Blatant discrimination and faulty science

http://www.pressherald.com/2016/03/27/maine-health-officials-working-to-prevent-unintended-consequences-from-opioid-prescribing-bill/

Dr. Christopher Pezzullo, Maine’s chief health officer, said the dosage maximum is important because the science does not support such high doses. The dosage cap of 100 morphine milligram equivalents proposed in the bill closely coincides with U.S. Centers for Disease Control and Prevention guidelines on prescribing opioids that were released last week…

Pezzullo pointed to recent research that shows over-the-counter pain medications are more effective than opioids at controlling pain…

As far as I can tell, this doctor is referring to a paper by this man at the National Safety Council, an alleged “nonprofit, nongovernmental public service organization.”

Donald Teater is responsible for advising National Safety Council advocacy initiatives to reduce deaths and injuries associated with prescription drug overdoses. Teater is a patient advocate who specializes in psychiatric services and opioid dependence treatment. Prior to joining NSC, Teater held positions at Blue Ridge Family Practice as a physician, and at the Mountaintop Healthcare and Good Samaritan Clinic of Haywood County as a physician and medical director. At present, along with his role at NSC, Teater treats opioid dependence at Meridian Behavioral Health Services and Mountain Area Recovery Center, along with volunteer work in the field.

Looks like Kolodny from PFROP has been cloned. From the National Safety Council Wikipedia page:  “The Board of Delegates develops the mission agenda, creates public policies, and tracks safety, health and environmental trends.” It seems everybody’s on board for the opioid war.

http://www.nsc.org/RxDrugOverdoseDocuments/Evidence-Efficacy-Pain-Medications.pdf

For example, when testing pain medications, the intervention is the dose of pain medication and the effect is usually 50 percent pain relief. Fifty percent relief of pain is considered effective treatment, allowing people increased functional abilities and an improved quality of life (Cochrane. org, 2014). So the question becomes, how many people must be treated with a certain dose of a medication for one person to receive 50 percent pain relief (effective relief)?

The whole white paper is based on this notion that pain medication can be 50% effective, and that it’s only effective if the patient experiences 50% relief. How many patients experience 50% relief with drugs? It can’t be that big of a percentage, because 50% relief seems almost miraculous to me. Most chronic pain patients, including me, estimate relief derived from drugs at 25% to 30%.

Dental pain:  A recent review article in the Journal of the American Dental Association addressing the treatment of dental pain following wisdom tooth extraction concluded that 325 mg of acetaminophen (APAP) taken with 200 mg of ibuprofen provides better pain relief than oral opioids. Moore et al. concluded, “The results of the quantitative systematic reviews indicated that the ibuprofen-APAP combination may be a more effective analgesic, with fewer untoward effects, than are many of the currently available opioid-containing formulations.” (Moore, 2013, p. 898)

For one thing, there’s usually an end to dental pain, especially wisdom tooth extraction (although some patients experience phantom tooth and nerve pain afterwards). And the key words here are “with fewer untoward effects, than are many of the currently available opioid-containing formulations.”

Sure, for acute pain, the effects of taking over-the-counter drugs is mostly positive. That is, if they work. If a dentist told me to take Tylenol after a wisdom tooth extraction, I’d tell him to fuck off. No, before the procedure, I’d find out what the pain management program was going to be, and if I didn’t agree, the wisdom teeth would stay in.

The problem is the long-term effects of taking these drugs (along with their efficacy), although doctors don’t seem to care about that. Or else, they care more about the “epidemic” of addiction than the damaging results of long-term use of OTC drugs.

http://www.nsc.org/learn/about/Pages/Over-the-counter-pain-medications.aspx

(10/6/2014) National Safety Council: Over-the-counter pain medications are more effective for acute pain than prescribed painkillers

In certain circumstances, opioid painkillers are an appropriate treatment option. NSC Medical Advisor Dr. Donald Teater points to research showing short-term opioid painkiller use can be helpful when treating patients recovering from surgery. These medications also can be effective in treating chronic pain associated with terminal cancer because opioids have positive psychotherapeutic effects that help offset depression and anxiety.

So, cancer and terminal patients deserve these psychotherapeutic effects, but chronic pain patients don’t? This is what you call discrimination against the disabled.

The new standards would allow for exceptions for end-of-life care, palliative care, cancer pain and potentially other diagnoses. Also, those currently on higher doses – the 16,000 taking more than 100 morphine milligram equivalents per days – would be given until July 2017 to taper to lower doses.

This reminds me of medical cannabis programs, all of which have a list of qualifying conditions. Is there a list of qualifying conditions for other drugs? Yes, now for opioids, thanks so much to all who have contributed to this blatant discrimination.

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What Do I See? Take a walk with me…

Yes, I’ve been bribing the squirrels. Hopefully, carrots are good for squirrels, too.

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Just doing my part to further human-animal relations. 🙂

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I see that the Tumbleweed Invasion of 2016 is alive and well.

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And I’m thinking maybe I should become a Bandido.

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I see a bumper sticker that makes me smile. 🙂

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Ah, yellow.

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Same leaves, different background. Just because.

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Oh, look! A new weed to explore!

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I hear the dog before I see the dog.

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Since I don’t understand dog language, I can’t interpret his barks. But he doesn’t appear to enjoy my company.

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Ah, a protective bark. Poor babies, your home looks crowded.

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In New Mexico, jets in the sky are pretty much a daily occurrence.

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I’m sure we’re all tired of seeing these photos. Perhaps things will be different in my new place.

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Just a portrait of American Misery, I suppose.

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Plastic, plastic everywhere.

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Seems like nobody cares.

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But there’s beauty to be found, if one dares.

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Among the rubble and sadness.

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There’s always yellow.

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Sadly, I see that my starfish is beginning to look like Donald Drumpf. (And there’s always laughter.)

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And life goes on. 🙂

(Photos taken this week.)

#WWJD?

http://america.aljazeera.com/opinions/2016/2/trump-might-be-fine-with-torture-but-most-americans-arent.html

Support for torture is particularly strong among Republicans: In the 2015 poll, for example, a hefty 73 percent came out in favor, compared with 46 percent of Democrats. Moreover, after the terror attacks in Paris and San Bernardino late last year, Americans are particularly concerned about national security…

But there is more to these polls than meets the eye. Those who do back torture tend to support its use in exceptional circumstances, such as the “ticking time-bomb” scenario, when a bomb is about to go off and torture is required to find it. When politicians say they will reauthorize the rough stuff, it is usually for such restricted situations. While this might amount to occasional support for harsh methods, it is hardly the same as unqualified enthusiasm. So, a CBS poll from 2014 found that 49 percent of Americans thought enhanced interrogation techniques were “sometimes justified,” versus 36 percent who did not…

I don’t know why so many Americans still believe that torture works. I know what torture feels like, even if I’ve never been waterboarded.

Keep in mind, when you support torture — in any circumstance — our enemies then have the right to do the same. And eye for an eye, right? Anyway, we don’t need to understand our enemies when we can bomb the shit out of them from the sky. Or when we can lock them away in prison.

At the New Hampshire debate, for example, Cruz said he wouldn’t bring back enhanced interrogation in any sort of “widespread use” because “bad things happen” when it spreads…

Too late, dude.

So, torture supporters, I’m just wondering:  What would Jesus do?

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John Void
I wouldn’t have tortured him, but if Trump insists on volunteering to be tortured, I won’t stand in the way. I mean, if that’s what he really wants. As long as he’s not hurting anybody else, I’ll try to be open-minded about his lifestyle.

Come and get me

Wed, Mar 30, 2016 1:17 pm
From: painkills2@aol.com
Re: Illegal eviction
To: vistasmanager@crhmi.com, vmanager@corerealtyholdings.com
Cc: customercare@crhmi.com, egoodman@crhmi.com, dmorehead@crhmi.com, dougmorehead@crhmi.com, info@corerealtyholdings.com

Ms. Buchman,

I am in receipt of your letter dated today, which was taped to my door, again requesting a doctor’s certification of my disabled state. As I mentioned in a previous email, if you’re willing to pay for a doctor’s visit, then I can satisfy this unreasonable request.

Contrary to your assertion that I did not respond to your letter of 2/25/2016, please see my email of 2/25/2016, posted here:

https://painkills2.wordpress.com/2016/02/25/go-ahead-screw-me-over/

The move-in date for my forced relocation is April 3rd. If you’re unwilling to accommodate this schedule, I suggest you start eviction proceedings. See you in court. (Looking forward to it.)

Johnna Stahl

Also posted at painkills2.wordpress.com