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Opioid Epidemic #2857188
07/21/19 03:23 PM
07/21/19 03:23 PM
Joined: Jan 2009
Posts: 531
Gardendale, AL
B
bamafan1966 Offline OP
4 point
bamafan1966  Offline OP
4 point
B
Joined: Jan 2009
Posts: 531
Gardendale, AL
Some of these numbers are astonishing....I grew up in Walker County and still own property there. It saddens me to see people I know well that have fallen under this scourge. I know folks choose to use drugs but their families and loved ones didn't. I have seen people struggle to overcome the demons but ultimately lose the desire to continue the fight or fall victim to the deadly drugs combinations.


https://www.al.com/news/2019/07/where-the-opioid-epidemic-hit-hardest-alabama.html

Last edited by bamafan1966; 07/21/19 03:25 PM.
Re: Opioid Epidemic [Re: bamafan1966] #2857200
07/21/19 03:34 PM
07/21/19 03:34 PM
Joined: Sep 2014
Posts: 3,080
KY
AUstan23 Offline
10 point
AUstan23  Offline
10 point
Joined: Sep 2014
Posts: 3,080
KY
Lack of jobs or jobs paying well enough to get above poverty, easy access to prescrition meds, government benefits, prisons making money off prisoners. Too many hands in the pot to stop it.


It is easier to fool a man than to convince him he has been fooled.
Re: Opioid Epidemic [Re: bamafan1966] #2857202
07/21/19 03:39 PM
07/21/19 03:39 PM
Joined: Sep 2014
Posts: 3,080
KY
AUstan23 Offline
10 point
AUstan23  Offline
10 point
Joined: Sep 2014
Posts: 3,080
KY
If you want to see some real rampant drug use make your way up to Kentucky. We've pills and baggies and syringes in our parking lots.


It is easier to fool a man than to convince him he has been fooled.
Re: Opioid Epidemic [Re: AUstan23] #2857206
07/21/19 03:45 PM
07/21/19 03:45 PM
Joined: Jun 2015
Posts: 9,014
Some Marriott/Auburn
A
AU7MM08 Offline
14 point
AU7MM08  Offline
14 point
A
Joined: Jun 2015
Posts: 9,014
Some Marriott/Auburn
Originally Posted by AUstan23
If you want to see some real rampant drug use make your way up to Kentucky. We've pills and baggies and syringes in our parking lots.


I believe the show was actually based over in West Virginia but same same pretty much.

Re: Opioid Epidemic [Re: AU7MM08] #2857222
07/21/19 04:14 PM
07/21/19 04:14 PM
Joined: Sep 2014
Posts: 3,080
KY
AUstan23 Offline
10 point
AUstan23  Offline
10 point
Joined: Sep 2014
Posts: 3,080
KY
Originally Posted by AU7MM08
Originally Posted by AUstan23
If you want to see some real rampant drug use make your way up to Kentucky. We've pills and baggies and syringes in our parking lots.


I believe the show was actually based over in West Virginia but same same pretty much.



It's all the same. The Midwest and northeast have been decimated by loss of manufacturing and mining. The barrier for entry into the middle class has gotten increasingly higher with fewer guarantees of getting there. Lot of people can't or aren't willing to adapt or relocate, so they work odd jobs, get on government assistance, and do pills to feel something.


It is easier to fool a man than to convince him he has been fooled.
Re: Opioid Epidemic [Re: bamafan1966] #2857224
07/21/19 04:16 PM
07/21/19 04:16 PM
Joined: Jan 2014
Posts: 2,240
Dothan, AL
C
Cactus_buck Offline
8 point
Cactus_buck  Offline
8 point
C
Joined: Jan 2014
Posts: 2,240
Dothan, AL
I’ve been a nurse for 15 years. Been in the healthcare field for 20...I totally believe American healthcare from the prescription companies down to the doctors are to blame for the current prescription abuse problem we have. A lot (not all) MDs thinks it’s just easier to write someone a prescription than argue with them about opiates and get them out of their office. We have become such a service pleasing occupation that they get “bad reviews” if they don’t write them their addictive prescription for the month. It’s gotten way outta hand.

Re: Opioid Epidemic [Re: Cactus_buck] #2857234
07/21/19 04:32 PM
07/21/19 04:32 PM
Joined: Oct 2001
Posts: 2,927
Inverness
weatherby Offline
10 point
weatherby  Offline
10 point
Joined: Oct 2001
Posts: 2,927
Inverness
Originally Posted by Cactus_buck
I’ve been a nurse for 15 years. Been in the healthcare field for 20...I totally believe American healthcare from the prescription companies down to the doctors are to blame for the current prescription abuse problem we have. A lot (not all) MDs thinks it’s just easier to write someone a prescription than argue with them about opiates and get them out of their office. We have become such a service pleasing occupation that they get “bad reviews” if they don’t write them their addictive prescription for the month. It’s gotten way outta hand.



While I agree with this to an extent......Put yourself in the shoes of the prescriber. Most doctors do not work for themselves. Governmental red tape, insurance companies, along with corporate entities have made it nearly impossible to go into practice for yourself. Now the bulk of physicians are owned by some type of asset management, hospital, or corporation. If your boss is on your ass about documenting insulin injections in triplicate.......then you do it. Same for making customers happy.

The government is the root of the problem. Reimbursement is based off of patient satisfaction. Being a nurse, you know that sick people don't come to the hospital to rest, you come to the hospital to get better. Healthcare by and large (not all of it) should NOT be customer oriented, however everything is being based off of customer satisfaction. Because companies are running hospitals like a Starbucks, you have a physicians that answer to a suit that tells them how to practice. It happens everyday. I had a CEO tell an ER physician that he would give a patient a steroid injection (patient was a poorly controlled diabetic) because the patient was on the board and that's what he wanted.

My wife and I both are NP's. Fortunately I don't deal with chronic diseases at all, but she does. She also works for a large for profit and they deal with google reviews all the time. All of her bad reviews are from drug seekers. It's a catch 22, but after a while you get a piss on it attitude. I got to eat, if you want to kill yourself....then go to it.


Last edited by weatherby; 07/21/19 04:34 PM.

If Caitlyn Jenner can keep his wiener and be considered a woman, I can keep my guns and be considered disarmed!
Re: Opioid Epidemic [Re: weatherby] #2857238
07/21/19 04:43 PM
07/21/19 04:43 PM
Joined: Apr 2010
Posts: 863
leeds,al
G
geeb1 Offline
6 point
geeb1  Offline
6 point
G
Joined: Apr 2010
Posts: 863
leeds,al
Originally Posted by weatherby
Originally Posted by Cactus_buck
I’ve been a nurse for 15 years. Been in the healthcare field for 20...I totally believe American healthcare from the prescription companies down to the doctors are to blame for the current prescription abuse problem we have. A lot (not all) MDs thinks it’s just easier to write someone a prescription than argue with them about opiates and get them out of their office. We have become such a service pleasing occupation that they get “bad reviews” if they don’t write them their addictive prescription for the month. It’s gotten way outta hand.



While I agree with this to an extent......Put yourself in the shoes of the prescriber. Most doctors do not work for themselves. Governmental red tape, insurance companies, along with corporate entities have made it nearly impossible to go into practice for yourself. Now the bulk of physicians are owned by some type of asset management, hospital, or corporation. If your boss is on your ass about documenting insulin injections in triplicate.......then you do it. Same for making customers happy.

The government is the root of the problem. Reimbursement is based off of patient satisfaction. Being a nurse, you know that sick people don't come to the hospital to rest, you come to the hospital to get better. Healthcare by and large (not all of it) should NOT be customer oriented, however everything is being based off of customer satisfaction. Because companies are running hospitals like a Starbucks, you have a physicians that answer to a suit that tells them how to practice. It happens everyday. I had a CEO tell an ER physician that he would give a patient a steroid injection (patient was a poorly controlled diabetic) because the patient was on the board and that's what he wanted.

My wife and I both are NP's. Fortunately I don't deal with chronic diseases at all, but she does. She also works for a large for profit and they deal with google reviews all the time. All of her bad reviews are from drug seekers. It's a catch 22, but after a while you get a piss on it attitude. I got to eat, if you want to kill yourself....then go to it.

I understand this as well. I work in behavioral health. Most of my patients are in the hospital against their will. Good luck getting good reviews.

Re: Opioid Epidemic [Re: weatherby] #2857239
07/21/19 04:43 PM
07/21/19 04:43 PM
Joined: Jan 2014
Posts: 2,240
Dothan, AL
C
Cactus_buck Offline
8 point
Cactus_buck  Offline
8 point
C
Joined: Jan 2014
Posts: 2,240
Dothan, AL
Originally Posted by weatherby
Originally Posted by Cactus_buck
I’ve been a nurse for 15 years. Been in the healthcare field for 20...I totally believe American healthcare from the prescription companies down to the doctors are to blame for the current prescription abuse problem we have. A lot (not all) MDs thinks it’s just easier to write someone a prescription than argue with them about opiates and get them out of their office. We have become such a service pleasing occupation that they get “bad reviews” if they don’t write them their addictive prescription for the month. It’s gotten way outta hand.



While I agree with this to an extent......Put yourself in the shoes of the prescriber. Most doctors do not work for themselves. Governmental red tape, insurance companies, along with corporate entities have made it nearly impossible to go into practice for yourself. Now the bulk of physicians are owned by some type of asset management, hospital, or corporation. If your boss is on your ass about documenting insulin injections in triplicate.......then you do it. Same for making customers happy.

The government is the root of the problem. Reimbursement is based off of patient satisfaction. Being a nurse, you know that sick people don't come to the hospital to rest, you come to the hospital to get better. Healthcare by and large (not all of it) should NOT be customer oriented, however everything is being based off of customer satisfaction. Because companies are running hospitals like a Starbucks, you have a physicians that answer to a suit that tells them how to practice. It happens everyday. I had a CEO tell an ER physician that he would give a patient a steroid injection (patient was a poorly controlled diabetic) because the patient was on the board and that's what he wanted.

My wife and I both are NP's. Fortunately I don't deal with chronic diseases at all, but she does. She also works for a large for profit and they deal with google reviews all the time. All of her bad reviews are from drug seekers. It's a catch 22, but after a while you get a piss on it attitude. I got to eat, if you want to kill yourself....then go to it.



While I agree with you...I think it’s also the physicians right and license to write prescriptions as he/she sees fit. That could be bad or good. It shouldn’t be based on make em happy attitude. But you are right in the regard if you don’t make them happy they won’t come back. I still think it boils down to the provider. Should you do what’s right or what makes people happy? Just saying. We as healthcare providers had a LARGE hand in this. We pass out narcotics like it’s candy. Fortunately in the ED setting we are becoming stingy with our drugs and are starting to use alternatives.

Last edited by Cactus_buck; 07/21/19 06:01 PM.
Re: Opioid Epidemic [Re: bamafan1966] #2857242
07/21/19 04:45 PM
07/21/19 04:45 PM
Joined: Jun 2015
Posts: 9,014
Some Marriott/Auburn
A
AU7MM08 Offline
14 point
AU7MM08  Offline
14 point
A
Joined: Jun 2015
Posts: 9,014
Some Marriott/Auburn
Many will say weed is the devils lettuce, I would much rather have someone craving Taco Bell and singing Bob Marley than messed up and kicking in doors for their next high.

Re: Opioid Epidemic [Re: bamafan1966] #2857244
07/21/19 04:47 PM
07/21/19 04:47 PM
Joined: Jun 2014
Posts: 1,162
Jasper Al
E
eclipse829 Offline
6 point
eclipse829  Offline
6 point
E
Joined: Jun 2014
Posts: 1,162
Jasper Al
I'd like to see the #'s of the folks that are abusing opioids, that actually ever had a prescription for them, compared to those that did not. I'd be willing to bet the ones that never had a prescription outnumber those that did in many areas.

Re: Opioid Epidemic [Re: eclipse829] #2857260
07/21/19 05:10 PM
07/21/19 05:10 PM
Joined: Jan 2014
Posts: 2,240
Dothan, AL
C
Cactus_buck Offline
8 point
Cactus_buck  Offline
8 point
C
Joined: Jan 2014
Posts: 2,240
Dothan, AL
Originally Posted by eclipse829
I'd like to see the #'s of the folks that are abusing opioids, that actually ever had a prescription for them, compared to those that did not. I'd be willing to bet the ones that never had a prescription outnumber those that did in many areas.


A lot of them START with a prescription. It only takes DAYS to get addicted to opiates. A toothache, a minor surgery, etc...

Then they go buy them from the streets.

Once they can’t get pills they result to heroin.

In the state of California if you get more than a certain number of pills on a prescription an MD is REQUIRED to write a RX for Narcan. Working on the west coast I see a large population of IV drug addiction. Most of them are manipulative buttholes now but I bet they weren’t like that before the drugs.

Re: Opioid Epidemic [Re: bamafan1966] #2857261
07/21/19 05:11 PM
07/21/19 05:11 PM
Joined: May 2018
Posts: 1,518
Alabama/Texas
JohnnyLoco Offline
Certified Pecker Checker
JohnnyLoco  Offline
Certified Pecker Checker
Joined: May 2018
Posts: 1,518
Alabama/Texas
Thats why I am reevaluating the practicality of the Liberal/Socialist agenda. It could literally quicken the collapse of society and the extinction of undesirables and immorality.

Nothing better than getting up in the morning, Thanking God for it, spending all day everyday with family fishing, hunting, gathering, and growing for one’s survival.

Lets face it, mostly lazy immoral undesirables are having abortions
Those without the willpower to resist substance abuse will eventually kick off
Overcrowded areas will die of disease
Thugs will be killed by redneks

Whatever makes this happen, I’m all for.

I say this about the hedonistic immoral culture from a radical Christian standpoint...”Too much of a good thing could be a good thing”

So this is why ole Phil Robertson vets his kin folk and makes sure they have some human skills.

Last edited by JohnnyLoco; 07/21/19 05:18 PM.

“Just do it, and be done, done it”
Re: Opioid Epidemic [Re: bamafan1966] #2857291
07/21/19 05:34 PM
07/21/19 05:34 PM
Joined: Aug 2016
Posts: 1,001
IN
P
ParrotHead89 Offline
6 point
ParrotHead89  Offline
6 point
P
Joined: Aug 2016
Posts: 1,001
IN
Here is one for ya. Took mom to Dr. gave her a script said it would be 40 for whole bottle. OK took it to CVS went to pick it up they said 1000 for bottle but 800 with insurance. I asked several time if that was generic they said yes. I called Dr. nurses were great and said let us call. They called me back and said with the RX app I could get it for 300 at CVS or for 19.99 at Kroger with the RX coupon. So CVS was going to make a killing off mom. Plus they were going to screw the insurance company.

Re: Opioid Epidemic [Re: bamafan1966] #2857300
07/21/19 05:52 PM
07/21/19 05:52 PM
Joined: Jun 2014
Posts: 3,279
Shelby Co, AL
CatHeadBiscuit Offline
10 point
CatHeadBiscuit  Offline
10 point
Joined: Jun 2014
Posts: 3,279
Shelby Co, AL
Just watched a program on opioid addiction, it stated 80% of herion addicts started out on prescription opioids.

Heroin dealers get jail time big pharma sales reps that make their goals get bonuses and go to the annual presidents club convention. It’s about the evil man inflicts upon his brother for money. Get people hooked on this chit then wreck their lives until they no longer can get a script from a Dr. Then arrest them for self medicating with street drugs. That is if they don’t die before the Doctors, hospitals and pharmaceutical companies get every available dime out of them or their insurance company. OxyContin Vicodin etc should be banned and the prescribing physicians along with the pharma co’s fined into nonexistence. It’s a flipping manufactured plague.


"Arguing on the internet is like playing chess with a pigeon. You may be good at chess, but the pigeon is just going to knock all the pieces down, take a crap on the table, and strut around like its victorious."--Anonymous
Re: Opioid Epidemic [Re: bamafan1966] #2857313
07/21/19 05:59 PM
07/21/19 05:59 PM
Joined: Jan 2001
Posts: 16,196
Dallas County
jawbone Offline
Old Mossy Horns
jawbone  Offline
Old Mossy Horns
Joined: Jan 2001
Posts: 16,196
Dallas County
I ran into a guy I worked with for 25 years the other day. He didn't even recognize me. After that he went in another store and they called a mutual friend to help him after he pissed himself and didn't even know it. He used to go to the same Dr. I go to, but apparently didn't get the treatment he wanted so he found one that would give him all he wanted I guess.


Excuse the sanctimony.
Re: Opioid Epidemic [Re: bamafan1966] #2857323
07/21/19 06:06 PM
07/21/19 06:06 PM
Joined: Jan 2011
Posts: 26,089
N. Bama
257wbymag Offline
Boo Boo Head
257wbymag  Offline
Boo Boo Head
Joined: Jan 2011
Posts: 26,089
N. Bama
Dang that’s rough.


Quietly killing turkeys where youre not!!!
My tank full of give a fraks been runnin on empty
I'm the paterfamilias
Re: Opioid Epidemic [Re: bamafan1966] #2857332
07/21/19 06:12 PM
07/21/19 06:12 PM
Joined: Feb 2017
Posts: 552
FL-AL
Scout308 Offline
4 point
Scout308  Offline
4 point
Joined: Feb 2017
Posts: 552
FL-AL
We have a family member in rehab now.


"America First! Nothing Else Matters"
Re: Opioid Epidemic [Re: bamafan1966] #2857335
07/21/19 06:16 PM
07/21/19 06:16 PM
Joined: Jun 2017
Posts: 3,316
Huntsville, AL
Jakethesnake Offline
The Flippin’ Idiot That Could Care Less
Jakethesnake  Offline
The Flippin’ Idiot That Could Care Less
Joined: Jun 2017
Posts: 3,316
Huntsville, AL
A bunch i grew up with got on pills then after years of it they turned to meth. Totally different people. Lost everything they had. I see them walking the streets sometimes. Its crazy. They had skilled trades too and were top notch.

Re: Opioid Epidemic [Re: bamafan1966] #2857349
07/21/19 06:37 PM
07/21/19 06:37 PM
Joined: Aug 2001
Posts: 43,757
Luverne, AL
Skinny Offline
GUVNER
Skinny  Offline
GUVNER
Joined: Aug 2001
Posts: 43,757
Luverne, AL
Look at Doc's face when you say " I don't want Opiods I just want the pain to stop" They are shocked because most everyone asks for opiods. That is what I am dealing with right now from the bulging disk in my neck. Every Doc I see gets weird when I say I do not want addictive drugs, I just want the pain to stop.


"You can be broke but you cant be poor." Ruthie-May Webster
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