Tale of Two Suicides; Lessons for Opioid Public Policy


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Tale of Two Suicides; Lessons for Opioid Public Policy

For one it was the best of times, for the other, the worst. At no time did the paths of their lives cross, but they shared the same fate, one most would consider a tragedy. Their legacies, for pain and public policy, could not have been more different…
I knew one, only heard of the other; both dramatically affected my life.

Bob was a marine. He had valiantly served his country, and he was proud of it. His identity was so tied to his service that he could not handle the thought of being any less of a marine, a warrior… a man, whatever that means. His back injury robbed him of that identity, and he struggled in a futile attempt to regain that which he no longer was, or, at least thought he was. Perception is reality, and his perception was that he was no longer what he wanted to be, needed to be.

Surgeries and elixers, therapies traditional and non-traditional. All tried in a vain attempt to rid himself his pain. All failed. Some made his pain worse. He used pain meds to numb the pain, but they couldn’t restore his manhood. In desperation, he kept taking more and more. After a while, he gave up the hope for a cure. He was a broken man, not just physically, but also mentally and spiritually. The meds became a temporary reprieve from his painful reality. I was his doctor. I never really saw that brave marine. Rather, I saw a broken, staggering man, subservient to the world his pain had created for him. Our goal for any treatment is to improve one’s function. For many, opioids accomplish that. Not for Bob.

To Read More, please click this link:
http://www.chronicintractablepainandyou.net/apps/forums/topics/show/13279442-tale-of-two-suicides-lessons-for-opioid-public-policy

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Specialist of In The News (Volunteer Position)


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Specialist of In The News (Volunteer Position)

The Specialist (In the news) is a position for those who have specific knowledge of a specific pain In The News loves to post about their subject by posing articles, chats, videos, etc. This position reports directly to the Vice President (Karla Rabel) and to Dr. Patty.

The basic responsibilities of a Specialist (In the news) are:

• “Friend” Dr. Patty and all staff

• Customize your profile and put up a picture, it can be a tag or a pet or an avatar.

Check your private email daily as notifications and private messages are sometimes routed through general email (A CIPAY mailbox will be given to you for CIPAY business only).

•Check your CIPAY inbox daily for messages. We request that you respond to member’s comments and questions within 24 hours (at the most, 48 hours). If you are unable to answer the question, please ask another staff member to help.

Please make sure that you have read the petition and have signed it.

•You may choose the group that you wish to lead. It is your responsibility to monitor these groups for inappropriate actions, comments and questions.

•You will post one article a week to each of your groups. Your staff mentor will help you to learn how to complete the needed research and show you how to accurately post it to the group.

•Other duties as assigned

Specialist of Lupus (Volunteer Position)


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Specialist of Lupus (Volunteer Position)

The Specialist (Lupus) is a position for those who have specific knowledge of a specific n loves to post about their subject by posing articles, chats, videos, etc. This position reports directly to the Vice President (Karla Rabel) and to Dr. Patty.
The basic responsibilities of a Specialist (Lupus) are:
• “Friend” Dr. Patty and all staff
• Customize your profile and put up a picture, it can be a tag or a pet or an avatar.
Check your private email daily as notifications and private messages are sometimes routed through general email (A CIPAY mailbox will be given to you for CIPAY business only).
•Check your CIPAY inbox daily for messages. We request that you respond to member’s comments and questions within 24 hours (at the most, 48 hours). If you are unable to answer the question, please ask another staff member to help.
Please make sure that you have read the petition and have signed it.
•You may choose the group that you wish to lead. It is your responsibility to monitor these groups for inappropriate actions, comments and questions.
•You will post one article a week to each of your groups. Your staff mentor will help you to learn how to complete the needed research and show you how to accurately post it to the group.
•Other duties as assigned

Specialist of Polls (Volunteer Position)


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Specialist of Polls (Volunteer)

The Specialist (Polls) is a position for those who have specific knowledge of a specific area of expertise and loves to post about their subject by posing articles, chats, videos, etc. This position reports directly to the Vice President (Karla Rabel) and to Dr. Patty.
The basic responsibilities of a Specialist (Polls) are:
• “Friend” Dr. Patty and all staff
• Customize your profile and put up a picture, it can be a tag or a pet or an avatar.
Check your private email daily as notifications and private messages are sometimes routed through general email (A CIPAY mailbox will be given to you for CIPAY business only).
•Check your CIPAY inbox daily for messages. We request that you respond to member’s comments and questions within 24 hours (at the most, 48 hours). If you are unable to answer the question, please ask another staff member to help.
Please make sure that you have read the petition and have signed it.
•You may choose the group that you wish to lead. It is your responsibility to monitor these groups for inappropriate actions, comments and questions.
•You will post one article a week to each of your groups. Your staff mentor will help you to learn how to complete the needed research and show you how to accurately post it to the group.
•Other duties as assigned

Here’s why you can skip the new insomnia drug, Belsomra It’s expensive, barely helps, and poses safety concerns


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A sleepless night or two can leave you so tired and miserable that it can be tempting to take a medication that promises to help you slip into slumber. But the truth is that sleeping pills like Ambien and Lunesta don’t actually improve your sleep much, according to a Consumer Reports Best Buy Drugs analysis, and the newest insomnia medication, Belsomra (suvorexant), is no exception.

It might help you nod off a few minutes faster or stay asleep slightly longer. But that small benefit comes with some big safety concerns, such as being too drowsy to drive the next day or feeling like you can’t move or talk.

We were prompted to take a close look at Belsomra, which is made by Merck, because it’s a new type of sleeping pill called an orexin-receptor antagonist. It acts on the brain in a different way compared to older insomnia meds. The Food and Drug Administration initially rejected high doses of Belsomra—30 mg and 40 mg—because it said they posed a dangerous risk of next-day drowsiness that could lead to deadly auto crashes.

To Read More, please click this link:
http://www.chronicintractablepainandyou.net/apps/forums/topics/show/13236029-here-s-why-you-can-skip-the-new-insomnia-drug-belsomra

U.S. Department of Justice Civil Rights Division Disability Rights Section ADA 2010 Revised Requirements Service Animals


U.S. Department of Justice Civil Rights Division Disability Rights Section ADA 2010 Revised Requirements Service Animals

The Department of Justice published revised final regulations implementing the Americans with Disabilities Act (ADA) for title II (State and local government services) and title III (public accommodations and commercial facilities) on September 15, 2010, in the Federal Register. These requirements, or rules, clarify and refine issues that have arisen over the past 20 years and contain new, and updated, requirements, including the 2010 Standards for Accessible Design (2010 Standards).

To Read More, please click this link:
http://www.chronicintractablepainandyBarbie Fergusou.net/apps/forums/topics/show/13217344-u-s-department-of-justice-civil-rights-division-disability-rights-section-ada-2010-revised-requirements-service-animals?next=

An Accidental Discovery (Ketamine)


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An Accidental Discovery (Ketamine)

Until about 15 years ago, patients with unsuccessful management of CRPS pain had few options. However, an accidental discovery at a hospital in Germany led to an experimental treatment that is giving some CRPS patients their lives back.
At the German hospital, a man was admitted with pain so horrible that nothing the doctors tried could reduce it. Not knowing what else to do, they gave him anesthesia to put him to sleep for a few days. When he emerged five or six days later, his pain was dramatically improved. One of the anesthetic drugs the doctors used was ketamine.

To Read More, please click this link:
http://www.chronicintractablepainandyou.net/apps/forums/topics/show/13212834-an-accidental-discovery-ketamine-?next=