What happens to your medication coming to you from a mail order pharmacy ?

USPS Worker Nearing Retirement Found Dead in Mail Truck During California Heat Wave

https://www.insideedition.com/usps-worker-nearing-retirement-found-dead-mail-truck-during-california-heat-wave-44920

A United States Postal Service worker has been found dead inside her mail truck during a sweltering heatwave in California.

Peggy Frank, 63, had worked for the Postal Service for 28 years and planned to retire soon. 

She had been on medical leave for several months after breaking her ankle, and returned to the job on Friday.

That same day, a neighbor found her unresponsive in her mail truck in the Woodland Hills area of Los Angeles, authorities said.

“I am really so sad because she was going to retire really soon,” Lynn Calkins, Frank’s sister, told KTLA-TV. “Now she can’t.”

Officials are working to determine Frank’s cause of death. 

Her family said they believe the extreme heat may have been a factor.

Temperatures in the area had soared to 117 degrees, and an excessive heat warning for the region had been released by the National Weather Service. 

In addition, USPS trucks are not equipped with air conditioning, CBS Los Angeles reported.

“They [the Postal Service] need to do something,” Calkins told KTLA-TV. “They need to start caring about their people a little more.”

A spokesperson for the USPS told KTLA-TV that postal workers are reminded every day to stay hydrated, wear appropriate hats and clothing, to carry water and ice and to stay in the shade as often as possible. 

“The safety of our employees is a top priority and the Postal Service has implemented a national Heat Illness Prevention Program (HIPP) for all employees,” a statement from the USPS said. “In connection with the HIPP, the Postal Service provides mandatory heat-related and other safety training and instruction to all employees and assures they have the resources needed to do their jobs safely.

“Our thoughts and prayers are with the employee’s family at this time,” the statement said. 

But Frank’s family said the efforts made are not enough. 

“They need to change things a little so it happens to nobody else,” Calkins said.

Most medications are suppose to be stored in a max of 85F… if a mail carrier died because of the heat in her mail truck.. what is happening to your medications ?  The same medications that you buy/take to help you maintain your health.

The manufacturer, wholesaler & pharmacy are legally responsible to maintain medication within the mandatory storage range… but.. when a mail order pharmacy hands your heat sensitive medication off to a delivery service..  they no requirement to maintain those storage temperatures.

I recently made this post Getting your medications thru mail order can kill ?

about mail order medication where the pt – liver transplant pt – medication was so harmed by HIGH HEAT… that the pt started to rejecting his transplanted liver

REMEMBER… health care is nothing but a FOR PROFIT BUSINESS…

Alert! Watch out for fake FDA warning letters

Alert! Watch out for fake FDA warning letters

Alert! Watch out for fake FDA warning letters

Have you ever ordered medicine from questionable online pharmacies? Many folks use these alternative pharmacies because of their extremely cheap prices and the convenience they provide.

But are you sure they are safe? Aside from putting your information and your health at risk, these illegal online pharmacies can also put you in the crosshairs of extortion email scams.

Read on and learn more about the latest round of scary letters that the FDA is warning everyone about.

Fake FDA Warning Letters

The U.S. Food and Drug Administration (FDA) is warning the public about impostors who are forging FDA warning letters and sending them to people who tried to buy medicine from illegal online pharmacies.

The FDA said that instead of receiving the medicine they attempted to buy online or over the phone, targeted individuals are receiving official-looking but fake warning letters about drug violations.

The fake letters claim that based on a review of your social media accounts and the package that is being shipped to you, the FDA has determined that drug violations have indeed been committed.

The letters are commonly addressed to a generic “Sir/Ma’am” but may even include a specific name. Don’t be fooled! Since these fake online pharmacies may already have your name, address and maybe even your credit card details, it’s not a stretch to think that they’re misusing your data.

Although the letters don’t demand money (for now), they do warn that “we are still investigating the root of this delivery & necessary legal steps will be taken if we found [sic] out any suspicious activity on your end.”

The FDA is still investigating this matter but it believes that it could be a part of an international extortion scam.

Nope – Not from the FDA

The FDA said while they do send out warning letters to companies and individuals who are involved in the manufacturing or distribution of FDA-regulated products, they don’t send them directly to consumers.

“Consumers who aren’t involved in manufacturing or distributing FDA regulated products should be on alert that if you get an FDA warning letter, it’s probably fake, and probably a scam,” FDA commissioner Scott Gottlieb explained in an official statement.

The agency also said that they don’t generally take action against people for purchasing medicine online. However, they do regularly take action against the operators of these illegal pharmacies.

To help stop this scam, the FDA is urging any consumer who has received a fake warning letter to email FDAInternetPharmacyTaskForce-CDER@fda.hhs.gov with details about the letter and its packaging, including photos or scans.

Stay away from illegal online pharmacies

The FDA also said that getting victimized by scams like this is not the only danger when you purchase medicine from illegal online pharmacies.

First, the products bought from these shops may be counterfeit, contaminated, or expired, putting your health at risk.

Secondly, most illegal online pharmacies don’t have sufficient cybersecurity safeguards to protect your sensitive information from data breaches. Some may even be deliberately misusing your data by selling it to scammers and fraudsters!

With your real name, address, email and financial information at their disposal, they can send you more extortion and scam emails or even charge you with products that you never purchased.

How to spot an illegal online pharmacy

Buying medication online from fly-by-night online shops can be enticing since they tempt you with cheaper prices and they usually don’t require a prescription.

However, you are putting your health, your bank account and your identity at risk so please avoid them at all costs.

To be safe, keep your eye out for online pharmacies that:

  • Allow you to buy prescription medicine without a valid prescription.
  • Offer extremely low prices that are too good to be true.
  • Do not have an available U.S. state-licensed pharmacist to answer any questions.
  • Are not located in the U.S.
  • Offer worldwide shipments.
  • Appear on the National Association of Boards of Pharmacy’s List of Not Recommended Websites. (However, not being on this list doesn’t mean that an online pharmacy is safe. New shops appear every time).
  • Are NOT licensed by your state board of pharmacy, or equivalent state agency. (Please check your state board of pharmacy to verify its licensing status of the pharmacy).
  • Do NOT have the National Association of Boards of Pharmacy’s (NABP) Verified Internet Pharmacy Practice Sites Seal (VIPPS). This seal means that an online pharmacy has met state licensure requirements and it is safe to use.

Did A Chronic Pain Marine Lose or Not?

Did A Chronic Pain Marine Lose or Not?

www.nationalpainreport.com/did-a-chronic-pain-marine-lose-or-not-8836775.html

Did the Fighting Marine Robert Rose win or lose Tuesday in U.S. Federal Court in Greeneville, Tennessee?

Depends on how you look at it?

From a legal point of view, he lost.

A Federal Judge rejected Rose’s attempt for an injunction that would have forced his Congressman (Phil Roe) and his Veterans Administration Hospital Mountain Home VA Center in Johnson City, to talk about Rose’s claim that treatment for his chronic pain was denied.

Rose, who took on his Quixotic adventure versus a huge federal bureaucracy without the benefit of a lawyer, lost but, in defeat, he may have won.

First of all, Congressman Roe, ironically (or maybe not ironically) is head of the House Veteran’s Affairs Committee.

Rose has challenged Roe for over a year, to simply talk with him.

It started July 4, 2017 when Rose showed up at an event at the VA Center…but was denied his opportunity to speak with his Congressional Representative. The National Pain Report was there, at least on the telephone.

Here is the National Pain Report coverage on Robert Rose’s battle.

What did Congressman Roe do?

As one long-time observer of Tennessee politics who wished to remain anonymous told the National Pain Report Tuesday, “Robert was marginalized and was made invisible and stigmatized by his own Congressman. It’s a tragedy.”

What did Robert do?

Thanks to his own expertise in developing a following on social media, and the National Pain Report’s interest in his case, Robert has built a narrative that has caught the attention of other veterans.

Here’s one of many examples the National Pain Report has received to Robert’s story:

“I was injured in the 1983 Beirut bombing conflict with neck and lower back injury that resulted in spinal stenosis, psoriasis and psoriatic arthritis, PTSD /panic attacks, neuropathy of my feet because of lower back, said Walter Radziszweski, a Connecticut veteran who emailed the National Pain Report on Tuesday. I have been going to the VA mostly at the Newington CT campus which is an outpatient clinic. Specialty care at the West Haven campus and getting timely appointments are just about impossible and return phone calls take days. Care is good, when you can get it!“

For fellow Tennessee resident and nationally recognized chronic pain advocate, Terri Lewis, Ph.D., the Marine’s efforts are starting to pay off.

Dr. Lewis believes Robert’s case is a textbook opportunity for the VA to address its mission to give Rose and other vets the palliative care they deserve.

“I’ve surveyed thousands of chronic pain patients and Robert’s case is typical… The question that Congressman Roe and others ought to be asking is ‘Why hasn’t’ the VA served people like Robert better?” she said.

She believes that Robert and other vets who has been denied care need to continue the fight within the VA to make sure our vets receive their care.

Robert, as he drove into his driveway plainly exhausted, told the National Pain Report, “I’m tired, but I will think about a new strategy about how we best address the issues facing our veterans and others who want to know that addressing their chronic pain is a priority.”

If you have experience about this topic, please share in our comments section..

PERSONAL REVENGE: CDC chief says fentanyl almost killed his 37 y/o son ?

Image: Dr. Robert Redfield Jr.

CDC chief says fentanyl almost killed his son

https://www.nbcnews.com/storyline/americas-heroin-epidemic/cdc-chief-says-fentanyl-almost-killed-his-son-n891976

The new CDC director, Dr. Robert Redfield, says his son almost died of an opioid overdose when he took cocaine contaminated with fentanyl.

The head of the nation’s top public health agency says the opioid epidemic will be one of his priorities, and he revealed a personal reason for it: His son almost died from taking cocaine contaminated with the powerful painkiller fentanyl.

“For me, it’s personal. I almost lost one of my children from it,” Dr. Robert Redfield Jr. told the annual conference of the National Association of County and City Health Officials.

The AP viewed a video of his speech, which he delivered Thursday in New Orleans. Redfield declined to speak about it Monday, except to say in a statement: “It’s important for society to embrace and support families who are fighting to win the battle of addiction — because stigma is the enemy of public health.”

Redfield mentioned his younger son while talking about his priorities for the U.S. Centers for Disease Control and Prevention, where he started as director in March. He listed the opioid crisis first, calling it “the public health crisis of our time.”

Public records show that the son, a 37-year-old musician, was charged with drug possession in 2016 in Maryland. The outcome of the case is not available in public records.

Dr. Umair Shah, the head of Houston’s county health department, applauded the CDC director’s moment of candor.

“It was definitely an intimate moment that grabbed the audience of public health professionals,” said Shah, who just finished a term as president of the association.

About 70,000 Americans died of drug overdoses last year, according to preliminary CDC numbers released last week. That’s a 10 percent increase from the year before.

Most of the deaths involved opioids, which are driving the deadliest drug overdose epidemic in U.S. history. Growing numbers of recent deaths have been attributed to fentanyl and fentanyl-like drugs, which are relatively cheap and are sometimes cut by suppliers into heroin, cocaine or other drugs without buyers’ knowledge.

Can you imagine that.. using the two NOUNS in the same sentence MUSICIAN and COCAINE and anyone being surprised? This “adult kid” was charged with possession in 2016… so it was apparently known to his Father/parents that he had a substance abuse problem..  But his “Doctor”/Father now becomes concerned when his “kid” got a hold some of his “drug of choice” mixed with an illegal Fentanyl analog and almost died.

Was his known addiction/substance abuse of ILLEGAL SUBSTANCES history “no big deal” to his Father prior to his son’s brush with death ?

Now his Father has become a CRUSADER for those suffering from the mental health issues of addictive personalities…  I guess that the Centers for Disease Control and Prevention … the last and newest part of this federal agencies title… PREVENTION… there is apparently NO CONCERN about addressing the treatment/prevention of chronic pain and unrelenting pain of 100 + million of our citizens.

Poor Dr Redfield, he is having to deal with the stigma that his family’s gene pool is “defective” and his son’s mental health disease of addictive personality is a personal embarrassment to him and the family.

Maybe we need to expand the “covert genocide” that our bureaucracy is doing to those suffering from chronic pain and start sterilizing addicts and any off springs before they can spread their “defective gene pool” to the next generation. We can’t legislate morality, we can legislate the legal supply of opiates and other substances that are abused,  so is it time to start legislating what will less the DEMAND part of the equation ?

 

 

exaggerated opiate related deaths ?

WE’VE ALL HEARD THE CHILLING STATISTIC THAT EVERY DAY, AT LEAST ONE NEVADAN DIES FROM AN OPIOID OVERDOSE. THOSE NUMBERS HAVE BEEN USED TO JUSTIFY A CRACKDOWN ON PRESCRIPTION PAIN MEDICATIONS THAT LEFT THOUSANDS OF NEVADANS ABANDONED BY THEIR DOCTORS. BUT IS THE STATISTIC LEGITIMATE? DO OPIOIDS KILL ONE NEVADAN EVERY DAY?

 

CVS sues state to block release of report on its drug pricing

CVS sues state to block release of report on its drug pricing

http://www.dispatch.com/news/20180716/cvs-sues-state-to-block-release-of-report-on-its-drug-pricing

CVS Caremark is suing the Ohio Department of Medicaid to block it from releasing the full report detailing how the pharmacy middleman charged taxpayers three to six times as much to process prescription drugs for the poor and disabled as the industry standard.

“The disclosure of proprietary information in the Caremark agreements would be devastating to Caremark’s entire nationwide business model,” CVS attorneys argued in an 18-page request for a temporary restraining order filed Monday in Franklin County Common Pleas Court.

Pharmacy benefit managers have long operated in the shadows of the health care system. They buy drugs from manufacturers, distribute them to patients through pharmacies and manage the cost of those drugs through employers and insurers.

The Dispatch has spent the past six months uncovering how PBMs operate in Ohio. The stories have detailed some of the hidden costs PBMs create that critics say drive up the price of medications. We’ve uncovered how PBMs force cancer patients in dire need of medications to wait weeks for drugs that are available on the shelves of their local pharmacies. Stories of how the practices of PBMs have driven neighborhood pharmacies out of business.

Meanwhile, PBMs, drug manufacturers and health-care providers continue to make increasing profits in the billions as health care in America has increased by $1.2 trillion in a decade, according to the U.S. Centers for Medicare and Medicaid Service.

Plans to release a report documenting the costly practices of pharmacy middlemen were shelved by Ohio Medicaid officials on Tuesday at the request of a judge reviewing claims by CVS Caremark that the analysis contains confidential information and trade secrets.

Franklin County Common Pleas Judge Jenifer French asked for the delay to allow CVS Caremark time to identify information in the 51-page report that it considers proprietary and believes should be redacted before the report is released to the public and lawmakers.

French did not rule on CVS’ request for a temporary restraining order to block the report’s planned release late Tuesday afternoon. Instead, she ordered Medicaid and CVS officials back to court on July 25 after they’ve had a chance to discuss the concerns. She also asked to privately review a copy, which shows higher-than-industry costs paid by taxpayers to cover Medicaid patients’ drugs.

“I would like the parties to sit down … and hopefully reach some agreement on what can or cannot be disclosed,” French said.

During the 30-minute hearing, CVS attorney Kevin R. McDermott told French, “This is a classic trade secret, proprietary information case.”

“What’s baffling here is … this information was accepted by the Department of Medicaid to be confidential (until their) sudden change of position Friday,” he said.

“There is something wrong here. There’s just something wrong. Every step of the way this was received and treated as confidential … This report should be withheld until trade secrets can be expunged.”

At the request of The Dispatch, Ohio Auditor Dave Yost and some lawmakers, and over the objections of CVS, Medicaid officials announced Friday that they would reverse an earlier decision and release the report. In June, they provided only an executive summary, arguing that the full report contained proprietary information.

Sources involved with the discussions between Medicaid and Yost’s office said there was an agreement in place to release the full report to the auditor last week. Medicaid officials changed course on Friday and decided to release the entire report to the public.

CVS went to court Monday to block the release of the commissioned report, which cost $50,000.

Dennis Hetzel, executive director of the Ohio News Media Association, said keeping vital information such as health care costs from the public is inappropriate.

“The confidential trade secret exemption is one of the most abused section of Ohio’s open records law,” Hetzel said. “This matter is so obviously in the public interest that it has to transcend any potential damage CVS might claim.”

According to the executive summary, pharmacy benefit managers, or PBMs, billed taxpayers $223.7 million more for prescription drugs in a year than they reimbursed pharmacies to fill those prescriptions.

That 8.8 percent difference, known as the price spread, represents millions kept by CVS Caremark, PBM for four of Medicaid’s five managed care plans, and Optum Rx, the PBM for the other. Largely pass-through operations, PBMs are employed to negotiate drug prices with manufacturers and process drug claims.

The study said PBM fees should be in the range of 90 cents to $1.90 per prescription. CVS Caremark billed the state about $5.60 per script; Optum charged $6.50 — three to six times higher.

Assistant Attorney General Ara Mekhjian, representing the Department of Medicaid, told French that state officials are trying to be as transparent as possible and believe they are obligated to release the report under public records law. He said he does not believe the report includes trade secrets.“The public interest favors disclosure. Prescription drug prices are increasing faster than the cost of other components of the health care market … people don’t understand the prices that are being paid because companies are trying to lock those things up” as trade secrets.

State Sen. Bill Coley, R-West Chester, said the full report must be released to the public. He said anything less than complete transparency by Medicaid and CVS Caremark is unacceptable.

“We won’t condone it,” he said. “If your business model is based on keeping these numbers secret from the public, then you have a bad business model.”

Sen. Vernon Sykes, D-Akron, also criticized efforts by CVS Caremark to prevent the release of a report.

“For too long, pharmacy benefit managers have operated in the shadows with very little oversight. Releasing this report will help to bring their actions to light,” Sykes said. “CVS Caremark claims they are trying to protect proprietary information, but what they’re really worried about is Ohioans realizing how badly they’re getting ripped off.”

This IS MY STORY, of how I was spared from suicide

People are talking about the Addicts who are overdosing do to the “opiods epidemic”?  — Maybe we’re should START talking about the people who actually take them, just to be able to function thru life.  Chronic un-measurable pain is a terrible way to live.   I know from experience that when you live in that much pain, you get to a point where all you can see,  IS the ultimate way out.   Chronic Pain is blinding.  It blinds you from life, from family and joy, and happiness.  It robs you from your hopes and dreams,  and a life you thought you’de always have until all you see is a terrible,  struggling existence.  Until you are left withering and suffering, and unable to get any help,… until you lay there really asking yourself,  “Is this all my life is ever going to consist of?”  Living in sooo much pain?  It is not an option. 

Too many of us are forced to live this way,  until it is just too much to bare and suicide is our only way out. 

I can honestly say, I have thought of this.   I was in so much pain where I was contemplating suicide. Then I found a compassionate, caring group of doctors at a clinic who specialize in pain management and my life was spared.  I was given shots, acupuncture, and massage.  We discussed a diet change, and I started a diet that worked towards anti-inflammatory issues and help too slow down the destruction of Lyme Disease that is still breaking down the joints and bones in my body.  And I was put on a manageable dosing of Demoral.  For 6 years,  I had my life back. I had my dreams back,  and I could see a future of a life filled with family and friends,  and joy and happiness.   My body was still breaking down, and nothing is going to change that.   I’m 53 and have the spine of a 90 year old.  I’ve shrunk over a 1/2″ due to my discs deteriorating and have had 3 discs removed and my spine fused because the pressure was literally cutting off the fluid in my spinal cord.  Both knees are bone in bone.   The joints in my hips,  are deteriorated, and now I have minor un-hinging when I walk.  Shoulders are blown out,  and I have fluid pockets in many of the joints now so that it’s not only painful but difficult to function.   This destruction is not going to stop, or get better, and I don’t care how many Tylenol you throw at it,  it won’t touch the pain.   But the pain management group helped me exist.   The Opiods helped me exist,  and function,  and see a life beyond the blinding pain.   It gave me another day, …another 2,372 days with my family and friends.   – Then came the “War on Opiods”.

 My doctor discussed the issue that this war was causing in his practice,  and what it meant for the patients he spent helping every day.   What it WAS going to ultimately mean for me.  To say I was in a panic is an understatement.  The thought of returning to a life in that much pain,  was unfathomable.  I knew I had about 6 months before he said they (the Do-Gooders and Big Brother) was going to push my doctor to start tapering me down; I was taking 100mg pills every 6 hrs to 8 hrs.

We discussed the other “Acceptable” options, which we had or were already doing, and I cried at the fact;  I knew what was coming.  An unacceptable existence.

It was the same time my parents had talked about getting me and my husband a plane ticket to come to MT for a mini vacation at our family cabin in the Rockies.  I really thought,  “This is going to be my last family vacation.   The last time I am going to be able to make happy memories, For my family.  For my husband.  Because in a year,  I won’t be here.”  Suicide was already in my forethought.

Although the stress of all of it had already began to increase my pain threshold to a daily living of a level 8.5; I agreed to go.   In 11 days I lost 22lbs in inflammation,  due to its elevation and the dryness of the state, and I found out MT was an approved Medical Cannabis State.  I enjoyed the vacation,  and rest and was happy I went.

Though the night I stepped off the plane, my ankles swelled to meet the size of my calves.  I couldn’t walk as my ankles too had begun to break down.

At my next appointment I opened a dialogue with my pain management doctor,  and I asked him about MC and what he thought about it.  In the next couple of weeks I talked with my entire team of doctors,  7 in all, and started finding out the benefits of medical cannabis.  With the exception of my nuerologist who was treating me for my neuro issues and had just begun treating me for seizures,  all of my doctors agreed it might be an option.  So we sold our dream property, got rid of our horses, sold everything in TN and moved to MT. 

I’d like to say everything is 100% better but that wouldn’t be accurate.   Moving to Montana and starting MC has been a challenge.  After an incredibly stressful time of trying to find doctors who would EVEN LOOK at my medical records I was able to find a compassionate doctor in Helena named Dr. Ibsen.  He went over my medical history with me, looked at the extensive list of medications I was taking,  including my pain meds,  reviewed my 6″ stack of medical folders I brought with me, including disk copies of MRI’s and X-Rays, and after an hour of discussion, agreed to take me on.  I cried with relief.  He was my lifeline.

It took 6 months to taper me off my pain meds as well as I dropped down from the other 44 pills I was taking a day to now 7.  Medical Cannabis has not been easy.  Trying to find the right strain for me,  I don’t like the high-drugged up feeling (honestly Demoral never made me feel that way), to the proper dosage that works for me,  has been a challenge.   And it doesn’t relieve the pain completely.   Where Demoral kept it at a manageable level 3-4, MC keeps me at about a level 6, which is uncomfortable most days.   Occasionally,  when I do overdo,  I can spend 24 to 36 hours at a level 8.5 and these are the days I wish I was still taking the opiods or at least they were an option during those times.

All in all, I was lucky.   I was lucky my parents thought to give me a vacation that unexpectedly showed me there might be another option to living. I was lucky my husband agreed that we should sell everything,  and try MT.  I was lucky, and thankful that after meeting and getting turned away from 4 other doctors in MT, that I found a compassionate doctor in Dr. Ibsen, and that he took me on.  I was lucky,  I had options.  It saved my life.

But, I think about all the other pain patients out there who DO NOT, have those options.   This “War On Opiods”, is quickly becoming a “War On Pain Patients”.  I did some research,  and the numbers that are being put out there as label as overdoses due to opiods, also includes all  overdoses on heroin.   These are drugged Addicts who die from heroin overdoses; not pain patients from opioid overdoses.  We are being labeled as Addicts, not as pain patients who are just trying to live a life of a future.  Of hopes and dreams, pain free (or at least manageable).

– Not too long ago, I had a supposed friend call me  an Addict because she had preconceived idea of how I was living my life.  That my taking pain meds to function through the break down of my body, made me the same as her opioid addicted son; someone who did whatever it took to get his fix.  She hurt me and it cost a friendship, but it also made me really see that too many of us are getting labeled “Just Like That”.  Things need to change.  We need to be HEARD, and we need to tell our stories.  We don’t need to have people in Washington DC give us the only option of living a pain free life – is by suicide.  Too many of us are dying as it is.  Please leave our pain management doctors alone as they are our lifeline to the future.  Please watch the video below, these are pain patients who sacrificed it all, because of pain.

This is my story.

Is it time for the chronic painers to refocus their efforts ?

My “little blog” just started its 7th year… I have watched people come ready to change the world and people who are no longer around for various reasons.. some gave up fighting, some have passed away and others – unfortunately – couldn’t stand their unrelenting pain any longer and used the “ultimate option” to resolve their pain.

I have seen the number of Face Book pages that have exploded from a few dozens to hundreds or maybe even THOUSANDS.. and often you see the pictures/names of the many of the same people on many of these pages devoted to chronic pages

I have heard of pts that have sent letters to their representatives in Congress and their State representatives… as well as many in the media industry… some had some gathering of protestors in various locations.

Some states have recently implemented legislation that limits the number of opiate doses acute pts can get… but there has been rumors about many prescribers adopting them for all pts taking opiates… just like they did with the 2016 release of the CDC opiate dosing guidelines.

Often pts are told that their pain doses are being reduced or stopped over fear of losing their license… perhaps it is time for those pts who are having their pain medications reduced or eliminated going after the prescriber’s license.

Here is a list of the physical consequences of untreated pain https://www.pharmaciststeve.com/?p=20995 

Perhaps it is time for pts to start filing complaints with the state medical licensing board…  file complaints with www.cms.gov if you are on Medicare/Medicaid or your insurance company. If your insurance is thru your employer and it is a ERISA policy – your company is providing self-insursed health insurance… there is someone within the company has authority over the policy since the  “insurance company” is only a paper shuffler and paying out the employer’s money.

If your blood pressure started to increase as your pain meds were decreased and nothing was done… file a complaint

If you are no longer able to take care of personal care items – as you were able to do before your meds were reduced – file a complaint

Here is a list of all the states’ medical licensing boards… most/all should have a complaint form on their website  http://physicianjobs.us/Medical%20Boards.htm

Here is website you are able to file your opinions of a practitioner’s care for pts   https://www.healthgrades.com/

If your prescriber explains that they are concerned about their license and their livelihood and that is the reason they are refusing to properly treat your health issues…  If they have reduced your pain medication to a point that you are no longer able to function as you once were before or have totally cut you off..  if you complain… what are they going to do… discharge you from the practice .. then you have a reason to file complaints about retaliation against them.

If you live in one of the 38 states that allow a single party recording… use your smart phone to record your interaction with your prescriber and/or staff.

Feds Double Down On Pills As Fentanyl Deaths Double

Feds Double Down On Pills As Fentanyl Deaths Double

http://www.pressreleasepoint.com/feds-double-down-pills-fentanyl-deaths-double

By Josh Bloom — July 14, 2018

Here’s a splendid idea. Let’s say that North Korea finally comes up with a missile that can travel more than 20 feet before blowing up and they decide to launch one at California. Naturally, we would retaliate by attacking… Sweden.

Ridiculous, right? Maybe so, but conceptually it is not a whole lot different from our war on the “opioid epidemic,” which, to be accurate, should be called by its correct name – the “fentanyl epidemic.” The strategy that our government is employing is is much like attacking Sweden. We are fighting the wrong enemy. Pain medications, like Percocet and Vicodin, on their own, kill few relatively few people while illicit fentanyl and its monster analogs like carfentanil are responsible for the carnage we see daily on the news.

The proof of the failure of our inept strategy comes to us from the occasionally-reliable CDC in its July 11th report “Rising Numbers of Deaths Involving Fentanyl and Fentanyl Analogs, Including Carfentanil, and Increased Usage and Mixing with Non-opioids.”

The new report corrects previous data, which understated the number of fentanyl and fentanyl analog deaths. This is not the first time the CDC corrected itself. The last one – only a few months ago – was a real doozie. (1) 

The current update includes information on: (1) the continued increase in the supply of fentanyl and fentanyl analogs detected by law enforcement; (2) the sharp rise in overdose deaths involving fentanyl and fentanyl analogs in a growing number of states, in particular the growing number of deaths involving the ultra-high potency fentanyl analog known as carfentanil…The current update includes information on: (1) the continued increase in the supply of fentanyl and fentanyl analogs detected by law enforcement; (2) the sharp rise in overdose deaths involving fentanyl and fentanyl analogs in a growing number of states, in particular the growing number of deaths involving the ultra-high potency fentanyl analog known as carfentanil…

Here are some of the depressing (but not at all surprising) data from the CDC via the agency’s Health Alert Network:

  • Deaths involving illicit fentanyl and its analogs more than doubled from 2015 to 2016, rising from 14,440 to 34,119
  • This trend worsened in 2017.  There were an estimated 25,460 such deaths during the first six months of the year alone

OK, let’s stop and make a graph of the number of deaths from these data.

Source: Deaths from all drugs by year: National Vital Statistics System, Deaths from fentanyl and its analogs: National Institute On Drug Abuse (2). 2017 data are currently available only for the first six months of the year. I doubled it for the purposes of the graph, giving an estimate of 50,000 fentanyl deaths. In reality, given the explosive increase, the real number will almost certainly be higher. 

Now let’s take some liberties with the data. If the CDC can do this I figure I’m entitled to a certain amount of extrapolation, even though it is certifiably crazy. The liberty I took was extending the projected deaths out to 2019 based on the slopes of the lines in the past few years. Of course, assuming that these slopes will remain the same is bogus. But it’s not a whole lot worse than the tricky stats that the CDC and PROP toss around and it illustrates a point.

 

Can you imagine the headlines in 2019???

“Fentanyl Responsible For 100,000 Of The 95,000 Drug Overdose Deaths In The US”

Which could only be explained by another headline…

“Fentanyl Kills Some People More Than Once”

OK, you get the point. As I’ve said a million times, it is street fentanyl (illegally made fentanyl and its analogs) that is the real enemy. So how are our leaders reacting? Not so well.

  1. Andrew Kolodny could not have kept a straight face when he said this, right?

“[A 5% drop in addiction diagnosis] means that there’s light at the end of the tunnel”

Buzzfeed News, July 12, 2018

I’m not sure what tunnel he’s looking in, but he seems to be quite delighted with the fact that there were only 5.9 “opioid use disorder diagnoses” per 100,000 in 2017 compared to 6.2 in 2016. This whopping decrease (5%) could be explained by a difference in diagnostic criteria or statistical noise but if it’s even real then does a decrease of 0.3 “addicted” people (3) per 100,000 really qualify as good news when the number of those dropping dead from fentanyl is doubling every six months? 

  1. And the Department of Justice hasn’t quite figured things out, which is evident from Attorney General Jeff Sessions:

“Under this proposed new rule [which restricts the number of pills that can be made], if DEA believes that a company’s opioids are being diverted for misuse, then they will reduce the amount of opioids that company can make,” 

Jeff Session, Reuters, April 2018

So, I guess if we make fewer pills then fewer people will die from fentanyl. Which is fine except for a 25% drop in opioid prescriptions over the past five years has been accompanied by a 25-fold increase in fentanyl deaths. Yeah, that’s gonna work.

And the $64,000 question is why people like Sessions are still using the 64,000 number, even though we all know that it has virtually nothing to do with overdoses of Vicodin or Percocet. From the same article:

Approximately 64,000 Americans lost their lives to drug overdoses in 2016, the highest drug death toll and the fastest increase in that death toll in American history.Today we are facing the deadliest drug crisis in American history… “Approximately 64,000 Americans lost their lives to drug overdoses in 2016, the highest drug death toll and the fastest increase in that death toll in American history.

President Trump doesn’t seem all that familiar with the facts either.

And you have people that go to the hospital with a broken arm, and they come out and they’re addicted.  They’re addicted to painkillers, and they don’t even know what happened.  They go in for something minor, and they come out and they’re in serious shape.

Remarks by President Trump at the White House Opioids Summit, March 1, 2018

No, that is incorrect. People don’t go into the hospital and come out in serious shape because:

  1. The is plenty of literature that shows that pain patients rarely become addicted, especially in such a short timeframe.
  2. With the anti-opioid hysteria we’re now going through if you go into the hospital with a broken arm it’s not all that unlikely that you’ll be accused of breaking your own arm just to get high and sent home with Tylenol, which works as well as a Tootsie Roll.

Speaking of broken bones, who could forget what the empathetic Jeff Sessions has to say about that:

“I mean, people need to take some aspirin sometimes and tough it out a little…That’s what Gen. Kelly—you know, he’s a Marine—[he] had surgery on his hands, painful surgery. [He said,] ‘I’m not taking any drugs!’ It did hurt, though. It did hurt. A lot of people—you can get through these things.” (4)

So, the war goes on and on and on, people keep dying, and no one in our government seems to be learning anything.

Perhaps Lichtenstein will be in our sights once we get rid of Sweden. Pathetic.  

NOTES:

(1) See The CDC Quietly Admits It Screwed Up Counting Opioid Pills

(2) Data are taken from a graph and are approximate.

(3) Data consisted of Blue Cross Blue Shield members.

(4) I can’t help but wonder if Sessions would change his tune if went to an ER with an elephant tusk embedded in his rectum and was sent home with one baby aspirin.

Getting your medications thru mail order can kill ?

https://www.change.org/p/claire-mccaskill-ban-mail-order-drug-mandates-from-all-health-insurance-plans

My son, received a life saving liver transplant at the age of 2. His life depends on the potency and effectiveness of chemotherapy/immune suppression medications. In the past mail order delivered his liquid oral medications in nothing but a plastic envelope on a 102 degree day on a hot enclosed not temperature controlled UPS truck. Shortly after, he went into liver rejection which could have resulted in complete liver failure or death. I speculated that the medication could have been too weak after the delivery of medications in high heat. I vowed to never again risk his life with mail order pharmacy.

Recently, we were mandated/forced to only use mail order pharmacy in order to receive coverage for his life saving medications. Hesitant, I begged for an ice pack. The package arrived on an about 90 degree day again without an ice pack. His labs elevated again afterwards. My son wants to know, “Why would they do that?”

I contacted the manufacturer, who completes all of the testing for my son drugs who stated that both of my son’s medications should be discarded and considered less potent once stored above 86 degrees as higher temperatures and freezing could result in lower potency. I also found out that the liquid medication that the youngest children take are the most harmed by the mishandling of medications outside of the manufactures temperature storage guidelines. Our youngest of children’s lives are being threatened. 

I contacted the mail order pharmacy who refused to take replace or take back the medication. They said the law & USP Pharmacopoeia allows them to ship up to 104 degrees, although the manufacturer states it is not proven safe at these temperatures. 

I contacted the FDA, who states that the mail order pharmacy should be using the manufacturer’s guidelines that have been proven safe. Not the reference range by USP that has not tested my son’s exact medication. However since the mail order pharmacies are regulated loosley by the State Board of Pharmacy, not the FDA there was nothing that the FDA could do. 

I spoke with a UPS driver. He states temperatures on his truck are far above 104 degrees on a 90 degree day. He is mandated to keep his door closed unless getting a package. He states it gets so hot on a 90 degree day that he cannot breathe when he opens the back. 

I made over 30 calls to the insurance company begging for them to please let us pick my son’s medications up at the local pharmacy at which they are filled. My son’s physician wrote a note/appeal as his transplant team has stated that they have tried to voice their concerns about this issue with their pediatric/child patients and no one is listening! The insurance company still denied the doctor’s appeal for us to pick up my son’s medications in the safest way. It was not until the Media became evolved that the insurance company budged. 

I felt helpless and have untied with many other pharmacist, physicians, patients, mothers and fathers, and caregivers who feel the same way. Helpless.

Mail order of prescription drugs should be a choice not the only option of coverage. Mandatory mail order programs from all plan types (INCLUDING the plans that are regulated by ERISA) needs to cease until mail order pharmacies are forced to store and monitor medications during their deliveries at the temperatures tested and proven safe by the manufacturer. I would never put my son’s medications in a hot non-temperature controlled environment, and shoudn’t be forced to only use this option in order to get coverage for his life saving medications.

Mail order pharmacies may appear to save money, but when my son ended up in the hosptial after taking medications that could have been compromised by having lower potency, the cost of the rejection was thousands of dollars. If his liver would have fully failed, the cost of his liver transplant for just 5 days (he was in the hospital for 5 weeks) was over $1,000,000. The lax regulation and oversight may save money on prescription drug plans, but may come at an increased cost to the health plan itself. Also, keep in mind the endless waste of medications that automatically are sent regardless of whether or not patients need them.

Also, people with chronic, complex conditions, should always have the option of face to face interaction with a pharmacist who knows their complex needs and medical history. Could you imagine being required to go to a different doctor every time you needed medical care for you or your family? The pharmacist and patient relationship is crucial to the successful outcome of the patient’s overall health. Taking this away is harmful to patients and be more costly to our already stressed healthcare system.

Another important fact. Mandatory mail order programs are discriminatory. It is estimated that 40% of our homeless are disabled. How is mandatory mail order fair and working for them as they may not have an address and not even know where they will be from day to day?

We need legislation to protect all patients by ending the mandatory mail order pharmacy coverage in every type of plan offered in the nation.  We need your help to make mandatory mail order an option not a mandate.