East TN Pain Clinic Review
Pain Sufferer

Redmond, OR

#104 Mar 11, 2011
This entire thread is getting nowhere with people making false accusations against innocent people. Sorry but when it comes to someone doing that I don't want anything to do with it. It's one thing to have an opinion about something but when innocent people are being threatened and abused by others it is not a good environment. Aleen, have a good life. I can say that with a clear conscience knowing that you will have to deal with Gods wrath in the end. Thou shalt not bear false witness....buddy you just blew that one completely and I want nothing to do or say to you ever again. Everyone else...I'm sorry but I can't deal with such evil. I am working and I will continue to work as I have done nothing wrong so if you need me I will be there.
Pain Sufferer

Redmond, OR

#105 Mar 11, 2011
Wait, I do need to say this. Allen Johnson, you really need to watch your back. I know who you are and where you live so be watching for a slander and defamation of character lawsuit in the mail. You do know what those mean don't you?? Well, probably not since you don't have the smarts to NOT DO IT. I guess you'll find out soon enough.
Allen Johnson

Shelbyville, TN

#106 Mar 11, 2011
Pain Sufferer wrote:
Wait, I do need to say this. Allen Johnson, you really need to watch your back. I know who you are and where you live so be watching for a slander and defamation of character lawsuit in the mail. You do know what those mean don't you?? Well, probably not since you don't have the smarts to NOT DO IT. I guess you'll find out soon enough.
Bring it, bytch. I'll barbecue your ass.
big t

Seymour, TN

#107 Mar 11, 2011
i love your spunk,thats how you know people are true to there word.you have done nothing wrong mam.allen johnson you are such a fake.i hope they nail your azz to the wall pal,in all my days i have never seen such an idiot.you have serious issues man,i pray that god forgives you for such lies and abuse to and on people.mrs.pain sufferer again i commend you.good luck with your work mam.
Pain Sufferer

Ooltewah, TN

#108 Mar 11, 2011
Allen Johnson wrote:
<quoted text>Bring it, bytch. I'll barbecue your ass.
Oh and now you're threatening my life....I'm sure the local police will love that one. Were you born stupid or did your momma drop you on your head when you were a baby?? Just keep digging yourself in deeper. The law will love it.
Pain Sufferer

Ooltewah, TN

#109 Mar 11, 2011
big t wrote:
i love your spunk,thats how you know people are true to there word.you have done nothing wrong mam.allen johnson you are such a fake.i hope they nail your azz to the wall pal,in all my days i have never seen such an idiot.you have serious issues man,i pray that god forgives you for such lies and abuse to and on people.mrs.pain sufferer again i commend you.good luck with your work mam.
Thanks Big T. One thing I've learned in life is I will not let a person like that jerk bring me down. There are too many good people in this world to focus on. Bullies like him will get theirs in the end...and it will be sooner than he thinks. He was just stupid enough to make false statements and accusations about me and my family. Not a smart move. I'll let you know what charges my lawyer brings against him Big T.
Just Me

Rickman, TN

#110 Mar 11, 2011
Some one who knows wrote:
To All-
I do know to which I speak, but all the below is only the opinion of the writer--
The nurse practitioners have to follow the guidelines that direct the use of scheduled medications such as opioids, benzos, and other dangerous or addictive medications as listed in the Tennessee Board of Medical Examiners policies and rules. They only have to be supervised remotely with the physician visiting the clinic once a month and signing the charts every ten days. This can be performed electronically.
In training, nurse practitioners receive 2 hours of pain management training and 2 hours of migraine treatment training. That is all. None of them have ever had formal training in spinal procedures. They did no, notta, zilch procedures in their training, and no formal, cadaver based courses are available for post graduate work.
Any education in chronic pain management comes from their on the job training after nurse practitioner school. The quality of training depends on the physician who trained them. If this training came from primary care physicians with no specialty training (addictionology doesn't count) or from physicians who have lost their license or have been arrested for fraud (McNeil and Foster for example,) the levels of training may not be at the best . Some doctors are simply too sympathetic to their patients to say "no," even if it is in the patient's best interest.
I do not blame the nurse practitioners who have been either inadequately or improperly trained. Most are doing their best to help people who claim to have pain. However, one of the easiest ways to fill a waiting room in East Tennessee is to hang a pain clinic shingle and let the word get out on the street that you are an easy mark. The folks out there who want the medicines for the wrong reasons will always be better at fooling you than you are at detecting them, especially if you do not know what you are doing or the true dangers of the medications or procedures. I am afraid that many of the pain practitioners out there do not know that what they don't know is the key to proper treatment.
The 6-keto opioids (oxys, roxys, hydros, and diaudid) are highly addictive medications that stimulate the pleasure centers in the brain when there is a peak in blood levels. Roxys and hydros along with crushed OxyContin are immediate release preparations that will deliver that peak in blood levels. The high, anti-anxiety, sense of well being that accompanies these peaks is why many people will say that only these medications work - they can feel them work in ways other than pain control.

All of these can be in place, a medication agreement signed, urine drug screens performed and the prescription monitoring checked and the practice still be a pill mill. These items are mere window dressing on the building props of a movie set. It is the knowledge behind the scene that makes for proper care.
I do not know how to describe a pill mill, but some aspects are: 1) cash only practice, 2) high percentage of patients on OxyContin, 3) the use of Roxicodone 30, more than 120 short acting pills a month, the frequent use of Soma, frequent use of Xanax with narcotics, or walk-in patients receiving medications on first visit.
Chronic pain is not simply acute pain that has lasted a long time. The psychological impact is similar to the death of a loved one (the old self.) The spinal cord and brain change. True expert care is needed.
The last paragraph describes chronic pain the best - the impact is similar tot he death of the old self. All i can say is I've struggled for 3 years - have tried everything suggested. Begged for surgery - was not a candidate. So far, East Tn Clinic has followed appropriate guidelines & has done more thorough exams than other MDs & I did not receive narcotics first visit.

But thank you for some of your points - but until you go through chronic pain no one can imagine the impact.
Just Me

Rickman, TN

#111 Mar 11, 2011
Pain Sufferer wrote:
<quoted text>
Thanks Big T. One thing I've learned in life is I will not let a person like that jerk bring me down. There are too many good people in this world to focus on. Bullies like him will get theirs in the end...and it will be sooner than he thinks. He was just stupid enough to make false statements and accusations about me and my family. Not a smart move. I'll let you know what charges my lawyer brings against him Big T.
Don't let someone like him bring you down. At least you went to school instead of being on wel-fare & not trying to better yourself (not putting down welfare moms that try but the ones who abuse the system).
One of the best jokes I've ever heard is: What is the difference between a NP and a doctor? Three years of a**holism school!!
Hope this brought a smile to your face and thank you for sharing and trying to help those who truly suffer.
God Bless & continue to be the strong patient advocate you are!
WTF

Rickman, TN

#112 Mar 11, 2011
Allen Johnson wrote:
<quoted text>Bring it, bytch. I'll barbecue your ass.
What would your parents say if they read these horrible posts? Seriously, do you realize how ignorant and stupid you sound? Is your manhood so small that the only sexual excitement your limpy d*ck can get is to threaten women online?
Can't say much for a man that picks on women. I hope she finds you & throws your cowardly butt in jail - then you'll be someone's bytch!!
Your Suggestions

Rickman, TN

#113 Mar 11, 2011
Some one who knows wrote:
To All-
I do know to which I speak, but all the below is only the opinion of the writer--
The nurse practitioners have to follow the guidelines that direct the use of scheduled medications such as opioids, benzos, and other dangerous or addictive medications as listed in the Tennessee Board of Medical Examiners policies and rules. They only have to be supervised remotely with the physician visiting the clinic once a month and signing the charts every ten days. This can be performed electronically.
In training, nurse practitioners receive 2 hours of pain management training and 2 hours of migraine treatment training. That is all. None of them have ever had formal training in spinal procedures.
Any education in chronic pain management comes from their on the job training after nurse practitioner school. The quality of training depends on the physician who trained them. If this training came from primary care physicians with no specialty training (addictionology doesn't count) or from physicians who have lost their license or have been arrested for fraud (McNeil and Foster for example,) the levels of training may not be at the best . Some doctors are simply too sympathetic to their patients to say "no," even if it is in the patient's best interest.
I do not blame the nurse practitioners who have been either inadequately or improperly trained. Most are doing their best to help people who claim to have pain. However, one of the easiest ways to fill a waiting room in East Tennessee is to hang a pain clinic shingle and let the word get out on the street that you are an easy mark. The folks out there who want the medicines for the wrong reasons will always be better at fooling you than you are at detecting them, especially if you do not know what you are doing or the true dangers of the medications or procedures. I am afraid that many of the pain practitioners out there do not know that what they don't know is the key to proper treatment.
The 6-keto opioids (oxys, roxys, hydros, and diaudid) are highly addictive medications that stimulate the pleasure centers in the brain when there is a peak in blood levels. Roxys and hydros along with crushed OxyContin are immediate release preparations that will deliver that peak in blood levels. The high, anti-anxiety, sense of well being that accompanies these peaks is why many people will say that only these medications work - they can feel them work in ways other than pain control.
Therefore,(you knew this was leading somewhere) best current practice for chronic intractable pain management requires a formal psychological screen (the ORT is worthless) for likely addictive behaviors or misuse of the drugs, a diagnosis backed up by tests (over 60% of people without back pain have at least one abnormal disc, everyone over 40 has degenerative changes in the spine and do not qualify,) non-addictive means must have failed or not be indicated, a written treatment plan be developed, and proper written monitoring be performed.
All of these can be in place, a medication agreement signed, urine drug screens performed and the prescription monitoring checked and the practice still be a pill mill. These items are mere window dressing on the building props of a movie set. It is the knowledge behind the scene that makes for proper care.
I do not know how to describe a pill mill, but some aspects are: 1) cash only practice, 2) high percentage of patients on OxyContin, 3) the use of Roxicodone 30, more than 120 short acting pills a month, the frequent use of Soma, frequent use of Xanax with narcotics, or walk-in patients receiving medications on first visit.
Chronic pain is not simply acute pain that has lasted a long time. The psychological impact is similar to the death of a loved one (the old self.) The spinal cord and brain change. True expert care is needed.
Then for someone who suffers from chronic pain that surgery is not able to repair, where would you go?
big t

Seymour, TN

#114 Mar 11, 2011
Pain Sufferer wrote:
<quoted text>
Thanks Big T. One thing I've learned in life is I will not let a person like that jerk bring me down. There are too many good people in this world to focus on. Bullies like him will get theirs in the end...and it will be sooner than he thinks. He was just stupid enough to make false statements and accusations about me and my family. Not a smart move. I'll let you know what charges my lawyer brings against him Big T.
hey if you need me, im here,i mean that.hes gone to far man.i am so mad at this guy i cant believe he got to me like that,but hes gone to far with this shat..just holler mam im here.
Just Me

Rickman, TN

#115 Mar 11, 2011
Some one who knows wrote:
To All-
I do know to which I speak, but all the below is only the opinion of the writer--
The nurse practitioners have to follow the guidelines that direct the use of scheduled medications such as opioids, benzos, and other dangerous or addictive medications as listed in the Tennessee Board of Medical Examiners policies and rules. They only have to be supervised remotely with the physician visiting the clinic once a month and signing the charts every ten days. This can be performed electronically.
In training, nurse practitioners receive 2 hours of pain management training and 2 hours of migraine treatment training. That is all. None of them have ever had formal training in spinal procedures. They did no, notta, zilch procedures in their training, and no formal, cadaver based courses are available for post graduate work.
Any education in chronic pain management comes from their on the job training after nurse practitioner school. The quality of training depends on the physician who trained them. If this training came from primary care physicians with no specialty training (addictionology doesn't count) or from physicians who have lost their license or have been arrested for fraud (McNeil and Foster for example,) the levels of training may not be at the best . Some doctors are simply too sympathetic to their patients to say "no," even if it is in the patient's best interest.
I do not blame the nurse practitioners who have been either inadequately or improperly trained. Most are doing their best to help people who claim to have pain. However, one of the easiest ways to fill a waiting room in East Tennessee is to hang a pain clinic shingle and let the word get out on the street that you are an easy mark. The folks out there who want the medicines for the wrong reasons will always be better at fooling you than you are at detecting them, especially if you do not know what you are doing or the true dangers of the medications or procedures. I am afraid that many of the pain practitioners out there do not know that what they don't know is the key to proper treatment.
The 6-keto opioids (oxys, roxys, hydros, and diaudid) are highly addictive medications that stimulate the pleasure centers in the brain when there is a peak in blood levels. Roxys and hydros along with crushed OxyContin are immediate release preparations that will deliver that peak in blood levels. The high, anti-anxiety, sense of well being that accompanies these peaks is why many people will say that only these medications work - they can feel them work in ways other than pain control.
Therefore,(you knew this was leading somewhere) best current practice for chronic intractable pain management requires a formal psychological screen (the ORT is worthless) for likely addictive behaviors or misuse of the drugs, a diagnosis backed up by tests (over 60% of people without back pain have at least one abnormal disc, everyone over 40 has degenerative changes in the spine and do not qualify,) non-addictive means must have failed or not be indicated, a written treatment plan be developed, and proper written monitoring be performed.
All of these can be in place, a medication agreement signed, urine drug screens performed and the prescription monitoring checked and the practice still be a pill mill. These items are mere window dressing on the building props of a movie set.
I do not know how to describe a pill mill, but some aspects are: 1) cash only practice, 2) high percentage of patients on Oxy
Chronic pain is not simply acute pain that has lasted a long time. The psychological impact is similar to the death of a loved one (the old self.) The spinal cord and brain change. True expert care is needed.
Due to my insurance, I only had the choice of 3 clinics & the other 2 I was told simply handed out same meds to all pts (pill mills). Again, thought your article gave great advice but where else can one who is truly in chronic pain can go?
Pain Sufferer

Ooltewah, TN

#116 Mar 11, 2011
Just Me wrote:
<quoted text>
Due to my insurance, I only had the choice of 3 clinics & the other 2 I was told simply handed out same meds to all pts (pill mills). Again, thought your article gave great advice but where else can one who is truly in chronic pain can go?
That person has posted the same thing on several different forums. It sounds pretty textbook and may be Allen copying and pasting under yet another name. From what I can tell he also posts under Minuteman.
Just Me

Rickman, TN

#117 Mar 11, 2011
Pain Sufferer wrote:
<quoted text>
That person has posted the same thing on several different forums. It sounds pretty textbook and may be Allen copying and pasting under yet another name. From what I can tell he also posts under Minuteman.
Very Interesting! Like I said, for the ones posting the negative, please tell me what more I can do. It's easy to judge because a person's last resort is a pain clinic. And honestly, no disrespect to NP, I've never heard of someone barely trained giving epidural. I know CRNAs do but an epidural is not a simple procedure (for mine, I was sedated).
And the reference about East TN handing out meds first visit - I know that is not correct. Due to a delay in scheduling me for one of my procedures, I was waiting in the office to get my next visit changed (since it would be useless until the test was done) & there was a lady that was IRATE because they could not see her to give her meds because all of her pre-procedures were not done.

Anyways, please keep helping those that suffer & stopping the ones that abuse the system. God Bless & thank you for listening!!!
Pain Sufferer

Redmond, OR

#118 Mar 12, 2011
Just Me wrote:
<quoted text>
Very Interesting! Like I said, for the ones posting the negative, please tell me what more I can do. It's easy to judge because a person's last resort is a pain clinic. And honestly, no disrespect to NP, I've never heard of someone barely trained giving epidural. I know CRNAs do but an epidural is not a simple procedure (for mine, I was sedated).
And the reference about East TN handing out meds first visit - I know that is not correct. Due to a delay in scheduling me for one of my procedures, I was waiting in the office to get my next visit changed (since it would be useless until the test was done) & there was a lady that was IRATE because they could not see her to give her meds because all of her pre-procedures were not done.
Anyways, please keep helping those that suffer & stopping the ones that abuse the system. God Bless & thank you for listening!!!
That was not disrespectful at all. I for one am not trained to do epidurals and as far as I know only CRNA's can perform them. Now, as a NP, if they are trained they can perform cortisone injections and facet injections. For someone like me, after 3 back surgeries I have been told there is nothing more that can be done. I have scar tissue and nothing will help that. They can go in and remove the scar tissue but it will generally grow right back. So, what to do...when the time comes I too will end up in pain management. For now I have a PCP that will handle any meds I might need. But, if it gets to the point where stronger meds are needed then I'm sure I will end up at a clinic...and not my own...haha. No, even with another provider here I would need to go somewhere else. My husband goes elsewhere. We just don't want to cross any invisible ethics line so we keep it safe. Just me...I am so glad you are happy where you are. That is extremely important.
Allen Johnson

Shelbyville, TN

#119 Mar 12, 2011
Pain Sufferer wrote:
<quoted text>
That person has posted the same thing on several different forums. It sounds pretty textbook and may be Allen copying and pasting under yet another name. From what I can tell he also posts under Minuteman.
I post under one name doofus, mine. I know you are paranoid, but consider than there may be more than one that knows you are a pusher.
Allen Johnson

Shelbyville, TN

#120 Mar 12, 2011
Pain Sufferer wrote:
<quoted text>
That was not disrespectful at all. I for one am not trained to do epidurals and as far as I know only CRNA's can perform them. Now, as a NP, if they are trained they can perform cortisone injections and facet injections. For someone like me, after 3 back surgeries I have been told there is nothing more that can be done. I have scar tissue and nothing will help that. They can go in and remove the scar tissue but it will generally grow right back. So, what to do...when the time comes I too will end up in pain management. For now I have a PCP that will handle any meds I might need. But, if it gets to the point where stronger meds are needed then I'm sure I will end up at a clinic...and not my own...haha. No, even with another provider here I would need to go somewhere else. My husband goes elsewhere. We just don't want to cross any invisible ethics line so we keep it safe. Just me...I am so glad you are happy where you are. That is extremely important.
Yet more crap about you and hubby not being found out. You will. You will.
Just Me

Rickman, TN

#121 Mar 12, 2011
Pain Sufferer wrote:
<quoted text>
That was not disrespectful at all. I for one am not trained to do epidurals and as far as I know only CRNA's can perform them. Now, as a NP, if they are trained they can perform cortisone injections and facet injections. For someone like me, after 3 back surgeries I have been told there is nothing more that can be done. I have scar tissue and nothing will help that. They can go in and remove the scar tissue but it will generally grow right back. So, what to do...when the time comes I too will end up in pain management. For now I have a PCP that will handle any meds I might need. But, if it gets to the point where stronger meds are needed then I'm sure I will end up at a clinic...and not my own...haha. No, even with another provider here I would need to go somewhere else. My husband goes elsewhere. We just don't want to cross any invisible ethics line so we keep it safe. Just me...I am so glad you are happy where you are. That is extremely important.
Know your pain - no one knows how bad it is until you go through it!
Just Me

Rickman, TN

#122 Mar 12, 2011
Allen Johnson wrote:
<quoted text>Yet more crap about you and hubby not being found out. You will. You will.
Why do you hate her so much? Seriously, if an addict is going to get a high they will regardless if there are pain centers or not.
I pray you never have to go through chronic pain.

If you truly hate the pill mills as you've said, then go undercover for the DEA.
Pain sufferer

Ooltewah, TN

#123 Mar 12, 2011
Just Me wrote:
<quoted text>
Why do you hate her so much? Seriously, if an addict is going to get a high they will regardless if there are pain centers or not.
I pray you never have to go through chronic pain.
If you truly hate the pill mills as you've said, then go undercover for the DEA.
I mention the fact that Allen had threatened me to my husband and he said that Allen is probably someone I kicked out of either my clinic or the one in Maryville. There were many that I kicked out and a few I had proof that they were doctor shopping so I turned them over to the DEA. I don't remember the names of the people that I kicked out but he was probably one of them and now has a beef for me. He's PO'd that he got caught I'm sure. It would explain his stupidity and anger. If I kicked him out then there was a good reason for it. If he's not one that I kicked out then he's probably a friend or relative of a person my husband had to fire last year because she was stealing drugs and money and is now facing many felony charges. She goes to court on the 28th. She worked for my husband for almost 18 years and then we found out she was stealing. It hurt my husband terribly and I am angry because he was hurt. My husband and I are not afraid of him and we are not worried if the DEA is investigating. We haven't done anything wrong. If we had I would be worried but that's not the case. Anyone that works in pain management is going to be investigated by the DEA. If I had done something wrong the DEA would have arrested me in December when they closed Maryville Pain management. Those charges had nothing to do with me. And IF a person's DEA license is under investigation they can't change jobs, which I did. So whatever his deal is I really don't care. He certainly has issues he needs to deal with.

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