Weed was my drug of choice as a young man battling depression...and also added alcohol to the mix. That combo kept me level and I didn't need any opiates or any of that garbage...
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The War on Opioids - Time for Re-Evaluation..?
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Bottom_Feeder
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All opioids are cheap to produce, even heroin. Although heroin has to be produced manually, hence why it's produced in third world countries. Heroin is produced by poppy flowers, by scoring and harvesting the opium latex. As far as pharmaceutical opiates some are synthetic some are natural. Fentanyl being synthetic so produced in a lab. It's just really powerful. As far as a recipe goes... no idea. All I know is this ain't baking the standard cookie
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I've meet crackheads before that have lived long lives. Crackhead for 40+ years.The most common cure for opioid addiction is, drum roll please... more opioids. Usually one is placed on a maintenance dose of either suboxone or methadone. There are many breakthrough cases that actually get clean but is a hard and long journey. The most promising cure is high dose psychedelics. Guided therapeutic meditation with a psychedelic journey. Just so happens this is within my realm of knowledge. I am a big believer of psychedelics. Only mushrooms though because of safety concerns. Easy to grow and powerful. I used to microdose daily and take heavy dose on occasion.No idea but its probably a good thing I did not major in chemistry...
I would hazard to speculate its not quite as complex are producing a raw testosterone cyp powder, but at the same time it would still require an extensive pharma grade lab, God knowledge, and an expensive jet airplane to get away from the law...
As it turns out the CURE for opioid addiction is pretty simple and easy to produce. Its CRACK COCAINE.. You will forget all about silly opioids.. And I mean QUICK. I have seen it first hand.. And hey. You will wind up dead in 6 months to a year tops..
There has been alot of recent research within psychedelics. One study suggested a cigarette addiction was cured after a single high guided dose of psylocin (psychoactive compound in Psilocybe cubensis or majic mushrooms) with a sucess rate of 80%. Many other studies have been done such as death acceptance for critically I'll patients. Treatments for ptsd, depression, self worth, even overall quality of life. A single dose can change ones personality. In the "big 5" personality traits one is openness. A single dose can change a person's personality by one standard deviation, tested same after 1 year. That's huge. There is a handful in here that could use a little openness.
If anyone is interested I can drop links, if I can find them.
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I agree and we are probably from the same generation or close. I mention that just to determine psychologic/sociological era stress factors and influencers as potentially similar. Weed did keep me even keel when I could have been a raging stressed asshole in college and I did not touch steroids (as test supping) till I was 36 or so. Of course I THINK it turns out that HOT STUFF I was taking was DBOL JAKKED... LOL. It IS ALSO NOTED that when I was smoking pot my need for alcohol was very minimal and perhaps even only beer to keep the whistle wet...
I also want to point out I NEVER liked to get "high" on opioids. IN fact, in that college era, I was given a 5mg Lortab one day and the shit made me want to puke and I did not like it. It was not till I was 33 and had some surgeries that I could appreciate opioids for OLD MAN ITIS... And all I needed was 5mgs hydro a few times a week then. It was not until that continued into my forties and had real pain that I became a fan of hydrocodone. Still I did not piece the puzzle together that it was keeping off real pain. That is - TILL THEY PULLED THE RUG OUT FROM UNDER ME AROUND AGE 45 and I FOUND MYSELF IN PAIN LIKE I WAS AGE-ACCELLERATED 13 years overnight...
My only problem with weed is I hate to see my kids going there. I feel like, I KNOW, you just miss out on part of life's "developmental psychiee"... I honestly don't know if its protective or detrimental to be high during those early years because I was never steady with it.. So .... But I do know weed tends to keep one zoned out, sitting still at green lights, etc... And that pisses me off now..
Perhaps I should just go with it and get stoned too..
I remember that movie...good times.
Nahh.... No one saw this one coming... Like they are not loving it.. This is EXACTLY what they wanted.. Sources report astounding success in operation KILL EM ALL... 
Obama and company says - "They're luvin it"... Only now its trickling over into the "World of the Haves". Oh MY... So too bad cause they're aiming for 250k/year and nowhere near their goal.. Get yer money vested in Narcan before the market Bull Run on it...
HINT - Nobody would have to seek street opioids if they just opened up the spigot on the hydrocodone again. But Noooooo... And they already know this. They also know that new street users are being born every day the way things are. All for the slaughter.. As demand continues to spur growth of new overseas drug labs to produce super cheap yet potent/small and concealable/ that a single cup full is probably enough to kill some entire US states. KEEP UP THE GOOD WORK GENIUSES... and what direction do you think this is headed...!!!!!!! Really...!
But keep terrorizing the docs and keep turning legitimate patients away. By the time they try to undo this mess they will literally have to have DEA agents sit in or doctor visits to give the docs stress massages assuring them its ok while they tremble stroking that pen...
From the Article....
"The global coronavirus pandemic has overshadowed the American opioid epidemic for the last two years, but recent news that overdose deaths surpassed 100,000 in one year caught the public's attention. Politically, federal legislation to address the opioid crisis won support across the partisan divide during both the Obama and Trump administrations."
AND NO - IT WAS ALL DURING OBAMA...
"WASHINGTON (AP) — The U.S. needs a nimble, multipronged strategy and Cabinet-level leadership to counter its festering overdose epidemic, a bipartisan congressional commission advises.
With vastly powerful synthetic drugs like fentanyl driving record overdose deaths, the scourge of opioids awaits after the COVID-19 pandemic finally recedes, a shift that public health experts expect in the months ahead.
“This is one of our most pressing national security, law enforcement and public health challenges, and we must do more as a nation and a government to protect our most precious resource — American lives,” the Commission on Combating Synthetic Opioid Trafficking said in a 70-page report released Tuesday.
The report envisions a dynamic strategy. It would rely on law enforcement and diplomacy to shut down sources of chemicals used to make synthetic opioids. It would offer treatment and support for people who become addicted, creating pathways that can lead back to productive lives. And it would invest in research to better understand addiction's grip on the human brain and to develop treatments for opioid use disorder.
The global coronavirus pandemic has overshadowed the American opioid epidemic for the last two years, but recent news that overdose deaths surpassed 100,000 in one year caught the public's attention. Politically, federal legislation to address the opioid crisis won support across the partisan divide during both the Obama and Trump administrations.
Rep. David Trone, D-Md., a co-chair of the panel that produced the report, said he believes that support is still there, and that the issue appeals to Biden's pragmatic side. “The president has been crystal clear,” Trone said. “These are two major issues in America: addiction and mental health." Trone's counterpart was Sen. Tom Cotton, R-Ark.
The U.S. government has been waging a losing “war on drugs” for decades.
The stakes are much higher now with the widespread availability of fentanyl, a synthetic painkiller 80 to 100 times more powerful than morphine. It can be baked into illicit pills made to look like prescription painkillers or anti-anxiety medicines. The chemical raw materials are produced mainly in China. Criminal networks in Mexico control the production and shipment to the U.S.
Federal anti-drug strategy traditionally emphasized law enforcement and long prison sentences. But that came to be seen as tainted by racial bias and counter-productive because drug use is treatable. The value of treatment has recently has gained recognition with anti-addiction medicines in wide use alongside older strategies like support groups.
The report endorsed both law enforcement and treatment, working in sync with one another.
“Through its work, the commission came to recognize the impossibility of reducing the availability of illegal synthetic opioids through efforts focused on supply alone,” the report said.
“Real progress can come only by pairing illicit synthetic opioid supply disruption with decreasing the domestic U.S. demand for these drugs," it added.
The report recommends what it calls five “pillars” for government action:
— Elevating the White House Office of National Drug Control Policy to act as the nerve center for far-flung federal efforts, and restoring Cabinet rank to its director.
— Disrupting the supply of drugs through better coordinated law enforcement actions.
— Reducing the demand for illicit drugs through treatment and by efforts to mitigate the harm to people addicted. Treatment programs should follow science-based “best practices.”
— Using diplomacy to enlist help from other governments in cutting off the supply of chemicals that criminal networks use to manufacture fentanyl.
— Developing surveillance and data analysis tools to spot new trends in illicit drug use before they morph into major problems for society.
Participating as non-voting members in the commission’s work were high-level executive branch officials, including representatives from law enforcement, the departments of State, Treasury and Homeland Security, the intelligence community, and the White House. Administration officials said Biden has already issued two executive orders to counter fentanyl trafficking and called on Congress to pass his $41 billion request to address the overdose epidemic.
In prepared statements, Republican commission members stressed the law enforcement response. “We must redouble our efforts to secure the border against illegal trafficking by targeting Mexican cartels flooding our streets with illicit opioids and force China’s hand to crackdown on their pharmaceutical industry supplying cartels with the base compounds used to manufacture synthetic opioids,” said Rep. Fred Upton, R-Mich.
Trone said it's going to take cooperation from both political parties. “We have to take this toxic atmosphere in Washington and move past it,” he said. “Because 100,000 people, that's husbands, sisters, mothers, fathers. As a country, we are better than that."
Obama and company says - "They're luvin it"... Only now its trickling over into the "World of the Haves". Oh MY... So too bad cause they're aiming for 250k/year and nowhere near their goal.. Get yer money vested in Narcan before the market Bull Run on it...HINT - Nobody would have to seek street opioids if they just opened up the spigot on the hydrocodone again. But Noooooo... And they already know this. They also know that new street users are being born every day the way things are. All for the slaughter.. As demand continues to spur growth of new overseas drug labs to produce super cheap yet potent/small and concealable/ that a single cup full is probably enough to kill some entire US states. KEEP UP THE GOOD WORK GENIUSES... and what direction do you think this is headed...!!!!!!! Really...!
But keep terrorizing the docs and keep turning legitimate patients away. By the time they try to undo this mess they will literally have to have DEA agents sit in or doctor visits to give the docs stress massages assuring them its ok while they tremble stroking that pen...From the Article....
"The global coronavirus pandemic has overshadowed the American opioid epidemic for the last two years, but recent news that overdose deaths surpassed 100,000 in one year caught the public's attention. Politically, federal legislation to address the opioid crisis won support across the partisan divide during both the Obama and Trump administrations."
AND NO - IT WAS ALL DURING OBAMA...
"WASHINGTON (AP) — The U.S. needs a nimble, multipronged strategy and Cabinet-level leadership to counter its festering overdose epidemic, a bipartisan congressional commission advises.
With vastly powerful synthetic drugs like fentanyl driving record overdose deaths, the scourge of opioids awaits after the COVID-19 pandemic finally recedes, a shift that public health experts expect in the months ahead.
“This is one of our most pressing national security, law enforcement and public health challenges, and we must do more as a nation and a government to protect our most precious resource — American lives,” the Commission on Combating Synthetic Opioid Trafficking said in a 70-page report released Tuesday.
The report envisions a dynamic strategy. It would rely on law enforcement and diplomacy to shut down sources of chemicals used to make synthetic opioids. It would offer treatment and support for people who become addicted, creating pathways that can lead back to productive lives. And it would invest in research to better understand addiction's grip on the human brain and to develop treatments for opioid use disorder.
The global coronavirus pandemic has overshadowed the American opioid epidemic for the last two years, but recent news that overdose deaths surpassed 100,000 in one year caught the public's attention. Politically, federal legislation to address the opioid crisis won support across the partisan divide during both the Obama and Trump administrations.
Rep. David Trone, D-Md., a co-chair of the panel that produced the report, said he believes that support is still there, and that the issue appeals to Biden's pragmatic side. “The president has been crystal clear,” Trone said. “These are two major issues in America: addiction and mental health." Trone's counterpart was Sen. Tom Cotton, R-Ark.
The U.S. government has been waging a losing “war on drugs” for decades.
The stakes are much higher now with the widespread availability of fentanyl, a synthetic painkiller 80 to 100 times more powerful than morphine. It can be baked into illicit pills made to look like prescription painkillers or anti-anxiety medicines. The chemical raw materials are produced mainly in China. Criminal networks in Mexico control the production and shipment to the U.S.
Federal anti-drug strategy traditionally emphasized law enforcement and long prison sentences. But that came to be seen as tainted by racial bias and counter-productive because drug use is treatable. The value of treatment has recently has gained recognition with anti-addiction medicines in wide use alongside older strategies like support groups.
The report endorsed both law enforcement and treatment, working in sync with one another.
“Through its work, the commission came to recognize the impossibility of reducing the availability of illegal synthetic opioids through efforts focused on supply alone,” the report said.
“Real progress can come only by pairing illicit synthetic opioid supply disruption with decreasing the domestic U.S. demand for these drugs," it added.
The report recommends what it calls five “pillars” for government action:
— Elevating the White House Office of National Drug Control Policy to act as the nerve center for far-flung federal efforts, and restoring Cabinet rank to its director.
— Disrupting the supply of drugs through better coordinated law enforcement actions.
— Reducing the demand for illicit drugs through treatment and by efforts to mitigate the harm to people addicted. Treatment programs should follow science-based “best practices.”
— Using diplomacy to enlist help from other governments in cutting off the supply of chemicals that criminal networks use to manufacture fentanyl.
— Developing surveillance and data analysis tools to spot new trends in illicit drug use before they morph into major problems for society.
Participating as non-voting members in the commission’s work were high-level executive branch officials, including representatives from law enforcement, the departments of State, Treasury and Homeland Security, the intelligence community, and the White House. Administration officials said Biden has already issued two executive orders to counter fentanyl trafficking and called on Congress to pass his $41 billion request to address the overdose epidemic.
In prepared statements, Republican commission members stressed the law enforcement response. “We must redouble our efforts to secure the border against illegal trafficking by targeting Mexican cartels flooding our streets with illicit opioids and force China’s hand to crackdown on their pharmaceutical industry supplying cartels with the base compounds used to manufacture synthetic opioids,” said Rep. Fred Upton, R-Mich.
Trone said it's going to take cooperation from both political parties. “We have to take this toxic atmosphere in Washington and move past it,” he said. “Because 100,000 people, that's husbands, sisters, mothers, fathers. As a country, we are better than that."
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Personally and a story I have been saving. At some point in the past year I thought to myself well its been a while perhaps I should look back into some pain relief. So I went straight to the horse, and on a physician referral. Pain Management at a local Hospital it was. Keep in mind I do have an MRI of a back that is stated by ortho to look like that of someone 30 years older than I am and will all kinds of damage going on. He's amazed I can function normally still as he speaks of potentially going in for 3 cervical discs. I digress now these diagnoses were years ago...
So I get there and piss in a cup. Then I go to the exam room. Perhaps it should be called INTERROGATION ROOM. The doc is head of the PM Dept. for this hospital mind you and comes in the room with a tag-a-long. Not to my surprise the LPN or whatever she was is here acting as a court reporting stenographer. Her sole purpose in the room was to dictate every single word spoken to that computer hanging on the wall.. I was starting to realize that it was not a medical appointment, but a court hearing I was at. - ON TRIAL - .. Note that the piss test is apparently used as an obstacle for patients to receive treatment as it billed out at almost $2000.00 for a basic piss test... Surprisingly my insurance allowed 100bux of it. But I doubt they offer a GOOD RX Deal and what could the purpose of this big financial showing be? More than a simple laundered write-off I suspect, and but a grand presentation as to how much effort they are making to discourage drug seeking patients. Forget about the legit ones. Yer just really fukked if your are in pain and have no ins. I can imagine...
So I advise the Doc that I am there to broaden my pain management tools, as there is a time and place for every pill, and not to mention I am gobbling way too many tylenol. She says it sounds like you are here seeking opioids. I was thinking DUHH. That's why I was referred as you are the only game in town because no one will write them. But I advised her that this is why my general referred me. Keep in mind I am not attempting to go on a full time opioid diet I was just looking to gain access to 20 norcos/mnth give or take. Just something to mix it up and JUST GET A FEW FUKKING DAYS OF RELIEF FROM TIME TO GD DAMN TIME...!
She explains to me how they are trained to determine who is there to get drugs for the wrong reasons - DRUG SEEKING BEHAVIOR. I'm thinking I have not been prescribed, nor taken, any kind of opioid in over 5 years half wit. But they already know this because the state I live in tracks Schedule-II's for at least 2 years.
She went on to accuse me of just wanting pills. So since I had just advised her that I was aware of the proper use of NSAIDS, general analgesics, gaba actors, all that; and that I utilized them appropriately (which is a little as possible) - she went on to load that up in her guns.. I had also advised her that I was cleaning up my life and attempting to not use alcohol as an anesthetic so often as I used to. When asked, I advised her I had a couple of drinks most days, but sometimes more on bad days. But I was clear this was not an option for me so much anymore as I begin to age, which was one of the reasons I was there. This is where she starts telling me I am a drug addict alcoholic and perhaps I needed a rehab.. At that point my mind started turning and thinking this could indeed be a GREAT Opportunity for another vacation from THE BITCH at home... I'm still pondering this one as my insurance will cover it. I just need to figure out how to get to a nice MALIBU type vacation to do it right,, 
THE ICING ON THE CAKE as I advised her that I was willing to examine all options with her in addition to my intent to resume opioid treatment. I asked what all these options were. She mentioned Physical Therapy and I returned I have done that one and I do the same exercises in the gym I go to myself. Which is the only time of day I am not miserable with pain. This is where it got really good AS SHE BEGAN TO RECOMMEND MASSAGE AND ACCUPUNTURE.. These words actually came out of a pain doc's mouth shit you not. I'm thinking to myself, certainly you can't be serious about acupuncture and massage - ?!? - you don't even have a single Asian person at the front desk.. Am I supposed to get naked now? Is that what they want?? L.............. O............... L.................. Just saying I had to wonder what he point of it all was... Because up till then I thought I was in a professional medical practitioner's office..?!? But I did advise her I was thinking of something more along the lines that my insurance would cover... I'm thinking perhaps I should just head over to the local massage parlor and break out my trusty Health Insurance Card.. I wonder can they get the jerky on there too? Do you think there's a points system to get a free one? RIDICULOUS...
SO then as we begin to conclude, or really she just gets up leaves citing she would look at my MRI and I should make another 200$ appointment for a few weeks down the road. And when I know she had access to these docs in her digital system already. While all along she was probably thinking to herself, "shouldn't yer ass be dead by now, after all not many of your peers made it this far after you were all tossed to the woods not unlike garbage from the back of a pick-up"...
FINALLY, I got the swift kick in the ass GAME played on me at checkout as one of the LPN/CLERKS (whatever these people with zero training and capable of MALPRACTICE AT BEST are called these days) played the RUDE AS SHIT TO ME GAME for no good reason. It was like they presses a red button and a code had been sent to front desk to alienate patient. (And if you don't think doc offices are capable of these concepts - THINK AGAIN...). But I just sat there smiling and playing along... As she cuntishly pretended to be interested in scheduling my follow up appt. I was like "I'll call you"...
So you have a...:
-Completely legit patient.
-Completely legit physical ailment meriting w/documentation..
-Solid referral.
-Major hospital pain management center.
-Good Insurance.
-Reasonable treatment request.
-ZERO history of any kind of opioid or illicit drugs in past 5 years.
*** And you get a slap in the face insultingly called a drug seeking substance abuser and tossed out with no other option but to keep on cookin yourself with OTC meds.
Somewhere along the line they have already been brainwashed to forget the therapeutic effect of opioids in pain patients. And the fact that some of us live completely different lives without these meds. Fairly unproductive lives as we are left to deal with it. And make no mistake the human body can adapt to a shit ton on pain. But this does not mean it goes unnoticed by the brain. And it certainly does not mean that it does not adversely effect every aspect of your life.
OR is it just that they want you dead all cooked up on NSAIDs and Corticosteroids. ??!! You really have to wonder. Must make a great parlay-clotter-play in conjunction with Covid in terms of vascular damage and clotting.
Moral of the story.. I could have saved the 200 bux that I spent on the charlatan posing as a Pain Doc and hit a good Asian parlor and got the massage and acupuncture she recommended; as well as a much HAPPIER Ending....
Just absurd...
So they can all sit up there in their high places getting GOD KNOWS WHAT for their comfort and continue to allow and encourage the illegal drug trade and proliferation of deadly substances like fentanyl inside our boarders. Keep watching people die until its one of their friends or loved ones. Or they can wake the fuck up and realize this never should have went down this way.. It was a poor decision by a poor administration and sorry ass ignorant people in office at the time.
-
So I get there and piss in a cup. Then I go to the exam room. Perhaps it should be called INTERROGATION ROOM. The doc is head of the PM Dept. for this hospital mind you and comes in the room with a tag-a-long. Not to my surprise the LPN or whatever she was is here acting as a court reporting stenographer. Her sole purpose in the room was to dictate every single word spoken to that computer hanging on the wall.. I was starting to realize that it was not a medical appointment, but a court hearing I was at. - ON TRIAL - .. Note that the piss test is apparently used as an obstacle for patients to receive treatment as it billed out at almost $2000.00 for a basic piss test... Surprisingly my insurance allowed 100bux of it. But I doubt they offer a GOOD RX Deal and what could the purpose of this big financial showing be? More than a simple laundered write-off I suspect, and but a grand presentation as to how much effort they are making to discourage drug seeking patients. Forget about the legit ones. Yer just really fukked if your are in pain and have no ins. I can imagine...
So I advise the Doc that I am there to broaden my pain management tools, as there is a time and place for every pill, and not to mention I am gobbling way too many tylenol. She says it sounds like you are here seeking opioids. I was thinking DUHH. That's why I was referred as you are the only game in town because no one will write them. But I advised her that this is why my general referred me. Keep in mind I am not attempting to go on a full time opioid diet I was just looking to gain access to 20 norcos/mnth give or take. Just something to mix it up and JUST GET A FEW FUKKING DAYS OF RELIEF FROM TIME TO GD DAMN TIME...!
She explains to me how they are trained to determine who is there to get drugs for the wrong reasons - DRUG SEEKING BEHAVIOR. I'm thinking I have not been prescribed, nor taken, any kind of opioid in over 5 years half wit. But they already know this because the state I live in tracks Schedule-II's for at least 2 years.
She went on to accuse me of just wanting pills. So since I had just advised her that I was aware of the proper use of NSAIDS, general analgesics, gaba actors, all that; and that I utilized them appropriately (which is a little as possible) - she went on to load that up in her guns.. I had also advised her that I was cleaning up my life and attempting to not use alcohol as an anesthetic so often as I used to. When asked, I advised her I had a couple of drinks most days, but sometimes more on bad days. But I was clear this was not an option for me so much anymore as I begin to age, which was one of the reasons I was there. This is where she starts telling me I am a drug addict alcoholic and perhaps I needed a rehab
.. At that point my mind started turning and thinking this could indeed be a GREAT Opportunity for another vacation from THE BITCH at home... I'm still pondering this one as my insurance will cover it. I just need to figure out how to get to a nice MALIBU type vacation to do it right,, THE ICING ON THE CAKE as I advised her that I was willing to examine all options with her in addition to my intent to resume opioid treatment. I asked what all these options were. She mentioned Physical Therapy and I returned I have done that one and I do the same exercises in the gym I go to myself. Which is the only time of day I am not miserable with pain. This is where it got really good AS SHE BEGAN TO RECOMMEND MASSAGE AND ACCUPUNTURE.. These words actually came out of a pain doc's mouth shit you not. I'm thinking to myself, certainly you can't be serious about acupuncture and massage - ?!? - you don't even have a single Asian person at the front desk.. Am I supposed to get naked now? Is that what they want?? L.............. O............... L.................. Just saying I had to wonder what he point of it all was... Because up till then I thought I was in a professional medical practitioner's office..?!? But I did advise her I was thinking of something more along the lines that my insurance would cover... I'm thinking perhaps I should just head over to the local massage parlor and break out my trusty Health Insurance Card.. I wonder can they get the jerky on there too? Do you think there's a points system to get a free one? RIDICULOUS...
SO then as we begin to conclude, or really she just gets up leaves citing she would look at my MRI and I should make another 200$ appointment for a few weeks down the road. And when I know she had access to these docs in her digital system already. While all along she was probably thinking to herself, "shouldn't yer ass be dead by now, after all not many of your peers made it this far after you were all tossed to the woods not unlike garbage from the back of a pick-up"...
FINALLY, I got the swift kick in the ass GAME played on me at checkout as one of the LPN/CLERKS (whatever these people with zero training and capable of MALPRACTICE AT BEST are called these days) played the RUDE AS SHIT TO ME GAME for no good reason. It was like they presses a red button and a code had been sent to front desk to alienate patient. (And if you don't think doc offices are capable of these concepts - THINK AGAIN...). But I just sat there smiling and playing along... As she cuntishly pretended to be interested in scheduling my follow up appt. I was like "I'll call you"...
So you have a...:
-Completely legit patient.
-Completely legit physical ailment meriting w/documentation..
-Solid referral.
-Major hospital pain management center.
-Good Insurance.
-Reasonable treatment request.
-ZERO history of any kind of opioid or illicit drugs in past 5 years.
*** And you get a slap in the face insultingly called a drug seeking substance abuser and tossed out with no other option but to keep on cookin yourself with OTC meds.
Somewhere along the line they have already been brainwashed to forget the therapeutic effect of opioids in pain patients. And the fact that some of us live completely different lives without these meds. Fairly unproductive lives as we are left to deal with it. And make no mistake the human body can adapt to a shit ton on pain. But this does not mean it goes unnoticed by the brain. And it certainly does not mean that it does not adversely effect every aspect of your life.
OR is it just that they want you dead all cooked up on NSAIDs and Corticosteroids. ??!! You really have to wonder. Must make a great parlay-clotter-play in conjunction with Covid in terms of vascular damage and clotting.
Moral of the story.. I could have saved the 200 bux that I spent on the charlatan posing as a Pain Doc and hit a good Asian parlor and got the massage and acupuncture she recommended; as well as a much HAPPIER Ending....
Just absurd...
So they can all sit up there in their high places getting GOD KNOWS WHAT for their comfort and continue to allow and encourage the illegal drug trade and proliferation of deadly substances like fentanyl inside our boarders. Keep watching people die until its one of their friends or loved ones. Or they can wake the fuck up and realize this never should have went down this way.. It was a poor decision by a poor administration and sorry ass ignorant people in office at the time.
-
Oh Look.... MILLIONS dead now, not even including the runoff to other substance and PLETHORA OR RAMPANT ALCOHOLISM sweeping the country. But its looks like it might BE TIME for re-evaluation...
https://www.msn.com/en-us/news/us/c-d-c-proposes-new-guidelines-for-treating-pain-including-opioid-use/ar-AATHe6u?cvid=fd2fcf9d16244d6f8f99d072fbff4810&ocid=winp1taskbar.
"The federal government on Thursday proposed new guidelines for prescribing opioid painkillers that remove its previous recommended ceilings on doses for chronic pain patients and instead encourage doctors to use their best judgment. (That is IF The docs have any ballz left at all)...
© Patrick T. Fallon/Agence France-Presse — Getty ImagesAssorted pills and prescription drugs, including opioids, being disposed of as part of a Prescription Drug Take Back Day in Los Angeles.
But the overall thrust of the recommendations was that doctors should first turn to “nonopioid therapies” for both chronic and acute pain, including prescription medications like gabapentin and over-the-counter ones like ibuprofen, as well as physical therapy, massage and acupuncture. (Speak of the devil - don't look like they made it too far now does it)....
FROM THE ARTICLE...:
Though still in draft form, the 12 recommendations, issued by the Centers for Disease Control and Prevention, are the first comprehensive revisions of the agency’s opioid prescribing guidelines since 2016. They walk a fine line between embracing the need for doctors to prescribe opioids to alleviate some cases of severe pain while guarding against exposing patients to the well-documented perils of opioids.
Dr. Samer Narouze, president of the American Society of Regional Anesthesia and Pain Medicine, an association of clinicians, praised the tone, level of detail and focus of the project. “It’s a total change in the culture from the 2016 guidelines,” he said, characterizing the earlier edition as ordering doctors to “just cut down on opioids — period.” (Don't you mean "CUT OUT OPIOIDS - PERIOD)...
By contrast, the new proposal “has a much more caring voice than a policing one, and it’s left room to preserve the physician-patient relationship,” added Dr. Narouze, chairman of the Center for Pain Medicine at Western Reserve Hospital in Cuyahoga Falls, OH.
The 229-page document warns of addiction, depressed breathing, altered mental status and other dangers associated with opioids, but it also notes that the drugs serve an important medical purpose, especially for easing the immediate agony from traumatic injuries such as burns and crushed bones. In those instances when opioids seem the way to go, the recommendations said, doctors should start with the lowest effective dose and prescribe immediate-release pills rather than long-acting ones.
The recommendations are now open on the Federal Register for public comment for 60 days. The agency will review the comments and most likely issue a final version by the end of 2022. Like the 2016 guidelines, they are suggested practices and not mandatory.
“We are welcoming comments from patients who are living with pain every day and from their caregivers and providers,” said Christopher Jones, a co-author of the draft and acting director of the National Center for Injury Prevention and Control, the arm of the C.D.C. that released the new guidelines.
Kate Nicholson, executive director of the National Pain Advocacy Center, a patient organization that says it does not take funding from the pharmaceutical industry, found much to admire in the new guidelines. “We went from one side of the pendulum, with overly liberal prescribing of opioids, and that did harm, to just looking at gross drops in prescribing without looking at individual needs. And that did harm,” said Ms. Nicholson, whose input was sought during the development of the draft. “This is closer to a Goldilocks solution where chronic pain is not a monolith.”
The guidelines do not apply to patients suffering pain from cancer or sickle cell, or are in end-of-life or palliative care. Ms. Nicholson said, however, that relying on such disease categories — which insurance companies seize upon to make reimbursement rulings — “doesn’t tell us enough about who actually has severe pain.”
The 2016 guidelines generated anger and fear in many chronic pain patients, many of whom rely on doses far higher than the recommended ceiling of 90 morphine milligram equivalents daily. Hundreds of pain medicine specialists protested as well.
Though the dosing ceilings were merely a recommendation, dozens of states codified them. Fearing criminal and civil penalties, many doctors misapplied them as rigid standards, tapering chronic pain patients too abruptly and even tossing some from their practices.
Studies show that the number of opioid prescriptions overall has been dropping since 2012, and the decline escalated after the 2016 guidelines came out.
The new proposed recommendations step back from the notion of one-size dosing fits all and instead builds in “flexibility to recognize that pain care needs to be individualized,” Dr. Jones said.
But the recommendations make it abundantly clear that doctors should regularly reassess the benefits and risks of opioids.
“The evidence around the long-term benefits of opioids continues to remain very limited,” Dr. Jones said. (RIGHT - LOL)
In another indication that the C.D.C. sees these new guidelines as a course-correction to the earlier ones, the agency now suggests that when patients test positive for illicit substances, doctors should offer counseling, treatment and, when necessary, careful tapering. Because doctors had interpreted the 2016 dosing limits narrowly, some had worked up one-strike policies and were summarily ejecting such patients. (Since WHEN did the CDC become the player here?? Wasn't it the FDA and DEA that were the henchmen??)
Dr. Jones said that such results should instead be considered one piece of diagnostic information among many. An unduly high level of opioids could indicate the patient still has untreated pain or even a substance use disorder. “If you instead retain the patient and have those conversations, there’s now an opportunity to improve the patient’s life,” he said. (DUHH)
Drawing from a mountain of research that accumulated in recent years, the proposed guidelines also offer extensive recommendations for the treatment of acute pain — short-term pain that can come with an injury like a broken bone or the aftermath of surgery. They advise against prescribing opioids, except for traumatic injuries, such as burns and auto accidents. (Well if you call a change from the current policy of sending patients home from the hospital with 12 5/500 hydrocodonez,, Why dont you just own it.??)
In granular detail, they compare the relief provided by opioids to that offered by alternatives such as exercise and acupuncture and other drugs. And they give fine-tuned recommendations for discrete areas of pain, such as lower back, knees and neck.
The guidelines, for example, note that opioids should not be used for episodic migraines. They endorse, among other treatments, heat therapy and weight loss for knee osteoarthritis, and, for neck pain, suggest options like yoga, tai chi, qiqong, massage and acupuncture. (STILL INCOMPETENTLY INSANE LANGUAGE)..
Dr. Marie Hanna, an associate professor of anesthesia and critical care at Johns Hopkins University School of Medicine, said she was particularly enthusiastic about the depth and breadth of research that the guidelines provide in support of nonopioid treatments, including manual manipulation, laser therapy and exercise. (SCAM ARTIST FOR $$$)
“This is what we’ve been talking about for years, but no one was listening. Now we have the evidence to show that these treatments are effective. I’m very optimistic,” added Dr. Hanna, a member of the American Academy of Pain Medicine, an organization of pain researchers and providers across several disciplines. (QUACK QUACK)
The recommendations also say that many studies show that, over time, pain alleviation from opioids usually plateaus and then wanes, requiring ever higher doses." (Actually Hydrocodone & Hydromorphone have proven to have great efficacy LONG Term and also demonstrated in studies to have low physical addictive qualities. Hell the safe withdrawal for hydromorphone is 5 days - BUT QUACK AGAIN)
So begins the long 5-10yr slumber out on the hole of INSANITY. But its too fukkin late - Morons... EVERY SINGLE DAY PATIENTS ARE DENIED DEVELOPS AND HARDENS MORE ILLICIT PATHWAYS of SUPPLY, DISTRIUTION, PUBLIC PERCEPTION FOR DEMAND, & CREATIVITY EXPANDS... This doesn't even tip the iceberg...
https://www.msn.com/en-us/news/us/c-d-c-proposes-new-guidelines-for-treating-pain-including-opioid-use/ar-AATHe6u?cvid=fd2fcf9d16244d6f8f99d072fbff4810&ocid=winp1taskbar.
"The federal government on Thursday proposed new guidelines for prescribing opioid painkillers that remove its previous recommended ceilings on doses for chronic pain patients and instead encourage doctors to use their best judgment. (That is IF The docs have any ballz left at all)...
© Patrick T. Fallon/Agence France-Presse — Getty ImagesAssorted pills and prescription drugs, including opioids, being disposed of as part of a Prescription Drug Take Back Day in Los Angeles.
But the overall thrust of the recommendations was that doctors should first turn to “nonopioid therapies” for both chronic and acute pain, including prescription medications like gabapentin and over-the-counter ones like ibuprofen, as well as physical therapy, massage and acupuncture.
(Speak of the devil - don't look like they made it too far now does it)....FROM THE ARTICLE...:
Though still in draft form, the 12 recommendations, issued by the Centers for Disease Control and Prevention, are the first comprehensive revisions of the agency’s opioid prescribing guidelines since 2016. They walk a fine line between embracing the need for doctors to prescribe opioids to alleviate some cases of severe pain while guarding against exposing patients to the well-documented perils of opioids.
Dr. Samer Narouze, president of the American Society of Regional Anesthesia and Pain Medicine, an association of clinicians, praised the tone, level of detail and focus of the project. “It’s a total change in the culture from the 2016 guidelines,” he said, characterizing the earlier edition as ordering doctors to “just cut down on opioids — period.” (Don't you mean "CUT OUT OPIOIDS - PERIOD)...
By contrast, the new proposal “has a much more caring voice than a policing one, and it’s left room to preserve the physician-patient relationship,” added Dr. Narouze, chairman of the Center for Pain Medicine at Western Reserve Hospital in Cuyahoga Falls, OH.
The 229-page document warns of addiction, depressed breathing, altered mental status and other dangers associated with opioids, but it also notes that the drugs serve an important medical purpose, especially for easing the immediate agony from traumatic injuries such as burns and crushed bones. In those instances when opioids seem the way to go, the recommendations said, doctors should start with the lowest effective dose and prescribe immediate-release pills rather than long-acting ones.
The recommendations are now open on the Federal Register for public comment for 60 days. The agency will review the comments and most likely issue a final version by the end of 2022. Like the 2016 guidelines, they are suggested practices and not mandatory.
“We are welcoming comments from patients who are living with pain every day and from their caregivers and providers,” said Christopher Jones, a co-author of the draft and acting director of the National Center for Injury Prevention and Control, the arm of the C.D.C. that released the new guidelines.
Kate Nicholson, executive director of the National Pain Advocacy Center, a patient organization that says it does not take funding from the pharmaceutical industry, found much to admire in the new guidelines. “We went from one side of the pendulum, with overly liberal prescribing of opioids, and that did harm, to just looking at gross drops in prescribing without looking at individual needs. And that did harm,” said Ms. Nicholson, whose input was sought during the development of the draft. “This is closer to a Goldilocks solution where chronic pain is not a monolith.”
The guidelines do not apply to patients suffering pain from cancer or sickle cell, or are in end-of-life or palliative care. Ms. Nicholson said, however, that relying on such disease categories — which insurance companies seize upon to make reimbursement rulings — “doesn’t tell us enough about who actually has severe pain.”
The 2016 guidelines generated anger and fear in many chronic pain patients, many of whom rely on doses far higher than the recommended ceiling of 90 morphine milligram equivalents daily. Hundreds of pain medicine specialists protested as well.
Though the dosing ceilings were merely a recommendation, dozens of states codified them. Fearing criminal and civil penalties, many doctors misapplied them as rigid standards, tapering chronic pain patients too abruptly and even tossing some from their practices.
Studies show that the number of opioid prescriptions overall has been dropping since 2012, and the decline escalated after the 2016 guidelines came out.
The new proposed recommendations step back from the notion of one-size dosing fits all and instead builds in “flexibility to recognize that pain care needs to be individualized,” Dr. Jones said.
But the recommendations make it abundantly clear that doctors should regularly reassess the benefits and risks of opioids.
“The evidence around the long-term benefits of opioids continues to remain very limited,” Dr. Jones said. (RIGHT - LOL)
In another indication that the C.D.C. sees these new guidelines as a course-correction to the earlier ones, the agency now suggests that when patients test positive for illicit substances, doctors should offer counseling, treatment and, when necessary, careful tapering. Because doctors had interpreted the 2016 dosing limits narrowly, some had worked up one-strike policies and were summarily ejecting such patients. (Since WHEN did the CDC become the player here?? Wasn't it the FDA and DEA that were the henchmen??)
Dr. Jones said that such results should instead be considered one piece of diagnostic information among many. An unduly high level of opioids could indicate the patient still has untreated pain or even a substance use disorder. “If you instead retain the patient and have those conversations, there’s now an opportunity to improve the patient’s life,” he said. (DUHH)
Drawing from a mountain of research that accumulated in recent years, the proposed guidelines also offer extensive recommendations for the treatment of acute pain — short-term pain that can come with an injury like a broken bone or the aftermath of surgery. They advise against prescribing opioids, except for traumatic injuries, such as burns and auto accidents. (Well if you call a change from the current policy of sending patients home from the hospital with 12 5/500 hydrocodonez,, Why dont you just own it.??)
In granular detail, they compare the relief provided by opioids to that offered by alternatives such as exercise and acupuncture and other drugs. And they give fine-tuned recommendations for discrete areas of pain, such as lower back, knees and neck.
The guidelines, for example, note that opioids should not be used for episodic migraines. They endorse, among other treatments, heat therapy and weight loss for knee osteoarthritis, and, for neck pain, suggest options like yoga, tai chi, qiqong, massage and acupuncture. (STILL INCOMPETENTLY INSANE LANGUAGE)..
Dr. Marie Hanna, an associate professor of anesthesia and critical care at Johns Hopkins University School of Medicine, said she was particularly enthusiastic about the depth and breadth of research that the guidelines provide in support of nonopioid treatments, including manual manipulation, laser therapy and exercise. (SCAM ARTIST FOR $$$)
“This is what we’ve been talking about for years, but no one was listening. Now we have the evidence to show that these treatments are effective. I’m very optimistic,” added Dr. Hanna, a member of the American Academy of Pain Medicine, an organization of pain researchers and providers across several disciplines. (QUACK QUACK)
The recommendations also say that many studies show that, over time, pain alleviation from opioids usually plateaus and then wanes, requiring ever higher doses." (Actually Hydrocodone & Hydromorphone have proven to have great efficacy LONG Term and also demonstrated in studies to have low physical addictive qualities. Hell the safe withdrawal for hydromorphone is 5 days - BUT QUACK AGAIN)
So begins the long 5-10yr slumber out on the hole of INSANITY. But its too fukkin late - Morons... EVERY SINGLE DAY PATIENTS ARE DENIED DEVELOPS AND HARDENS MORE ILLICIT PATHWAYS of SUPPLY, DISTRIUTION, PUBLIC PERCEPTION FOR DEMAND, & CREATIVITY EXPANDS... This doesn't even tip the iceberg...
So keep on fuking around with getting Opioids back to patients and the future is already here. Apparently Narcan doesn't even work on this one.. MORONS...
View: https://youtu.be/23bjeKv65bg
View: https://youtu.be/23bjeKv65bg
It really starts to make real sense when you consider the implications of cleaning out the homeless problem. The should rename Fentanyl "Street Sweeper"...
There is ZERO incentive to reign in the opioid crisis at this time. The REAL opioid crisis. The one THEY created...
View: https://youtu.be/0RTT8XJTl8I
There is ZERO incentive to reign in the opioid crisis at this time. The REAL opioid crisis. The one THEY created...
View: https://youtu.be/0RTT8XJTl8I
Go figure..... CUNTS.... Well Turtle head, you must be proud... Can't kill enough of em fast enough. These idiots opened a Pandora's box when they basically banned opioids from mainstream medical practice.. THEY KNOW WHAT THEY DID... AND WHAT THE ARE DOING... They just did not calculate what its going to be like when they get that phone call that their grandchildren OD'd on fentanyl laced pot or something even stupider than that..
What they still fail to grasp is THIS is just the beginning and once its too late. It's too fukin late...
Shared from Comcast....
Kentucky shatters its fatal overdose record; fentanyl blamed
By BRUCE SCHREINER, AP / 9:46 pm ET Mon Jun 13, 2022
FRANKFORT, Ky. (AP) — Fatal drug overdoses rose nearly 15% in Kentucky last year, surpassing 2,000 deaths as the increased use of fentanyl — a powerful synthetic opioid — resulted in a record death toll in the state, according to a report released Monday.
The report showed that 2,250 Kentuckians died from drug overdoses in 2021 — an ongoing scourge plaguing rural counties and the state's largest cities alike. It was the first time the Bluegrass State surpassed 2,000 drug overdose deaths in a single year, said Van Ingram, executive director of the state Office of Drug Control Policy.
The state's rising death count mirrored the nation’s escalating overdose epidemic. Last year, for the first time, more than 100,000 Americans died of drug overdoses over a 12-month period, according to the U.S. Centers for Disease Control and Prevention, with about two-thirds of those deaths linked to fentanyl and other synthetic drugs.
In Kentucky, fentanyl was identified in nearly 73% of overdose deaths last year, Monday's report said.
“We’ve never seen one drug this prevalent in the toxicology reports of overdose fatalities,” Ingram said in a phone interview.
Overdose deaths are often attributed to more than one drug. Some people take multiple drugs and fentanyl is increasingly cut into other drugs, often without the buyers’ knowledge, officials say.
“I talked to a drug task force director last week who said, ‘We’re finding fentanyl in everything,’" Ingram said.
U.S. Senate Republican leader Mitch McConnell, who has steered large sums of federal money to his home state of Kentucky over the years to combat its drug-abuse woes, said in a recent column that fentanyl has “flooded” across the nation's southern border.
“Law enforcement leaders across the commonwealth tell me that, to curb overdose deaths, our number one priority should be to stop fentanyl from illegally entering our country through Mexico,” McConnell said.
State officials also pointed to the availability of potent, inexpensive methamphetamine as another factor in Kentucky's latest rise in drug overdose deaths.
The highest number of drug overdose deaths in 2021 occurred among Kentuckians aged 35-44, the report said. There were 672 deaths in that age group last year, up 17.5% from the prior year.
The overdose fatality report was released by the Kentucky Justice and Public Safety Cabinet and the Office of Drug Control Policy.
Kentucky has long been plagued by high rates of addiction to opioid painkillers.
In 2020, more than 1,960 Kentuckians died from drug overdoses, up nearly 50% from the pre-pandemic death count of 1,316 in 2019. Many people discontinued their drug treatment efforts out of fear of contracting COVID-19. That, along with the sense of isolation caused by the virus, contributed to the 2020 surge in overdose deaths, state officials said then.
Now, treatment and recovery programs are again ramping up across Kentucky.
“Every day we must work together to fund recovery programs and treatment options so that we can continue to address this scourge and get our people the help they need,” Gov. Andy Beshear said Monday in a news release.
The governor said the overdose death toll was "devastating and extremely heartbreaking.”
Ahead of Monday's report, Beshear announced another step toward achieving a statewide policy goal of offering no-cost services close to home to help Kentuckians overcome drug addiction.
The state is working to establish cities and counties as “Recovery Ready Communities” — aimed at providing high-quality recovery programs across Kentucky, Beshear's administration said.
“This drug epidemic in this country is going to be solved one community at a time,” Ingram said later Monday in touting the program.
Kentucky's Office of Drug Control Policy is partnering with Volunteers of America to launch the Recovery Ready Community Certification Program. Cities and counties can apply for certification upon offering transportation, support groups and employment services at no cost for people seeking treatment for drug or alcohol addiction. A measure enacted last year by Kentucky lawmakers created an advisory council assigned to create the recovery ready certification.
Kentucky state Rep. Adam Bowling, the measure's lead sponsor, said Monday that the program will “empower cities and counties to provide a powerful lifeline to help Kentuckians build a life free from addiction.”
“Make no mistake, substance abuse is a crippling, dangerous disease that can be prevented and treated successfully,” Bowling said in a statement. “However, those who face it must have community support and access to treatment and resources, regardless of where they live or how much money is in their bank account.”
___
People can call the KY Help Call Center at 833-8KY-HELP (833-859-4357) to speak one-on-one with a specialist who can connect Kentuckians to treatment.
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Fundamentally, the problem in the United States is Puritanism remains the dominant ideology. Both parties are more concerned with various moral crusades. The left of the 21st century is famously obsessed with homosexuals, the legacy of slavery in a country where human labor is largely obsolete, and of course transexuals. The Puritanical stance on drugs for trannies is undoubtedly the most comical. The very drugs we love and consume, for which we are vilified, are provided in abundance to minor children without their parents consent.
The "right", while increasingly racist and xenophobic, is still primarily composed of baby boomers whose highest virtue is working every waking moment and vilifying those who cannot succeed as lazy or worse.
Human life, as it is for the common man and woman, is of little relevance. Hundreds of thousands died needlessly due to lack of universal healthcare during the Covid pandemic. Untold millions of middle class families lose all generational wealth when their parents end up in a nursing home, entirely unaware the government will seize all of their assets to pay for it.
And the death toll from alcohol and other drugs continues to be dismissed as a moral failing.
We are in many ways no different than the Soviet Union at the end, when widespread apathy and depression resulted in prodigious alcohol consumption.
But the cynicism against opioids is truly perverse. It is absolutely impossible to interdict fentanyl. The only rational response is to simply legalize the narcotic drugs people actually want and that don't kill them, but our morality is more important than lives.
The only question is how far must our living standards decline until the oppressed or abandoned proletariat decides it is more fun to burn civilization than the ground rather than escape its barbarism in a haze of bong smoke.
The "right", while increasingly racist and xenophobic, is still primarily composed of baby boomers whose highest virtue is working every waking moment and vilifying those who cannot succeed as lazy or worse.
Human life, as it is for the common man and woman, is of little relevance. Hundreds of thousands died needlessly due to lack of universal healthcare during the Covid pandemic. Untold millions of middle class families lose all generational wealth when their parents end up in a nursing home, entirely unaware the government will seize all of their assets to pay for it.
And the death toll from alcohol and other drugs continues to be dismissed as a moral failing.
We are in many ways no different than the Soviet Union at the end, when widespread apathy and depression resulted in prodigious alcohol consumption.
But the cynicism against opioids is truly perverse. It is absolutely impossible to interdict fentanyl. The only rational response is to simply legalize the narcotic drugs people actually want and that don't kill them, but our morality is more important than lives.
The only question is how far must our living standards decline until the oppressed or abandoned proletariat decides it is more fun to burn civilization than the ground rather than escape its barbarism in a haze of bong smoke.
Interesting and thx for the input. A tad communistic feeling on first pass. Perhaps just a northern liberal position I detect. We are on the same page for the most part. I think its unfair to mention racism and "Right" and not qualify the left who actually set the bar in the Racism conceptual...
I realize that the more I read what you scribed, the more i understand the message. It is very high minded indeed and too much for the average reader. Very broad and I am not going to hijack my own thread getting into the wide birth you indulged.. I get it and agree .. I think LOL...
But I am focusing on OPIOID USE, LEGISLATION, BLACK MARKET INSURGENCE, and the health of a nation being degraded by the design of demons disguised and angels who have driven this retarded agenda.. This subject is singularly unilateral in terms of SUBJECT MATTER. Make no mistake the whole program since 2014 was designed and implimented with INTENT TO KILL. Which is the exact opposite of what if was falsely poised as "good natured regulation" THERE WERE A BILLION WAYS THEY COULD HAVE APROACHED THE OPIOID ISSUE AT A SLOWER LESS DAMAGING PACE. But they wanted them all dead and I mean YESTERDAY..
Most offensive, which is opioid regulation and the crime that has been committed onto the entire medical field as a deeply insurgent attack on physicians and their ability to practice medicine. I will say that its bigger in that it is designed to destroy the physician at his rudimentary level of the Hippocratic Oath... It was deigned to slip physicians a CRAZY PILL and not even know they took it.
............ And interesting term/ screen name you present indeed..
Analysis
Similar to Pausanias, Eryximachus is satirized by Plato for self-importance and high opinion of the significance of medicine. The tone of his speech is pedantic, as is the portrayal of his character throughout the book; he takes every opportunity possible to show his knowledge of medicine. It can be argued that it is a satirizing portrait of a pedantic expert or scientist.
However, it can also be argued that Plato places Eryximachus in a prominent position--he is responsible for the decision not to excessively drink and suggests the topic of Eros for the gathering. He and Phaedrus are addressed between speeches. Also, while his phrases are dogmatic and he praises his profession highly, so do others, such as Agathon who praises poets in his speech, being a poet himself.
Plato compares physicians with statesmen in later works, supporting the idea that he might not have been seriously mocking doctors. By the end of Eryximachus’ speech, Aristophanes’ hiccups have ended, suggesting he was no longer trying to mock the speaker, as he might have been mocking Pausanias. However, as his hiccups had still occurred during some portion of the speech and he makes comments in jest at its conclusion, it is more plausible that he was still mocking Eryximachus.
Eryximachus’ speech introduces the idea of balance and generalizes love beyond interactions between individuals, applying it to almost everything in the world. He stretches the meaning of love into harmony, stating that health is the harmony of opposites in general. He essentially describes the harmony of, or the point in between the self-sacrifice in Phaedrus’ speech and the self-indulgence in Pausanias’ speech. The idea of love being in between extremes becomes important in Socrates’ account of love.
His is the first account of the goodness of Eros based on scientific principles. This clinical detachment is the most prominent feature of his speech, making it a passionless depiction of love. The account fails to reflect love’s role in the human condition and effects of interpersonal relationships.
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While I have read probably every philosophical text of significance, and do appreciate your google skills, I think you're reading a bit too much into what is effectively a nom de guerre.
In this case, Plato's Symposium happens to be one of my favorite works. By your ramblings, I tend to doubt you had ever even heard of Plato's Symposium and likely cannot write, in your own words, the lasting significance of the work even up to the present.
[Note: The same federal regulation is used for AAS prescribing.]
Holding: For the crime of prescribing controlled substances outside the usual course of professional practice in violation of 21 U.S.C. § 841, the mens rea “knowingly or intentionally” applies to the statute’s “except as authorized” clause.
Judgment: Vacated and remanded, 9-0, in an opinion by Justice Breyer on June 27, 2022. Justice Alito filed an opinion concurring in the judgment, in which Justice Thomas joined and in which Justice Barrett joined as to Parts I-A, I-B, and II.
Xiulu Ruan v. United States
Consolidated with: Kahn v. United States
Linked with: Couch v. United States
Certiorari To The United States Court Of Appeals For The Eleventh Circuit
Petitioners Xiulu Ruan and Shakeel Kahn are medical doctors licensed to prescribe controlled substances. Each was tried for violating 21 U. S. C. §841, which makes it a federal crime, “[e]xcept as authorized[,] . . . for any person knowingly or intentionally . . . to manufacture, distribute, or dispense . . . a controlled substance.”
A federal regulation authorizes registered doctors to dispense controlled substances via prescription, but only if the prescription is “issued for a legitimate medical purpose by an individual practitioner acting in the usual course of his professional practice.” 21 CFR §1306.04(a).
At issue in Ruan’s and Kahn’s trials was the mens rea required to convict under §841 for distributing controlled substances not “as authorized.” Ruan and Kahn each contested the jury instructions pertaining to mens rea given at their trials, and each was ultimately convicted under §841 for prescribing in an unauthorized manner. Their convictions were separately affirmed by the Courts of Appeals.
Held: Section 841’s “knowingly or intentionally” mens rea applies to the statute’s “except as authorized” clause. Once a defendant meets the burden of producing evidence that his or her conduct was “authorized,” the Government must prove beyond a reasonable doubt that the defendant knowingly or intentionally acted in an unauthorized manner.
Holding: For the crime of prescribing controlled substances outside the usual course of professional practice in violation of 21 U.S.C. § 841, the mens rea “knowingly or intentionally” applies to the statute’s “except as authorized” clause.
Judgment: Vacated and remanded, 9-0, in an opinion by Justice Breyer on June 27, 2022. Justice Alito filed an opinion concurring in the judgment, in which Justice Thomas joined and in which Justice Barrett joined as to Parts I-A, I-B, and II.
Were These Doctors Treating Pain or Dealing Drugs?
The Supreme Court will hear from two convicted pill mill doctors in cases that could have significant implications for physicians’ latitude to prescribe addictive painkillers.
Were These Doctors Treating Pain or Dealing Drugs?
For years, Dr. Xiulu Ruan was one of the nation’s top prescribers of quick-release fentanyl drugs. The medicines were approved only for severe breakthrough pain in cancer patients, but Dr. Ruan dispensed them almost exclusively for more common ailments: neck aches, back and joint pain. According to the Department of Justice, he and his partner wrote almost 300,000 prescriptions for controlled substances from 2011 to 2015, filled through the doctors’ own pharmacy in Mobile, Ala. Dr. Ruan often signed prescriptions without seeing patients, prosecutors said.
Dr. Ruan has been serving a 21-year sentence in federal prison, convicted in 2017 for illegally prescribing opioids and related financial crimes. To collect millions of dollars in fines, the government seized houses, beach condos and bank accounts belonging to him and his business partner, as well as 23 luxury cars, such as Bentleys, Lamborghinis and Ferraris.
On Tuesday, lawyers both for Dr. Ruan and for Dr. Shakeel Kahn, who is serving 25 years on charges related to pill mill clinics in Arizona and Wyoming will argue before the Supreme Court of the United States that the criminal standard the physicians faced is applied inconsistently among the federal circuits. In asking that the doctors’ convictions be overturned, they want the court to establish a uniform standard that permits doctors to raise a “good faith” defense. Juries could then consider whether doctors subjectively believed they were using their best medical judgment.
Holding: For the crime of prescribing controlled substances outside the usual course of professional practice in violation of 21 U.S.C. § 841, the mens rea “knowingly or intentionally” applies to the statute’s “except as authorized” clause.
Judgment: Vacated and remanded, 9-0, in an opinion by Justice Breyer on June 27, 2022. Justice Alito filed an opinion concurring in the judgment, in which Justice Thomas joined and in which Justice Barrett joined as to Parts I-A, I-B, and II.
Xiulu Ruan v. United States
Consolidated with: Kahn v. United States
Linked with: Couch v. United States
Certiorari To The United States Court Of Appeals For The Eleventh Circuit
Petitioners Xiulu Ruan and Shakeel Kahn are medical doctors licensed to prescribe controlled substances. Each was tried for violating 21 U. S. C. §841, which makes it a federal crime, “[e]xcept as authorized[,] . . . for any person knowingly or intentionally . . . to manufacture, distribute, or dispense . . . a controlled substance.”
A federal regulation authorizes registered doctors to dispense controlled substances via prescription, but only if the prescription is “issued for a legitimate medical purpose by an individual practitioner acting in the usual course of his professional practice.” 21 CFR §1306.04(a).
At issue in Ruan’s and Kahn’s trials was the mens rea required to convict under §841 for distributing controlled substances not “as authorized.” Ruan and Kahn each contested the jury instructions pertaining to mens rea given at their trials, and each was ultimately convicted under §841 for prescribing in an unauthorized manner. Their convictions were separately affirmed by the Courts of Appeals.
Held: Section 841’s “knowingly or intentionally” mens rea applies to the statute’s “except as authorized” clause. Once a defendant meets the burden of producing evidence that his or her conduct was “authorized,” the Government must prove beyond a reasonable doubt that the defendant knowingly or intentionally acted in an unauthorized manner.
Holding: For the crime of prescribing controlled substances outside the usual course of professional practice in violation of 21 U.S.C. § 841, the mens rea “knowingly or intentionally” applies to the statute’s “except as authorized” clause.
Judgment: Vacated and remanded, 9-0, in an opinion by Justice Breyer on June 27, 2022. Justice Alito filed an opinion concurring in the judgment, in which Justice Thomas joined and in which Justice Barrett joined as to Parts I-A, I-B, and II.
Were These Doctors Treating Pain or Dealing Drugs?
The Supreme Court will hear from two convicted pill mill doctors in cases that could have significant implications for physicians’ latitude to prescribe addictive painkillers.
Were These Doctors Treating Pain or Dealing Drugs?
For years, Dr. Xiulu Ruan was one of the nation’s top prescribers of quick-release fentanyl drugs. The medicines were approved only for severe breakthrough pain in cancer patients, but Dr. Ruan dispensed them almost exclusively for more common ailments: neck aches, back and joint pain. According to the Department of Justice, he and his partner wrote almost 300,000 prescriptions for controlled substances from 2011 to 2015, filled through the doctors’ own pharmacy in Mobile, Ala. Dr. Ruan often signed prescriptions without seeing patients, prosecutors said.
Dr. Ruan has been serving a 21-year sentence in federal prison, convicted in 2017 for illegally prescribing opioids and related financial crimes. To collect millions of dollars in fines, the government seized houses, beach condos and bank accounts belonging to him and his business partner, as well as 23 luxury cars, such as Bentleys, Lamborghinis and Ferraris.
On Tuesday, lawyers both for Dr. Ruan and for Dr. Shakeel Kahn, who is serving 25 years on charges related to pill mill clinics in Arizona and Wyoming will argue before the Supreme Court of the United States that the criminal standard the physicians faced is applied inconsistently among the federal circuits. In asking that the doctors’ convictions be overturned, they want the court to establish a uniform standard that permits doctors to raise a “good faith” defense. Juries could then consider whether doctors subjectively believed they were using their best medical judgment.
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Supreme Court sides with doctors challenging their convictions in opioids ‘pill mill’ case
www.cnn.com
The Supreme Court on Monday ruled in favor of two doctors who were convicted of prescribing dangerous opioids without valid medical justification in violation of federal law.
Lawyers for the doctors appealed their convictions, arguing that a jury should have been able to consider whether they reasonably believed that they were acting within professional boundaries. The government had argued such a standard was not necessary.
The court ruling for the doctors was unanimous, but the justices differed 6-3 on the legal rationale.
Justice Stephen Breyer, writing for the majority, said that for the prosecution of the doctors to be successful, the government “must prove beyond a reasonable doubt that the defendant knowingly or intentionally acted in an unauthorized manner.”
The so-called “pill mill” case – coming amid a nationwide opioid crisis – pits a doctor’s ability to dispense controlled substances for pain management against the government’s push to prosecute doctors who are prescribing dangerous drugs in the absence of a medical justification.
Lower courts have divided on the standard to use when determining whether a doctor should be charged with criminal liability. While some courts have said a doctor’s good faith belief that he or she was acting within medical norms is not relevant to criminal liability, others have said that the government must demonstrate that a doctor knowingly prescribed drugs in illegal circumstances. They say the law was not meant to criminalize well-intentioned conduct when a doctor prescribes drugs to treat patients with legitimate medical needs.
Monday’s court opinion will make it less difficult for patients to receive certain treatments. The court in other areas has expressed concern with the overuse of federal criminal law that might threaten innocent conduct.
“Today’s decision puts the burden on the government when prosecuting doctors for wrongfully prescribing controlled substances, to show not only that the prescription did not serve a legitimate medical purpose, but that the doctor knew as much when they wrote it,” said Steve Vladeck, CNN Supreme Court analyst and professor at the University of Texas School of Law. “In that respect, it likely arms doctors going forward with a strong defense that they made a good-faith mistake, which could help them avoid criminal liability, although perhaps not civil or ethical repercussions.”
Supreme Court sides with doctors challenging their convictions in opioids 'pill mill' case | CNN Politics
The Supreme Court on Monday ruled in favor of two doctors who were convicted of prescribing dangerous opioids without valid medical justification in violation of federal law.
The Supreme Court on Monday ruled in favor of two doctors who were convicted of prescribing dangerous opioids without valid medical justification in violation of federal law.
Lawyers for the doctors appealed their convictions, arguing that a jury should have been able to consider whether they reasonably believed that they were acting within professional boundaries. The government had argued such a standard was not necessary.
The court ruling for the doctors was unanimous, but the justices differed 6-3 on the legal rationale.
Justice Stephen Breyer, writing for the majority, said that for the prosecution of the doctors to be successful, the government “must prove beyond a reasonable doubt that the defendant knowingly or intentionally acted in an unauthorized manner.”
The so-called “pill mill” case – coming amid a nationwide opioid crisis – pits a doctor’s ability to dispense controlled substances for pain management against the government’s push to prosecute doctors who are prescribing dangerous drugs in the absence of a medical justification.
Lower courts have divided on the standard to use when determining whether a doctor should be charged with criminal liability. While some courts have said a doctor’s good faith belief that he or she was acting within medical norms is not relevant to criminal liability, others have said that the government must demonstrate that a doctor knowingly prescribed drugs in illegal circumstances. They say the law was not meant to criminalize well-intentioned conduct when a doctor prescribes drugs to treat patients with legitimate medical needs.
Monday’s court opinion will make it less difficult for patients to receive certain treatments. The court in other areas has expressed concern with the overuse of federal criminal law that might threaten innocent conduct.
“Today’s decision puts the burden on the government when prosecuting doctors for wrongfully prescribing controlled substances, to show not only that the prescription did not serve a legitimate medical purpose, but that the doctor knew as much when they wrote it,” said Steve Vladeck, CNN Supreme Court analyst and professor at the University of Texas School of Law. “In that respect, it likely arms doctors going forward with a strong defense that they made a good-faith mistake, which could help them avoid criminal liability, although perhaps not civil or ethical repercussions.”
No the last part I quoted from Google of course. I was not pretending that this was my work. Usually I go out of my way to designate if I am using outside material. - - DID NOT MEAN TO CONFUSE... I just kinda assumed it would present as such. Normally I use a little more drama-designation to indication I am quoting...
"nom de guerre" - LOL. -Nice one.. LOL And isn't it interesting how other languages, especially preceding foundational languages can summarize concepts so concisely. I DO learn every day of my life. AND it is PAINFUL INDEED... And while at the same time ENGLISH being the "Universal Language" derived from all that. Seemingly so simple, yet extremely convoluted in that there is a word for every single damn thought, concept, and notion - which can also be twisted with tone inflection, context used in, and general interpretation WITH INTENT to intended reciptient DEPENDING.. I am ignorant in other language, however, have a strong understanding I am developing in the application of said...
I was simply pointing out that I enjoyed your take on it.. That it was a learning experience for me. And that I felt like you were a little bit "idealistic" as on a "university level". Yes that is a CRITICAL evaluation...
I was NOT being HOSTILE only FAIRLY CRITICAL just to be sure you understand that. I think you do. But you must understand as well. I INDEED WRITE IN MY OWN WORDS.. This forum is packed with my bullshit AND I PROMISE YOU WILL FIND ITS IN MY OWN WORDS... PACKED...
The degree to which I can TECHNICALLY "WRITE" should certainly be held to question. You are fair there...
HOWEVER. MY ADD sometimes allows me to lose focus which you are doing with your QUASI-HIJACK..
@Michael Scally MD - THANK YOU Dr. SCALLY for keeping this one on track...!!!
Of course you know my personal opinion on opioids as I have rambled here for over a decade and most of the time opioid induced as PAIN FREE. The way we should be able to live in a free country... What the Govt. has done VIA "opioid regulation" has set modern medicine back to the stone ages in short, and IMHO...They jumped their authority IGNORANTLY. They have caused a myriad of social, legal, and moral problems which is unprecedented and has damaged the United States for still Decades to come. In short it was nothing more than contrived MASS MURDER, as a setup, a SLAUGHTER of the Hippocratic Oath, and conclusive poor action... Again, all IMHO...
@eryximachus
But go ahead and call me stupid I really don't give a shit about POETIC AUTO-BOTS... And yes I am designating you as a human failure with regard to the concept of "Humanities and Art"... This is a problem with ALL quasi-autistic "Physicians" skilled at the science of textual memorization, and no artistic capacity to be found. I would go so far as to suspect that YOU ARE THE REAL PLAGARIST... ?!?
SO BACK ON TRACK WE GO NOW.. Please Thankya......
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ADDING... And ELUCIDATING..
And these docs and this practice is/WAS LITERALLY around the corner from me. I saw this bullshit go down first hand. Shit there is another pain docs office that was raped by the feds just to stake out prospective opioid shoppers at the time. Make no mistake tho and I never did business there or anywhere other than my normal docs office. I personally know one of the CPRNs (Justin) at the supposed "pill mill" that went to jail for 3 years that worked with them/ and one of which committed SUICIDE over this matter. I met Justin (one of the CPRNs) socially a couple years prior to the shit hit the fan and CASUALLY AT BEST. He was also a friend on my internal med doc who was a close friend of mine. The one that committed suicide was a female I think I don't recall her name off hand. They also got the CPRNs on signing off on prescriptions for schedule II's which is not allowed for CPRNs to do in this state. The CPRNs were just doing their fuking jobs the place was too busy for two docs alone and whereas NORMALLY the NURSE just forges the doc's signature (in any practice) obviously this was a case where it was not possible to expedite normal business in this manner.. There is another TERM for this practice in signing authorization - ITS CALLED CALLING IT FUKING IN...!!!!!! The Two Docs in question Dr. John Couch and Dr. Xiulu Ruan had been in business here since my parents were young.and WHY IS IT that no one ever gave a shit, till this was a hot topic.?!?!!??! (at least I think Couch founded it not certain tho)... I was aware of Couch's love of automobiles and why is it that he can't spend his damn hard earned money how he pleases. Cardio surgeons bank 750K many times for heaven's sake... These people had been around long enough to EARN THEIR GOD DAMN SALT. But hey, the Govt decides all of the sudden they are not in good favor and FUCKS THE LIVING SHIT OUT OF THEM.. Go figure...
FURHTER, Why the fuck is it that all they damn patients and folks they served did not stand up for them. When instead turning around and blaming them for "Addictions" to drugs for which they demanding and held them at emotion blackmail to continue to get. SOme of them so shameless as to acquire the meds just to resell them. This is why TESTING is required in many cases SIMPLY TO MAKE SURE THE FUKING PATIENT IS INDEED TAKING THE MEDS. There were steps in place already...
And isn't it peculiar that NOW all of the sudden, docs can CALL IN Schedule II drugs in this state, whereas in the past they always made you pick up the prescription's monthly by hand. Of course they could call in hydrocodone back then too, because it was sched III WHERE IT FUKING BELONGS... (at least I think I have that correct)...
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Its further interesting that one of the points that the feds used to paint the docs as criminals is that they had a pharmacy in the same building where they practiced. DOES ANYONE see the IRONY in the fact that the Marijuana Dispensaries in the state of Florida (where pot is now legal for medical use ONLY), are the same place where you see the doc and get the script...! They literally will not sell medical marijuana off of the docs premises in Fl and near as I can tell.. Go figure..
Perhaps the states should have stood up for these supposed "pill mill docs" a little more.?!?!?
Finally it should be noted that the trial information in the excerpt presented above by Dr. Scally lists a Dr. Shakeel Kahn as associated with Ruan. I am not sure this is so. I am not certain what the relation was as it mentions Shakeel in other states (as mentioned here above), but not Alabama. I will point out that the first place I went when my hydrocodone was cut off at the mainstream medical level, was an office with what I recall was this Dr. Shakeel Kahn listed as practicing physician. IT WAS NOT THE SAME LOCATION as Couch and Ruan, and I don't think there was a business relation with Couch and Ruan. In fact when I called them explaining my predicament they were very sketchy at this supposed office of "Dr. Kahn" and claimed they did not take new patients without good documentation. So I gathered up all my MRI's etc and went down there to attempt to make an appt in person. THERE WAS NOBODY HOME. EVER. The only thing I found was some large van parked in the cul-de-sac that was Clearly L.E. and followed me across town after simply for walking up to the door and attempting to go in and make an appt. The building was abandoned, yet I had seemingly just spoken with them on the phone the prior week getting a list of docs to bring to incept as a new patient with them. I honestly do not think this person exists in real life and practice and was some kind of law enforcement mode of entrapment possibly. I never got to the bottom of that one because I was so creeped out after showing up at an empty building and being tailed across town after by the same buffoons that were in the Cheech & Chong flicks... Thats all speculation but something was definitely not right with the Shakeen entitiy as advertised..
Perhaps the states should have stood up for these supposed "pill mill docs" a little more.?!?!?
Finally it should be noted that the trial information in the excerpt presented above by Dr. Scally lists a Dr. Shakeel Kahn as associated with Ruan. I am not sure this is so. I am not certain what the relation was as it mentions Shakeel in other states (as mentioned here above), but not Alabama. I will point out that the first place I went when my hydrocodone was cut off at the mainstream medical level, was an office with what I recall was this Dr. Shakeel Kahn listed as practicing physician. IT WAS NOT THE SAME LOCATION as Couch and Ruan, and I don't think there was a business relation with Couch and Ruan. In fact when I called them explaining my predicament they were very sketchy at this supposed office of "Dr. Kahn" and claimed they did not take new patients without good documentation. So I gathered up all my MRI's etc and went down there to attempt to make an appt in person. THERE WAS NOBODY HOME. EVER. The only thing I found was some large van parked in the cul-de-sac that was Clearly L.E. and followed me across town after simply for walking up to the door and attempting to go in and make an appt. The building was abandoned, yet I had seemingly just spoken with them on the phone the prior week getting a list of docs to bring to incept as a new patient with them. I honestly do not think this person exists in real life and practice and was some kind of law enforcement mode of entrapment possibly. I never got to the bottom of that one because I was so creeped out after showing up at an empty building and being tailed across town after by the same buffoons that were in the Cheech & Chong flicks... Thats all speculation but something was definitely not right with the Shakeen entitiy as advertised..
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