“The moral test of a government is how it treats those who are at the dawn of life, the children; those who are in the twilight of life, the aged; and those who are in the shadow of life, the sick and the needy, and the handicapped.” – Hubert Humphrey
passionate pachyderms
Pharmacist Steve steve@steveariens.com 502.938.2414
Maybe I am just being political …but… wasn’t it under the administration that Biden was part of when the CDC opiate dosing guidelines were published ? The community needs to ask… where were all those state AG’s when the CDC published those guidelines – why did they not question/challenge these ? CDC’s statutory authority is to deal with contagious diseases and back in 2016 many believed that the CDC did not have the statutory authority to publish those guidelines. Where were all those AG’s when the DEA & VA decided to basically determine that those guidelines were in fact LAW and implement edicts that mandated the lowering or stopping the treatment of tens of millions of chronic pain pts’ with FDA APPROVED MEDICATION(S) ? Could this SCOTUS ruling draw a “legal line” between it is ILLEGAL to mandate citizens to get a FDA APPROVED vaccination to “prevent a disease(s) ” and being legal for our bureaucracy to mandate the denial of treating an existing chronic health disease with FDA approved medication(s) ?
Supreme Court blocks Biden OSHA vaccine mandate, allows rule for health care workers
Supreme Court blocks Biden OSHA vaccine mandate, allows rule for health care workers
The Supreme Court on Thursday issued mixed rulings in a pair of cases challenging Biden administration COVID-19 vaccine mandates, allowing the requirement for certain health care workers to go into effect while blocking enforcement of a mandate for businesses with 100 or more employees.
The latter, an Occupational Safety and Health Administration rule that took effect on Monday, said that businesses with at least 100 employees needed to require workers to get vaccinated, or get tested weekly and wear a mask.
The Court ruled that OSHA lacked the authority to impose such a mandate because the law that created OSHA “empowers the Secretary to set workplace safety standards, not broad public health measures.”
Does this mean that TWITTER no longer considers CDC a valid medical information source and/or health experts ?
Years ago, I use to do ultra specialty computer coding as a “side gig” and it would appear to me that TWITTER’S algorithm or so called Artificial Intelligence (AI) apparently can only READ WORDS and no real “intelligence” to read context or content within just a sentence .
Ivermectin was a “Trump promoted medication” so it was automatically vilified as “not meeting the science” – even though it has been a FDA approved med and safe for human use.
It comes as a paste and in a syringe… and contains many more mgs of invermectin than the 12 mg dose tablet that is commercially made for human use.
As one person put it… horses eats carrots… so is carrots “horse food” ?
I read this week where COVID-19 pts with lung/breathing problems are getting good recovery rates by taking VIAGRA – that’s right – the med that has been used/approved by the FDA for erectile dysfunction.
You take this narrative from this law firm/attorney and substitute pain management for vaccinations and denial of pain management for mandatory vaccinations by various bureaucracies… It would pretty much read THE SAME. So if all these law suits are successful in shutting down all the bureaucrats down in mandating vaccinations …could the inverse/reciprocal be applied to the limiting/denial of pain management as being ILLEGAL ? Could the CDC opiate dosing guidelines and Civil Asset Forfeiture Act and some of the functions of the DEA BE SHUT DOWN ?
New data reveals that the vaccinated are more likely than the unvaccinated to contract Covid-19 from the Omicron strain. The evidence continues to mount that the vaccines are not nearly as effective as expected. Meanwhile, the infusion of mRNA which produces what may be dangerous levels if spike proteins in the vaccinated body should cause alarm, according to this article’s author. Yet companies still are forcing vaccines on employees.
My partner Gwyneth K. Murray-Nolan and I own the Murray-Nolan Berutti LLC law firm. We are challenging New York City’s vaccine passport mandate in the federal courts, and are building a network of attorneys nationally who work with us to assist individuals with vaccine mandate exemptions, and vaccine-related litigation. Several groups of active and terminated employees, and even some employers have approached us to bring litigation seeking to end vaccine mandates. We maintain that the US Supreme Court ultimately will agree with us that all current public and private COVID-related vaccine mandates are illegal and unconstitutional. If you or someone you know is faced with a job loss or other discrimination related to vaccines, please feel free to reach out to us. We will do our best to help to vindicate your civil rights. And if you support our cause, please feel free to connect with both of us.
Rep. Alexandria Ocasio-Cortez, D-N.Y., was recorded without a mask in a densely packed bar in Miami, according to footage that emerged Sunday, but the mainstream media has largely given her a pass for the “hypocrisy.”
The large crowd at the drag bar, most of whom were also without a mask, applauded the congresswoman as she waved to them, as first reported by Florida’s Conservative Voice.
“For those of you with zero sense of humor: the whole point of this post is to expose hypocrisy. We don’t actually care she’s maskless. We care she fear mongers about Florida but then has the audacity to vacation here,” Brendon Leslie, the reporter who first tweeted the video, wrote.
The New York Times opted not to cover Ocasio-Cortez’s maskless trip to the bar, according to a search of the paper’s archives. The Washington Post didn’t cover it, either, according to a search of the paper’s website.
CNN covered Ocasio-Cortez on Monday morning but not the whole maskless trip to a crowded bar.
Instead, the liberal network dedicated a segment to the “Squad” leader’s recent tweet accusing Republicans of being motivated by “sexual frustrations” when they criticize her. Analyst Mary Katharine Ham questioned if AOC’s trip was “dangerous” to her health during the segment, but CNN failed to air the viral images of the maskless bar scene or even specifically mention she ditched her mask in the Sunshine State.
CNN did not mention AOC since the viral photos emerged other than the “New Day” segment that ignored the mask hypocrisy, according to a search of transcripts via Grabien Media.
Ocasio-Cortez was spotted in Florida with her boyfriend amid a coronavirus spike in New York City, in a photo published by National Review. (National Review/Anonymous)
Over on MSNBC, Ocasio-Cortez’s name was not even uttered once from the time the viral images of the maskless bar trip emerged through 9 a.m. ET Monday morning, according to Grabien Media. The Miami trip came as Ocasio-Cortez’s home state of New York has seen a record surge in COVID-19 cases amid the spread of the omicron variant.
While mainstream news organizations have declined to cover AOC’s maskless bar outing, others haven’t gotten a pass for similar actions during the ongoing pandemic.
The mainstream media has largely given Rep. Alexandria Ocasio-Cortez, D-N.Y., a pass for mask “hypocrisy.”
The Washington Post and New York Times bothmanaged to report that “thousands of maskless” Tampa Bay Buccaneers fans hit the streets if Florida to celebrate last season’s Super Bowl victory. The Post even covered the adult son of Republican Arizona Gov. Doug Ducey ditching his mask to attend a party last year, while the Times harped on then-First Lady Melania Trump voting in 2020 without a mask.
Another New York Times headline simply read, “Queens Republicans Under Fire for Maskless ‘Covid Conga Line’ Party.”
for nearly the last two years, the medication Ivermectin has been vilified as “horse medicine” and useless for treating COVID-19… Yet once, one the “darlings” from the “SQUAD” in the House of Congress… is diagnosed with COVID.. all of a sudden the FDA approved medicine for other uses in humans was no longer just “horse medicine” and approved by the CDC as a valid treatment for COVID-19 in humans and not totally only “HORSE MEDICINE”. Her Congressional district is in New York city – which has returned to so many mask mandates and business lock downs. While she tracked off to Florida to enjoy the warm/sunny weather over the New Year’s holiday and being seen in public without wearing a mask and hugging mask less people at a crowded bar.
I guess that we are seeing a huge SWING from Trump hating SCIENCE to POLITICAL SCIENCE… how many other people have died because of denial of being able to have access to invermectin earlier in the epidemic ? Could this be consider a form of political GENOCIDE ?
“The guideline is intended to ensure that clinicians and patients consider safer and more effective treatment, improve patient outcomes such as reduced pain and improved function.”
“Clinicians should consider the circumstances and unique needs of each patient when providing care.”
“Clinical decision making should be based on a relationship between the clinician and patient, and an understanding of the patient’s clinical situation, functioning, and life context.”
“This guideline provides recommendations for primary care clinicians who are prescribing opioids for chronic pain outside of active cancer treatment, palliative care, and end-of-life care.”
“The guideline is intended to ensure that clinicians and patients consider safer and more effective treatment, improve patient outcomes such as reduced pain and improved function.”
“Clinicians should consider the circumstances and unique needs of each patient when providing care.”
“Clinical decision making should be based on a relationship between the clinician and patient, and an understanding of the patient’s clinical situation, functioning, and life context.”
“This guideline provides recommendations for primary care clinicians who are prescribing opioids for chronic pain outside of active cancer treatment, palliative care, and end-of-life care.”
Published equianalgesic ratios are considered crude estimates at best and therefore it is imperative that careful consideration is given to individualizing the dose of the selected opioid. Dosage titration of the new opioid should be completed slowly and with frequent monitoring.
Conversion ratios in many equianalgesic dosing tables do not apply to repeated doses of opioids.
The amount of residual drug in the patient’s system must be accounted for. Example: fentanyl will continue to be released from the skin 12 to 36 hours after removal of the patch. Residual effects from discontinued long-acting formulations should also be assessed before converting a patient to a new opioid.
Review the concept of incomplete cross-tolerance:
D. McAuley: “Incomplete cross-tolerance relates to tolerance to a currently administered opiate that does not extend completely to other opioids. This will tend to lower the required dose of the second opioid. This incomplete cross-tolerance exists between all of the opioids and the estimated difference between any two opiates could vary widely. This points out the inherent dangers of using an equianalgesic table and the importance of viewing the tabulated data as approximations. Many experts recommend – depending on age and prior side effects – reducing the dose of the new opiate by 33 to 50 percent to account for this incomplete cross-tolerance. (Example: a patient is receiving 200mg of oral morphine daily (chronic dosing), however, because of side effects a switch is made to oral hydromorphone 25 – 35mg daily – (this represents a 33 to 50 percent reduction in dose compared to the calculated 50mg conversion dose produced via the equianalgesic calculator). This new regimen can then be re-titrated to patient response. In all cases, repeated comprehensive assessments of pain are necessary in order to successfully control the pain while minimizing side-effects.”
The use of high but ineffective doses of a previous opioid may result in overestimation of the converted opioid.
Ideally, methadone conversions (especially patients who were previously receiving high doses of an opioid) should only be attempted in cooperation with a pain specialist or a specialist in palliative medicine.
The authors make no claims of the accuracy of the information contained herein; and these suggested doses and/or guidelines are not a substitute for clinical judgment. Neither GlobalRPh Inc. nor any other party involved in the preparation of this document shall be liable for any special, consequential, or exemplary damages resulting in whole or part from any user’s use of or reliance upon this material. PLEASE READ THE DISCLAIMER CAREFULLY BEFORE ACCESSING OR USING THIS SITE. BY ACCESSING OR USING THIS SITE, YOU AGREE TO BE BOUND BY THE TERMS AND CONDITIONS SET FORTH IN THE DISCLAIMER.
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Maybe I am just being political …but… wasn’t it under the administration that Biden was part of when the CDC opiate dosing guidelines were published ? The community needs to ask… where were all those state AG’s when the CDC published those guidelines – why did they not question/challenge these ? CDC’s statutory authority is to deal with contagious diseases and back in 2016 many believed that the CDC did not have the statutory authority to publish those guidelines. Where were all those AG’s when the DEA & VA decided to basically determine that those guidelines were in fact LAW and implement edicts that mandated the lowering or stopping the treatment of tens of millions of chronic pain pts’ with FDA APPROVED MEDICATION(S) ? Could this SCOTUS ruling draw a “legal line” between it is ILLEGAL to mandate citizens to get a FDA APPROVED vaccination to “prevent a disease(s) ” and being legal for our bureaucracy to mandate the denial of treating an existing chronic health disease with FDA approved medication(s) ? 
