Forest Tennant
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Forest S. Tennant Jr. is an American physician, writer, businessman, consultant, and former mayor of
West Covina, California West Covina is a suburban city in Los Angeles County, California, located east of Downtown Los Angeles in the eastern San Gabriel Valley and is part of Greater Los Angeles. The population for the city was 106,098 at the 2010 census. West Covi ...
. Tennant has earned recognition as an expert in
pain management Pain management is an aspect of medicine and health care involving relief of pain (pain relief, analgesia, pain control) in various dimensions, from acute and simple to chronic and challenging. Most physicians and other health professionals pr ...
and
substance dependence Substance dependence, also known as drug dependence, is a biopsychological situation whereby an individual's functionality is dependent on the necessitated re-consumption of a psychoactive substance because of an adaptive state that has develope ...
and has also been involved in some controversies.


Education and early career

Tennant was born into a farm family in
Dodge City, Kansas Dodge City is the county seat of Ford County, Kansas, United States, named after nearby Fort Dodge. As of the 2020 census, the population of the city was 27,788. The city is famous in American culture for its history as a wild frontier town ...
. He graduated from the
University of Missouri The University of Missouri (Mizzou, MU, or Missouri) is a public land-grant research university in Columbia, Missouri. It is Missouri's largest university and the flagship of the four-campus University of Missouri System. MU was founded in ...
and, in 1966, the
University of Kansas School of Medicine The University of Kansas School of Medicine is a public medical school located on the University of Kansas Medical Center campuses in Kansas City, Kansas, and also Salina, Kansas, and Wichita, Kansas. The Kansas City campus is co-located with ...
. He served in Vietnam as a Major in the U.S. Army Medical Corps and was an Army surgeon in Germany, where he first came into contact with patients with drug problems. In 1972, Tennant earned a Doctorate of Public Health at the UCLA School of Public Health of the
University of California, Los Angeles The University of California, Los Angeles (UCLA) is a public land-grant research university in Los Angeles, California. UCLA's academic roots were established in 1881 as a teachers college then known as the southern branch of the California S ...
. His doctoral thesis was informed by his experience treating service personnel. As a
post-doctorate A postdoctoral fellow, postdoctoral researcher, or simply postdoc, is a person professionally conducting research after the completion of their doctoral studies (typically a PhD). The ultimate goal of a postdoctoral research position is to pu ...
fellow, Tennant was appointed director of UCLA's
methadone Methadone, sold under the brand names Dolophine and Methadose among others, is a synthetic opioid agonist used for chronic pain and also for opioid dependence. It is used to treat chronic pain, and it is also used to treat addiction to heroi ...
program, and was an associate professor at the school.


Physician and writer

Tennant specializes in pain management and drug addiction. He is a strong advocate for intractable pain patients, arguing that opioids can be safe and effective even when applied over long durations, and helped push the "Pain Patient's Bill of Rights" law through the California legislature. Tennant has authored over 200 articles and books, including many to help intractable pain patients, and is editor-in-chief of the journal ''Practical Pain Management''. The late
Zig Ziglar Hilary Hinton Ziglar (November 6, 1926 – November 28, 2012) was an American author, salesman, and motivational speaker. Biography Early life and education Zig Ziglar was born prematurely in Coffee County, Alabama, to John Silas Ziglar ...
described Tennant as "perhaps the number one drug authority in the world".


Businesses and consultancies

Until his retirement in 2018, Tennant operated a pain management clinic, Veract Intractable Pain Clinic in
West Covina, California West Covina is a suburban city in Los Angeles County, California, located east of Downtown Los Angeles in the eastern San Gabriel Valley and is part of Greater Los Angeles. The population for the city was 106,098 at the 2010 census. West Covi ...
. The clinic, opened in 1975, originally focused primarily on cancer patients and post-polio pain. Tennant has been a substance abuse consultant for the California Department of Justice, the
California Highway Patrol The California Highway Patrol (CHP) is a state law enforcement agency of the U.S. state of California. The CHP has primary patrol jurisdiction over all California highways and roads and streets outside city limits, and can exercise law enforcem ...
(where he taught officers how to recognize symptoms of drug use) and hundreds of private companies, including
Texaco Texaco, Inc. ("The Texas Company") is an American oil brand owned and operated by Chevron Corporation. Its flagship product is its fuel "Texaco with Techron". It also owned the Havoline motor oil brand. Texaco was an independent company unt ...
and the Southern Pacific Railroad. He operated a drug testing and drug education consultancy, with clients including the
National Football League The National Football League (NFL) is a professional American football league that consists of 32 teams, divided equally between the American Football Conference (AFC) and the National Football Conference (NFC). The NFL is one of the ...
(NFL), the
National Association for Stock Car Auto Racing The National Association for Stock Car Auto Racing, LLC (NASCAR) is an American auto racing sanctioning and operating company that is best known for stock car racing. The privately owned company was founded by Bill France Sr. in 1948, and hi ...
(NASCAR), and the
Los Angeles Dodgers The Los Angeles Dodgers are an American professional baseball team based in Los Angeles. The Dodgers compete in Major League Baseball (MLB) as a member club of the National League (NL) West division. Established in 1883 in the city of Brooklyn ...
. With the Dodgers, Tennant worked with players including
Steve Howe Stephen James Howe (born 8 April 1947) is an English musician, best known as the guitarist in the progressive rock band Yes across three stints since 1970. Born in Holloway, North London, Howe developed an interest in the guitar and began to le ...
, a promising left-hander whose career was ultimately derailed by substance abuse. Tennant terminated his relationship with the NFL in April 1989, and Tennant's handling of some matters while working for the NFL, particularly in the Clarence Kay case, were later criticized. Tennant was accused of being involved with reporting a false result of a drug test of NASCAR driver Tim Richmond; the resulting lawsuit was settled out of court, and NASCAR terminated its relationship with Tennant in 1990. Tennant became involved with methadone clinics in 1972 when he became director of UCLA's methadone treatment program, later creating the nonprofit Community Health Projects, Inc. which operated 29
methadone Methadone, sold under the brand names Dolophine and Methadose among others, is a synthetic opioid agonist used for chronic pain and also for opioid dependence. It is used to treat chronic pain, and it is also used to treat addiction to heroi ...
facilities in California. His clinics were repeatedly cited by California and federal authorities for serious and continuous deficiencies and on several occasions had to reimburse the state for overcharges. In March 1997, following a
Drug Enforcement Administration The Drug Enforcement Administration (DEA; ) is a United States federal law enforcement agency under the U.S. Department of Justice tasked with combating drug trafficking and distribution within the U.S. It is the lead agency for domestic en ...
investigation, Tennant and Community Health Projects paid $625,000 to settle allegations that many of his clinics violated record-keeping requirements. According to Assistant U.S. Attorney Lori Richardson Pelliccioni, record-keeping was so poor at the clinics that methadone supplies could not be tracked adequately. Federal prosecutors said it was the long history of uncorrected violations that forced Tennant and his chain to pay the U.S. government $625,000 and avoid a civil lawsuit. Tennant and Community Health Projects denied wrongdoing and said they were victims of federal rules that were vague, bewildering, inconsistent, unevenly enforced, and contradictory to California law, and that no clinic could withstand the special scrutiny that Community Health Projects received as the state's largest and most visible provider of methadone treatment. Tennant called for new state legislation to clarify methadone regulations. Tennant developed methods of examining eyes to detect presence of drugs in the system. His "rapid-eye exam" won praise from law enforcement authorities as an effective field drug sobriety test. A home-use version, the "Rapid Eye Check Kit", was developed by Tennant and marketed by an Irvine non-profit group as an aid for parents in detecting teen drug use. Colleges, school districts and businesses in several states adopted the test. This test drew criticism for inaccuracy (including both false positives and false negatives) and intrusiveness. In a civil rights lawsuit challenging the constitutionality of the University of Colorado's student drug-testing program, which included the test, U.S. District Judge Joseph Bellipanni concluded that the test was extremely inaccurate. It was announced on March 26, 2018, that Tennant would be retiring and therefore closing his pain clinic in the Los Angeles suburb of West Covina. It has been speculated that his retirement was partly due to an ongoing DEA investigation of his opioid prescribing practices.


Politics and civic involvement

Tennant has been active in local Republican politics. He founded the San Gabriel Valley Chapter of the Lincoln Club, a California Republican organization. He has been active in civic charities, is the recipient of an NAACP Service Award, and was West Covina Citizen of the Year. Tennant served two terms on the West Covina, California city council in 1980–1988 and was also mayor of the city. Tennant was active in efforts to block expansion of landfills in the San Gabriel Valley and was opposed to County Supervisor Pete Schabarum's efforts to block the BKK Corporation landfill in West Covina from accepting trash from Los Angeles and clashed with Schabarum over plans to build a waste-to-energy incinerator in
Irwindale Irwindale is a city in the San Gabriel Valley, in Los Angeles County, California. The population was 1,422 at the 2010 census, down from 1,446 at the 2000 census. The ZIP Codes serving the area are 91010, which is shared with Duarte, 91702, w ...
. Tennant also worked to block commercial development in Frank C. Bonelli Regional Park. Tennant sponsored a bill in California, which became law in 1997, to make highly restricted narcotics more available to patients with severe and intractable pain. The law, which includes a "Pain Patient's Bill of Rights", requires doctors to advise patients who suffer from severe, chronic, and intractable pain that narcotics such as
Percodan Oxycodone/aspirin (trade name Percodan) is a combination drug marketed by Endo Pharmaceuticals. It is a tablet containing a mixture of 325 mg (5 grains) of aspirin and 4.8355 mg of oxycodone HCl (equivalent to 4.3346 mg of oxycod ...
, Demerol and
Dilaudid Hydromorphone, also known as dihydromorphinone, and sold under the brand name Dilaudid among others, is an opioid used to treat moderate to severe pain. Typically, long-term use is only recommended for pain due to cancer. It may be used by mou ...
could be prescribed. According to Tennant and bill author Leroy Greene, doctors were failing to prescribe these drugs in the large quantities needed for severe pain relief because they feared prosecution for overprescribing a controlled substance, or because they are philosophically opposed to narcotics because they can create dependency.


Publications

:''Partial list'' * * * * * * *


References

{{DEFAULTSORT:Tennant, Forest Living people People from Dodge City, Kansas People from West Covina, California University of Missouri alumni University of Kansas School of Medicine alumni Physicians from California 20th-century American physicians 21st-century American physicians American medical writers American male non-fiction writers American nonprofit executives NASCAR people UCLA School of Public Health alumni Year of birth missing (living people)