MBF 04/25

[Lola]

Car insurance. Car accidents.

DH got in an accident in our highlander last week. Geico finally got out to do an estimate today. After the initial estimate we are 2700ish away from it being totalled. Its getting towed to a body shop for them to take the doors off and check to see if there is more damage. I'd love a new car...but we are a year away from paying it off. Hopefully today they will come back with an answer today so we aren't in limbo.

[mamanorris]

I'm sick of hearing about the Target bathroom issue. Because it's not an issue. Chances are you have already shared a bathroom with a trans person and didn't even know.

[Liv]

Apr 25, 2016 10:34:03 GMT -5 mamanorris said:

I'm sick of hearing about the Target bathroom issue. Because it's not an issue. Chances are you have already shared a bathroom with a trans person and didn't even know.

I do have a question on this issue... why are there urinals being installed in women's bathrooms? If you identify as a woman but still have a penis, can't you sit like women do? Not trying to stoke the fire, but I really do wonder. It seems weird to me. I understand that a biological female who identifies as "male" would not be able to use a urinal, but in the opposite case, I'd think they could just sit... 

[liziz]

Apr 25, 2016 10:11:10 GMT -5 @zerozeroone said:

Lola , car issues are the worst. I hope it works out in the best possible way for you guys.

TheCoffeeNinja , it'a amazing how much puke can come from such tiny people. My 5-month old nephew was over yesterday and as my SIL was handing him to me he projectiled all over me. I had a burp cloth in my lap too and he managed to miss the entire thing.

They always miss the burp cloth. Always. 

[liziz]

Apr 25, 2016 10:00:10 GMT -5 Lola said:

Car insurance. Car accidents.

DH got in an accident in our highlander last week. Geico finally got out to do an estimate today. After the initial estimate we are 2700ish away from it being totalled. Its getting towed to a body shop for them to take the doors off and check to see if there is more damage. I'd love a new car...but we are a year away from paying it off. Hopefully today they will come back with an answer today so we aren't in limbo.

Hope he's ok - so frustrating when it's finally almost paid off!

[lucanjo14]

Today can suck it.

[lucanjo14]

Forgot to run the dishwasher last night even though I loaded it with detergent.
Went to put baby clothes in the washing machine and found a load of clothes that had been washed but never moved to the dryer.
Have no food in the house and DNW to drag both littles to the grocery store.
Driving home from gym class and stuck in stop and go traffic for some unknown reason and both kids are screaming.
I know these are all minor issues but I'm just annoyed. Can I have a glass of wine at lunch today?

[liziz]

lucanjo14 can you get groceries delivered?

[mamanorris]

@liv I have only heard about the case in Arizona where a Male to female trans person sued the city for urinals in the women's rest rooms. I think it's odd. We have a female to male trans relative so in a little protective of them and the subject. Urinals in the women's room sounds like a waste of funds though.

[Liv]

Apr 25, 2016 11:26:41 GMT -5 mamanorris said:

@liv I have only heard about the case in Arizona where a Male to female trans person sued the city for urinals in the women's rest rooms. I think it's odd. We have a female to male trans relative so in a little protective of them and the subject. Urinals in the women's room sounds like a waste of funds though.

I agree it's a very messy issue and I think is usually not handled in a very compassionate way. I hope that there are good solutions that come out of all this!

[jnnfrrose6]

DH bought me underwear from Victoria's Secret for Christmas. I think the last time I bought underwear from there was my freshman year in college. I'm trying to be a good sport and wear it since he thought he was doing something good (I did want new stuff), but damn this shit is uncomfortable. When I commented on it a couple weeks ago to him he seemed surprised I didn't like it. "I thought that's where you bought your underwear" were his exact words. Um, nope. Not in over a decade, and you know that because you've bought the hanky panky brand I prefer before for me.

TL:DR I've got a constant wedgie today because of DH.

[Lola]

Bitch # 2

So I work in Pain Management. Opioid abuse in our country is going crazy. I do 20 million things to try and prevent this. Last week I got faxed a copy of a script that was written from my practice fraudulently. I've reported it to the police, called the guy's insurance company (what a dummy for putting it through his insurance) and made an alert with all the pharmacies.
I have called the Drug Enforcement Agency every. single. day. for a week, and no one calls me back. WTF?

[lucanjo14]

Apr 25, 2016 12:31:49 GMT -5 Lola said:

Bitch # 2

So I work in Pain Management. Opioid abuse in our country is going crazy. I do 20 million things to try and prevent this. Last week I got faxed a copy of a script that was written from my practice fraudulently. I've reported it to the police, called the guy's insurance company (what a dummy for putting it through his insurance) and made an alert with all the pharmacies.
I have called the Drug Enforcement Agency every. single. day. for a week, and no one calls me back. WTF?

I cannot imagine how difficult it probably is to try and help people who have legit chronic pain issues and have to deal with the bs of people who abuse opioids.
We see so much abuse at work it's hard not to be jaded about it. Annoying that the dea hasn't gotten back to you.

[lablover13]

I am so tired today and now a headache is brewing.

Work has been extra annoying mostly bc my manager wants to micromanage everything, but is really too busy so she just ends up unilaterally making decisions for our team that make no sense. Ugh. Is it time to go home yet??

[Lola]

Apr 25, 2016 12:58:24 GMT -5 lucanjo14 said:

Apr 25, 2016 12:31:49 GMT -5 Lola said:

Bitch # 2

So I work in Pain Management. Opioid abuse in our country is going crazy. I do 20 million things to try and prevent this. Last week I got faxed a copy of a script that was written from my practice fraudulently. I've reported it to the police, called the guy's insurance company (what a dummy for putting it through his insurance) and made an alert with all the pharmacies.
I have called the Drug Enforcement Agency every. single. day. for a week, and no one calls me back. WTF?

I cannot imagine how difficult it probably is to try and help people who have legit chronic pain issues and have to deal with the bs of people who abuse opioids.
We see so much abuse at work it's hard not to be jaded about it. Annoying that the dea hasn't gotten back to you.

I can't imagine what the ER's are like. I get to say no to people. The ERs don't get that luxury as much as I do. I always say that the people doing the wrong thing are what make it so difficult for my legit pain patients. 

[Lola]

Apr 25, 2016 13:47:32 GMT -5 @zerozeroone said:

Apr 25, 2016 12:31:49 GMT -5 Lola said:

Bitch # 2

So I work in Pain Management. Opioid abuse in our country is going crazy. I do 20 million things to try and prevent this. Last week I got faxed a copy of a script that was written from my practice fraudulently. I've reported it to the police, called the guy's insurance company (what a dummy for putting it through his insurance) and made an alert with all the pharmacies.
I have called the Drug Enforcement Agency every. single. day. for a week, and no one calls me back. WTF?

Isn't heroin an opioid? So their chemical composition is similar? Pain management seems like it would be tricky because those drugs can help people who are suffering but then there is the possibility of addiction. How do they try and prevent it? Just curious.

I only had morphine when I was hospitalized with kidney stones (every 8 hours for 3 days) and I swear it felt like mild withdrawal after I was discharged (mainly the sweats). I can't imagine what people go through who are used to high levels and try to get off them.

Heroin is an opiate, and is often much cheaper than buying pill on the street. People usually start with prescription medications and once they cant get them anymore, they buy them on the street. Once that's too expensive, they go to heroin. There has been a lot of heroin that has been laced with fentanyl, which is even stronger than heroin when in the same concentration.

My practice is interventional pain management, so mainly injections into the spine or joints. We don't really do a lot of long term pain management with only medications. From the beginning we make a plan of how long we expect someone to be on medicine and how we will taper them off of it to avoid withdrawal. Often people stay on medication just because they don't want the sweats or other withdrawal side effects.

As far as preventing addiction, that's tough in some people. Lots of people are physically dependent on medication, but aren't necessarily addicted or abusing medication. I dont cold turkey cut people off unless i find out that they are doing cocaine, heroin or selling. I refer them for inpatient detox, or outpatient suboxone therapy. I also do random urine drug screens and pill counts for people i'm concerned about.

Overall most days are pretty good and i love my job, and other days I feel like a drug dealer and want to quit. There is a really interested podcast about drug abuse. Listen to Embedded's first episode called "The House". Its about a drug called Opana, which is stronger than oxycodone and how its use started an HIV outbreak in Indiana.

[lucanjo14]

Lola the increase in heroin in MD lately is frightening. I also cannot wrap my head around the fact that kids in highschool are now doing it. The worst thing I saw in my high school was marijuana.
Eta: maybe kids in my high school did it but I wasn't aware. I def hear about it/see it at work a lot more recently.

[jnnfrrose6]

I'm over all this crap about Target. Both of these seem relevant to what some people are posting on FB.

[mamanorris]

I watched a documentary on Netflix today called Prescription Thugs, it's crazy what the pharmaceutical companies do. It's no wonder that prescription drug addiction is so out of control right now.

[Lola]

Apr 25, 2016 19:37:31 GMT -5 mamanorris said:

I watched a documentary on Netflix today called Prescription Thugs, it's crazy what the pharmaceutical companies do. It's no wonder that prescription drug addiction is so out of control right now.

It's sooo crazy. I haven't watched that but id like to. Did it go over what Perdue did in the 90's? They are the manufacturers of OxyContin and have paid lots and lots of money to lots of politicians.

[mamanorris]

Apr 25, 2016 20:14:17 GMT -5 Lola said:

Apr 25, 2016 19:37:31 GMT -5 mamanorris said:

I watched a documentary on Netflix today called Prescription Thugs, it's crazy what the pharmaceutical companies do. It's no wonder that prescription drug addiction is so out of control right now.

It's sooo crazy. I haven't watched that but id like to. Did it go over what Perdue did in the 90's? They are the manufacturers of OxyContin and have paid lots and lots of money to lots of politicians.

I was folding laundry with 2 "helpers" and I don't remember if they mentioned Perdue but they did talk about the Pharma lobbyist, I couldn't believe how much they spend!

[Lola]

Apr 25, 2016 20:36:47 GMT -5 mamanorris said:

Apr 25, 2016 20:14:17 GMT -5 Lola said:

It's sooo crazy. I haven't watched that but id like to. Did it go over what Perdue did in the 90's? They are the manufacturers of OxyContin and have paid lots and lots of money to lots of politicians.

I was folding laundry with 2 "helpers" and I don't remember if they mentioned Perdue but they did talk about the Pharma lobbyist, I couldn't believe how much they spend!

In the next few months doctors are going to have to disclose how much money they are making from drug companies as well. I cant wait for that! I have worked with physicians that base their medical decisions on what drug they are currently working with. Its so sad. Im also dreading seeing actual monetary value associated to my name for everytime I sign for samples of a drug or a drug rep brings lunch to our office.