M.D.'s Are the New Pain-Pill Crime Wave

Dr. Dealer

Similarly, Andrew Kolodny, chair of the psychiatry department at Maimonides Medical Center and member of a group called Physicians for Responsible Opioid Prescribing, says cracking down on drug-dealing doctors and addicts who manipulate the system is necessary, but it doesn't get at the core problem.

"There has to be effective treatment," he says, pointing out that doctors are well-reimbursed for prescribing the pills but not so well-reimbursed for providing treatment for addiction. "What's more urgent is preventing new people from becoming addicted. The real problem is the well-meaning doctor who has been told for a decade that he needs to treat pain with opioids if he is going to be a compassionate doctor."

Kolodny's group joined several dozen doctors, researchers, and public health officials, including city health commissioner Thomas Farley, in petitioning the FDA to change the wording on opioid labels to make it harder for the drug to be marketed to patients with chronic pain not caused by cancer. They argue the labels allowing use for moderate to severe pain are too broad and leave a massive gray area that leads to overprescribing and abuse. "The labeling gives drug companies a license to promote opioids as safe and effective," he says.

Photo by Floortje/iStock
Diana Williamson, a doctor who treated AIDS patients, said her alter ego wrote prescriptions for a convicted drug dealer to then sell on the street.
Wireimage
Diana Williamson, a doctor who treated AIDS patients, said her alter ego wrote prescriptions for a convicted drug dealer to then sell on the street.

A Purdue Pharma spokesman signaled that the company would resist a labeling change. He said the FDA believes current labels are "appropriate."

Organizations such as the American Academy of Pain Medicine and the American Pain Society also object to the label change. "We have serious concerns about the petition and believe the rationale is seriously flawed, potentially harmful to patients, and without substantive scientific foundation," AAPM president Martin Grabois wrote the FDA in August.

The FDA has yet to respond. In July, it overrode the proposals of an expert panel and opted not to require doctors to take special training before they would be allowed to prescribe painkillers. The American Medical Association also objected to mandatory training.Meanwhile, the pharmaceutical companies are said to be developing even more potent painkillers.

grayman@villagevoice.com

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5 comments
MrMxyzpltk
MrMxyzpltk

Enough already. There are human beings who are in great pain due to a number of illnesses. The government's nonsensical "War on Drugs" is causing people who legitimately need pain medications (e.g., opioids) great unnecessary problems. Too many doctors are afraid to prescribe medications that are medically necessary because they're scared of having the DEA show up in their offices demanding to see medical records - not just needed records, but ALL their records. So much for doctor-patient confidentiality. But screw confidentiality when so many people -- police, prosecutors, the narco-recovery complex, criminal enterprises, and more -- are hauling in the cash.

 

I know that there are people who are addicted and need help. I was one of them. I'm grateful to have been alcohol- and drug-free for 30+ years and still attend 12-step meetings. But this constant "war" on the latest evil-drug-o'-the-month is insane -- and it isn't working. From 1920 to 1933, the United States government and state governments attempted to ban alcohol. How well did that work? Well, it helped lead to the rise of organized crime, convinced many otherwise law-abiding people that the "law [wa]s a ass -- a idiot" (from Dickens' Oliver Twist), created a spectacular amount of hypocrisy (people who were entrusted with maintaining the law who themselves drank, or who took money from bootleggers, speakeasy owners, smugglers and the like, much the same as, oh, today) and killed a few people here and there. But what are a few deaths when morality is at stake?

 

The majority of medical personnel who prescribe pain medication are on the level. The ones whose pictures grace the newspapers are the exceptions to the rule. As far as this doc having an "alter ego" (current psych jargon calls it "dissociative identity disorder"), I can't help but snicker (although there's the off-chance that it's true). Even if it is true, though, it won't matter. We're at WAR, damn it! Come to think of it, this country is always at war against something or somebody. What would the U.S. do if it wasn't always fighting the latest enemy? Something positive, creative? Nah. Getting angry at an enemy is easier, even if the enemy is non-existent. And the "war" gives the U.S. the right to invade other countries in the name of protecting U.S. citizens who don't want to be protected. O tempora o mores! O bullshit!

nekoman
nekoman

First, I call BS on the Physician that claimed "multiple personality disorder due to sexual abuse by a priest as a child" ! Made-up psychobabble is what that is. She full well knew she was writing those prescriptions, just like all the other "candy store" Drs. out there. You hear of them everywhere you go. And, I'm not being bigoted or racist here only calling it like I see it, most of these Drs. are foreign trained! Greed, greed, and more greed is all it is. They see easy money in it, so they do it.

Second, I'm in a Pain Management program, and have been for six years. I have chronic, severe, intractable pain caused by severe nerve damage from the removal of a spinal cord tumor. I've been told by three Physicians that I will live with pain the rest of my days. I will have to take pain medication for the rest of my days. I have a stimulator implant. I get regular seroid injections, and am getting nerves temporaily destroyed soon, to try and relieve some of the pain. I have a detailed contract with my Pain Management Physician. I must follow it religiously. I am subject to random drug screening. All my medications (narcotic, and non narcotic) are counted every appointment (monthly). I am held accountable for my medications, and their use. At one time I had a daughter that lived with me that is a heavy drug user (severely addicted) and was stealing my medications. I, naively, thought at first that I was taking too many, until I discovered that I had the powerful timed release medication missing. I confronted her. She denied it, of course. I got a lock box, which was promptly broken into, and two pain killers plus anti anxiety medications went missing (large amounts). This got her booted to the curb when she also refused help. Missing medications stopped, but got me into deep shit with my Dr. , and I had to regain her trust in me. Because of the rampant abuse of pain medications in the population, and the greed of a relative few medical professionals, people like myself suffer the consequences! Like HAVING to make 60 mile round trips monthly (on a fixed income) just because the law says certain drugs (time release powerful narcotic pain relievers) have to be WRITTEN paper prescriptions, they cannot be called into, or electronically transmitted to the pharmacy like other medications, including short acting pain relievers which are WIDELY abused and sold illegally, can. So, this not only makes for unnecessary trips, but essentially unneeded Drs. Appointments, too. I follow the rules. I don't abuse drugs. I don't sell drugs. My Dr. is competent, and has high standards and morals. You will never see the addicts, and dealers lined up at her practice! She doesn't do that, and doesn't see those types, they're screened out long beforehand. There's no prescription selling, or handing out for faked, or suggested disorders. My daughter that I mentioned was seeing a Dr. (supposedly a pain specialist} here where I live, much closer than the Dr. that I see. She was obtaining large prescriptions of short acting, and for very powerful (think along the lines of Oxycontin) pain relievers for a supposed diagnosis of "scoliosis". Funny that! We made sure she had regular, yearly physical examinations growing up. Never once did any Physician ever find scoliosis! This is a grown woman that is 5'4" and about 110. No crookedness evident in her posture. No pain evident in her movement. I was a Registered Nurse for 30 years, so I know what I'm talking about. I found out, not only was she taking these drugs, she was also dealing. I also discovered that her Dr. had tried to prescribe fentanyl patches for her "pain", but insurance denied that one! This quack is still practicing, running his "candy store"! My daughter has dropped off the face of the earth after many offers of help to get rehab, she still denies a problem even though she's taken to snorting oxycontin, and the like, but also shooting up heavy shit. I'm in a small city of about 28,000 and the drug problem here is rampant, and so evident among the high school to 30s age groups that it's shocking. You see regular "deals" go down, in the open in front of stores, in parking lots, etc. And, it ain't pot! Pills are the thing here, just ask any younger person, all have used, or are more likely regularly using pain relievers, etc. Too easy for them to get. I've lived in large cities, LA for example, and didn't see drug use like I see it here. It's phenomenal!

jmmartin
jmmartin

Time to throw the baby out with the bathwater: outlaw priests and legalize drugs.

BradForrester
BradForrester

The cannabis community has been successfully weaning addicts off prescription narcotics for at least a decade. Start dumping your big pharma stocks now because when cannabis is legal, the pharmaceutical industry will will see a downturn of monumental proportion!

mbrachman
mbrachman

Damn paginaged articles! I know the VV has to sell advertising to survive, but I am SICK and TIRED of clicking FIVE TIMES to read the important articles. When are the business managers of the VV going to learn that those who read the serious articles not only DON'T look at the ads, we make a concerted effort deliberately to AVERT our eyes from the ads in the marginalia? Free the important articles from the tyranny of business-side-of-the-VV pagination!!!

 
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