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Did any of you see this on Daily Mail? Cashiers in California having trouble checking customers out...
http://www.dailymail.co.uk/news/article-5117359/Drugged-cashiers-fall-asleep-register.html
Daily Mail is a British rag that got the location wrong. I saw the video on Reddit yesterday morning where the location was identified by redditors as Indiana based on Sisters of Savings advertisement in the recording. Sisters of Savings is associated with a car dealership in Noblesville. This definitely does not depict use of marijuana edibles. It's likely opiates, meth or heroin. Ironically, weed, which is often villainized based on improper sc;heduling, can actually help people get off the harder drugs or prevent their use in the first place.
Also posted in the thread was this interesting and horrifying data about the prescription opioid epidemic.
https://www.cdc.gov/drugoverdose/data/prescribing.html Opioids are often the precursor to meth and heroin. Many parts of the US are a sad mess.
Not demonizing weed, although unless you are experienced with pot edibles with modern pot strains, you might not believe the effects they can have, or how fast and hard they can hit. (A lot of cancer in my family and around me at present, so I have some first-hand OMGs about those). The point was that the rag that The Daily Mail is, is all about sensationalizing (dare I say fictionalizing) headlines. Agreed?
Yes, opioids are a problem. But doctors are now knee-jerking too far in the opposite direction and are often refusing to acknowledge (by assumption of patient overstating pain for express purpose of obtaining pain meds) and treat even limited duration ACUTE pain. It is a real problem. And it's only going to increase.
I've come to the unpleasant realization that in the current environment, for most attacks of acute pain, I'm pretty much on my own. MS is painful, and often suddenly and randomly so. Doctors like to feel that if they can't attribute the reported pain to something (a one-to-one lesion correspondence is a favorite - because if you can't SEE the damage on MRI slice, it can't be thereThe too large you-must-be-making-it-up-because-I-can't-figure-out-why crowd even amongst neuros, is the scourge of an MS'ers life) They'll give you a lifetime supply of antidepressants if you even look a tiny bit sad, but come in trying to claw your own head off? You're clearly histrionic. Go home, bite on a leather strap. Able to keep it together to string together a coherent sentence? That's pretty damning too, clearly it's not that bad. Go home, bite on a leather strap. Or, nowadays, figure out on your own, how much pot to ingest/inhale to treat yourself. I guess it's OK to do that on your own (and you have to in states where pot is not yet legal), but being a grown up who can actually take an opioid and not instantly become an addict is beyond the realm of possibility. And yes, I personally know people who have standing prescriptions for opioids. But the 2 times in 15 years when I've asked for them for acute pain? Got treated like a drug addict. Both times by doctors who had been my docs for years prior.
mary poppins, none of that rant was directed at you personally. Please don't think it is. I just have too much personal experience and the tales of too many of my MS friends' suffering. Undertreatment of pain is not a problem, until it's you or yours, then you're like, ohhhh, now I get it.
I hope no one here ever "gets it".
What in the hell do they want you to do for pain?Not demonizing weed, although unless you are experienced with pot edibles with modern pot strains, you might not believe the effects they can have, or how fast and hard they can hit. (A lot of cancer in my family and around me at present, so I have some first-hand OMGs about those). The point was that the rag that The Daily Mail is, is all about sensationalizing (dare I say fictionalizing) headlines. Agreed?
Yes, opioids are a problem. But doctors are now knee-jerking too far in the opposite direction and are often refusing to acknowledge (by assumption of patient overstating pain for express purpose of obtaining pain meds) and treat even limited duration ACUTE pain. It is a real problem. And it's only going to increase.
I've come to the unpleasant realization that in the current environment, for most attacks of acute pain, I'm pretty much on my own. MS is painful, and often suddenly and randomly so. Doctors like to feel that if they can't attribute the reported pain to something (a one-to-one lesion correspondence is a favorite - because if you can't SEE the damage on MRI slice, it can't be thereThe too large you-must-be-making-it-up-because-I-can't-figure-out-why crowd even amongst neuros, is the scourge of an MS'ers life) They'll give you a lifetime supply of antidepressants if you even look a tiny bit sad, but come in trying to claw your own head off? You're clearly histrionic. Go home, bite on a leather strap. Able to keep it together to string together a coherent sentence? That's pretty damning too, clearly it's not that bad. Go home, bite on a leather strap. Or, nowadays, figure out on your own, how much pot to ingest/inhale to treat yourself. I guess it's OK to do that on your own (and you have to in states where pot is not yet legal), but being a grown up who can actually take an opioid and not instantly become an addict is beyond the realm of possibility. And yes, I personally know people who have standing prescriptions for opioids. But the 2 times in 15 years when I've asked for them for acute pain? Got treated like a drug addict. Both times by doctors who had been my docs for years prior.
mary poppins, none of that rant was directed at you personally. Please don't think it is. I just have too much personal experience and the tales of too many of my MS friends' suffering. Undertreatment of pain is not a problem, until it's you or yours, then you're like, ohhhh, now I get it.
I hope no one here ever "gets it".
What in the hell do they want you to do for pain?
Have you seen a pain management specialist of some kind?
I’m baffled. My doctor hands out opiates like candy...when I tell her I don’t want them. When I beg for physical therapy and acupuncture.
I am so sorry to hear that.So sad, just found out my niece's daughter died over Thanksgiving due to this and she leaves behind 3 little ones.
I had ankle surgery 10 days ago. Dr gave me Vicodin for pain but said in 3 days I would feel fine. He gave me 60 Vicodin for three days. Today I went to have stitches out but I have been in a lot of pain and the Vicodin gave me hives. Turns out my ankle is infected badly and I got antibiotics and they gave me 60 Tramadol. I think I could open a pharmacy. If I understand, you need opioid receptors to be an addict and I apparently don’t have any. Neither med gives me any kind of “high”. Just hives or a headache. If I was an addict I could go on a bender!
The opioid crisis would be better handled with neither. We need to treat this as a medical condition. There are addiction protocols out there that have a much better success than abstinence and white knuckling one’s way through life.It hit very close to home. A friend's son, 20 years of age. We all remember and mourn him.
Obviously, opiate addiction, as any other addiction, is genetic. I would never blame chronic pain patients for needing painkillers, and likely, I would blame opiate addicts no more than I would blame alcoholics. Not people's fault that they were handled a certain deck of genes and the drugs are there. It is not the wrong choice.
I have a question. Do people think that opioid crisis will be better handled with tighter laws, or with legalizing the drugs. Having read about Prohibition, in principle, I am for legalizing the drugs, about opiates, I am on the fence due to their high potential for overdosing.
What do people think? Are there any other reasonable options short of war on drugs (that we have lost) and legalization of opiates?
(I don't seem to carry the genes that would make me crave opiates. I hate their side effects, So after 2nd abdominal surgery, I tried to survive on Tylenol since day 2, and walk more for better wound healing. I have a feeling that if you are not asking for painkillers, they are offered to you - I had to call my surgeon and ask him to rewrite the orders in favor of Tylenol DS).
I feel we are on the right path with drugs like gabapentin and cymbalta for long term chronic pain but it is my feeling that these drugs aren’t sophisticated enough.The real answer is new better pain medication.
What we have now are all pretty harmful.
The opioid crisis would be better handled with neither. We need to treat this as a medical condition. There are addiction protocols out there that have a much better success than abstinence and white knuckling one’s way through life.
These protocols involve medications that help a person with cravings...not so much methadone type meds but more psychotropic medications that treat addiction. Then these people need emotional support. There is a ted talk that talks about the fact that when we isolate our addicts, it motivates them to use or relapse. We are famous for isolating our addicts in this society. They need physical support, house, job, how to live. Basically, a whole person approach. This is a crisis of the soul that takes a whole person approach for success. This is a person who is on the bring of death that must be saved. Until we see it that way, we aren’t going to help these people.
Making these drugs legal (they alread are) or criminal isn’t a factor for helping these people as far as I can see. They are addicts who don’t care about either of these issues. The activated addiction makes it so they only care about getting high.
Every person has receptors to endorphins and enkephalines. Our tribal ancestors needed them in times when analgesia was not available. Opiates bind to the same receptors, but are way more potent.
I suspect that a certain degree of emotional "high" in response to own endorphins helped survival in ancient times. But everyone has different emotional response to both own endorphins and exogenous opiates. (Me, for example, opiates and alcohol put to sleep, and opiates cause nausea on top of it).
And I agree, because I refused them, I had the feeling that they were pushed on me. I said to the doctor, a prescription for Vicodin for a week would be more than enough upon discharge, and did not plan to fill even that, but the nurses told my husband that it would cost much cheaper to fill it in the hospital pharmacy, so he went and bought it. It was never used.
House Cat, about the medical part I am aware. I am thinking about the social part.
As long as drugs are illegal, and criminalized, there are groups making money off selling them. And there is a push to use them.
Also, if you compare alcohol with addiction, alcohol is slightly better than heroin, but not that much. Still, a very addictive drug with the potential for lethality. Yet alcoholics get a lot of support, AA, "let me be your sponsor", "I had the same problem, here is my St. Christopher medal", etc, etc. What happens if someone admits to being hooked on opiates? Or methamphetamines, for that matter? Probably he, or she, will lose friends because of the "druggie" issue. NA is infested with dealers coming to look for vulnerable people, so it is not much of a help.
I think that the biggest difference in the attitude is because alcohol is legal, and drugs are not. Hence, there is not much moral support for the addicts to expect. And then, even people who are having chronic pain issues are encountering the same stigma.
In short, I don't believe that keeping drugs illegal is helpful, but how to change things, I don't know.
I remember that at the time of prescribed Oxycontin there were fewer OD'es from opiates. Then it was decided to make the drug unavailable and most addicts switched over to heroin. Which is now cut with fentanyl so the rate of OD's is even higher.
There is one more issue - when people buy drugs on the street, they never know what exactly they buy, so from the same dose, they may not get enough high one day and OD on another one.
FDA APPROVALS
INDIVIOR DRUG TO FIGHT OPIOID ADDICTION APPROVED BY U.S. FDA
December 1, 2017
By Reuters Staff
(Reuters) - Indivior's experimental drug to help fight America's growing opioid addiction crisis was approved by the U.S. Food and Drug Administration late on Thursday, boosting its sales prospects as competitors threaten revenues from an older product.
Shares in the London-listed company, which specializes in addiction treatment, were up 10.9% at 411 pence at 0818 GMT on Friday. The stock was the top gainer on the FTSE Midcap index.
"We believe this decision is key for Indivior's investment case ... A decent label and price should also help support near-term sentiment and a re-rating of the shares," said Jefferies analysts, who rate the stock as "buy".
The approval comes after an advisory committee to the FDA voted 18-1 that Indivior's injectable drug, known as RBP-6000 or Sublocade, could benefit addicts.
Sublocade is expected to be available to patients in the United States in the first quarter of 2018, Indivior said.
"We are encouraged by this approval and ... we expect the story to shift more and more towards Sublocade as it grows," Morgan Stanley analysts said.
United States is battling an opioid abuse epidemic that in 2015 killed 33,000 people. President Donald Trump recently declared the problem a national public health emergency.
Indivior's product is the first monthly injectable buprenorphine treatment. Indivior already sells Suboxone Film, a product that combines buprenorphine and nalexone and is placed under the tongue or inside the cheek.
In September, a U.S. court ruling cleared the way for a generic rival to Suboxone Film, knocking back Indivior's shares.
FDA Commissioner Scott Gottlieb recently announced the agency's plans to encourage widespread use among opioid addicts of less harmful opioids such as methadone and buprenorphine, the active ingredient in Sublocade.
(c) Copyright Thomson Reuters 2017. Click For Restrictions - http://about.reuters.com/fulllegal.asp