Duke U surgeon: will only speak with 16 y/o pt post surgery

This video appears to be a video made by a parent of a 16 y/o that had back surgery and the surgery was done in the Duke University healthcare system. I had a heard a couple of years ago that Duke U had implemented a little/no opiate policy. I can’t imagine a surgeon only willing […]

where will the 2022 CDC opiate dosing guidelines take the community ?

We opened our independent pharmacy in 1976, back then the PBM industry was a minor part of paying for prescriptions, the vast majority of prescriptions were paid by cash/check/credit card. In the early 80’s as the DRG reimbursement was implemented in the hospital system. Basically, when a person was admitted to a hospital, the hospital […]

Does this suggest how useful signing petition are ?

Tennessee governor won’t consider clemency for RaDonda Vaught https://www.beckershospitalreview.com/legal-regulatory-issues/tennessee-governor-won-t-consider-clemency-for-radonda-vaught.html A petition signed by thousands of nurses nationwide to grant RaDonda Vaught clemency has taken off in the weeks since her conviction for a fatal medication error, but the movement may be in vain.  Tennessee Gov. Bill Lee’s office confirmed to Kaiser Health News last week […]

Biden Opioid Plan Puts Pharmacies On Notice

Biden Opioid Plan Puts Pharmacies On Notice https://www.law360.com/articles/1323869/biden-opioid-plan-puts-pharmacies-on-notice By Emily Field Law360 (November 8, 2020, 5:16 PM EST) — President-elect Joe Biden will enter office with a plan to curb the nation’s opioid crisis by increasing federal investigations into distributors of the drug, signaling that smaller companies should be aware that it’s not just big […]

DOJ: new guidelines on ADA on which disabled people can/can’t be discriminated against being Rx’d controlled meds

It would seems that the Federal bureaucracy gets more and more contradictory… a number of years ago our Supreme Court ruled that the 8th Amendment only applies to prisoners The Eighth Amendment to the United States Constitution prohibits the federal government from imposing excessive bail, excessive fines, or cruel and unusual punishments. Now our Dept […]

Some kids in pain need opioids. For doctors, that means walking a tightrope

Some kids in pain need opioids. For doctors, that means walking a tightrope https://www.statnews.com/2019/11/04/kids-pain-opioids-pediatricians-tightrope/ As a physician who works in a pediatric emergency department, I see the downsides of trampolines, monkey bars, coffee tables with sharp corners, and even hot soup — all common sources of children’s injuries. No matter what the trauma, many of […]

As a pain specialist, I may have caused more harm by under prescribing opioids

As a pain specialist, I may have caused more harm by under prescribing opioids+ https://www.statnews.com/2022/04/12/underprescribing-opioids-can-also-cause-harm/ A reporter recently asked me about what harm I may have caused as a pain management physician who prescribes opioids. As I reflected on my last 10 years in this field, my response was that the harms I may have […]

UPDATED: Heaven’s newest ANGEL

This is a little 12 y/o (Jennie) that Bob Sheerin started  advocating for at Vanderbilt Hospital in Nashville… a few months ago, unfortunately she recently died from her Leukemia.  Vanderbilt is one of those DAMN  NON-OPIATE hospital corporation.  After Bob got involved, Jennie started getting some opiates to help her deal with her pain.  Here […]


https://www.acsh.org/news/2022/03/01/true-story-morphine-milligram-equivalents-mme-16154 The True Story of Morphine Milligram Equivalents (MME) By Chuck Dinerstein, MD, MBA — March 1, 2022 They are the foundation of the CDC’s 2016 opioid guidelines, resulting in legislation that limits opioid prescribing in 36 states. Morphine milligram equivalents, or MMEs, are used to set arbitrary prescribing limits for opioids by physicians, since […]

Many boards of pharmacy are putting out surveys, complaint forms and such in order to have the basis to investigate and yet, we pharmacists are refusing to fill those reports

Bled Tanoe, PharmD, Bled Tanoe, PharmD, • Following Founder at #PizzaIsNotWorking 1w • Edited • 1 week ago Dear Pharmacists, please help them help you : I have been pretty about the need to fight intimidation and retaliation from employers or even the fear of pharmacy entities . There is a huge demand of such […]