“The moral test of a government is how it treats those who are at the dawn of life, the children; those who are in the twilight of life, the aged; and those who are in the shadow of life, the sick and the needy, and the handicapped.” – Hubert Humphrey
passionate pachyderms
Pharmacist Steve steve@steveariens.com 502.938.2414
While often linked to deleterious outcomes in certain disease states, the hepatocyte-produced inflammatory marker C-reactive protein (CRP) may be a checkpoint that protects against acetaminophen-induced acute liver injury, according to research findings.
Based on the study findings, researchers believe long-term suppression of CRP function or expression may increase an individual’s susceptibility to acetaminophen-induced liver injury. In contrast, CRP “could be exploited as a promising therapeutic approach to treat hepatotoxicity caused by drug overdose” wrote study authors Hai-Yun Li, MD, of the Xi’an Jiaotong University in Shaanxi, China, and colleagues in Cellular and Molecular Gastroenterology and Hepatology.
According to Li and colleagues, a major cause of acute liver failure is acetaminophen-induced liver injury, but despite this risk, very few treatment options for this condition exist. The only approved treatment for this complication is N-acetyl cysteine (NAC).
Although CRP represents a marker for inflammation following tissue injury, a study from 2020 and one from 2018 suggest the protein regulates complement activation and may modulate responses of immune cells. The authors of the current study noted that few studies have explored what roles complement activation and modulated immune cell responses via CRP play in acetaminophen-induced acute liver injury.
To further elucidate the role of CRP in this setting, Li and researchers assessed the mechanisms of CRP action both in vitro as well as in CRP mice with Fcy receptor 2B knockout. The researchers suggested CRP may modulate immune cell responses via these receptors. Additionally, the investigators assessed CRP action in mice with C3 knockout, given previous studies suggesting C3 knockout may alleviate acetaminophen-induced liver injury in mice.
The researchers also investigated hepatic expression of CRP mutants that were defective in complement interaction. Finally, the researchers sought to understand the therapeutic potential of the inflammatory marker by performing intraperitoneal administration of human CRP at 2 or 6 hours after induction of acetaminophen-induced acute liver injury in wild-type mice.
Injection of 300 mg/kg acetaminophen over 24 hours led to overt liver injury in wild-type mice, which was characterized by increased levels of circulating alanine transaminase (ALT) and aspartate transaminase (AST) as well as massive necrosis of hepatocytes. The researchers noted that these manifestations were exacerbated significantly in the CRP knockout mice.
The intravenous administration of human CRP in the mice with the drug-induced liver injury rescued defects caused by mouse CRP knockout. Additionally, human CRP administration alleviated acetaminophen-induced acute liver injury in the wild-type mice. The researchers wrote that these findings demonstrate that endogenous and human CRP “are both protective,” at least in mouse models of acetaminophen-induced liver injury.
In a second experiment, the researchers examined the mechanisms involved in CRP protection in early phases of drug-induced liver injury. Based on the experiment, the researchers found that the knockout of an inhibitory Fcy receptor mediating the anti-inflammatory activities of CRP demonstrated only “marginal effects” on the protection of the protein in acetaminophen-induced liver injury.
Overall, the investigators suggested that the inflammatory marker does not likely act via the cellular Fcy receptor 2B to inhibit early phases of acetaminophen-induced hepatocyte injury. Rather, the investigators explained that CRP may act via factor H, which is recruited by CRP in regulating complement activation, to inhibit overactivation of complement on injured hepatocytes. Ultimately, the researchers explained, this results in suppression of the late phase amplification of inflammation that is mediated by neutrophils’ C3a-dependent actions.
Finally, the researchers found that intraperitoneal administration of human CRP at 2.5 mg/kg in wild-type mice at 2 hours following induction of acetaminophen-induced liver injury led to “markedly reduced liver injury,” with an efficacy that was similar to that of 500 mg/kg N-acetylcysteine, the only available treatment approved for acetaminophen-induced liver injury.
The researchers noted that N-acetylcysteine is only effective during the early phases of the acetaminophen-induced liver injury and loses effectiveness at 6 hours following injury. In contrast, human CRP in this study was still highly effective at this time point. “Given that people can tolerate high levels of circulating CRP, the administration of this protein might be a promising option to treat [acetaminophen-induced liver injury] with minimal side effects,” the researchers wrote.
I’m emailing you because I been going to my pharmacy for 4 years now and I get two medications that are controlled and today when
I went I saw there was a new pharmacist and after he filed all my medications he asked me how long have I been coming there so I asked why he said that he only will prescribe those kind of medications to people with cancer
I said well I have severe nerve pain as well as two herniated disc as well as Arthritis then he I will die so he will refuse to fill them next he also spoke to me with a attitude. I really felt like I was being judged by him he also looked at like I was junkie please if can give some advice about how to go about this thank you so much.
I would hope that this pt misunderstood this pharmacist and/or this pharmacist did not say that “he would not PRESCRIBE opiates for anything other than cancer” Prescribing is a function of the practice of medicine, but.. one of the basics of the practice of medicine is the starting, changing, stopping a pt’s therapy… So this pharmacist did state that he would not longer fill legitimately prescribed opiate/controlled meds in the future for this pt because she does not a active cancer.
I had made this blog post before and it was first directed toward a prescriber who is telling a pt that they are going to have their opiate meds reduced on the next office visit, but it is also appropriate for a Pharmacist – particularly a chain pharmacist – following the instructions in the post and sending info to both the pharmacist and the Rx dept Manager for the particular pharmacy and the legal dept at the chain’s HQ. When I first wrote this, I suggested that the pt use an attorney to send the letter(s), but in after thought… I think that a pt can send such a letter by certified mail… because there is known complications of a pt’s comorbidity health issues for under/untreated pain and most likely a pt being thrown in cold turkey withdrawal could make the complications onset much more abrupt. Pharmacists should be well aware of the consequences to a pt for being thrown into cold turkey withdrawal and if they don’t know, a letter from a pt will make them aware and if such complications to the pt’s health does happen.. then if they are taken to court for the consequences of their actions… they won’t be able to claim that they didn’t know or didn’t expect such bad pt outcomes.
Is there a difference between ESTIMATED numbers and FABRICATED numbers ? Sometimes with numbers from CDC .. it is often hard to determine how the numbers should be labeled. This article is from “ADDICTION PROFESSIONAL“.. the official news source for National Conference on Addiction Disorders.
Once again, the CDC discloses the estimated numbers of ALL DRUG OVER DOSE DEATHS, and then the narrative is shifted to OD’s from all opiates – legal and illegal… Then the “numbers” start getting a little fuzzier… overall 28.5% increase in ALL DRUG OVERDOSES, But, if you do the math… the OD’s from illegal Fentanyl analogs was up 35% and a mixture of illegal Fentanyl, methamphetamine and cocaine INCREASED 48% and then to BLUR the numbers even more …Deaths from natural and semi-synthetic opioids (such as prescription pain medications) also increased. Did the CDC actually not state the number of estimated deaths from pharma grade opiates and the author of this article just threw that in to try to perpetuate the fallacy that Pharma opiates are involved in OD’s – in a period where both the quantity of pharma opiates and pharma opiates being prescribed were reduced in number ? The attached graphic shows that during the 2010-2019 decade, OD’s using pharma opiates was virtually FLAT for the entire decade. (0.004%) and there is no delineation of pharma opiates OD’s the person who OD’d actually had a legal Rx for the opiate(s) showing in their toxicology – which would suggest a SUICIDE !
CDC: Annual Drug Overdose Deaths Top 100,000, a Record High
According to provisional data from the Centers for Disease Control and Prevention (CDC) National Center for Health Statistics released this week, there were an estimated 100,306 drug overdose deaths in the US for the 12 months ending in April 2021, a record high and a 28.5% increase over the same period a year prior.
Opioid-involved deaths in particular have spiked, with the potent, highly concentrated synthetic fentanyl playing a significant role. CDC estimates the number of opioid-involved deaths increased to 75,673, up from 56,064 year-over-year. The presence of fentanyl is also being linked with deaths involving psychostimulants such as methamphetamine and cocaine, as dealers mix fentanyl with other drugs. Psychostimulant-involved deaths were up 48% year-over-year. Deaths from natural and semi-synthetic opioids (such as prescription pain medications) also increased.
“What we’re seeing are the effects of these patterns of crisis and the appearance of more dangerous drugs at much lower prices,” Nora Volkow, MD, director of the National Institute on Drug Abuse, told CNN. “In a crisis of this magnitude, those already taking drugs may take higher amounts and those in recovery may relapse. It’s a phenomenon we’ve seen and perhaps could have predicted.”
Overdose deaths increased in all but 4 states: Delaware, New Hampshire, New Jersey, and South Dakota. The states hit hardest were Vermont, which saw a 70% year-over-year increase, followed by West Virginia (62%), and Kentucky (55%).
Anne Milgram, administrator of the Drug Enforcement Administration, told the Associated Press that cartels in Mexico are producing fentanyl and methamphetamine with chemicals acquired from China, and distributing the illicit substances across the United States. DEA has seized a record 12,000 pounds of fentanyl this year, Milgram said.
In an address to attendees of the Rx Drug Abuse & Heroin Summit in April, US Secretary of State Antony Blinken said in prepared remarks that disrupting the flow of opioids, especially synthetics such as fentanyl, was “an urgent national priority.” Blinken said the State Department has pressed China to address the production and sale of precursor chemicals used to produce synthetic drugs, and has collaborated with Mexico to cut down on trafficking across the southern border of the United States.
NEW ORLEANS — Patients taking the new, ultra-expensive thyroid eye disease drug teprotumumab (Tepezza) are typically tolerating ear-related side effects, with some saying they’re more interested in protecting their vision than their hearing, reported an ophthalmologist. However, if you’re looking for a lasik eye surgery specialist in Charlotte, you can check here!
One patient, for example, insisted on continuing the treatment despite hearing loss, said Suzanne Freitag, MD, of Massachusetts General Hospital in Boston, during a presentation here at the American Academy of Ophthalmology annual meeting. “She was arguing with me: ‘I want my eyes, I don’t care as much about my ears.'”
Hearing loss is the most significant side effect linked to teprotumumab, which received FDA approval in 2020 and can cost up to $400,000 for a full 6-month treatment course, said Michael Kazim, MD, of Columbia University in New York City. The drug treats thyroid eye disease, also known as Graves’ eye disease, an autoimmune disorder that can cause bulging eyes and a long list of other ocular problems.
In addition to teprotumumab, much cheaper drugs for the disease, such as steroids, are available, noted Kazim.
Freitag said her clinic has treated more than 100 patients with teprotumumab. An analysis showed that 36% reported ear/hearing changes, the most common side effect other than muscle spasms (55%), and more common than several others, including fatigue (30%), nausea (25%), dysgeusia (18%), and diarrhea (17%). The ear effects aren’t just loss of hearing, she explained; patients also mentioned tinnitus and a feeling of fullness in the ear.
At least two California children were left sick after a clinic administered the wrong dose of the coronavirus vaccine to 14 kids.
“I’m here tonight to report my story because it’s unacceptable; you expect your medical professionals to give you correct doses,” parent Denise Iserloth told ABC7.
Iserloth said she took her two children, ages eight and 11, to Sutter Health pediatric vaccine clinic in Antioch over the weekend, where they received 20 micrograms of dosage instead of the recommended 10.
FILE – In this Oct. 5, 2021, file photo a healthcare worker fills a syringe with the Pfizer COVID-19 vaccine at Jackson Memorial Hospital in Miami. President Joe Biden’s most aggressive move yet to combat the COVID-19 pandemic is almost ready to see the light of day. The government is close to publishing the details of a new vaccination-or-testing rule covering more than 80 million Americans at companies with 100 or more workers. (AP Photo/Lynne Sladky, File)
All in, 14 children who visited the clinic on Saturday were given the wrong dose.
Sutter Health said in a statement that it warned the parents of the mistake, explaining, “As soon as we learned of this, we contacted the parents and advised them of CDC guidance in this situation.”
But Iserloth said she wasn’t made aware of the error until 10 hours after the shots were administered. Both of her children stayed home from school on Monday with bad stomach aches, and her oldest child fell down twice in the hours following the shot.
“I understand the mandate, I tried to comply with it, and my children now have been given a double dose and I don’t know the long-term side effects,” Iserloth said.
TORONTO, ON – MARCH 23: Nurse Brenda Lotakoun draws a dose of the Moderna COVID-19 vaccine as nurses from Humber River Hospital staff administer vaccines to residents, staff, and volunteers at one of B’nai Brith Canada’s affordable housing buildings on March 23, 2021 in Toronto, Canada. Canada’s vaccine program has been lagging due to supply shortages. Currently, 11 per 100 people in the country have been given at least one dose of the vaccine. Ontario area hospitals have established programs to bring the vaccine to hot spot areas and underserved communities to vaccinate residents. (Photo by Cole Burston/Getty Images) (Getty Images)
Her husband, Shawn Iserloth, added that the couple “assumed that there was more in place to prevent this from happening, but obviously at this place there wasn’t.”
A local area physician told ABC 7 that the children should be okay, and the symptoms should subside after a couple of days. He added that children were tested with 10, 20, and 30 micrograms during clinical trials.
“Headache, muscle aches, fever in some cases, chills, but they should go away in a day or two. So I would say hold tight, don’t worry too much and that’s all expected,” Dr. Chin-Hong said.
Sutter Health added that it is now reviewing how the mistake unfolded and how to prevent it from happening again.
“The safety of our patients is our top priority, and we immediately reviewed our processes to help make sure this doesn’t happen again. According to the CDC, patients who receive a vaccine with an incorrect diluent volume may experience more arm soreness, fatigue, headache, or a fever in response to the dose given,” Dr. Jimmy Hu, chair of the Sutter Health COVID-19 Vaccine Task Force, said in a statement.
Meanwhile, the Iserloths say they are waiting for an update on how the mistake happened to the 14 children.
“There has been nothing clarified as to how this happened to our children and the other 12 children involved and it is unacceptable and negligent, completely negligent on their part,” Denise Iserloth said.
The incident in California comes as nearly 100 children in Maryland were also given the wrong doses of the vaccine. The children received shots that were diluted more than recommended at a clinic in the South Lake Elementary School in Montgomery Village last Wednesday.
REPOST FROM OCTOBER 28. STILL WAITING FOR THAT PHONE CALL
Cori Copilevitz Passer » CVS Pharmacy
October 28 at 7:44 PM •0
My mother, who has a brain tumor, was given the wrong dose of her anti seizure medication by store number 8567 and had a seizure. Directly related to this mistake. I called the store and
was told a supervisor would call me. They did not. I called headquarters and could not wait on
hold for more than 30 minutes. I emailed customer service. Nothing. This has been over a
month ago. I’m so frustrated and angry and I want some acknowledgement of this mistake and
I want to know what is being done to stop this from happening again.
Pharmacist Ashleigh Anderson died on September 10, 2021. I did not know her but almost feel like I did from the loving and kind tributes of her family, friends, and colleagues that are posted on the website of the funeral home (Soller-Baker in Lafayette, Indiana). I extend my heartfelt sympathy to her family.
Ashleigh was employed at a CVS store in Indiana. While working at CVS on September 10 she felt ill and considered it necessary to leave. She contacted her supervisor who, according to several individuals, responded that she needed to stay at the store for up to 2 hours until a covering pharmacist arrived. One pharmacist informed me that “she was threatened with job abandonment” if she left before then. Before another pharmacist could arrive, she collapsed in the store. Ashleigh Anderson was 41.
I have complete confidence in the information that several pharmacists have provided me. I have attempted to contact CVS corporate headquarters and have left multiple voicemail messages to obtain information about this tragedy and to determine if the company is establishing a memorial fund and/or other tribute to honor Ashleigh. There has been no response. Some allege that CVS does everything possible to suppress news that would result in criticism and questions.
Many individuals provide me with social media postings in which they believe I would be interested, and I appreciate their doing that. Many of the comments are accolades for Ashleigh, the joy derived from working with her, and expressions of grief following her death. Other postings direct anger and outrage at CVS, with the following being just several examples.
“CVS has been killing its patients for years! Now they are apparently killing the staff too?”
“Every time I see the red heart logo, all I can think about is Ashleigh Anderson.”
This tragic situation demands answers and actions including:
A police investigation;
A state board of pharmacy investigation that includes a review of CVS policies and quotas/metrics pharmacists are expected to meet and criteria for determining hours of staffing;
The establishment of a policy by CVS that authorizes pharmacists or other employees who feel ill at work to leave immediately, even if the store must be temporarily closed.
The disclosure of the name of the CVS supervisor who “discouraged” Ashleigh from quickly leaving the pharmacy, and the names of the CVS personnel in the administrative hierarchy above the supervisor up to the CEO;
The establishment by the Indiana and American Pharmacists Associations of a memorial fund in honor of Ashleigh Anderson that would support efforts to protect the well-being of pharmacists and improve workplace conditions.
On the same day as I am writing this commentary, I received in the mail a large postcard from CVS Health to inform me that “We’re hiring pharmacists at CVS Pharmacy stores in Pennsylvania.” It continues: “Do you have a passion for helping patients navigate their health care journey? We do! Join our pharmacists as they bring their heart to patients and local communities.” I accessed the website identified (cvs.jobs/pharmacists) to learn more. I urge CVS pharmacists to review this information to confirm that your experience matches the description. Is this false advertising? We can’t continue to tolerate dangerous working conditions, and we can’t be silent! If it is important that you not be identified as the source of information, make your concerns known to me or others you trust to assure your confidentiality.
Medical Advocates: Dentistry, Pharmacy, Physicians
Letter to Senator Richard Durbin Chairman of Senate Judiciary Committee, Demand to begin Hearings of United States Drug Enforcement Administration “War Against Patients in Pain and Their Doctors and Pharmacist” and The Story of Renee Blare RPh of New Castle, Wyoming
NORMAN J CLEMENT RPH., DDS, NORMAN L.CLEMENT PHARM-TECH, MALACHI F. MACKANDAL PHARMD, BELINDA BROWN-PARKER, IN THE SPIRIT OF JOSEPH SOLVO ESQ., IN THE SPIRIT OF REV. C.T. VIVIAN, JELANI ZIMBABWE CLEMENT, BS., MBA., WILLIE GUINYARD BS., JOSEPH WEBSTER MD., MBA, BEVERLY C. PRINCE MD., FACS., LEROY BAYLOR, JAY K. JOSHI MD., MBA, ADRIENNE EDMUNDSON, ESTER HYATT PH.D., WALTER L. SMITH BS., IN THE SPIRIT OF BRAHM FISHER ESQ., MICHELE ALEXANDER MD., CUDJOE WILDING BS, MARTIN NDJOU, BS., RPH., IN THE SPIRIT OF DEBRA LYNN SHEPHERD, BERES E. MUSCHETT, STRATEGIC ADVISORS
“These agencies have failed to recognize a people’s chronic disease conditions of intractable pain, while further failing to understand or comprehend human suffering, the science of clinical medical treatment and the value of human life.”
Senator Dick Durbin,
Sir, we have a growing crisis in our Country in healthcare delivery where the DEA has been “busy haunting and raiding doctors’ offices, seizing assets, dictating opioid dosages, curtailing various classes of opioid and prescription medications so that there are shortages.”
(D) Senator Dick Durbin, Springfield, Ill Chairman Senate Judiciary Committee
The DEA in collusion with the United States Department of Justice is undermining healthcare in America, “turning once quality medicine into chaos.” Further, turning doctors, pharmacists, dentists into criminals, and the death toll to patients needing pain care is staggering and going virtually unreported.
“WE ARE LICENSED PHARMACISTS NOT CRIMINAL DRUG DEALERS”
The Story of Renee Blare must move you to act on DEA hostility toward our Doctors, Pharmacists, and Patients in Pain being Criminalized. Renee Blare is White and a Pharmacist, she and her husband James suffer from Chronic Intractable Pain.
Renee Blare RPh (disabled pharmacist) “I followed all the rules”
I am Black and a Pharmacist, My Pharmacy Pronto Pharmacy Tampa Fl., was raided by DEA “thugs.” The DEA admitted they conducted no investigation. My pharmacy followed all the rules.
Yet, I was not alone five other Black own Pharmacies were targeted we then organized and formed a working group called the North Star Pharmacist Group, and began identifying DEA Injustices.
August 29, 2019, Security Camera Captures DEA Raid on Pronto Pharmacy LLC, Tampa Florida
All of us are highly-trained Pharmacists and the DEA doesn’t know what they’re talking about in the care and treatment of Pain; more specifically, Chronic intractable Pain. This agency has become a Criminal Governmental Thug Organization, “Arm With Badges And Guns and Profound Stupidity.”
Senator Durbin, we demand you do something, we demand you call for a hearing and investigation on the DEA and DOJ. The death toll is Staggering. Please read Helen Borel’s RN, Ph.D., book, “The America Agony: The Opioid War Against Patients in Pain.”
Renee Blare’
“It is time to stop the torture and shame of being a pain patient in the United States”
Renee Blare, RPh (disabled)
My name is Renee Blare and I was born with a soft cleft palate and lots of challenges. This made me a shy, withdrawn child and one who was always trying to ‘catch up with the rest of the world. For some people, like my husband, it meant pounding anybody in the ground who dared to expect anything else or call them anything less but their names.
Pharmacist Renee Blare
For me? I was afraid of my own shadow much less anybody else’s. But as I grew a vein of determination and something much harder was forged within my soul. Why? Because the pain, much like that within my husband, of being mocked, hazed, bullied, and rejected for being different, turned into a strength.
Anybody who is born different for any reason understands what I’m talking about.
I say all of that to say this— I am a rule follower, not a land forger. Why?
This brings us to another part of my life. I have, for most of my life, found comfort in structure— rules. They have provided me a system or place of definition in a world of chaos and pain. This started when I was a child and I have used it my entire life.
Structure, logic, rules, science, pharmacy… my life has always been about a system of some sort to bring chaos and pain under control. Whether it be mental, emotional, or physical, I needed it to survive.
Until the Lord ripped all of that away one Spring. Pain consumed my life. Nothing I did brought it under control. Science didn’t have the answers. Logic only took me so far and structure? I couldn’t rationalize the situation into a neat, tidy box. And rules? That’s where we are today. Let’s talk about the little girl who has followed the rules
Renee — me — has, for the most part, been an exemplary student and citizen of her chosen career and country. She rarely challenged authority, much less her parents. Rules were made for the protection of all, and not to be broken. That’s how she believed and lived her life.
Renee followed the rules.
She was in by curfew
She never skipped school.
She went to college.
She became a pharmacist.
She did her job by the book. Protected her patients to the utmost of her ability, and followed the rules, the law, and the ethical code of conduct, but most of all, she abided by every oath she took— starting with the Pharmacist Oath.
The Painful Truth by Lynn R. Webster
Renee followed the rules.
And then I (Renee) became disabled and I discovered in America, rules, no matter who makes them, are made to be broken. My protection blanket betrayed me.
Rule Number One: The disabled are protected in the country from discrimination and abuse by the government. *ADA
This is the biggest lie in America. The Americans with Disabilities Act is not enforced for Chronic Pain Patients and Rare Disease Patients who are disabled of which I am one as well as my husband.
We are discarded like the newborn calf on the high plains of Wyoming in a spring snowstorm. We are left to die while the herd seeks shelter from the rancher’s fresh laid hay in the gated pastures of home.
Except, you see, in Wyoming, the rancher would BE the ADA and ACLU that the United States citizens have expected of old.
How?
Rancher in Wyoming
A Wyoming rancher braves the bitter cold and life-threatening territory and goes out into the storm. He rescues the hurt and suffering animal that can’t defend itself— the one or two, however many he needs to— and brings them back to the safety of the herd. He nurses them back to health if NEED BE. Why? Because they are part of HIS HERD. HIS HOME.
Symbol of Threat to Healthcare and Collusion
The Chronic and Rare Disease patients in this country are part of AMERICA TOO! We are hurt and suffering and DYING. We are lost in the storm. Who will come and save us?
The rules are broken. They are not being followed. They have lost their power in this country because nobody is enforcing them. Instead, they are making up their own as they go along.
What rules am I talking about?
LAWS ON THE BOOKS
American with Disabilities
Rare Disease Research
Orphan Laws
ADA
Veterans rights
Human rights
No Torture
NO LAWS
DEA threats/arrests disabled
DEA threats/arrest patients
DEA threats/arrest doctors
DEA threat/arrests dr/pts
No care for pain
No pain care for post-surgery, chronic pain, emergent, urgent care, childhood diseases,
I live in the United States of America and if I didn’t know better by looking at this list, I would swear I lived in a country that believed in torture. Or are we actually enforcing genocide and Third Reich tactics now? I’m not laughing. This is no joke.
Symbol of the Injustice Undermining The Healthcare in America
Do you think this will end with Chronic Pain and Rare Disease patients, America? Opiates are the most useful drugs in the American arsenal. They are not going anywhere! And they are NOT killing your kids, brothers, sisters, parents, and friends. What is?
ENFORCING GENOCIDE IN THE UNITED STATES OF AMERICA
The Conflict Between your Physician(Jeff Singer MD) and the Ignorance of Law Enforcement
SYNTHETIC FENTANYL. Look it up. It’s not a natural drug. It’s not a NATURAL OPIATE. It’s a concocted nightmare. It’s MADE IN A LAB LIKE THE CORONAVIRUS.
Think about that for a second. Who and what is killing the addicts in America? It’s not the doctors and Chronic Pain Patients who live in your communities and take care of you. It’s the people who work in a LAB ACROSS THE WORLD.
“The War Against Patients in Pain,” By Helen Borel RN., Ph.D.
AND YOU ARE TORTURING YOUR NEIGHBOR FOR THEM. AN INNOCENT PAIN PATIENT WHO HAS DONE NOTHING WRONG, NOT EVEN BROKE A RULE.
Thank you.
Rule Number Two: People are inherently good and do not hurt others intentionally.
I believe with my whole heart that everybody in this country has a chronic pain patient in their family or friend circle. They KNOW someone well who has suffered at the hand of the government over the past 5-10 years. And they are NOT an addict.
These people work at a professional job or maybe even healthcare workers. Someone you would never know suffer chronic pain or have a rare disease if you were to meet them as a stranger. Why? Because they are not DEBILITATED by their pain.
They don’t cry each morning after throwing up after rising from bed. They don’t need to stay in a recliner all day because they can’t stand or sit upright because the pain sends them to their knees. But that doesn’t mean they are NOT a Chronic Pain Patient. It means they aren’t as bad as the other one— yet.
Injustice on Pronto Pharmacy by DEA/DOJ
You see, you know me. You just don’t know it! What I am saying?
I’m looking at you in the eyes of your mom or sister who has MS or Fibromyalgia. I stare back at you in the smile of your best friend who fights arthritis in her knees every day at work and goes home to soak in the tub and then lather the cream on after maybe a glass of wine. I’m the one who tosses the paint on the canvas and fights the shoulder and wrist pain afterward. I’m the brother
I’m looking at you through the eyes of your mom who has MS and struggles to open that jar.
I’m in the smile of your sister who has Fibromyalgia that winces when she rises from the dinner table.
I’m with you when you wait for your best friend after work as she rubs cream on her sore arthritis knees and takes a pain pill.
I’m standing beside you when you toss the paint on the canvas but have to stop because your wrist and shoulder hurt too much to continue.
I’m the sore throat after eating a bag of chips with that too hot salsa reminding you to have the surgery you should have had four years ago but won’t because you know you won’t get pain relief afterward.
I’m the ringing in your ears because the pain has hit a high crescendo and you have held your breath too long.
Wyoming Lightening
I’m the pain in your fingers from holding your brother’s hand while he breathes through another long, trying muscle cramp from having no muscle tone in his leg from CRPS.
It’s time for the story to change. It’s time for America to stop being AFRAID AND DEFEND HER OWN PEOPLE.
Renee Blare, RPh (disabled)
Chronic Pain Alliance of the West (CPAW)
An affiliate of the National Pain Council
Thank You, Renee, for your words, Norman J Clement RPh., DDS
Norman J Clement RPh., DDS
FOR NOW, YOU ARE WITHIN
YOUAREWITHINTHENORMS.COM, (WYNTON MARSALIS CONCERTO FOR TRUMPET AND 2 OBOES, 1984)
THE NORMS
reference: The Lawhern Files
Opioids in 2021: Enforcement Strategies and Policy PrescriptionsOpioid deaths in the US rose 29% during the course of the recent COVID pandemic. More than 55,000 Americans die annually from opioid consumption. Overtaken to some extent by other events, the opioid crisis is still with us and might be getting worse. The four participants in this panel discussion brought a wealth of experience and insight to …www.youtube.com
The most common New Year’s resolution is to get healthier. And the New Year is a perfect time to make changes, and plan for a brighter future. So, why do only 12% of people achieve their New Year’s goals? This is how Exipure works.
The secret to developing a healthy habit lies in implementing small steps that are positive, specific, and achievable. Instead of setting another goal, here are 7 healthy New Year’s habits and the secrets to achieving them beyond January 2nd:
1. Start your day with a tall glass of water.
You’re already dehydrated when you wake up in the morning, so drinking water, broth, or herbal tea will help energize you, improve your complexion, and help regulate your blood pressure. An easy way to remember if you’re getting enough water is to drink half your body weight in ounces. For example, if you weigh 150 lbs, you should drink at least 75 ounces each day.
Make it easier by keeping water by your bedside as a reminder. Set a daily alert or app and sip water from a reusable bottle throughout the day. Click here to see more ways to increase your water and healthy liquid intake. Check out the latest Exipure reviews.
2. Walk for 10 minutes at a time. ‘Exercise more’ is at the top of most New Year’s resolutions lists. But it can be difficult or overwhelming to know the best way to begin. Start small if you need to since every little bit of movement adds up. Just 2 hours of exercise per week can improve your heart health, lung capacity, blood pressure, and weight. Make it easier by walking for 10 minutes each day. Go longer if you feel like it but commit to those 10 minutes to establish the habit. Gradually add minutes, distance, or more 10-minute walks into your day.
3. Take a day off to take care of your mental health. Making your health a priority can be challenging when you’re busy or taking care of others. The pandemic continues to add stress for all of us, which affects home, work, and school. Many people find it difficult to take a “sick day” to care for their mental health through it all. Here’s why. If you’re feeling overwhelmed by job stress, life changes, or family responsibilities, get the support you need from an MDLIVE licensed therapist. You can speak with someone from the privacy and comfort of home and have your appointment in a week or less compared to the weeks or months it takes to schedule an in-person visit.
Mr. Steve, may I ask you if a law changed with Klonopin refills recently? I’ve always been able to fill on day 30 from the previous fill. My doctor even gives me a script with 5 refills totaling 6 months. Now I’m being told by the pharmacy I have to wait until the 31st day. I’m in the 4th month of the 6. So it can’t be the provider. The “nitwits” in the past made me wait 31 days for my oral opiate prescriptions. I found out yesterday my pain pump doctor agreed it’s time to ditch the Flowonix pump 16 months since being implanted for a Medtronic.
I hope you and the Mrs. are doing well! Thank you for all you do. I see how hard you work for us, and I only see a fraction and it’s been so helpful.
Whoever this Pharmacist is, must have missed a number of very important facts concerning Benzo & opiates… especially when it comes to withdrawal. How anyone got a PharmD degree and didn’t learn that cold turkey withdrawal from a benzos – depending on the pt’s dose – can be fatal and when the pt is forced to go thru cold turkey withdrawal from both a benzo and a opiate – the risk of it being LETHAL goes up SUBSTANTIALLY. Follow up from this pt, the pharmacy was – unfortunately – a independent and the Pharmacist/owner BLAMED the Rx dept software on the issue… it was the owner who purchased/installed the particular software package in their pharmacy and it was the legal duty of the Pharmacist in Charge to get the software company to get the software FIXED… or find another software package that will properly function.
