Thread by @hope411adcock

🧐 and *what* do Federal Law Enforcement & AG's consider *Dangerous prescribing*?

Let's take a look!👀

The DEA perceived this CA Pain Management to be a "High Prescriber"😯

In 3 years he issued 9,000 RX. Oh My, How Shocking!!!
federalregister.gov/documents/2022…

https://twitter.com/CNN/status/1541568320448733186

Now, this wasn't 9k #Opioid RX. It was 3 different controlled substances either alone or in combination.

Their is NO law that defines "Over prescribing" or prohibits co-prescribing of any medication combinations. The FDA warning requires a Risk/Benefit analysis to be performed

to determine if the benefits for each "Individual Patient". Just like with ANY other medical condition. An Informed Consent discussion which includes both potential risks & benefits of any treatment options should be performed.

How many patients were being treated with CS?

If a single RX over 3 yrs = 9000/36 (months) = 250 patients,
2 RX = 125 patients.
If all receive 3 RX each = 63 patients

A Pain Management specialist treats patients with persistent pain conditions lasting 3 months or longer. Many of which are rare and/or incurable diseases

no specific FDA approved treatment.

So, just how does the Government determine whether the actions of a Board Certified Pain Management Specialist were appropriate?

Well, they ask an *Expert* that they are familiar with that has testified for them before.

What qualifies them as an Expert on Pain Management Practices you wonder?

They MUST have equivalent qualifications & be a PM as well!

Wrong! The government's so-called expert is a
Family Medicine practitioner whose claims or expertise in Pain Management are based on being a

a participant in drafting pain management guidelines, treating pain in the course of his practice and consulting "with" Pain Management Specialists when needed.

Hey!

If he severed on a Pain Management Guideline development team, he must REALLY be an expert in Pain Management.

Right?

Well, Lets see. Let's take a look at the composition of the Proposed 2022 CDC Clinical Practice Guideline for Prescribing Opioids

Here's a link where you can check out who the members are. 🤫 They don't list people's qualifications.
regulations.gov/document/CDC-2…

But, hey.... serve on a Pain Management Guideline development project & maybe you too can earn $200 an hour as an *Expert* for the state & $400 an hour from the Feds.

Administrative Law Judges are giving more weight to the testimony of lesser qualified Government Paid Experts

than to the testimony of Experts who are Board Certified in Pain Management, people who founded the field of Pain Management, teach PM & Palliative Care...

So, it appears that anything may be possible...