FL BOP does everything within it’s power… final outcome… NOTHING WILL CHANGE !

charlesbrownState Change Could Help Patients Get Pain Medications

http://wlrn.org/post/state-change-could-help-patients-get-pain-medications

Read this article very carefully… the BOP has stated that they have done EVERYTHING WITHIN THEIR AUTHORITY to help chronic pain pts  get their medication… Of course, those registrants of the DEA (wholesaler, prescriber, pharmacy) the BOP has no authority over those entities in the regards of this issue… AND.. the DEA and AG Bondi are MIA in changing the path of this denial of care to chronic pain pts. Yes you can TRY and get the Pharmacist’s mindset to stop first start looking for a reason to “JUST SAY NO”. Walgreens has some 20 K Pharmacists and it is my understanding that all it takes is ONE PHARMACIST to “black ball” a pt from all of Walgreen’s 8500 pharmacies. I can almost guarantee that putting all those 20 K Pharmacists thru a re-education program.. will not change 100% of their mindset toward first looking for a reason to fill a controlled Rx. As long as the DEA is out there with tangible or intangible threats of fining corporate pharmacies or wholesalers…  the problems from that part of the medication distribution system will be in a holding pattern. Remember… THREE WHOLESALERS controls abt 90% of the market. Pharmacists cannot dispense medication that the wholesalers refuse to sell them because of rationing.

Reacting to pleas from desperate patients unable to get pain medications, the Florida Board of Pharmacy on Wednesday approved a rule change aimed at training pharmacists to change their mindset about prescriptions for controlled substances.

The change switches the rule from a focus on reasons to reject prescriptions for highly addictive narcotics to an emphasis on ensuring that legitimate patients get the medications doctors have ordered.

“Instead of starting out with trying to find a reason to doubt a prescription, you start off with an assumption that everything in the prescription is good, and you work towards achieving patient access,” Florida Pharmacy Association Executive Vice President Michael Jackson said after the unanimous vote Wednesday morning.

The board’s action came after a series of meetings on the issue earlier this year in which members of the Controlled Substance Standards Committee heard from patients, doctors and even pharmacists frustrated by the “pharmacy crawl,” where patients have traveled to up to a dozen drug stores in search of their medications. The problem has escalated statewide in the aftermath of state and federal crackdowns on “pill mills” that earned Florida a reputation as the epicenter of a prescription drug-abuse epidemic.

At least one doctor told the committee about patients with chronic pain who had committed suicide after they were unable to get prescriptions filled. Other patients complained that pharmacists had refused to fill prescriptions because they could not prove that doctors’ orders were “medically necessary.” Some pharmacists complained that distributors had cut back on their supplies of narcotics out of fear of scrutiny from the U.S. Drug Enforcement Administration, which has imposed heavy fines on pharmacy chains and suppliers in Florida.

“I know this is emotional,” Gavin Meshad, chairman of the committee and a member of the pharmacy board who represents consumers. “People are passionate about this. I think we’re doing everything in our power to try to address the problem.”

The rule begins with an affirmation that “it is important for the patients of the state of Florida to be able to fill valid prescriptions for controlled substances” and spells out for pharmacists the necessary steps to ensure that the prescriptions are legitimate and that patients should have them.

The rule also includes requiring pharmacists to take a two-hour, “Validation of Prescriptions for Controlled Substances” course to educate pharmacists about ensuring access to pain medications for “all patients with a valid prescription.” Pharmacists would have until 2017 to take the course.

While the regulatory change won’t have any impact on the amount of drugs pharmacies are able to order from suppliers, the education requirement should help alleviate the difficulty patients are now encountering, said Board of Pharmacy Chairwoman Michele Weizer.

“If (the prescription) is a legitimate purpose and we can get in touch with the prescriber if we need to, they should find it much easier than they have in the past,” she said.

The change, which still needs to go through what can be a time-consuming regulatory approval process, also won’t force chain pharmacies like Walgreens and CVS to revamp corporate policies that result in some patients being blacklisted or turned down even when prescriptions are valid.

But patients can take some steps to improve chances of getting their prescriptions filled, said Jackson, whose association represents independent pharmacies.

Jackson said patients should try to find pharmacies close to their residences or workplaces and establish relationships with pharmacists. Patients should also be “open about sharing their health information” with their pharmacists, Jackson said.

“If you establish a pharmacist-patient relationship, just like a physician-patient relationship, you’ll have a health care provider who’s more motivated to work to resolve your problems,” he said. “But screaming and yelling at pharmacists will only create doubt in the pharmacists’ mind that there’s something going on here that they’re not sure they understand.”

Talk about your unintended consequences

Opioid Prescriber Monitoring May Increase Overdose Deaths

http://www.medscape.com/viewarticle/836489

AVENTURA, Florida ― Surveillance of opioid prescribers, designed to prevent opioid overdose deaths, may actually be having the opposite effect, new research suggests.

 
Sonia Mendoza

The qualitative study, aimed at assessing doctor-patient interactions after a prescription monitoring program (PMP) known as “I-STOP,” which was mandated by New York State in 2013, showed that Staten Island prescribers of opioids are refusing patient requests for the drugs, “are abruptly discontinuing long-term narcotic treatment, and are refusing to accept new patients who are at risk of nonmedical narcotic use,” report investigators.

In addition, clinicians predicted that effects of the program will lead to an increase in the use of heroin and illicit opioids by those dependent on prescription opioids, as well as an increase in state border crossings to obtain prescriptions.

Lead author Sonia Mendoza, research coordinator at New York University and the Nathan Kline Institute for Psychiatric Research, in New York City, told Medscape Medical News that although increased transparency from PMPs offers benefits, this particular program has also led to an increase in discharges upon discovery of diversion.

“We found that a lot of prescribers were afraid that patients would simply go to New Jersey because they had no access to New Jersey’s monitoring program,” said Mendoza.

“They thought it did increase honesty and transparency regarding patients’ behaviors. But at the same time, they didn’t have comprehensive care for the patients, which led to discharges without proper referrals,” she added.

The study was presented here at the American Academy of Addiction Psychiatry (AAAP) 25th Annual Meeting and Symposium.

Opioid Overdose Epidemic

The investigators report that Staten Island has four times the number of opioid overdose deaths of any other New York City borough. As a result, enhanced surveillance by law enforcement has been instituted for opioid prescribers.

Operational PMPs are now in place in 48 states. In New York, the PMP is known as the Internet System for Tracking Over-Prescribing (I-STOP) and is a registry for all prescriptions of Schedule II, III, and IV controlled substances.

For the study, the investigators recruited clinicians through the Substance Abuse and Mental Health Services Administration (SAMSHA), which lists all opioid maintenance–certified prescribers in Staten Island and the other boroughs of New York City. Community-based buprenorphine-certified prescribers and patients underwent semistructured interviews and “ethnographic observations.”

“We wanted to look at the impact especially in primary care physicians who don’t have a background in addiction psychiatry,” said Mendoza.

 Results showed that after I-STOP was put in place, providers have reported discharges, but sometimes without proper referral.

One prescriber noted during the study that 20% of these patients were discharged from his practice. “You find that they go to different doctors and are not honest. They’ve taken more medicine than they’re supposed to do. You have to sit down and talk to them for a long time [and] give them a chance to be honest,” he said.

“You’re reigning in the people who are making money on the side, and if I can fix [patients] rather then throw them back out there, I try. Sometimes it works, sometimes it doesn’t,” said another study interviewee. “The moment you find diversion, you let them go; I-STOP is to detect diversion.”

 Regarding whether patients might cross state borders to get prescriptions, one prescriber said, “they can go to Jersey and I-STOP won’t know,” and another said, “they cross the bridge and get a prescription; if they want to do something, they do it.”

Interestingly, both providers and patients reported ambivalence about I-STOP’s overall effect on patient behaviors.

The program “has caused a major heroin problem in Staten Island. They turned a pill problem into a heroin problem,” said one prescriber.

 

However, another countered that he felt that he was on the right track. “It’s validating and has improved the link and communication between patients and doctors.”

Fear-Driven?

Overall, the findings suggest that “drug policies that target prescribers for sanctions in an effort to maintain boundaries around ‘legitimate’ medical use of opioids may paradoxically be leading patients to use illicit drug markets and to higher risk narcotic use,” write the investigators.

 

Mendoza added that many of the interviewed prescribers said that “clamping down on opioid analgesics” was correlated with increased heroin use or their patients turning to the streets for illicit opioids.

“And that has been confirmed in the latest Department of Health data from New York State,” she said.

“They are also aware that the DEA is closely monitoring. So if a patient is deviant, they discharge them because they are just afraid of the consequences to themselves.”

Mendoza noted that specific protocols need to be created to better guide clinicians.

“Additional interventions to educate prescribers and provide support for substance abuse treatment, patient referrals, and harm reduction interventions such as naloxone kits…are needed to complement prescription monitoring programs,” write the investigators.

 

In addition, Mendoza reported that some of the most successful interviewees described having contracts with patients for periodic urine tests and random pill counts.

“Also, having better relationships with their patients and longer consultations were important.”

Need for Checks and Balances

Maria Sullivan, MD, PhD, associate professor of psychiatry at Columbia University Medical Center in New York City, told Medscape Medical News that the study authors called attention to the increased burden on prescribers, in terms of time and effort, to comply with the state’s 2013 mandate.

 
Dr Maria Sullivan

“I would agree that there is a higher burden on providers. However, the intention of this electronic monitoring program is to reduce the very substantial overdose death rates that have been occurring. And there is some preliminary evidence that it is beginning to have a positive impact,” she said.

 

Dr Sullivan, who was not involved with this research, is also chair of the AAAP research committee and chair of the clinical expert panel for the Providers’ Clinical Support System for Medication Assisted Treatment.

She noted that although there is some variability in the way different states have adopted these programs, “it’s really checking at the point of each prescribing that ensures that there is not multiple providers involved.”

“I think that the balance is clearly in favor of implementing electronic prescribing in terms of improved patient outcomes and reducing public health costs.”

 Dr Sullivan added that fear is “an unfortunate response” from some prescribers and noted that there are current initiatives sponsored by SAMHSA to train providers who have not previously felt comfortable prescribing buprenorphine or naltrexone for opioid dependence.

“Ultimately, these programs are protective for the physician as well, because you can have a higher confidence level that the opioids you’re prescribing are not being diverted or misused,” she said.

“I really think these are necessary checks and balances trying to stem the tide of the current opioid epidemic.”

 The study authors have reported no relevant financial relationships. Dr Sullivan reported having received medication study samples from Alkermes.

American Academy of Addiction Psychiatry (AAAP) 25th Annual Meeting and Symposium: Abstract 44, presented December 6, 2014.

Promises sound good… until you check the real FACTS

CVS/pharmacy Continues Commitment to Fight Drug Abuse, Now Sells No Prescription Necessary Opioid Drug Reversal Med in NJ

http://mercerme.com/cvspharmacy-continues-commitment-to-fight-drug-abuse-now-sells-no-prescription-necessary-opioid-drug-reversal-med-in-nj/

CVS/pharmacy. (PRNewsFoto/CVS/pharmacy)

CVS/pharmacy, the retail division of CVS Health, is reinforcing its longstanding commitment in the fight against the nationwide epidemic of prescription drug abuse with a number of efforts launching this past month.

Most notably, CVS/pharmacy has expanded the availability of the opioid overdose reversal medicine, naloxone, in several states, including New Jersey. The medication was already available at CVS/pharmacy without a prescription in Rhode Island and Massachusetts. Naloxone is now available without a prescription at CVS/pharmacy locations in 12 additional states: Arkansas, California, Minnesota, Mississippi, Montana, New Jersey, North Dakota, Pennsylvania, South Carolina, Tennessee, Utah and Wisconsin.

How is 16K our of 44 K determined as MOST ?SlideShow2

“Over 44,000 people die from accidental drug overdoses every year in the United States and most of those deaths are from opioids, including controlled substance pain medication and illegal drugs such as heroin. Naloxone is a safe and effective antidote to opioid overdoses and by providing access to this medication in our pharmacies without a prescription in more states, we can help save lives,” said Tom Davis, RPh, Vice President of Pharmacy Professional Practices at CVS/pharmacy. “While all 7,800 CVS/pharmacy stores nationwide can continue to order and dispense naloxone when a prescription is presented, we support expanding naloxone availability without a prescription and are reviewing opportunities to do so in other states.”

In addition, CVS Health is currently participating in a research project with Boston Medical Center and Rhode Island Hospital to support a demonstration project of pharmacy-based naloxone rescue kits to help reduce opioid addiction and overdose deaths.

Since opiate addiction  is a mental health disease… and Naloxone is a “opiate neutralizer ” how can anyone believe that Naloxone will help reduce opiate addiction… If a addict is not ready to be clean and stay in recovery.. all the Naloxone is going to give them another chance to keep on abusing whatever substance they “like” and helps them deal with the monkeys on their back and/or demons in their head… or if their OD was an attempt at suicide.. they get to try it again. Even if they go thru an addiction recovery program.. and they return to their previous friends, environment or other triggers.. their chances of remaining in recovery quite disappears.

CVS/pharmacy has also renewed its Medication Disposal for Safer Communities Program, in which it has teamed up with the Partnership for Drug-Free Kids to donate drug collection units to police departments around the country to help their communities safely dispose of unwanted medications, including controlled substances.

“Our Safer Communities program has donated more than 400 drug collection units to local law enforcement around the country since last year, resulting in almost seven tons of unused medication being collected in our communities,” said Davis. “We are pleased to continue this program with the Partnership for Drug-Free Kids and provide a permanent drug disposal solution at local police departments.”

Police departments interested in receiving a drug collection unit can apply at www.cvs.com/safercommunities.

Also, the Drug Enforcement Administration (DEA) will hold National Prescription Drug Take-Back Day on Saturday, September 26. On that day, hundreds of CVS/pharmacy locations around the country will host local law enforcement collection events in store parking lots from 10:00 AM to 2:00 PM. To locate a participating collection site, visit http://www.deadiversion.usdoj.gov/drug_disposal/takeback/.

Other on-going initiatives at CVS/pharmacy to combat prescription drug abuse include:

  • Availability of postage-paid Environmental Return System envelopes at all of its pharmacies with which customers can send their unwanted medications for secure and environmentally-safe disposal.
  • Identification of physicians who exhibit extreme patterns of prescribing high risk drugs such as pain medications and suspension of dispensing their controlled substance prescriptions.
  • Advocating at the federal and state levels to implement policy changes to curb prescription drug abuse, such as mandatory electronic prescribing of controlled substances and improved prescription drug monitoring programs.

chronic painers can now alleviate their pain & save healthcare system money ?

California governor signs hard-won right-to-die legislation

http://www.modernhealthcare.com/article/20151005/NEWS/310059996

California will become the fifth state to allow terminally ill patients to legally end their lives using doctor-prescribed drugs after Gov. Jerry Brown announced Monday he signed one of the most emotionally charged bills of the year.

Brown, a lifelong Catholic and former Jesuit seminarian, announced he signed the legislation after thoroughly considering all opinions and discussing the issue with many people, including a Catholic bishop and two of Brown’s doctors.

“In the end, I was left to reflect on what I would want in the face of my own death,” the governor wrote in a signing statement that accompanied his signature on the legislation. “I do not know what I would do if I were dying in prolonged and excruciating pain. I am certain, however, that it would be a comfort to be able to consider the options afforded by this bill.

He added he wouldn’t deny that right to others.

Until now, Brown had declined to comment on the issue.

State lawmakers approved the bill Sept. 11. A previous version failed this year despite the highly publicized case of 29-year-old Brittany Maynard, a California woman with brain cancer who moved to Oregon to end her life.

Opponents said the bill legalizes premature suicide, but supporters called that comparison inappropriate because it applies to mentally sound, terminally ill people and not those who are depressed or impaired.

Religious groups and advocates for people with disabilities opposed the bill and nearly identical legislation that had stalled in the Legislature weeks earlier, saying it goes against the will of God and put terminally ill patients at risk for coerced death.

The measure was brought back as part of a special session intended to address funding shortfalls for Medi-Cal, the state’s health insurance program for the poor. The governor had criticized the move to bypass the usual process.

The bill he received includes requirements that patients be physically capable of taking the medication themselves, that two doctors approve it, that the patients submit several written requests, and that there be two witnesses, one of whom is not a family member.

California’s measure came after at least two dozen states introduced aid-in-dying legislation this year, though the measures stalled elsewhere. Doctors in Oregon, Washington, Vermont and Montana already can prescribe life-ending drugs.

Maynard’s family attended the legislative debate in California throughout the year. Maynard’s mother, Debbie Ziegler, testified in committee hearings and carried a large picture of her daughter as she listened to lawmakers’ debate.

In a video recorded days before Maynard took life-ending drugs, she told California lawmakers that no one should have to leave home to legally kill themselves under the care of a doctor.

“No one should have to leave their home and community for peace of mind, to escape suffering, and to plan for a gentle death,” Maynard said in the video released by right-to-die advocates after her death.

The Catholic Church targeted Catholic lawmakers before the bill’s passage and urged the governor to veto it.

“Pope Francis invites all of us to create our good society by seeing through the eyes of those who are on the margins, those in need economically, physically, psychologically and socially,” the California Catholic Conference said in a statement after its passage. “We ask the governor to veto this bill.”

Domestic abuse victim… mentally unstable… abused again by our court system.

http://www.wftv.com/news/news/local/video-shows-judge-berating-sentencing-domestic-vio/nnwwh/

SEMINOLE COUNTY, Fla. —

Channel 9 has obtained video from a Seminole County courtroom where an emotional domestic violence victim was sentenced to three days in jail for failing to show up for her abuser’s trial.
 
During her contempt of court hearing in July, the woman told the judge she had been having anxiety for months after she was attacked by the father of her child.
 
She said she told the state’s victim’s advocate that she wanted to drop the charges and move on with her life rather than testify, but she was still called in to court.
 
After she failed to show, she received no pity from the judge during the brief hearing.
 
“You need to tell the court why I should not hold you in contempt of court, I can sentence you to jail,” Judge Jerri Collins said.


Raw: Judge sends domestic violence victim to jail


“I just, things were…” the sobbing woman said.
 
“Why didn’t you show up to court?” Collins asked.
 
“I’m just, my anxiety, and I’m just…” the woman replied.
 
“You think you’re going to have anxiety now?  You haven’t even seen anxiety,” Collins told the woman.
 
“I know,” the woman said.
 
“Those statements you told to the police on the day of this incident, is it true?  The incident that happened on April 2, is it true?”
 
“Yes,” the woman said.
 
“Then why wouldn’t you come to testify?” Collins asked.
 
In April, the woman called for help after she said the father of her child choked her and grabbed a kitchen knife.
 
Channel 9 found that the man has a past domestic violence conviction.
 
The state was pushing for a conviction.
 
“I’m just not in a good place right now,” the woman told the judge during the contempt hearing.
 
“And violating your court order did not do anything for you. I find you in contempt of court. I hereby sentence you to three days in the county jail,” Collins said.
 
Channel 9’s Karla Ray showed the courtroom video to Jeanne Gold. Gold is the CEO of SafeHouse, an organization that offers shelter to abuse victims.
 
“That’s just appalling. It’s horrible. Shame on that judge,” Gold said.
 
Gold said she worries that action like the one in the Seminole County courtroom could scare victims from calling for help in the future.
 
The woman’s abuser spent 16 days in jail for simple battery.
 
The victim now has a misdemeanor conviction too.
 
“She’ll never call again. Look what happened to her. She could be lying, broken in a ditch somewhere, and she would probably not call police because of what happened to her in this place,” Gold said.
 
Channel 9’s Karla Ray was told that prosecutors had the option of not calling for a jury case with an uncooperative witness, but prosecutors told Ray that they had an obligation to pursue the case.
 
Channel 9 legal analyst Belvin Perry was the former chief judge for Florida’s Ninth Judicial Circuit.
 
Perry said that even though the judge was within the law, he doesn’t believe she acted properly.
 
“(The victim) was traumatized, and she was just traumatized again by being sentenced to three days in jail,” Perry said.
 
Perry said many domestic violence victims don’t believe the system will help them and said that in situations like the one involving a victim, like the woman sentenced to jail, the judge could use more training.
 
“Sometimes the judges, in the hast of trying to do their jobs, forget the big picture,” Perry said.
 
Gold said she knows the judge in the case and intends to talk to her about how domestic violence victims should be handled.

Channel 9’s Karla Ray will have more on this story tonight on Eyewitness News starting at 5 p.m.

It’s Not Cancer, So What?

Letter to Normals from a Person with Chronic Pain

Letter to Normals from a Person with Chronic Pain

This is an adaptation of a piece written by Bek Oberin.
A Letter to Normals from a Person With Chronic Pain
Having chronic pain means many things change, and a lot of them are invisible. Unlike having cancer or being hurt in an accident, most people do not understand even a little about chronic pain and its effects, and of those that think they know, many are actually misinformed.
In the spirit of informing those who wish to understand: These are the things that I would like you to understand about me before you judge me.
Please understand that being sick doesn’t mean I’m not still a human being. I have to spend most of my day in considerable pain and exhaustion, and if you visit, sometimes I probably don’t seem like much fun to be with, but I’m still me, stuck inside this body. I still worry about work, my family, my friends, and most of the time, I’d still like to hear you talk about yours, too.
Please understand the difference between “happy” and “healthy”. When you’ve got the flu, you probably feel miserable with it, but I’ve been sick for years. I can’t be miserable all the time. In fact, I work hard at not being miserable. So, if you’re talking to me and I sound happy, it means I’m happy. that’s all. It doesn’t mean that I’m not in a lot of pain, or extremely tired, or that I’m getting better, or any of those things. Please don’t say, “Oh, you’re sounding better!” or “But you look so healthy!” I am merely coping. I am sounding happy and trying to look normal. If you want to comment on that, you’re welcome.
Please understand that being able to stand up for ten minutes doesn’t necessarily mean that I can stand up for twenty minutes, or an hour. Just because I managed to stand up for thirty minutes yesterday doesn’t mean that I can do the same today. With a lot of diseases you’re either paralyzed, or you can move. With this one, it gets more confusing everyday. It can be like a yo-yo. I never know from day to day, how I am going to feel when I wake up. In most cases, I never know from minute to minute. That is one of the hardest and most frustrating components of chronic pain.
Please repeat the above paragraph substituting “sitting”, “walking”, “thinking”, “concentrating”, “being sociable” and so on, it applies to everything. That’s what chronic pain does to you.
Please understand that chronic pain is variable. It’s quite possible (for many, it’s common) that one day I am able to walk to the park and back, while the next day I’ll have trouble getting to the next room. Please don’t attack me when I’m ill by saying, “But you did it before!” or “Oh, come on, I know you can do this!” If you want me to do something, then ask if I can. In a similar vein, I may need to cancel a previous commitment at the last minute. If this happens, please do not take it personally. If you are able, please try to always remember how very lucky you are, to be physically able to do all of the things that you can do.
Please understand that “getting out and doing things” does not make me feel better, and can often make me seriously worse. You don’t know what I go through or how I suffer in my own private time. Telling me that I need to exercise, or do some things to “get my mind off of it”, may frustrate me to tears, and is not correct. if I was capable of doing some things any or all of the time, don’t you know that I would? I am working with my doctors and I am doing what I am supposed to do. Another statement that hurts is, “You just need to push yourself more, try harder”. Obviously, chronic pain can deal with the whole body, or be localized to specific areas. Sometimes participating in a single activity for a short or a long period of time can cause more damage and physical pain than you could ever imagine. Not to mention the recovery time, which can be intense. You can’t always read it on my face or in my body language. Also, chronic pain may cause secondary depression (wouldn’t you get depressed and down if you were hurting constantly for months or years?), but it is not created by depression.
Please understand that if I say I have to sit down, lie down, stay in bed, or take these pills now, that probably means that I do have to do it right now, it can’t be put off or forgotten just because I’m somewhere, or I’m right in the middle of doing something. Chronic pain does not forgive, nor does it wait for anyone.
If you want to suggest a cure to me, please don’t. It’s not because I don’t appreciate the thought, and it’s not because I don’t want to get well. Lord knows that isn’t true. In all likelihood, if you’ve heard of it or tried it, so have I. In some cases, I have been made sicker, not better. This can involve side effects or allergic reactions, as is the case with herbal remedies. It also includes failure, which in and of itself can make me feel even lower. If there were something that cured, or even helped people with my form of chronic pain, then we’d know about it. There is worldwide networking (both on and off the Internet) between people with chronic pain. If something worked, we would KNOW. It’s definitely not for lack of trying. If, after reading this, you still feel the need to suggest a cure, then so be it. I may take what you said and discuss it with my doctor.
If I seem touchy, it’s probably because I am. It’s not how I try to be. As a matter of fact, I try very hard to be normal. I hope you will try to understand. I have been, and am still, going through a lot. Chronic pain is hard for you to understand unless you have had it. It wreaks havoc on the body and the mind. It is exhausting and exasperating. Almost all the time, I know that I am doing my best to cope with this, and live my life to the best of my ability. I ask you to bear with me, and accept me as I am. I know that you cannot literally understand my situation unless you have been in my shoes, but as much as is possible, I am asking you to try to be understanding in general.
In many ways I depend on you, people who are not sick. I need you to visit me when I am too sick to go out. Sometimes I need you help me with the shopping, the cooking or the cleaning. I may need you to take me to the doctor, or to the store. You are my link to the “normalcy” of life. You can help me to keep in touch with the parts of life that I miss and fully intend to undertake again, just as soon as I am able.
I know that I asked a lot from you, and I do thank you for listening. It really does mean a lot.

Judging a “book by its cover” is “perfectly fine” according to ISP policy

https://youtu.be/oecJFnu_wx8

http://wlfi.com/2015/10/05/woman-records-troopers-accusations-of-meth-use-during-traffic-stop/

TIPPECANOE CO., Ind. (WLFI) — An Otterbein woman is pulled over by the Indiana State Police. But what she thought would be a routine traffic stop, left her feeling bullied.

“As soon as I turned my head and started talking to him, that’s when he started asking me about prior drug use and if I had any prior drug charges on me,” said Otterbein resident Stephanie Foltz.

That’s how a routine traffic stop began for Foltz.

She was headed home from her job in Flora Monday, when ISP Trooper Thomas Manning pulled her over on U.S. 421 for speeding.

Foltz said the questions continued.

“After that, it just kept going with the drugs,” said Foltz.

When Manning went back to his car to check Foltz’s information, she said she sent a text message to her husband — who advised her to record the conversation.

She said when Trooper Manning came back, she used her phone to record the rest of the interaction.

Foltz sounds noticeably anxious in the recording, and Manning asks her what’s wrong.

“When I get put in a stressful situation, I get anxious,” says Foltz.

“When did you start smoking meth?” asks Manning.

Foltz replied, “I’ve never smoked meth in my life.”

“OK,” said Manning. “What happened to your teeth?”

Foltz said she was appalled by his question.

“I was being bullied, and I was being judged, and I was being discriminated against just based on my appearance,” Foltz said.

In the recording, Foltz explains why her teeth aren’t in the best shape.

“You’re saying that your children did that to you?” asked Manning.

“During pregnancy they take calcium out of your body and the first place that it comes from is your teeth,” replied Foltz.

Manning replied, “I don’t believe you.”

The recording continues, and Manning explained his reasons for the traffic stop.

Foltz thought the accusations had stopped, but she was wrong.

“I’m not out here to try to get you,” said Manning. “However, I do take it personally when people aren’t honest with me.”

While Manning continued to explain the ticket to Foltz, she said she became more and more upset.

“Are you upset because I told you, you were lying?” asked Manning.

“Yeah, because you’re judging me on the way that my mouth looks,” replied Foltz. “I’ve never done drugs in my life.”

Foltz said she hasn’t filed a complaint with the Indiana State Police, and isn’t sure if she will.

“I don’t want to get anyone in trouble,” said Foltz. “I don’t want him to lose his job or anything like that. A simple apology would be nice.”

Indiana State Police declined an on-camera interview.

However, ISP explained the troopers actions in a statement to News 18:

“We encourage our officers to look beyond the traffic ticket for signs of criminal activity. This did not rise to the level of a rule violation, or a violation of law. A discussion has occurred with the Trooper on how to be more tactful when conducting a traffic investigation. We now consider the matter to be closed.”

When it is time to take credit …

 

SRAcrystalballWe have seen her recent reelection campaign videos of how she had ran all the Oxy-docs out of Florida.. while not talking about all the increased Heroin use/abuse/deaths.  Has anyone noticed that she has been MIA after Matt Grant ambushed her and presented her with 200+ comments WESH’s FB page got after one of his first expose on the denial of care of chronic painers.

pambondi

The FL BOP’s special committee on denial of care to chronic painers in FL are working on some “fixes” that will probably look good on paper but the reality of it all will not budge the needle on denial of care. They have a target date of the end of 2017 to have everything in place.

Gov Scott is “termed out” , but Bondi will be 53 when her current term expires 2018…  Most likely, she will be running for some other office .. perhaps Governor … So that during her election campaign in 2018 she will be able to brag about all has been accomplished during her time in office to get rid of the “oxy-docs” while protecting the access of chronic painers to the meds they need/deserve… All the while ignoring the increase use/abuse/deaths from Heroin.

But in the interim… IMO.. she will remain MIA on this issue.

What a lot of people don’t understand is that the BOP has very limited authority… they can fine, suspend, revoke a Pharmacist’s license, but.. when something illegal is involved .. diverting drugs, pt abuse/harm or some other things that may involve jail time.. the AG’s office is the entity that would pursue action in those issues.

What I understand as to the actions of the special committee… is to force Pharmacists to have 2 hrs of education on chronic pain… How this is going to get them to ignore their corporate employer’s policies .. like WAG’s “good faith policy” … or how it is going to get the drug wholesaler to stop rationing to pharmacies and prescribers to start more aggressively treat pain.

If you also noticed, the DEA has only been present at ONE of the THREE meetings so far… and we have no confirmation that the DEA’s position is going to change on this whole issue.

IF YOU HAD TO CHOSE… unrelenting pain, dependency, addiction, suicide .. which would you chose ?

EXCLUSIVE: As Jennifer Aniston stars in a new film about the daily agony of living in pain, one father’s heartbreaking story of how the loneliness and despair it causes drove his daughter to suicide

  • Julia Kelly suffered from chronic pain after two car accidents 
  • 39-year-old was forced to move house and give up her job 
  • Charity worker committed suicide on November 2 last year
  • Her father David is continuing her charity, A Way With Pain 

Julia Kelly spent most of her short life racked by pain.

Plagued by excruciating gynaecological complaints from the age of 11, she went on to suffer daily agony from two car accidents – neither of which were her fault.

After the first, 10 years ago, she battled to retain a sense of normality.

But over time, with her body giving up, she struggled to come to terms with how the pain so drastically altered the course of her life.

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Julia Kelly (centre) faced an ongoing battle with chronic pain after two car accidents. She is pictured with her parents David (left) and Valerie (right)

Julia Kelly (centre) faced an ongoing battle with chronic pain after two car accidents. She is pictured with her parents David (left) and Valerie (right)

I AM CHRONIC PAIN

Before her death, Julia helped produce a short, but poignant film to help educate others about the real effect of living with chronic pain. Her father David believes the words are a stark reminder of how the condition affects sufferers.

You can’t see me,

You probably do not even know I exist,

I am chronic pain,

I wreck lives,

I destroy happiness,

I tear relationships apart, shatter dreams,

I stop careers in their tracks,

I may even take your home and empty your bank account,

And let’s not forget to mention the daily, physical pain I will cause you,

I can appear at any time,

And I do not discriminate,

Beware – one day I may even take your life away.

At 37, when most women dream of having a family, Julia was so immobile she couldn’t tie her own shoelaces.

Forced to move home to her parents and quit her beloved job, the lack of a ‘proper life’ and independence became unbearable for the sociable and extremely intelligent charity worker.

But it was the second car accident two years ago, which left her fearing incontinence, that was the final straw.

Three months ago, on November 2, Julia ended her life aged just 39, no longer able to bear her constant suffering.

She left no note, but her family are in no doubt the agony she endured for several years – and the loneliness and despair it brought – are to blame.

Her father David, 72, is now running the pain charity she founded to help others battling the condition to realise they are not alone.

He hopes that by doing so, others may be spared the tragedy and heartache his family has endured.

More than 1.5 billion people worldwide – or around one in seven of us – suffer from chronic pain, according to the American Academy of Pain Medication.

David, 72, has spoken about how the loneliness and despair of chronic pain led to Julia, pictured at the family home before the accident, committing suicide last year

Julia enjoys the snow at a nearby park with her father after the accidents

 

David, 72, has spoken about how the loneliness and despair of chronic pain led to Julia, pictured left at the family home before her two accidents, committing suicide last year

Jennifer Aniston (pictured) is starring in Cake - a new Hollywood film about chronic pain 

Jennifer Aniston (pictured) is starring in Cake – a new Hollywood film about chronic pain

Looking back, it’s so stupidly, blatantly obvious that she was depressed. It didn’t cross our minds – and she kept it from us.

The condition is defined as pain that lasts as three or more months.

Despite these overwhelming statistics, chronic pain remains one of the most poorly understood and underfunded services in global healthcare.

As a result, trying to get effective treatment can be lengthy and frustrating, leaving those affected feeling helpless and in some cases, suicidal.

But now, thanks to a new Hollywood film starring Jennifer Aniston, it has been thrust into the limelight – to the relief of families such as the Kellys, who hope it will raise awareness of the brutal reality of living and caring for someone with the condition.

In the film, Aniston plays Claire Bennett, who suffers horrific chronic pain following a car accident.

Her physical pain is evident in the scars that line her body and the way she carries herself, wincing with each tentative step.

She has driven away her husband and her friends – and even her chronic-pain support group has kicked her out.

It is only the suicide of Nina, one of her fellow chronic-pain group members, that triggers her to confront her life with pain – and how to deal with it head on.

The film spares none of the misery that sufferers deal with on a daily basis: the agony of taking just a few steps, the torture of sitting in a car as it goes over a speed bump, the relentless insomnia – and the in some cases, the anger towards the person or situation that caused the pain.

Tragically for Julia, pain won – but her family are determined to help others suffering with chronic pain avoid the same fate.

As a young child Julia enjoyed playing with her brother Brett. They are pictured together enjoying an Easter egg hunt in the spring sun 

As a young child Julia enjoyed playing with her brother Brett. They are pictured together enjoying an Easter egg hunt in the spring sun

Julia and Brett, pictured in the snow outside the family home, made the most of their time together as children and her father David is heartbroken that she was never able to have children herself

Julia and Brett, pictured in the snow outside the family home, made the most of their time together as children and her father David is heartbroken that she was never able to have children herself

Julia as a young girl. Before her death she left no note, but her family are in no doubt the agony she endured for several years - and the loneliness and despair it brought - are to blame

Julia as a young girl. Before her death she left no note, but her family are in no doubt the agony she endured for several years – and the loneliness and despair it brought – are to blame

For David and his wife Valerie, 74, the film was particularly poignant and raw as they attended a screening just three months to the day that Julia had taken her own life.

‘Ironically, our train trip from Northamptonshire to London was held up for 30 minutes due to someone jumping off a bridge onto the railway line,’ David told MailOnline.

‘With chronic pain – or a mental health issue – it’s so important to realise you are not alone.

‘There are people who have trodden this path before and can help you. And I realise now that unless you have been through it, you will never understand it.

‘The cruel fact is that this condition affects one in seven people and has a massive impact on social structure, working environment, education and employment.

‘Teachers and employers, for example, are often not aware of chronic pain and think sufferers are perhaps lazy, when actually the person is suffering very debilitating pain that no one can see.

‘Whereas you can see a broken arm or a wheelchair, you can’t see chronic pain.’

Julia celebrating her 21st birthday with Brett. She suffered from severe endometriosis from the age of 16

Julia celebrating her 21st birthday with Brett. She suffered from severe endometriosis from the age of 16

David and Valerie feel that in Claire, Jennifer Aniston played a powerfully moving character.

‘We saw a very close resemblance to Julia so often,’ he said. ‘The way her body moved, the way she walked – every movement was so evidently painful.

‘Travelling in a vehicle was also such agony, her facial expressions showed the pain all so often.’

A few times, she said she wished she had never been born, that she’d never had a good life because of the pain

And as also becomes apparent in the film, life with chronic pain can be incredibly lonely.

‘The life you had – work, going out with friends – has gone,’ said David, a retired commercial manager.

‘But everyone else continues with their life. They work all week, see their partners on the weekend.

‘Julia didn’t have that – and unless you go through that bereavement process properly for the life you once had – and come to terms with the fact it’s gone – it will slowly eat away at you until you crack.

‘Whenever I see a young girl, probably married, pushing a pushchair down the street, I feel sad that Julia never had that.

‘A few times, she said she wished she had never been born, that she’d never had a good life because of the pain.

Julia and her mother Valerie enjoy a drink together. David said: 'While I find I can lose myself in the charity work, which helps with the grief, my poor wife is not so fortunate'

Julia and her mother Valerie enjoy a drink together. David said: ‘While I find I can lose myself in the charity work, which helps with the grief, my poor wife is not so fortunate’

David said: 'Looking back, it's so stupidly, blatantly obvious that she was depressed. It didn't cross our minds – and she kept it from us'

David said: ‘Looking back, it’s so stupidly, blatantly obvious that she was depressed. It didn’t cross our minds – and she kept it from us’

Diagnosed with severe endometriosis at 16 after suffering crippling period pains, Julia was given hormonal medication so powerful it induced a ‘mock menopause’.

David said: ‘Because of her terrible endometriosis when she was a teenager, she often missed out on fun nights out with her friends, relationships were impossible and the pain impacted hugely upon her education.’

Despite missing huge chunks of her education because of it, she was overjoyed to secure a job with a local charity at the age of 28.

Writing on the charity’s website before her death, Julia said: ‘I was so proud to finally be working full time and enjoying life, my symptoms became manageable and I returned to work and got my very own first home.’ 

But in July 2005 she was involved in a car accident – and, unbeknown to her at this point, she would be in pain every day for the rest of her life.

While for the first few years, the pain was manageable, by May 2010, Julia was in agony.

‘She said the pain was like red hot pokers in her leg,’ said David. ‘It hurt to stand, it hurt to sit – she needed cushions for everything.’

Unable to stand, she could only crawl around her flat on her hands and knees.

By the July, the pain forced Julia to abandon life as she knew it.

‘She had to move home – and I don’t think she ever came to terms with it – it was like a bereavement,’ said David.

MY LIFE FELT AS THOUGH IT WAS SPIRALLING OUT OF CONTROL

By May 2010, five years after her first car accident, Julia’s pain was so bad she was unable to stand – and she could only move around her flat by crawling on her hands and knees.

By the July, it forced her to abandon life as she knew it.

Writing for her charity website in 2012, she said: ‘Life became a blur of hospital appointments and I was put on heavy medication to help with the pain, including tramadol, cocodamol, ibuprofen, diazepam, amitriptyline and gabapentin.

‘My life felt as though it was spiralling completely out of control, the sheer pain and meds meant I could no longer drive, so I became totally reliant upon my recently retired parents to ferry me to my never ending stream of medical appointments.

‘I could no longer manage living on my own so once more, my loving parents came to the rescue, took me in and became my carers.

‘Not being able to work meant having to give up the home I’d worked so hard for, and my much loved and taken for granted independence evaporated right there and then. I felt like I was losing my identity.

‘I felt totally useless, a complete burden on everyone.

‘Feelings of hopelessness, loneliness and despair prevailed.

‘Despite a loving family, great friends and my faithful cat Milly, I felt totally useless, a complete burden on everyone and, quite frankly, an emotional basket case.

‘Night times were the worst – they seemed so long and I couldn’t sleep for the pain.

‘I was lucky if I got a couple of hours sleep so it wasn’t long before the effects of sleep deprivation kicked in, and I found myself turning into a person I hardly recognised anymore, so irritable and angry.’

After a wealth of tests, which revealed toxic liquid had been passing from one of the discs in her spine onto the nerve roots causing pain, she underwent surgery to remove two discs.

Along the way, she found several coping strategies including psychology sessions, hypnotherapy, yoga, meditation and osteopathy.

Despite the pain Julia retained a glimmer of hope that one day, her life might be able to return to some kind of normality.

But in a cruel twist of fate, lightening did strike twice.

In March 2013, Julia was involved in a second car accident when, once again, someone drove into her car.

Her injuries meant she needed major surgery to re-fuse her lower spine.

‘After this accident, she was in absolute pain all of the time,’ said David.

‘From then, up to her death in November 2014, Julia had 72 appointments with a mixture of consultants, doctors, physiotherapists and pain clinics.

‘In terms of her quality of life, she was existing, not living.

‘She couldn’t even lace her shoes up or get dressed without help and some of the strong pain medication made her incoherent.

‘There were no holidays. Her days consisted of being showered by lunchtime, a bit of charity work and then us taking her to the shops before making her dinner.’

Julia was also left with problems with her bowel and feared she may become reliant on a colostomy bag.

After the two car accidents Julia attended 72 different appointments with a mixture of consultants, doctors and physiotherapists. Despite this she still suffered from a low quality of life and found it painful to move

After the two car accidents Julia attended 72 different appointments with a mixture of consultants, doctors and physiotherapists. Despite this she still suffered from a low quality of life and found it painful to move

 
 
 

‘It was the bowel problems that were the last straw,’ said David. ‘She felt if she lost her dignity, she would have lost everything. The carpet was pulled from under her.

‘Until the second accident, she felt she could just about keep up with life, perhaps get a part-time job, but these dreams were then destroyed.’

On top of this, there was the stress of claiming benefits and work tribunals.

Despite overwhelming medical evidence to support her claim, Julia was forced to endure three tribunals – ordeals which only hampered her recovery, her family believes.

The cruel irony was that while Julia was in fact desperate to work, she was made to feel she was exaggerating the pain she was in.

‘People just don’t understand how crippling it can be,’ said David.

Now, three months after Julia’s death and with her inquest next month, he believes he missed signs that his daughter was severely depressed.

‘When you have the benefit of hindsight, it is so easy,’ he said.

‘We always supported Julia, cared for her and helped her financially. But she was very good at hiding things from us.

‘We could see she was in pain, she couldn’t sleep and how each step was excruciatingly painful for her, but we did not understand the mental anguish she was going through.

‘Looking back, it’s so stupidly, blatantly obvious that she was depressed. It didn’t cross our minds – and she kept it from us.

‘We later found out she’d told a friend it would destroy us if we knew. We are getting on a bit and I fear Julia felt – wrongly – she would become a burden to us.’

Despite missing huge chunks of her education because of the pain, Julia was overjoyed to get a job with a local charity at the age of 28. She is pictured with her father after securing some funding

Despite missing huge chunks of her education because of the pain, Julia was overjoyed to get a job with a local charity at the age of 28. She is pictured with her father after securing some funding

Writing on the charity's website before her death, Julia said: 'I was so proud to finally be working full time and enjoying life, my symptoms became manageable and I returned to work and got my very own first home'

Writing on the charity’s website before her death, Julia said: ‘I was so proud to finally be working full time and enjoying life, my symptoms became manageable and I returned to work and got my very own first home’

Just a month before her death, he and Julia went away together for a few days.

‘I felt she was trying to build up the courage to tell me something, but she just couldn’t get the words out,’ said David.

‘The next month, she had gone.’

Does he wish he had done more?

‘Looking back, you can beat yourself up – my wife and I always wonder if we could have done more,’ he said.

‘But in real terms, we couldn’t take the pain away and we couldn’t stop it getting any worse. We couldn’t help the loneliness.’

However he believes Julia’s decision to end her life was ‘totally on the spur of the moment’.

‘On the Tuesday before she died, Valerie had dinner with her and she seemed fine,’ said David.

‘But she had been hounded by the Department for Work and Pensions over some payments she owed and I suppose, with the pain, her patience finally exploded.’

In the horrific three months after Julia's death David has focused his energy on building up the charity she founded, A Way With Pain

In the horrific three months after Julia’s death David has focused his energy on building up the charity she founded, A Way With Pain

The family first became aware something was wrong when Julia failed to arrive for Sunday dinner.

‘She’d been back at her own flat that we’d kept paying for so she had somewhere to go for space,’ explained David. ‘Although most of the time she lived with us, as she was so immobile.’

At 6.30pm, two hours after Julia was due to arrive back, both David and his son Brett, 42, sent her a text.

When they received no reply, a call to a friend of Julia’s who lived nearby revealed her car was there and the lights in the flat were on.

Feeling uneasy, David and Brett drove the 20 minutes to Julia’s flat.

‘We went around the back of the house and through the blind we could see her lying on the settee, not moving,’ David said.

‘Brett could see what had happened. We called the police.’

In the horrific three months since that day, David has focused his energy on building up the charity Julia founded, A Way With Pain.

David and Valerie feel that Jennifer Aniston (pictured left) plays a powerfully moving character in the new film. 'We saw a very close resemblance to Julia so often in the film,' they said

David and Valerie feel that Jennifer Aniston (pictured left) plays a powerfully moving character in the new film. ‘We saw a very close resemblance to Julia so often in the film,’ they said

 
 
 

‘In 2012, she came to me saying she wanted to do something proactive, explaining there really wasn’t anything out there to help people like her,’ he said.

‘The charity was started to create awareness of chronic pain and support those affected – and I became involved to support her.

‘Now I’m keeping going as a legacy to Julia.

‘And while I find I can lose myself in the charity work, which helps with the grief, my poor wife is not so fortunate.’

Going forward, the family hopes the website will bring solace to others living with – or caring for someone with – chronic pain.

‘It’s a place where people can visit, find comfort and share their experiences on the forum, if they so wish,’ said David.

‘Hopefully it can eliminate some of the fear, frustration, loneliness and isolation that can be felt when living and dealing with chronic pain on a daily basis.’

Cake is in cinemas nationwide now

For confidential support, contact the Samaritans on 08457 909090 (the helpline is open 24 hours a day, 365 days a year) or visit the website