The “ART OF MEDICINE” is DEAD… Medicine “BY THE NUMBERS”

ONE LAST CALL FOR ASSISTANCE

I have created a new twitter account @painedlives and painedlives@gmail.com. There is a methodology of creating “lists” within Twitter so that you can send a tweet to a large number of people with a single tweet. Dr Linda Cheek has done a lot of work generating a spread sheet with contact info for the members of Congress.

But they have to be moved to the Twitter lists one at a time… with a simple cut/paste… I have created the 100 Senators list… but there are many lists that can be created… including the media.. which there is a web page with all this information www.usnpl.com   but again it needs to be cut/paste to a twitter list.

I have created a Google spreadsheet – in the cloud –  https://docs.google.com/spreadsheets/d/1DpY4MNPiHxFUdVJPpnQxdq7wCduIHC9Y5AOmm0ZPgc0/edit#gid=1001220689 that can be worked

That can be worked on my multiple people at the same time to organize these Twitter names.

Using Twitter in this methodology… all tweets can be sent out anonymously.

I have posted a couple of times in the last week + and have only a couple of people contact me to help with this project…. BUT… not the first new addiction to the spreadsheet or Twitter list has been done.

The new Congress is up and running… we have a new President in 16 days. The Head of the CDC has already submitted his resignation.  The Surgeon General recently announced that addiction is a “brain disease”.. which strongly suggests that the legal prescribing of opiates CANNOT cause a “brain disease”.

It is reported that Marijuana is 30% of the DEA’s budget and they are losing oversight of it state by state… we now have > 50% of the states have legalized it is some way… but.. they are not going to “go down” without a fight… they have tried to change the status of Kratom and CBD..  their jobs, budgets are more important to them than the quality of life of any of our citizens.

Our new Vice President is – IMO – opiophobic – Indiana is one of the four states that has made Kratom ILLEGAL.. Indiana has been NUMBER ONE in pharmacy robberies, it has been at the top of the list for Meth lab busts, it is where – in one small county, (population of 25,000) had abt 170 new HIV +, HEP B&C and only reluctantly did Pence initiate a clean needle program.. and ONLY IN THAT ONE SMALL COUNTY… the other 91 counties where on their own.  They no longer talk about Opiate OD’s or Heroin use… best guess … is it because the numbers are so badly increasing.

There seems to be like this new Congress is going to be very active.. and healthcare, cost of healthcare and repealing/replacing Obamacare is going to be front and center. The chronic pain community can be part of that discussion… or they can continue to whine, bitch, moan to each other on Face Book pages… which will accomplish … ABSOLUTELY NOTHING… except to allow the current downhill path adversely impacting the quality of life of those in the chronic pain community.

DOC threatens pt with DISCHARGE for taking LEGAL SUPPLEMENT

This showed up as a post in another “CLOSED”  FACE BOOK  “pain group”. There are only FOUR STATES where KRATOM is illegal ( WI, IN, TN, VT), but it would appear that some prescribers have decided to start testing for this SUPPLEMENT and promising/threatening pts with discharge if they have KRATOM show up in urine testing.  What substance is next… Nicotine… Alcohol…Caffeine …. Soda… Sugar… Chocolate ?

Hello everyone! I hardly ever post, but I do read everyone’s posts and keep up to date…. so I thought I’d share something that happened to me while at my pain management specialist yesterday…. I thankfully got my refills, and was UA’d. I was UA’d last month, but he dropped a bomb on me…. I have tried kratom to see if it helps me with my pain, it helps to a point, but helps more with my anxiety. Well, my Doc informed me that he found it in my urine. He also informed me that they are starting to test patients for it, because it will be illegal soon. Now, I know there are a few people on here that will argue with me that it won’t be, but I’m just telling you what he told me. He informed me that I needed to stop taking it immediately, because if I kept taking it, he would take me off all meds… and I don’t know about you, but I sincerely need my medication to even get through the day. This really sucks… I asked him “why though? It’s over the counter and it’s herbal” he then said “yes, so is Marijuana, and that’s a no no here”
So just for warning you all, be careful guys, I’m sharing this with you all because I care! Super bummed about it though….

New Law Cracks Down On Pharmacy Thefts

New Law Cracks Down On Pharmacy Thefts

http://www.newschannel5.com/news/new-law-cracks-down-on-pharmacy-thefts

Back in the early 70’s Congress passed a law that it was a FEDERAL FELONY – just like robbing a bank – if anyone stole controlled substances from a pharmacy. If case no one has noticed… the FBI… seldom – if ever – bothers showing up when a pharmacy is robbed and controlled substances are involved.. So apparently the state of TN decided to put in a state law because the FEDS must consider the robbing pharmacy a virtual NON-ISSUE and maybe because there are so many… doing their job investigating pharmacy robberies would over whelm their manpower capabilities. After all, the more controlled substances on the street… the more “criminals” our judicial system/cops have to chase after. Just watch, the age of the robbers in TN will start to drop… “hired” by diverters to rob pharmacies because the kids will get nothing more than a slap on the wrist.

NASHVILLE, Tenn. – A new law on the books in Tennessee could have people who rob pharmacies for prescription drugs facing longer jail time.

The law, which went into effect this week, allows a judge to impose a tougher sentence on someone convicted of robbery in a pharmacy, if they were trying to get prescription drugs.

 

Doctor Shawn Pruitt, who runs Pruitt’s Discount Pharmacy on Dickerson Pike, says the law may help deter repeat offenders, but may not prevent the crime from happening in the first place.

It’s a step in the right direction in the back end, but in the front end, not necessarily so,” Pruitt said.  I don’t know how many diverters or pharmacy robbers are even thinking about a prison sentence before they do a crime.

While this law targets those who steal prescription drugs, a statewide survey shows a majority of people who abuse them, get them free from family and friends.

Missouri patients ring in New Year with “step therapy” law

Missouri patients ring in New Year with “step therapy” law

https://patientsrising.org/daily-rise/missouri-patients-ring-new-year-step-therapy-law

New Year, New Law against Step Therapy in Missouri

New Year’s Day means parades, football and celebrations. It’s also time for new laws.

Patients in Missouri can ring in the New Year by celebrating a new law to combat step therapy. Back in June, Missouri Governor Jay Nixon signed into law House Bill 2029, which established “new rules for step therapy.”

What is step therapy? Also called “fail first,” step therapy is where health plans require patients to attempt treatment with one or a series of less expensive therapies in order to show that they are ineffective before the insurance company will agree to pay for the medication prescribed by their doctor. [For more, check out our handy guide, “Step Therapy Explained” and other posts explaining the harm in forcing patients to fail first.]

Missouri state lawmakers agree with that definition. Under HB 2029, state law officially states “requiring a patient to follow a step therapy protocol may have adverse and even dangerous consequences for the patient who either may not realize a benefit from taking the prescription drug required by the step therapy protocol or may suffer harm from taking an inappropriate drug that was so required.”

Fox 2 Now reports that “the measure requires health insurers to establish a process to allow patients to request not to do step therapy. Patients who have already undergone step therapy could remain on more expensive drugs if other drugs had been deemed ineffective.”

Patients forced to pay higher insurance rates in 2017

Missouri may have achieved progress on step therapy, but it’s not all good news in the “Show Me State.”

“In Missouri, some people with individual insurance plans could see their rates increase by 40 percent,” reports St. Louis Public Radio.

One town, in particular, will be hit by devastating health insurance rate hikes. Patients in Warrensburg can expect to pay 44 percent more for health insurance next year. They’ll also have fewer choices — just two available insurance providers through the state’s health care marketplace.

So far this year, 185,413 new patients have signed up for health insurance, according to federal health officials.

Patients Rising’s Perspective: Patients Must Fight Back

In a recent piece published at the Kansas City Star, Patients Rising explained our take on the challenges facing patients in Missouri.

“Insurers are operating under the belief that it is acceptable to allow patients to fail first or become sicker on a lower-cost medication before agreeing to provide drugs their doctors had prescribed,” says Jonathan Wilcox, our co-founder and policy director. “Even more challenging, patients often accept their insurer’s judgment and don’t pursue administrative appeals.”

“People fighting for their lives don’t often look to open up another front in another war.”

“The advocacy community must lend its voice of concern to this policy problem, insist on comprehensive reform and bring an end to health care’s secret scandal. And lawmakers must listen.”

Missouri Patients Share Their Views on Health Care

According to a recently released national and statewide survey from the Partnership to Fight Chronic Disease:

  • 46 percent of Missouri residents have seen their health care costs increase in the past year.
  • 20 percent of Missourians say the treatment their doctor recommended wasn’t covered by insurance
  • 21 percent say the treatment of someone they know had the same problem.
  • 88 percent of Missourians declared as very or somewhat important the need for transparency regarding how and why health plans are deciding to deny coverage of doctor-prescribed treatments.

“Insurer interference at the price of a patient’s health cannot be allowed to continue,” Paul Gileno, president and founder of the U.S. Pain Foundation, recently wrote in a piece published at the St. Louis Post-Dispatch. “The consequences are far too dangerous to risk. We all want our doctors to prescribe what is medically necessary and not what is perhaps the less expensive therapy.”

FDA approves first continuous glucose monitoring system that does not require finger stick test

FDA approves first continuous glucose monitoring system that does not require fingerstick test

https://drugstorenewsce.com/editorial-news-item/5/12420?tp=i-H55-Q5U-2Qi-3j5rF-1v-164o-1c-XKV-3iwI3-1Fvxlh&

WASHINGTON, D.C. — The U.S. Food and Drug Administration approved its first continuous glucose monitoring system that can be used to make diabetes treatment decisions without confirmation via a traditional fingerstick test. The FDA announced it expanded the approved use of Dexcom’s G5 Mobile Continuous Glucose Monitoring System to allow for replacement of fingerstick blood glucose (sugar) testing for diabetes treatment decisions in people 2 years of age and older with diabetes.

The system was previously approved to complement, not replace, fingerstick testing for diabetes treatment decisions.

“The FDA works hard to help ensure that novel technologies, which can reduce the burden of daily disease management, are safe and accurate,” said Alberto Gutierrez, PhD, director of the Office of In Vitro Diagnostics and Radiological Health in the FDA’s Center for Devices and Radiological Health. “Although this system still requires calibration with two daily fingersticks, it eliminates the need for any additional fingerstick blood glucose testing in order to make treatment decisions. This may allow some patients to manage their disease more comfortably and may encourage them to have routine dialogue with their health care providers about the use of real-time continuous glucose monitoring in diabetes management.”

The G5 Mobile Continuous Glucose Monitoring System uses a small sensor wire inserted just below the skin that continuously measures and monitors glucose levels. Real-time results are sent wirelessly every five minutes to a dedicated receiver and a compatible mobile device running a mobile app. Alarms and alerts indicate glucose levels above or below user-set thresholds. The system measures glucose in fluid under the skin and must be calibrated at least two times per day using blood obtained from fingerstick tests. However, additional daily fingerstick blood tests are generally no longer necessary because unlike other continuous glucose monitoring systems, results from this device can now be used directly by patients to make diabetes treatment decisions without confirmation from a traditional fingerstick test, stated the FDA.

The cartels.. know increased seizures… so they ship a little bit more, knowing that it is going to be intercepted

Heroin Epidemic Drives Surge In Drugs Busts On DC Highways

Relentless drug trafficking efforts from gangs and cartels are causing a spike in the number of drug busts by authorities on highways in the Washington, D.C., region.

Roadside drugs arrests rose from 1,752 in 2015 to 1,971 in 2016 in Maryland. Virginia experienced a similar increase between 2014 and 2015, with roadside drug busts rising from 3,163 to 3,354. Officers patrolling the highway corridors around Washington, D.C., are also reporting a noticeable surge in drug arrests, many relating to heroin or synthetic opioids. Officials believe increased trafficking efforts from criminal organizations are responsible for the rising busts, reports NBC Washington.

Police in the region said the drugs primarily flow from north to south on Interstate 95, where authorities are focusing their efforts. Drug traffickers are aware of this, however, and compensate by flooding the highways with even more drugs.

“The cartels, other major organizations, crime syndicates who are in the business of shipping drugs, they know this – so they ship a little bit more, knowing that it is going to be intercepted,” Neill Franklin, a former Maryland state police trooper and transit officer, told NBC4. “And what they want to arrive in New York or Miami or Baltimore city or Philadelphia, it arrives.”

 

Heroin trafficking is contributing to the uptick in arrests, but authorities say marijuana continues to be the primary drug they find. Police recently seized 347 pounds of marijuana being transported along I-95 in a box truck heading north. Narcotics trafficking is also thriving, however, and authorities are finding it increasingly difficult to thwart.

“The narcotics industry is a billion dollar industry,” Maryland State Police Corporal Brian Hirsch told NBC4. “They’re spending all day, every day, trying to deceive the police officers on the road.”

Officials in the region are attributing a large amount of the spike in trafficking to the heroin epidemic plaguing states in the area. Heroin-related deaths are rising at an alarming rate in Maryland, which is suffering the fifth highest rate of death from drug overdoses in the country. Heroin-related deaths tripled from 247 in 2011 to 748 in 2015, according to data from the Maryland Department of Health and Mental Hygiene.

Deaths from fentanyl-laced heroin in the first half of 2016 doubled when compared to the same period in 2015 in the state.

 

Should people holding a vendetta be put in a position of power ?

In this Monday, Dec. 19, 2016 photo, interim U.S. Attorney Bruce Brandler poses for a photograph at his office in Harrisburg, Pa. The top federal prosecutor for central and northeastern Pennsylvania announced a strategy to combat the heroin and prescription painkiller epidemic. What few people know is that Bruce Brandler, a veteran prosecutor recently named interim U.S. attorney, lost his own son to a heroin overdose. Photo: Matt Rourke, AP / Copyright 2016 The Associated Press. All rights reserved.Federal prosecutor tackles heroin scourge that claimed son

http://www.sfgate.com/news/medical/article/Federal-prosecutor-tackles-heroin-scourge-that-10830627.php

HARRISBURG, Pa. (AP) — The phone at Bruce Brandler‘s home rang at 3:37 a.m. It was the local hospital. His 16-year-old son was there, and he was in really bad shape.

A suspected heroin overdose, the nurse said.

Brandler didn’t believe it. Erik had his problems, but heroin? It seemed impossible.

Nearly 10 years later, the nation is gripped by a spiraling crisis of opioid and heroin abuse — and Brandler, a veteran federal prosecutor recently promoted to interim U.S. attorney, suddenly finds himself in a position to do something about the scourge that claimed his youngest son’s life.

Until now, he has never publicly discussed Erik’s overdose death. It was private and just too painful. But Brandler, now the chief federal law enforcement officer for a sprawling judicial district that covers half of Pennsylvania, said he felt a responsibility that came with his new, higher-profile job.

“It’s easier to cope with the passage of time, but it never goes away,” Brandler told The Associated Press in an interview. “And, frankly, this whole heroin epidemic has brought it to the forefront.”

Fatal heroin overdoses have more than quintupled in the years since Brandler lost his son. The illicit drug, along with highly addictive prescription pain relievers like oxycodone and fentanyl — a substance more powerful than heroin — now rival car crashes as the leading cause of accidental death in the U.S.

Erik’s death proved that heroin doesn’t discriminate, Brandler said. He urged parents to “open their eyes” to the threat and talk to their kids.

“I want to evaporate the myth that heroin addicts are just homeless derelicts,” said Brandler, who, before his son’s overdose, held that impression himself. “This epidemic hits everybody, and I think my situation exemplifies that.”

The opioid crisis was already taking root when Brandler began having problems with Erik, the youngest of his three children. The teenager’s grades dropped, his friends changed and he began keeping irregular hours. Brandler found marijuana in his room and talked to him about it, figuring that was the extent of his drug use.

Then, in spring 2007, Erik overdosed on Ecstasy and had to be treated at a hospital.

“That elevated it to a different level as far as I was concerned, a much more serious level, and I took what I thought were appropriate steps,” Brandler said.

He called the police on his son’s dealer, who was prosecuted. That summer, Erik completed an intensive treatment program that included frequent drug testing. Brandler thought his son had turned a corner.

He was mistaken.

On the night of Aug. 18, 2007, Erik and an older friend paid $60 for three bags of heroin. After shooting up, Erik passed out. His breathing became labored, his lips pale. But his companions didn’t seek medical treatment, not then and not for hours. Finally, around 3 a.m., they dropped him off at the hospital.

At 5:40 a.m., he was pronounced dead.

Five people were charged criminally, including Erik’s friend, who received more than five years in prison.

Brandler still doesn’t know why his son, who excelled at tennis, went to a good school and had loads of friends, turned to heroin.

“I thought about that, of course, but it’s really a waste of energy and emotions to go down that road because I’ll never know the answer,” Brandler said from his office near the Pennsylvania Capitol, where a framed photo of Erik — strapping, shaggy-haired and swinging a tennis racket — sits on a credenza.

What he can do is join his fellow prosecutors in tackling the problem.

In September, the Justice Department ordered all 93 U.S. attorneys across the country to come up with a strategy for combating overdose deaths from heroin and painkillers. Brandler released his plan, covering 3.2 million people in central and northeastern Pennsylvania, last month. Like others, it focuses on prevention, enforcement and treatment.

He said his office will prioritize opioid cases resulting in death, and aggressively prosecute doctors who overprescribe pain pills.

Additionally, prosecutors will hit the road — bringing physicians, recovering addicts, family members of overdose victims and others with them — to talk to schools and hard-hit communities.

Parents need to know that “if you think it can’t happen to you, it can,” Brandler said. “If it happened to me as a federal prosecutor, I think it can happen to anyone, and that’s really the message I want to get out.”

Federal appeals Judge Thomas Vanaskie said it’s a message that needs to be heard.

“Education is the most important thing to me,” said Vanaskie, who helps run a court program that gets federal convicts back on their feet and who has been working with a former heroin addict who robbed a bank to feed his addiction. “We’ve got to prevent people from becoming users.”

Vanaskie, who has known Brandler for years, commended him for speaking out.

“Hearing it from him becomes so much more powerful,” Vanaskie said. “I know it causes great personal pain on his part, but he personalizes, humanizes this matter.”

 

Uncle Sam: Growing/selling MARIJUANA in MS since 1970 ?

Big Pharma Gets Green Light

cannabisnow.com/big-pharma-gets-green-light/

Guess who benefits when Uncle Sam opens the research weed supply chain?

Cannabis is still highly dangerous and has no place in modern medicine, according to the U.S. government – who still wants a bigger and better supply of the troubled stuff on hand anyway, just in case.

And Uncle Sam wants you – yes, you – to try and grow some research-grade cannabis for your country. But good luck with that. It won’t be easy.

This past summer, after several unexplained delays, fueling unfounded rumors that the Obama Administration would legalize marijuana of its own volition, the Drug Enforcement Administration announced on Aug. 12 that it would not be removing marijuana from Schedule I of the Controlled Substances Act.

Despite a growing body of knowledge in other countries and a majority of American states with some kind of medical marijuana program, the decision to leave marijuana in the Schedule I designation means pot is still officially as dangerous as heroin and LSD. Cocaine and methamphetamine (both Schedule II) are officially safer and more beneficial.

The reasons why, given by Acting DEA Administrator Chuck Rosenberg, is a continuation of the circular logic that’s fueled the U.S. war on weed for more than four decades. And the DEA’s own language now seems to suggest that Big Pharma – not the cannabis industry – will have the inside track to a better supply.

“There is growing public interest in exploring the possibility that marijuana or its chemical constituents may be used as potential treatments for certain medical conditions,” Rosenberg wrote in a letter published in the Federal Register on Aug. 12. “One of the ways DEA can help to facilitate research involving marijuana is to take steps to increase the lawful supply of marijuana available to researchers.”

Research Monopoly Ends

Currently, there is a single government-approved marijuana supplier: the University of Mississippi. Holding this monopoly for nearly 50 years, access to its supply is extremely limited, granted only to funded researchers receiving several onerous layers of bureacratic approval.

According to NIDA, just eight shipments of government bud went out to researchers in 2015, with another eight shipments in 2016 as of late August.

But this federal marijuana supply chain is set to expand. The DEA now says it will consider applications from commercial enterprises as well as from research universities – which thrilled some researchers.

“It’s a complete and total end of the NIDA monopoly,” said Dr. Sue Sisley, whose DEA and NIDA-approved study into whether smoked cannabis helps combat veterans with PTSD is scheduled to begin this fall.

“This new policy permits commercial growing operations to be approved with the purpose of producing a product that can be used in research and also for potential commercial sales,” she said. “The federal monopoly on the production of marijuana for federally-regulated research, in existence since 1968, is now over.”

Despite this, a DEA spokesperson contacted by Cannabis Now said no applications had yet been received by the end of August.

 Photo Gracie Malley for Cannabis Now

Government-Grade Ganja

Ole Miss grows a single strain, its terpene content unknown, available in either bulk at $2,497 a kilogram or $14 per joint in one of 13 strengths – low, medium, high, or very high THC or cannabidiol (CBD); placebo, or a combination.

And “very high” THC and CBD caps out in at 13 percent THC, meaning researchers are forced to give human subjects less than half as strong as cannabis from recreational stores or dispensaries.

This is the marijuana still being supplied every month – mailed out in half-pound tins of prerolls to the surviving patients in the Compassionate Investigational New Drug Program. Started in the 1970s, after a glaucoma sufferer named Robert Randall sued the government and accepted a settlement of free government-supplied weed for life, enrollment in that program capped at 30 people, of whom four are still alive. One, Irvin Rosenfeld has been receiving nine ounces monthly since 1982 for a rare bone disorder; Elvy Musikka, who suffers from glaucoma, began receiving eight ounces monthly in 1988. The program closed to new patients in 1992.

While this weed has kept Rosenfeld and Musikka alive and healthy, researchers have long complained that the hard-to-get supply is also insufficient. Today, there’s an increase in demand for research into extractions high in cannabidiol (CBD) and low in THC – research clamored for even by longstanding drug warriors like U.S. Sen. Dianne Feinstein. High-CBD, low-THC oil has been approved by state governments even in reliably red Republican parts of the country that still have punitive anti-marijuana laws on their books.

“DEA fully supports research [of extracts],” Rosenberg insisted in the Aug. 12 letter. “DEA has concluded that the best way to satisfy the current researcher demand for a variety of strains of marijuana and cannabinoid extracts is to increase the number of federally authorized marijuana growers.”

But there’s a catch – several of them, really.

Not So Fast

The DEA does not specifiy the number of new applicants allowed or how much they’ll be able to grow. The organization does state suppliers will be “limited” in order to avoid diversion of government-grade weed to the black market. It also outlines that while experienced suppliers will be considered, violations of the Controlled Substances Act, for, say, growing marijuana, may count against them.

The DEA’s language surrounding those who will be accepted for the program highlights an advantage for pharmaceutical companies over cannabis growers striving to work within the system.
“Should… a marijuana-derived drug [be] shown to be safe and effective for medical use, pharmaceutical firms will have a legal means of producing such drugs in the United States – independent of the NIDA contract process.”

Meanwhile, other obstacles remain. In the early 2000s, University of Massachusetts professor Lyle Craker received initial approval to grow research cannabis, but never got the chance. His application was personally rejected by then-DEA Administrator Michele Leonhart in 2005. Craker says he plans to apply for federal government approval – but first, he needs the permission of his state government, which has yet to offer a response.

And even if the government adds supply, there’s no guarantee research will be funded or approved.

Research hit a peak – 17 applications in a five-year period after the California Legislature used $9 million to create a medical cannabis research institute in 1999.

Once the state stopped funding the research, the studies stopped.

Sisley’s research is also state-funded, with $2 million from the Colorado Department of Public Health. It’s very unclear if more money will be forthcoming from other sources.
Still, “You’ll agree the handwriting is on the wall…  this product needs to be studied,” Craker says. “We need to be able to supply various strains to medical professionals. We need to test and see if these strains are different than others, we need to look at the terpenoids, not just the stuff that makes you high.”

“The DEA must be recognizing that to some extent that they are losing control.”

Just how much control the DEA will ultimately relinquish, however, remains to be seen.

Troubling Pharmacies: series links

Troubling Pharmacies: series links

http://www.newsleader.com/story/news/local/health-care/2017/01/02/troubling-pharmacies-links-all-stories-series/96079540/

Last week’s series about local pharmacies and pharmacists who’ve run afoul of the Board of Pharmacy, and the transparency issues with how the board notifies the public, are collected below. 

Under the story links you’ll find information about how to check the board’s case decisions or to look up the license status of your pharmacist, doctor, nurse, or other health professional.

Seventeen local pharmacies were cited by inspectors since 2010. One pharmacist committed over forty violations across 27 years and was never suspended for a day:

Augusta Health officials explain the corrective process after state inspectors paid a visit during a major renovation of their on-site pharmacy:

You could be visiting a pharmacy that had been cited for violations and was still in the midst of corrective actions, or accepting a prescription from a pharmacist on probation, without ever knowing it:

These area pharmacies were cited for violations since 2010:

A small but important improvement to how the state just made it easier to find out important information about your local health professionals:

Even if you have a clean record, inspections can be anxiety-inducing:

Case decisions from our area illustrate the type of mistakes that can endanger customers:

Complaints can be made online at http://www.dhp.virginia.gov/Enforcement/complaints.htm; by calling (800) 533-1560 or (804) 367-4691 or faxing (804) 527-4424; or by emailing enfcomplaints@dhp.virginia.gov when there is awareness of possible violations by one of DHP’s licensees.