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Nice Guy Eddie

The OxyContin family

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America, fuck yeah!

Anybody think that any of the people who made millions (or billions) off of this will ever see the inside of a prison cell?

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10 minutes ago, Surly Bevo said:

Mortgage banking crisis, opiod crisis, rinse repeat, rinse repeat.....all of the really big crisis pretty much take everybody on the chain from the end user all the way up to the top of the corporations and those who regulate them to engage in the dance to get to these melting points.  

Do you ever wonder why that in nature, something has to die for something else to live? 

Why constant strife and turmoil in the aggregate exists?  

Something is benefiting from all this bullshit but I hate to think what that is. 

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11 minutes ago, thestud said:

 

 


No it’s not, but don’t let the facts get in the way of your sensationalism.

 

 

Well, like all these drugs, it has its place and is probably a miracle drug to some. But in the hands of dealers and abusers it is one of the worst things evar. 

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11 hours ago, futureman said:

I fully agree that it’s a massive, massive problem.  that can’t be understated.  but it doesn’t change the fact that chronic pain is a very real thing and also a huge problem and a solution for it should be sought out.  an opioid epidemic is not the solution to that problem, but to say that this family could foresee that epidemic and consciously said “we don’t fucking care about that, let’s get rich” is ridiculous.  yes, they were trying to make money; they’re not running a charity.  some of you would be better served if you could calm down and worry more about how to fix the problem than jerk off to this slanted anger-porn. 

Chronic pain is a result of people who never exercise and catastrophize their own pain. Chronic pain is very complex, it isn’t anything like acute pain. In my time as a PT, chronic pain patients are almost always those that NEVER exercise and eat terribly. 

They never needed oxy, they need to go for a fucking walk. 

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1 hour ago, Dolemite said:

Tramadol is awful. It gives a funky low grade high and makes you feel like shit after a few days of taking it.

I went to the orthopedic guy whose associate did my disc surgery with the only purpose in mind was to get pain pills because it hurt like hell.

When he came in, I told him, listen my back is killing me and I don't any physical therapy because it doesn't work. I just want some pain pills and that is the only a reason I am here.

He gave me a prescription for 60 10mg Vicodin, with two fucking refills. 

Had a friend who was a pharmaceutical sales rep tell me that if your doctor won't give you what you want, you have the wrong doctor. This was a long time ago through 10-15 years or so. I know its changed now.

Your physical therapy didn’t work because you probably suck as a patient. 

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10 minutes ago, SubliminalHorn said:

Your physical therapy didn’t work because you probably suck as a patient. 

I was a lot better of a patient than you are as a poster. 

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2 hours ago, thestud said:


No it’s not, but don’t let the facts get in the way of your sensationalism.

 

 

fact: fentanyl has killed more people than hitler and stalin combined. 

fact: fentanyl is the worst manmade compound ever created since the dawn of time. 

sorry the truth is upsetting to you.  you seem delicate. 

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1 minute ago, thestud said:


I’m far from upset, you’re just an ill-informed moron spewing stupidity. It has plenty of proper and positive applications, you’re just too much of a jackass to understand that.

 

nah, you’re just a simple dipshit.  this thread is about drug abuse, not OR anesthesia.  you’re a pedantic idiot.

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13 hours ago, futureman said:

actually I’m working on a solution now.  I just need to be given a forum before congress to lay out my plan...

You're a DigDoggler sock, aren't you?  Or the other way around.

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I’m unsure why Purdue and the Sacklers are innocent of the accusations because fentanyl is worse (or the same or less dangerous) than OxyContin.   Given that Purdue have agreed to pay some of the largest fines in US pharm history and retracted many early statements about oxy, I think it’s fairly straight forward regarding their guilt of recklessly dropping oxy on America.

of course in today’s world you can only fine guilty corporations.   Next to impossible for today’s ceo to go to jail for the crimes of the corporation.  So Purdue paying the fine is equivalent to an individual going to prison.   

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csb but in college i had a wisdom tooth yanked and they gave me hydrocodone.  friend said take some with booze it feels awesome.  it didnt - in fact i didnt feel anything, at all.  traded the rest of the scrip to him for a case of beer.

 

is there such a thing a resistance to it?

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10 hours ago, Drunk Stoner said:

Being w my mom on her death bed r now, thank God for fentanyl and morphine...

 

...luckily, I only drink and smoke...

User name checks out.

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23 minutes ago, 52-80 said:

csb but in college i had a wisdom tooth yanked and they gave me hydrocodone.  friend said take some with booze it feels awesome.  it didnt - in fact i didnt feel anything, at all.  traded the rest of the scrip to him for a case of beer.

 

is there such a thing a resistance to it?

I had a similar experience.  Don’t know if the prescription was weak or something was different about me.   It seemed to have the same effect that aspirin or Tylenol has for pain for me: little or none.

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49 minutes ago, 52-80 said:

csb but in college i had a wisdom tooth yanked and they gave me hydrocodone.  friend said take some with booze it feels awesome.  it didnt - in fact i didnt feel anything, at all.  traded the rest of the scrip to him for a case of beer.

 

is there such a thing a resistance to it?

You're not likely to notice the effect of a 5mg hydrocodone tablet if you're drinking alcohol with it.

10mg, maybe, but depends on how much booze you're throwing down.

Some people tolerate opioids more than others, so they'll feel less effect from an equivalent dose.

If one is a potential addict (whether they've ever abused any drugs/alcohol or not, and whether they actually become addicts or not) and have a brain that's already dopamine deficient, an opioid is gonna feel like Christmas Come Early even at small doses.

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33 minutes ago, Nice Guy Eddie said:

I had a similar experience.  Don’t know if the prescription was weak or something was different about me.   It seemed to have the same effect that aspirin or Tylenol has for pain for me: little or none.

we're on same boat then.  aspirin/tylenol/other otc pain reducers have done absolutely jack for me that i could perceive... the hydrocodone was 7.5mg and i took...er...a few.  and im not walking around with 2 bills of weight either

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14 hours ago, futureman said:

being in the hospital is hell for an addict craving a buzz.  goddamn nurses rationing out one 10mg norco every 8 hours... “oh are you still in pain?  I can’t give you another norco until tomorrow morning.  would you like a tramadol?”  no I’m not in pain but I’m telling you I am because I want a fucking buzz you cunt bitch.  your PCA pump is shit.  give me a handful of percocet and get lost, you goddamn whore. 

don’t worry, I was only ornery in my head, was always polite to the nurses...

 

Ha, what you were thinking in your head gets said thousands of times at hospitals./facilities all over everyday! 

Edited by JimmyHoffa

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3 hours ago, 52-80 said:

csb but in college i had a wisdom tooth yanked and they gave me hydrocodone.  friend said take some with booze it feels awesome.  it didnt - in fact i didnt feel anything, at all.  traded the rest of the scrip to him for a case of beer.

is there such a thing a resistance to it?

The one time I ever took pills recreationally was in college and I had been drinking. It's the closest I will ever come to experiencing time travel.

At some point early on in the evening, everything just went blank and I woke up like 15 hours later with no feeling of the passage of time whatsoever. It's like a switch flicked and I instantly transported from 9 pm to damn near noon the next day. Thank god this was at a friend's apartment and not out in public.

That was enough to convince me never to try that again.

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16 hours ago, SubliminalHorn said:

Your physical therapy didn’t work because you probably suck as a patient. 

El-Oh-Fucking-El. Never ruptured a disc or had lower back nerve damage, eh? You need it, just for the illumination of your poor current perspective.

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23 minutes ago, El Diablo said:

El-Oh-Fucking-El. Never ruptured a disc or had lower back nerve damage, eh? You need it, just for the illumination of your poor current perspective.

My perspective is just fine, thank you. Discs heal. It takes time, but they do. It takes work and exercise, but they will eventually heal. But people don’t like that. They want immediate fixes like surgery (which doesn’t always work) or pills. It is what it is. I see this everyday. 

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11 minutes ago, SubliminalHorn said:

My perspective is just fine, thank you. Discs heal. It takes time, but they do. It takes work and exercise, but they will eventually heal. But people don’t like that. They want immediate fixes like surgery (which doesn’t always work) or pills. It is what it is. I see this everyday. 

Time. "Work and exercise" do not "heal" discs.

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Just now, El Diablo said:

Time. "Work and exercise" do not "heal" discs.

Weird I must have been imagining patients coming through my clinic feeling better after injuring discs 🤷🏽‍♂️

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Not to interrupt a good Surly pissing match, but there are many degrees on the spectrum.  When you have an acute disc issue like I had, PT wasn't going to to allow me to function in any capacity.  I took pain killers until the steroid injections did their magic.  Time and PT have done the rest, but the first few days would have been impossible without chemical help.

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8 minutes ago, SubliminalHorn said:

Weird I must have been imagining patients coming through my clinic feeling better after injuring discs 🤷🏽‍♂️

It takes all kinds.

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2 minutes ago, bernorange said:

Not to interrupt a good Surly pissing match, but there are many degrees on the spectrum.  When you have an acute disc issue like I had, PT wasn't going to to allow me to function in any capacity.  I took pain killers until the steroid injections did their magic.  Time and PT have done the rest, but the first few days would have been impossible without chemical help.

And I absolutely agree with you. Acute disc injuries take some time for pain to decrease enough for more movement. The jelly takes time to reabsorb so until it does, those nerves will be very inflamed. But, they do heal and function will return with WORK and EXERCISE. 

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5 hours ago, SizzleChest said:

The only thing I feel is Propofol.  Or not feel rather.  I've taken higher doses of Vicodin and Percocet.  Didn't do shit.

All I know is that shit burns. Anesthesiologist said this may sting a little and I was getting ready to say something sarcastic as it burned down my arm.  Bit then I found that I had no consciousness. 

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57 minutes ago, SubliminalHorn said:

My perspective is just fine, thank you. Discs heal. It takes time, but they do. It takes work and exercise, but they will eventually heal. But people don’t like that. They want immediate fixes like surgery (which doesn’t always work) or pills. It is what it is. I see this everyday. 

If you've never had a ruptured disk you should probably back out of this as gracefully as you can.  I have, and they hurt like hell.  As El Diablo said, time (and steriods) heal them.  

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Just now, Bullneck said:

If you've never had a ruptured disk you should probably back out of this as gracefully as you can.  I have, and they hurt like hell.  As El Diablo said, time (and steriods) heal them.  

Nope not going to. I treat this all the time. But thanks for the concern 

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It almost seems like some are suggesting that a large portion of the drug crisis plaguing this nation for decades could be better addressed on the demand/treatment side?   

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1 hour ago, Lobo said:

It almost seems like some are suggesting that a large portion of the drug crisis plaguing this nation for decades could be better addressed on the demand/treatment side?   

 

Well like most things it's not a one size fits all type of answer. But since that is what we do here in the great US of A the simple answer to your questions is a resounding yes. 

Nobody wants to hear that and SubliminalHorn isn't making any friends with his answers but he's 100% correct. Again not every case but a large number of them. People just don't want to hear it or put in the work to fix the issue they want the magic little pill that masks whatever pain they have, instead of fixing the actual issue so you know you no longer have said issue in the first place. 

Medications are WONDERFUL but they aren't any where close to the solution to every problem. 

I don't work in PT but I would guess 75% or more of those given walking papers to finish their PT at home either don't do it correctly, stop before they were told to or a pretty large number don't do a damn thing.  

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20 hours ago, thestud said:

 

 


No it’s not, but don’t let the facts get in the way of your sensationalism.

 

 

800px-US_timeline._Deaths_involving_othe

Yeah, absolute A+ pharmaceutical development here. 

Sure it has it's uses. Do those uses outweigh the 29,000 likely otherwise healthy individuals that ODed on it in 2017? Or the more than that in 2018? Or the what will be more than that in 2019?

What about the people thinking they are using xanax or oxycontin that could have been saved through rehab or kicking the habit? But, oops, you got fentanyl instead, guess you're not waking up now. 

From a utilitarian perspective I'd rather an 80 year old cancer patient be a little less comfortable than thousands upon thousands of adults without terminal diseases winding up dead every year. 

You are entitled to your opinion, but in my opinion and many others it is something the world could have done without the development of. I mean this is what we're discussing:

Heroin-Fentanyl-vials-NHSPFL-645x645.jpg

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3 hours ago, Bullneck said:

If you've never had a ruptured disk you should probably back out of this as gracefully as you can.  I have, and they hurt like hell.  As El Diablo said, time (and steriods) heal them.  

Reminds me of the story of the two guys who wanted to learn about sex. The one guy goes to school, studies anatomy, human sexuality, interviews hookers and sex addicts and porn stars - spends years learning about sex. The other guy went to Vegas and spent a week fucking the majority of the whores there. You can have all the education in the world on something but nothing is a substitute for experience.

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18 minutes ago, thestud said:

 

 


I had a long, incredibly sarcastic and smarmy response typed up but I deleted it to just say this: come to work with me for a few shifts and you’ll see why Fentanyl is necessary in the medical world. Plenty of people are allergic to morphine and dilaudid, or they have bad reactions complete with hallucinatinons to ketamine. Fentanyl comes with none of those. It does come with a faster onset, shorter duration of action and less provocation of hypotension than morphine.

If you’re looking for things the world could have done without, I expect to see you and the rest of the gang out championing prohibition. Only 1 out of every 20 calls I go on is related to controlled substances; versus 12-13 of every 20 being alcohol related in some form or fashion.

 

 

I'm not saying it isn't theraputic in certain cases. I just question the overall utility to society it is providing at this point. Pharmacologists developed Pandora's Box and China has opened it. I dont know if it was bound to happen or if someone fucked up along the way allowing it to happen but we're staring it in the face. This is obviously a much longer discussion requiring a lot of data on both sides.

I have empathy for your patients allergic to other narcotics. But do their needs outweigh the silent deaths of tens of thousands of Americans every year? People are always going to abuse drugs. Lessening the impact that has has gotten exponentially harder with the proliferation of fent.

I don't think alcohol is a great analogy. Alcohol has been around for thousands of years, and if anything our furthered understanding of its negative consequences has led to fewer alcohol related deaths and complications as society has progressed. Fentanyl was developed in 1960 and we didn't accidentally happen onto it the way we did with alcohol. I can go make alcohol in my bathtub.

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4 hours ago, SubliminalHorn said:

Nope not going to. I treat this all the time. But thanks for the concern 

What does this mean?  You're an orthopedist?

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2 hours ago, thestud said:

I had a long, incredibly sarcastic and smarmy response typed up but I deleted it to just say this: come to work with me for a few shifts and you’ll see why Fentanyl is necessary in the medical world. Plenty of people are allergic to morphine and dilaudid, or they have bad reactions complete with hallucinatinons to ketamine. Fentanyl comes with none of those. It does come with a faster onset, shorter duration of action and less provocation of hypotension than morphine.

If you’re looking for things the world could have done without, I expect to see you and the rest of the gang out championing prohibition. Only 1 out of every 20 calls I go on is related to controlled substances; versus 12-13 of every 20 being alcohol related in some form or fashion.

 

 

Shocking.

 

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1 hour ago, El Diablo said:

Physical therapist. You know, a doctor!

Yeah, I have a feeling Subliminal is long on opinion and short on actual knowledge here.

Maybe he can tell us all what a ruptured disk actually is.

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I can speak from experience and it was absolutely debilitating for about two weeks. Couldn’t sit in a chair, stand, etc. had to shit and piss on the floor, crawl into shower, so damn awful. The idea of physical therapy during that is laughable. Never took any narcos though. Steroids and gabapentin and 5?ibupropheb Avery 4 hours. None of that even remotely helped pain.

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