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Posts Tagged ‘Drugs’

I only know that it has to do with women,” Mr. Gaetz said. “I have a suspicion that someone is trying to recategorize my generosity to ex-girlfriends as something more untoward.”

https://www.nytimes.com/2021/04/01/us/politics/matt-gaetz-justice-department.html?action=click&module=Top%20Stories&pgtype=Homepage

We just cannot look away from the scandal of a certain Florida Panhandle Republican. Last year, while we were vacationing on 30A, we learned that Gaetz was living with a young man he alternately introduced as his aide, his pool boy and sometimes his “son.” Although he never adopted a child, ever. But today, it looks like payments for sex thru certain Apps, to women as young as 17, is bound to catch up with him.

Winning the prize for Most Vile Republican (still in office) is now a toss-up, Matt Gaetz or Ted Cruz?

The Bride has been making plans for another trip to the lower Panhandle on 30A. Bookings in Florida are few and far between because most people want to travel by car during our pre and post pandemic transition. And I understand, being in an airport for the first time in a year was frightening. My only requirements for another getaway? A golf cart and a heated pool! Also, I’ve decided to only live in caftans from now on!

Bob was missing his hot tub last night as temps dropped down below freezing. Here in Nashville, Spring has arrived with a vengeance. The daffodils Ms Berdelle spread around town have finally opened, the ground is carpeted with cherry blossoms, and the recent flooding is receding. Doves coo and perform mating rituals outside my window; robins and squirrels remind me to refill the bird feeder.

We seem to be emerging from a long, dark pandemic winter – taking baby steps, not sure what this new, vaccinated normal will look like.

Human mating rituals have never been easy, even pre-Covid and before dating Apps. I’m feeling sorry for single people now, will they put a giant V on their profile picture to prove they’ve been vaccinated? Where will they go on a first date? Is it OK to do inside dining? What was Gaetz thinking when he arranged these liaisons?

“One person said that the men also paid in cash, sometimes withdrawn from a hotel ATM.

Some of the men and women took ecstasy, an illegal mood-altering drug, before having sex, including Mr. Gaetz, two people familiar with the encounters said.”

Imagine that, we are hearing about the drug habits of two very different men simultaneously – one was Black from Minnesota, the other is still alive, and White.

After a week of quarantine, and one sleepover, the Grands have returned to school, smiling inside their Happy Masks. And the Rocker and his Bride have resumed house hunting in LA. It’s a sellers market with very few homes available, but we’re confident the right property will pop up. And when it does, our designing, Daughter-in-Love will transform its bones into the perfect abode, complete with a separate music studio. Fingers crossed.

This week in Nashville we had our first dinner guests – aside from the small family pod. I actually put on real shoes and make-up. They came inside our house… bearing a salad… and we hugged… no masks. Small talk felt big at first, then we settled into a delightful evening. The crepe shop around the corner has reopened. Passover has passed and Easter is on the horizon.

Will Gaetz resign before the Resurrection?

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But Mr T plays one on TV.

He says we should probably wear masks, but he won’t. Why? Because hey, kings and dictators don’t wear masks behind a “resolute desk.” This guy with the bad spray tan is too vain to model the best defense we’ve got for this “invisible enemy,” besides social distancing. I get why he thinks he’s a king, but how could an inanimate object be resolute? So of course I had to look up the definition of “Resolute,” an adjective:

firmly resolved or determined; set in purpose or opinion:

characterized by firmness and determination, as the temper, spirit, actions, etc.

I think we can all agree a desk cannot feel resolute, but Mr T is resolutely set in his opinions. He is vengeful, narcissistic, and mendacious. Maliciously mendacious in fact. I’ve been trying to look for the silver lining in this global pandemic. Bob and I have stopped watching Mr T’s coronavirus pressers, which are just stand-ins for his campaign rallies. I’ll occasionally listen to Governor Cuomo who is the voice of reason these days, along with a real doctor, Anthony Fauci.

Another real doctor is the Groom, who is currently researching that anti-malarial drug that Mr T is so fond of mentioning. His research on this drug started last week, LAST WEEK, along with 40 other institutions across the United States. Until we have any evidence, any evidence at all, it is political and medical malpractice for Mr T to continue to push the idea that we “may” have a possible “cure” for coronavirus.

The Groom is set to be back “On Call” in his ICU in about 2 weeks, right when our curve should hit its peak. This is not a reality show Mr T, and you are not a doctor.

Dr Sanjay Gupta on CNN is another doctor I believe; he’s been saying the same thing my husband, another real doctor keeps saying – the antibody test is going to be critically important. Not just to bring those who’ve recovered back into the workforce, but also to give everyone a certain sense of comfort. After all, my little “cold” right after the tornado may have immunized me already.

Dr Gupta and Bob have also been criticizing our lack of testing in the beginning; seeing how South Korea confronted the pandemic with lots of testing and tracing and isolating is illuminating.

“At the peak, medical workers identified 909 new cases in a single day, Feb. 29, and the country of 50 million people appeared on the verge of being overwhelmed. But less than a week later, the number of new cases halved. Within four days, it halved again — and again the next day.

On Sunday, South Korea reported only 64 new cases, the fewest in nearly a month, even as infections in other countries continue to soar by the thousands daily, devastating health care systems and economies. Italy records several hundred deaths daily; South Korea has not had more than eight in a day.”   https://www.n20/03/23/world/asia/coronavirus-ytimes.com/20south-korea-flatten-curve.html

Of course it’s extremely hard to catch up when your president spends 2 months blaming this pandemic hysteria on the mainstream “Fake” news, like a toddler. Nothing is ever his fault! He is, after all, the greatest living con man with a “…disordered mind, a darkened attic of fluttering bats.”  https://www.nytimes.com/2020/04/05/opinion/trump-coronavirus.html?searchResultPosition=1

My daughter is another doctor on the front lines of this outbreak. She gets out of her car after a shift in the ER, takes all her clothes off and dumps them in their red zone (garage apartment), then takes a shower. Only after that, will she walk across her lawn and enter her home. She has had to reuse her PPE and still worries about possibly infecting her family. I believe every single thing she says.

Our family will be Zooming in for a Passover Seder this week with another doctor in the family, a retired orthopedic surgeon on Long Island. It’s Holy Week for the 2 big religions in our country and I wish you all a peaceful and safe Seder and Easter. And I wish Mr T would let his real doctors do the talking.

Here they were as baby doctors in Virginia!

MedSch Classmates May08

 

 

 

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Bob will often recount that time I cried over a news report about a dog being thrown out of a car onto a highway.

It was at the end of the evening news – remember that quaint time of day we’d all turn to our favorite anchor person to sum up the world’s most important events? We didn’t have the New York Times or NPR on our phones. We weren’t glued to political coverage at odd hours.

We were just sitting there in our not/so/big house while the list of deaths in Afghanistan and Iraq scrolled across a screen, ending with that poor innocent dog. That’s what got me.

Well, it happened again this week. One morning I was watching Mr T walk up to a podium and scowl at his audience for the longest presidential pause in history. This in itself was intriguing; then without an introduction, not even so much as a, “Good Morning nice people of the Fake News,”  he announced the raid on an ISIS terrorist and he also mentioned a K9 was injured as a cave exploded. The suspect had fled with 3 of his children when he detonated his vest; civilians had been killed too. But a dog…and it was probably a German Shepherd dog like our Bones.

Why don’t they send robots or drones or droids into caves?

Last week I had a mammogram, because October is breast cancer awareness month, and I’ve been told that some Artificial Intelligence (AI) actually reads the test! It recognizes patterns in breast tissue and tells the radiologist what to report. Since my test was negative, I didn’t give it very much thought. Still, having an AI interpret a mammogram left me wondering what’s next. Maybe the government is afraid of a robot army? But robot doctors are fine.

Could a robot K9 sniff out cannabis? Nashville International Airport has 8 real drug-sniffing dogs!

A list released by the police department indicates that in the last 12 months, BNA Police have seized, approximately 600 pounds of marijuana, 800 THC pens, one pound of meth, six ounces of cocaine, and five ounces of heroin.

Chief Griswold says, “Our main focus is to make this a safe and secure airport and if you are coming through here with a large amount of drugs, some people might make this as a test thing to see if they can get something worse through, so we make those arrests and make sure they have a record on them,” said the chief.  https://www.wkrn.com/news/local-news/new-drug-k9s-at-nashville-airport-sniff-out-16-pounds-of-marijuana-in-mans-luggage/

I like the idea of a bomb-sniffing dog at an airport. Heck, I love dogs doing just about anything and will immediately melt to the sidewalk when confronted with a Corgi. I guess you could call me a severe dog lover.

Word on Twitter is that Mr T wants this injured K9 from the battlefield in Syria to come visit him at the White House. Isn’t he the ONLY president to NOT have a family dog? I would imagine dogs growl when they sniff him, most dogs can smell fear and inferiority and just plain craziness instantly. This brave canine would surely know he or she’s being used as a political prop, something to buoy his sinking ship.

Mr T should also stop using the phrase, “He died like a dog.” When it was Bones’ time, he went under our porch and wouldn’t come out. I had to coax him out with steak, and then we brought him to the Vet. There was no whimpering or crying, he was the such a beautiful, brave boy.

If you have a little love leftover in your heart, give it to a rescue dog and love will be returned tenfold. Here is my sweet, old Ms Bean in my office who would never hurt anyone but could kill a squirrel in 3 seconds.

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Needless to say, I’m on the “almost too old to bother” with this test. But in my defense, the first time I was scheduled, after Katie Couric made it seem so easy, Gma Ada had a heart attack. I cancelled and flew to NJ.

The second time, just last year, I bought the gallon jug of prep medicine along with two gallons of margarita mix, because we were hosting a Cinqo de Mayo party. Honest. Last April Gma Ada broke her hip, so I cancelled and flew to NJ.

This third time for my very first colonoscopy would be the charm we figured. I considered not even telling Gma Ada what was happening but in the end Bob dropped me at the hospital and drove his Mom to the dentist today. In bubble wrap.

Here is what I learned while drinking myself into oblivion last night.

1. Don’t bother buying any Crystal Light. It only changes the color which made me think I’d flunk the test.

2. Don’t try to read Southern Living Magazine. It’s all about FOOD and you won’t be having any for awhile.

3. Ditto for TV. Did I need to know that Red Lobster is having a special on lobster of all things? The PBS special on rice however…

4. Don’t start texting with that friend who writes you long letters. Your attention span cannot possibly keep up with your powder room visits.

5. Don’t leave any jelly beans or nuts lying around the house, your memory starts slipping and you might be tempted to eat one.

6. Don’t accidentally mix the infant simethicone drops in with your dog’s dinner. It’s hard to multi-task while chugging GoLytely – a most ironic choice of names for my liquid diet.

7. Don’t forget to thank your husband. For answering your same question multiple times, “Did you talk to the doctor yet?” and for cooking dinner when it’s all over. The hospital socks are a nice touch!

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Had a short talk with Bob yesterday about Philip Seymour Hoffman. And we both thought it’s a shame, but not for all the general reasons everyone’s been talking about, like his life and character and talent. Because ever since some 19th Century chemist decided he could change morphine into heroin –  thereby making it much more euphoric, easier to administer, lasting longer and with lower dosages – people have been overdosing on this drug. A drug that is still used medicinally in the UK…because for really sick, terminally ill people, there is literally nothing like it. It is the opiate on steroids! For many years people, I mean ordinary brothers and sisters, mothers and fathers, black, white and brown, have been dying for/on heroin for over a century.

What’s different is that now another celebrity has died of addiction. But really, what’s different? A bag of heroin costs about $10 and an oxycodon pill costs $40, so that’s different. PSH had the money to go out and buy a week’s supply of heroin, he didn’t have to perform a sex act on the street to get high, so that’s different.

Doctors are encouraged to “Treat Pain,” nurses have us rank our pain on a scale of 1 to 10, in fact in some states if a doctor or NP doesn’t “treat our pain” he/she can be sued. There are whole buildings being built to deal with pain management in health centers across America. So in the same way we’ve become aware of the dangers over overprescribing antibiotics, doctors need to become more aware of the addictive powers of pain killers. Because for some of us, as Jim Carrey said of PSH: “For the most sensitive among us the noise can be too much.” 

I might say after knee surgery, “That pill makes me feel funny,” so I stop taking it. But the addict, probably 10% of the population, has a part of the brain that recognizes that narcotic in a primal center of their neural cortex, the addict says, “More please.”  Someone I knew well once said, “There are no 50 year old junkies.”

But here is a conversation we need to start in DC. Why not make Naloxone (aka Narcan) available over the counter? This is a miracle drug which can bring a dying, overdosed person back to life, and instead of waiting until an EMT or ER doc is available to administer it, which is often too late, why can’t families and friends of addicts purchase the drug as a nasal spray to keep in their home? Well they can in a program in MA, oh God I love that state! I knew it when they went for McGovern!

The problem has become more urgent: Heroin overdose deaths in the U.S. nearly doubled over the last decade, from 1,725 in 1999 to 3,278 in 2009, according to the Centers for Disease Control and Prevention. During the same period, deadly overdoses from opiate-like drugs, including painkillers, have nearly quadrupled, from 4,030 to 15,597. Naloxone works by blocking certain drug receptors in the brain. It has no effect on alcohol or cocaine overdoses but can be used against such painkillers as OxyContin, Percocet and Vicodin. http://www.huffingtonpost.com/2012/04/26/naloxone-drug-overdose-antidote_n_1456531.html

There was no one with PSH at the time of his overdose, so having Naloxone nearby may not have helped him. But once the rest of the country follows MA’s lead, we may get the chance to save more lives, because I believe recovery is possible. One day at a time. read more: http://healthland.time.com/2012/04/13/naloxone-debate-fda-hears-testimony-about-making-an-overdose-antidote-nonprescription/

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This is an addendum to the last blog post, courtesy of the Bride and TN Poison Control Center. I guess this is not such a new recreational drug. She has seen many teens die in the ER and her husband has seen the results as well in Vandy’s ICU. Molly has also been called “bath salts.”

04-04-11 What is in Molly’s Plant Food? (one of the latest recreational drug rages to affect Tennessee’s teens and young adults)

Question of the Week
April 4, 2011
What is in Molly’s Plant Food?  (one of the latest recreational drug rages to affect Tennessee’s teens and young adults)
Molly’s Plant Food is a synthetic hallucinogenic amphetamine marketed as a “plant food” that contains ingredients that produce highs similar to Ecstasy. Molly’s Plant Food is usually purchased at a convenience store and is packaged in a capsule form with a cost of $8-$12 per capsule. The product label warns “not for human consumption”; however it is packaged in a psychedelic colored wrapper and several Internet web sites and chat rooms refer to the product as “legal ecstasy”. The active ingredient is mephedrone, which is not a scheduled (DEA) drug, therefore making it legal.
Over the past six months, The Tennessee Poison Control Center has received an increasing number of calls from emergency departments regarding symptomatic patients who have ingested or snorted Molly’s Plant Food. Clinical effects include euphoria, anxiety, paranoia, agitation, tachycardia, hypertension, delusions, diaphoresis, and weight loss. The treatment is supportive with intravenous fluids and benzodiazepines. Signs and symptoms have lasted an average of 24-48 hours.
This past week brought good news. Under an emergency court order sought by the Tennessee Agriculture Commissioner and the Attorney General, sheriff narcotic detectives have been removing the products from convenience stores in Rutherford County. Since Molly’s Plant Food is titled a “plant food”, it must be registered with the state as a fertilizer (the purported use of Molly’s Plant Food) and clearly list its ingredients. Molly’s Plant Food has neither been registered nor are the ingredients listed on the package.
This question prepared by Marilyn Weber, CSPI, MSN, RN Tennessee Poison Control Center
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I’ve noticed that news travels slowly in the South. Maybe it’s the history of cool, early evening  breezes on a front porch, where neighbors would catch up with the news of the day, or maybe it’s just the culture. Everything is slower here, and I’ve come to expect it and actually I’ve come to like it. A little banter before a business transaction never hurt anyone, and in fact it helps keep us human.

Well, it’s not often that my husband says he hasn’t heard about a drug. He is a walking encyclopedia of drugs – their generic and brand names and what they say they can do for one of his patients. I used to quiz the Bride on a shoe box full of flash cards filled with a pharmocopia of drug information that she had to commit to memory in order to practice the art of medicine. Brand and generic name on one side, its prescribed use and complications on the other.

But my brilliant hubby never heard of “Molly.” We just figured this illegal drug hadn’t made its way to our sleepy central VA town. Two people died over the past weekend at a concert in NY, and one died in Boston from a new “club/designer/street” drug named Molly. When we heard this news, I said it must be a type of Ecstasy, and I guessed right.

“Molly is classified as a Schedule One drug by the federal government. That means they believe it has “no currently accepted medical use” and “a high potential for abuse.” So now we know it a very pure form of the club drug MDMA , and when taken with other drugs, including alcohol, it can be fatal. http://www.drugabuse.gov/publications/research-reports/mdma-ecstasy-abuse/what-does-mdma-do-to-brain

And yesterday, we found out that one of our own, Shelley Goldsmith a 19 year old second year UVA student, may have died last Saturday after taking Molly at a rave club in DC.

“Shelley Goldsmith had a full scholarship to U.Va., where she was beginning her sophomore year. She was a Jefferson Scholar and a member of the Alpha Phi sorority. Students remembered their friend by painting the Beta Bridge near campus with the message “Shelley our Shooting Star.”

Her autopsy results haven’t been published yet, but statements from her friends, the people who accompanied her by bus to DC, are becoming public. It may take awhile, even in this digital age, for news to travel, but I hope our kids are listening. My condolences and prayers to her family.

http://www.nbcwashington.com/news/local/Police-Investigating-Molly-Use-in-UVa-Students-Death-Mary-Shelley-Goldsmith-222397561.html

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Picture from her sorority’s tumblr page

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This is a morality tale. It’s about trust and medicine and more.

This morning I was trying to figure out what’s happening with Morning Joe? Mika looks mad all the time, and Joe is always elsewhere, thankfully in a split screen from time to time with his audio turned off. When I heard this health writer talk about the rule of 7. He heard a drug rep say that it usually takes 7 visits, face to face, with a doctor in his/her office, before said doctor will trust them…in other words they need to be able to talk about their kids’ soccer games so that the rep can pitch his reasons for prescribing their high priced drug over another. At least that was what I inferred from his use of the word “trust.”

This was an aside, they were talking about the low polling numbers for Obamacare at the moment, but of course Joe had to complain about doctors in general on their iPhones while dealing with patients. About not listening to their patients, about young doctors not looking them in the eyes. Fear and loathing in medicine, that’s the GOP war cry. But let’s extrapolate. If you need to see someone 7 times before they can trust you, maybe a patient also needs to see their doctor 7 times before the patient can trust the doctor?

I didn’t want to write about this, but my MIL Ada thinks I should. She is a lively, active octogenarian. She is still working as a marriage counselor, and traveling the world, but she’s been feeling tired lately, getting leg cramps, and hates to complain. Let it be said, when Ada visits us it’s a whirlwind of activity and her home is usually teeming with friends “dropping by.” So her base level for “tired” may mean she only had one big event this weekend so she decided to clean the refrigerator and invite people over for a pool party. But a recent doctor visit had her worried, her liver enzymes looked high.

So Ada gathered all her drugs in a basket, and went to her pharmacist for a look-see. It turns out, she was double-dosing on a cholesterol medicine. Her internist had taken her off the name brand Lipitor, and prescribed a generic, only Lipitor kept getting refilled right alongside the same exact drug in its generic name!

This, her trusty second opinion doctor/son Bob told her, accounts for the liver problem and her tiredness. And, Bob told her, he sees this ALL THE TIME in the ER. Elderly patients on a cornucopia of drugs complaining of symptoms that to a trained acute care specialist look like drug interactions…and so in ERs all across the country, doctors and nurses are sifting through a patient’s drug record right alongside caring for trauma and stroke and heart attack patients.

I’ve learned that doctors rarely “write” prescriptions anymore – they are emailed to a pharmacy. So where did this system fail my Mother-in-Law? Was Lipitor taken off the doctor’s list of drugs, or did the pharmacist, or pharmacy tech who read the new email Rx just add the generic without thinking? How many other patients are suffering?

Technology is supposed to add fail-safe measures to health care, but how do you build “trust” with a machine? Maybe, just maybe talking and listening to a patient is more important. Here is Great Grandmother Ada, with her “little” doctor.

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