Big claims by Forrest tennant

[deleted875186]

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Deaths of Intractable Pain Patients Often Mistaken as Overdoses — Pain News Network

By Dr. Forest Tennant, PNN Columnist Unexpected and sudden death commonly occur in persons who have poorly controlled pain caused by Intractable Pain Syndrome (IPS). Many persons with IPS who have died unexpectedly have been falsely accused of an “overdose” because drugs were found in their body f

www.painnewsnetwork.org

I got stuck going through threads on the internet about Forrest tennant and came across this unbelievable claim. Thinks overdose deaths are being mislabeled, and chronic opioid users are having adrenal crisis or some ridiculous medical explanation for sudden cardiac death …. I have no words.

 

[SSdoc33]

he needs to make more and more outrageous claims to justify his ridiculous position.

similar to certain politicians these claims are best left ignored, and certainly not amplified

 

[Agast]

 

[Ducttape]

- chronic pain does not cause sympathetic overload.

Chronic Pain is Associated With Reduced Sympathetic Nervous System Reactivity During Simple and Complex Walking Tasks: Potential Cerebral Mechanisms - PMC

Autonomic dysregulation may lead to blunted sympathetic reactivity in chronic pain states. Autonomic responses are controlled by the central autonomic network (CAN). Little research has examined sympathetic reactivity and associations with brain CAN ...

www.ncbi.nlm.nih.gov

- his hypoglycemia claim is just uninformed. it is actually a complex interaction.

of note:

The Clash of Two Epidemics: the Relationship Between Opioids and Glucose Metabolism - PMC

We are currently in the midst of a global opioid epidemic. Opioids affect many physiological processes, but one side effect that is not often taken into consideration is the opioid-induced alteration in blood glucose levels. This review shows that ...

www.ncbi.nlm.nih.gov

This review shows that the vast majority of studies report that opioid stimulation increases blood glucose levels. In addition, plasma levels of the endogenous opioid β-endorphin rise in response to low blood glucose. In contrast, in hyperglycaemic baseline conditions such as in patients with type 2 diabetes mellitus (T2DM), opioid stimulation lowers blood glucose levels. Furthermore, obesity itself alters sensitivity to opioids, changes opioid receptor expression and increases plasma β-endorphin levels.

- finally, opioids cause adrenal suppression.

Opioid-induced secondary adrenal insufficiency presenting as hypercalcaemia - PMC

Adrenal insufficiency is a rare cause of hypercalcaemia and should be considered when more common causes such as primary hyperparathyroidism and malignancy are excluded. Opioid therapy as a cause of adrenal insufficiency is a possibly ...

www.ncbi.nlm.nih.gov

 

[cowboydoc]

- chronic pain does not cause sympathetic overload.

Chronic Pain is Associated With Reduced Sympathetic Nervous System Reactivity During Simple and Complex Walking Tasks: Potential Cerebral Mechanisms - PMC

Autonomic dysregulation may lead to blunted sympathetic reactivity in chronic pain states. Autonomic responses are controlled by the central autonomic network (CAN). Little research has examined sympathetic reactivity and associations with brain CAN ...

www.ncbi.nlm.nih.gov

- his hypoglycemia claim is just uninformed. it is actually a complex interaction.

of note:

The Clash of Two Epidemics: the Relationship Between Opioids and Glucose Metabolism - PMC

We are currently in the midst of a global opioid epidemic. Opioids affect many physiological processes, but one side effect that is not often taken into consideration is the opioid-induced alteration in blood glucose levels. This review shows that ...

www.ncbi.nlm.nih.gov

- finally, opioids cause adrenal suppression.

Opioid-induced secondary adrenal insufficiency presenting as hypercalcaemia - PMC

Adrenal insufficiency is a rare cause of hypercalcaemia and should be considered when more common causes such as primary hyperparathyroidism and malignancy are excluded. Opioid therapy as a cause of adrenal insufficiency is a possibly ...

www.ncbi.nlm.nih.gov

Don’t let evidence get in the way of a good story.

 

[Analgesia108]

Last month the local police dept. called my office requesting me to sign a 'death certificate' coz I was the prescriber of a patient's tramadol and gabapentin found at his home

 

[buddababa]

Last month the local police dept. called my office requesting me to sign a 'death certificate' coz I was the prescriber of a patient's tramadol and gabapentin found at his home

i hope you refused

 

[Analgesia108]

yep - haven't heard from them since

 

[GoBeers]

Dr. Tennant mentioned in this article. What are the odds

DEA Suspension of Doctor’s License Leads to Double Suicide — Pain News Network

By Pat Anson, PNN Editor Another chronic pain patient, along with his wife, has fallen victim to the Drug Enforcement Administration’s ongoing war against doctors who prescribe opioid medication. 61-year-old Danny Elliott and his 59-year-old wife Gretchen were found dead in their Georgi

www.painnewsnetwork.org

 

[Agast]

Dr. Tennant mentioned in this article. What are the odds

DEA Suspension of Doctor’s License Leads to Double Suicide — Pain News Network

By Pat Anson, PNN Editor Another chronic pain patient, along with his wife, has fallen victim to the Drug Enforcement Administration’s ongoing war against doctors who prescribe opioid medication. 61-year-old Danny Elliott and his 59-year-old wife Gretchen were found dead in their Georgi

www.painnewsnetwork.org

He’s on staff with that “paper” as well.

 

[deleted875186]

Dr. Tennant mentioned in this article. What are the odds

DEA Suspension of Doctor’s License Leads to Double Suicide — Pain News Network

By Pat Anson, PNN Editor Another chronic pain patient, along with his wife, has fallen victim to the Drug Enforcement Administration’s ongoing war against doctors who prescribe opioid medication. 61-year-old Danny Elliott and his 59-year-old wife Gretchen were found dead in their Georgi

www.painnewsnetwork.org

These people really aren’t making the arguement they think they are. We are talking about prescribing high dose opioids such that when a patient is in fear of loosing the medications they commit suicide. Not the argument for opioids these people think.

 

[Ferrismonk]

I think it's worth noting that both Tennant and Bockoff are both elderly Internists, not "Pain Management Specialists".

 

[Ducttape]

they call themselves "pain management specialists" - what is your definition? because they can designate themselves as such, as pain societies have not restricted use of this term to those who are only fellowship trained.

or they may have taken alternative boards or "grandfathered" themselves into that title.



when you look at the CMS data - he prescribed 3168 opioid prescriptions, and 68% of his prescriptions to medicare were opioids.



id also like to mention, but it will get ignored by the lay public, that he has stellar online reviews of 5 * on google and 4.4* on Vitals.com

 

[Ferrismonk]

they call themselves "pain management specialists" - what is your definition? because they can designate themselves as such, as pain societies have not restricted use of this term to those who are only fellowship trained.

or they may have taken alternative boards or "grandfathered" themselves into that title.

when you look at the CMS data - he prescribed 3168 opioid prescriptions, and 68% of his prescriptions to medicare were opioids.

id also like to mention, but it will get ignored by the lay public, that he has stellar online reviews of 5 * on google and 4.4* on Vitals.com

I'd call him an Internist who specializes in writing high dose opioids and controlled substances.

Obviously titles, degrees, and level of training don't count for much anymore in "medicine", but you asked for my definition:

A "Pain Management Specialist" is one who has graduated from an accredited residency and an accredited Pain Management fellowship.

 

[Agast]

when you look at the CMS data - he prescribed 3168 opioid prescriptions, and 68% of his prescriptions to medicare were opioids.
id also like to mention, but it will get ignored by the lay public, that he has stellar online reviews of 5 * on google and 4.4* on Vitals.com

What ungrateful wretch gave him less than 5 stars lol