When urine tests lie

When the urine test LIES

When the urine test LIES

Many doctors are insisting that their chronic pain pts routinely have to take a urine test to determine if they are taking their prescribed medications – or not – or to discover if patients are taking other medications/substances legal or illegal.

“Failing a drug test” will normally mean that a patient is summarily dismissed from the practice.
Many of these office practices that have elected to use the inexpensive “pee in a cup” form of test.
Physicians are use to lab testing to be 100% accurate, except these “pee in a cup” tests have a reported 20% error rate, but often the practices that use these tests… have apparently not read the “fine print” about their accuracy.

Often some of the false positives – tests shows some drug/substance in the urine that they patient has no knowledge of every taking.

Unfortunately, there are many foods, OTC medications and prescription medications that will throw a “positive test” for a banned substance in the urine.

Something as innocuous as the prescription medication like Amoxicillin or Ampicillin could show up as a COCAINE in the urine.
Having taken Robitussin DM for a cold could show up as PCP or a opiate.

Here is a link to a rather extensive list of possible false positive urine test results;

http://www.keystosaferschools.com/drug-testing/drug-testing-false-positives-for-urine-testing

It may be appropriate for every patient, being subjective to urine tests, to carry a print out of the list on the above hyperlink. If you show a “false positive” at the physician’s office for a urine test… it could be possible to refute the result before it is added to your medical records and you are discharged/fired from the practice.

Is this another crisis or just a EPIDEMIC ?

Preventable deaths from alcohol use increased in 2020

https://www.health.state.mn.us/news/pressrel/2021/alcohol041521.html

Preliminary data highlights impact of excessive alcohol use in Minnesota

New preliminary data show that nearly a thousand Minnesotans died from alcohol use last year. 

The preliminary data suggest that factors related to the pandemic may have boosted a decades-long trend of increasing numbers of alcohol-attributable deaths in Minnesota. The number of fully alcohol-attributable deaths increased by one-third between 2000 and 2010, and more than doubled between 2010 and 2020. Fully alcohol-attributable deaths would not have happened if alcohol had not been consumed. This includes both chronic causes, such as alcohol-related liver disease, and acute causes, such as alcohol poisoning. In 2020, 992 Minnesotans died from fully alcohol-attributable causes.

Fully alcohol-attributable deaths in Minnesota, 2000-2020

“The deaths of so many Minnesotans from alcohol is tragic and preventable,” said Minnesota Commissioner of Health Jan Malcolm. “Sadly, the pandemic has amplified some of the root causes of substance use and substance use disorders, such as social isolation, job loss and lack of access to treatment. In response, we need to strengthen overall opportunities in our communities for connectedness and financial security as well as specific evidence-based community strategies to reduce excessive alcohol use.”

The deaths from alcohol use in 2020 mirrored similar trends to recent years, until the number of alcohol-attributable deaths started to accelerate in June of last year. This mid-year acceleration is thought to be due in part to factors associated with the COVID-19 pandemic.

Fully alcohol-attributable deaths in Minnesota by month

“In 2020, we saw that after May, alcohol-related deaths continued to stay elevated and 171 more Minnesotans died in 2020 compared to 2019, which is a larger jump than the trend prior to the pandemic,” said Kari Gloppen, MDH alcohol epidemiologist. Studies show that excessive drinking affects your brain, heart, liver, digestive system and even your immune system. Alcohol is also a carcinogen that has been linked to several types of cancer.”

The data brief, Fully Alcohol-Attributable Deaths in Minnesota, 2000-2020 (PDF), does not include partially alcohol-attributable causes of death for which alcohol was one of several factors contributing to a death. These estimates, therefore, underestimate the impact of alcohol use on deaths in Minnesota. In addition, alcohol-attributable deaths are only the tip of the iceberg as far as the impact of excessive alcohol use. Excessive drinking is costly, both in human and economic terms not just related to premature death, but also chronic diseases, including cancer, injuries and violence, crime, property damage, and lost productivity.

Deaths and other harms from excessive alcohol use are preventable. The Community Preventive Services Task Force, an independent, nonfederal panel of prevention experts, makes evidence-based recommendations at The Community Guide Excessive Alcohol Consumption page on programs and strategies to improve health. Strategies recommended by the group to reduce excessive drinking, and alcohol-related injury, disease and deaths include the following:

  • Increase the price of alcohol.
  • Regulate the number and concentration in communities of places that sell alcohol.
  • Consistent enforcement of laws prohibiting alcohol sales to minors.
  • Electronic screening and brief intervention to reduce excessive alcohol use. These screening and brief intervention programs can be integrated into clinic and emergency department services, at workplaces or in other community settings, using mobile devices or computers.

Is COVID-19 going to be declared a perpetual pandemic ?

Pfizer, Moderna Say Booster Shots Probably Needed

https://www.medscape.com/viewarticle/949446

Editor’s note: Find the latest COVID-19 news and guidance in Medscape’sCoronavirus Resource Center.

People who’ve received both doses of the Pfizer-BioNTech or Moderna coronavirus vaccines will probably need a booster shot this year, top executives for those two pharmaceutical companies said this week.

Pfizer CEO Albert Bourla said people who’ve gotten both doses would likely need a third shot within 12 months and might need an annual shot thereafter.

“There are vaccines … like polio that one dose is enough, there are vaccines like pneumococcal vaccine that one dose is enough for adults, and there are vaccines like flu that you need every year,” Bourla said on a CVS Health Live event, “Race to Vaccinate.” “The COVID virus looks more like the influenza virus than the polio virus.”

A top Moderna executive said the United States is in a good position to move into booster shots because of its vaccine rollout, whereas many other nations are still getting first vaccinations.

“It is likely that the countries that have already achieved high vaccine coverage are going to be ready to shift their focus to boosters in 2022 and possibly even starting at the end of this year,” Corinne M. Le Goff, PharmD, Moderna’s chief commercial officer, said during a call with investors, Business Insider reported.

Moderna CEO Stéphane Bancel made similar comments to Business Insider this week.

“I hope this summer to get the vaccine authorized for a boost so that we can help people getting boosted before the fall, so that we all have a normal fall and not a fall and winter like we just saw in the last 6 months,” he said.

Johnson & Johnson CEO Alex Gorsky told CNBC in February that people may need to get vaccinated against COVID-19 annually, just like seasonal flu shots.

And David Kessler, MD, of the Biden administration’s COVID response team told a congressional committee on Thursday that Americans should expect to receive booster shots to protect against coronavirus variants, CNBC reported.

“We don’t know everything at this moment,” he told the House Select Subcommittee on the Coronavirus Crisis.

“We are studying the durability of the antibody response,” he said. “It seems strong but there is some waning of that and no doubt the variants challenge … they make these vaccines work harder. So I think for planning purposes, planning purposes only, I think we should expect that we may have to boost.”

The CDC says almost 126 million people in the U.S. (37.9% of the population) have received one dose of vaccine and that 78.4 million people (23.6% of the population) are fully vaccinated.

Earlier this month, Pfizer said studies show its vaccine is 93.1% effective 6 months after the second dose. Moderna said studies show 90% effectiveness in its vaccine after 6 months.

If anyone wonders why the chronic pain community is invisible to the media….

It was announced today that so far this year 92 police officers have been shot/killed. I don’t know about you, but I have not seen more than a handful mentioned on the national news.  But then it is claimed that – on average 24 veterans commit suicide EVERY DAY… and once again, the national media seems to be oblivious to all of these lost lives of people who have pledged to protect and serve our country.

Many have called for DEFUNDING THE POLICE and in many major cities homicides have increased 50%-100%. Today one of the members of the “squad” in the house Rashida Tlaib https://www.newswars.com/squad-democrat-tlaib-demands-no-more-policing/  called out to eliminate the police altogether ! Have not seen anything about DEFUNDING THE DEA

It has been reported that this administration had instructed ICE to not take custody of any illegal immigrants.. basically making our ENTIRE COUNTRY a SANCTUARY PLACE.

And you believe anyone in power really cares about your chronic pain and your inability to get adequate pain management ?  You  could be delusional !

They claim that elections have consequences… there is another election in abt 18 month, 435 members of the house and 33-34 Senators are up for reelection.  87% of Congress can be replaced with the Nov 2022 election. If both houses of Congress flip to Republicans… Washington DC will quickly come to a gridlock.  It was reported today that inflation in Feb was 0.4% and March was 0.6%… on a annualized basis that is SIX PERCENT.  That is DOUBLE- TRIPLE what it was in the previous three years.  Remember during the second term of Obama when  gasoline was > $4.00/gal ?

98% of Congress expect to get reelected, regardless what they promise and what they do or don’t do… that percentage drops dramatically… their paranoid will be on HIGH ALERT… they might even listen to constituents when they come to office in 2023.

 

 

Another collateral damage of the war on drugs/pts ?

RIP Gravestone

Health Care and which political parties they donate money to in 2020

Health Services/HMOs: Top Contributors to Federal Candidates, Parties, and Outside Groups

Election cycle:
Breakdown to display:

Total contributions: $151,572,671

https://www.opensecrets.org/industries/contrib.php?cycle=2020&ind=H03

Toggle Party/Viewpoint percentages
To Candidates and Parties To Outside Spending Groups
Rank Contributor Total Contribs Total Dem% Repub% Total
1 Adelson Clinic for Drug Abuse Treatment & Research $99,107,150 $1,607,150 0% 100.0% $97,500,000
2 Kaiser Permanente $3,733,913 $3,603,657 84.0% 15.4% $106,053
3 Centene Corp $3,584,086 $3,506,808 47.4% 52.5% $125,756
4 UnitedHealth Group $3,233,647 $3,209,273 58.0% 41.9% $21,203
5 Blue Cross/Blue Shield $2,760,726 $2,693,350 68.6% 31.2% $92,382
6 DaVita Inc $1,722,986 $1,602,406 56.1% 43.8% $118,265
7 Integra Connect $1,424,354 $1,424,341 20.1% 79.5% $0
8 Humana Inc $1,117,971 $1,102,222 62.2% 37.3% $12,273
9 Optum $803,918 $783,668 81.6% 17.5% $15,710
10 Molina Healthcare $783,419 $780,831 61.5% 38.4% $1,798
11 Epic Systems $773,192 $758,888 92.3% 6.8% $13,674
12 Fresenius Medical Care North America $769,084 $769,084 51.4% 48.6% $0
13 Athenahealth Inc $708,560 $694,576 98.5% 1.1% $13,148
14 Ambry Genetics $670,708 $70,558 94.1% 1.8% $600,000
15 Deer Oaks Mental Health $663,255 $592,533 100.0% 0% $70,722
16 Scott Holdings $647,425 $647,425 0% 100.0% $0
17 Aetna Inc $638,738 $626,954 78.6% 20.9% $8,029
18 23andme Inc $601,174 $597,678 100.2% 0% $3,336
19 LHC Group $595,009 $492,302 15.6% 84.4% $102,500
20 Beacon Health Options $571,296 $542,025 96.7% 3.1% $24,355

Medical Science now using DNA testing on inherited Cardiovascular Disease

Genetic Testing for Inherited Cardiovascular Diseases: A Scientific Statement From the American Heart Association

https://dnamedmatch.com/ihd/

Cardiac Genetic Testing can be used to:

  • Clarify the diagnosis in a person who has, or is suspected to have, inherited heart disease
  • Identify the cause of heart disease in a family
  • Predict which family members are at-risk to develop the family’s heart condition
  • Provide options for family planning, including preimplantation genetic diagnosis to try to avoid passing a disease-causing mutation to offspring

Cancer and cardiovascular are the two biggest causes of death.

 

Some are not going to agree with this post… some will not understand it… often the truth is hard to swallow

We have lived in the house that we we built in 1974 and I mean that WE BUILT IT – about 70% of the labor was from Barb or me. We live on a acre lot and over the years, we – mostly Barb  – increased the amount of flower beds around the property.  Barb has reached a point where she cannot do much to help maintain those flower beds… Guess who the task of doing that has fallen on ?

My pain is handed on a day to day business by taking a NSAID… but.. when I have to do some manual labor – like pulling weeds and spreading mulch –  the intensity of pain in my lower back quickly zooms past “5” leaving it in the rear view mirror.  Luckily we have a very understanding PCP who gives me opiates and muscle relaxant… and although not tested… I strongly suggest that I am a ultra fast metabolizer.  To do such activity, I have to basically  “medicate my back into submission” and depending on how much activity, a dose may only last me 1-2 hrs, while I am working.

It takes about 120-130 bags of mulch to take care of all the flower beds… each weighing 25-35 lbs. – think  abt 4000 lbs total.  I have a F-150 truck so I can move bags around the property.  You just don’t have to handle a bag of mulch just once… some of them was picked up and moved 4-6 times.

At one point, I picked up a couple of bags and there was no pain… I was not drowsy, my mind was clear, I had all my facilities … in a sense … I was EUPHORIC about being pain free – at least for a 1-2 hrs.

Many of those in the chronic pain community continue to want to divide – segregate – those who suffer from the mental health issue of addiction from those with chronic pain and who have found a “mental peace” by using some legal/illegal substance.  Our SYSTEM, seems to demonize the actions of some people, when no one is harmed with the exception of maybe themself.

We have abt 50,000 suicides/yr and abt ONE MILLION attempts each year.  Could it be that we have a very serious undiagnosed/untreated mental health crisis in this country ?

When I was born Truman was President and I have some memory of Eisenhower as President.  Back then… there was two political parties and you were either white or black..

Now we have so many subsets of US vs THEM.  I am not going take the time to try and even compose what will almost not be a total accurate list and even if I was able to compose a accurate list TODAY by next week it could well be incomplete.

Those groups that are strongly opposed to people receiving opiates/controlled substances to treat their pain is not those who have addiction tendencies, it is the friends and relatives of those who have OD’d from using/abusing opiates and/or active addicts.

From the example that CBS put out today… they are not going to put forth anything by their own truths/beliefs. This week, a good example of this is Governor Ron DeSantis in Florida expanded the COVID-19 vaccine network by adding Publix grocery chain to those giving vaccinations.  Publix is the largest grocery store chain in FL and Walgreens and CVS was already providing vaccinations in FL, but CBS took a video of a press conference DeSantis had and edited a 2 minute video into a short clip and turned the whole context of what he said.  They focused that Publix had made a $100,000 donation to DeSantis’ PAC fund, but failed to mention that Publix had also made contributions to two Democratic candidates’ PAC as well.  It would seem that CBS has an agenda and will edit the truth to fit into their agenda.

The DEA/DOJ and the bureaucrats are using the existing laws, creating new laws or new interpretations of existing laws to suppress the community.  IMO, they have increasingly doing this since the Decade of Pain Law that expired in 2009 -2010 was not renewed.

Almost nightly I hear on TV about certain groups DEMANDING that police depts be DEFUND… but no one seems to have a concern about defunding the DEA ? and there is a lot of talk about the cartels flooding illegal drugs across our southern border, but where is the DEA at/around the border ? Is the DEA turning a blind eye and deft ear to what is going on at the border ?

I have read/talked to/heard about pts contacting law firms… If you pay attention to the TV commercials of personal injury law firms… you should see that they are all going after just a handful of specific types of accident victims.. and why is that ?… because they are going down well worn paths… that leads to a financial settlement…. unlikely that they will have to go to trial… just a handful of letters being sent back and forth… to get the insurance company to come up with some $$$.

If you try to talk to a law firm, don’t let them go down the MALPRACTICE PATH… it is a non-starter… each side will hire a “expert” who will testify that the party that they represent did everything correctly or the plaintiff was harmed because the defendant did something wrong. Many states have CAPS on financial awards for malpractice… meaning that most law firms will not take a case on a contingency basis, because even if they do win… they may not cover their expenses of taking the case to trial.

The truth is that there is not a “visible path” for law firms for getting an insurance company to come up with some $$$ for discrimination for denial of treating a pt for pain.

Those in the community can continue to contact their representative in Congress, but Congress is too busy creating gridlock… there is NO UNITY…. there is NO NEGOTIATION(S)…

Those in the community needs to look at what those states do when they are unhappy when this administration does something they don’t like or feel that what has been done is unconstitutional ? Up to a couple of dozen state AG’s have SUED the administration over what they consider unconstitutional actions by this administration. The various states’ Governors, Legislators, AG’s  can’t get Congress to take any actions.  I can assure you that they have a much better chance to talk to members of Congress over issues and MAYBE …just MAYBE…. get them to listen.

Does those in the community just really needs a GOOD DOSE OF REALITY ?

 

Dr. Thomas Kline, MD, PhD: Medical Myths Revealed : Teens – diagnosing Heroin addiction with one pill and side comments on Adderall

Teenagers have normal adult brains They do not become addicted because their brains are not developed. Brain development is a problem with those who make these pronouncements. These new ideas about Heroin Addiction are for any age, mainly how to diagnosis the disease quickly before it gets out of hand. 90% of Heroin addiction starts in high school in 1-4/1000 students

Number of independent pharmacies in U.S. increasing

Number of independent pharmacies in U.S. increasing

https://www.chaindrugreview.com/number-of-independent-pharmacies-in-u-s-increasing/

WASHINGTON — The number of independent pharmacies in the United States increased in 2020, according to a new analysis of pharmacy data. Pharmacy data from the National Council for Prescription Drug Programs, analyzed by the healthcare analytics firm Quest Analytics, shows the overall number of independent pharmacy stores increased by 449 between January 2020 and January 2021.

 

The analysis of new pharmacy store data also continues to show an overall 10-year positive trend for retail independent pharmacy openings in the U.S. Today, there are 2,645 more independent pharmacies than there were in 2011, which is almost a 13% increase over 10 years.

View Infographic on Pharmacy Data: Nationwide, More Independent Pharmacies in 2020.

“Neighborhood pharmacies play an important role in helping patients access their prescription drugs, a role made all the more important during the COVID-19 pandemic. This data sets the record straight that independent pharmacies continued to do well in 2020. Overall, there are more community pharmacies today than 10 years ago. Federal and state lawmakers should avoid enacting policies based on a misperception about pharmacy closure rates, especially when those policies risk increasing drug costs for patients at exactly the wrong time,” said Pharmaceutical Care Management Association president and CEO JC Scott. “Independent pharmacies, PBMs, and others in the drug supply and payment chain have worked together during the pandemic and should continue to focus on helping patients access affordable prescription drugs and lead healthier lives.”