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The Doctor Patient Forum

The Doctor Patient Forum

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The Doctor Patient Forum is a leading advocacy organization to pain patients and prescribers adversely impacted by the harmful effects of efforts to curb opioid prescribing and overdose. Join Bev and Claudia weekly as we discuss how to end the untreated pain crisis! Check out our website at thedoctorpatientforum.comThe Doctor Patient Forum Management & Leadership Ökonomie
  • Scored. Flagged. Medically Abandoned. Forgotten. Unveiling NarxCare: The Hidden Scoring System in Your Medical Records
    Apr 22 2025
    🎙️ Episode 56Scored. Flagged. Medically Abandoned. Forgotten.Unveiling NarxCare: The Hidden Scoring System in Your Medical RecordsThis is a rerelease of a 2022 podcast episode featuring attorney Jennifer D. Oliva.In this powerful conversation, Bev Schechtman and Claudia Merandi of The Doctor Patient Forum sit down with Professor Oliva to expose the implications of NarxCare and Prescription Drug Monitoring Programs (PDMPs) on patient care — particularly for those living with chronic pain.They explore the secretive nature of risk-scoring algorithms, the lack of transparency in PDMP data, and the systemic discrimination embedded in these tools — especially for marginalized and disabled populations. Together, they make the case for regulatory oversight, algorithmic accountability, and why advocacy is essential to protect patient rights and restore ethical care.NarxCare is a secret risk-scoring algorithm embedded in electronic health records.Most patients cannot access or correct their PDMP data.These scores disproportionately flag patients with complex conditions as “high risk.”Errors in PDMP data can result in abrupt care abandonment and harm.Providers face pressure to under-prescribe due to fear of red flags.The opioid crisis has redefined pain care around liability, not compassion.There is little to no regulatory oversight of NarxCare or PDMP systems.Legislative action and public advocacy are urgently needed to protect patient safety and autonomy.Professor Oliva’s research and teaching interests include health law and policy, privacy law, evidence, torts, and complex litigation. She has served as a peer reviewer for the American Journal of Public Health, Yale Journal of Health Policy, Law, and Ethics, American Journal of Law & Medicine, Journal of Law and the Biosciences, and Big Data & Society.Her scholarship has been published by or is forthcoming in the Virginia Law Review, California Law Review, Duke Law Journal, Northwestern University Law Review, UCLA Law Review, North Carolina Law Review, Ohio State Law Journal, and online companions to the University of Chicago Law Review and New York University Law Review.She lives in Bloomington, Indiana.The Doctor Patient Forum has joined advocates nationwide in filing a citizen petition demanding that the FDA regulate NarxCare and all clinical algorithm software that scores patients.🛑 This affects patients with pain, addiction, and complex conditions.🗣️ Your voice matters. Help us hold the system accountable.👉 Submit your public comment today:🔗 https://www.regulations.gov/document/FDA-2025-P-0701-0001📅 Deadline to comment: May 10, 2025Clips taken from:NPR 1A – “Against the Pain: The Opioid Crisis and Medication Access”https://the1a.org/segments/against-the-pain-the-opioid-crisis-and-medication-access/Cato Institute – “Patients, Privacy, and PDMPs” (Dr. Jeffrey Singer & Kate Nicholson)https://www.youtube.com/watch?v=YXVXShMASJ4&t=4357sDuke Margolis – “Strategies for Promoting the Safe Use of Prescription Opioids”https://www.youtube.com/watch?v=AFUkAi8CoywNPR – “To End Addiction Epidemic” (Kolodny quote)https://www.npr.org/2014/05/09/311119395/to-end-addiction-epidemic-states-focus-on-stopping-doctor-shoppersCover 2 Resources – Gary Mendell (Podcast)https://open.spotify.com/episode/33OosEC2hutlE9y6CogmneJennifer Oliva’s Paper – “Dosing Discrimination: Regulating PDMP Risk Scores”https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3768774
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    1 Std. und 33 Min.
  • Prescription for Disaster: The Untold Truth of CDC’s Opioid Guidelines and their Fatal Impact: A CDC Physician's Person Account
    Jan 28 2025

    In this conversation, Claudia, Bev, and Dr. Charles LeBaron discuss his experience with a severe painful illness. After he struggled accessing opioids, he started investigating CDC's opioid guidelines and their tragic result. LeBaron Bio For more than twenty-eight years, Charles LeBaron worked as a medical epidemiologist at the Centers for Disease Control and Prevention (CDC). While there, he was the author of more than fifty scientific studies published in peer-reviewed journals, including first- or senior-author papers in the New England Journal of Medicine and the Journal of the American Medical Association. He was co-recipient of CDC’s Charles C. Shepard Science Award for best scientific manuscript published by CDC authors. A Captain in the Commissioned Corps of the United States Public Health Service, he received the Meritorious Service Medal, as well as more than ten other individual and unit commendation awards. A graduate of Princeton University and Harvard Medical School, he is board certified in both internal medicine and pediatrics, as well as the author of a previous non-fiction account of the first year of medical school. He currently lives in Atlanta, Georgia. 1) Amazon page where the book can be purchased (2) Kirkus Review (3) BlueInk Review


    Find DPF at thedoctorpatientforum.com

    patreon.com/thedoctorpatientforum

    info@dpfconsultants.net


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    1 Std. und 47 Min.
  • "It Is a Privilege To Treat a Patient" with Dr. David Alfery - Episode 54
    Oct 29 2024

    Dr. David Alfery's Bio

    Dr. David Alfery was raised in the North but moved to Louisiana to attend Tulane University where he graduated with a BA degree in English. He then attended LSU Medical School in New Orleans. After graduating, he took the Louisiana State Medical Licensing Exam where he received the highest grade out of approximately 400 new doctors from the three medical schools in the state. He spent a year as a surgical intern at the University of Kentucky in Lexington, Kentucky and then did his residency in anesthesia at the University of California in San Diego. He stayed on there for an additional year of fellowship training in cardiothoracic anesthesia.

    In 1980 he moved to Nashville, Tennessee where he spent a thirty-six-year career in private practice. He has served as a Chief of Anesthesia, President of the Tennessee State Society of Anesthesiologists, and was a founding member of Anesthesia Medical Group, one of the largest anesthesia practices in the United States. For twenty years he served as an Oral Examiner for the American Board of Anesthesiology, ending his tenure as a Senior Examiner. While in practice, he held an academic appointment at Vanderbilt University Medical Center as Adjunct Associate Professor of Anesthesiology. In addition, he participated in numerous medical missions with Operation Smile. Following his retirement from work in the Operating Room, he co-founded the AMG Ketamine and Wellness Center in Nashville.

    Dr. Alfery has authored ten chapters in medical textbooks and 41 peer reviewed articles in anesthesia medical journals. He has invented several anesthesia devices that are sold worldwide and for which he has been awarded 17 US and International patents.

    He has been married to his medical school sweetheart, Joyce, for over forty-five years, and together they have produced three daughters and five grandchildren.

    Find Dr. Alfery at https://savinggracebook.com or on TikTok at @drdavidalfery

    The information in this podcast is not to be considered medical of legal advice.

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    1 Std. und 19 Min.

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