Five times national Heroin use and they are worried about Fentanyl ?

mtmolehill1DEA on Fentanyl

http://www.koat.com/news/dea-on-fentanyl/31407846

FEDERAL AGENTS ARE LOOKING FOR A DEADLY DRUG, THAT’S KILLED HUNDREDS AND IS NOW MAKING A COMEBACK. AGENTS ARE WORRIED IT’S GOING TO SOON SHOW UP IN NEW MEXICO. ACTION 7 NEWS REPORTER MEGAN CRUZ EXPLAINS WHY IT’S SO DANGEROUS. ROYALE, FENTANYL IS A PRESCRIPTION DRUG – A VERY POWERFUL PAINKILLER. ON THE BLACK MARKET, IT’S COMMONLY MIXED WITH OR SUBSTITUTED FOR HEROIN. THE U.S. DRUG ENFORCEMENT ADMINISTRATION SAYS FENTANYL DEATHS ARE INCREASING SO MUCH RIGHT NOW… THEY’RE ISSUING A NATIONWIDE PUBLIC SAFETY ALERT. NEW MEXICO HAS A HUGE HEROIN PROBLEM. Up to 5 times the national average for overdose deaths. THAT’S WHY A SPIKE IN FENTANYL DEATHS, HAS FEDERAL AGENTS HERE CONCERNED. THE DRUG ENFORCEMENT ADMINISTRATION SAYS FENTANYL HAS SIMILAR AFFECT AS HEROIN, SO THE TWO ARE OFTEN MIXED TOGETHER, OR FENTANYL IS PASSED OFF AS HEROIN. PROBLEM IS, FENTANYL IS UP TO FIFTY TIMES MORE POTENT THAN HEROIN. It’s such a small amount that is potentially lethal. ASSISTANT SPECIAL AGENT IN CHARGE SEAN WAITE SAYS… A SUGAR PACKET CAN GIVE YOU SOME PERSPECTIVE. HE SAYS A COUPLE SUGAR GRAINS WORTH OF FENTANYL, COULD KILL YOU. IN PENNSYLVANIA ALONE, OFFICIALS REPORTED 200 FENTANYL-RELATED DEATHS IN 2014. IN NEW JERSEY, MORE THAN 80. WAITE SAYS OUR NEW MEXICO STREETS APPEAR FREE OF FENTANYL FOR NOW, BUT … We’re keeping a watchful eye over the situation. THE LAST TIME FENTANYL WAS A PROBLEM WAS FROM 2005 TO 2007. OFFICIALS SAY DURING THAT TIME, THERE WERE MORE THAN A THOUSAND FENTANYL-RELATED DEATHS ACROSS THE U.S. WOW, SO NOT TAKING A CHANCE THIS TIME AROUND

The DEA is so successful in New Mexico in preventing access to the ILLEGAL DRUG Heroin … that it has ONLY FIVE TIMES rate as the national average. I guess that future job security for the DEA in New Mexico is pretty secure …

Rite Aid Pharmacist STABBED during robbery

Rxtothehead

Pharmacist stabbed during robbery

http://www.utsandiego.com/news/2015/feb/21/pharmacist-rite-aid-drugs-robbery-escondido/

— A drug store robber stabbed a pharmacist in the shoulder before escaping with prescription drugs Saturday night, Escondido police said.

The holdup occurred about 6:30 p.m. at Rite Aid on South Centre City Parkway at Felicita Avenue, police Lt. Ed Varso said.

A man possibly in his 20s, covered in a hooded sweatshirt and a red-and-gray flannel jacket, went to the pharmacy counter at the back of the store and demanded drugs, Varso said.

The pharmacist handed over some number of medications, but got stabbed in one shoulder by the robber. “There was no real reason,” Varso said.

The robber, who was light-skinned, about 5 feet 8 inches tall and muscular, escaped out a back door. Medics took the wounded man to the hospital.

1-ribbonFirst they came for the mentally ill addicts, and I did not speak out—
Because I was not a mentally ill addict.

Then they came for the empathetic prescribers, and I did not speak out—
Because I was not an empathetic prescriber.

Then they came for the Pharmacists, and I did not speak out—
Because I was not a Pharmacist.

Then they came for me—and there was no one left to speak for me

Remove Judge Kathleen M. McCarthy

judge-kathleen-mccarthy-family

Remove Judge Kathleen M. McCarthy

https://www.facebook.com/pages/Remove-Judge-Kathleen-M-McCarthy/823203351083628

Judge ‘Outraged’ at Innocent Man, Orders Him to Pay $30,000 in Support for Child That Isn’t His

Carnell Alexander is not the father of the now-adult child for whom several courts, including the Wayne County Circuit Court this week, have ordered him to pay $30,000 in back child support for. How do we know he’s not the father? Because he took a DNA test proving the contrary, and even the mother (an ex-girlfriend) now says he’s not.

How is it possible in the Land of the Free that men can face huge fines, revocation of professional licenses, forfeiture of the right to international travel, and sometimes (as in Alexander’s case until this week) even jail time, from owing child support to kids that aren’t theirs? I wrote a feature about that 11 years ago, entitled “Injustice by Default.” Short version:

Governments (and sometimes even hospitals) are financially incentivized to attach paternity to the children of single mothers, particularly those seeking welfare benefits. Departments of Child Support Services will sometimes go on information as flimsy as “Dude with this name living in Southern California”; if a records search turns up only one dude, he will likely be mailed a court summons. That court summons will often be very confusingly written, so that the men don’t realize that they are just 30 days away from being declared the father via default judgment. Once you have been named the father, you owe all back child support (sometimes with interest), said support will be garnished from your wages, and it is devilishly hard to get your paternity undeclared, even with DNA proof and sworn affidavits from the mother.

Next generation of abuser/addicts ?

Hospitals See Alarming Increase in Suicidal Children

No easy solutions for pediatric mental health.

http://www.medpagetoday.com/Pediatrics/PreventiveCare/50117?xid=nl_mpt_DHE_2015-02-21&utm_content=&utm_medium=email&utm_campaign=DailyHeadlines&utm_source=ST&eun=g578717d0r&

Here’s a troubling thought: more kids and young adults are intentionally hurting themselves — sometimes lethally.

“The biggest news here is that there is a startling jump in the number of kids hospitalized for suicide and self injury between 2006 and 2011,” said Celeste Torio, PhD, MPH, scientific review officer, Office of Extramural Research Education and Priority Populations (OEREP) at the Agency for Healthcare Research and Quality (AHRQ).

The data on self-injury and suicide come from a report, published in American Pediatrics that found inpatient visits for suicide, suicidal ideation, and self-injury rose by 104% from 29,000 in 2006 to just below 59,000 in 2011, while “all-cause” children’s hospitalizations have not increased.

Everyone knows that the DEA doesn’t call ahead and demand money

Only On 2: Local Woman Gets Threatening Call From DEA But It’s All A Scam

Warm/fuzzy quote of the day !

warmfuzzy

When asked why we talk the talk but don’t walk the walk on patient safety in
the pharmacy, with regards to understaffing the pharmacists, this was the
response. It is the age old question of front-end vs. back-end. Do we pay
a pharmacist’s salary up front in hopes of preventing an error or do we just
accept that errors are going to occur and pay the lawsuit on the back-end?
Up front it is a definite expense to pay wages and benefits so it is better
to just cross our fingers and hope an error doesn’t occur. Makes you feel
all warm and fuzzy about going to the hospital doesn’t it?

Author unknown

Addictive personalities will never manifest themselves until pt is exposed to a “trigger” ?

Illinois Battles Prescription Pain-Pill Epidemic

http://www.nbcchicago.com/news/local/Illinois-Battles-Pain-Pill-Epidemic-293107921.html

“We need to make sure that we’re addressing these prescription painkillers and preventing people from getting addicted to them in the first place to keep them from moving to heroin,” said Debbie Hersman, president of the National Safety Council.

Felicia Micelli of suburban Medinah said her son, Louie, became addicted to pain pills following a sports injury. She said Louie’s opioid addiction led to heroin usage. But after rehabbing and staying clean for several months, Louie relapsed and died from an overdose in 2012.

Not to sound cold/heartless… but.. this Mother is blaming her son’s exposure to pain meds as  the gateway to Heroin addiction and his premature death. Perhaps if her son had not played sports .. he would have not been injured and would not have a need to have been exposed to pain meds…

The one interviewed said that the “pain meds” …”filled a VOID.. that he didn’t even knew existed ..but it filled that ”  That would – as best as can be described – an addictive personality – a mental health condition… that VOID was undiagnosed, untreated mental health issue.

Walgreens firing RPH’s for not being comfortable with certain categories of medications ?

Can you imagine this… WALGREENS cannot tell a Pharmacist to fill or not fill a control Rx that they are not comfortable with…but.. WALGREENS have fired Pharmacists who  are “not comfortable” providing vaccinations or Plan B ..

Does this suggest that Walgreens does have some influence over what prescriptions/products Pharmacists are allowed to fill or decline.. and since the above two categories do not include controlled meds.. would suggest that pts who have a medical necessity for controlled meds are being discriminated against ?

 

Walgreens Allowed to Fire Pharmacist Over Vaccine Stance

http://www.thelegalintelligencer.com/home/id=1202718497091/Walgreens-Allowed-to-Fire-Pharmacist-Over-Vaccine-Stance?mcode=1202617075166&curindex=0

Walgreens was within its rights to fire a pharmacist who had moral objections to administering flu vaccines, a federal judge has ruled.

Rodney Prewitt, a 66-year-old pharmacist who had worked at the company’s Oxford store for about five years, sued Walgreens after the pharmacy started a program in 2010 offering 20 vaccines, including one for the flu, to customers in its stores nationwide. It required pharmacists to complete a training program in order to administer the vaccines and immunize customers who asked for the service.

Prewitt, however, had moral objections to giving the vaccine since a close friend of his had gotten Guillain-Barre syndrome after getting a flu vaccine. The friend first became paralyzed and then died of complications from the disease, according to the opinion from U.S. District Judge Lawrence F. Stengel of the Eastern District of Pennsylvania.

Prewitt brought an age discrimination suit against the pharmacy, arguing that other, younger pharmacists who weren’t yet able to immunize customers had been able to maintain their regular work hours, whereas Prewitt wasn’t permitted to do that. Walgreens had offered him night shifts at a store farther away from his home than the Oxford location.

Prewitt was the only pharmacist working for Walgreens in Pennsylvania when it started the vaccine program who objected to participating, according to the opinion.

Prewitt “testified that he was not allowed to work because of his conscience objection,” Stengel said. “The plaintiff proceeded under the theory that his suspension/termination were ‘wrongful’ based on his moral objection up until he realized that this claim was legally deficient.”

He then brought the age discrimination claim.

Stengel granted that Prewitt had made an initial, prima facie case for age discrimination since he is over 40, was qualified for his job, suffered an adverse employment action, and the circumstances of that action could indicate age discrimination. Those are the four marks that a plaintiff must meet to make a case for an age discrimination suit.

However, when the burden shifted to Walgreens to show that it had a legitimate and nondiscriminatory reason to fire Prewitt, the company persuaded the judge that it did.

“He was demoted and later terminated because he refused to immunize customers,” Stengel said.

After the pharmacy started its vaccine program, administering those vaccines became a required part of Prewitt’s job, the judge said.

Referring to the change in scheduling—for both hours and locations—for Prewitt, Stengel said, “He was the only pharmacist to be placed on ‘floater’ status in Pennsylvania because he was the only pharmacist to object to administering vaccinations in Pennsylvania. The plaintiff did not work while being a ‘floater’ because he refused to work any shifts which were not his regular ones at the Oxford store.”

Further, Prewitt couldn’t show that Walgreens’ reliance on the immunization issue was a pretext for firing him for age discrimination.

“The plaintiff does not point to a single shred of evidence to support pretext,” Stengel said. “To the contrary, evidence in the record shows that the plaintiff himself agrees that his objection to immunize was the reason he was suspended and then terminated.”

Even if his age had played a role in the company’s decision to fire Prewitt, it hadn’t played a determinative role, Stengel said, addressing the theory of disparate treatment, which would require age to be the determinative factor.

However, here, it was Prewitt’s objection to vaccinating Walgreens’ customers that was the determinative factor, the judge said.

“Walgreens made a business decision to market vaccinations, specifically the flu vaccine,” Stengel said. “Mr. Prewitt did not agree with this decision and voiced a moral objection. He refused to perform an essential part of his job. Though Mr. Prewitt’s objection may have been genuine and sincere, he has not established any unlawful discrimination by his employer.”

Michael Ossip of Morgan, Lewis & Bockius in Philadelphia represented Walgreens and declined to comment.

John Gallagher of Gallagher Law Group in Berwyn represented Prewitt and couldn’t be reached for comment.

Saranac Hale Spencer can be contacted at 215-557-2449 or sspencer@alm.com. Follow her on Twitter @SSpencerTLI.

(Copies of the 36-page opinion in Prewitt v. Walgreens, PICS No. 15-0293, are available from The Legal Intelligencer. Please call the Pennsylvania Instant Case Service at 800-276-PICS to order or for information.) •

http://www.charismanews.com/us/42773-walgreens-fires-pharmacist-for-refusing-to-compromise-his-religious-beliefs-by-selling-plan-b

Walgreens Fires Pharmacist for Refusing to Compromise His Beliefs by Selling ‘Plan B’

$300 billion annual health-care expenses from non-medicine compliance” “It’s an epidemic.”

 CVS executive: More changes coming to healthcare

http://www.journalnow.com/business/business_beat/cvs-executive-more-changes-coming-to-healthcare/article_ed7d6a60-b966-11e4-8846-77b49becc7bf.html

The chief executive of CVS Health said Friday the United States is in the second or third inning when it comes to health-care changes and innovations.

Larry Merlo said that even though there have been significant breakthroughs in both areas recently, providers, consumers and employers remain caught in a “cost-quality-access conundrum.”

Merlo discussed CVS’ role in responding to those challenges in a speech to about 570 attendees at the Winston-Salem Chamber of Commerce’s annual state of the economy event.

That includes what Merlo called the “retailization of health care.”

He said CVS is playing a non-emergency role with in-store clinics operated by nurse practitioners, a pharmacy advisory initiative, and telemedicine offerings. Merlo called those services as “complementary and collaborative” with health-care systems.

Merlo said uncertainty lingers about the ultimate reach of the Affordable Care Act at a time when about 10,000 baby boomers a day become eligible for Medicare coverage and an estimated 30 million more Americans could be covered through health insurance exchanges, state Medicaid expansion and employers.

He said emphasizing preventive care is a big key to reducing overall health-care costs, such as accountable-care organizations promoting “whole body” evaluations, patient-centered medical homes offered though primary-care physicians, or simply digital reminders and prompts for people with chronic disease to take their prescribed medicines.

Merlo said about half of the patients that come to its MinuteClinic don’t have a primary-care physician.

“Pharmacies have a key role to play in health and with costs,” Merlo said. “It’s much more than just dispensing pills.

“There is about $300 billion in annual health-care expenses from unnecessary and avoidable costs from non-medicine compliance” by patients. “It’s an epidemic.”

Merlo said “employers needs to drive prevention, and CVS is walking the talk” by promoting consumer-driven high-deductible insurance plans and offering rewards to its employees “who take steps to improve their health.”

“Consumers will have more control and take more responsibility for their health care and health-care costs,” Merlo said. “We do have good reason to be optimistic.”

He cited as an example the waves of private-sector health-care innovations.

Another way CVS expanded its preventive care role was the decision to stop selling all cigarette and smokeless tobacco products in its more than 7,800 stores last October. It becomes the first national pharmacy chain to take that step.

“Put simply, the sale of tobacco products is inconsistent with our purpose” of better health outcomes, reducing chronic disease and controlling costs, Merlo said in February 2014 when announcing the decision.

“There are some significant and lasting changes on the way,” Merlo said.

“Health care will change more, and be managed differently, in the next 10 years than the previous 50 years combined