Beach Condo for sale – Panama City Beach, FL

27-gulf-viewAfter having been here at the Commodore  (  since 1994 we have decided to sell and move on… unit 1306 (top floor) – 3 bed/3 bath floor plan 1404 Sq Ft interior plus 396 sq ft balcony – almost 40′ width.. This has been our second home since 2000 and a non rental. Non smoker unit. Has a reconfigured custom kitchen, Corian countertop and sinks. which allowed for doubling counter space and storage. Solid glass balcony door (7/16″ thick glass )… won’t fog up… as double pane tend to do and when put in in 2005 they were the most impact resistant ( 150 MPH ) required for first four floors.  TIVO system – 6 tuner – 1000 hrs storage and lifetime subscription to program guide service. 4 LCD TV – all but one in kitchen in the 40+” size Our unit remained in tack thru Hurricane Michael but unfortunately the complex’s roof didn’t fare as well and we got maybe 1″-2″ from Michael taking the roof off over 2.5 units and ours was one… water ran in thru conduit runs and penetrations in our concrete ceiling. About half of the unit has new laminate flooring and balance has ceramic tile .
New water heater, HVAC w nest thermostat, commodes, kitchen, bath vanities faucets, All new lights in the ceiling are new LED lights.
In this picture, our unit is first unit -top floor- just left of center… the complex is a slightly “V” shape. The complex is at the very east end of the Panama City beach and is referred to as “the quiet end of the beach”
We will be down here until late Oct and if has not sold by then we will be turning it over to a real estate agent
Steve Ariens

The Community for Subjective Diseases

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Everyone that is paying attention, clearly sees that the chronic pain community has little unity. In the future I am no longer going to talk about the chronic pain people…  we have a very large “community of pts”  dealing with subjective diseases which encompasses  – (pain, depression, anxiety, ADD/ADHD, and an array of mental health issues)

One thing that subjective disease have in common is that there is really no diagnosed tests that will confirm the existence of the disease. Most pts are determined to have a disease purely from symptoms.

Perhaps it is time that all those with subjective diseases to come together under one VERY LARGE TENT.

I have created what I have faulted others for doing… I have created a new Face Book page

They claim that there is 100+ million chronic pain pts … how many more millions of pts dealing with subjective diseases could find a common goal under this big tent.

Abt 85% of Congress is up for re-election in abt 7 months… The ENTIRE HOUSE and 33-34 Senators.  The number of votes by those with subjective diseases could control who is elected – or thrown out of any office – that is up for re-election from cities, counties, states, federally.  This community has the ability to dump our ingrained TWO PARTY POLITICAL SYSTEM. Many other countries are not “locked” into a two party system why are we ?

Should many of the thousand odd chronic pain FB pages be deleted and/or “go dark” and point to our community tent ?

This is not MY PROJECT … it is a project that will grow and make a significant impact for those who are dealing with subjective diseases.. if those with subjective work together and take the reigns and create a movement that can neither be ignored nor pushed aside. If those who are part of this community, cannot find the will to cooperate with each other and get things accomplished then it will fail.  If the community allows one person to become a self appointed “king”, “queen” or “dictator” of the community the community will quietly fall apart. 

I welcome input


I reserve the right of editorial censorship

It looks like the political “mud slinging” has already started – IMO – worse than the national election two years ago… I am taking a stand – in particular – against “slanderous name calling”  directed toward specific politicians, particular political parties and/or specific people.  I don’t mind political debate – based on FACTS… when the debate drifts off the road based on FACTOIDS, FAKE NEWS, opinions stated as FACTS.. is where I am going to draw the “line in the sand” and delete comments that go down that path.

While personally, I am not a big fan of our political/bureaucratic system.. IMO.. it is too self serving… Admittedly, politically I tend to lean to the POLITICAL RIGHT but that is because the Libertarian party is seemingly always kept in their place by our dominating “two party system”.

I have belonged to a national pharmacy association for 35 yrs… that promotes the saying “get into politics … or get out of pharmacy ..” If you don’t attempt to influence politicians… someone else will…. and IMO this saying applies to those in the chronic pain community and/or pts who are dealing with subjective diseases.  Legislatures, bureaucrats are doing things that are adversely effecting the quality of life of those pts.  As long as those being affected continue to lack unity and/or a large segment chooses to stand on the sidelines, whoever is successfully “bending the ear” of these politicians … they will continue to do so because they have  little/no concern about the consequences and/or collateral damage that they cause to those suffering and dealing with subjective diseases.

I am sure that the vast majority of my readers will understand and cooperate…those who try to challenge this policy…  It is THREE STRIKES and you are out/banned… and WORDPRESS gives me your IP ADDRESS attached to your comment(s)… Once banned, just posting under a different name – WILL NOT WORK !  Everyone needs to “play nice “

Lastly, please do not post anything promoting a particular vendor or any entity or person selling a product/particular service. Because some may perceive/believe that they have my endorsement which may or may not be the case. Anyone posting a link to a professional selling a product/service will be edited out

Prescription Drugs From Canada? Not So Fast

Prescription Drugs From Canada? Not So Fast

Almost a month after President Donald Trump announced that states could begin importing drugs from Canada, pharmacists on both sides of the border don’t like what he’s prescribing.

Importing medications from Canada is part of the president’s America First Healthcare Plan to lower drug costs for Americans, especially older adults. The order, however, excludes some expensive biological drugs, including insulin.

“This will be a game-changer for American seniors,” the president said, according to Kaiser Family News. “We’re doing it very, very quickly.”

The new U.S. Department Health and Human Services’ (HHS) rule takes effect in 60 days.

Medications are cheaper in Canada

Prescription medicines are cheaper in Canada because the government limits what drug manufacturers can charge.  And for years, Americans have crossed the border to buy medications from Canadian-regulated pharmacies.

In fact, roughly 4 million Americans already buy their medications from abroad, even though it is illegal. Kaiser Family News also reported that another 20 million say they or someone they know has imported medications from foreign countries because the cost is substantially less. The government generally looks the other way for personal use purchases.

The President’s plan

Under the president’s plan, a Canadian-licensed wholesaler would buy medications approved for sale in Canada from a pharmaceutical company, then export the drugs to a U.S. importer. The importer would contract with a state, which would then dispense the drugs to pharmacies.

The fly in the ointment, however, is that the Canadian government has said it doesn’t have the drugs to spare. And many Canadian pharmacists and distributors have pledged not to participate. Daniel Chiasson, president and CEO of the Canadian Association for Pharmacy Distribution Management, told Reuters that job one for his members is to ensure a safe and stable supply of medications for Canadians.

Loblaw Companies, Ltd, which owns Shoppers Drug Mart, one of Canada’s largest pharmacy chains, told Reuters it had not been contacted about participating and had no plans to.

Safety Not Guaranteed

South of the border, the American Pharmacist Association (APhA) has said that it opposes the president’s order for several reasons, safety being first and foremost.

“Nothing in the final regulation and other supporting documents that the FDA [Food and Drug Administration] published demonstrates that this can be done safely and will result in savings for patients,” Ilisa Bernstein, APhA’s senior vice president for pharmacy practice and government affairs, told Medical Daily.

The supply chain from Canadian wholesaler to the American pharmacy counter, Ms. Bernstein said, is fraught with opportunities for mischief. Drugs will change hands several times and may be relabeled and added to the importer’s supply chain, which includes drugs from other countries. It is possible, she said, that when you pick up your prescription, you won’t get the FDA-approved version, but a counterfeit drug.

The final HHS rule also mentions a second plan “in the future” that would allow pharmacists to import drugs directly from Canada.

“There is very little information HHS has given about that, and that poses even more significant risks,” Ms. Bernstein said. “You don’t know what you’re getting from the global supply chain. Most online drug sellers that present themselves as pharmacies are really rogue and buying drugs from the unregulated global market.”

It’s a complex issue

Ms. Bernstein said that lowering the cost of medication in the U.S. is a complex issue that will take a multipronged approach to resolve. In the meantime, the APhA will focus on working with states to mitigate risks as each state develops its proposals for buying drugs from Canada.

“Pharmacists want to protect our patients,” she said. “Whether the patient is in the U.S. or Canada, as pharmacists we are the last step before the patient can get that drug. It is really important that we are giving a high-quality product.”

The Feds are getting into the pharma business – what could go wrong ?

OxyContin maker to plead guilty to federal criminal charges, pay $8 billion, and will close the company

Purdue Pharma, the maker of OxyContin, has agreed to plead guilty to three federal criminal charges for its role in creating the nation’s opioid crisis and will pay more than $8 billion and close down the company.

The money will go to opioid treatment and abatement programs. The privately held company has agreed to pay a $3.5 billion fine as well as forfeit an additional $2 billion in past profits, in addition to the $2.8 billion it agreed to pay in civil liability.

The company will be dissolved as part of the criminal charges, and its assets will be used to create a new government-controlled company.

That new company will continue to produce painkillers such as OxyContin, as well as drugs to deal with opioid overdose. The money that the new company makes will now go to combat the opioid crisis.
“Purdue Pharma actively thwarted the United States’ efforts to ensure compliance and prevent diversion,” said Drug Enforcement Administration Assistant Administrator Tim McDermott. “The devastating ripple effect of Purdue’s actions left lives lost and others addicted.”
The company, which filed for bankruptcy in 2019, pleaded guilty to violating federal anti-kickback laws, as it paid doctors ostensibly to write more opioid prescriptions.
Abuse of prescription painkillers is a major cause of the nation’s opioid crisis. According to the Centers for Disease Control, 450,000 people died in the United States in the 10 years starting in 1999 from overdoses involving any opioid, including prescription and illicit opioids. And about a third of those deaths in 2018 involved prescription opioids.
But while the more than $8 billion in fines and penalties in the agreement is a record to be paid by a pharmaceutical company, it is only a fraction of what it has cost federal, state and local governments to combat the opioid crisis. States across the country have filed claims topping $2 trillion in the Purdue Pharma bankruptcy case.
“Purdue deeply regrets and accepts responsibility for the misconduct detailed by the Department of Justice,” said Purdue Chairman Steve Miller, who joined Purdue’s board in July 2018. “Purdue today is a very different company. We have made significant changes to our leadership, operations, governance, and oversight.”
The Justice Department also reached a separate $225 million civil settlement with the former owners of Purdue Pharma, the Sackler family. Still, the Sackler family — as well as other current and former employees and owners of the the company — face the possibility that federal criminal charges will be filed against them.

Why it takes TOO DAMN LONG to get your Rx filled

Medicare open enrollment now thru Dec 7th

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Everyone needs to look at the Part D plan… many will not have to change their plan but others may be forced to change.

What I found was that some of the Part D policies is that they are currently not listing prices of individual medications.

When comparing prgms for us… I was offered one policy from Anthem and when comparing Barb’s … she was not offered that same Anthem Part D policy, but a different Anthem policy with a higher monthly premium, but lower copay… in reality looking at premium and deductible… she would be paying $100 more per year than would I.  I talked to a licensed agent for Anthem and he stated that Barb should have been offered the same policy as was offered me.

Some policies are stating that they are NO LONGER PAYING FOR  some Medication – like Alprazolam (Xanax), Methocarbamol (Robaxin ) and others.

Everyone need to pay attention to the prices listed for each medication. I saw a few where the price in the deductible period is the same as after the deductible is met… since suggests to me that the particular medication is basically the pt will be paying the “full rack rate” for the entire year for the particular medication.

There could be some software issues with this program – like no prices listed – or not offering a particular policy for some odd reason.

If you are not happy with your current Part D Policy… it is important to look at your options, but … given the errors that I ran into … it might be advisable to not commit to a specific policy until towards the end of the open enrollment period — and hopefully any software issues have been corrected.

Of course, if you want to keep the policy that you have now… you NEED TO DO NOTHING… you will automatically be re-enrolled into that policy



Court tosses $7M judgment awarded to patient paralyzed after spine injection at ASC

Court tosses $7M judgment awarded to patient paralyzed after spine injection at ASC

The Colorado Court of Appeals reversed a $7 million judgment against Surgery Center at Lone Tree (Colo.) on Oct. 15, saying the ASC should not have been held vicariously liable for a spine surgeon’s alleged malpractice.

Plaintiff Robbin Smith lost all feeling in her lower extremities after receiving “a bilateral S1 L1-L2 transforaminal steroid injection using the particulate corticosteroid Kenalog” at Surgery Center at Lone Tree, according to court documents. Ms. Smith was later diagnosed with bilateral lower extremity paraplegia secondary to spinal infarct/ischemia and is permanently paralyzed below the waist.

She and her husband, Doyle Edward Smith Jr., filed a lawsuit against three defendants: the spine surgeon who performed the epidural, SpineOne Spine & Sport Medical Clinic, and Surgery Center at Lone Tree, where the injection took place.

However, only the claims against the ASC proceeded to trial. Claims against the spine surgeon were settled before trial, and claims against Lone Tree-based SpineOne Spine & Sport Medical Clinic, which is the surgeon’s employer, were dismissed.

During trial, the plaintiffs alleged Surgery Center at Lone Tree had an obligation to either prevent its surgeon’s off-label use of Kenalog, which they believe contributed to Ms. Smith’s paralysis, or ensure Ms. Smith had given her informed consent to its off-label use.

After an eight-day trial, a jury ruled in favor of the Smiths and awarded them $14.9 million in damages. The trial court reduced the amount of the verdict to roughly $7 million. The ASC appealed the jury’s ruling, and the Smiths cross-appealed the reduction in damages.

Citing Colorado’s corporate practice of medicine doctrine, which “prohibits healthcare facilities from controlling a physician’s independent professional judgment regarding the practice of medicine, diagnosis or treatment,” the Colorado Court of Appeals reversed the trial court’s judgment and remanded the case for judgment in favor of Surgery Center at Lone Tree.

“We conclude that the trial court should have dismissed the corporate negligence and uninformed consent claims against [Surgery Center at Lone Tree] as a matter of law because, under the corporate practice of medicine doctrine, [Surgery Center at Lone Tree] was not vicariously liable for any malpractice” by the operating surgeon, nor was the ASC obligated to assume any medical responsibilities the surgeon failed to fulfill, the Colorado Court of Appeals said.

The court also dismissed the Smiths’ claim for negligence per se, on the grounds that state licensing and federal Medicare regulations weren’t enacted primarily for public safety reasons.

Today I turned in my resignation as a certified pharmacy technician with CVS

Leaving the bench

Today I turned in my resignation as a certified pharmacy technician with CVS.

I’ve been working as a tech for the last 18 years and the changes that come down on us are getting worse and worse. I’ve lost hope that our patients will be taken care of. Last week was the worst shift of them all. A flood of people coming in for flu shots, phone lines lighting up, people piling up at the register, and stacks of prescriptions waiting to be filled. We were drowning with no relief in sight. As I looked at my overtaxed pharmacist all I could see was a mistake waiting to happen. She’s being pulled in no less than 5 different directions, while the flu shots are piling up and she’s suiting up for the task, the narcotic waiter she still has to count and verify is 40 minutes past the promised time. While the patient was extremely understanding after watching us for the last hour, it’s not fair to him or any of our patients to have our attention pulled away in different directions constantly. I went home after my shift, defeated, and really thought about why I was still working here. It most certainly wasn’t because of the money, I could make more working at a coffee shop or as a cashier at a grocery store, shoot a lot of them even got hazard pay during this time. No raises since my pharmacy was bought out 5 years prior and most likely none in the future even with minimum wage creeping up in my state. No hazard pay, no thank you for coming in, nothing but headaches and chest pains. Our patients are no longer patients but are treated as customers who should be up sold at every interaction. Do you need this or that, how about we call your doctors for refills you don’t need, what about auto filling, what about any of these 3-5 vaccines, do you have a rewards card…. Looking back over the years the best thing to happen to me was NOT going to pharmacy school where I would have been saddled with a mortgage in student loan debt and in a job market that’s over saturated. 12 hour shifts, no time for a bathroom break, let alone trying to have a lunch break and many working extra hours before and after their shifts uncompensated just to clear the work for their colleagues. It was bittersweet turning in my 2 week notice, I feel awful for the team I’m leaving behind but I’m glad the abuse will be over. I did not join the pharmacy team to become a used car salesman but that is what CVS has turned it into, minus the commission of course. It’s time to let go and focus on myself, my son has been counting down the days to my last pharmacy shift so he came have some more mommy time… life is too short.

Isn’t INTENTIONALLY throwing a pt into cold turkey withdrawal and inflict a torturous level of pain — a human rights violation ?

My state drivers license was suspended unknown to me, to make matters worse my great-grandson took nana’s d.l. for the picture of nana long story short he lost it. We were in the hectic throws of covid, dept of Licensing closed. I went and got veteran’s affairs outreach office to make me a copy of that Driver’s license also included my social security. Card. My pharmacist at took the copy for months (7) now they are refusing unless I have a original drivers license. Because of covid I don’t have a chance of getting a new one. I paid my fines but the drivers license dept is telling me because of covid they have to send it out of state using the picture off my old dl.picture.this will take 6 weeks. I am disabled on social security. My pain meds I have been on for 10 years. I cannot just stop. Pain is constant and I can function with my meds . I have implants that have gone wrong. I need to have surgery, I also have nerve damages, spinal stenosis, nerve damage in my back, Deep vein th. Thyroid disease. Have gone thru therapy, exercises, non-opiod meds. Nothing help. My dr. Had me classified as completely disabled, no Hope’s of going back to my job of 15 years. But also let me tell you when I became aware of my lost of license I did what I could to correct it. Can you advise me? My meds are due 10-19-20. I am afraid of what will happen if I cant find a way to get this copy to be accepted the GOVERNMENT gave me a copy of the original. My script has my photo on it I have my photo on my copy. What more can I do?? Please respond, thank you

Twitter & Facebook has banned this story

Inside Hunter Biden’s murky history of business dealings in China

An expose of Hunter Biden’s emails published by The Post on Wednesday showed the oft-troubled son leveraging access to his then-vice president father and introducing him to an executive of a Ukrainian gas company that was under scrutiny at the time.

The family’s dealings in Ukraine are the subject of several congressional probes and even led to the impeachment of President Trump who was eventually cleared in the Senate of the charge that he pressured Ukraine’s leader to dig up dirt on Joe Biden.

Hunter Biden’s dealings in China, however, have earned a lot less scrutiny — including over a $1 billion windfall for his business venture just days after visiting Beijing with his influential father.

In 2009, Hunter Biden and Christopher Heinz, the stepson of former secretary of state John Kerry, founded Rosemont Seneca Partners, a billion-dollar private equity firm.

Still at the helm of the firm, Hunter flew aboard Air Force Two to China in December 2013, accompanying his then-veep father on an official visit where Joe Biden reportedly met with Hunter’s Chinese partners.

Ten days later, Hunter’s company inked a deal with the state-owned Bank of China and created the $1 billion investment fund called Bohai Harvest RST (BHR), according to reporting by Peter Schweizer, president of the Government Accountability Institute and the best-selling author of “Secret Empires: How the American Political Class Hides Corruption and Enriches Family and Friends.”

A representative for BHR told The New Yorker in July 2019 that Hunter Biden introduced his father to Chinese private equity executive Jonathan Li during the trip. Li later became the CEO of BHR.

Hunter Biden was forced to step down from the BHR board in October 2019 following blistering call outs from President Trump.

A spokesman for Biden’s family denied any wrongdoing or that there was a connection between the vice president’s visit and BHR’s wild fundraising success.

However, Schweizer found what he described as “a troubling pattern” of Biden and Heinz both seeming to benefit from their fathers’ positions in the Obama administration.

“Over the next seven years, as both Joe Biden and John Kerry negotiated sensitive and high-stakes deals with foreign governments, Rosemont entities secured a series of exclusive deals often with those same foreign governments,” Schweizer wrote in his book.

In another May 2017 incident, Hunter met with Chinese tycoon Ye Jianming, the chairman of energy company CEFC, in a Miami hotel room and the pair discussed American infrastructure and energy deals, according to a 2018 report by the New York Times.

After the meeting, Ye sent Hunter a 2.8-carat diamond and a “thank you” note and the ex-veep’s son began negotiating a deal for CEFC to invest $40 million dollars in a natural gas project on Louisiana’s Monkey Island.

Six months later, a CEFC executive was arrested in New York on unrelated bribery charges, and his first call was to Hunter Biden’s uncle, James Biden. According to the Times report, James believed the call was for Hunter.

“There is nothing else I have to say,” James Biden told the publication. “I don’t want to be dragged into this anymore.”


Cancer pts: 2013 to 2017, the national opioid prescribing rate declined by 20.7% among oncologists and 22.8% among non-oncologists

Opioid Prescribing for Cancer Care Drops

The rate of prescribing opioids among both oncologists and non-oncologists has dropped significantly in the past few years, raising concerns for patient care, according to a recent study.

In the wake of the US opioid epidemic, there have been major efforts to curb opioid prescribing. Researchers at Yale University School of Medicine set out to discover whether the efforts have affected prescribing among oncologists, whose patients often require opioids for symptom management.

Their findings, recently published in the Journal of the National Cancer Institute, showed that, from 2013 to 2017, the national opioid prescribing rate declined by 20.7% among oncologists and 22.8% among non-oncologists.1

During the 5-year period, 43 states reported a decrease in opioid prescribing among oncologists. In 5 states, opioid prescribing decreased more among oncologists than non-oncologists, according to the study.

From 2013 to 2017, prescribing of gabapentin increased by 5.9% among oncologists and 23.1% among oncologists and non-oncologists, respectively. Among palliative care providers, opioid prescribing increased by 15.3%.

“Given similar declines in opioid prescribing among oncologists and non-oncologists, there is concern that opioid prescribing guidelines intended for the non-cancer population are being applied inappropriately to patients with cancer and survivors,” wrote Vikram Jairam, MD, with the department of therapeutic radiology at Yale University School of Medicine.

It is reasonable to assume that the steep drop in opioid prescribing rates among oncologists is related to the “seismic shifts in prescribing regulations and attitudes toward opioids,” wrote Andrea C. Enzinger, MD, and Alexi A. Wright, MD, MPH, both with the Dana-Farber Cancer Institute in Boston, Massachusetts , in a companion editorial.

“The period studied overlaps with the rapid expansion of state opioid legislation establishing prescription drug monitoring programs (PDMPs), mandating provider education, and requiring patient identification and pharmacist verification prior to opioid dispensing,” they wrote. “Prescription drug plans also began imposing limits on the quantity, dose, or duration of opioid prescriptions, further reducing prescribing.”

Writing an opioid prescription has become a complex process that involves signing controlled substance agreements, checking PDMPs, filling prior authorization paperwork, communicating with pharmacists, and “even rewriting prescriptions to comply with seemingly arbitrary and sometimes conflicting rules set by states, insurers, and pharmacies,” Enzinger and Wright wrote.

“These burdens likely disincentivized oncologists from prescribing, potentially shifting this responsibility to palliative care — as evidenced by the 15% increase in opioid prescribing observed among palliative care physicians,” they wrote. “To protect cancer patients’ access, it is critical for policy solutions to lessen — rather than add to — oncology providers’ workload.”

Is someone “taking credit” for something that they had nothing to do with ?

“To be clear, we have no involvement in or with any fundraising efforts by Dr. Feldman or others who may be associated with him or a possible lawsuit against Dr. Kolodny,” attorney Robert Redfearn, Jr. said in a statement to PNN. “Our focus and involvement is on and in the two national class action lawsuits that we filed in Rhode Island and California, through which we hope to bring some relief to pain patients. Further, we have not received or accepted any funds from Dr. Feldman or others who may be associated with him.”




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