Metformin ER (Glucophage XR)
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https://blackamericaweb.com/2020/01/02/judge-rules-hospital-can-take-baby-off-life-support/
DALLAS (AP) — A Texas judge on Thursday sided with a hospital that plans to remove an 11-month-old girl from life support after her mother disagreed with the decision by doctors who say the infant is in pain and that her condition will never improve.
Trinity Lewis had asked Judge Sandee Bryan Marion to issue an injunction in Tarrant County district court to ensure that Cook Children’s Medical Center doesn’t end her daughter Tinslee Lewis’ life-sustaining treatment. Texas Right to Life, an anti-abortion group that is advocating for Tinslee, said the girl’s mother will appeal the judge’s decision.
Doctors at the Fort Worth hospital had planned to remove Tinslee from life support Nov. 10 after invoking Texas’ “10-day rule,” which can be employed when a family disagrees with doctors who say life-sustaining treatment should be stopped. The law stipulates that if the hospital’s ethics committee agrees with doctors, treatment can be withdrawn after 10 days if a new provider can’t be found to take the patient.
In a statement issued by Texas Right to Life, which opposes the “10-day rule,” Lewis said she was “heartbroken” over the judge’s decision. “I feel frustrated because anyone in that courtroom would want more time just like I do if Tinslee were their baby,” she said.
The hospital said in a statement Thursday that in order to keep Tinslee alive, she’s on a constant stream of painkillers, sedatives and paralytics. She currently has severe sepsis, which isn’t uncommon when patients require deep sedation and chemical paralysis, it said.
“Even with the most extraordinary measures the medical team is taking, Tinslee continues to suffer,” the hospital said.
Efforts to find another facility to take her have been unsuccessful. The hospital said it has reached out to more than 20 facilities. Texas Right to Life and Protect TX Fragile Kids have also been trying to find a facility to take her.
Prior to Thursday’s ruling, both sides agreed that if Marion denied the injunction request, the hospital would wait at least seven days before taking Tinslee off life-support. In her decision, Marion said the seven-day period would give the girl’s mother time to file a notice of appeal and a motion for emergency relief with a state court of appeals.
Tinslee has been at Cook Children’s since her premature birth. The hospital said she has a rare heart defect and suffers from chronic lung disease and severe chronic high blood pressure. She hasn’t come off a ventilator since going into respiratory arrest in early July and requires full respiratory and cardiac support.
Lewis testified at a hearing last month that despite her daughter’s sedation, she has a sense of the girl’s likes and dislikes, describing her as “sassy.” She said Tinslee likes getting her nails done but doesn’t like having her hair brushed.
“I want to be the one to make the decision for her,” Lewis said about removing her daughter from life support.
At the hearing last month, Dr. Jay Duncan, one of Tinslee’s physicians, described the girl’s complex conditions and Cook Children’s efforts to treat her, which have included about seven surgeries. The cardiac intensive care doctor said that for the first five months of Tinslee’s life doctors had hope she might one day at least be able to go home.
But Duncan said there came a point when doctors determined they had run out of surgical and clinical options, and that treatment was no longer benefiting Tinslee. Duncan said last month that the girl would likely die within half a year, and noted the hospital has made “extraordinary” efforts to find another facility for her.
“She is in pain. Changing a diaper causes pain. Suctioning her breathing tube causes pain. Being on the ventilator causes pain,” he said.
Duncan said there had been “many, many” conversations with Tinslee’s family about her dire condition.
Tarrant County Juvenile Court Judge Alex Kim issued a temporary restraining order to stop the removal of life support on Nov. 10. But Kim was removed from the case after the hospital filed a motion questioning his impartiality and saying he had bypassed case-assignment rules to designate himself as the presiding judge.
After his removal, Judge Marion, who is chief justice of Texas’ Fourth Court of Appeals, was assigned to hear the request for an injunction in Tarrant County district court.
The case has become a rallying point for Republicans in Texas, with the attorney general stating his opposition to the “10-day rule” and GOP state Rep. Tan Parker saying it “doesn’t fit with Texas values.”
The 1999 law that shields from lawsuits doctors who follow the process of going through an ethics committee was crafted by a task force that included lawmakers, attorneys, doctors and anti-abortion groups. Supporters of the law passed when George W. Bush, a Republican, was governor include the Texas Alliance for Life, the Texas Catholic Conference of Bishops and the Texas Medical Association.
Supporters say the law provides a framework for doctors and hospitals to resolve differences and ensures that doctors can’t be forced to perform medical interventions that cause harm or suffering.
I have mixed emotions about this situation. “PAIN” is mentioned many times as the basis behind the decision and mentioned a few times of other meds – probably controlled substances – that she was receiving routinely.
It was not mentioned in this article but some others that I have read the current hospital had supposedly contact as many as 20 other hospital to take on the care of baby Tinslee going forward and none wanted to take on the care of this baby.
There is only a mention of Tinslee’s Mother in the picture… where is the Father ?
Is Trinity Lewis a single Mother ?
Is MONEY a underlying issue ? 11 months at $3000/day her care could hit ONE MILLION although most likely such high-touch, high-tech care could in the end the total cost to date could be multi millions.
No matter how this ends…. not everyone will be happy ….
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We have been using Silver Scripts (part of CVS Health/Caremark) for years… I have always been rather lazy and not checking out Rx prices from various Part D programs until 2019… when I ran the program https://www.medicare.gov/plan-compare/#/?lang=en to find out what would be the least expensive annual out of pocket costs for us.
We use a local independent and had noticed over the last couple of years… our out of pocket costs for Rxs seem to be going up – dramatically !! Come to find out that Silver Scripts the only TWO PREFERRED PHARMACIES in the county of abt 85,000 population was the CVS Rx dept in Target and a new CVS store – these stores is one of the most congested roads in the entire county and about 1/2 mile apart and at least a 8 mile drive for us to go “into town” as opposed to the local indy that is abt ONE MILE from our house and will deliver if needed.
I took our new Part D cards to the pharmacy on Saturday with a refill that Barb needed and told them to fill it after the first of the year… since this year we have a $450 deductible with the new Part D prgm- but all Part D programs were going to have a deductible or higher premiums to collect the same copay over 12 months.
The prescription that I was to pickup today was suppose to be $55 but when I got there… .it was $92… Come to find out the staffer that I had talked to had filled in on Monday when I dropped it off and billed it to Silver Scripts.
The Pharmacist reversed the Silver Script and billed it to our new Part D program and the price came out as $56.. Keep in mind the Rx filled/billed to Silver Scripts …the $92 was a COPAY and the one filled/billed to our new Part D was FULL PRICE because we are in our DEDUCTIBLE PERIOD… and it is suppose to be $3 once the deductible is met.
So I went to print out all the Rxs filled with Silver Scripts for 2019 and while they don’t automatically show you this.. if you hit the down arrow on each claim it will show what they paid… and found out that they paid little to NOTHING on most of the Rxs that we had filled last year… One very notable Rx was I was charged $147.00 and THEY PAID $6.00
I just checked www.goodrx.com and the quoted prices was a range of $35 -$64 locally. So Silver Scrips (CVS) has been charging me – and everyone else that doesn’t have them filled at a CVS pharnacy ) – from 50% to nearly THREE TIMES the available CASH PRICE at local pharmacies. I was also paying Silver Scripts a MONTHLY PREMIUMS and normally the Part D/PBM gets a rebate/kickback/discount from the Pharma and I don’t know if they are getting any $$$ from the Feds/Medicare on a monthly basis.
Many scream & holler that Medicare should be negotiating prices with the pharmas… looks like they should start putting a mussel on some of their Part D prgms. Silver Scripts is one of the top three Part D providers.
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over the last couple of weeks, I have been reviewing the stats on my blog, Face Book and Twitter. Many times it has been stated by many that the chronic pain community seems to be impossible to come together… to unify.. “Unity” can have many facets..
It is claimed that there is 100+ million chronic painers… but where are they ? I wonder how many chronic painers could be sorted out from the hundred or thousands of face book pages and just how many would the net number be on all those social networks ? A few thousand that are regularly active.. it could maybe be up to ten thousand. Even at ten thousand that is abt 0.01% of the total number of chronic pain pts
One of the facets of unity is speaking with one voice or talking about one specific agenda. How many people or groups claim they represents the chronic pain community and many/most/all have at least a slightly different agenda and message.
Have you ever been in a restaurant/bar and the place is so noisy that the people at your table can’t hear each other because of the ambient ” white noise ” ?
Is the chronic pain community making very little progress going forward because all of the people that needs to be influenced to enact change is just hearing ” white noise” because there is no unity of message ?
Of the numerous “players” in this “war”, the only one that seems to have a unified message is the DOJ/DEA and they have a well organized distribution of that message https://www.dea.gov/press-releases and it would appear that our media dutifully regurgitates these press releases on a routine basis.
Prescribers seem to fall into three different “camps”, those who are going to do their best to treat their chronic pain pts as they always have, those who believe that if they move all their chronic pain pts to < 90 MME/day they will be “safe” and a third that wants all of their pts off of opiates and controlled substances.
The Pharmas seem to just wait until something happens and hires law firms to settle the issue with some bureaucratic entity getting “paid off”
The various parts of our corporate healthcare system ( hospital systems, chain pharmacies, insurance/PBM, etc ) are doing various things, many of their actions/policies seem to be highly influenced by their legal depts or outside legal counsel.
IMO, part of the lack of unity within the chronic pain community is – at least from my media stats – how very little there is of sharing… According to my Twitter account I have nearly 3000 followers. I started noticing that when something I posted got some re-tweets… it was very seldom out of the SINGLE DIGITS of re-tweets. There will never be any sizeable unity within the chronic pain community .. if people don’t share with others in the chronic pain community what is going on around the community .. either good or bad… how is the community going to ever come together ?
When I started my blog, FB and Twitter accounts abt eight years ago… I really didn’t know what specifically I was going to do with them. Everything seems to evolve that my focus was to be a educator and motivator. You can’t “fight the enemy” unless you know what the enemy is doing but knowledge/education that does not result in some action taken… is a total waste.
I am starting the new year by taking a total hiatus from social media. I am NOT closing nor deleting all of my accounts, I believe that there is a lot of valuable information on those accounts that I have accumulated over the last 8 yrs.. that may be useful to some pts in the future.
My email (steve@steveariens.com) will still be active and I will reading it
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6775 Americans will die EVERY DAY – from various reasons
2700 people WILL ATTEMPT SUICIDE
140 will be SUCCESSFUL – including 20 veterans
270 will die from hospital acquired antibiotic resistant “bug” because staff won’t properly wash hands and/or proper infection control.
350 will die from their use/abuse of the drug ALCOHOL
1200 will die from their use/abuse of the drug NICOTINE
1400 will contract C-DIF from Hospital or Nursing home because staff doesn’t properly wash their hands are adhere to infection control
80 WILL DIE – mostly elderly.
850 will die from OBESITY
700 will die from medical errors
150 will die from Flu/Pneumonia
80 will die from Homicide
80 will die in car accidents
70 From ALL DRUG ABUSE
http://www.romans322.com/daily-death-rate-statistics.php
Someone just died by: | ![]() |
![]() |
![]() |
Abortion *: | 1091318 |
Heart Disease: | 613959 |
Cancer: | 591325 |
Tobacco: | 349779 |
Obesity: | 306806 |
Medical Errors: | 251295 |
Stroke: | 133019 |
Lower Respiratory Disease: | 142853 |
Accident (unintentional): | 135967 |
Hospital Associated Infection: | 98937 |
Alcohol *: | 99937 |
Diabetes: | 76440 |
Alzheimer’s Disease: | 93482 |
Influenza/Pneumonia: | 55192 |
Kidney Failure: | 42735 |
Blood Infection: | 33443 |
Suicide: | 42746 |
Drunk Driving: | 33787 |
Unintentional Poisoning: | 31738 |
All Drug Abuse: | 24989 |
Homicide: | 16788 |
Prescription Drug Overdose: | 14991 |
Murder by gun: | 11486 |
Texting while Driving: | 5985 |
Pedestrian: | 4997 |
Drowning: | 3913 |
Fire Related: | 3498 |
Malnutrition: | 2770 |
Domestic Violence: | 1459 |
Smoking in Bed: | 780 |
Falling out of Bed: | 598 |
Killed by Falling Tree: | 149 |
Lawnmower: | 68 |
Spontaneous Combustion: | 0 |
Your chance of death is 100%. Are you ready? |
Totals of all categories are based upon past trends documented below.
I am being completely weaned off my meds, & suspect I will kill myself with the amount of pain I am in, & will be by the time this is over (the wean that is). Already can’t function.
My husband committed suicide after being abandoned by his pain dr.
Please pray for me as I am on the brink of suicide! I don’t want to die but can’t handle the pain anymore! The doctor that I am currently seeing will not give me enough pills to last all month every month… I have to wait until Oct to get in with a pain management doctor whom I already know by others that I know sees this doctor that he will help me, need prayer to hold on until oct… I keep thinking of my family who needs me hear.
“We just lost another intractable member of our support group two nights ago. She committed suicide because her medications were taken away for interstitial cystitis (a horribly painful bladder condition) and pudendal neuralgia, both of which she had battled for years
D D., journalist and prescribed fentanyl patient for a dozen years joined me on air last weekend with her husband and spoke of her suicide plan should the only relief from constant agony be heavily reduced or taken away.
I was told last Friday that my Dr. will be tapering my meds again . When I told him I didn’t think my body could take another lowering he stated ” it wasn’t my
License on the line”, I stated ” no , but it’s my life on the line”!!!!! I can not continue to live this way . I can not continue to suffer in agony when my medications and dose where working just fine before and I was a productive member of society . I can no longer take this. I have a plan in place to end my life myself When I am forced to reduce my Medications again . I just can’t do it anymore .
On Friday at around 9 p.m. U.S. Navy veteran Kevin Keller parked his red pickup truck in the parking lot at the Wytheville Rite-Aid, walked across the grass and stood in front of the U.S. Veterans Community Based Outpatient Clinic next door.
Sick and tired of being in pain, he pulled out a gun, shot a hole in the office door, aimed the gun barrel at his head and ended his hurt once and for all.
As a longterm pain patient with a current unsupportive pain dr, I just thought I’d share the reality of the position I’m in right now…
I’m in very bad pain all the time for very legit and well documented reasons. My pain dr however never gives me enough meds to help me. He just keeps reducing them, which is causing me to be in even more pain and suffer so much more. My quality of life also continues to go downhill at the same time. I was just given a letter by him recently too about some study indicating an increase in deaths if you take opioids and benzos. It stated he’s no longer going to give pain meds to anyone who is taking a benzo. I take one, because I have to, for a seizure disorder, not because I want to. He told me to pick one or the other though, plus went ahead and reduced my pain meds some more. He doesn’t seem to care the least bit. I’ve looked hard and so far I can’t find another one to get in to see near me at this time, but I’m desperately still trying. Unfortunately, they’re few and far between here, in addition to the wait for an appointment being long. I’ve even called hospice for help. So far, they haven’t been of much help either, because I don’t have a dr who will say I have six months or less to live. I told them either choice my pain dr is giving me is very inhumane, so I’d rather just quit eating and drinking, to the point where I pass away from that, while I get some kind of comfort care from them. I don’t really want to though, although I do have a long list of some very bad health problems, including a high probability that I have cancer and it’s spread. Am I suicidal? No. Will I be if my pain and seizure meds are taken away. Highly likely. I never ever saw this coming either. I don’t have a clue what to do and the clock is ticking, but I’m still fighting for an answer. So far, I can’t find not even one dr to help me though. Not one. I know my life depends on it, but at what point will these drs let my suffering become so inhumane that I just can’t take it anymore. I just don’t know right now. It’s a very scary place to be in for sure. That I do know.
The patient was being denied the medicine that had been alleviating his pain and committed suicide because, “he couldn’t live with the pain anymore. He could not see a future. He had no hope. He had no life.”
I am a chronic pain patient who has been on fairly high doses of opiates for about nine years now. My dose has been forcibly reduced since the cdc guidelines. I moved to Oregon from Alaska and can’t find a doctor to prescribe my medication. I pray I have the strength not to take my own life!
Zach Williams of Minnesota committed suicide at age 35. He was a veteran of Iraq and had experienced back pain and a brain injury from his time in service. He had treated his pain with narcotics until the VA began reducing prescriptions.
Ryan Trunzo committed suicide at the age of 26. He was an army veteran of Iraq. He had experienced fractures in his back for which he tried to get effective painkillers, but failed due to VA policy. His mother stated “I feel like the VA took my son’s life.”
Kevin Keller, a Navy veteran, committed suicide at age 52. He shot v after breaking into the house of his friend, Marty Austin, to take his gun. Austin found a letter left by Keller saying “Marty sorry I broke into your house and took your gun to end the pain!” Keller had experienced a stroke 11 years earlier, and he had worsening pain in the last two years of his life because VA doctors would not give him pain medicine. On the subject of pain medication, Austin said that Keller “was not addicted. He needed it.”
Bob Mason, aged 67, of Montana committed suicide after not having access to drugs to treat his chronic pain for just one week. One doctor who had treated Mason was Mark Ibsen, who shut down his office after the Montana Board of Medical Examiners investigated him for excessive prescription of opioids. According to Mason’s daughter, Mason “didn’t like the drugs, but there were no other options.”
Donald Alan Beyer, living in Idaho, had experienced back pain for years. He suffered from degenerative disc disease, as well as a job-related injury resulting in a broken back. After his doctor retired, Beyer struggled without pain medicine for months. He shot himself on his 47th birthday. His son, Garrett, said “I guess he felt suicide was his only chance for relief.”
Denny Peck of Washington state was 58 when he ended his life. In 1990, he experienced a severe injury to his vertebrae during a fishing accident. His mother, Lorraine Peck, said “[h]e has been in severe pain ever since,” and his daughter, Amanda Peck, “said she didn’t remember a time when her dad didn’t hurt.” During the last few years of his life, Peck had received opiates for his pain from a Seattle Pain Center, until these clinics closed. After suffering and being unable to find doctors who would help with his pain, Peck called 911. Two days later, Peck was found dead in his home with bullet wounds in his head. A note found near Peck read: “Can’t sleep, can’t eat, can’t do anything. And all the whitecoats don’t care at all.”
Doug Hale of Vermont killed himself at the age of 53. He had experienced pain from interstitial cystitis, and decided to end his life six weeks after his doctor suddenly cut off his opiate painkillers. He left a note reading “Can’t take the chronic pain anymore” before he shot himself in the head. His doctor said he “was no longer willing to risk my license by writing you another script for opioids” (see attachment A for details of the problem as relyed by his wife Tammi who is now 10 months without a husband as a direct result of the CDC guidelines to prevent deaths)Bruce Graham committed suicide after living with severe pain for two years. At age 62, Graham fell from a ladder, suffering several severe injuries. He had surgery and fell into a coma. After surgery, he suffered from painful adhesions which could not be removed. He relied on opioid painkillers to tolerate his pain, but doctors eventually stopped prescribing the medicine he needed. Two years after his fall, Graham shot himself in the heart to end the pain.
Travis Patterson, a young combat veteran, died two days after a suicide attempt at the age of 26. After the attempt to take his own life, Patterson was brought to the VA emergency room. Doctors offered therapy as a solution, but did not offer any relief for his pain. Patterson died two days after his attempted suicide.
54-year-old Bryan Spece of Montana killed himself about two weeks after he experienced a major reduction in his pain medication. The CDC recommends a slow reduction in pain medicine, such as a 10% decrease per week. Based on information from Spece’s relative, Spece’s dose could have been reduced by around 70% in the weeks before he died.
In Oregon, Sonja Mae Jonsson ended her life when her doctor stopped giving her pain medicine as a result of the CDC guidelines.
United States veterans have been committing suicide after being unable to receive medicine for pain. These veterans include Peter Kaisen,Daniel Somers, Kevin Keller, Ryan Trunzo, Zach Williams, and Travis Patterson
A 40-year-old woman with fibromyalgia, lupus, and back issues appeared to have committed suicide after not being prescribed enough pain medicine. She had talked about her suicidal thoughts with her friends several times before, saying “there is no quality of life in pain.” She had no husband or children to care for, so she ended her life.
Sherri Little was 53 when she committed suicide. She suffered pain from occipital neuralgia, IBS, and fibromyalgia. A friend described Little as having a “shining soul of activism” as she spent time advocating for other chronic pain sufferers. However, Little had other struggles in her life, such as her feeling that her pain kept her from forming meaningful relationships. In her final days, Little was unable to keep down solid food, and she tried to get medical help from a hospital. When she was unable to receive relief, Little ended her life.
Former NASCAR driver Dick Trickle of North Carolina shot himself at age 71. He suffered from long-term pain under his left breast. Although he went through several medical tests to determine the cause of his pain, the results could not provide relief. After Trickle’s suicide, his brother stated that Dick “must have just decided the pain was too high, because he would have never done it for any other reason.”
39-year-old Julia Kelly committed suicide after suffering ongoing pain resulting from two car accidents. Kelly’s pain caused her to quit her job and move in with her parents, unable to start a family of her own. Her family is certain that the physical and emotional effects of her pain are what drove her to end her life. Kelly had founded a charity to help other chronic pain sufferers, an organization now run by her father in order to help others avoid Julia’s fate.
Sarah Kershaw ended her life at age 49. She was a New York Times Reporter who suffered from occipital neuralgia.
Lynn Gates Jackson, speaking for her friend E.C. who committed suicide after her long term opiates were suddenly reduced by 50% against her will, for no reason. Lynn reports she felt like the doctors were not treating her like a human being (Ed: a common complaint) and she made the conscious decision to end her life.
E.C. committed suicide quietly one day in Visalia California. She was 40. Her friend reported her death. “She did not leave a note but I know what she did”. The doctor would only write a prescription for 10 vicodin and she was in so much pain she could not get to the clinic every few days. We had talked many times about quitting life. Then she left. She just left.
Jessica, a patient with RSD/CRPS committed suicide when the pain from her disease became too much for her to bear. A friend asserted that Jessica’s death was not the result of an overdose, and that “living with RSD isn’t living.”
https://m.facebook.com/FibroPrince/posts/948610075216801
https://www.pharmaciststeve.com/?p=14073
https://www.pharmaciststeve.com/?p=14574
https://www.pharmaciststeve.com/?p=15023
http://linkis.com/painnewsnetwork.org/7IoUl
http://linkis.com/whotv.com/2016/11/10/ibRof
https://articles.al.com/news/index.ssf/2016/12/alabama_pain_centers_troubles.amp
http://linkis.com/painnewsnetwork.org/oKRZ5
http://linkis.com/www.seattletimes.com/tgyL7
http://www.bendbulletin.com/topics/5342867-151/opioid-crisis-pain-patients-pushed-to-the-brink
https://www.painnewsnetwork.org/stories/2017/5/26/patient-suicide-blamed-on-montana-pain-clinic
Aliff, Charles
Beyer, Donald Alan
Brunner, Robert “Bruin”
Graham, Bruce
Hale, Doug
Hartsgrove, Daniel P
Ingram III, Charles Richard
Kaisen, Peter
Keller, Kevin
Kershaw, Sarah
Kimberly, Allison
Little, Sherri
Mason, Bob
Miles, Richard
Murphy, Thomas
Paddock, Karon
Patterson, Travis “Patt”
Peck, Denny
Peterson, Michael Jay
Reid, Marsha
Somers, Daniel
Son, Randall Lee
Spece, Brian
Tombs, John
Trickle, Richard “Dick”
Trunzo, Ryan
Williams, Zack
Karon Shettler Paddock committed suicide on August 7, 2013 http://www.kpaddock.org/
Jessica Simpson took her life July 2017
Mercedes McGuire took her life on Friday, August 4th. She leaves behind her 4 yr old son. She could no longer endure the physical & emotional pain from Trigeminal Neuralgia.
www.disabledveterans.org/2017/08/16/veteran-commits-suicide-front-amarillo-va-emergency-department/
Katherine Goddard’s Suicide note: Due to the pain we are both in and can’t get help, this is the only way we can see getting out of it. Goodbye to everybody,” https://www.cbsnews.com/news/florida-man-arrested-after-girlfriend-dies-during-alleged-suicide-pact/
Steven Lichtenberg: the 32-year-old Dublin man shot himself http://www.dispatch.com/news/20160904/chronic-pains-emotional-toll-can-lead-to-suicide
Fred Sinclair he was hurting very much and was, in effect, saying goodbye to the family. https://www.pharmaciststeve.com/?p=21743
Robert Markel, 56 – June 2016 – Denied Pain Meds/Heroin OD http://www.pennlive.com/opioid-crisis/2017/08/heroin_overdose_deaths.html
Lisa June 2016 https://youtu.be/rBlrSyi_-rQ
Jay Lawrence March 2017 https://www.painnewsnetwork.org/stories/2017/9/4/how-chronic-pain-killed-my-husband
Celisa Henning: killed herself and her twin daughters...http://www.nbcchicago.com/news/local/Mom-in-Apparent-Joliet-Murder-Suicide-said-Body-Felt-Like-It-was-On-Fire-Grandma-Says-442353713.html?fb_action_ids=10213560297382698&fb_action_types=og.comments
Karen Boje-58 CPP-Deming, NM
Katherine Goddard, 52 – June 30, 2017 – Palm Coast, FL -Suicide/Denied Opioids http://www.news-journalonline.com/news/20170816/palm-coast-man-charged-with-assisting-self-murder
Suicides: Associated with non-consented Opioid Pain Medication Reductions
Lacy Stewart 59, http://healthylivings247.com/daughter-says-untreated-pain-led-to-mothers-suicide/#
Ryan Trunzo of Massachusetts committed suicide at the age of 26 http://www.startribune.com/obituaries/detail/18881/?fullname=trunzo,-ryan-j
Mercedes McGuire of Indiana ended her life August 4th, 2017 after struggling with agony originally suppressed with opioid pain medicine but reappearing after her pain medicine was cut back in a fashion after the CDC regulations. She was in such discomfort she went to the ER because she could not stand the intractable pain by “learning to live with it” as suggested by CDC consultants. The ER gave her a small prescription. She went to the pharmacy where they refused to fill it “because she had a pain contract”. She went home and killed herself. She was a young mother with a 4 year old son, Bentley. Bentley, will never get over the loss of his mom.
http://greatamericans.world/suicides-associated-with-non-consented-opioid-pain-medication-reductions/
“Goodbye” Scott Smith: Vet w/PTSD committed murder/suicide. Killed his wife then himself today 11/27/2017
Pamela Clute had been suffering from agonizing back problems and medical treatment had failed to relieve pain that shot down her legs While California’s assisted suicide law went into effect a couple months before Clute’s death, the law only applies to terminally ill patients who are prescribed life-ending drugs by a physician. Clute wasn’t terminally ill
Kris Hardenbrook Oct 2018 What is the difference between patient abandonment and a FIRING SQUAD ? – NOT MUCH ?
Robert Charles Foster,65 Nov 3, 2018 Chronic pain pt …SUICIDE BY COP https://theworldlink.com/news/local/crime-and-courts/suspect-dead-after-officer-involved-shooting-in-bandon/article_182bfafd-5e6d-539f-b366-0f9a00b7dc85.html
Lee Cole 04/23/2018 https://www.pharmaciststeve.com/?p=27825
Peter A. Kaisen 76-year-old veteran committed suicide (Aug. 24, 2016) in the parking lot of the Northport Veterans Affairs Medical Center on Long Island, https://www.nytimes.com/2016/08/25/nyregion/veteran-kills-himself-in-parking-lot-of-va-hospital-on-long-island.html
Paul Fitzpatrick, 56 Oct 2018, kills himself blaming 20 years of debilitating pain caused by laser eye surgery https://www.dailymail.co.uk/news/article-6445427/Canadian-man-kills-suffering-20-years-pain-laser-eye-surgery.html
Paolo Antonio Argenzio: Passed away on Monday December 10th 2018, from a self inflicted gunshot wound
Rory G. Hosking, age 50, honorable Army Veteran, passed away Feb. 9, 2019 from his struggle with chronic pain
Sonya White has passed away on Thursday March 7, 2019 at 30 years old
Danielle Byron Henry 10th June, 2017
Kelly Catlin, the 23-year-old Olympic cyclist with debilitating migraines committed suicide 16th March, 2019
Dawn Anderson was 53 years old, and a former Registered Nurse died on March 11, 2019 in untreated agonizing pain
Adam Palmer Jan 20,2019 Family says Pleasant Grove man committed suicide after going off pain meds too quickly
Bobbi Fencl April 9, 2019 My wife Bobbi Fencl is one of the recent casualties of the insane Federal, State and Physician response to the Opioid Crisis. She committed suicide this last Tuesday. She is now out of pain and wrapped in His arms.
Post on FB 07/18/2019 – exact suicide date unknown:
Remember The Fallen Pain Warriors.
Travis Patterson, a Texan, a decorated Staff Sergeant in the Army, combat veteran of Iraq and Afghanistan, was injured by a road side mine, and discharged from the army in 2016. He was in daily severe pain. He could not get pain treatment, and tried to commit suicide and was admitted to a Topeka Kansas VA hospital by his 26 year old wife. The VA refused to treat his war wounds with pain medicine and offered instead a stress ball. Two days later he made sure of his own method for treating his intractable pain by killing himself. He had a future with his wife and studying law but it did not matter. He showed no signs of mental illness, just the stress of failure to treat his underlying war injuries with long term daily pain. One other veteran remarked the US Government was finding other ways to “kill us”.
Additional information: Travis was denied pain medication for this combat wounds by the VA by law passed without knowledge of most 12–15, deep in a 2000 page budget bill. It is now federal law to forcibly taper wounded veterans with intractable pain to “prevent addiction and heroin overdoses” Traviswas a Texas native).
Akaiah Nicole Altstock, 14, of Sneads Ferry, North Carolina, died Wednesday, September 25, 2019.
David Pezzula: this time the pain was too difficult, and he died by suicide on Friday morning, December 6, 2019
02/14/2020 Last night we suffered a major loss. Our beautiful Jessica hung herself. She was only 24 and left behind 2 beautiful little boys, Kyson age 4 and Kaison age 2. People think pain doesn’t kill but I assure you, it absolutely does. Rest in Peace Jess
Jennifer Hill CRPS SUICIDE April 1, 2020 HER 53rd BIRTHDAY
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I was very hesitant to post this at all it was more than I was ever expecting. It was however enough to get them to do independent specialized testing of the medications shelf-life! I agreed to hold all of my documents, charts, and specialized testing until their test confirms or contradicts our numbers. So the waiting game is on again. Mostly because I don’t want to get sued! 😉 it actually explains a lot to a lot of people! Hydromorphone was tested twice straight from the pump! FDA at their finest! Now we may know why these medications were not approved! I don’t know why fentanyl was not approved for at least for 2 months. Seeing the average patient goes in every 6 weeks!
At 3 months the results as followed:
Hydromorphone
1 month. 91%- 86%
2 months 71%-76%
3 months 62%-67%
loss of its original potency in medication
3 month:
Fentanyl:
1 month: 97%-99%
2 month: 89%- 93%
3 month: 50%- 53%
I have always questioned the stability of compounded meds put in implanted pumps… the only study that I had seen was from Medtronics and the commercial Morphine Infumorph and their studies suggested that it is at least 90% potency stable for six months in vivo.
While these figures seem to be from a very small sampling, but suggests that compounded meds put into a implanted pump … their potency stability will not approach those of the commercial products.
What is not known about these pts is if the pt was – or was not – warned about using a heating pad, hot tub or some other external heat source that could cause the medication to be raised above the normal body temp of 98.6 F. That could possibly be detrimental to the potency of the med.
Meds that are infused into the spinal fluid not only has to be STERILE, they must be a SOLUTION and PRESERVATIVE FREE.
each time a implanted pump is refilled… it is an invasive procedure with the sterile spinal fluid and more times a pump has to be refilled the more chances of someone accidentally breaking a sterile field and the pt ends up with some sort of meningitis or infection in the spinal fluid. So the more stable the med is in the pump and the fewer times that it has to be refilled… the better/safer it is for the pt.
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https://drugstorenews.com/pharmacy/these-pharmacies-topped-j-d-powers-2019-survey
The pharmacy industry continues to provide superior levels of customer satisfaction in the brick-and-mortar and mail-order segments, according to the J.D. Power 2019 U.S. Pharmacy Study, released last week. Communicating with the pharmacist and staff in person, as well as via digital options by early adopters of these technologies, are among the key factors driving customer satisfaction.
Good Neighbor Pharmacy ranked highest overall among brick-and-mortar chain drug stores, with a score of 914. Health Mart (893) ranked second and Rite Aid Pharmacy ranked third (865). Sam’s Club ranked highest overall among brick-and-mortar mass merchandiser pharmacies, with a score of 890. Costco (879) ranks second and CVS/pharmacy inside Target (869) ranks third. Among brick-and-mortar supermarket pharmacies, Wegmans ranked highest overall, with a score of 915. Publix (897) ranked second and Winn-Dixie (896) ranked third.
Humana Pharmacy ranked highest overall in mail order with a score of 900. Kaiser Permanente Pharmacy (886) ranks second and OptumRx (869) ranks third.
The 2019 study is based on responses from 12,059 pharmacy customers who filled a prescription during the three months prior to the survey period of May-June 2019.
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“As technology companies promise to change the way Americans address their pharmacy needs, our data suggests that changing such entrenched behavior will be an uphill battle,” J.D. Power managing director of health intelligence Greg Truex, said, in a press statement. “Customers enjoy visiting their brick-and-mortar pharmacy and they get a great deal of satisfaction from speaking directly with pharmacists. However, the potential for technology disruption is there. Although, the frequency of use of digital solutions is low, early adopters are showing high levels of satisfaction.”
The study also found the following:
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https://www.journal-news.net/w-va-ag-leads-push-for-dea-to-better-account/article_363661f4-24a7-5b49-b3b0-8fb3a7e25277.html
HUNTINGTON — A group of attorneys general led by West Virginia Attorney General Patrick Morrisey are pushing federal regulators to better track illicit use of opioid painkillers, an effort to capitalize on sweeping reforms achieved by Morrisey’s prior lawsuit against the U.S. Drug Enforcement Administration.
The coalition of six states, in comments on a proposed rule, identified 16 specific ways the DEA can better account for diversion when setting the number of pills that can be manufactured each year. The suggestions come in response to agency concerns that it is unable to accurately track pills diverted for non-medical use.
“The opioid crisis is a never-ending battle,” Morrisey said in a release. “Responsible, research-backed quotas are an essential tool in our continued fight. We will never have a full and accurate picture of the legitimate medical, scientific and industrial need without the DEA improving its methodology. We have to do all we can to stop senseless death.”
The coalition’s 16 suggestions include ways to better use six national databases that track the scope and magnitude of opioid abuse. That includes two systems already housed within the DEA, along with the National Survey on Drug Use and Health, a database that tracks the treatment of drug abuse episodes and two others that track poisonings.
The coalition further suggests the DEA consult nine similar state databases and, separately, take into greater account information from its Drug Take Back Day as evidence of overprescribing.
The coalition acknowledges that no database is perfect or all-inclusive, but its members contend there is still plenty of material that when reviewed from different angles can help the agency better account for diversion and thereby gain a more accurate picture of the nation’s medical, scientific and industrial need.
In October, a U.S. Department of Justice inspector general report found the DEA was slow to respond to the opioid crisis. The report said between 2013 and 2017, the DEA significantly reduced using one of its key enforcement tools — the ability to suspend manufacturers, distributors and other registrants to keep drugs from being diverted.
Following Morrisey’s lawsuit in late 2017, the DEA enacted sweeping reforms to its drug quota system that embraced the attorney general’s call for greater input and consideration of diversion in determining how many opioid pills can be manufactured each year.
The DEA previously relied on the amount of pills pharmaceutical manufacturers expected to sell within a year. The broken approach did not account for the number of pills diverted for abuse, Morrisey said.
The DEA’s proposed limits for 2020 slash hydrocodone manufacturing by 19% and oxycodone by 8.8% in one year.
West Virginia filed the comments with support from attorneys general in Arkansas, Florida, Kentucky, Missouri and Nebraska.
WASHINGTON – The U.S. Drug Enforcement Administration is proposing to reduce the amount of five Schedule II opioid controlled substances that can be manufactured in the United States next year compared with 2019, per the Notice of Proposed Rulemaking being published in the Federal Register tomorrow and available for public inspection here today.
DEA proposes to reduce the amount of fentanyl produced by 31 percent, hydrocodone by 19 percent, hydromorphone by 25 percent, oxycodone by nine percent and oxymorphone by 55 percent. Combined with morphine, the proposed quota would be a 53 percent decrease in the amount of allowable production of these opioids since 2016.
DEA proposes to increase the amount of marijuana that can be produced for research by almost a third over 2019’s level, from 2,450 kilograms to 3,200 kilograms, which is almost triple what it was in 2018. This will meet the need created by the increase in the amount of approved research involving marijuana. Over the last two years, the total number of individuals registered by DEA to conduct research with marijuana, marijuana extracts, derivatives and delta-9-tetrahydrocannabinol (THC) has increased by more than 40 percent, from 384 in January 2017 to 542 in January 2019.
“The aggregate production quota set by DEA each calendar year ensures that patients have the medicines they need while also reducing excess production of controlled prescription drugs that can be diverted and misused,” said Acting Administrator Uttam Dhillon. “DEA takes seriously its obligations to both protect the public from illicit drug trafficking and ensure adequate supplies to meet the legitimate needs of patients and researchers for these substances.”
The Proposed Aggregate Production Quotas and Assessment of Annual Needs being published in the Federal Register addresses more than 250 Schedule I and II controlled substances and three List I chemicals, which include ephedrine, pseudoephedrine, and phenylpropanolamine. This reflects the total amount of substances needed to meet the country’s legitimate medical, scientific, research, industrial and export needs for the year and for the maintenance of reserve stocks. DEA endeavors to set production limits at a level required to meet these needs, without resulting in an excessive amount of these potentially harmful substances.
In setting the APQ, DEA considers data from many sources, including estimates of the legitimate medical need from the Food and Drug Administration; estimates of retail consumption based on prescriptions dispensed; manufacturers’ disposition history and forecasts; data from DEA’s internal system for tracking controlled substance transactions; and past quota histories. As a result of new laws and regulations that took effect in 2018, the number of factors that DEA considers in setting the APQ has increased. Information on these factors and how they were assessed appears in the Notice.
The five opioid substances were subject to special scrutiny following the enactment last year of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act, known as the SUPPORT Act, which requires DEA to “estimate the amount of diversion of the covered substance that occurs in the United States” and “make appropriate quota reductions. DEA’s estimates of the amount of diversion that took place for each of these five opioid substances and how those estimates were calculated appear in the Notice.
Interested parties may submit public comments on the proposed APQ until 11:59 p.m. on October 10, following the instructions in the Notice. After taking the comments into account, DEA will publish another notice later in the year informing the public of the established APQ. After that, DEA allocates individual manufacturing and procurement quotas to those manufacturers that apply for them. DEA may revise a company’s quota at any time during the year if change is warranted due to increased sales or exports, new manufacturers entering the market, new product development, or product recalls.
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