Doctors specializing in pain management are condemning the Drug Enforcement Administration (DEA) for arresting colleagues for treating chronic pain with prescription narcotics such as OxyContin, the Washington Post reported Dec. 29.Pain doctors have been arrested for offenses like illegally prescribing prescription narcotics, criminal conspiracy, racketeering, and even murder. In March, Jeri Hassman, a pain doctor and rehabilitation specialist in Tucson, Ariz., was arrested by federal officials and charged with 362 counts of prescribing controlled drugs outside the normal practice of medicine.
Hassman, who faces up to 28 years in prison, said she follows good medical practice when prescribing pain medication to chronic sufferers.
"I never, ever imagined something like this was possible," said Hassman, 47. "When they came into the office to arrest me, it was like a bad movie that wouldn't end."
A growing number of pain specialists say they are being targeted by the DEA simply for supplying their patients with a large number of prescriptions for legal medications to treat their pain. The doctors accused the DEA of treating them like drug kingpins or crack dealers.
The DEA contends that only a handful of pain-management doctors have been convicted for prescribing drugs outside medical norms.
"There have been a number of very high-profile cases, and they have been a learning lesson to other physicians," said Elizabeth Willis, chief of drug operations for the DEA Office of Diversion Control. "We think doctors are much more aware of appropriate guidelines for prescribing OxyContin now."
Pain doctors are fighting back through the formation of the Pain Relief Network. The group is committed to fighting the "war" against pain specialists, pharmacists, and chronic-pain sufferers.
In April, the Pain Relief Network is planning a march in Washington, D.C., to protest the prosecutions in congressional hearings. The group has also hired a lawyer to appeal some of the convictions.
"Fifteen years of progress in treating patients in chronic pain could really be wiped away if these prosecutions continue," said Russell K. Portenoy, a pain specialist at Beth Israel Medical Center in New York. "Treating people in pain isn't easy, and there aren't black-and-white answers. But what's happening now is that the medical ambiguity is being turned into allegations of criminal behavior. We have to draw a line in the sand here, or else the treatment will be lost, and millions of patients will suffer."
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