Genetic Panel Test May Help ID Optimal Opioid Dose Needs

Genetic Panel Test May Help ID Optimal Opioid Dose Needs

http://www.empr.com/painweek-2017/multi-variant-opioid-dose-chronic-pain-at-risk-addiction/article/686840/

Some pain patients may require higher doses for pain control due to genetic variations found in their pain receptors

Some pain patients may require higher doses for pain control due to genetic variations found in their pain receptors
The following article features coverage from PAINWeek 2017 in Las Vegas, Nevada. Click here to read more of MPR‘s conference coverage.

According to results of a study presented at PAINWeek 2017, a high percentage of severe chronic pain patients had genetic variations in dopamine receptors and a low variation in opioid receptors, possibly explaining why some patients may require increased doses of opioids for pain control.

The study performed genetic testing on 70 patients with severe chronic pain that were unresponsive to standard medical therapy and required >100mg/day of morphine equivalence for pain control. Buccal swab was used to obtain test samples and 16 single nucleotide polymorphisms (SNP) were analyzed. The 4 categories of genetic markers included in the panel were receptor binding and activity (including dopamine, opioid, serotonin, and galanin receptors), neurotransmitter transporters, central nervous system (CNS) enzymes, and cytochrome P450 enzymes. 

Results of the study found that genetic variations in the 3 dopamine receptors tested (DRD1, DRD4, DOR) were observed in 97 to 100% of patients included in the analysis. The study authors also reported that only 17 to 30% of patients were found to have genetic variations in the opioid receptors tested (OPRK1, OPRM1, and MUOR). Additionally, it was found that only the dopamine receptor makers had >90% genetic variation, suggesting that potent stimulation of the opioid receptors was required to obtain pain relief for these patients.

“These results suggest that since the dopaminergic pathway was defective, these pain patients relied on potent stimulation of their opioid receptors to obtain adequate pain relief,” the study authors add.

Based on the results of this study, some severe chronic pain patients may require higher doses of opioids for pain control due to genetic variations found in pain receptors. The study authors add, “These findings need to be investigated in other groups of pain patients who require high dose opioids to determine if dopaminergic defects are an underlying, genetic cause of high dose opioid requirements in some chronic pain patients.”

Read more of MPR’s coverage of PAINWeek 2017 by visiting the conference page.

Pharmacy, retailers front and center as Florida preps for Hurricane Irma

Pharmacy, retailers front and center as Florida preps for Hurricane Irma

http://www.drugstorenews.com/article/pharmacy-retailers-front-and-center-florida-preps-hurricane-irma

Having killed 13 people, destroyed nearly every building on the island of Barbuda and left nearly 1 million Puerto Rico residents without power as it made its way through the Caribbean, Hurricane Irma is bearing down on Florida, and the retail pharmacy, grocery and mass merchandiser community is working to make sure Floridians are prepared.

In declaring a state of emergency in Florida’s 67 counties, Gov. Rick Scott authorized pharmacies to dispense up to 30-day emergency prescription refills to patients. As Irma has gotten closer to the U.S. mainland, both CVS Pharmacy and Walgreens emphasized being prepared by keeping prescriptions stocked, or at least on-hand.

“Prescription preparedness is one of the most important steps individuals and families can take in the lead up to potentially severe weather, and CVS Pharmacy is working to ensure that our patients have the medications they need in advance of the storm,” CVS Health EVP retail pharmacy and supply chain Kevin Hourican said.

Walgreens urged patients to follow evacuation orders and get to a safe location before refilling their prescriptions, noting that all locations can access a patient’s records and that the Walgreens app can be used to refill prescriptions and pick them up nearby.

In addition to drug stores, grocery retailers have been on the front lines of preparedness, with Publix racing to keep shelves stocked — particularly with water — as far north as Charlotte, N.C., ahead of Hurricane Irma. And even as the company adjusted operating hours of certain stores and closed its Florida Keys locations due to safety concerns, Publix has been working to keep its shelves stocked to keep Floridians prepared.

“As part of our commitment to you, we are actively working with our suppliers to deliver essential items to potentially impacted stores,” the company wrote on its website. “Our pharmacies are receiving medications more frequently to assist in filling prescriptions. Our manufacturing facilities are working around the clock to produce items you’re looking for. We have hundreds of drivers, as well as third-party carriers, continually delivering batteries, canned goods, bread, milk and other hurricane essentials, but the demand for these items is greater than our supply. … Our goal is always to serve as many customers in our communities as we can, and this storm is no exception.”

Southeastern Grocers’ Winn-Dixie banner also is doing its best to keep its stores open ahead of Hurrican Irma. The company’s website promises, “We are doing everything we can to keep our stores open in impacted areas where it is safe and possible to do so.”

Like Publix, several Florida Keys Winn-Dixie stores were closed Thursday afternoon due to the storm, with some stores closed due to evacuation orders. As of Thursday afternoon, none of Southeastern Grocers’ Harveys, Bi-Lo or Freco y Más stores had been closed due to the hurricane.

Walmart also is stepping up to help prepare for Hurricane Irma, with the Miami Herald reporting that the company had activated its Emergency Operations Center, which Walmart director of national media relations Ragan Dickens said was part of an effort to “get those shelves stocked as soon as possible.” The effort included the deployment of 800 truckloads of supplies Tuesday en route to Florida with emergency supplies for stores with the most need, the report said. A video on Twitter Thursday showed a new pallet of bottled water being snatched up by customers in Miramar in under a minute. 

NBC News reported that Target also was working to keep its shelves stocked and its associates safe, with Target spokesperson Jenna Reck telling the outlet that the company worked with its distribution teams to know which stores need merchandise, and that it was trying to ensure stores had the requisite emergency suppliers, including water.

“We’re tracking Irma and making sure our team members are safe and informed of what to do when the storm hits,” Reck told NBC News.

The SIDE of chronic/incurable diseases that MOST DON’T SEE and DON’T UNDERSTAND

hotline (800) 626-4959 to refer people with disabilities who may be in the affected areas to locate services

http://www.portlight.org/home.html

Hurricane Harvey and the subsequent catastrophic flooding have wreaked havoc in Texas and hurricane Irma is expected to bring devastation to the Caribbean, US Virgin Islands, Puerto Rico, Florida, South Carolina and other US states in it’s path. The Partnership has set up a hotline (800) 626-4959 to refer people with disabilities who may be in the affected areas to locate services and resources they may need. For a recent update CLICK HERE

Grandma Says Mom in Apparent Joliet Murder-Suicide Complained ‘Body Felt Like It was On Fire’: Report

Grandma Says Mom in Apparent Joliet Murder-Suicide Complained ‘Body Felt Like It was On Fire’: Report

http://www.nbcchicago.com/news/local/Mom-in-Apparent-Joliet-Murder-Suicide-said-Body-Felt-Like-It-was-On-Fire-Grandma-Says-442353713.html?fb_action_ids=10213560297382698&fb_action_types=og.comments

A Joliet mother who is believed to have killed herself and her twin daughters in an apparent murder-suicide had complained her “body felt like it was on fire” before the horrific killings, the children’s grandmother reportedly said. 

In an interview with the Joliet Herald-News, Norma Henning said 41-year-old Celisa Henning had been experiencing health problems since a previous car crash and had seen roughly two dozen doctors, even visiting Mayo Clinic, before her death. 

Norma Henning told the publication her daughter-in-law was “at her wits’ end” but the family “never suspected something like this.” 

The mother and her twin daughters Makayla and Addison, who were just shy of their sixth birthday, were found dead earlier this week in their south suburban home, according to authorities.

Causes of Death Released For 2 Girls, Mother Found in Joliet Home

 
 

[CHI] Causes of Death Released For 2 Girls, Mother Found in Joliet Home

A mother and her twin daughters have been identified as the woman and two children found dead in what is believed to be a murder-suicide in southwest suburban Joliet Monday. Patrick Fazio reports.

(Published Tuesday, Aug. 29, 2017)

Celisa died of a single gunshot wound to the head, and Makayla and Addison Henning each died from multiple gunshot wounds to the head, according to the Will County Coroner’s office. Their final causes and manners of death will be determined at a later dates pending police, autopsy and toxicological reports, officials said.

Police are currently investigating the triple shooting as apparent murder-suicide. 

Just after 3 p.m., officers responded to a death investigation at the home in the 400 block of North Reed Street in Joliet, according to a statement from Joliet police. When officers arrived they were met by a family member who directed them inside the home, where they witnessed the disturbing scene police described only as “tragic and horrible,” authorities said.

“This is an on-going investigation into a very tragic incident,” Joliet Police Chief Brian Benton said.

Witnesses said the father of the children made the gruesome discovery and called police Monday afternoon, though authorities did not immediately confirm that information. 

“It’s kind of crazy,” said neighbor Jesus Franco. “I don’t know why this happened. We never seen things like this happen in this area… never.” 

Mom, Twin Daughters Identified as 3 Found Dead in Apparent Murder-Suicide in Joliet

 
 

[CHI] Mom, Twin Daughters Identified as 3 Found Dead in Apparent Murder-Suicide in Joliet

A mother and her twin daughters have been identified as the woman and two children found dead in what is believed to be a murder-suicide in southwest suburban Joliet Monday. Susan Carlson reports.

(Published Tuesday, Aug. 29, 2017)

The twin sisters were just getting ready to start kindergarten at a nearby Catholic school, neighbors said. 

Adele Bryant said the children would play with her dog in their yard and she would come over often to let them play. She had even recently brought the girls a back-to-school gift, a package of art pencils and paper, saying they were excited for their first year of kindergarten. 

“I just wrote them a little note and wished them a happy school and hopefully they would become great artists, they loved drawing,” she said.

Bryant said the family seemed “very normal” and she was “shocked” when she heard the news.

“It’s a very sad loss to have a family erased,” she said. 

Mayor Bob O’Dekirk also offered his condolences “to the family and friends.”

Woman, 2 Kids Dead in Apparent Murder-Suicide in Joliet: Cops

 
 

[CHI] Woman, 2 Kids Dead in Apparent Murder-Suicide in Joliet: Cops

Police are currently investigating an apparent murder-suicide of a woman and two small children who were found dead inside a southwest suburban home Monday afternoon. Natalie Martinez reports.

(Published Monday, Aug. 28, 2017)

Opioid abuse expert skeptical of pill timing cap effectiveness

Opioid abuse expert skeptical of pill timing cap effectiveness

http://www.tucsonnewsnow.com/story/36316948/opioid-abuse-expert-skeptical-of-pill-timing-cap-effectiveness

TUCSON, AZ (Tucson News Now) –

It’s just one tool, but it’s being marketed to help you avoid medication mistakes.

Timer Caps are being sold at CVS Pharmacy stores nationwide. The product is gaining exposure as a new report surfaces, showing an increase in overdose deaths this summer in Arizona.

According to an Associated Press report, preliminary data appears to show the rise in deaths, even after Governor Doug Ducey declared a health emergency to address the national opioid epidemic affecting Arizona.

Like a stopwatch, Timer Caps resets every time you close the container and begins to displays time passed since last closed, the product website said.

But Timer Caps are very similar to setting a reminder on your phone, or the many other applications out there, including things like MedMinder, according to Stephanie Green, VP of Nursing for CODAC Health Recovery Wellness.

Studies are still being done to figure out its effectiveness.

Timer Caps put out a news release saying the product can help “reduce medication errors.”

But Green said it would be misguided to assume the path to opioid abuse is simply a mistake.

“It’s assuming that a person is just accidentally mistaking their medication and that if they had a gentle reminder, they would take it appropriately. It’s totally ignoring the behavioral patterning behind intentional misuse of medication,” she explained.

The latest AP report states health officials can’t confirm a definitive increase in deaths until final cause reports are available. But the state report released Wednesday showed Arizona had 280 suspected opioid deaths from mid-June through Aug. 24. A previous report noted 790 opioid total deaths in 2016.

The AP report also said that the state reported there were more than 2,300 suspected overdoses during that period throughout all but one of Arizona’s 15 counties.

Green said she does see the positive outcome for someone using the Timer Caps.

“For those who are genuinely, innocently mistaking their medications, yes, it’ll help them. Because it deters their risk of becoming dependent or abusing or misusing medication. However, for someone who is intentionally doing it, it’s not going to offer any sort of assistance. They’re not going to pursue or purchase it. Even if they’re family purchases it they’re probably going to throw it away. This is not a behavior change.”

She believes the Timer Caps could be beneficial for a spouse, child, parent or caregiver, who wants to keep a closer eye on the patient’s prescription pill use.

Green believes the next logical step for prescription opioid overdose protection would be limited refills.

“Looking at the way we’re filling prescriptions at the pharmacy is going to be imperative. Going to the pharmacy and being able to get 30, 60, or 90 opioid prescription pills is what’s really lending to the problem that we’re experiencing as a society. These medications are not meant for long-term use. They’re meant for short-term pain resolution. If pain persists past six to eight weeks, we need to look at different causes of that pain.”

Arizona Department of Health Services officials say the latest report underscores the urgency to take action. The report includes a series of recommendations for law enforcement, opioid legislation, and medical education curriculum across Arizona, the AP said.

The Staffers Handling Health Care for Your Senators

The Staffers Handling Health Care for Your Senators

www.indivisibleguide.com/resource/senate-health-care-staffers/

As we said in the Guide, the person answering the phone when you call your member of Congress’ office will be a staff assistant or intern. You should always ask for the Senator’s legislative assistant who handles that particular issue for the Senator. In this case: health care. Often times, you’ll be put through to that person’s voicemail. Leave one. And then use the information below to send a follow-up email. Note: updated on July 6 to reflect new BCRA numbers.

Interactive map on the above LINK

Why This Sudden Opioid Crisis?

Why This Sudden Opioid Crisis?Why This Sudden Opioid Crisis?

www.thetribunepapers.com/2017/09/07/why-this-sudden-opioid-crisis/

A simple question about whether there was any connection between the War in Afghanistan and the current opioid epidemic in the United States involved sifting through many through-the-looking-glass speculations.

By Leslee Kulba – According to several credentialed best estimates, Afghanistan is believed to supply anywhere from 80-90 percent of the world’s opium. Reliable, official, ranking sources, like the DEA, also say 99 percent of the opioids (natural and synthetic) in the United States do not come here from Afghanistan. They stand behind the claim even though Canada reportedly receives most of its opioids from that country, and the states first to declare war on opioids are clustered on the US’ porous northern border. What’s more, a fact sheet published by the American Society of Interventional Pain Physicians states, “Americans … have been consuming 80 percent of the global opioid supply, and 99 percent of the global hydrocodone [a derivative of opium] supply, as well as two-thirds of the world’s illegal drugs.”

The numbers could be stretched to work, say, if most of the opioids in the country were synthetic, or if the statistics were in terms of milligrams instead of dosage; but on first blush there is something wrong with the tallies. Actually, that is to be expected. When asking simple questions about war or black markets, one is answered with political platitudes and conspiracy theories. It’s no secret today’s political parties are operating with separate sets of facts. When politicians make stupid announcements, citizens ask if this is some form of 26-dimensional chess or just late-stage dementia. Is it merely blather to appease ESL operatives without revealing covert strategies? Are those upon whom patriarchal policies are to be practiced supposed to respond logically or submit to a reverse-psychology scheme?

President Trump recently announced his intentions to escalate the War in Afghanistan, which is now in its sixteenth year, making it the longest war in US history. As of October 2016, blood and treasure tallies included the lives of 2,386 US military personnel and 1,173 US civilian contractors. In April of this year, the US had spent $117 billion on the war. At least Trump only vaguely spoke about “winning” instead of honoring the tradition of handing the people a load of debunkable specifics. After all, the Whac-a-Mole game of chasing terrorists is not confined to Afghanistan, which, along with the Taliban and US forces, has a common mission of defeating ISIS. Osama bin Laden was found harbored in friendly Pakistan, and domestic lone wolves are doing more damage in the free world these days than anything out of Afghanistan.

Sure, an ISIS leader was just killed in a military strike in July; but he is the third in a year, and nothing has changed. Questions like that call to mind the old adage that all wars are economic. Sadly, about the only thing economic about Afghanistan is opium. It is estimated to make up 52-53 percent of that nation’s licit GDP; the extent of the black market being anybody’s guess. A simple question about whether there was any connection between the War in Afghanistan and the current opioid epidemic in the United States involved sifting through many through-the-looking-glass speculations. But after a while, certain facts and economic models appeared to stand firm against a dusty background, although many recurring themes traced back to a common source in the Special Inspector General for Afghanistan Reconstruction John F. Sopko.

So, are we funding another Opium War, exporting GDP for vapors and madness? Sopko and others challenge the official answer no.

Trump did well to say the US was getting out of nation-building in Afghanistan. The concept was known to be ill-advised even in the 1970s. Afghanistan is a collection of independent tribes not interested in the nation-builders’ vision of them answering to a modern, centralized state in Kabul. Christian Tripodi, a Kings College professor specializing in war interventions in Afghanistan, explained US leaders failed to recognize, “tribal raiding and violence was not necessarily a product of poverty or lack of opportunity. The tribes viewed raiding as honorable and possibly quite fun, an activity that was centuries old, rooted in their culture and one of those things that defined a man in a society that placed a premium upon independence and aggression.”

So, after almost two decades of nation-building, the Asia Foundation found 29.3 percent of Afghanis surveyed felt their country was “moving in the right direction.” Afghanistan ranked 111th out of 113 nations in the World Justice Project’s Rule of Law Index; and Transparency International ranked it 166th out of 168 nations in corruption. A list of issues includes a government that cannot manage funds and does not have the wherewithal to know whether funds donated are being used appropriately. Supplies provided to the police are pilfered, but illiteracy is so high, police cannot take reports. The army and police are rampantly selling ammunition, fuel, and weapons to the Taliban, and the $30-60 billion bribery industry is described by many citizens as a daily problem.

SIGAR said the US government, “failed to recognize that billions of dollars injected into a small, under-developed country, with limited oversight and strong pressures to spend, contributed to the growth of corruption.” The aforementioned problems were well-understood by the US military and NATO forces, but not so much by policymakers in Washington, DC and their lobbyists. Cato Institute Fellow Doug Bandow explained, “For them, the conflict amounts to sending military personnel they don’t know from states they don’t visit to fight a war they don’t understand in a land they don’t know.”

Nobody knows how much the US government has spent on military operations in Iraq; no official public records are maintained, but estimates run around $1-2 trillion. Direct military spending to date, following Trump’s call to arms, was estimated by military strategist Anthony Cordesman to be $840.7 billion. While the budget surely is inflated to accommodate non-military Congressional deals; the indirect costs of veterans’ benefits may double or quadruple the estimate. The amount, further, does not include State Department costs. While Trump’s speech called for more diplomacy, he intends to cut funding to that department.

Between 2002 and 2016, Congressional appropriations for Afghanistan nation-building added $113 billion on top of military spending. 26,000 contractors remain to this day. A large chunk of funds for roads, clinics, schools, and salaries for civil servants disappeared in corruption, but accounting practices aren’t adequate to determine how much. Funds used for projects intended included a $456,000 training center that disintegrated after four months, a $2.9 million farming storage facility that was never used, and a modern hospital that cost five times as much to run as an Afghan-style facility. As a general rule, nation-building only squeezes the Afghani budget.

Then, another $8.6 billion has been spent on drug interdiction. An alphabet soup of government agencies came into the country, the DEA alone setting up 95 offices. What followed had been predictably executed elsewhere. US forces are charged with confiscating drugs. It is a lot easier to go after low-hanging fruit, so agents target small farmers who won’t put up a fight. So while the military was knocking off small-beans opium growers, they were clearing the market for higher-stakes operations. The term “cartelization” is used to describe the process whereby prohibition eliminates low-level players, leaving only people not averse to high risk, like those rich enough to bribe officials or mean enough to threaten violence, often to officials’ family members.

Meanwhile, each low-producing peasant who was killed or otherwise harmed in the war on drugs became a cause célèbre, a recruit for insurgent forces; as if the mere occupation weren’t already giving terrorists a go-to justification for destroying peoples and places in the West. Thus, tax dollars, indirectly, are recruiting for ISIS. The past sixteen years in Afghanistan have shown the poppy farmers are not married to any political ideology so much as they want to feed their families or be a little more well-off in the destitute nation. They flipped to love the Taliban after it gave them seeds to grow poppies and bought back the opium paste for processing and export. The Taliban reportedly has factories for processing paste into hard drugs for retail. It then uses the proceeds to buy up arms, which it uses against the sons and daughters of the taxpayers who are paying for the nation-building and drug interdiction.

In addition to proceeds from sales, the Taliban, as well as the Afghan state, profit by taxing poppy growers and coercing them to pay protection, so officials will overlook their fields during raids. In 2008, the United Nations estimated poppy levies brought in $200-400 million for the Taliban and other warlord organizations; protection revenues, $50-70 million. NATO and the DEA estimated 60 percent of the revenues of illegal armed groups in Afghanistan come from trafficking in drugs. The DEA also estimated worldwide 37 percent of “designated terrorists” are involved to some degree in the narcotics black market. Several independent observers have noted an unmistakable geographical correlation, in Afghanistan, between concentrated poppy fields and terrorist cells.

Goals of US intervention were to “win the hearts and minds” of the people, and armed forces were not going to do this taking away the fulltime income of a third of the population. So, the West attempted to find crops to displace opium, and this didn’t work out, either. Growers can’t get one-sixth the price of opium for crops like wheat, corn, and cotton. So, the United States invested in soybeans that wouldn’t grow and spent $6 million on nine rare Italian goats that instead of breeding disappeared “presumed eaten.” When all would have been said and done – except people are wondering if this will ever be over – Afghan opium production increased 25-fold, in terms of tonnage, since programs commenced in 2001.

 

SO MUCH FOR: government of the people, by the people, for the people, shall not perish from the earth

The House Just Stripped Medical Marijuana States Of Protection From The DEA

https://www.civilized.life/articles/medical-marijuana-states-stripped-dea-protection/

States that have legalized medical marijuana could soon get an unwanted visit from the DEA. Yesterday, Congress stunned the cannabis industry by rejecting the only legal protection preventing Attorney General Jeff “good people don’t smoke marijuana” Sessions from cracking down on those 30 states for violating federal cannabis prohibition.

Back in 2014, lawmakers passed an amendment to the federal budget to protect state-legalized medical marijuana industries and the patients they serve. The amendment prevented the DEA from spending a single penny on enforcing cannabis prohibition in those states. It didn’t overturn federal cannabis prohibition or legalize medical marijuana, but it did tie the Department of Justice’s hands by freezing their finances.

At the time, medical marijuana was legal in 21 states, a number that has grown to 30 since then. But they could all be shuttered soon because that amendment — which has to be renewed with every budget — was rejected yesterday by the House Rules Committee. That means the House can’t include the rider in their final version of the federal budget.

If the budget passes without that rider, budtenders, dispensary owners, doctors recommending cannabis and even medical marijuana patients could face prosecution for their involvement in the industry. And not just for what they’re doing right now. They could be charged with offences dating back to when they got involved in the state’s cannabis industry. 

And Attorney General Sessions might do just that since he’s been itching to crackdown on those states. Since taking office, Sessions has ramped up anti-marijuana rhetoric in America. And last May, he asked Congress to drop the amendment so that he could unleash the DEA on medical marijuana states if he saw fit. His request was denied in July by the Senate Appropriations Committee, but it seems like his message resonated in the House.

The fight for the marijuana amendment isn’t over yet though. The budget has yet to reach the Senate, where the rider could be re-inserted with support from Senators Cory Booker (D – NJ), Mike Lee (R – UT), Lisa Murkowski (R – AK), Rand Paul (R – KY), Bernie Sanders (D – VT) and others. 

But even if it does get reinserted and passed, the amendment only buys patients, doctors and businesses a small window of relief before they have to start looking over their shoulders for DEA helicopters again. The reality is that the industry won’t be safe until Congress listens to the 94 percent of Americans who support medical marijuana and changes the country’s criminally outdated cannabis laws.

DEA turned blind eye to agent’s torrid affair with convicted criminal

DEA turned blind eye to agent’s torrid affair with convicted criminalDEA turned blind eye to agent’s torrid affair with convicted criminal

http://nypost.com/2017/09/07/dea-turned-blind-eye-to-agents-torrid-affair-with-convicted-criminal/

A DEA agent engaged in an extra-marital affair with a convicted criminal, gave her after-hours access to a drug evidence room, let her listen in on recorded telephone calls, and had sex with her “on numerous occasions” inside his office — but amazingly, was allowed to keep his job and security clearance, according to an internal government report.

The officer, who has not been named by officials, admitted to the torrid romance and was eventually fired from the Drug Enforcement Administration following an investigation by the agency’s Office of Professional Responsibility.

Using the pseudonym Grant Stentsen, officials released a report Thursday describing how he initiated the affair with his mistress, identified as Marion Wardman — another pseudonym — and what they did exactly over the course of their relationship.

“The Special Agent admitted to [investigators] that he had, among other things: carried on an extramarital affair with a woman who was a convicted criminal; allowed her after-hours access to a DEA office, including a drug evidence room; allowed her to listen to recorded telephone calls of subjects of DEA investigations; and had sex with her on numerous occasions in the DEA office
and his DEA vehicle,” the report says.

The Office of Professional Responsibility first found out about the tryst in 2013 — roughly five years after the forbidden lovers met on the internet — but failed to report it to the agency’s Office of Security Programs, which is responsible for adjudicating security clearances of all DEA employees.

A DEA Administrator at the time, identified as Michele M. Leonhart, was said to have turned a blind eye to the agent’s “serious misconduct” — “inappropriately” intervening to reinstate his security clearance — after being told to do so by then-Acting Chief Inspector Herman “Chuck” Whaley.

The inspector “opposed the suspension of the Special Agent’s security clearance and intended to resolve the matter in a different manner,” according to the DEA report.

“We concluded that Leonhart acquiesced to Whaley’s flawed decision to intervene in the security clearance process, and therefore she shares responsibility for it,” the report says. “We also determined that she did not testify untruthfully to Congress regarding whether she had any impact on the adjudication of agents’ security clearances.”

Investigators from the Security Programs first learned of the agent’s misconduct in 2014, but the agent’s security clearance wasn’t suspended until March 24, 2015. It was then reinstated by Whaley 3 days later.

According to the report, the inspector “stated that the Special Agent’s misconduct merited significant punishment but did not raise national security issues because it did not involve a lack of candor, foreign nationals, or a foreign country.”

The investigation into the agent’s affair was ultimately launched after his mistress called his office in 2013 and alleged that they had been having sex inside the building.

“According to Wardman, she reported Stentsen’s misconduct because she was angry with his response when she told him she was pregnant with his child,” the report says. “Stentsen has denied that he is the father of the child born in February 2014 and, according to the investigations we reviewed, his paternity had not been established.”

The agent was eventually fired from the DEA in March 2016. Leonhart resigned from the DEA a year earlier and Whaley wound up retiring in September 2016.