I presented the paper below at the ASAM annual meeting in Atlanta a few weeks ago. Understand that my findings are very preliminary, and should be attempted only by physicians with exceptional understanding of the risks of opioid treatments, under close monitoring.
The findings suggest a method to yield long-term, even permanent analgesia, at less risk than from agonists alone.
I’ve written about the Pain Relief Network in prior posts — one side of the battle between those trying to limit access to schedule II opioids (led by PROP, or Physicians for Responsible Opioid Prescribing), and until recently, the Pain Relief Network, or PRN.
If you haven’t read my earlier posts on the subject, I encourage you to do so; the final chapter, including the death of PRN’s founder in a plane crash, had all of the drama of a made-for-TV movie. PRN suffered a number of consecutive blows, including the founder’s death, the loss of a major case against a ‘pill-pushing’ doctor, and investigations into PRN’s finances by the prosecutors of the doctor’s case.
PRN did things that angered too many people, including placing a billboard for jurors to see on the way to the doctor’s case; a deliberate ‘spit in the eye’ of the judge and prosecutors in the case. At some point, I think PRN went too far, and discovered that they didn’t have quite as much power as they thought. PRN no longer exists.