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May-29-2012 02:45printcomments

Senate Investigation - No Obstacle for 'Psuedo Addiction' Doctor at FDA Chronic Pain Workshop

"If once you forfeit the confidence of your fellow-citizens, you can never regain their respect and esteem"
- Abraham Lincoln

Doctor is a quack
Medical doctor and 'pain academy' are both being investigated by the U.S. Senate Finance Committee for financial ties to the pharmaceutical industry, but that won't affect the schedule at an upcoming FDA Workshop.

(MYRTLE BEACH, SC) - On May 30 and 31, the Federal Drug Administration (FDA) will be holding a workshop they are calling "Assessment of Analgesic Treatment of Chronic Pain - A Scientific Workshop." Here is a link to the workshop

Last night, a Florida based radio show called "Prescription Addiction Radio" devoted two hours of their broadcast to the upcoming FDA workshop. Their guests were representatives from Physicians for Responsible Opioid Prescribing (PROP) and Advocates for the Reform of Prescription Opioids (ARPO) who will be a part of the workshop. A link to the radio show broadcast is provided below. A very worthwhile listen for those affected by the prescription drug epidemic.

On May 30, the FDA has allotted time -- 2 minutes each -- for individuals with a stake in the opioid prescription epidemic we are drowning in here in the U.S. and Canada. One of the individuals who will be given his "two minutes of fame" in being heard by the FDA, is Lynn Webster, MD, President of the American Academy of Pain Medicine (AAPM). Dr. Webster and AAPM are both being investigated by the U.S. Senate Finance Committee for financial ties to the pharmaceutical industry.

Dr. Webster authored "A Guide for Practioners - Avoiding Opioid Abuse While Managing Pain" dated June 1, 2007. In the Guide for Practitioners, Webster references what he refers to as a "syndrome" called pseudo-addiction. Also as Medical Director of "Lifetree Clinical Research and Pain Clinic" in Salt Lake City, Utah, Webster references "pseudo-addiction" again in a Power Point Presentation. It reads as follows:

    "Pseudo-Addiction -- syndrome of abnormal behavior resulting from under-treatment of pain that is misidentified by the clinician as inappropriate drug seeking behavior. Behavior ceases when adequate pain relief is provided. Not a diagnosis, rather a description of the clinical intention"

If the term "pseudo-addiction" is not familiar to you, here is the background for it. In 1989, a dentist turned psychiatrist named J. David Haddox coined the words with David Weissman, MD of the Medical College of Wisconsin. Haddox went on to become a Vice President of Health Policy at Purdue Pharma, the maker of OxyContin. Weissman is now retired. The two physicians coined the word after one medical case study and without scientific information. But the term, pseudo-addiction went on to take on a life of its own in the medical profession with the encouragement of Haddox and Weissman.

The financially funded pain foundations such as the American Pain Foundation and the American Academy of Pain Medicine included the word pseudo-addiction in its policy for treating pain -- along with the Federation of State Medical Boards in every state in the country.

The push for opioids by the pain foundations were given the biggest "shot in the arm" by the bogus medical term "pseudo-addiction" and the medical profession was told when patients sought higher doses of their opioids, they were, in fact, not addicts -- but needed more pain relief. Thus opioids were pushed on patients rather than patients who becoming "hooked" on opioids being given treatment for addiction.

The good Dr Webster now says -- "It (pseudo-addiction) obviously became too much of an excuse to give patients more medication. It led us down a path that caused harm. It is already something we are debunking as a concept."

It may be a good time, Dr. Webster, for you to remove the pseudo-addiction reference from your Lifetree Pain Clinic Website. You know with the Senate investigation about your financial ties to pharma and a bogus medical term responsible for tens of thousands of addictions and deaths -- it may not give you credibility with the U.S. Senate. Obviously the FDA giving you two minutes to state your "expertise" on opioid prescribing once again indicates their ties to pharma and their pain foundations.

I wouldn't be planning any kayaking with Dr. Haddox in the near future, Dr. Webster -- probably would be a good idea to distance yourself from Haddox right about now.

Prescription Addiction Radio Show interview with Andrew Kolodny, MD, Stephen Gelfand, MD of Physicians for Responsible Opioid Prescribing (PROP) and Pete Jackson of Advocates for the Reform of Prescription Opioids (ARPO) and Ada Giudice-Tompson of ARPO in Canada (listen here).>Home_Page.html

LP --Where do I begin? I can't -- just know that I am so proud of you, the peace in our lives, our wonderful faith, our love, coyotes and "the only downside" is priceless. I cherish you.

_______________________________________ Investigative Reporter Marianne Skolek, is an Activist for Victims of OxyContin and Purdue Pharma throughout the United States and Canada. In July 2007, she testified against Purdue Pharma in Federal Court in Virginia at the sentencing of their three CEO's - Michael Friedman, Howard Udell and Paul Goldenheim - who pleaded guilty to charges of marketing OxyContin as less likely to be addictive or abused to physicians and patients. She also testified against Purdue Pharma at a Judiciary Hearing of the U.S. Senate in July 2007. Marianne works with government agencies and private attorneys in having a voice for her daughter Jill, who died in 2002 after being prescribed OxyContin, as well as the voice for scores of victims of OxyContin. She has been involved in her work for the past 8-1/2 years and is currently working on a book that exposes Purdue Pharma for their continued criminal marketing of OxyContin.

Marianne is a nurse having graduated in 1991 as president of her graduating class. She also has a Paralegal certification. Marianne served on a Community Service Board for the Courier News, a Gannet newspaper in NJ writing articles predominantly regarding AIDS patients and their emotional issues. She was awarded a Community Service Award in 1993 by the Hunterdon County, NJ HIV/AIDS Task Force in recognition of and appreciation for the donated time, energy and love in facilitating a Support Group for persons with HIV/AIDS.

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Nancy June 1, 2012 5:51 pm (Pacific time)

Are you kidding me? Some people live with serious, debilitating pain, for which there is NO cure. Without the use of opioid medications, life would cease to exist. Not because of addiction, but because of severe pain. Unless you have lived with this kind of pain, you have NO clue. We should not be punished for the actions of others...... NOT all pain patients are addicts, and NOT all pain can be treated alternatively.

dm May 31, 2012 2:00 pm (Pacific time)

"..patients sought higher doses of their opioids... Thus opioids were pushed on patients when patients sought higher doses of their opioids.." - So the patients SOUGHT out more opioids, but the opioids were "pushed" on them? How does that work? When someone wants something and seeks it out, the doctor isn't extactly "pushing" it on them when he gives in (granted it may not always be the right clinical decision). I just think we should drop the myth of the drug "pusher", as if no one has free will of their own.

DJ: If people had free will, advertising wouldn't work.  

dave May 30, 2012 1:53 pm (Pacific time)

The FDA is not part of the solution to prescription medication problems- they are part of the problem as they have focused on approving medications as treatments for pain without sufficient regard for efficacy or safety(obviously) There are too many doctors at the FDA who are more committed to the wellbeing of their profession then the public good.Only when the public has a greater say at the FDA will the FDA take the publics concerns about pain medications seriously

Matt Johnson May 29, 2012 6:17 pm (Pacific time)

What they are willing to do is stark and in your face, there is no guessing required, it is all just a push for big pharma, and officials are ignoring their duties as they pertain to the betterment of the public. It is a disappointing mess, thank you for being on patrol Ms. Skolek, all respect...

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