Maybe we are having global warming because of the hot air/lip service over denial of care ?

pointingfingers

Finger pointing won’t help on pain medication abuse or access

http://tbo.com/list/news-opinion-commentary/finger-pointing-wont-help-on-pain-medication-abuse-or-access-20150518/

To hear of one family devastated by prescription drug abuse is to receive motivation to tackle the problem. Yet to hear a story of a suffering patient who cannot receive a needed pain medication serves as equal motivation to protect access. Both of these scenarios need to be addressed — simultaneously.

Unfortunately, the complex and intertwined issues of prescription drug abuse and access are not receiving the comprehensive approach that they deserve and require.

The reality is this: These issues require the insights and expertise of health authorities, law enforcement, patient advocates, prescribers, pharmacists and other stakeholders alike. All parties will not agree on every aspect of these topics, but their diverse perspectives are needed to create workable solutions. Those perspectives are not being leveraged today.

The organizations that we represent do not share identical thoughts. Yet we recognize that dialogue and true collaboration are necessary to achieve results that will benefit families, communities and patients alike. One of the many issues on which we agree is that the current culture of enforcement has not taken into sufficient consideration the needs of pain patients. For example, throughout the regulatory debate that led to new restrictions on certain pain medications, our organizations made the case that doing so would impact patients in real need of these medications to help them manage their pain.

That is just one example of the events that have shaped the current operating environment. Another example is the intense focus that has been brought on pharmacists and their decisions of whether to fill a prescription for pain medication.

Pharmacists are expected to not simply fill every prescription that is presented, but rather to help determine whether a prescription is valid and appropriate. The Drug Enforcement Administration mandates that pharmacists have a “corresponding responsibility” to do just that. This responsibility “corresponds” to the similar responsibility held by the prescriber. As a result of these regulations, pharmacists — like other practitioners — are expected to look out for “red flags” that may indicate that controlled substances are not being obtained for legitimate purposes. Unfortunately, this responsibility is not fully understood by most observers, and enforcement officials throughout the country are not applying these standards consistently.

The pharmacy counter has become the focus of this entire debate, because that is where the patient ultimately is receiving either a “yes” or a “no” as to whether the prescription will be filled. However, pursuing a zero tolerance for drug abuse and a 100-percent commitment to patient care — at the same time — requires collaboration that reaches far beyond that interaction between a patient and a pharmacist.

Our organizations are willing to contribute to that partnership. But true partnership requires still more collaboration from other parties

In Congress, The Ensuring Patient Access and Effective Drug Enforcement Act of 2015 (S. 482 and H.R. 471) would establish a framework to benefit from collaboration between government agencies and patient and provider groups. Without a concerted effort to bring enforcement and health care together to find a workable solution, problems related to drug abuse and access will fester.

Steve Anderson is president/CEO of the National Association of Chain Drug Stores. Paul Gileno is president of the U.S. Pain Foundation.

Chronic Pain Is Not a Normal Part of Aging

painedlife

Chronic Pain Is Not a Normal Part of Aging

http://www.huffingtonpost.com/john-whyte-md-mph/chronic-pain-is-not-a-nor_b_7201254.html

Let me cut to the chase: Chronic pain is not a normal part of aging! You should not have daily pain just because you are over 50.

I can’t tell you how many patients I have who believe that aches and pains are what one should expect once you become middle age. Now, it is true that occasional aches and pains come with aging — typically in our knees, hip, and feet. This is due to wear and tear of our bones — they start to deteriorate over time, and joint spaces narrow. That can cause pain and stiffness. And most of us experience a headache at least once a year. I’m not talking about these instances. Chronic pain is pain that exists every day for at least six months. And if you have such pain, you need to get a proper diagnosis and care plan.

Take for example a recent patient I saw in clinic last year. “Bernice” (not her real name) is 60 years old, and her husband suffers from kidney failure and recently needed to go on dialysis. Bernice has become a caregiver shuttling back and forth to medical appointments. She opted for early retirement to help with his care. A few months prior to her clinic appointment, his condition had deteriorated. Bernice came to clinic complaining of a headache and general muscle aches. “I hurt all over” was her comment to me. Her labs results were normal, and her X-rays didn’t show anything out of the ordinary. Her primary doctor had been prescribing ibuprofen but according to Bernice, “it doesn’t seem to work and it upsets my stomach. I guess I’m just getting old and it’s something I just have to l live with.”

Bernice is not typically a patient of mine so we ended up spending much of the visit talking about her family situation. She remarked how she isn’t getting enough sleep, she barely finds time to eat, and she states, “I can feel the stress in my body.” “I have to do it all myself — no one helps me.”

It turns out Bernice is depressed and that is causing her generalized pain. The headache is a classic tension headache. With the proper dosing of an antidepressant, involvement of social work, and referral to behavioral health experts on stress-reduction strategies, Bernice is doing much better. At a visit a few months ago, the headache is gone, and her pain is now infrequent. And she understands why she gets pain, and knows when to seek help.

Pain is multifactorial and the mind plays a powerful role. Stress, depression, and mental health are critical components in the pain pathway. In order to better manage chronic pain, we need to remove the barriers to diagnosis and treatment. Patients need to understand that chronic pain is not normal just because we get older, and doctors as well need to understand the role of the brain in pain. Many of my colleagues will just dismiss chronic pain in the elderly, as it’s all arthritis — which it is not!

There’s also the issue of addiction — which we cannot ignore. Many physicians are concerned about patients becoming dependent on pain medicines and worried about what they perceive as increased scrutiny by licensing authorities. And I have had many patients that don’t ask for anything for pain because they “don’t want to become addicted.”

We need to do a better job of addressing chronic pain from a patient’s perspective. And that includes more research around the neurobiology of pain. Having people endure daily pain just is not acceptable, and no one should consider it normal.

 

Is the FL BOP and the DEA headed for a “stand off” or more “finger pointing” ?

WESH 2 gets answers on state’s prescription problems

Controlled Substances Standards Committee to hold meeting at 2 p.m. June 9

http://www.wesh.com/health/tonight-at-6-wesh-2-getting-answers-on-states-prescription-problems/33098726

TALLAHASSEE, Fla. —After five months of a WESH 2 Investigation, the state of Florida seems to be taking some action on behalf of patients in pain.

Watch this report

Stories of prescription medication denials now number in the thousands, with blame placed on everyone involved in the process.

Now one agency is stepping up to see what can be changed.

“On a personal level, I feel horrible for them,” said Allison Dudley, executive director of the Florida Board of Pharmacy in Tallahassee. “I can’t imagine what some of the patients have to go through with 10 pharmacies a day trying to fill their prescriptions.”

The Board of Pharmacy makes the rules that pharmacists in Florida must follow. It’s that power that has many individuals feeling that the board could hold the answer to Florida’s prescription problems.

When Dudley and others saw the hundreds of patient testimonials outlined by WESH 2, they helped create the Controlled Substances Standards Committee

“Of course we want to do what we can to assist the patients in Florida to get their needed medications. I couldn’t look at those letters and not want to help,” Dudley said.

Five members of the Board of Pharmacy will meet on June 9 at the B Resort in Lake Buena Vista to hammer out a solution. They’ll be looking at changing or creating rules to ease the prescription problem.

The meeting, which is open to the public, will also welcome input from some of the people taking the blame for the problem, including pharmacy chains and drug wholesalers.

“I have not had any contact with the DEA,” Dudley said

The governor, the attorney general and pharmacists statewide have blamed the DEA for the prescription problems.

Dudley said she does not know if DEA officials will attend the meeting, but says they are welcome.

Dudley can’t predict what the committee will do, but she says pharmacists who ignore any measures voted on and approved risk fines or having their licenses revoked.

“There would be rules, (and) any time we enact a rule, that’s something a pharmacist would have to follow,” Dudley said.

Also see: Fatal police shooting caught on dashcam

All members of the newly formed committee have denied WESH 2’s requests for interviews.

Click here to view the agenda for the Controlled Substances Standards Committee meeting.

DEA doesn’t need “DUE PROCESS” to stop a prescriber’s practice writing for controls ?

Liability for Refusal of Controlled Prescriptions from a Prescriber

www.pharmacytimes.com/publications/issue/2015/May2015/Liability-for-Refusal-of-Controlled-Prescriptions-from-a-Prescriber

ISSUE OF THE CASE
When the Drug Enforcement Administration (DEA) requests that several pharmacies send a letter to a prescriber indicating that they will no longer honor prescriptions from his office for certain controlled substances, may the physician initiate a lawsuit against one of the pharmacies alleging violation of his property rights without due process of law?

FACTS OF THE CASE
The prescribing patterns of the physician in question had come to the attention of the DEA in an unspecified manner. Agency representatives then contacted local pharmacies and an area wholesaler, ordering them not to honor his prescriptions and threatening that if they continued to dispense pursuant to requests from the prescriber, the DEA would revoke their registrations to distribute controlled substances. That threat of action was followed by a DEA agent asking a national pharmacy chain with an outlet in the area to send a letter to the physician clearly stating that prescriptions from his office for certain controlled substances would no longer be honored at their pharmacies. Owners or managers of other pharmacies in the service area also took similar action.

The physician objected to what he perceived to be an administrative action by the DEA to suspend his DEA registration without providing him notice of the allegations against him or an opportunity to be heard on the matter. He alleged that by doing so, the DEA and the pharmacies violated his due process rights and interfered with his ability to “effectively practice medicine.” He pointed out that those rights were not only guaranteed by the Fifth Amendment, but also by the wording of the Controlled Substances Act.

The physician filed a complaint in US District Court to launch a suit against the DEA, the pharmacy chain, and the local wholesaler. The alleged wrongdoing was a violation of his statutory and constitutional rights. The pharmacy chain made a motion to dismiss the claim with regard to the actions it had taken. Attorneys for both the pharmacy chain and the prescriber filed briefs with the court to outline their positions.

THE COURT’S RULING AND REASONING
The court granted the motion of the pharmacy chain to dismiss the claim. The court focused first on the physician’s allegation that the pharmacy chain had “carried out the policies of the DEA by imposing restrictions on the ability of the prescriber, and his patients, to fill prescriptions written by him.” He argued that the pharmacy chain had deprived him of the “property interest” he had in his DEA registration and “in his ability to maintain his medical practice,” and that this deprivation had been done without due process of law in violation of the Fifth Amendment.

The court found the argument of the pharmacy chain to be more applicable. Citing an earlier decision by the US Supreme Court, the pharmacy chain argued that the precedent set in that prior case indicated that a civil action could be maintained to recover money damages from federal officials, acting under color of federal law, for violating a person’s constitutional rights. The ruling in that case, however, had been limited to actions of federal officials and did not extend to include the acts of private, nongovernmental parties. The attorneys for the chain also pointed to case decisions by the US Court of Appeals that had jurisdiction over the Mid-Atlantic state where this case arose. Those prior court rulings, binding as precedent for the US District Court deciding the present matter, indicated that a claim for money damages for violating a person’s constitutional rights cannot be maintained against a private corporation or its employees. Consequently, the court ruled that this action filed to recover money damages from the pharmacy chain could not be maintained.

The physician also argued that the pharmacy had acted “in concert” with the DEA to deprive him of his constitutional rights. His argument alleged that “federal agents acted against the plaintiff by enlisting the private entity as an agent.” The court noted that the pharmacy’s only act was “to comply with a request from the DEA to stop filling prescriptions” written by the physician or face suspension of its DEA registration. The court concluded that the “single act of complying with the DEA’s request in no way characterizes the pharmacy as a ‘federal actor’ for these purposes.”

In light of the fact that it was not possible for the physician to maintain an action to recover money damages from a private party for violation of his constitutional right to due process, the claim against the pharmacy chain was dismissed.

 

 

In the Wild Wild West stagecoaches passengers were subject to being robbed.. today the bandits have badges ?

How the DEA Harasses Amtrak Passengers

http://www.theatlantic.com/politics/archive/2015/05/how-the-dea-harasses-amtrak-passengers/393230/

Earlier this year, Aaron Heuser of Eugene, Oregon, had to travel to Washington, D.C. The trip had two purposes: The 37-year-old mathematician was officially leaving his job at National Institutes of Health and starting a new position at a private firm. Since he is terrified of flying he booked himself a sleeper car on Amtrak. Upon reaching Reno, Nevada, there was an unexpected knock at his door. “There was a DEA badge on the window,” he said. “Having a good reason to be making this trip and being a law abiding citizen, I opened the door and politely asked if there was a problem. The officer asked if I was Aaron Heuser, and then asked to see my ticket. He then told me that there were many red flags on my trip, mainly that I had a sleeper car, was traveling alone, and did not check my luggage.”

A sleeper car is a main Amtrak product! Plenty of people travel alone! Why would anyone with a whole sleeper-car compartment to themselves go through the hassle of checking luggage?

Yet the harassment isn’t surprising.

For decades, law enforcement has tried to intercept drug couriers on Amtrak trains. These efforts have utterly failed to stop the easy availability of marijuana, cocaine, and other narcotics. Meanwhile they’ve violated the rights of countless Americans. Earlier this week, I highlighted the story of Joseph Rivers, a 22-year old black man who left his hometown in hopes of becoming a music-video producer. En route to L.A., the DEA boarded his Amtrak and seized his life savings, $16,000 in cash, even though there was apparently no evidence he’d committed a crime or possessed any drugs.

After reading my article Heuser contacted me to share his story.

The officer asked him why he was traveling, and at first seemed satisfied by his explanation. But he quickly changed his tone, began acting like he knew Heuser was guilty, and asked to search his room. Since Heuser had nothing to hide and felt intimidated a part of him wanted to comply. But as a fan of the ACLU and the son of hippie parents, he instead decided to assert his right to be free from unreasonable searches.

The DEA agent pressed the matter.

“After that he asked if he could bring a dog into my room to check out the bags, to which I again said ‘no,’” said Heuser, who hasn’t passed the bar but knows a little bit about Fourth Amendment law. “Finally he told me that he was going to bring a dog, walk it by my room, and that if alerted, my room would be searched. He told me that I could not argue this and that I was not allowed to be present for the search. His reasoning for violating my right to be present was that the dog might bite me.”

Forced to leave his room, he walked toward the dining car. En route another DEA agent tried to get him to step off the train where other law-enforcement officers were gathered. Heuser worried that if he got off the train they might not allow him back on before it left. “I asked if I was under arrest, and if I were free to go, then started walking to the dining car,” Heuser said. “The officer followed me, telling me that they know I am transporting drugs, and if I have any for personal use, they do not care, and it would be easier if I just told them. I said that was nice to know, then kept walking.”

Then a DEA agent lied in an attempt to gain permission to search the room.

“He told me that his partner could tell someone was hiding in my bathroom and wanted to check if anyone was in there,” Heuser recalls. “I told them that no police are allowed to enter, but if the conductor wants to enter and let them know that there is no one in the bathroom, it would be okay.” Minutes later, while Heuser was on his way back to his room, a DEA agent looked him in the eye and said, “You Oregonians may think that the green leafy stuff is harmless, but I know from my job that it kills people every day.”

Finally Heuser stepped back into his room.

“I found my backpack moved and open, and my wallet, which was set down on the room table, had $60 missing,” he said. “I told one of the dining car attendants that I felt Amtrak and the DEA violated my rights. She told me that Amtrak is forced to give passenger info to Feds, that the DEA comes on every trip, usually arresting someone in the sleeping car or taking all their money. When I asked for her name in case I needed it later she refused and told me Amtrak would fire her.”

One needn’t rely on her hearsay.

Last year, the Associated Press reported that the DEA “paid an Amtrak secretary $854,460 over nearly 20 years to obtain confidential information about train passengers, which the DEA could have lawfully obtained for free through a law enforcement network.” (This was reportedly done so that the DEA could avoid sharing seized assets with Amtrak police, which hints at how lucrative such seizures are.)

Around the same time, the ACLU filed a Freedom of Information Act request after getting reports about Amtrak passengers having their rights violated. “This type of targeting constitutes a significant invasion of personal privacy,” an attorney wrote in the accompanying memo. “It suggests that Amtrak is sharing the travel-related data of thousands of its passengers who have engaged in no wrongdoing.”

Later an ACLU staffer reported on the results of the request. Amtrak employees are instructed to report conduct “indicative of criminal activity” to law enforcement.

Among them:

Unusual nervousness of traveler
Unusual calmness or straight ahead stare
Looking around while making telephone call(s)
Position among passengers disembarking (ahead of, or lagging behind passengers)
Carrying little or no luggage
Purchase of tickets in cash
Purchase tickets immediately prior to boarding

So to avoid getting hassled by the state, don’t act nervous, but don’t act too calm either. Don’t stare straight ahead unless you’re on the telephone, in which case don’t look around. And disembark right amidst all the other passengers with lots of luggage.

In a country in which police officers shoot and kill many more unarmed people than their analogues overseas, having the DEA hassle you and cost you $60 isn’t the biggest of law-enforcement abuses. It is, nevertheless, worth remembering that these sorts of incidents happen, because unlike misconduct that results in death or serious injury, relatively modest violations of rights like this often go unreported. Heuser didn’t complain to the DEA. “I’ve had my friends complain to the police before,” he explained, “and they basically said, you better watch yourself pal.”

But the effects of the incident are still with him.

“It’s terrifying,” he said. “Especially with all the news stories, you know that they can kill you if they want to. I know that’s not likely for me but can’t help but think about it.” He now looks at law enforcement differently. “I’d always lived under the false impression that they don’t profile people like me,” he explained. “I never thought that was a good thing. But I had the impression that as a white, middle-aged professional, I’m not getting profiled. Now I’m a little bit more afraid of them. Maybe more white, middle-aged professionals should experience this if that’s what it takes to get this taken care of. I’m definitely not in a place where I appreciate them.”

He’s also spent time online trying to figure out how many other Amtrak customers have had their patronage rewarded by unpleasant encounters with troops in the drug war.

Here’s another example from a train forum:

I’ve just spent the last hour being interrogated by the Nebraska State Police who boarded our train, the California Zephyr, at 4AM. I am in a sleeper (Car 0632, room 14) and awoke to a non-uniformed individual banging on my door, again at 4AM.

I was interrogated as to where I had boarded, where I was going, what I was doing, and had my room and my luggage searched as was the experience of all the other sleeping car occupants in my car. When we asked for identification from the officers (who were not uniformed) we were told a) they had jurisdiction and b) they would HAND WRITE individual cards. My card reads “Richard A. Lutter”, Investigator, Investigative Services Division, Nebraska State Patrol. Badge #253.

When my fellow sleeping car riders asked why they were on the train, they said “To Search For Contraband” and that was the excuse they used to rummage through our rooms and our luggage. The train’s conductor was also present and for reasons I do not understand did not throw them off the train.

This is not America.

Some people really do try to smuggle drugs by train. Last year, for example, the DEA caught a young man concealing cocaine in a fake cast. How many innocent Americans were harassed to make that cast-sized dent in the national cocaine supply? No one knows. But if you’ve been bothered by police while not smuggling drugs aboard an Amtrak train you’re encouraged to email conor@theatlantic.com with your story.

New DEA Chief Claims He Will Focus Less On Marijuana

carlin

New DEA Chief Claims He Will Focus Less On Marijuana

http://www.theweedblog.com/new-dea-chief-claims-he-will-focus-less-on-marijuana/

The Obama Administration has been a mixed bag when it comes to marijuana policy. On one hand, the Obama Administration has dropped the ball on reclassifying/declassifying marijuana, punting the issue to Congress every chance the administration gets despite the fact that the administration could initiative the process unilaterally. The administration hasn’t done a good job when it comes to marijuana banking, but has stated that it will allow Native American tribes to cultivate and sell recreational marijuana if they choose to do so. The Obama administration has stepped up to try to prevent federal intervention in states that have progressive marijuana policies on the books combined with clear regulations, although, the former head of the DEA didn’t seem to get the memo on that one.

Michele Leonhart ‘resigned’ last month after she was basically forced out of the DEA amid quite a bit of controversy. Obama then picked Chuck Rosenberg to head the DEA. Marijuana activists and supporters have been holding their breath, waiting to see what kind of leader Mr. Rosenberg will be. This week Mr. Rosenberg made some comments that are encouraging. Per Marijuana Business Daily:

The incoming head of the Drug Enforcement Administration reportedly will focus less on marijuana and instead put more resources toward harder drugs such as heroin, which could relieve some pressure on cannabis businesses in states without strong regulations on the industry.

Chuck Rosenberg – who served as chief of staff to the director of the FBI – was named to the DEA’s top spot on an interim basis by newly appointed Attorney General Loretta Lynch. Rosenberg is expected to remain in the position while President Barack Obama is in office, according to the Los Angeles Times.

The new DEA chief will likely improve procedures on how to classify, declassify or reclassify marijuana, and he’ll also place less emphasis on cannabis in general, the Times reported.

These comments need to be taken with a grain of salt of course. The truth is, no one knows how Chuck Rosenberg will handle his new role at the DEA. Only time will tell. He can talk the talk, but can he walk the walk? Will he respect the fact that most Americans want marijuana prohibition to end, both for recreational purposes and medical purposes? Or will he try to inject his own views into the DEA, and continue to go after people that use and sell a substance that is safer than alcohol?

Terminally Ill Single Mom to Court: Let Me Die My Way

Terminally Ill Single Mom to Court: Let Me Die My Way

With renewed urgency about her impending death, a California woman filed a lawsuit Friday asking the state courts to immediately allow her doctor to prescribe medication without criminal prosecution that would end her life before terminal cancer can kill her.

“I am dying within the next months, and I am going to die painfully,” Christy O’Donnell, 46, a Los Angeles attorney and former LAPD sergeant, tells PEOPLE in an exclusive interview.

“I am asking the courts for intervention to issue an order so that a doctor can legally prescribe a medication so that I don’t have to die painfully, and so that every moment before I die, I don’t have to spend afraid and worried about the painful manner in which I’m going to die.”

O’Donnell is one of three patients with advanced cancer – though the only one who is terminally ill – named in the lawsuit who are working with Compassion & Choices, an advocacy organization that supports right-to-die legislation filed in at least 23 states, plus Washington D.C. She was inspired by the story of the late Brittany Maynard to reach out to the group.

“Christy is a profile in courage for many other dying people who face unbearable suffering in their final days that even the best hospice and palliative care cannot relieve,” says Compassion & Choices National Director of Legal Advocacy Kevin Díaz, who also worked with Maynard, a death-with-dignity advocate.

“As Brittany recognized, these people desperately need the option of medical aid in dying so they can die painlessly, peacefully in their sleep – and they need it now – before it’s too late,” says Diaz, who is working with John Kappos, a Newport Beach-California based partner in the law firm O’Melveny & Myers, on the lawsuit.

The group also released a new video of O’Donnell.

Diagnosed last summer with Stage IV cancer in her lung that spread to her brain O’Donnell learned last month that chemotherapy treatments had lost their effectiveness, and the cancer had spread to her liver, left rib and L1 vertebrae, which supports the weight of the upper body.

Her worsening condition was revealed after she was admitted to the hospital April 21 for several days “because the pain in my back had gotten so excruciating I could barely walk.”

“I am no longer considered stable,” says O’Donnell, who lives in Valencia, California, with her 20-year-old daughter, Bailey Donorovich. If new chemotherapy treatments fail as well, “my prognosis is maybe June or July.”

And while she supports right-to-die legislation currently advancing through the California Legislature, she participated in filing the lawsuit now, she says, because “I can’t wait. My daughter can’t wait. I owe this to myself, and I owe this to my daughter. She’s either going to come home and she’s going to have to discover my body, or she’s going to have to watch me die painfully.

“I want to make crystal-clear that my decision to file this lawsuit is not because I do not have faith in our Legislature,” she says. ” I do have great faith in our legislature, which is demonstrated by the fact that I was up there on March 25th testifying.

“But the legislative process is a very long process,” she says. “It’s highly unlikely that the current pending legislation will come to a conclusion at any time in my lifetime.”

Though friends of hers have started an online fundraiser to help care for her daughter after she is gone, she emphasized that she is not asking for any money with this lawsuit – just the right to die on her own terms.

“I want to make sure that people understand: We’re not asking for a dime,” she says. “We’re just asking for help. It’s not selfish to not want your child to watch you suffer, and it’s not selfish to not want to suffer.

“And it’s not selfish to not want your doctor to have to go to jail for trying to help you.”

An Old Law

The California law that currently makes it a felony to assist anyone in taking their own life was passed in 1873, she says.

“That was the year they abolished slavery in the U.S. Territory of Puerto Rico,” she says, and also a time when her native state, Hawaii, was still a monarchy.

“To know that the the law that’s keeping me from dying peacefully and forcing my daughter to watch me die suffering was passed during a time when slavery is still legal in one of our states or territories, and that another of our states, Hawaii, wasn’t even a state, is frustrating to me,” she says. “The law is supposed to change according to the needs of society.”

“The opponents argue that pain medication these days should be able to take care of everything. The opponents agree ‘she doesn’t have to die painfully,'” says O’Donnell. But each person reacts differently to pain medication, and “in my case, I get violently ill.”

“I had morphine for the first time in the hospital on April 21st,” she says. “And it did not react well with my body, and I got violently sick. I’m tried Norco, and my body cannot handle Norco. I’ve tried Oxycodone and my body cannot handle Oxycodone.

“I’m currently taking Tramadol, which is one of the only drugs that my body’s been able to tolerate, but that doesn’t take away all of the pain,” she says. “I live with about a 4 or 5 pain level.”

“My doctors can give me enough pain medication to knock me out so that I’m fairly unconscious and I don’t feel most of my pain. But if I can’t be cognitive, I cannot communicate with my daughter. I cannot communicate with my loved ones and my friends. That’s not living.”

From the start of her diagnosis, O’Donnell has looked forward and tried to hang on to celebrate her daughter’s 21st birthday at Atlantis in the Bahamas on June 23. (They couldn’t afford to stay at Atlantis so they are doing a cruise that stops off at Atlantis for a day instead.) She’s kept that as her goal. Plane tickets have been purchased and arrangements locked down.

“I have fewer good days now,” she says, “but it doesn’t mean that the days aren’t precious.”

With the news that her cancer has spread, her doctors have launched two new and different chemotherapy treatments.

“My doctors say that if those two types of chemo don’t work, we’re going to be back to the first scenario, which is either I don’t make it to my daughter’s birthday, or I’m too sick to go on the trip,” she says.

“I’m just going to have faith that I make it,” she says. “We pray that the chemo works.”

Federal marshal investigated after hitting man with his gun in road rage incident

Federal marshal investigated after hitting man with his gun in road rage incident

The US Marshals Service is investigating one of its officers for allegedly attacking a 52-year-old Missouri man following a traffic-related dispute, KTVI-TV reported.

The victim, Donald Akers, said he encountered the officer while driving with his wife Janet from their home in Bonne Terre, about 71 miles away from St. Louis. His wife, Janet, said the dispute began when she honked at the officers’ vehicle for veering into their lane on the highway.

The officer, who was off-duty at the time, then maneuvered behind the Akers’ vehicle, she said, and started honking at them. The altercation escalated after both vehicles pulled into a parking lot. The officer’s wife, Janet Akers said, started yelling at her and the marshal approached Donald Akers while holding a firearm.

“He held the gun first,” Donald said. “I didn’t know if he was gonna shoot us or what. Instead he took his hand and hit me right across the nose with it.”

The victim suffered a broken nose and sinus cavity, along with broken teeth, at which point his wife said she tried to defend him. The ensuing fight was broken up by witnesses.

The St. Louis Post-Dispatch reported that both couples were cited for third-degree assault in connection with the incident. St. Louis County Police are continuing to investigate the incident before referring the case to local prosecutors for possible charges.

But Janet told KTVI that local police only searched the Akers’ car, while “laughing [and] joking around” with the marshal and refusing to provide her husband with medical assistance.

“We feel like they knew them right off the bat,” she said.

The marshal is based out of the agency’s St. Louis office. A spokesperson for the US Marshals’ federal office said in a statement that the agency is “gathering relevant information on the matter to determine the appropriate steps.”

Tim McCue, the DEA agent involved in an infamous KCK road rage incident, is now a recruiter for the agency

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Tim McCue, the DEA agent involved in an infamous KCK road rage incident, is now a recruiter for the agency

http://www.pitch.com/FastPitch/archives/2015/05/18/tim-mccue-the-dea-agent-involved-in-an-infamous-kck-road-rage-incident-is-now-a-recruiter-for-the-agency

When the Drug Enforcement Agency goes prospecting for new agents in the Midwest, who do they send out as the face of the organization?

A man who best known for perpetrating an infamous road rage incident and subsequent beating of a Kansas City, Kansas man, one that cost local and federal governments thousands of dollars.

Tim McCue about a year ago was reassigned from the Kansas City-area DEA office to St. Louis, where he now works for the agency as a recruiter.

McCue was an on-duty DEA agent in Kansas City, Kansas on July 10, 2003, driving an agency car that afternoon. He got in an accident with a KCK man named Barron Bowling, who was driving to pick up a prescription. Both cars collided when they were headed the same direction on a narrow road in KCK. McCue was passing Bowling on the right, triggering the accident.
After both cars stopped, McCue approached Bowling’s car with his gun drawn. Bowling had his driver’s license in hand for McCue, not exactly the behavior of someone who planning to resist a law enforcement officer. McCue nonetheless pulled Bowling out of the vehicle and administered a severe beating. Even after Bowling was handcuffed, McCue continued to kick the man, according to court records.

McCue testified in a deposition that he called Bowling “white trash” and a “motherfucker” after he rained blows upon him. Witnesses reported hearing McCue tell Bowling that “I’m going to kill you, you son of a bitch.”

McCue added that he was never reprimanded for the epithets, even though the DEA handbook instructs agents in its handbook to “[behave] in a professional manner appropriate to the setting, and in a civil and courteous manner toward other DEA employees and the general.”

It’s difficult to make the case that McCue handled anything that day “in a professional manner appropriate to the setting.” Yet McCue testified in a 2005 deposition that he wasn’t reprimanded for his use of epithets against Bowling, even though he acknowledged that it was the sort of conduct that ran afoul of DEA guidelines.

Overall, though, he thought he handled things fine that day.

“[M]y opinion is I used good judgment under the circumstances of what happened,” McCue testified, later couching himself as the victim of a crime because of the car accident.

A federal judge didn’t see it that way. Bowling won a $833,250 jury award in 2010 against the federal government. Federal judge Julie Robinson penned an order in that case that was highly critical of law enforcement’s response to the Bowling incident. In it, she determined that much of McCue’s testimony in the case lacked credibility.
When the Drug Enforcement Agency goes prospecting for new agents in the Midwest, who do they send out as the face of the organization?

A man who best known for perpetrating an infamous road rage incident and subsequent beating of a Kansas City, Kansas man, one that cost local and federal governments thousands of dollars.

Tim McCue about a year ago was reassigned from the Kansas City-area DEA office to St. Louis, where he now works for the agency as a recruiter.

McCue was an on-duty DEA agent in Kansas City, Kansas on July 10, 2003, driving an agency car that afternoon. He got in an accident with a KCK man named Barron Bowling, who was driving to pick up a prescription. Both cars collided when they were headed the same direction on a narrow road in KCK. McCue was passing Bowling on the
Bowling still suffers lingering effects to this day from the incident. A KCK police officer named Max Seifert investigated the accident and found that McCue was the one at fault and that Bowling was the victim of excessive force. Seifert was later marginalized within his department for not kowtowing to the law enforcement’s version of the events. That treatment later followed him to the Wyandotte County Sheriff’s Office (for more on that, read this story).

In other words, McCue’s behavior that day left a permanent mark on one man’s health and another man’s career. Yet McCue remains with the DEA. And he’s responsible for cultivating new ranks for the agency. 

When asked why McCue was transferred to St. Louis, DEA spokeswoman Karin Caito didn’t offer specifics.

“Agents have several reasons to move if they have different ambitions within DEA, if they can choose to through a promotion route,” Caito tells The Pitch.

Does that mean McCue received a promotion?

“Specifically, we don’t talk about individual agents,” Caito says.

But does it make sense for the DEA to put a person with McCue’s past in a position of recruiting new agents to the agency? 

Caito wasn’t aware of the Bowling incident.

CVS employees creating a hostile work environment ?

PD: CVS workers beat robbery suspect in store

INDIANAPOLIS — Workers at a downtown Indianapolis CVS had to go into defense mode when a man jumped behind the counter early Monday in an attempt to rob the store.

Just after 7 a.m., police were called to the CVS at the intersection of 16th and Meridian streets on reports of a robbery in progress, RTV6’s Anne Kelly reported.

According to police, two other employees in the back of the store came to the front and started beating up the unarmed suspect, holding him down until police arrived, RTV6’s Julie Pursley reported. 

The suspect resisted police as they tried to handcuff him. Once in custody, he was slowly escorted out of the store with shackles on his feet. 

The store was closed during the investigation.