Death linked to CVS robbery, police say

Death linked to CVS robbery, police say

http://www.duluthnewstribune.com/news/crime/4269129-death-linked-cvs-robbery-police-say

The suspect in the robbery of a pharmacy earlier this week has died, Duluth police reported.

Police said they responded to a residence in the 600 block of North First Avenue East shortly after 1 p.m. on Tuesday to the report of a dead body. Investigators responded because of the deceased individual’s age and lack of medical history, they said.

At the scene, investigators noticed numerous items that appeared to have been stolen from the CVS pharmacy at 1215 E. Superior St. on Monday. They concluded that the deceased individual was the suspect in the robbery and said they were seeking no other suspects.

The death did not appear to be suspicious, police said.

The body was taken to Midwest Medical Examiners for an autopsy and results on toxicology are being awaited to determine the manner and cause of death, police said.

The dead individual’s name was not immediately released.

Since Pharmacies in general and chains in particular have been reluctant to created a more “fortified” Rx dept… so that Rx dept robberies would become more difficult, if not impossible.

Should  these pharmacies that have left their Rx dept “wide open” and more “inviting” to robbers… be charged with some sort of violation of being complicit with what goes wrong and/or people harmed because of this reluctance/failure ?

In this particular case, should CVS and their executives be charged in contributing to the death of this person?  I can assure you that if this person had gotten a prescription from a prescriber and OD’d… the DEA would be after the prescriber… Shouldn’t pharmacies be held to the same standard ?  Shouldn’t the Boards of Pharmacy take a more proactive stance in the how Rx depts are configured and be “less robber friendly “?  The Boards of Pharmacy primary charge is to protect the health/safety of the general public.  Since the majority of the Boards of Pharmacy are “stacked” with non-practicing corporate Pharmacists… working for the same pharmacy chains that are keeping their Rx depts “robber friendly”.  In general, are the Boards of Pharmacy being negligence ?

SPEAK UP OR BEND OVER !

Congress made all these contracts for themselves. Serving in Congress is an honor, not a career. The Founding Fathers envisioned citizen legislators, so ours should serve their term(s), then go home and go back to work.

TRUMP, in a recent interview with CNBC, offers one of the best quotes about the debt ceiling: “I could end the deficit in five minutes,” he told CNBC. “You just pass a law that says that anytime there is a deficit of more than 3% of GDP, all sitting members of Congress are ineligible for re-election”.

The 26th Amendment ( granting the right to vote for 18 year-olds ) took only three months and eight days to be ratified! Why? Simple! The people demanded it. That was in 1971 – before computers, e-mail, cell phones, etc.

Of the 27 amendments to the Constitution, seven (7) took one (1) year or less to become the law of the land – all because of public pressure.

Trump is asking each addressee to forward this email to a minimum of twenty people on their address list; in turn ask each of those to do likewise.

In three days, most people in The United States of America will have the message. This is one idea that really should be passed around.
If each person contacts a minimum of twenty people, then it will only take three days for most people in the U.S. to receive the message. It’s time!

Sen. Chuck Grassley: IS DEA agents.. exaggerated their record of drug seizures “in order to obtain funding from Congress.”

Leading Republican Senator Demands To Know If The DEA Lies To Congress

https://www.buzzfeed.com/danielwagner/leading-republican-senator-demands-to-know-if-the-dea-lies

 

BE SURE TO READ LETTER 

https://www.documentcloud.org/documents/3723725-Grassley-to-DEA-OIG.html

A top Republican senator has demanded that the Drug Enforcement Administration respond to allegations that agents exaggerated their record of drug seizures “in order to obtain funding from Congress.”

Sen. Chuck Grassley, who chairs the powerful committee that oversees the DEA and Department of Justice, raised the issue in a letter sent last week to Chuck Rosenberg, the DEA’s acting administrator, and to Justice Department Inspector General Michael Horowitz. It cites a BuzzFeed News report from earlier this month, about a DEA agent stationed in Sao Paulo, Brazil, who asked his girlfriend, Larissa Carvalho, to translate sensitive DEA memos. After she ended the relationship with him, the agent, Scott Nickerson, stalked and harassed Carvalho and her friends and relatives, BuzzFeed News reported.

The harassment continued for months despite numerous official complaints by Carvalho and others, Grassley noted in the letter. She received little response from either agency, it said.

In response to BuzzFeed News’s investigation, the DEA said it initiated an investigation into Nickerson’s conduct in June 2016, “but Nickerson is still employed by DEA and reportedly has remained free to continue to harass and threaten Carvalho and her friends and family throughout the course of that investigation,” Grassley noted in his letter.

Carvalho reported the questionable drug seizure reports to the Senate Judiciary Committee, which Grassley chairs, his letter said. In a WhatsApp conversation with Carvalho dated May 2014, Nickerson appears to describe how agents stationed in Brazil lied to Washington, falsely taking credit for drug seizures by local authorities in order to help justify the field office’s funding. DEA ”receives money by telling congress how much money and dope we seize,” he wrote. “In the US, everything is pretty accurate. here, however, the office in Brazil takes credit for everything the Brazilians do, even if they had nothing to do with it.”

Agents sometimes “will take newspaper articles and report it like dea assisted with the seizure,” Nickerson added. He called the actions “an insult to the agents that are busting their ass in the States, and I don’t want to do it.” He said that if he reported these actions to senior officials, that could influence the agency’s decisions about where to station agents when they returned to the US.

Spokespeople for the DEA did not respond to requests for comment, nor did Nickerson’s attorney. A spokesperson for the Office of the Inspector General declined to comment.

Nickerson, a married agent 10 years older than Carvalho, met her in 2014 and soon began dating her, BuzzFeed News first reported on May 5. He sent her at least five documents detailing the operations and associates of drug kingpins, including their phone numbers and mobile PINs. Strict rules govern the way details like that are handled, to protect the integrity of an investigation as well as the safety of innocent people. Passing sensitive documents to people who are not meant to see them violates DEA rules and can be grounds for firing; it is not clear whether Nickerson’s actions were unlawful. After BuzzFeed’s report, one of the memos was posted in full on Twitter by an anonymous account. Images of some of documents also appeared on an online message board.

Nickerson’s written communications with Carvalho include numerous references to additional misconduct by him and other agents, as Grassley laid out in his letter. He said he hired sex workers, which is a fireable offense for DEA agents; he said the tinted windows on his government-issued SUV were useful “for safety and blow jobs”; and he used government funds to help pay for travel with Carvalho — a practice he jokingly called “Obama pays.”

After Carvalho broke up with him in late 2015, Nickerson began a campaign of stalking and harassing her, her friends, and family that continued until earlier this month, BuzzFeed News reported.

Sen. Grassley’s letter concludes with 13 questions for the DEA and the Office of the Inspector General, an independent watchdog within the Department of Justice. They include what the agencies knew about about Nickerson, when they learned it, and what they did about it. It asks the DEA when it began investigating him and which allegations it focused on, whether Nickerson has been disciplined or stripped of his security clearance, what steps the agency has taken to prevent Nickerson’s stalking and harassment, and whether DEA has looked into other agents’ misreporting of drug busts in the manner Nickerson described.

Grassley also asked the Office of the Inspector General when it became aware of allegations against Nickerson, when it first acted, and whether it recommended any actions to DEA in response to the allegations.

The Office of the Inspector General has repeatedly criticized DEA for failing to adequately supervise agents working overseas, for rampant sexual misconduct including soliciting sex workers, and for failing to discipline employees after their misconduct is exposed.

back surgeons on back pain: treating it – overcoming it – can be , if not impossible

NBA Coach Steve Kerr: Bad Advice on Back Pain

http://www.acsh.org/news/2017/05/16/nba-coach-steve-kerr-bad-advice-back-pain-11287

Tuesday night marks the seventh straight NBA playoff game that Steve Kerr will miss due to debilitating back pain. It’s been more than three weeks since the head coach of the Golden State Warriors said he had to leave the team because of the intense discomfort, and to seek additional treatment.

Despite this being the most important time for his team, Kerr is not expected to return to the Warriors bench this season, even if his juggernaut advances to the NBA Finals in June, as expected. That’s how uncertain his situation is.

The lean and trim 51-year-old, whose undergone two failed back surgeries, cannot even manage sitting or standing – or a combination of both – in order to coach and travel to games, which is why Kerr stepped aside.

But during his announcement last month about his specific physical condition, he included some ill-advised medical advice for those in situations similar to his own.

“I’m not going to go into details on the symptoms. It’s just discomfort and pain and it’s no fun,” Kerr said on April 23. “And I can tell you if you’re listening out there, if you have a back problem, stay away from surgery. I can say that from the bottom of my heart. Rehab, rehab, rehab. Don’t let anybody get in there.”

Considering the amount of pain he’s experienced since first going under the knife in 2015 to repair a ruptured disk – also called a herniated or slipped disk – it’s understandable why Kerr said what he did. However, given his celebrity status and high visibility, he should have never offered medical advice of any kind, especially because every back problem is different, and no one approach is appropriate for every patient.

“We really don’t understand the spine very well, particularly the mechanics of the back. We apply a mechanical solution to what’s not necessary a mechanical problem, given that there are nerves and muscles involved,” says Charles Dinerstein, M.D., a Senior Medical Fellow at the American Council and retired vascular surgeon. “That said, while Kerr may have felt let down after two operations with no sustained relief, he should not have directed others with chronic back pain to stay away from surgery.”

The Wall Street Journal reported this week that “[r]esearch has shown the procedure is more successful than nonsurgical treatment for patients whose pain has persisted for several months,” and according to “Hyun Bae, a professor of orthopedic surgery at Cedars-Sinai Medical Center in Los Angeles, ‘When you look at the data, it clearly shows the patients who had surgery had a faster and more reliable recovery.’ “

Yet as many a back specialist will tell you, locating the source of back pain can be a very difficult thing to do. And even if it’s located, coming up with a plan to treat it – and overcoming it – can be just as difficult, if not impossible. Unless it’s under rare circumstances, even back surgeons won’t recommend back surgery from the start, since it’s often not the best approach – and the last option. 

“While sufferers are often desperate, and they are experiencing neuropathic pain,” adds Dr. Dinerstein, “in general it is almost never the first choice.”

For those who have experienced a herniated disk and the pain “has not resolved within a few weeks, your doctor may suggest physical therapy. Physical therapists can show you positions and exercises designed to minimize the pain,” according to the Mayo Clinic. Medications – including muscle relaxers and cortisone injectionsWHICH THE FDA DOESN’T RECOMMEND… can also be prescribed. 

For Kerr, with enough time passed after recuperating from his first surgery, he began working out daily and incorporating yoga into his regimen to battle headaches, to help keep the pain at bay – which worked for awhile. But then he was afflicted by a rare complication from the original surgery: leaking spinal fluid, also called a cerebrospinal fluid leak, from a dural tear. That condition was addressed in his second operation in October 2015, but his awful pain has returned.

It’s this complication that makes Kerr’s situation even more unique, given that the cerebrospinal fluid leak occurs in roughly 1 in 20 disk operations. Just more reason for Kerr to have avoided telling the public to run from back surgeons. 

 

FDA Adds Boxed Warning to Canagliflozin (Invokana, Invokamet, Janssen) for Amputation Risk

FDA Adds Boxed Warning to Canagliflozin for Amputation Risk

http://www.medscape.com/viewarticle/880059

The US Food and Drug Administration (FDA) has issued a new boxed warning to the label of canagliflozin (Invokana, Invokamet, Janssen) to describe the risk for leg and foot amputations.

This heightened warning follows a May 2016 safety alert based on interim data from one of two ongoing trials in which the risk had been seen in one but not the other. Now, final results from both trials ― CANVAS (Canagliflozin Cardiovascular Assessment Study) and CANVAS-R (A Study of the Effects of Canagliflozin on Renal Endpoints in Adult Participants With Type 2 Diabetes Mellitus) ― indicate an approximate doubling of the risk for both leg and foot amputations in canagliflozin-treated patients compared to those randomly assigned to receive placebo.

The amputations were most commonly of the toe and middle of the foot, but some also involved the leg, below and above the knee. Some patients underwent more than one amputation, and some of those involved both limbs.

The European Medicines Agency has been investigating this phenomenon since April 2016, and in February 2017 issued a requirement that the labels of all drugs of the sodium glucose cotransporter 2 (SGLT2) inhibitor class carry the amputation warning.

 

Before prescribing canagliflozin, the FDA advises healthcare professionals to consider factors that may predispose patients to amputations, including a history of prior amputation, peripheral vascular disease, neuropathy, and diabetic foot ulcers.

Patients taking canagliflozin should be monitored for signs and symptoms of those conditions. The drug should be discontinued if these complications occur.

Healthcare professionals and patients are encouraged to report adverse events or side effects related to the use of these products to the FDA’s MedWatch Safety Information and Adverse Event Reporting Program:

Complete and submit the report online: www.fda.gov/MedWatch/report.

Download the reporting form or call 1-800-332-1088 to request a form.

 

 

more than 500 pharmacy robberies in Illinois and Indiana since 2012

As the nation’s heroin epidemic continues to claim lives at a rapid rate, the search for the heroin high is creating a dangerous situation for pharmacies. Police have responded to more than 500 pharmacy robberies in Illinois and Indiana since 2012, according to statistics compiled by the Drug Enforcement Administration. Chris Coffey investigates.

(Published Monday, May 15, 2017)

http://www.nbcchicago.com/investigations/Pharmacy-Robberies-a-Nasty-Side-Effect-of-Nations-Opioid-Crisis-422408144.html

As the nation’s heroin epidemic continues to claim lives at a rapid rate, the search for the heroin high is creating a dangerous situation for pharmacies. Police have responded to more than 500 pharmacy robberies in Illinois and Indiana since 2012, according to statistics compiled by the Drug Enforcement Administration.

In many security camera videos, pharmacists and their staff members can be seen being threatened, pushed or held at gunpoint by robbers who are demanding opioids and anti-anxiety medications. Opioid painkillers are known to ease heroin withdrawal while anti-anxiety pills can be used to mellow a high.

Glenn Kosirog was working at his family-owned pharmacy in Chicago in February when an alleged robber displayed a gun and forced him to hand-over thousands of prescription pills. Most of the incident was captured by Kosirog’s security cameras.

“He had ripped the narcotic cabinet off the wall,” Kosirog said. “He didn’t take everything. He just took the Xanax and hydrocodone.”

Chicago police said no offenders are in custody and the investigation is still ongoing.

Prescriptions for hydrocodone dropped by 350,000 in Illinois, as tighter controls on painkillers are putting fewer pills in the hands of users. The resulting street value of the drugs increases because they are in more demand.

“If you can’t get your painkiller any more, you’re either going to move to heroin or in some cases you’re going to rob a pharmacy to get those drugs that’s harder to get from your medical provider,” said DEA Chicago Special Agent in Charge Dennis Wichern.

According to Mt. Prospect-based National Association of Boards of Pharmacy (NABP), violent pharmacy robberies may end up having the harshest effect on the real patients who need prescription painkillers.

“One of the unintended consequences of all of this is they will simply quit carrying these products and when they do, these patients don’t have access to the medication they need,” said NABP executive director Carmen Catizone.

The number of opioid overdose deaths in the U.S. skyrocketed to more than 33,000 in 2015, according to the Centers for Disease Control and Prevention.

The February robbery wasn’t the first targeting Kosirog’s pharmacy.

“You’re always taken by surprise,” Kosirog said. “You try to hope and pray that they leave quickly.”

Police continue to investigate a violent robbery at a Wauwatosa, Wisconsin pharmacy that occurred in December. Security video of the incident, which was reported by NBC 5, showed robbers knocking down pharmacy staff members and threatening them at gunpoint. A spokesperson for the Wauwatosa Police Department said suspects in the case have been identified, but criminal charges have not yet been issued in the case.

Wichern said in some cases children under 17 are given “shopping lists” by an older person to rob pharmacies of prescription pills. He said children are used to conduct the robberies because it makes it more difficult to prosecute the cases.

 

Teen dies from OD on the drug CAFFEINE… more “drug” restrictions coming ?

Coroner says teen died from too much caffeine

http://www.cbsnews.com/videos/coroner-says-teen-died-from-too-much-caffeine/

|A South Carolina coroner says too much caffeine caused the death of a healthy teenager. Davis Cripe, 16, collapsed last month at his high school and died at the hospital. He had consumed a large soft drink, a latte and an energy drink over a short period. Tony Dokoupil reports.

 

Former IU Health doctor found not guilty of reckless homicide by over prescribing painkillers

Former IU Health doctor found not guilty of reckless homicide by over prescribing painkillers

http://www.theindychannel.com/news/crime/former-iu-health-doctor-found-not-guilty-of-reckless-homicide-by-overprescribing-painkillers

INDIANAPOLIS — A former IU Health doctor accused of over-prescribing opioids was found not guilty by a Marion County jury Monday.

Dr. John K. Sturman was originally charged in August 2015 with three counts of reckless homicide and 16 counts of issuing invalid prescription drugs for allegedly overprescribing pain medication to patients – some of whom later overdosed and died.

Sturman operated a clinic at Indiana University Hospital until 2012, when he lost his admitting privileges for failing to properly document patient visits.

Investigators alleged that from 2008-2012, Sturman had displayed a pattern of prescribing large amounts of pain medication “outside the usual course of medical care.”

A Marion County jury dismissed the charges against Sturman in December 2015, but Prosecutor Terry Curry appealed that decision. His appeal was granted in July 2016 and charges were again filed against Sturman.

On Monday, following a six-day trial, Sturman was found not guilty on all counts against him.

After his tenure at IU Health, Sturman worked as the chief of pain management for the VA Illiana Health Care System. The health network’s website does not currently list him on staff.

The 80’s called and they want their WAR ON DRUGS BACK

The 80’s called and they want their WAR ON DRUGS BACK

How can so many people in so many important positions be so CLUELESS ?

Trump’s Budget Director Hints at Mandatory Drug Rebates in Medicare

White House Budget Director Nick Mulvaney has suggested that mandatory drug rebates, like those seen in Medicaid, might be an answer to the rising cost of prescription drugs in Medicare.

Mulvaney’s remarks at a Stanford healthcare conference were first reported in The Washington Post and have set off alarms within the pharmaceutical industry. Holly Campbell, spokeswoman for the Pharmaceutical Research and Manufacturers of America (PhRMA), said in an e-mail that the “risks of these types of proposals clearly outweigh the benefits,” and that such a proposal would make it harder for seniors to gain access to drugs.

But some proposal to prescription drug costs seems likely, as Mulvaney told the Stanford group that President Trump is anxious for a solution to the problem, which is the one healthcare issue where there is broad agreement among Democrats and Republicans. Polling by the Kaiser Family Foundation and others has found that Americans overwhelmingly think drug prices are too high and that a majority of Republicans support government intervention to control them.

Since the advent of Medicare Part D in 2006, the program has barred direct negotiations with drug manufactures to control prices, although private insurers who administer benefits can—and do—get some discounts. In Medicaid, it’s a different story—prices cannot go up higher than inflation. A 2009 study found that the discounts in Medicaid were more than twice those in Medicare: 45% to 19%.

Some say the arrival of Medicare Part D opened the door to more research and innovation on drugs that benefit seniors, and price controls would curtail this. “Any type of government price-setting in Medicare Part D would limit access to needed medicines and increase costs for beneficiaries,” PhRMA’s Campbell said in an e-mail to The American Journal of Managed Care®.

Campbell said a recent study found that Medicare Part D plans receive an average 35% discount from manufacturer list prices. “We believe the focus should be on advancing market-based, common sense, practical solutions that bring down healthcare costs and lower out-of-pocket costs for everyone,” she said in the e-mail.

But Mulvaney reportedly said President Trump is intrigued by the idea of mandatory rebates. According to the Post, Mulvaney told the Stanford group, “We’ve floated the idea with the president, to be a little bit heavier-handed on the rebates they have to pay in order to drive the prices down.”

Elsewhere, HHS Secretary Tom Price, MD, has been holding “listening” groups on rising prescription drug prices with stakeholders that include patient groups and PhRMA. A Senate proposal to allow drug imports from Canada was defeated, but lawmakers sense the issue isn’t going away—both Trump and Democrat Hillary Clinton vowed to take on drug prices as candidates last fall.
Some call for giving the FDA a role in the process, which would hand authority to newly appointed FDA Commissioner Scott Gottlieb, MD. –

How can so many people in so many important positions be so CLUELESS ?

There are several middlemen between the Pharmas and the pt… each with their own cost infrastructure and desire to make a profit.
They use their drug formulary to manipulate what pharmas are allowed to have their medications on their formulary… Often, having a medication on a formulary is not necessarily decided on what is the best medication for treating a particular disease on condition, but on how large a rebate/kickback/discount that is being provided by the Pharmas to these middlemen.
So what is going to happen when Medicare steps up to the plate and demands an additional rebate/kickback/discount from the Pharmas.  If history is any indication, the Pharmas will respond with increasing the prices they charge to compensate for the discounts/rebates/kickbacks that will be paid to Medicare or other middlemen.