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Home Politics & Law

A Call to Action for Pain Patients and Advocates

Deadline for submission is December 4th!

Monty Goddard by Monty Goddard
March 28, 2024
in Politics & Law
0
A Call to Action for Pain Patients and Advocates

Andrej Lisakov

The Pain Community Must Engage!  I Have Goosebumps!

Engagement

We have until Dec 4th to submit professional (avoiding emotions and expletives) comments on the DEA’s proposed 2024 controlled substances production quota cuts.  In my opinion, we need 100K or more on-point comments to be impactful.  With 20 to 40 million pain patients, not counting friends and family members, achieving 100K should be easily achievable.  We are only talking 0.5 to 1.0% of the pain patient population alone, in order to achieve 100K.

Our comments must be focused on the proposed production quota cuts.   Cite the shortages you are already experiencing on pharmacy shelves to support your request that the DEA increase their opioid production quotas, NOT cut them further!  Your personal account of how current medication shortages on pharmacy shelves have negatively impacted you, or those you care about, is the message that MUST be conveyed in your comment!  Please check out the “Commentor’s Checklist” which is available directly under “Write a Comment” at this link provided to submit your comment:  Regulations.gov

Goosebumps

To further prompt your engagement, I share with you a personal motivational favorite in which I see many analogies to the pain community.  Listening to it recharges my batteries in our collective fight on behalf of chronic pain patients.  It is a timeless classic written by Paul Simon, and originally made famous by Simon and Garfunkel in the 1967 movie (also a favorite of mine), The Graduate.  This amazing version was produced by the heavy metal band Disturbed.  The classically trained voice of David Draiman will give you chills!  I have viewed/listened to it countless times and still get goosebumps!

Here is the YouTube link followed by my “interpretations”.  Watch it on a large screen if at all possible.  Read the words as they are being sung.  Crank up the volume.  You will get “goosebumps”.

Disturbed – The Sound Of Silence [Official Music Video] – YouTube

 My Interpretations of THE SOUND OF SILENCE

Written about songwriters, performers, and the tv set (“neon God”), I associate it to:

– the all to comfortable lack of effective action by too many pain patients and physicians, “Hello darkness my old friend”

– our suffering and trials, feelings of abandonment, “In restless dreams I walked alone”

– our pain, “When my eyes were stabbed by the flash of a neon light”

– the masses of chronic pain patients, “Ten thousand people, maybe more”

– the lack of effective involvement by pain patients, “people talking without speaking”

– our elected representatives, “people hearing without listening”.

–  self advocacy guidance not being acted upon by many pain patients, “People writing songs that voices never shared”

– pain patients’ reluctance to engage, “And no one dared disturb the sound of silence”

– Pain patient’s lack of engagement permitting greater suffering, “Fools” said I, you do not know, silence like a cancer grows”

– the ignoring of the extraordinary efforts of pain patient advocates, “Hear my words that I might teach you. Take my arms that I might reach you. But my words, like silent raindrops fell and echoed in the wells of silence”

– literally everyone not effected by the ongoing assault on pain medications believing the sensationalized misinformation promulgated on the nightly news, “And the people bowed and prayed to the neon god they made”

– are CPPs starting to engage?, “The words of the prophets are written on the subway walls and tenement halls and whispered in the sound of silence.”

Spoiler alert: At the end of the video the boat filled with musicians are reaching the masses across the water.    That is a good sign!

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Monty Goddard

Monty Goddard

Mr. Goddard, MSCE PE, is a thirteen years retired, thirty-six plus years civilian employee of the Department of the Navy. He became a pain patient advocate due to his belief that his wife, among others, is unjustly, needlessly suffering with intractable pain.

Comments 0

  1. Gina says:
    2 years ago

    I’ve already submitted my comments online, but I will also call my legislators next week.

    Reply
  2. Jeff Wichmann says:
    2 years ago

    My doctors seem to know my pain without asking me. How dare they. Should I wail louder or cry harder? Would that tell them anything? If they bothered I would tell them. Until then maybe they could do their job and help me? I’m sorry, I’ll shut up.

    Reply
  3. Deb Keyworth says:
    2 years ago

    I’m not sure where to go on this site to submit my comments. Can someone help? Thanks

    Reply
    • Jay K Joshi says:
      2 years ago

      Comments submitted must be approved and then they appear.

      Reply

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An in-depth exploration of drug pricing, including key databases like NADAC, WAC, and ASP, and how they influence the pharmaceutical supply chain, policy, and patient advocacy. The episode also introduces MedPricer's innovative pricing intelligence platform, offering valuable insights for healthcare professionals, policymakers, and patients.

Chapters

00:00 Understanding Drug Pricing Dynamics
03:52 Exploring the Drug Pricing Database
10:07 Patient Advocacy and Drug Pricing
13:56 Market Intelligence in Drug Pricing
How NADAC, WAC, and ASP Shape Drug CostsDaily Remedy
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Policy Shift in Peptide Regulation

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FDA Evaluation of Certain Bulk Drug Substances in Compounding: Clinical Interpretation

FDA Evaluation of Certain Bulk Drug Substances in Compounding: Clinical Interpretation

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Clinicians increasingly encounter patients using or requesting peptide-based therapies sourced through compounding pharmacies. The U.S. Food and Drug Administration has identified a subset of bulk drug substances, including certain peptides, that may present significant safety risks when used in compounded formulations. The clinical question is whether these regulatory signals reflect meaningful patient-level risk and how they should influence prescribing behavior. This matters because compounded peptides often sit outside traditional approval pathways, creating uncertainty around quality, dosing consistency, and safety. Understanding...

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