The Milwaukee Post

it," says Dahl. Joranson was moved, recounted UW Alumni magazine, by travels overseas to "cancer hospitals where ... doctors walk past suffering patients, and those in the worst agony are placed in what's called a 'screaming room.'" Dahl saw patients in India with head and neck cancer, agony vis- ible because of distorted heads. "There was no oral morphine in all of India," she says. New York doctor Russ Portenoy's 1986 study on using opioids to treat non-cancer patients was influential to Dahl and many others. Portenoy recently told national media he's had a change of heart and was wrong about opioids' addiction risk being extremely low. Portenoy now focuses on serious pain patients and didn't want to be quoted. "He's sort of the guru of this," Kolodny says. His study of 38 patients was the "scien- tific launching pad," wrote Barry Meier in the book "Painkiller." In it, Portenoy con- cluded "opioid maintenance therapy" can be safe and humane. Dahl called global and national experts to a Racine conference. The Wisconsin Cancer Pain Initiative was born; other states' initiatives followed. The group dis- tributed thousands of pamphlets on cancer pain. Eventually, the movement broadened. At an early 1990s meeting of state pain initia- tives, people asked: Why stop there? Shouldn't other pain sufferers be helped? More groups formed. OxyContin was released in 1995, with a time release whose marketers claimed made it almost non-addictive; Kolodny thinks the addiction rate is around 25 per- cent. Joranson, who has a master's degree in social work, started the pain group at UW the following year. Dahl, who co-authored research with Joranson, decided they "needed a stick." Dahl (with Robert Wood Johnson fund- ing) began encouraging the Joint Commission, which accredits most American hospitals and doctors' offices, to adopt new pain assessment standards. Miller chaired a board that rejected them, concerned that patients' expectations would become unrealistic. Two years later, they were in place anyway. If you've seen the smiley and frown faces, you've experi- enced them. Dahl stressed they don't mention opi- oids. Others think the standards were very important because they created a nation- wide mandate that doctors prioritize pain treatment. "Now screening for pain had to be done in every primary care setting," says Kolodny. And once OxyContin came out, there was a new way to do it. Meanwhile, Joranson's group attacked regulations; the pain movement was sys- tematically dismantling regulatory barri- ers to prescribing opioids. In one example, Joranson spurred the Federation of State Medical Boards to issue a policy that doc- tors could be sanctioned for undertreating pain, says Kolodny. Medicare began linking funding to patient satisfaction surveys, giving incen- tive for doctors to prescribe painkillers. If pain researchers' work was kindling, though, Purdue's billions were lighter fluid. "Guess who was speaking (at their confer- ences)?" Dahl asks. "Me." She feels "possi- bly used." As she leaves, Dahl tosses out a D.H. Lawrence quote: "A little morphine in all the air. It would be wonderfully refreshing for everyone." Coming next week: A marketing cam- paign promises wonders of opioids. September 19, 2014 • Milwaukee County Post • 7 Heroin: UW researchers played role in upping opioid use continued from Page 6 Post Staff MILWAUKEE — The 37th annual Briggs & Al's Run & Walk on Saturday raised $1 million for Children's Hospital, according to a release. More than 17,000 people participated in an 8K running competition and a 3- and 5- mile walking course. Funds raised help to support children's care, advocacy, research and education efforts at the hos- pital. "We are dedicated to our community, and we're really grateful every time that dedication and support is returned to us, as it was today," Children's Hospital President and CEO Peggy Troy said. The event included a running race on a USA Track and Field-certified 8K course and a 3- and 5-mile walking course. Connor Callahan of Wauwatosa won the men's division running race in 25 min- utes, 6.9 seconds and was followed by Patrick Maag of Milwaukee in 25:17.5 and Rony Jimenez of Wauwatosa in 25:23.8. In the women's race, Jessica Monson of Burlington won in 28:26.1 and was followed by Hope Orvold of Kenosha in 28.56.1 and Naomi Fulton of Hartland in 29:00.1. Melissa Smith of Waukesha won the Hand Cycle Wheelchair race in 25:47.5 and was followed by Robert Gorzek of Wauwatosa in 28:16.6. The Push Rim Wheelchair race was won by Christian Clemmons of Beach Park, Ill., (28:16.9). Briggs & Al's Run & Walk raises $1M for Children's Hospital RUM 1.75L Mt. 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