Monthly Archives: February 2011

News: Vancouver woman sentenced for pharmacy robbery

 

Steve Corzine and his wife, Larae Corzine, were featured in an April 2009 Columbian article about the fallout of the Payette Clinic’s losing its ability to prescribe painkillers. Larae Corzine, implicated in the robbery of a pharmacy and the attempted robbery of another, was sentenced Monday to 16 months in prison.

Vancouver woman sentenced for pharmacy robbery

Vancouver resident, who became addicted to Oxycontin as a patient at pain clinic, gets

By Laura McVicker
Columbian Staff Reporter

Originally published February 7, 2011 at 5:14 p.m., updated February 7, 2011 at 6:25 p.m.

Having become addicted to Oxycontin as a patient of a controversial pain clinic, a Vancouver woman robbed a pharmacy last June, then tried to rob another less than two hours later.

On Monday, Larae Corzine, 40, pleaded guilty to charges relating to both events and was sentenced to 16 months in prison.

She was a patient at the Vancouver-area Payette Clinic, now called Walnut Grove Medical & Mental Health Clinic, which forfeited its ability to prescribe painkillers in March 2009 following a state and federal investigation that found practitioners were overprescribing opioids.

The enforcement action suddenly cut off hundreds of patients’ prescriptions for pain medications, triggering what some doctors later termed a public health crisis.

Corzine pleaded guilty to second-degree attempted robbery relating to an incident at the Vancouver Clinic pharmacy, 501 S.E. 172nd Ave., and second-degree robbery relating to a holdup at the Bi-Mart pharmacy, 11912 N.E. Fourth Plain Blvd. Both crimes occurred on June 18.

She also pleaded guilty to attempt to elude an officer because she fled from police following the Bi-Mart robbery, crashed her Ford Taurus and broke her foot.

She was still using a wheelchair Monday because of the injury.

“She was being prescribed giant dosages,” her attorney, Brian Walker, said in court. “It drove her to this crime.”

“She does not recognize herself,” Walker added to Clark County Superior Court Judge Roger Bennett. “This is simply not something she would do.”

Bennett imposed the sentence, which will include credit for the 230 days she’s spent in the Clark County Jail. He said he appreciated knowing about Corzine’s drug addiction, but that it wouldn’t soften the sentence.

“It gives us a motive, but not an excuse,” Bennett said.

Corzine was featured in an April 2009 article about the Payette Clinic on The Columbian’s front page, in which she told a reporter that her husband, Steve, was a patient there. She omitted the fact that she also had been a patient for three years.

She told the reporter that her husband suffered from reflex sympathetic dystrophy and was in pain, was not an addict, and needed help.

“The pain is 10 times worse than it’s ever been,” Corzine told The Columbian in 2009. “He’s vomiting and shaking. I’m surprised he hasn’t gone into seizures.”

Corzine was arrested following the Bi-Mart robbery in June. After she was taken to Southwest Washington Medical Center and later jailed, investigators linked Corzine to the other robbery attempt through surveillance video and witness identifications, according to court documents.

Deputy Prosecutor Alan Harvey said that during the Bi-Mart robbery, she told a clerk that “she’s going to shoot them in the head” if she didn’t receive Oxycontin.

She took off with an undisclosed number of pills.

An hour and a half before this robbery, Harvey said, Corzine tried to rob the Vancouver Clinic and a pharmacy clerk told police that she had a gun in her waistband.

Harvey said investigators couldn’t find more-concrete evidence on whether Corzine was armed, preventing him from pursuing a first-degree robbery charge at trial.

There was also evidence that Corzine might have been the bandit in two previous Bi-Mart robberies, Harvey said. But her defense attorney said surveillance video showed a person with different physical features.

The Payette Clinic drew controversy after the highly publicized December 2008 overdose death of an Oregon teenager was linked to Payette. The girl, Rachel Daggett, had been smoking an oxycodone pill originally prescribed to a Payette patient.

A wrongful death suit in her case is pending in Multnomah County Circuit Court. A medical malpractice suit with four plaintiffs also is pending in Clark County.

In spring 2009, hundreds of Payette patients, suddenly cut off from their opioid prescriptions, swarmed hospitals and urgent care centers, causing what some physicians called a public health crisis.

They were described as severely addicted or suffering extreme withdrawal symptoms.

Laura McVicker: 360-735-4516 or laura.mcvicker@columbian.com.

 

 

 

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Can acupuncture help with complex regional pain syndrome(CRPS)?

Complex regional pain syndrome or CRPS often suffer intense pain and swelling of the affected arm and hand or leg and foot. They often experience skin changes (color, texture, hair growth, temperature). The net result is a loss of motion and function along with reduced quality of life. If the condition becomes chronic, dystrophy or deterioration of the bones and muscles in the affected body part may occur.CRPS occurs most often after an injury as minor as having blood drawn, or a sprained ankle. Other times, it may be the result of a more significant injury such as surgery, a fracture, immobilization with casting or splinting, or in adults, as a result of a stroke.

Acupuncture is, in recent years, becoming a very popular treatment for RSD / CRPS. Because acupuncture addresses the body’s response to an adverse event in the body it can be particularly effective in addressing conditions for which conventional, western treatments are ineffective. Acupuncture treatment should be used in the earlier stages rather than in the chronic phase (the patient’s response to acupuncture in the earlier stages is faster, thus requiring fewer treatments). In many cases, the symptoms will continue with little or no improvement, the pain becomes extremely severe and does not respond to treatment.

Recent investigations have reported that an exaggerated inflammatory response may also be a possible disease mechanism. Localized neurogenic inflammation may be related to increased vasodilation, acute edema, and sweating.

For evidence-based acupuncturist, Acupuncture practice has progressed to being more than simple needles. The patient can have multidisciplinary management and be treated with tuina, soft tissue therapy, intensive acupuncture, and home exercises . There have been limited studies published regarding the acupuncture treatment of CRPS and similar conditions.

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Lutheran Church of the Resurrection Raises Funds For Jessica Stevens

Lutheran Church of the Resurrection Raises Funds For Jessica Stevens

Lutheran Church of the Resurrection Raises Funds For Jessica Stevens

Over $10,000 raised for the Stevens family and Lutheran’s mission.

By Vilma SceusaEmail the author | February 11, 2011

Over 150 congregants gathered at Lutheran Church of the Resurrection Friday for the second annual “Art and Memorabilia Auction” to support fellow member Jessica Stevens and the church’s mission.

The auction, run by Arin Ross Auctions andMarlin Fine Auctions, net over $10,000. Attendees bid on items such as a signed Eric Clapton guitar, sports memorabilia and lithographs.

A tangible manifestation of one of the church’s beliefs, “Care for those within and beyond our community,” members rallied to raise funds to help defray medical expenses for Stevens, who is suffering from Reflex Sympathetic Dystrophy(RSD), also known as Chronic Regional Pain Syndrome (CRPS), a debilitating neuromuscular disorder that causes severe burning pain and swelling.

The Stevens family has been valiantly fighting Jessica’s illness for over four years and has left no stone unturned. For the last year, Jessica and her mother, Sarah Gina, have lived in Monterrey, Mexico where Jessica has participated in a Ketamine Coma Study. She has been put into medically-induced comas three times, a treatment option for those who have exhausted all other options.

Just a year ago, Jessica was facing many medical obstacles. This year the horizon is much brighter. Jessica just celebrated her 23rd birthday and though she is still in Mexico she is out of the hospital after being hospitalized for over a year.

“Jessica is doing amazing,” shared Jessica’s father, David Stevens. “She is out of bed and utilizing a wheelchair, she is even able to go outside. Plans are to start physical therapy soon. Her lesions are gone. I feel like I have my daughter back. We are very thankful to our church family.”

The last four years have been trying for the Stevenses. They have been separated for over a year. David and Jessica’s sisters, Katherine and Michelle, have stayed behind in Garden City so they can attend school. It has also been financially difficult since Jessica’s treatments are considered experimental and are not covered by insurance.

Despite the odds, the Stevenses has kept their faith.

“It is very heartwarming to see David and his two daughters attend church,” said Ginny DeMille, minister of Christian Outreach. “They are part of our church family and so it’s our pleasure to support them. The Stevens family is so faith-filled and is a great inspiration for all of us.”

Resurrection & The Life Church is a Christian community of faith, with their main campus located at 420 Stewart Ave. in Garden City. For more information, call 516-746-4426 or visit resgc.org or thelifeny.org.

 

 

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Intestinal permeability, fibromyalgia and complex regional pain syndrome

 

Intestinal permeability, fibromyalgia and complex regional pain syndrome

 

 

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Serum and salivary oxidative analysis in Complex Regional Pain Syndrome

 

 

Serum and salivary oxidative analysis in Complex RegionalPain Syndrome

Serum and salivary oxidative analysis in Complex RegionalPain SyndromeElon Eisenberga,e, Shalom Shtahlb,e, Rimma Gellera, Abraham Z. Reznickc,e,Ordi Sharfa,b,e, Meirav Ravbinovicha,b, Adam Erenreicha,b, Rafael M. Naglerd,e,*aPain Relief Unit, Rambam Medical Center, Haifa, IsraelbDepartment of Hand Surgery, Rambam Medical Center, Haifa, IsraelcDepartment of Anatomy and Cell Biology, Rambam Medical Center, Haifa, IsraeldOral and Maxillofacial Surgery Department and Oral Biochemistry Laboratory, Rambam Medical Center, Bat Galim, 31096 Haifa, IsraeleBruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, IsraelReceived 13 November 2007; received in revised form 9 April 2008; accepted 15 April 2008
Abstract

Although both inflammatory and neural mechanisms have been suggested as potential contributors to Complex Regional PainSyndrome type I (CRPS-I), the pathogenesis of the syndrome is still unclear. Clinical trials have shown that free radical scavengerscan reduce signs and symptoms of CRPS-I, indirectly suggesting that free radicals and increased oxidative stress are involved in thepathogenesis of CRPS-I. This study investigated this premise by determining the levels of antioxidants in the serum and saliva of 31patients with CRPS-I and in a control group of 21 healthy volunteers. Serum lipid peroxidation products (MDA) and all antioxidative parameters analyzed were significantly elevated in CRPS-I patients: median salivary peroxidase and superoxide dismutase(SOD) activity values, uric acid (UA) concentration and total antioxidant status (TAS) values were higher in CRPS-I patientsby 150% (p = 0.01), 280% (p = 0.04), 60% (p = 0.0001), and 200% (p = 0.0003), respectively, as compared with controls. Similar although not as extensive pattern of oxidative changes were found in the serum: mean serum UA and MDA concentrations andTAS value in the CRPS-I patients were higher by 16% (p = 0.04), 25% (p = 0.02), and 22% (p = 0.05), respectively, than in the controls. Additionally, median salivary albumin concentration and median salivary LDH activities in the patients were 2.5 times(p = 0.001) and 3.1 (p = 0.004) times higher than in the controls. The accumulated data show that free radicals are involved inthe pathophysiology of CRPS-I, which is reflected both in serum and salivary analyses. These data could be used for both diagnosticand therapeutic purposes in CRPS-I patients. 2008 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.

Keywords: Complex Regional Pain Syndrome type I (CRPS-I); Neuropathic pain; Inflammation; Ischemia; Oxidative stress; Antioxidants; Freeradical

 

 

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Good News For Children with Complex Regional Pain Syndrome

Good News For Children with Complex Regional Pain Syndrome

Children with a condition called complex regional pain syndrome or CRPS often suffer intense pain and swelling of the affected arm and hand or leg and foot. They often experience skin changes (color, texture, hair growth, temperature). The net result is a loss of motion and function along with reduced quality of life. If the condition becomes chronic,dystrophy or deterioration of the bones and muscles in the affected body part may occur.

CRPS occurs most often after an injury as minor as having blood drawn, or a sprained ankle. Other times, it may be the result of a more significant injury such as surgery, a fracture, immobilization with casting or splinting, or in adults, as a result of a stroke.

Risk factors for developing CRPS include immobilization of the affected limb with a cast, splint or sling; smoking; genetics; and psychological factors. The problem is not understood very well. Doctors don’t really know what causes it or why it happens. That makes CRPS a difficult condition to treat effectively.

But a team of health care professionals at Denver Children’s Hospital have some good news. Using a team approach, they have developed a step-by-step plan for the treatment of CRPS in children that is having good success. They start with a review of all the ways the child has already been treated so far. Most often, medications have been prescribed and the child has worked with a physical therapist.

When previous medications (usually pain relievers and/or antiinflammatories) have not worked, a second line of drugs to try are muscle relaxants and anticonvulsants. The child goes back to physical therapy for a more aggressive approach. Failure to achieve pain relief and return of function with these measures results in a referral for a sympathetic (nerve) block.

If the nerve block works, then great! But if it only provides temporary relief from pain, at least it’s clear that the team is on the right track. Inpatient hospitalization is recommended. That’s when the multidisciplinary team gets to work.

The surgeon provides a continuous block to the nerve while the physical therapist works with the child in a total program of sensory modulation, postural alignment, desensitization, motion and movement training and strengthening (as appropriate). During this five-day intense in-patient treatment, a psychologist also offers psychological therapy and behavioral training.

What have the results been so far with this approach? Although their test group was small (37 children under the age of 18), 80 per cent (30 of the 37) were completely cured — no more pain and swelling, no more disabling symptoms.

A closer look at how each child responded as they went along showed that 10 per cent only needed a single nerve block. Another 10 per cent got better with a change in medication and return to physical therapy. That group didn’t need the nerve block. The remaining children finished the full program and gradually experienced improvement and complete resolution of symptoms.

There were two other important finding in this study. The first was the fact that children who responded to the nerve block were still in the first few months of this condition. Children who had CRPS for an average of 22 months when they got their first nerve block were less likely to have a good result. And second, three-fourths of the children were girls. Scientists may want to focus future research on understanding the reason for that. If there is a hormonal imbalance, then perhaps treatment can include some way to address this issue.

For now, the authors share their treatment approach for those who have not yet reached an understanding of the benefits of a multidisciplinary protocol for pediatric complex regional pain syndrome (CRPS).

Reference:

David Wild. Multidisciplinary Approach Important in Pediatric CRPS. In Pain Medicine News. January 2011. Vol. 9. No. 1. Pp. 15.

 

 

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Sutherland teenager Hope sets paralympic target after medals haul in Swansea

Hope Gordon at Inverness Aquadome. Sandy McCook

Sutherland teenager Hope sets paralympic target after medals haul in Swansea

BY DAVE EDWARDS

Published: 19/02/2011

A SUTHERLAND teenager is aiming to make the Great Britain squad for next year’s Paralympic Games in London.

Hope Gordon, from Rogart, returned from an event in Swansea with gold medals in four events – the 100m backstroke, 100m freestyle, 50m freestyle and 200m individual medley – and a silver in the 100m breaststroke.

The Dornoch Academy pupil suffers from reflex sympathetic dystrophy (RSD), which means she has no use of her legs, so the power she generates in the pool comes only from her shoulders and arms.

Hope, 16, said: “I feel a lot more at home in the pool than I do out of it when I have to use my crutches. I really enjoy my swimming. I would love to go to the games in London next year. It will take a lot of hard work but that doesn’t frighten me. I will do my best but 2012 may come too soon for me, so, perhaps, the 2014 Commonwealth Games in Glasgow would be more realistic.

stretching

“I use weights to build up my shoulders but they sometimes get really sore as I have to use my crutches all the time. Sometimes stretching is a better exercise.”

Her mum, Rhona, said: “Hope’s condition has got a lot worse since it was first diagnosed only two-and-a-half years ago. They reckon she has had it on and off since she was a little girl but it manifested itself in this form about three years ago. She now gets about quite well on crutches or in a wheelchair. She has no use of her body from the waist down. All her power comes from her shoulders and she does strength and conditioning. Hope is very determined and has just set a British record in the 800m freestyle in her home pool in Inverness, taking 50 seconds off the previous time and leaving her only 28 seconds off the world record.

“She is swimming in Manchester next month trying to achieve European qualifying times. If she can qualify for the Europeans then there is a possibility she could qualify for London 2012.”

 

 

 

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