No system is perfect… just get use to it.. if it messes with your quality of life ? just suck it up !

fromthegovernmentThe End of Prescriptions as We Know Them in New York

nytimes.com/2016/03/15/nyregion/new-york-to-discard-prescription-pads-and-doctors-handwriting-in-digital-shift.html?_r=0

One morning this month, Silvia Cota, a nurse supervisor in the emergency room at Lenox Hill Hospital in Manhattan, gathered her nurses together in a huddle to prepare them for the future.
“It really is not a complicated thing,” Ms. Cota told them, speaking loudly over the bustle of patients and emergency room staff. “We just have to get used to it.”

Starting on March 27, the way prescriptions are written in New York State will change. Gone will be doctors’ prescription pads and famously bad handwriting. In their place: pointing and clicking, as prescriptions are created electronically and zapped straight to pharmacies in all but the most exceptional circumstances.

New York is the first state to require that all prescriptions be created electronically and to back up that mandate with penalties, including fines and imprisonment, for physicians who fail to comply. Minnesota has a law requiring electronic prescribing but does not penalize doctors who cling to pen and paper.

Just as doctors putting away their pads will face a culture change in New York, so, too, will patients, who will no longer be able to shop around for the shortest waiting time or the best price for their medications.

Lenox Hill was one of several New York hospitals owned by Northwell Health, formerly the North Shore-LIJ Health System, that on March 1 began to comply with the new mandate.

The shift is rooted in a 2012 state law known as I-Stop that was designed to curtail the growing problem of prescription opioid abuse. The scale of the problem is enormous. More controlled-substance prescriptions were written in the state from 2013 to 2014 (about 27 million) than there were residents (about 20 million), according to the State Health Department. In 2004, there were 341 opioid-related deaths in the state. In 2013, there were 1,227.

The first part of I-Stop, put into effect in 2013, is an online registry that a doctor must check before prescribing a controlled medication. The registry lists all controlled substances recently prescribed to a patient so doctors can spot a history of abuse.

But the registry can be gamed, even by a move as simple as a patient’s misspelling his name for the doctor.

“It’s certainly not foolproof,” said Dr. Douglas Schottenstein, a Manhattan pain management doctor whose office writes dozens of controlled-substance prescriptions daily.

The second major component of I-Stop legislation is the shift to electronic prescriptions, intended to reduce fraud, as well as mistakes caused by misinterpreted handwriting.

The transition was scheduled to take place a year ago, but state lawmakers pushed the start date back, largely because of software security issues. Those have been resolved.

“There should really be no reason that a doctor shouldn’t have had ample time to get it up and running,” said Dr. Joseph R. Maldonado, president of the Medical Society of the State of New York.

With the push to go digital over the past year, New York now leads the nation in the percentage of medical practitioners able to prescribe controlled substances electronically, according to Surescripts, the company that runs the network on which the prescriptions travel.

In the emergency room at Lenox Hill Hospital, nurses were given a briefing on the move to electronic prescriptions this month. Credit Christian Hansen for The New York Times

Still, many institutions are waiting until the last minute. As of January, only about 60 percent of the state’s roughly 100,000 prescribers were able to send prescriptions electronically, and about half as many were set up to prescribe controlled substances, which requires an extra security step.

Hospitals and nursing homes are among the late adopters, in part because of the complexity of rolling out technical systems in big institutions. Several of New York’s major health systems are applying for waivers to get more time for at least some of their facilities, including Montefiore Health System, NYU Langone Medical Center, Northwell Health and the Mount Sinai Health System.

Officials say that transmitting prescriptions to pharmacies will cut down on fraud, because people will no longer be able to modify a prescription by, for example, increasing the number of pain pills ordered.

“Paper prescriptions had become a form of criminal currency that could be traded even more easily than the drugs themselves,” said Eric T. Schneiderman, the state’s attorney general, who helped write the legislation. “By moving to a system of e-prescribing, we can curb the incidence of these criminal acts and also reduce errors resulting from misinterpretation of handwriting on good-faith prescriptions.”

Yet electronic prescribing will present its own set of challenges as patients and doctors get used to the idea.
Although I can understand the need to do something about prescription abuse, as someone who uses medication for chronic health issues…

Patients will have to come in knowing what pharmacy they want to use. At Lenox Hill, nurses will ask all incoming patients to indicate a preferred pharmacy, or have them pick one from a list presented by the software.

And if the medication at the pharmacy is either too expensive or not available, there will be no quick fix. To have a prescription sent to another pharmacy, the doctor will have to cancel it by phone and then prescribe it again.

The hospitals acknowledge the difficulties. When trying to convince doctors of the benefits of electronic prescriptions, “I don’t pitch it as, ‘It’s going to be faster for you,’” said Dr. Michael Oppenheim, the chief medical information officer for Northwell Health. Instead, Dr. Oppenheim said, he mentions things like improved legibility and better coordination of care.

Yet problems at Northwell’s pilot sites have been relatively few, he said. And at NYU Langone, where nearly three-quarters of prescriptions are now issued electronically, doctors report that most patients seem to like that the prescription is sent to the pharmacy ahead of them.

One unexpected impact has been that doctors tend to prescribe more common medications that are likely to be in stock, to avoid the headache of having to reissue a medication because the pharmacy does not have it.

“It’s probably driven us to prescribe more standardized regimens and more standardized dosing,” said Dr. Paul A. Testa, the chief medical information officer at NYU Langone. “And the reality is, there is always the phone. If I have a doubt, I can call the pharmacy.”

Doctors can still write prescriptions by hand in exceptional cases, such as when the medication will be filled out of state, when there are technical problems and when the prescription is for something other than a medicine, like crutches or a wheelchair.

Doctors who fail to follow the mandate “will be subject to a full range of disciplinary actions, including both civil and criminal penalties and fines,” according to the State Health Department.

Saying goodbye to the prescription pad is a relief for some doctors. After all, in most medical settings, pointing and clicking is already more prevalent than writing with a pen.

“My handwriting is really pathetic to the point where I think I have dysgraphia,” said Dr. Steven Lamm, the medical director of the Preston Robert Tisch Center for Men’s Health with NYU Langone, which has embraced electronic prescribing over the past year. Now, he said, “my prescriptions are actually legible.”

 

DEA obstructing defense team investigation ? Isn’t this obstruction of justice ?

Judge: DEA should not scare employees away from defense

http://www.hastingstribune.com/judge-dea-should-not-scare-employees-away-from-defense/article_85f5c615-cd53-59b1-ada5-6a254d39fc02.html

NEW YORK (AP) — A judge says he’d be troubled if the Drug Enforcement Administration warned employees not to cooperate with defense lawyers after two DEA employees were arrested.

Federal Judge Paul Gardephe asked prosecutors Monday to see if it’s true. An ex-DEA supervisory agent and a suspended telecommunications specialist have pleaded not guilty to charges they hid roles in running a New Jersey strip club.

Defense lawyer Cathy Fleming says her preparation for a May 2 trial has been hampered since a DEA supervisor said nobody could speak with her defense team without permission from the office’s top agent.

Fleming represents Glen Glover, a DEA telecommunications specialist. He and retired DEA Agent David Polos were arrested last May.

A prosecutor said government lawyers have not told the DEA to obstruct the defense team.

Police deal with rise of crime connected to drug abuse ?

Feeding an addiction: Police deal with rise of crime connected to drug abuse

http://cumberlink.com/news/local/closer_look/feeding-an-addiction-police-deal-with-rise-of-crime-connected/article_228f421a-8cf0-5c80-94b9-7564bdfe8ff6.html

If you deal with the source of the problem… mental health issue of addictive personality disorder.. TREAT THE PTS WITH THE DISEASE… the reasons for the CRIME will be REDUCED or ELIMINATED. Of course, if there is less CRIME.. there is less need for those members of the law enforcement community to keep fighting the war on drugs… but if your job is law enforcement… you don’t have a job if no one breaks the laws.

As the government works to implement a drug monitoring program after a few years of delay, members of law enforcement still find themselves dealing with the consequences of prescription opioid addiction.

If and when a drug monitoring system is in place, it could cut back on the amount of opioid painkillers being prescribed.

That, however, is not the only way to get them.

“They’re going to find a way to get drugs,” said Shawn Hopper, pharmacy manager at Holly Pharmacy in Mount Holly Springs. “I would say it’s just as easy to get what you want on the street.”

Opioids are readily available on the street—through over-prescribing, stolen prescription pads and theft.

It’s the last method that has local law enforcement particularly worried.

Among the police departments that must deal with pharmacy robbery concerns is Hampden Township Police. The township has both a Rite Aid and CVS across the street from each other on the Carlisle Pike on Sporting Hill Road, which is just down the street from the police department.

Its proximity to police hasn’t stopped robbers and addicts from hitting the pharmacy.

“Last year, there was a rash of robberies at the CVS literally around the corner from (the police station),” Hampden Township Police Chief Steve Junkin said. “CVS had has more robberies than Rite Aid, simply because it’s more difficult to get in and out of Rite Aid, and bad guys know that.”

Junkin said some of the suspects have come from Camp Hill and Harrisburg, and a robbery a month ago led to the arrest of four people from Lancaster County.

“We are at Interstate 81 and Route 581 with ramps close by, making us a high-value target. Getting onto the interstate is also a problem for them,” he noted. “We know that’s an escape route. The last people we nabbed were on 581.”

 
 

Junkin said that this year, the police department hasn’t seen the kind of crime spree they saw last year. Part of that is due to the fact that the suspects this year have been caught.

Last year, the suspects in the robberies were rarely caught immediately, which Junkin said then fed the interest from others to hit the same pharmacy.

“We had one guy robbing us several times. There were also three different groups that hit us in a short amount of time,” Junkin said. “We were fortunate sometimes – one time a patrol was right there.”

The department increased patrols and established a relationship with CVS to catch suspects more quickly. When the robbers stopped getting away, the burglaries became fewer and farther between.

Still, the issue is a concern for pharmacies. Holly Pharmacy was robbed twice a few years ago, and Rite Aid has also taken the issue to heart.

“Safety and security of our customers and associates is a top priority for Rite Aid,” said Kristen Kellum, spokesperson for Rite Aid. “We’ve invested millions of dollars in risk policies and procedures, and technology and safety measures, to keep those inside our stores safe, and are always exploring new measures.”

And if there’s one thing the department has seen from its investigations into the robbery, it’s how to spot an addict feeding an addiction.

“They know what bottle to look for,” Junkin said. “They could just ask for everything, but they’re only asking for one pill. That’s when we know it’s an addiction. It’s really an economic cycle with addiction.”

With government and medical officials looking to prevent addiction at the front end of the problem, Junkin said it’s still a concern for law enforcement handling the back end of the issue.

“You have people who are out of money, and the habit is so bad they are willing to do anything to get it,” he said. “This is just a symptom of a very, very complex problem. When people talk about legalizing drugs, these are the kinds of problems that can result in that. We pay for higher prescription costs and higher home insurance costs because of burglaries, and it all comes down to an economic thing for all of us.”

Hospital Pain Care Survey

https://www.surveymonkey.com/r/RQPQCP7

USE THE ABOVE LINK TO GO DIRECTLY TO SURVEY AND SUBMIT

Recently a group of U.S. senators proposed that Medicare no longer require hospitals to ask patients about the quality of their pain care in patient satisfaction surveys.  Medicare uses a funding formula that rewards hospitals that are rated highly by patients, while penalizing those that are not.

The senators believe questioning patients about their pain has lead to over-prescribing “because physicians may feel compelled to prescribe opioid pain relievers” to improve their hospital’s ranking in satisfaction surveys.

We will be asking a series of multiple choice questions about your own experience with hospitals. Please select the answer that best fits your experience. There is an area at the end of the survey where you can leave additional comments.

* 1. Do you have acute or chronic pain?

* 2. How many times in the last five years have you been admitted to a hospital or been treated in an emergency room?

3. Was pain usually the primary reason you were admitted to a hospital?

4. If you experienced pain after a surgery or treatment in a hospital, was it adequately controlled?

5. How would you rate the overall quality of your medical care in hospitals?

6. How would you rate the quality of your pain treatment in hospitals?

7. Do you currently take an opioid pain medication?

8. Did you ever feel you were labelled as an addict or “drug seeker” by hospital staff?

9. Were doctors reluctant to give you opioid pain medication while you were hospitalized?

10. Were you ever refused opioid pain medication while hospitalized?

11. If you were given non-opioid pain medication or therapy in a hospital, were they effective in relieving your pain?

12. Overall, do you feel hospital staff are adequately trained in pain management?

13. Should patients be asked about their pain care in hospital satisfaction surveys?

14. What else would you like to say about your pain management and treatment in hospitals?

15. If you would like to receive the results of this survey and subscribe to PNN’s newsletter, leave an email address. We respect your privacy and do not share email addresses or personal information with third parties.

 

 

SUICIDE by GUN… real reason … DENIAL OF CARE ?

RxtotheheadThis showed up on a closed chronic painer Face Book page..  I guess that this will show up under “suicide by gun” column on CDC’s published stats. It would appear that the doctor(s) involved in the DENIAL OF CARE of this patient will have no consequences for their actions and lack of actions.  Of course, if this pt had of OD’d on opiates prescribed by the same doctors… the “authorities/judicial system” would be coming after him/her for contributing to her death.  Amazing how the invisible diseases of mental health and chronic pain are dealt with under two different standards when  pts die.

“My sisters and I have been suffering from chronic pain for decades. My older sister and I were given proper pain control but my younger sister was denied that basic medicine. They would only give her one type of pain medication but that did not work sufficiently. Compounding the problem was she didn’t want to be a ‘druggie’. She bought into the doctor’s belief that biofeedback could control her pain and that people in long term pain should never take opioids. Her condition was horribly painful, imagine your whole body in a severe muscle spasm slowly forcing your body to fold in half and be stuck that way. These muscle spasms would constantly tighten and shift several times a day. Eventually, she turned to alcohol for pain relief since she was not given sufficient pain control. The heavy drinking caused her IBS like issues to flare up and we almost lost her to malnourishment in 2014. She gradually put on weight, my older sister and I came in and started caring for her and going to her doctor appointments with her. She was doing a little better (the doctors changed her medications – finally off clonazepam and on neurontin instead). They also started working with a new physical therapist and a visiting nurse who was replaced by a sister in law as she progressed. Since it was painful for her to use a phone or laptop, my older sister got her an E-reader with internet access. She would post on facebook and chat with me often. I was looking forward to visiting her this fall, to catch up in person. A few days ago, I realized I hadn’t seen a post from her in a couple of weeks, though she did like a post of mine recently. Like me, during her bad pain spells, she wasn’t too talkative – we’d catch up when she or I was doing better. Friday evening, I was contacted by my niece that my sister had been drinking heavily again. We were trying to plan an intervention, for this weekend or monday, to get her hospitalized for alcoholism but more importantly to find a proper pain control measure so she wouldn’t turn to alcohol out of desperation again. She rarely drank before she discovered alcohol would kill the pain. Saturday morning her sister in law found her….. We don’t know who gave her the gun – they had taken the one she had for protection (from a former spouse) years ago. I don’t know how her crippled hands, shaky hands were able to load the gun and successfully pull the trigger, but she was determined to stop the pain. Now she’s gone. Will never know if proper pain control could have reversed her debilitating disease now – it was most likely too late. I blame her doctors unwillingness to treat her pain for her death.”

My Life – My Choice: Dying with Dignity

My Life – My Choice: Dying with Dignity

“I feel a great deal of sorrow that I can’t be fixed… I don’t want to die, but I can’t live like this, I can’t live in pain.”

In February 2015, Toronto resident, real estate broker and passionate dog-lover Kathy Wardle called long-time friend and ZoomerMedia producer John Thornton to ask if he would be interested in buying her Cabbagetown house because she was downsizing. Little did John know the real reason behind Kathy’s decision to sell.

Despite numerous surgeries and countless medications, including the maximum allowable daily dose of morphine, Kathy’s years of chronic pain had reduced her life to, in her words, “less than zero”. Uncertain about the timing of the Canadian government’s legalization of physician assisted death, Kathy began the lengthy and thorough process required to get the “green light” to legally end her life overseas in Switzerland.

My Life – My Choice: Dying with Dignity is the result of John and Kathy’s unexpected and emotional journey to document her final weeks and the aftermath of her brave and lucid decision through intimate conversations with family and friends, interviews with physicians and chronic pain experts.

Kathy’s preference would have been to die a graceful death at home in Toronto surrounded by loved ones. Her hope was that My Life – My Choice: Dying with Dignity would serve to create awareness about chronic pain and stimulate greater conversation around end of life care and end of life choice.


In the News

The topic of dying with dignity in Canada has been in the headlines a lot lately, thus providing Canadians with further information, insight and opinion on the matter.

Toronto Life
“I helped eight people end their lives. By the time you read this, I would’ve ended mine.”

[Read Full Article]

The Globe and Mail
“ALS sufferer first Canadian to receive judge’s approval for assisted death.”

[Read Full Article]

Metro
“Toronto Man wants to be Ontario’s first case of doctor-assisted suicide.”

[Read Full Article]

CBC.ca
“Archbishop of Toronto speaks out against assisted dying.”

[Read Full Article]

 DyingWithDignity.ca
“Dr. David Amies: With assisted dying report in hand, Ottawa has building blocks for new legislation.”

[Read Full Article]


thezoomersmOn Monday, March 14 at 9pm ET/6pm PT, tune in for a special edition of theZoomer. Here, the panel will discuss the subject of assisted dying. My Life – My Choice: Dying with Dignity, will air directly afterward at 10pm ET/ 7pm PT.

 
Facebook F LogoDo you have an opinion on My Life – My Choice: Dying with Dignity and/or the topic of assisted suicide? If so, please click here to join the conversation on VisionTV’s official Facebook page.

DEA Agent Scott played fast and loose with the rules ?

rottenappleStar DEA agent finds himself at center of sprawling probe as drug task force comes under scrunity

http://www.theneworleansadvocate.com/news/15135428-125/star-dea-agent-finds-himself-at-center-of-sprawling-probe-as-drug-task-force-comes-under-scrunity

The U.S. Drug Enforcement Administration for years considered Chad Scott a golden boy among its special agents, a prolific narcotics officer who earned countless plaudits for the DEA’s New Orleans field division. Others knew him as a champion waterskier, a tan, blond boss of the single ski.

 

His legend extended to the world of drug traffickers, where Scott styled himself the “white devil,” a ruthless cop who strong-armed informants and boasted to suspects that he was “the baddest (mother)” along the Interstate 12 corridor.

 

One dealer loathed Scott so much that he hatched a plan to have the agent executed for $15,000.

Scarface, a popular Houston rapper, name-checked Scott in a controversial album that taunted the DEA — music the brash agent liked to play at high volume following drug arrests.

Some colleagues, though, thought Scott — now at the center of a widening investigation — played fast and loose with the rules, even comparing him to the crooked detective played by Denzel Washington in the movie “Training Day.”

 Attorneys for some of his targets share that view.

“I’ve always felt that he was sort of off the books, that he was a guy who would go to extremes that I felt violated a sense of equal justice,” said Arthur “Buddy” Lemann III, a veteran defense attorney who recently accused Scott of committing “outrageous misconduct” in a federal drug case. “There’s got to be some sense that you can only go so far, and Chad Scott has always been right on the periphery of that — if not overstepping it.”

But some of Scott’s law enforcement brethren say he’s one of the best agents they’ve ever worked with.

 

“I knew Chad Scott, and still know him, to be a fine, upstanding public servant whose dedication has been an overwhelming asset to this community,” said defense lawyer Matt Coman, a former federal prosecutor who worked closely with Scott for years. “His work has gone a long way toward continuing to eradicate the scourge of illegal drugs in this community. He’s a fantastic person, a fantastic agent — a credit to that agency.”

Whether Scott is a rogue officer or an aggressive but outstanding agent, his storied career has been turned upside down in recent weeks, as Scott has found himself in the middle of a sprawling investigation into misconduct on a multiple-agency drug task force that he led.

The criminal inquiry, taken over recently by the FBI, has focused on several sheriff’s deputies who served on the task force and are suspected of peddling drugs and stealing cash seized in at least two suburban parishes.

 

But Scott is also in the crosshairs, according to multiple law enforcement sources.

The DEA has declined to comment on Scott’s status, refusing even to say whether he still works for the agency. But three law enforcement sources confirmed last week that Scott has been stripped of his gun and badge and suspended from duty.

The suspension marks at least the fourth time Scott has been disciplined at the DEA, according to law enforcement officials who spoke on the condition of anonymity because they were not authorized to speak publicly.

 

It’s exceedingly rare for federal officers to face criminal charges, and it’s not clear yet whether the government intends to charge Scott — or what it might charge him with. It is also unclear whether any DEA agents other than Scott are being investigated by the FBI.

Scott did not respond to messages seeking comment last week.

Along with the criminal probe, the DEA also has launched a sweeping internal investigation into the task force led by Scott that involves both the agency’s Office of Professional Responsibility and the Office of the Inspector General.

 

Internal investigators have been working intensively at the DEA’s New Orleans Field Division, which saw a shakeup last month when Keith Brown, who headed the office’s four-state operation, was reassigned amid the spiraling scandal to DEA headquarters in Washington, D.C.

Changes in policies

The scandal could have far-reaching effects on federal and state drug cases, past and present, around the New Orleans area. It already has prompted significant changes in the DEA’s local policies for handling evidence and, according to an agency memo, even security protocols at the agency’s Metairie office on Causeway Boulevard.

 

Two members of the DEA task force — former Tangipahoa Parish Sheriff’s Office Deputies Johnny Domingue and Karl E. Newman — have been booked on a long list of conspiracy and drug distribution charges.

Domingue, who has given extensive interviews to law enforcement since his Jan. 26 arrest, pleaded guilty on Friday to four counts, admitting he conspired with Newman to steal an array of narcotics and cash from suspects and DEA evidence lockers.

Multiple sources said more arrests are in the offing, and court documents filed in connection with Domingue’s guilty plea describe the role of an unnamed law enforcement official in the alleged scheme.

 

The fallout from the scandal almost certainly will include legal challenges brought by defendants in cases involving Domingue, Newman and, if he is charged, Scott, who has worked with the DEA for 17 years and been involved in some of the agency’s most notable busts.

The case also has opened an unusual window into the sometimes blurry line that separates narcotics officers from the underworld of drug dealers and snitches whom they rely on for tips.

Some of Scott’s colleagues began to question his allegiances more than a decade ago, according to law enforcement officials, and they alleged on multiple occasions that Scott flagrantly disregarded DEA policies. Those claims prompted internal inquiries that typically absolved Scott of the most serious charges, such as allowing his informants — the agency refers to them as “confidential sources” — to continue dealing drugs.

 

Scott once was suspended for allowing an informant, Shawn N. LaBee, to use his own money as a so-called “flashroll” — cash shown to a dealer to establish bona fides during a drug deal. That practice violates DEA policy.

Records reviewed by The New Orleans Advocate show the DEA and Louisiana State Police received a citizen complaint as early as 2004 that Scott had been “supplying narcotics” to an individual. The complainant, a Washington Parish woman, claimed to have witnessed Scott taking drugs from a residence after an arrest.

“He seizes a lot of dope and a lot of cash, and he makes his managers look good,” said one law enforcement official, who spoke on condition of anonymity. “Case-makers are protected.”

 

The authorities appear to be reinvestigating several of Scott’s cases — past and pending — as well as examining allegations that he has planted drugs and improperly recruited informants from a halfway house. One case being scrutinized involves the disappearance of tens of thousands of dollars seized in a recent drug interdiction, said another law enforcement official familiar with the probe.

Drawn to narcotics work

Scott began his law enforcement career in Tangipahoa Parish, where he was hired as a sheriff’s deputy in the early 1990s. Soon, he was assigned to narcotics, making high-profile busts and earning a reputation as an agent who could bring home the big case and, crucially, the big seizure.

 

“I got to know Chad Scott when I was an assistant district attorney, probably in 1994, my first year,” said Daniel Edwards, the current sheriff of Tangipahoa Parish and brother of Gov. John Bel Edwards. Daniel Edwards, who prosecuted a large number of drug cases, remembered Scott as a standout cop.

“If my memory serves, he made more cases than any other agent at (the Sheriff’s Office),” Daniel Edwards said. “Certainly, the bigger cases, the bigger seizures tended to be his.”

The exact dates of Scott’s tenure with the Tangipahoa Parish Sheriff’s Office are unclear; Daniel Edwards’ attorneys said he inherited almost no personnel files from his predecessor, Ed Layrisson, when he took office in 2004.

 

Scott had left for the DEA years before that, but the Sheriff’s Office still periodically received complaints about him, according to a former office employee. “Daniel Edwards’ standard response was that he works for the federal government,” the former employee said.

Scott testified last year that he began working on the DEA task force when he was still a sheriff’s deputy. He said he left the Sheriff’s Office after nine years to join the federal agency.

For a time, the task force was led by DEA Special Agent Dave “Chicken” Gorman, who considered Scott a model agent.

 

“I wish I’d had four or five just like him,” Gorman, who is now retired from the agency, said in an interview. Scott wrote good case reports, brought strong cases and rarely had to be questioned by superiors or prosecutors, Gorman said.

By December 1998, court records show, Scott was working in Houston, where he was assigned soon after he was hired by the DEA. There, he quickly found himself in the middle of a politically charged case the DEA and Houston police were pursuing against Houston rap mogul James Prince, owner of a major record label called Rap-A-Lot. Scott and another DEA agent, Johnny Schumacher, were assigned to the case.

During the investigation, Prince and others made allegations of civil rights violations and racial profiling in the DEA’s handling of the case; their complaints found an audience with U.S. Rep. Maxine Waters, D-Calif. Waters sent a letter to then-Attorney General Janet Reno, who halted the probe in 1999.

 

Prince’s complaints also found their way into the label’s music, especially in two songs by Scarface, the rapper, who took shots at the DEA and police, naming Schumacher in one song and including a reference to “Chad” in another. Though the reference was oblique, DEA officials made clear in congressional hearings that they believed the song was calling out Scott.

Back to Tangipahoa

The DEA investigated Schumacher and Scott for several alleged transgressions. Schumacher ultimately was cleared, but Scott received a letter of reprimand because a gold necklace confiscated during the DEA’s probe of Prince was found in his desk, according to congressional testimony.

 

Sometime after that, Scott, still a DEA agent, returned to his old stomping grounds and began working cases in Tangipahoa Parish. He reconnected with Daniel Edwards, who was still in the District Attorney’s Office. When Edwards became sheriff in 2004, he began working more closely with Scott.

“The working relationship probably got closer,” Edwards recalled. Edwards frequently assigned one or two of his deputies to the DEA task force, a common arrangement in areas around the country. And the group kept making cases.

“I have never known him not to be an effective agent,” Edwards said of Scott. During that time, the sheriff added, he never heard allegations of impropriety.

 

Edwards said he and Scott were friends but only through work.

“I considered Chad a personal friend, yes. But I have never been to his house. I have never bought him Christmas gifts. I don’t know when his birthday is,” Edwards said. “When you work with someone enough, you can become close to him and consider him a friend.”

A fresh complaint against Scott landed in U.S. Attorney Kenneth Polite’s New Orleans office last fall. It came from Laurie White, an Orleans Parish Criminal District Court judge, and was accompanied by an email Scott sent her on Sept. 25 from his government account.

 

The special agent, greeting the judge as “Laurie,” chided her for her acquittal last summer of an accused cocaine and heroin dealer, a case Scott had put together. In the email, Scott contrasted White’s verdict in that proceeding with her reaction to an unrelated break-in that month at her French Quarter home — an incident in which her husband was attacked in the courtyard.

White had told WVUE-TV that New Orleans police — though armed with video — minimized the incident by booking the suspect, Joshua Stemle, on municipal misdemeanor charges only.

Scott, in his email, drew a comparison to the case of Theltus Williams, a man White acquitted in a bench trial in June that featured video evidence of drug purchases by a confidential informant. He told the judge he found her criticism of the New Orleans Police Department to be ironic.

 

White declined to provide Scott’s email to The Advocate. But she said she took its sardonic condolences over her husband’s assault as a form of intimidation. In an interview, she called the email “inappropriate” and acknowledged filing the complaint against Scott.

‘Reasonable doubts’

White’s acquittal of Williams drew media criticism and an angry rebuke from District Attorney Leon Cannizzaro.

 

In her written ruling, the judge didn’t spell out her reasons for the verdict in the face of evidence that included marked DEA drug-buy cash found in a search of Williams’ home and rare testimony from a confidential informant.

“Every molecule of my being wanted to ignore the reasonable doubt that I had at the close of the trial,” she wrote in her one-page ruling. White also professed a “great respect for the lawyers in this case, as well as DEA Agent Chad Scott and the other agents in this matter.”

But White said in the interview that she didn’t believe Scott’s testimony when he insisted nothing had been offered to the informant, Luke Matthews, for helping nab Williams or for testifying at his trial.

 

Matthews frequently brought cases to Scott, and he testified that he was hustling for a payoff — de facto immunity from possible drug charges related to a 2009 bust in Tangipahoa Parish that sent him back to prison, but only on a probation violation. That break was thanks to Scott, Matthews testified.

Prosecutors had assured Williams’ attorneys before the trial that they hadn’t offered the informant anything. And Scott testified that he didn’t seek new drug charges against Matthews only because a confidential informant who helped bust Matthews had himself picked up a new drug charge.

“I had reasonable doubts,” White said, citing what she described as conflicting accounts between the informant and the agent.

 

“A witness was believed over him,” she said of Scott.

White also said the video was not enough to convict Williams based on three taped drug buys spanning more than a year. “The video was impossible to understand, and there were no transcripts of the minute-by-minute transactions. In the video, you do not see the drug transactions occurring,” White said.

She said she declined to spell out her suspicions of Scott in her written ruling, as a precaution.

 

“I didn’t want to affect the future of an agent for maybe not presenting a good case,” she said. “I don’t want to talk about who I believe or disbelieve because it could affect cases in the future.”

Staff writer Gordon Russell contributed to this report. Follow Jim Mustian on Twitter, @JimMustian; Faimon A. Roberts III, @faimon; and John Simerman, @johnsimerman.

Drug dealers selling heroin in tandem with Narcan

Mayor: Drug dealers selling heroin in tandem with Narcan

http://www.wmur.com/news/mayor-drug-dealers-selling-heroin-in-tandem-with-narcan/38475186

MANCHESTER, N.H. —It may seem contradictory, but Mayor Ted Gatsas believes drug dealers are selling heroin, fentanyl and the drug that reverses that high.

A director from a treatment facility in Manchester said the availability of the life-saving drug Narcan does not encourage addiction.

“It is now a selling tool,” Gatsas said.

As he was walking out of his Manchester office Thursday, Gatsas said a “tough” young man approached him.

“And he said to me, ‘Mayor, there’s going to be a lot less deaths in Manchester in the next few months.'”

Prompted, Gatsas asked how that was going to happen.

“And he said, ‘That’s because the dealers have started to buy Narcan and carry it with them,'” Gatsas said.

“‘And they’ll give you your heroin or whatever they’re selling you, and they’ll tell you that, if you have a problem, you’ll have Narcan to bring you back.'”

Gatsas thinks this practice could be dangerous, because many overdoses require more than one dose of naloxone, or Narcan, to reverse the effects of drugs.

But Stephanie Bergeron, of Serenity Place, doesn’t think dealers selling Narcan is an issue.

“We haven’t heard anything about Narcan being sold in tandem to heroin,” Bergeron said. “That is a new statement on our end as a treatment facility. You can get Narcan over the counter at places like CVS. So i’m not sure if that’s actually happening.”

Even though Narcan is available over the counter, Bergeron said she hasn’t heard of her clients buying Narcan before they used heroin as a fail-safe.

“It doesn’t really make sense, because if you’re using, and you’re afraid that you might overdose, and you bought Narcan, you would need someone to administer it to you,” Bergeron said.

Narcan is a small weapon to battle the opioid epidemic, Bergeron said.

“Harm reduction is kind of meeting a person where they’re at. So if keeping them alive with Narcan after there’s an overdose, that’s certainly harm reduction, because they’re alive,” Bergeron said. “That person may not be ready for treatment.”

American Medical Response said 14 people died last month in Manchester alone of suspected opioid overdoses. It is a new record.

Politicians are not REAL DOCTORS… they just PLAY ONE in the legislature ?

States Move to Control How Painkillers Are Prescribed

http://www.nytimes.com/2016/03/12/business/states-move-to-control-how-painkillers-are-prescribed.html?smtyp=cur

A growing number of states, alarmed by the rising death toll from prescription painkillers and frustrated by a lack of federal action, are moving to limit how these drugs are prescribed.
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On Thursday, Massachusetts lawmakers passed a bill expected to be signed next week that would sharply restrict the number of pain pills a doctor can prescribe after surgery or an injury to a seven-day supply. Officials in Vermont and Maine are considering similar actions, and governors across the country are set to meet this summer to develop a broad approach that could reduce the use of painkillers like OxyContin, Percocet and Vicodin.

The states’ push points to a looming change affecting how doctors use narcotic painkillers, or opioids, which are the most widely prescribed class of medications in the United States. The move comes against the backdrop of a public health crisis involving heroin-related overdoses.

The governor of Vermont, Peter Shumlin, said in an interview that states were taking action because drug industry lobbyists had the ability to block federal initiatives.

“The states are going to lead on this one because Big Pharma has too much power,” said Mr. Shumlin, a Democrat.

In recent years, some states have enacted tough new rules to reduce prescriptions for the drugs. But the pace of activity in states has grown so intense that experts are having difficulty keeping track. Currently, there are about 375 proposals in state legislatures that would regulate pain clinics and several aspects of prescribing painkillers, according to the American Academy of Pain Management, an organization for medical professionals that receives drug industry funding.

Even some physician groups that have long opposed legislative interference in how doctors practice have softened their stance. For example, the Massachusetts Medical Society, while opposing a proposal of a three-day limit on initial opioid prescriptions for acute pain, supported the seven-day cap adopted on Thursday by state lawmakers. Some doctors and dentists give patients as many as 60 or 90 painkillers containing narcotics such as oxycodone or hydrocodone, giving rise to potential misuse of the drugs or opening a door to addiction.

“Usually we are opposed to carving anything in stone that has to do with medical practice,” said Dr. Dennis Dimitri, president of the Massachusetts Medical Society. “But we are willing to go forward with this limitation because we recognize this is a unique public health crisis.”

In 2014, the death toll from overdoses involving prescription painkillers or heroin reached 28,647, a 14 percent increase from the previous year, according to federal data. Many recent heroin deaths involve the use of illicitly produced fentanyl, a prescription opioid often mixed with heroin.

It is unclear what effect the laws about prescription painkillers are having on death rates, which in some ways are the ultimate measure for any public policy aimed at reducing substance abuse. Some experts argue that measures to reduce prescribing painkillers may be having the unintended consequence of driving people to try heroin and other illicit drugs. Others dispute that, pointing out that the shift toward heroin use happened before the recent policy focus on opioids took hold.

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The use of opioids began to skyrocket in the 1990s in the face of claims by pharmaceutical companies and medical experts that opioids could be used to treat conditions like back pain and arthritis without fear of addicting patients. But as their misuse and abuse became rampant, public health officials, doctors, regulators and pain-treatment advocates remained deadlocked for years over how to address the public health crisis, arguing over whether tighter prescribing rules would penalize patients who needed the medications.

Some patient and medical groups maintain that little scientific data exists to warrant major new restrictions. But such arguments appear to be losing sway.

Along with the threat of addiction, there is also growing evidence that when given to patients in high doses, opioids pose a greater risk of overdoses as well as problems such as sleep apnea, sharply reduced hormone production and increased sensitivity to pain.

“We have a much better sense of the risks,” said Dr. Bruce Psaty, a researcher at the University of Washington in Seattle, who studies drug safety. “The culture has begun to change.”

Sales of opioids reached an estimated $1.98 billion in 2014, according to IMS Health, a research firm that collects prescribing data. There is little question that the drugs help tens of thousands of patients function better, including those suffering from chronic or long-lasting pain.

The moves now underway in Massachusetts and other states are not the first attempts to control how drugs are prescribed. Every state, with the exception of Missouri, now has a so-called prescription monitoring program to try to stop people from getting prescriptions from multiple doctors.

But while many of those programs have been voluntary, big impacts have occurred in places that require doctors to check the databases before writing a prescription.
These rules paint in such broad strokes that those with legitimate need who use opioid analgesic medications appropriately are lumped with…
These comments are from patients are compelling. I hope the NYT and lawmakers notice. However my hunch is that people who suffer or have…
Elizabeth Schaper 54 minutes ago

Having had 5 major spine surgeries during the past 11 years, at age 63 now, and about to undergo my 6th, I have been taking pain medication…

For example, after Kentucky passed a series of measures in 2012 including one requiring doctors to make such checks, opioid prescribing in the state fell 8.6 percent in one year, according to a 2015 report by researchers at the University of Kentucky in Lexington.

Some states have also started to look at a program used since 2012 by an insurer, Blue Cross and Blue Shield of Massachusetts, as a possible model.

Under the program, doctors cannot initially issue more than a 15-day supply of painkillers and doctors are restricted from prescribing more than 30 days’ worth of the drugs over a two-month period. In addition, they must seek prior approval from the insurer before prescribing long-acting narcotics such as OxyContin, except for cancer patients or those receiving palliative care.

Over the last three years, Blue Cross and Blue Shield of Massachusetts has found an 18 percent decline in the volume of opioid doses prescribed and a 50 percent drop in prescriptions for OxyContin and other long-acting opioids. Tony Dodek, an associate chief medical officer at the insurer, added that if it was developing the plan today, the insurer would most likely place a tighter limit on initial prescriptions.

Mr. Shumlin, the Vermont governor, said he expected that members of the National Governors Association would discuss opioid prescribing strategies when they meet in July.

“If we could adopt policies regionally or nationally, we could make some real progress,” he said.

As state initiatives gather momentum, there is even movement at the federal level.

The Centers for Disease Control and Prevention is expected to issue soon guidelines urging doctors to use opioids sparingly and treat pain first with nondrug approaches.

The effort has run into opposition. Some patient and doctors groups, including those funded by the drug industry, have charged that the guidelines were developed behind closed doors without their input and that they should not be published until more scientific evidence to justify them is developed.

In Washington, the Senate passed a bill on Thursday that would authorize funds for states to underwrite addiction treatment services and prescription monitoring databases, though it did not provide immediate money for the measures.

ABC 20/20 Breaking point Heroin in America

IMG_0112

If you wish to watch the whole show here is the link.

http://abc.go.com/shows/2020/listing/2016-03/11-031116-breaking-point-heroin-in-america

After watching this “special”.. it is clear why it took them over ONE YEAR to get it together… I just wonder how many families they had to follow to find the “worse case story” they could broadcast… I guess that is what sensational journalism is all about..

They had THIRTY NATIONAL ADVERTISERS on this program:

HomeAdvisor.com              Gain Detergent                   Geico                     Zillow.com              800AskGary.com                Progressive Insurance

Kraft Foods                           Verizon Cellular                 Banquet Foods    Vision Works          Dannon/Activia                  ATT Cellular

Quicken Loans                      Huggies                               Dell Computers   Honda                       EHarmony.com                  Red Lobster

Lexus                                      Truecar.com                       Kohls                     Werthers Candy      Allegra                                  H&R Block

AARP                                     Yoplait Yogurt                     Ford                       Downey Softner        Farmer’s Ins                      marie callender’s

Builders Supply

They start off talking about the 129 that die everyday of drug overdoses… of course this story is about Heroin… no sense of mentioning that  57 deaths are from OTC medications… after all the story is based on Heroin abuse… which accounts for abt 17% of all overdose medication deaths.. no sense in confusing the people watching the show with FACTS …

They move on the state that these drug over doses are greater than car accidents – abt 40,000/yr – and guns abt 11,000 homicides.

Again they state that 4 out of 5 Heroin users started out with prescription opiates… they , of course, never clarified if they started with a legal Rx for opiates, got them from friends/family, on the street or robbed a pharmacy… again no sense in confusing the audience with FACTS.

The first family (Aaron & Catlin)… both are Heroin abusers… but the only history that is provided is that Aaron has OD’ed TWICE before and Catlin is currently in rehab.. Also notice that Aaron is a SMOKER.. claimed to be the most addicting drug out there and causes abt 450,000 deaths/yr, but this story is Heroin addiction and 8,000 deaths.  Also, at least Aaron’s MIL was a smoker as well…

They mention that “China White”  ( Heroin mixed with Fentanyl) and claim that Fentanyl is 50 times more potent than Morphine… which is true if Fentanyl citrate was being used – like the commercial product like Duragesic – but the Fentanyl being mixed is from China is AcetylFentanyl… which is only about 7% potency of Fentanyl citrate .. again don’t confuse the audience with FACTS.

Of course, after Aaron had OD’ed the first time, they could have put him on Vivitrol (long acting Naloxone)… shot every 28 days.. and there would be no more “highs” or OD’s for Aaron, but instead .. they allow him to OD a second time and then send him to The Phoenix House were his recovery is done cold turkey and using “talk therapy” … where he fails… OD’s and dies after 8 days.

Then we meet Matt and Savanna .. Matt is working for $10/hr and Savanna is on Subutex at a cost of $17/day…abt 30% of Matt’s weekly pay. Just like Aaron & Catlin… Matt and Savanna are both Heroin addicts..IMG_0107

Matt tried to show a judge that he is clean, a family man, steady job holder… this seemingly “heartless” judge.. decides that he is not rehabilitated enough.. imposing a $5000 bond and breaking up the family and putting the “bread winner” in jail.. So now his wife and baby daughter has to find how to financially survive. Savanna apparently spirals out of control.. ends up in jail… the baby girl ends up living with her Grandmother.

 

 

IMG_0110  New Hampshire spends TWENTY TIMES more money on law enforcement than treatment. If the state had paid for Savanna’s Subutex ($17/day) … and the judge had been a little more open minded… Savanna and Matt could still have been a happy family.. Matt could have been a productive member of society. Instead the state is now having to bear the cost of incarcerating both of them and probably bearing some cost for raising their daughter via Medicaid.

 

 

 

IMG_0111The DEA agent says that this a medical issue, a public health issue and law enforcement issue. It would not be hard to imagine if the two couples that were the focus of this story that if “the system” had been more focused on their medical needs… Aaron might be alive and Matt and Savanna , Aaron and Catlin may have been a intact family. Being productive members of society… instead of being a liability on the system.

 

Also notice that when they went to the local bureaucrats to get the approval to open a residential home for single mothers in recover… TWO of the FIVE BUREAUCRATS voted NO!.. and the chairman of the counsel did not sound happy that the vote passed to approve the home.

Is it just me, or did that vote and the tone of the chairman’s statement… spoke volume about the attitude and mindset of that community and perhaps the whole state.

106 million chronic painers and THIRTY national companies advertising/supporting this show/network… I would suspect that there is a lot of money exchanging hands for the products that they produce.. and those in the chronic pain community purchasing those produce. I am especially surprised that AARP is one of the sponsors of this program.. they claim that they represent 30 million 50+ people and I would suspect that at least 30%-40% of the people they claim that they represent… are chronic painers..  I wonder how many of their dues paying members are HEROIN ABUSERS ?

This story kind of reminds me of going into a “mirrored fun house”… what you see in the mirror doesn’t reflect REALITY…  Like all the pictures of models on magazine covers that are “Photo-shopped” to make them “look better”… in this case, FACTOIDS were “Photo-shopped” to make them look like the TRUTH  ?