PHARMACIST STEVE

My time that I am capable of dealing with my blog and pt’s issues may get restricted going forward. We were just told that the independent pharmacy that we have been patronizing for abt 10 yrs is not going to be in the Humana  Part D next year!  This guy owns the only two independents […]

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These are several audio presentations about Narxcare      

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Analysis turned up 200,000 unneeded procedures that cost Medicare $2 billion over 3 years https://www.medpagetoday.com/surgery/orthopedics/117856 The Lown Institute called out dozens of hospitals for performing unnecessary surgeries on Medicare beneficiaries with low back pain, putting patients at risk of serious complications with no evidence of clinical benefit. Its analysis focused on high-volume hospitals that performed […]

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Risks of Tramadol Likely Outweigh Benefit for Chronic Pain https://www.medpagetoday.com/neurology/painmanagement/117842 Drug didn’t meet efficacy threshold and doubled serious adverse event risk, analysis suggests The opioid analgesic tramadol reduced chronic pain levels compared with placebo, but appeared to double the risk of harm, a review of 19 clinical trials suggested. In a meta-analysis and trial sequential […]

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can you elaborate why the MME system has no valid clinical basis for being used in treating chronic pain pts – especially intractable chronic pain pts. And elaborate on how observational studies cannot replace the reliability of a double blind clinical study with a control group   Let’s break down your two important points: 1. […]

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The lawsuit against the three major drug wholesalers—McKesson, Cardinal Health, and AmerisourceBergen (now Cencora)—centered on their alleged role in fueling the opioid crisis by oversupplying opioids while failing to adequately monitor and report suspicious orders. Here is a breakdown addressing your questions in detail:drugtopics+2 Lawsuit Details and Trial Status The largest actions against the distributors […]

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  I find myself typing the same answers to pt’s inability to get their pain meds and numerous other things that untold number of pain pts are experiencing in trying to get their pain properly managed. I have added a new tab on the front page of my blog ACTIONS. I will be adding to […]

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can you define in detail what is pt abandonment when a intractable chronic pain pt is the pt and it is well known that it is unlikely that the pt will be able to find a new practitioner and the pt has been a pt of the practitioners for a minimum of several years When […]

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Hypothetical – pt has been seen in a practice for several decades by one particular practitioner. The pt is a intractable/high impact chronic pain pt being on opioids and other controlled substances for several decades. The practitioner that as taken care of this pt and a couple of other thousands with individualized therapies. This practitioner […]

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