JATH Educational Consortium. LLC

Carolyn Concia, NP
Erin LeBlanc
Thomas F. Kline MD, PhD

January, 2020. draft

The word “opioid misuse” is being misused. Misuse is a term created by those wishing to promote non-science based agendas, like “overdose deaths” leaving off the critical adjective “Heroin overdose deaths” Misuse is being used by the federal agency SAMHSA along with “abuse” to fuel the moralists who believe pain is not important enough to be treated with our drug of choice opiates. Misuse/Abuse is defined as “not taking the prescription as the doctor prescribed it”. This is not addiction.

The issue then centers on just how common is real addiction, the “junkie”, the “dope fiend”? If is is common, it supports that if misusing the you are on your way to death and addiction. If it opiate addiction is rare it supports the genetic theory that there are only a certain number of people who have the genes that will allow the true addiction, the life threatening “seeking behavior without regard to any consequence”. Heroin (diamorphine) addiction occurs at the rate of 4/1000 people. …

A position paper by

JATH Educational Consortium, LLC

Thomas F. Kline MD, PhD
Robert Parangi, MD
Jed Graham, MD
Carolyn Concia, NP

Editor: Leslie Bythewood

High-dose limits make sense. Most medications have FDA (Food and Drug Administration) limits on their doses. When maximum doses are exceeded, toxic reactions and death can occur. This is the reason for dose limits in most all prescription drugs of all kinds. For example, anti-depressants have fixed FDA dose limits; go over the limit and you’re in trouble, putting you at risk of death. This is is not the case with opiate pain medicine because opiate pain medicines have no FDA maximum dose. …

CDC PRESCRIPTION PAIN MEDICINE LIMITS — did the Guidelines really say that? Did CDC have the authority? What has happened as a result?

From my viewpoint as a practicing physician the CDC is attempting to reverse centuries old standards of medical practice without asking practicing physicians. Since these guidelines were not generated from the broader physician community, they must be viewed with sharp questioning before we adopt a new ways of medical practice. The idea of limiting dosage for all pain medications comes soley from a very small group of physiians know as “Physicians for Responsible Opiate Prescribing” (PROP)and their associates at the CDC. …

CDC 90mg — it’s not actually in the Guideline

Raleigh, North Carolina


Raleigh, North Carolina

Opioid FAQ’s (Part one)

Alexis M. Haynes, B.A.
Thomas F. Kline, M.D., Ph.D.

Opioids are derived from the poppy plant, Papaver somniferum, and its use dates back to Mesopotamia (Iraq) around 3400 B.C. Variations of the term include the following: opium derivatives, opiates, opioids, narcotics, and controlled substances. These terms are all interchangeable. Ninety percent of opium products are used to treat pain; therefore, “pain medicine” is the most appropriate term for opioids.

  • How common is addiction? Type 1 addiction for marijuana, cocaine, amphetamines, and LSD, is far more common than type 2 opiate Chemical Receptor Disease (CRD), which is rare (google: rare medium kline). …


Thomas F. Kline M.D., Ph.D.
Jed Graham, M.D.
Robert Parangi, M.D.

Jonelle Elgaway
Alexis Haynes
Erin LeBlanc


Nearly all the 10 million people in the United States requiring long-term opiate pain medicines are those with identifiable long-term, rare painful diseases; not just tender knees or sore backs. All have very serious, unimaginably painful diseases that are worse than most people have ever experienced, even for a few hours. The pain and resultant loss of function has robbed the people with these diseases of a normal life. Cardiac disease is treated with cardiac medicine. Rare, painful diseases are treated with pain medicine. …

Written By:

Thomas Kline MD, PhD,
Jed Graham, M.D.
Robert Parangi, M.D.
Jessica Stewart

Edited by:
Erin LeBlanc

David Williams

A JATH Educational Consortium, LLC Publication *

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Comments on the tragedy and facts for writers and journalists


Thomas F Kline MD, PhD

David John Williams, Jaime James Sanchez, Carolyn M. Concia, NP, Editing and Research

Raleigh, North Carolina 27613

Revised November 2019

A We are presenting facts for the first time. Fear of Addiction Phobia is not based on fact.

We at JATH are watching with horror as an estimated 4000 people per day are cruelly cut off of effective pain suppression medicines without consent, per week.

We have never seen or heard of a health care crisis of this magnitude. I could never have imagined this happening in the United States of America: forced of safe effective medication without a medical reason? …


The story of Henry Anslinger the man responsible for the fear, dishonesty, and over reach into the practice of medicine by the federal police and the story of PROP a dangerous extremist group of pain nihilist physicians.

Erin O. LeBlanc, Thomas F. Kline, MD. PhD.

Beginning in the spring of 2016, unintended consequences of the CDC Guideline for Opioid Prescribing began — the Opioid Refugee Crisis, a crisis of failure to provide medical treatment for 6.5 million Americans with long term painful diseases.There …

Can we stop it with Substance Exposure Control?

Undating may 2020. this is our draft read it like you see a rehearsal of a play.

JATH Educational Consortium, LLC**

by Thomas Kline, MD, Carolyn Concia, NP, Erin O. LeBlanc.

The word “opioid misuse” is being misused. The term “misuse” was created by those wishing to promote unscientific, biased agendas. Those who say things like “overdose deaths”, leaving off the critical first word when the statement should be “street overdose deaths” 95% dying without medical care. What we are really afraid of is the creation of more dope fiends. The way to support that fear is to equate “overdose deaths” with the creation of more Heroin addicts. Look carefully. You have been tricked. There are no facts presented to indicate more receptor disease opiate addiction is occurring. In fact the 800,ooo addicts in the U.S. or less than 1% is exactly the same as in 1920. Numbers for other addictions, alcohol, cocaine, stimulants, bounce around from year to year dependent on supply and exposure. …


Thomas Kline, MD, PhD

42 years varied primary care • former Chief, Hospital in Home Service @harvardmed • formerly: @UofMaryland, @StanfordDeptMed, @uoregon • thomasklinemd.com

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