Heroin Users Take Over San Francisco BART Station

Where you thinking of going?

 

yep..blame the doctor for a patients lack of self control

laughable

 

So you mean if your doctor prescribed you a high dose of opioids, and you followed your doctors advice and took them, you wouldn't become an addict

 

nowhere specific, it just depends on where a good opportunity arises.

general guidelines would be hopefully someplace warmer and less rural though.

 

We could probably make an interesting thread discussing where you might go. In principle it might actually be useful to you too.

 

i'm not going to bother with it (i'm about to go to bed and i probably won't even be back to participate for a couple days), but you have my blessing if you like.

 

Ok, so it's my job to post the "lets find undies a new home" thread, just like it was my job to post the "lets try to get undies laid" thread.

god damn you're lazy!

 

no

but i sure as fuck wouldnt blame the doctor

 

You'd blame the patient though, because following a doctors orders is wrong

 

so is it advice?...or orders

make up your mind

oh my god is there a law against following doctors orders?


lmao at your thought process

 

No you're not required to follow "what the doctor tells you to do" by law. But you're supposed to tell the difference between good and bad medical advice how exactly? In most cases, you're going to screw yourself if you don't follow a doctors "advice". And if you're in pain, the vast majority of people don't know anyone other than their GP who can dispense medical advice.

lmao at yours

 

OK I need to help fill in some gaps in these thoughts.

And I for now don't want to discuss abuse of the drug on either side. That's not where the misunderstanding is here.

In a proper scenario.

When an MD prescribes an Opioid for pain, the patient follows orders. Common areas of Opioid prescription would be a bone fracture or in the case of AA sickle cell pain.

The protocol is a short term, 3-5 day Rx. This is specifically because Opiods, when taken for longer, raises a high probability that the body goes through a chemical transformation. It now requires this chemical interaction. A chemical addiction results. In the case of a sickle cell patient, the pain does not go away in 3-5 days. That tends to be a more chronic pain. So the MD faces the first dilemma. Patient has chronic pain and how do you treat longer than the preferred 3-5 protocol. Some will continue that Opiod treatment some will not.

When they stop, and that patient still has pain, the only thing that works is an Opioid. Currently heroin is cheaper on the streets than an Rx Opiod. And easier to obtain. So now you have that path to heroin. Neither party intended it to turn out that way. But realty wise a large number of heroin users are there because it originated from a perfectly normal and medically approved introduction to Opiods.

Now the doctors that extend that 3-5 day protocol, the chemical dependency, has a much more difficult path to break. That chemical dependency over rides the pain. This is where both the MD and the patient relationship becomes an issue. When the MD says no more, that patient is cut off. That now stronger addiction is not. So the need to satisfy the real chemical dependency that exist is a pretty strong one.

The rest you can figure out.

My g/f tells me that 30% of her patients, come to her with an Opioid addiction these days. That is a lot. Doesn't matter how it originated, you have to treat the addiction the same. It isn't cheap and it doesn't end in a month.

Nowhere near all addictions started out as over prescribed meds. But certainly an unacceptable amount does. There are always people and MDs that are irresponsible. MDs do it to make money. Abusers do it to get high. My sympathy for them doesn't exist.

But there are plenty of Opiod addicts that don't deserve to be addicts. It truly wasn't their fault. We need to fix that part of this social problem.

 

yeah, and you're helpful so it seems like a good fit.

 

San Francisco bans plastic straws, while handing out free plastic needles.

Glad to see their priorities are straight.

 

But Marge, if we call him Larry all the kid'll call him Larry Farry.

 

I have to disagree with this one. While to some degree free needles encourages drug use, it helps prevent the spread of HIV and hepatitis. Needle bleaching kits are another approach.

 

Progressives make wonderful mayors huh?

 

Indeed. The last mayor of Atlanta gifted $811,000 out to his staff and various city workers in varying amounts. So Atlanta taxpayers are some seriously generous people!

 

Seattle has a huge heroin and meth problem too.