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It's already happening. Metastatic cancer patients are going without because Docs are not prescribing and those who do prescribe are running into pharmacists who refuse to fill the Rx. View Quote View All Quotes View All Quotes Quoted:
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And IMO it will also just make Drs. not want to prescribe the proper medicine for folks that actually need pain relief. |
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Quoted: I was at the Dr today and 4 reps from 3 narco companies were in the lobby with me. One was bitching about having to turn in his company car (Equinox) with 17,000 miles on it. Another was complaining about a delay in his TSA precheck delay. Dude flew all the way to Alabama. View Quote |
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The problem with the public is that you dont see the people in your community who need these pills to function daily and are treated now like fucking criminals. My next door neighbor has had 4 neck surgeries and has such severe pain that the pills give him a moderate quality of life. It isn't anyone's fault! Not his, not the doc. Maybe the asshole who crashed into him. There are people that cannot have any more surgery and need these pills to survive bur because their name pops up on their dr and pharmacists computer screen their balls are busted and treated like criminals
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Quoted: What he said. I prescribe a lot of Fentanyl (NP not MD), IV push in the ED, continuous infusions in the ICU and PCA's on the floor. It works very well and then the patient's can be changed to a multimodal regimen of oral analgesic's, often including Oxycodone as they progress. The only times addiction becomes an issue is with patient's who are already addicted to an illicit substance. Often we can get them through the acute phase and then get them into a substance abuse program. View Quote |
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There's a whole bunch of people in this thread who I'm pretty sure have never had to take many pain meds, who just KNOW all about how this is all the docs and drug companies fault. You know what, the drug companies are in business to make money, docs are too, and I'm sure that sometimes greed makes them do things they shouldn't. Wow, big surprise because I mean that hasn't been going on for hundreds of years or anything.
However, Navydoc is laying down a whole lot of truth. I can understand if you've lost someone to opioid abuse that it's an emotional thing for you. Kind of like someone who's lost someone to gun violence becoming a champion for gun control. The fact is though that if you take them as prescribed you're not going to die. I've taken nearly every opioid pain med there is for varying injuries, and I can tell you that since I wasn't taking more than I was prescribed, and I wasn't interested in getting high, I didn't get high. No euphoria, no high, no "Wow I gotta have me some more of that!". Now I've also had IV pain meds and hell yeah they were fun (in the split second before they put me to sleep). You know what, I've never had an overwhelming urge to go out on the street and try to chase that. That's the thing, if you don't want to get high there's no need. Opioid pain meds just worked for me, and allowed me to live a pain free life and do the things I wanted to do without hurting. Now I just have to hurt. It pisses me off when my nursing instructors and docs I've worked with start up with the "We can't reduce pain to zero, we want to get it to a reasonable level." BS. Other than extreme cases and grievous injury or disease, zero pain is achievable with the right tool. There is also a great difference in dependence and addiction. A cancer patient on morphine or dilaudid is dependent. Of course they are. They may be physically addicted too, but they still aren't an "addict". If you're an addict you're going to do whatever you have to do to chase and catch the high. Punishing someone who has legitimate needs for pain medication and making them live in pain is just dumb and dare I say it abhorrent. But of course, when the govt gets involved common sense goes out the window. One more thing...when I was in Corpsman school way back in another life, one of the first things we were taught is that pain is subjective and one person handles pain different than another person. Maybe you're pain threshold is higher than mine, but that doesn't make my pain any less real. |
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Quoted: And that's the problem. "it's not your fault, it's someone else's". "It's not your fault you shove 87 pounds of food in your gullet everyday. It's the foods fault" "Oh, you need a drink at 5am? You have a disease" (when in reality, no, you're just a fuckin idiot with no control) View Quote |
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What narcotics were they representing? View Quote View All Quotes View All Quotes Quoted:
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I was at the Dr today and 4 reps from 3 narco companies were in the lobby with me. One was bitching about having to turn in his company car (Equinox) with 17,000 miles on it. Another was complaining about a delay in his TSA precheck delay. Dude flew all the way to Alabama. |
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What bullshit. There is no opioid epidemic in this country. It's just another manufactured scheme for people to bitch about.
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No, no, it's great. Who needs personal responsibility? It's all the manufacturer's fault! View Quote View All Quotes View All Quotes |
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When the doctor you trust prescribes you an addictive chemical exactly who is responsible? When, in the depths of the opioid crisis, Congesscritters change the law to make it harder to shut down the companies churning out the drugs exactly who is responsible? When DEA officials, who should be prosecuting the drug companies but are angling for better-paying jobs lobbying for them, fail to prosecute crimes exactly who is responsible? View Quote View All Quotes View All Quotes Quoted:
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Because who needs personal responsibility when you've got lawyers, right |
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total bullshit. J+J Never told MD's to overprescribe, total fucking horseshit. Most Dr's aren't even visited by reps from narcotic companies. They were prescribing according to tradition learned from the "PDR".The bible that docs use when deciding which and how much of a med to give to patients. It wasn't the everyday average MD causing the issue, it was the fucking crooked fucks(who were usually foreigners, but not always) who sold their souls and the narcotics.J+J did not convince ANYONE to overprescribe. No one told stupid fucks to dissolve it and inject it,snort it or smoke it let alone lie to 10 different dos that they are in pain. IT is corrupt judges on the take from attorneys who came up with this judgment only to split the money they steal from J+J.So I hope no one is happy here because maybe the next time you need aspirin it may not be available because j+J is gone View Quote |
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So what is the real risk of addiction to opioids, 2.6%.... or more? Seems to be a LOT more https://www.webmd.com/mental-health/addiction/news/20161004/risk-of-opioid-addiction-up-37-percent-among-young-us-adults. 3 year old article, would think its even worse now by the increase in death by overdose. View Quote Which is sort of a useless statistic outside of the fact that (if true), doctors proscribing drugs doesn't really change addiction rates in a meaningful way. |
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total bullshit. J+J Never told MD's to overprescribe, total fucking horseshit. Most Dr's aren't even visited by reps from narcotic companies. They were prescribing according to tradition learned from the "PDR".The bible that docs use when deciding which and how much of a med to give to patients. It wasn't the everyday average MD causing the issue, it was the fucking crooked fucks(who were usually foreigners, but not always) who sold their souls and the narcotics.J+J did not convince ANYONE to overprescribe. No one told stupid fucks to dissolve it and inject it,snort it or smoke it let alone lie to 10 different dos that they are in pain. IT is corrupt judges on the take from attorneys who came up with this judgment only to split the money they steal from J+J.So I hope no one is happy here because maybe the next time you need aspirin it may not be available because j+J is gone View Quote |
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total bullshit. J+J Never told MD's to overprescribe, total fucking horseshit. Most Dr's aren't even visited by reps from narcotic companies. They were prescribing according to tradition learned from the "PDR".The bible that docs use when deciding which and how much of a med to give to patients. It wasn't the everyday average MD causing the issue, it was the fucking crooked fucks(who were usually foreigners, but not always) who sold their souls and the narcotics.J+J did not convince ANYONE to overprescribe. No one told stupid fucks to dissolve it and inject it,snort it or smoke it let alone lie to 10 different dos that they are in pain. IT is corrupt judges on the take from attorneys who came up with this judgment only to split the money they steal from J+J.So I hope no one is happy here because maybe the next time you need aspirin it may not be available because j+J is gone View Quote |
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I guess the people can buy their pain meds off the street now, it's a bit harder to sue the street corner pill pusher. View Quote In this case it is the States wanting money to fight drug abuse. This will mainly go for heroin use as there aren’t many prescription pain meds out there anymore |
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Quoted: Everybody, from the FDA to the docs to the government regulators knew, know, and will ever know that the meds are addictive and have known so since about 1860 when there was the beginnings of a huge rash of addiction in Civil War vets. And the law was desigend to protect medication manufacturers form frivolous actions kids like the laws that protect firearms manufacturers from frivolous actions. Now, what criminal act did "drug execs" do? View Quote We ALL have known for centuries that opioids can be very addictive and abused. J&J got fucked. I am tired of society blaming businesses for the actions of individuals who abuse their products. |
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Who needs personal responsibility when you can sue!!
America had turned the corner folks. There is no fight to correct the country, only to preserve you and yours. |
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Who needs personal responsibility when you can sue!! America had turned the corner folks. There is no fight to correct the country, only to preserve you and yours. View Quote |
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I hope J&J wins on appeal.
When my time comes and, God forbid, I need those types of medications I don't want to have to go through a CYA session with a doc or pharmacy to get them. |
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The current litigious system is based on personal responsibility and everyone attempting to prove someone else should have taken personal responsibility. What systemic changes would you institute to reward people for choosing to take the blame for their actions without government involvement? View Quote View All Quotes View All Quotes Quoted:
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Who needs personal responsibility when you can sue!! America had turned the corner folks. There is no fight to correct the country, only to preserve you and yours. Are you a lawyer? |
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So, suing someone else is taking personal responsibility for your own actions? Are you a lawyer? View Quote View All Quotes View All Quotes Quoted:
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Who needs personal responsibility when you can sue!! America had turned the corner folks. There is no fight to correct the country, only to preserve you and yours. Are you a lawyer? |
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This is the same faulty thinking as holding gun Mfgs. responsible for crimes involving a gun. This will be tossed on appeal. It is a Pandora's Box.
Do we now sue beer makers for people killed by drunk drivers, the petroleum industry because some terrorist threw a gasoline bomb into a crowded theater? How about confiscating the wealth of the rich and middle class because they made money off the poor? So who sues the politician for spending our country into the poor house? |
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Quoted: That's bullshit. I've been on IV fentanyl while in the hospital. They pulled the line the day I walked out and have never since craved it. View Quote |
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Quoted: @ lafmedic1 I'm actually going to quote myself because I've had some time to digest what you said and it's fucking insulting! You know out of all the people we deal with the elderly are the ones (along with children) who I treat with the most respect and compassion. Typically the elderly patient needs to be talked into going to the hospital because they don't want to go (for a number of reasons) but they are the patients with the most "personal responsibility". The last was a couple months ago elderly woman with legit broken ribs from a fall who came in as a "lift assist" at first who was having "sore ribs and a little trouble breathing and just wanted us to put her back in bed" when we got there. They grew up in an era where society wasn't coddled and adults treated like children that you see today. I've literally had to beg with elderly patients (as we did this woman) to let us transport them when they were in a grave circumstance. I've also seen whiny teens and 20 year olds transported by ambulance for a toothache, headache, earache, minor scrape dings and cuts that they could have drove themselves, got a ride from a friend or called a cab for but hey, the taxpayer is providing it so bust out the "free money" express amberlampse. Oh yeah, I've seen people we had to give Narcan to a couple times a day because they OD over and over again. It all boils down to a little thing called personal accountability. Probably a solid half to three quarters of the people we deal with on a daily basis are in situations that they created for themselves. It's not the drug companies pushing the needle into the vein..... It's not the gun but the crazy fuck that pulls the trigger..... So please, take a pause (in this thread and in your career) and stop enabling these freeloading junkies and place the blame where it belongs. View Quote good illustration https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4146436/ |
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Look, I did not say always. Every person is different . But to deny that narcotics can cause issues with people and that they are sometimes pushed haphazardly by pharmaceutical companies is being pretty shortsighted. As I said above this is a multiple angle issue with no easy solution. View Quote View All Quotes View All Quotes Quoted:
Quoted: That's bullshit. I've been on IV fentanyl while in the hospital. They pulled the line the day I walked out and have never since craved it. And the issue is easy to solve. Doctors providing the best care to their patients who also have a personal responsibility in the matter. |
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No doubt about the elderly needing to be convinced to go to the ER. There is also a substantial issue with poor informing of the elderly and they trust what they are being told is absolute. This is what I am getting at . Sorry if I was not clear. They have little to no advocates . I am positive you have seen the bag full of medications and probably 4 different narcotic bottles in the bag. Also addiction in the geriatric population is present but does not get as much light as the younger crowd. Which is also shameful good illustration https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4146436/ View Quote View All Quotes View All Quotes Quoted:
No doubt about the elderly needing to be convinced to go to the ER. There is also a substantial issue with poor informing of the elderly and they trust what they are being told is absolute. This is what I am getting at . Sorry if I was not clear. They have little to no advocates . I am positive you have seen the bag full of medications and probably 4 different narcotic bottles in the bag. Also addiction in the geriatric population is present but does not get as much light as the younger crowd. Which is also shameful good illustration https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4146436/ Despite increasing rates of illicit and prescription drug misuse among adults older than 65 years,5,6,10 alcohol remains the most commonly used substance among older adults. |
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Quoted: I have never had a drug prescribed to me by a pharmaceutical company. And the issue is easy to solve. Doctors providing the best care to their patients who also have a personal responsibility in the matter. View Quote |
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Already happened. Thats how warning labels and advertising restrictions came about View Quote View All Quotes View All Quotes |
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Thats a fair statement. I see the doctor as the middle man between the pharma rep and the patient.Can you see how pharma companies exerting pressure on hospitals and doctors to administer their medication could get out of hand? And that the personal responsibility of all parties is important but it starts before the doctor? View Quote "Here's a cool new drug and how it's used." If doctors are prescribing the drugs contrary to their approved and accepted uses because they think the rep has great cans then why is that the pharma company's fault? If the pharma company is being deceitful in the information being given to the doctors then yes, they should be responsible. But that's not the case as you've been told multiple times in this thread. |
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Quoted: The "crisis" is not bullshit for the kids at the bottom of the hill this shit rolls down. By which I mean, I teach elementary school and have had to deal with the fallout of more than several overdoses (a couple fatal) over the past few years and, speaking for the kids, there's nothing "bullshit" about this. The ODs, even non-fatal ones, are really bad for the kids too as they often find themselves displaced to foster or grandparents’ care and a new school or, if they started out with both parents, just end up back at school sometimes with a dead mom or dad. This wasn't happening 10 years ago. At least not among these people. Something changed to where middle class, productive people started abusing opioids and dying. View Quote |
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Support your position then. View Quote |
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J&J's headquarters is 30 minutes from my house. There are a lot of people where I live that work there. Who wants to place a bet this results in layoffs.
Nobody made people become addicted to them. Take some responsibility for your behavior. Be an adult. Drug epidemic? America's culture is rotten to the core. No morals, no religion, no culture, no responsibility - JUST CONSUMPTION and DO WHAT FEELS GOOD. |
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Not the first case where big pharma lost
Want to be pissed off? Go read the book "Dreamland" Deals with the Oxy/heroin crisis when Oxy was in its heyday. Thumbnail of the story - Purdue used a letter to the editor of the AMA journal as a basis that opiod pain killers were non-addictive. This was based off a small study of in-hospital surgical applications of narcotic pain meds. There was never any actual follow up by the FDA about the claims Purdue made. This was also when the short skirted drug reps would go into offices with samples and cruises and watches etc etc. When Purdue lost and had to make a huge payout - I believe it equaled one weeks worth of profit (this was per the book and I read it last year so forgive me if I'm a little off on the numbers). Read the book, screw big pharma and all the politicians who invest in them. Screw the foreign run "pain management" clinics - most are nothing but legalized drug dealing. |
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J&J's headquarters is 30 minutes from my house. There are a lot of people where I live that work there. Who wants to place a bet this results in layoffs. Nobody made people become addicted to them. Take some responsibility for your behavior. Be an adult. Drug epidemic? America's culture is rotten to the core. No morals, no religion, no culture, no responsibility - JUST CONSUMPTION and DO WHAT FEELS GOOD. View Quote |
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I'm currently preparing a $1B class action lawsuit against God for creating the poppy plant.
This is right up there with the hot coffee ruling, absolutely fucking retarded. |
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My position is that Companies (no matter alcohol, gun or pharma) have the greatest responsibility being the originator of a product . They need to fully ensure they have done what was required and maybe even exceed in educating the distributor and end user in the effects of the product . The judge in this case was convinced that the J&J did otherwise. View Quote View All Quotes View All Quotes Quoted:
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Support your position then. 2) You have to be blind to not see how terrible this precedent is to the gun industry. Because here's the thing, every doctor is already informed of the risks of medications by the manufacturer and the industry standard reference. Let's look at the first two sentences of the entry in the PDR for Fentanyl: Fentanyl is an opioid agonist and therefore has abuse potential and risk of fatal overdose from respiratory failure. Addiction may occur in patients who obtain fentanyl illicitly or in those appropriately prescribed the drug. How about the customers, surely the pharma companies are keeping them in the dark and not telling them the risks. Surely those medication facts that are stapled to the bags of every prescription have the risks hidden in language that is incomprehensible to the average man. Fentanyl may be habit forming, especially with prolonged use. Use fentanyl exactly as directed. Do not use a larger dose of fentanyl, use the medication more often, or use it for a longer period of time than prescribed by your doctor. |
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Take responsibility for promoting a known addictive substance. Take responsibility for prescribing them. How’s that for personal responsibility? View Quote View All Quotes View All Quotes Quoted:
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J&J's headquarters is 30 minutes from my house. There are a lot of people where I live that work there. Who wants to place a bet this results in layoffs. Nobody made people become addicted to them. Take some responsibility for your behavior. Be an adult. Drug epidemic? America's culture is rotten to the core. No morals, no religion, no culture, no responsibility - JUST CONSUMPTION and DO WHAT FEELS GOOD. |
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Take responsibility for making a legal product that is later illegally used. View Quote View All Quotes View All Quotes Quoted:
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J&J's headquarters is 30 minutes from my house. There are a lot of people where I live that work there. Who wants to place a bet this results in layoffs. Nobody made people become addicted to them. Take some responsibility for your behavior. Be an adult. Drug epidemic? America's culture is rotten to the core. No morals, no religion, no culture, no responsibility - JUST CONSUMPTION and DO WHAT FEELS GOOD. Is legal the bar by which we judge personal responsibility? |
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Quoted: When the doctor you trust prescribes you an addictive chemical exactly who is responsible? When, in the depths of the opioid crisis, Congesscritters change the law to make it harder to shut down the companies churning out the drugs exactly who is responsible? When DEA officials, who should be prosecuting the drug companies but are angling for better-paying jobs lobbying for them, fail to prosecute crimes exactly who is responsible? View Quote If you are too fucking stupid to understand that an opioid can be addictive. Then you are responsible. They've had fucking warnings on the paperwork you get with your scrip for fucking ever. Doctors are afraid to provide the pain relief people fucking need because some people are too fucking stupid to handle life without nanny holding their fucking hands. Fuck all you motherfucking pathetic whining fucking cheese dick infected cum bubble motherfuckers that have caused this bullshit so I have to see my wife in years from pain and there's nothing I can do to help. Fucking panzy ass scum. |
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Take responsibility for making a legal product that is later illegally used. View Quote |
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