobody should resume their work, going back to school, or reopening without a written control plan.


TENN: KENT MORRELL FOR SENATE 2020 – chronic pain pt … running for political office


Why I’m Running for Senate

“A house divided against itself
​cannot stand.”

Abraham Lincoln quoting Mark 3:25Our country is painfully divided along every conceivable fault line. We do not have much time to right our ship. 

I am running for U.S. Senate to help bring about the sea change we must have to flourish: a return to common-sense policies that benefit all Americans, fiscal responsibility and civility.

​The world looks to America to be a bright city on a hill
​and a beacon of hope. Our best days are not behind us,
but are indeed ahead of us.  

Won’t you join me in this monumental
​and worthy endeavor?

Patient, Advocate, Small-Business Owner and Tennessean Through & Through!

“My journey for U.S. Senate really began two years ago, when my last pain management doctor dropped me as a patient,” Morrell said explaining his challenges with our healthcare system. A car accident in 2000 left him with muscular and spinal injuries requiring over 200 doctor visits, procedures and surgeries.

“New state and federal regulations are punishing doctors for not sticking to the official cookie-cutter approach to pain management. My doctor feared the government. Fear can make people do terrible things,” Morrell said.

“I ended up finding a better treatment option on my own,” Morrell said explaining the effectiveness of medical cannabis with pain management, which is increasingly supported by medical studies. 

Since 2015, Morrell has been a familiar face in Nashville advocating at the state level with Safe Access Tennessee, which is part of the national organization Americans for Safe Access. Safe Access provides science-based educational resources about the importance of treatment options to legislators and offers advocacy training across Tennessee. Morrell is chairman of the Knoxville chapter and joined the state organization’s board in 2017.

“I fight for change because I have to. I can’t let this happen to other people! I don’t want my friends or family to experience the nightmare I went through for almost 20 years. Patients need treatment options now” Morrell said.

“It’s time to fix our healthcare system and remove the government from doctor-patient relationships. Let’s fix this,” Morrell emphasized.

In addition to his advocacy work, Morrell is President and CEO of Indoor Oceans, a small business he founded in 1993.   

From a family of educators, Morrell grew up within earshot of Bristol Motor Speedway’s “Thunder Valley” and is a seventh generation east Tennessean. He is married, has four adult children and close family members currently serving in the armed services.

His Tennessee heritage and life experiences make Kent Morrell an insightful and uncommon candidate for U.S. Senate … a patient, not a politician.


Pain-Warriors – the movie -to be released May 25th – pre-order now from Amazon


Pain Warriors

I just finished previewing- the long awaited and soon to be released ( May 25th)  film (pain-warriors) by Tina Petrova & Eugene Weis

It is abt 80 minutes long and I normally – because of my ADD/ADHD – have trouble sitting and focusing on something that long – but I remained transfixed until the end.

This is a new perspective on the war on pts, caregivers and prescribers.

From a grader schooler dealing with chemo for 4 years to be cured to be left with lingering chronic pain.

To a empathetic prescriber who ends up being the target of the state medical board and DEA for treating chronic pain pts and ends up practicing medicine in a totally different path.

Unfortunately, two pts are never able to get their health issues and pain under control and end up ending their lives.

The DVD/Blu-Ray can be pre-ordered from Amazon on the link below

Pain Warriors by Tina Petrova & Eugene Weis

CDC Opioid Guideline Mobile App

CDC Opioid Guideline Mobile App

*MME Calculator Disclaimer: This calculator is not intended to replace clinical judgement or to guide opioid dosing for patients receiving active cancer treatment, palliative care, end-of-life care, or for patients younger than 18.

The application is not intended to provide guidance on dosing of opioids as part of medication-assisted treatment for opioid use disorder. Conversion factors for drugs prescribed or provided as part of medication-assisted treatment for opioid use disorder should not be used to benchmark against MME dosage thresholds meant for opioids prescribed for pain. The calculator does not account for incomplete cross-tolerance between opioids and should not be used to guide opioid rotation or conversion between different opioids. This is especially important for fentanyl and methadone conversions. Equianalgesic dose ratios are approximations and do not account for interactions between opioids and other drugs, patient weight, hepatic or renal insufficiency, genetic factors, and other factors affecting pharmacokinetics. Additional clinical guidance, including opioid prescribing for acute pain, may be available through manufacturers’ full prescribing information or consultation with other clinicians with expertise and experience in pain management.

Prescribe with Confidence

CDC’s Opioid Guideline App can help providers apply the recommendations of CDC’s Guideline for Prescribing Opioids for Chronic Pain in clinical practice by putting the entire guideline, tools, and resources in the palm of their hand. Managing chronic pain is complex, but accessing prescribing guidance has never been easier.

The application includes a Morphine Milligram Equivalent (MME) calculator*, summaries of key recommendations, a link to the full Guideline, and an interactive motivational interviewing feature to help providers practice effective communications skills and prescribe with confidence.

Free Download

The CDC Opioid Guideline App is available for free on Google Playexternal icon (Android devices) and in the Apple Storeexternal icon (iOS devices).

I have not had the time to play with this app… but may be useful for some pts to show their prescribers what the real rules are when they are “quoting the law about opiate prescribing”

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