Changing directions

changingdirectionI just finished my fourth year as a blogger on this website… starting out with no particular set direction. Just by chance it was about the same time that the war on drugs/pts started ramping up. It quickly got to a point that I had more material to blog about than I had time.

The ensuing four years really has been a education in many areas… first of all that there are many laws on the books that no state/federal agency is interested in enforcing.. particularly when they revolve around the DEA and law enforcement in general.

I have tried several things to help the chronic pain to create some unity and I have come to the conclusion that the chronic pain community is so dis-jointed, unconnected, not paying attention or some other unknown reason.. unity within the chronic pain community continues to seem illusive

Over the years, I have watched the number of Face Book pages literally EXPLODE… in regards to those focused on chronic pain.

I have watched time and time again that people have put up a petition to the WHITE HOUSE and others…needing 100,000 signatures for them to even look at it – doesn’t mean that they will even do anything at that point.. and few – that I have seen – have exceed 1,000 signatures.. let alone 100,000.

Now it seems like two different groups are planning a rally/protest on THE HILL in Oct… on the SAME WEEKEND… but different days… While all the members of Congress are in recess and back in their home districts campaigning for re-election. They are going to have a rally in front of a EMPTY HOUSE.

Over the next 60 days I am going to start pulling back from cross posting on most/all of other chronic pain FACE BOOK pages. IMO, I am just encouraging all the dis-unity within the chronic pain community by doing so. I am going to continue to post on, my Face Book page and my twitter account @pharmaciststeve and anyone can use the RSS feed at the top of the blog to get a automatic email when something new is posted, or follow my FACE BOOK page or Twitter feed.

I will continue to be a advocate for the chronic pain community.. just what form/shape that takes has yet to be determined.

The gun store refused, citing the federal rule on the sale of firearms to illegal drug users

Appeals court upholds ban on gun sales to medical marijuana card holders

to medical marijuana card holders

(AP Photo/Robert F. Bukaty, File)

A federal government ban on the sale of guns to medical marijuana card holders does not violate the 2nd Amendment, a federal appeals court said Wednesday.

The ruling by the 9th U.S. Circuit Court of Appeals applies to the nine Western states that fall under the court’s jurisdiction, including California, Washington and Oregon.

It came in a lawsuit filed by S. Rowan Wilson, a Nevada woman who tried to buy a firearm in 2011 after obtaining a medical marijuana card.

The gun store refused, citing the federal rule on the sale of firearms to illegal drug users.

Marijuana remains illegal under federal law, and the Bureau of Alcohol, Tobacco, Firearms and Explosives has told gun sellers they can assume a person with a medical marijuana card uses the drug.

The 9th Circuit in its 3-0 decision agreed that it’s reasonable for federal regulators to assume a medical marijuana card holder is more likely to use the drug.

In addition, a ban on the sale of guns to marijuana and other drug users is reasonable because the use of such drugs “raises the risk of irrational or unpredictable behavior with which gun use should not be associated,” Senior District Judge Jed Rakoff said.

The 9th Circuit also rejected other constitutional challenges to the ban that were raised by Wilson.

An email to Wilson’s attorney was not immediately returned.

The following was sent to all U.S. Doctors

The following was sent to all U.S. Doctors from US Surgeon General, FDA , US Health Service

Notice next to the “TURN THE TIDE” that the general abbreviation for prescription (Rx) is REVERSED.. is that like flying the US Flag UPSIDE DOWN to designate an EMERGENCY SITUATION ?

DEA Louisville seizes huge amounts of drug and cash


DEA Louisville seizes huge amounts of drug and cash

Louisville, KY has had a “clean needle program” for one year + and they don’t seem to talk much about it and/or if it is helping anything… but recently they had 174 OVERDOSES in SIX DAYS.. To help the math challenged… that is MORE THAN OD ONE PER HOUR… Clean needles with people using “dirty drugs”… will result in a lot of OD’s. BECAUSE we are still living under the court ruling from 1917 that opiate addiction is a CRIME and not a DISEASE.. Of course, that period during our country history has been referred to as our “prohibitionist period”… wonder why… we are living in the 21st century with a early 20th century mindset.

LOUISVILLE, Ky. (WDRB) — They’re pulling piles of drugs and cash off our streets and WDRB has the pictures to prove it.

The seizures include kilos of heroin, a shotgun and about $300,000 in cash. For the first time, we’re seeing pictures of drugs confiscated by Drug Enforcement Administration (DEA) of Louisville.

“Most of the drugs we see in Louisville are brought across the Mexican border,” said DEA Resident Agent in Charge Jim Scott. “There are several Mexican cartel organizations. They set up cells in major distribution centers in the U.S.”

In one picture, you can see about 25 pounds of crystal meth — commonly called ICE — recently seized in Louisville.

Scott says this about drug seizures,

“It’s really spread throughout the city,” he said. “We do work in the west of town to a certain extent, then you quickly spread out to the Metro area. Particularly the Mexican cartels, the cell heads that operate here don’t like to be in the center of town. They like to be more spread out. They like to see what’s going on around them and you find that in the more rural areas, the more remote areas.”

Scott says the war on drugs continues to be difficult with so many people bringing drugs to Kentucky.

“It’s not uncommon for us to spread to E-town and other places like that,” Scott said. “They really will operate anywhere and then have their distributors that will be in the center city.”

When asked how busy the National Turnpike area is, Scott says, “It’s a busy area. The south end has seen an increase. We’ve seen an increase in the number of traffickers operating in that area.”

DEA Louisville found about $300,000 in a vehicle and in another case, agents cracked open a safe and found about $200,000 in cash.

In January, WDRB took you to Riverside, California, more than 2,000 miles from Louisville to track the drug pipeline. The drugs come from Mexico to an area of Southern California commonly called the “Inland Empire.” The drugs are then driven and flown into areas like ours.

“We almost have, like, a grim reaper that has been let loose in this city that is the heroin and opiate abuse epidemic, and our time and attention are focused on the organizations that are peddling that poison in our community,” Scott said.

Back in 2013: DEA Louisville confiscated more than five kilos of heroin. The number dropped a little in 2014, but in 2015 it more than tripled to 18.9 kilos and this year so far over 22 kilos.

The DEA says a local distributor will pay between $60,000 to $80,000 for a kilo of heroin. Then it’s broken down and sold for $1,200 to $3,000 an ounce.

“Almost all the methamphetamine and heroin that we see is coming from Mexico,” Scott said.

The DEA confiscated 6 pounds of meth in 2013, then it jumped to a whopping 65 pounds in 2014, 66 pounds in 2015 and so far this year: 80 pounds.

The DEA says a distributor will pay between $8,000 to $12,000 for a pound of crystal meth. Broken down, an ounce sells for $500 to $1,000.

“There are several key players in the area,” Scott said. “I can’t go into any specifics of any individual case. We’ve had a lot of success lately. We’ve taken down some cell heads who were operating on a major scale and ties directly back to Mexico.”

Scott says while Cartel members themselves may not be living in Louisville, they do have people here working on their behalf.

He says, “Geographically their reach is endless. They are everywhere and can get everywhere. We have a lot of dedicated men and women who work really hard to stem that growth. We’ve had a lot of success, but it’ll always be a challenge.”

Feds to distribute $53 million to states to fight opioids

Feds to distribute $53 million to states to fight opioids

While 53 million may seem like a lot of money..there is an estimated 2 million serious substance abusers… so this money will allocated about $25/substance abuser… That may not afford the cost of ONE DOSE of Naloxone and many times… someone who OD’s needs more than ONE DOSE..  Can you say DROP IN A BUCKET ?

The Obama administration says it will distribute $53 million to 44 states in an effort to curb opioid abuse.

HHS Secretary Sylvia Burwell says the funding will focus on reducing over-prescribing of pain killers, increasing access to treatment and making sure the antidote naloxone is widely available.

The administration is also calling on Congress to provide $1.1 billion in new money, saying legislation recently signed into law didn’t do enough to expand treatment. That bill authorized $181 million in new spending.

Steve Williams, the mayor of Huntington, West Virginia, said in a conference call announcing the funding that opioid abuse is so common he carries an overdose reversal kit with him. He says federal funding is urgently needed so people seeking treatment don’t have to wait months.




This happened in the mall parking lot on Tuesday, August 30 at 5:30 pm in Joliet Illinois. So you can verify. Apparently the dea set up a sting in a crowded mall parking lot during the busiest time period and day of the week. My husband was working at Carsons at the time. The lot serves the mall as well as the movie theater. Tuesday is $5.00 all day ticket day with several kids movies showing. Stores were having Labor day and back to school sales. Workers were starting and ending shifts. The set up ended badly with at least 20 rounds fired. A suspect was shot in the leg. 2 litres of cocaine recovered, numerous windows doors and tires shot out in the surrounding area. People interviewed were furious at the amount of damage, and the potential for human damage. Who does that? Who arranges a sting to go down in a busy lot potentially filled with families.

Sign me angry nurse.

Why have policies and procedures … if no one follows them ?

Bottom story from two years ago about how inflexible some of CVS’ employees/Pharmacists are when it comes to patients and their life saving medications. This FB post is very recent…just more of the same old denial of care and the consequences to the pt seem to be of little concern to the CVS’ employees/Pharmacists…. Pharmacists are suppose to be HEALTHCARE PROVIDERS… some apparently did not get that message during their education process.

CVS Pharmacy changes prescription policy after death of Vegas man

LAS VEGAS (KSNV & MyNews3) — Drug store chain CVS is changing its policy because of one Las Vegas father’s actions following the death of his son who couldn’t afford an expensive prescription.

Mitchel Marcus will never know for certain if that medication would have stopped Joshua’s fatal seizure, but the fact that he will spend his entire life wondering is a painful sentence that he wants to spare others.

Joshua began suffering from grand mal seizures six years ago. The loss of consciousness and violent muscle contractions plagued his life. “Some of the seizures are so bad that the brain gets so scrambled and the heart goes into an arrhythmia that they just can’t come out of it,” said Mitchel.

Mitchel says a cocktail of prescriptive medicines controlled the frequency. On January 15, Joshua went in for a refill at a CVS branch outside of San Diego, but came up short.

“His medication came out to about $700,” said Mitchel.

Mitchel — who lives in Centennial Hills — tried to pay for it with a card over the phone, but was told it was against CVS’ policy.

“I was not sure what to do,” said Mitchel. “Joshua wasn’t sure what to do and he said, ‘Dad don’t worry about it, I will just go home and I will take it easy. I won’t do anything, I will just lay low.”

It was too late.

“He had passed away in the night from a seizure,” said Mitchel. “Joshua suffered partially from suffocation, but they also ruled it as sudden unexpected death due to epilepsy.”

At 26 years old, Mitchel said goodbye to his son.

“Just started crying. I was devastated,” said Mitchel. “If Joshua had had his medication he more than likely would not have had the seizure and would still be alive today.”

What Joshua and Mitchel didn’t know at the time was that CVS offers a bridge supply — a partial dosage at no cost to the patient until payment arrangements are made.

“I wanted CVS to set up a policy where, number one, their pharmacy techs would say ok you don’t have enough money at this time, let me give you a partial supply,” said Mitchel.

For Mitchel, it isn’t Joshua’s death — but how he lived his life — that has been his inspiration for others.

“Josh has a lot of perseverance and a lot of inner strength,” said Mitchel. “I want to be able to do some good. I want to be able to help in some way. I wanted a legacy for Josh.”

As a result of Mitchel’s persistence with CVS — months of emails and phone calls that reached the vice president — the chain is now finalizing a policy requiring pharmacists at all locations nationwide to offer a bridge supply for patients in an urgent medical need like Joshua’s.