we really have to focus on reducing the magnitude of the prescription drug use issue

Man Uses Burrito To Sneak Heroin-Filled Syringe Into Hospital, Police Say (Photo)


According to

Michael Botticelli

Deputy Director at Office of National Drug Control Policy

who has a BS in Psychology claims to have the medical expertise to make the following quote:

According to Botticelli, “medical professionals are not properly equipped to deal with issues regarding pain or addiction”

A man reportedly delivered a burrito with a hidden syringe filled with heroin to a patient at a Florida hospital.

Police in Bradenton, Florida, are trying to identify a man who brought a bag of food with a hidden heroin-filled syringe inside the Blake Medical Center, reports the Bradenton Herald. The suspect allegedly gave the bag to an employee at the hospital and said it was for a patient. When the employee examined the food, a syringe filled with liquid was found inside a burrito, police said.

The Bradenton Police Department was contacted, and officers tested the liquid inside the syringe with a field test kit. The substance tested positive for heroin.

The suspect is reportedly between 6 feet and 6 feet 4 inches tall. He has a slim build and “bleach blond” hair. A cash reward of up to $1,000 is offered for information leading to positive identification of the suspect.

Here is a pictured of the alleged heroin smuggler, courtesy of the Braden Herald:

In a CBS “60 Minutes” special report released in December, drug official Michael Botticelli said he believes the U.S. needs to change its policy on drugs, especially in light of the nation’s heroin crisis.

“We know one of the drivers of heroin has been the misuse of pain medication,” Botticelli said. “If we’re gonna deal with heroin and heroin use in the United States, we really have to focus on reducing the magnitude of the prescription drug use issue.”

About half of young heroin users started by abusing prescription drugs, according to The Medicine Abuse Project.

“Many pain drugs are opioids, like heroin,” Botticelli explained. “And the number of opioid prescriptions has risen from 76 million in 1991 to 207 million today.”

According to Botticelli, medical professionals are not properly equipped to deal with issues regarding pain or addiction, which has led to an increase in over-prescribing opioid medications. Many people turn to heroin because of its widespread availability and low cost relative to prescription medication.

Sources: Bradenton Herald, The Medicine Abuse Project, CBS 60 Minutes / Photo credit: Provided to The Bradenton Herald, WikiCommons

You would wonder if the bureaucrats in TN consulting with anyone before passing these laws


Well I have reached out to the buprenorphine advocates a long time ago .. I’V reached out to state senators doctors pharmacies …I mean I have exhausted so so many options …I’m grasping at straws now .. I watched TN pass bill 871 last year which has some good things in it ,but it also has a lot of bad..one being they made the generic form of suboxone illegal. Subutex which is the same medication… buprenorphine is the opiate blocker not the naloxone ..naloxone only deters I’v users from abusing the suboxone. .. so the state of tn takes away a medication that was helping thousands at a cost of about $1 to $3 per tablet and forces these patients on to a $10 to $17 each medication .. thousands across the state had to stop drug treatment due to cost .. this bill also has a section about TNCARE and pregnant females …they pay 100% for pregnant females .. it does not take a genius to figure out where an addicts mind went with this new law .. AH HA!! THEY CAN GET PREGNANT TO STAY IN TREATMENT that’s saved their life and given them stability ..for most this is the best their life has ever been …so they get pregnant because loosing the generic with it now being Illegal and the price increase PREGNANCY IS THE ONLY WAY THEY CAN AFFORD treatment. . The state NOW foots the bill 100% ….and all these babies being born addicted. .TN ONLY CAUSED THE NUMBER OF ADDICTED BABIES TO GROW WITH THEIR OWN IGNORANT BILLS ..oh by the way call a senator who supported bill 871 THEY CAN’T EVEN EXPLAIN IT TO YOU! ! LOL..THEY SUPPORTED A BILL THEY DO NOT EVEN UNDERSTAND! ! so the state passes a law any mother who has any drugs in their system has to get into treatment or be prosecuted for child neglect or abuse /endangerment. .. Ok think about one who fails a drug screen for pot ONLY ..that’s a situation I recently saw ..OK state law says get in treatment or go to jail and loose your child. .THEY CAN’T GET INTO ANY TREATMENT. .the only thing they can find is methadone or suboxone …the rest they can’t afford .. or has they have year to 5 YR waiting list … so the girl who fails for pot gets into the suboxone program ..THAT’S INTENDED FOR OPIATE ADDICTION ..oh they take her cause that’s money the r making. .. she tries to do what they tell her and take the suboxone ..THE STATE JUST CAUSED SOMEONE ONLY SMOKING POT TO GET A BIG MONKEY ON THEIR BACK ..A WORSE ADDICTION. .BECAUSE THEIR NON THOUGHT OUT LAWS !! SO THE MOTHER GOES TO THIS SUBOXONE DOCTOR EVERY MONTH HAS CLEAN DRUG SCREENS. .IS DOING GREAT HAS NO CLUE SHE WAS BETTER OFF ONLY SMOKING POT AT THIS POINT. .BUT ALL IS WELL SHE WON’T GO TO JAIL AND SHE WILL GET TO KEEP HER BABY …WRONG !! SHE GOES INTO LABOUR HAS THE CHILD. .WELL GUESS WHAT IN THE STATE OF TN IT IS MANDATORY TO INVOLVE DCS IF THE MOTHERS R ON METHADONE OR SUBOXONE TREATMENT FOR ADDICTION AS A SO CALLED “PRECAUTION”. . WHAT SHLD BE ONE OF THE MOST MEMORABLE TIMES IN A MOTHERS LIFE IS TURNED INTO A NIGHTMARE !! DCS TAKES MANY OF THESE BABIES ..THEY NEVER GO HOME WITH THE MOTHER …BECAUSE SHE IS IN DRUG TREATMENT THE STATE FORCED HER INTO!! …DCS NORMALLY IF THE MOTHERS GETS TO GO HOME WITH THE BABY DOES SHIT LIKE …COURT ORDERS MOST TO DO DRUG AND ALCOHOL ASSESSMENTS , PARENTING CLASSES, BLAH BLAH BLAH….THEY GO DO THIS ASSESSMENT..GUESS WHAT THEY TELL THEM WE RECOMMEND U WING DOWN AND COME OFF THE SUBOXONE .. HERE IS WHERE THE HELL COMES IN … THEY CAN’T DO IT ..NOT IN THE 6 MONTHS OR LESS DCS AND COURTS GIVE THEM TO DO THIS .. THEY TRY AND TRY THEY R DECREASING EVERY MONTH .. WELL DCS ENDS UP TAKING THE CHILD. . THEY DIDN’T COME OFF SUBOXONE .. THEY HAD A LEGAL PERSCRIPTION FOR THIS MED. AND LOOSE THEIR CHILD OVER SOMETHING THE STATE FORCED UPON THEM.. CHECK THE NUMBERS ON BABIES BORN ADDICTED ..CHECK THE NUMBERS ON CHILDREN IN TN TAKEN INTO STATE CUSTODY IN THESE SITUATIONS .. U WILL SEE TN CREATED THEIR OWN PERFECT STORM .. IS SAD TO SIT BACK AND SEE THIS .. I SAW ONE MOTHER THEY TOLD HER IN OCTOBER COME OFF SUBOXONE HER BABY IS 3 MONTHS OLD .. NOVEMBER SHE WENT TO THE DOCTOR GOT HER PERSCRIPTION CUT HER DOSE TO WING DOWN AND OFF BY THE END OF DECEMBER ..2ND WEEK OF DECEMBER DCS COMES TO HER HOME DRUG TESTS HER AND SHE FAILS FOR SUBOXONE. .GUESS WHAT NO DECEMBER PERSCRIPTION …ONLY THE NOVEMBER ONE ..THEY TOOK HER CHILD THAT DAY! ! I PERSONALLY SAW THIS GIRL GO FROM HEROIN JUNKY TO CLEAN WORKING STABLE MOTHER ONLY TAKING SUBOXONE… 2 YRS GOOD TIME .CLEAN DRUG SCREENS FORCED TO STOP TAKING SOMETHING THAT SAVED HER LIFE AND HER CHILD TAKEN .. NOW FOLLOWING BILL 871 ALL THESE PHARMACIES HAVE INCREASED THE PRICE SO MUCH THAT DRUG TREATMENT SUBOXONE IS COSTING AN AVERAGE 1,200$ TO 2,500 A MONTH EVERY MONTH !! ALSO TNCARE STARTED A LIFE TIME 2 YEAR CAP …THEY ONLY PAY FOR BUPRENORPHINE PRODUCTS 2 A DAY 6 MONTHS THEN 1 A DAY FOR A YEAR AND A HALF ..THEN AT 2 YRS 0$ NO MORE NEVER AGAIN THAT’S IT !! RELAPSE HUH WHAT’S THAT ?? THE STATE OF TN THINKS THEY R FIXING DRUG ADDICTS IN 2 YEARS.. ALL ON THE SAME DOSE.. WITH THE SAME TREATMENT PLAN.. AND THAT RELAPSE IS NON EXISTING .. THEY ALL GO BACK TO PAIN PILLS ..NO 2 YR CAP ..NO HEAD ACHES ..TNCARE PAYS FOR THEM 100% ..NO LAWS TELLING U THE GENERIC OXYCOTTIN IS NOW ILLEGAL ..LOL NOPE …IT’S A PAIN PILL EPIDEMIC THAT’S BEEN TURNED INTO A FREE FOR ALL BY OUR OWN STATE OFFICIALS ..BECAUSE THEY HAVE NO DAMN CLUE OR UNDERSTANDING OF WHAT IS REALLY GOING ON ..

Collateral damage from the war on drugs ?

This post was on another site:
“This is a very sad post. This is a post that could be about any of us here.
I’m heart sick that we are still fighting with people who don’t see what is really happening to us.
I just received a message that a chronic pain sufferer took her life last night (or that is when she was found). This person was not in this particular group….
I can’t give her name at this point. Her partner has asked me to only tell the story for now.
She was a sufferer for a long time. She lost her med’s about 7 months ago. After trying to find help many deemed her a “drug seeker” . So she stopped looking. She lost her job and a lot of other things. Her sister is getting married tonight at midnight and invited her to attend the wedding. She was in a lot of pain, but wanted to go. She got on a bus and after so many hours could not sit there any longer…it was to painful. She got off and went to a motel or place to sleep. They don’t know everything, but they know she woke late and tried to find another bus to get there.
They found her somewhere and the note said something to do with…
I can’t live like this anymore. I’m not a burden. *I want everyone to know there is nothing in my system and I am not craving anything, but to be human…and I’m not allowed.
I really can’t say more at this point. I don’t know everything. I do know that when she called her family to explain they pretty much told her she was being dramatic.
The reason her partner contacted me was to say thank you. The only thing that kept her going was the thought that there are people out there fighting….She was to worn out, in great pain and lost the ability to keep going. The only other thing I know is when she talked to her partner she said “I’m in so much pain I can’t make it home and I can’t make it to the wedding”. She was literally stuck in place she did not know and could not figure out how to get home.
I really don’t think I will hear anything more. They are completely off the computer now. I just hope if they try to say she was an addict that committed suicide from withdrawal OR they just don’t make it sound like she was a drug seeker her partner stands up for her. It’s easy for the jerks out there to make up stuff after a suicide.
This is the reason we fight..”

They don’t feel your pain.. so why should they prescribe you opiates ?

Hospital’s Opioid Guidelines Had Significant Impact


An opioid prescribing guideline adopted in 2013 at Temple University Hospital in Philadelphia may provide a sneak peek at the possible impact of similar guidelines being considered by the Centers for Disease Control and Prevention (CDC).

Temple University’s guidelines, which discourage opioid prescribing for many emergency room patients suffering from acute or chronic pain, resulted in an “immediate and sustained impact” on rates of opioid prescribing, according to research published in the Journal of Emergency Medicine.

In a study of over 13,000 patient visits, the rate of opioid prescribing was nearly cut in half, falling from nearly 53% of emergency room visits before the guideline to about 34% a year later. The patients were being treated for dental, neck, back and chronic non-cancer pain.

The opioid guidelines were supported by all 31 of the hospital’s emergency room physicians who completed a survey on their prescribing practices. Most of the doctors (97%) felt the guideline facilitated discussions with patients when opioids were withheld, and nearly three-quarters said they encountered “less hostility” from patients since adoption of the guideline.

temple university hospital

temple university hospital

Only 13% of the doctors believe patients with legitimate reasons for opioids were denied appropriate care. A large majority – 84% of the doctors — disagreed or strongly disagreed that patients were denied appropriate pain relief.

The researchers did not ask any pain patients what they thought about their hospital care.

“Emergency physicians have identified themselves as targets for patients who seek opioids for nonmedical purposes, yet it can be difficult for clinicians to distinguish drug seeking behavior from legitimate need. Recognizing the importance of clinician discretion at the bedside, adherence to our guideline was voluntary,” said Daniel del Portal, MD, Assistant Professor of Clinical Emergency Medicine at the Lewis Katz School of Medicine at Temple University, who was principal investigator of the study.

The CDC also considers its draft guidelines voluntary for primary care physicians, although many experts believe they will quickly be adopted as “standards of practice” by all doctors who prescribe opioids – just as they were at the hospital.

The Temple University guidelines differ from those of the CDC because they are designed specifically for emergency room physicians. They discourage doctors from prescribing opioids for dental pain, back pain, migraines, gastroparesis or chronic abdominal pain; and recommend that patients not be discharged with more than 7 days supply of opioids (the CDC recommends 3 days supply). The hospital’s guidelines also recommend that long acting opioids such as OxyContin, morphine and methadone not be prescribed; and that “less addictive therapies” such as NSAIDs or acetaminophen be used instead for pain relief.

“We acknowledge the myriad challenges to addressing issues of chemical dependence and opioid abuse. We do not pretend that a guideline alone will solve this problem, but rather we believe that guidelines are one of a number of tools that should be considered in parallel,” said del Portal.

“In contrast to electronic prescription drug monitoring programs, which show promise but require significant infrastructure and regulation, an easily implemented guideline empowers physicians and protects patients from the well documented dangers of opioid misuse.”

He also acknowledged that limits on opioid prescribing may result in more drug abuse and addiction.

“Heroin overdose deaths have continued to rise, even more dramatically since the plateau of nationwide opioid prescriptions
after 2011. While experts point to the rise in opioid prescriptions as a major contributor to heroin deaths, we are mindful that limiting the supply of opioids may provide a catalyst for drug substitution,” he said.

The public comment period on the CDC’s draft guideline continues until January 13th. You can make a comment by clicking here.

The proposed prescribing guidelines and the reasoning behind them can be found in a 56-page report you can see by clicking here.