Dayton Daily News

Some proof that little things can lead to big catastroph­es

- By James Winnefeld

More than 200,000 Americans have perished due to opioid overdoses. About 64,000 people died from drug overdoses in 2016 alone.

On July 25, 1990, with Iraqi military forces massing on the border with Kuwait, U.S. Ambassador April Glaspie requested her first meeting with Iraqi leader Saddam Hussein. The two nations were in the grip of a dispute over oil rights and other matters, with Iraq laying claim to Kuwait as its 19th province as a major bargaining chip. When Hussein, who was demanding the Kuwaitis relinquish rights to the entire Shatt al-Arab waterway or face being invaded, asked the ambassador for the United States’ opinion on the matter, she responded:

“We have no opinion on your Arab-Arab conflicts, such as your dispute with Kuwait. Secretary (of State James) Baker has directed me to emphasize the instructio­n, first given to Iraq in the 1960s, that the Kuwait issue is not associated with America.”

There is no end in sight for the crises spanning the Middle East and South Asia, all of which may be attributed, directly or indirectly, to a single meeting that went horribly wrong.

In January 1980, Dr. Hershel Jick and his assistant Jane Porter published a five-sentence letter to the editor of the New England Journal of Medicine. It was intended to document the results of a quick scan of hospital patients who had been given small doses of narcotics in a controlled setting as part of their in-patient treatment. The letter:

“Recently, we examined our current files to determine the incidence of narcotic addiction in 39,946 hospitaliz­ed medical patients who were monitored consecutiv­ely. Although there were 11,882 patients who received at least one narcotic preparatio­n, there were only four cases of reasonably well-documented addiction in patients who had a history of addiction. The addiction was considered major in only one instance. The drugs implicated were meperidine in two patients, Percodan in one, and hydromorph­one in one. We conclude that despite widespread use of narcotic drugs in hospitals, the developmen­t of addiction is rare in medical patients with no history of addiction.”

What is now known as “the Porter and Jick letter” was used by the pharmaceut­ical industry to support the use of pain as a “fifth vital sign” and to push the use of opioid drugs as the answer to chronic pain. It was described by the industry as an extensive and persuasive study. Another study, based on the letter and authored by Dr. Russell Portnoy and Jane Foley, further substantia­ted the claim, based on a small sample size of 38 carefully controlled cancer patients.

As a result, doctors were offered significan­t incentives by large pharmaceut­ical companies to prescribe opioid painkiller­s. Physician training spread the word that opioids were safe, even for outpatient­s. With treatment of pain showing up on patient surveys, and doctors under intense pressure to see more patients and produce good survey results, opioid prescripti­ons exploded.

These big companies made many billions of dollars, as opioid prescripti­on expanded from minimal usage for terminal cancer patients to routine prescripti­ons for everything from wisdom tooth removal to back pain.

The results of the short letter — which its authors never intended to have such effect — and the deception that followed have also been catastroph­ic for our nation.

More than 200,000 Americans have perished due to opioid overdoses. About 64,000 people died from drug overdoses in 2016 alone. More than 40,000 of these deaths were due to opioids.

The expansion of Mexican black tar heroin distributi­on across the United States was aided and abetted by the prescripti­on painkiller epidemic. An unfortunat­e truth is that when prescripti­on drugs are not available, or are too expensive, it is a simple matter to turn to heroin. And with the recent proliferat­ion of fentanyl and carfentany­l imported from China and Mexico, along with counterfei­t prescripti­on drugs, the epidemic shows no signs of abating.

More Americans than were lost in Vietnam and every subsequent war are being lost each year in our nation because one unfortunat­e letter in a medical journal was willfully misinterpr­eted.

Yes, small things can lead to catastroph­es ... and they are very hard to reverse. James Winnefeld, a retired Navy admiral and retired vice chairman of the Joint Chiefs of Staff. He is the cofounder of S.A.F.E. Project US, an organizati­on dedicated to reversing the opioid epidemic. He wrote this for InsideSour­ces.com.

Since hitting the US market, sales for Prixelin have soared and there are good reasons why.

To begin with, the clinical results were every impressive. Participan­ts taking Prixelin’s active ingredient saw a 30% boost in brain function. They enjoyed a 44% improvemen­t in memory. Even their ability to learn new tasks was increased by 33%. Nothing like been seen before. this has

Prixelin contains an amazing compound that will help replenish the natural brain’s “building blocks” and develop new nerve cells, which restore memory functions, enhance cognition, and prevent further mental decline within days.

Perhaps more impressive, it also helps to repair damaged brain cells, which allows people to think faster, clearer and remember things with greater ease and clarity.

Growing old is hard and anybody who suffers from mental decline will tell you they would love to improve their thinking speed and reaction times.

That’s where Prixelin comes in since that is exactly what happened in the clinical trial.

“I took Prixelin and felt fabulous. My speech has improved, my hands are shaking less. I even notice that my “senior moments” are becoming few and far between,” said Loraine Sheldon.

All this positive feedback makes it easy to understand why sales of Prixelin are booming.

Prixelin is a one-a-day pill that’s taken after breakfast. The pill is small. Easy to swallow. There are no harmful side-effects, and it can be taken safely alongside any other medication­s.

Research shows that as we age, the quantity of nerve cells in our brain begin to decline. This is due to stress and unhealthy diet and lifestyle habits. The result can be delayed reactions, slower thinking,

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