Visual analog Pain scale and the opioid epidemic

Don't believe the propaganda,; Doctors do not give pain medication like candy.
  Ask some of my chronic pain patients.
  Most overdoses are from illegal Fentanyl ,Mixing illegal drugs and legal scrpts with alcohol.not prescriptions medicines alone.

Am I paranoid?
Or is it possible we see research finding  marching  in lock step with Political propaganda .

Assessment of pain is important in daily clinical practice and as an endpoint in clinical studies. Because pain perception is highly subjective, pain measurement is complex. Self-rating pain scales are currently of great importance but have limitations. They depend on many more factors than pain, which could lead to an incorrect assessment of therapies or clinical studies. Therefore, there is need for valid, reliable, safe, and low-cost methods to determine and quantify patients' pain more objectively.

Veterans Hospital Accused of Distributing Pain Medication ‘Like Candy’ 

AFTER such dramtic headline 

the site did not even  publish the  OIG report findings which  took 4 years to come out !

Federal Investigation Finds Tomah VA Not Prescribing Opioids 'Like Candy'

Inspector General Investigation Spurred By Complaint, Requested By US Sen. Tammy Baldwin

By Rich Kremer

Published: 

• Friday, March 29, 2019, 5:00pm

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A new federal report on the Tomah VA Medical Center found that opioid painkillers weren't being handed out "like candy." The investigation by the Veterans Affairs Office of Inspector General was spurred by a "series of allegations" from a confidential complaint.
The investigation took place in 2018 in response to a request from Democratic U.S. Sen. Tammy Baldwin, and a complainant that alleged that narcotic painkillers were being "handed out like candy" at the Tomah VA and satellite clinics in Wausau and Wisconsin Rapids.
The person also alleged that physician’s assistants were being "forced" to write prescriptions for methadone and other opioids at "dosages and frequencies" they weren't comfortable with. It was also alleged that there were no limits on the number of times patients could change providers in order to "doctor shop" in attempts to get multiple prescriptions for painkillers and that facility management didn’t give adequate guidance and support regarding opioid prescribing.
The inspector general's report didn't substantiate those claims.


Politicians  wanting to be doctors?

H.R.4063 - Jason Simcakoski PROMISE Act114th Congress (2015-2016)

 

A Reality Check On Artificial Intelligence hey I am 63 and I have not been replaced by a computer yet!

A Reality Check On Artificial Intelligence hey I am 63 and I have not been replaced by a computer yet!

IBM boasted that its AI could “outthink cancer.” Others say computer systems that read X-rays will make radiologists obsolete.
Major points from
A Reality Check On Artificial Intelligence: Are Health Care Claims Overblown?
As happens when the tech industry gets involved, hype surrounds the claims that artificial intelligence will help patients and even replace some doctors.
By Liz Szabo DECEMBER 30, 2019

https://medicalfuturist.com/search?term=Influenza   my score 0/10
https://medicalfuturist.com/search?term=Influenza  my score 1/10
"Of all the industries in which technology plays an important role, healthcare is one of the most crucial. In healthcare, technology can help solve staffing issues, improve efficiencies, enhance the relationship between medical professionals and patients and, ultimately, provide cheaper, faster and more effective healthcare solutions like pharmaceutical drugs and patient treatment plans."

With an increasing number of physicians and healthcare providers reaching retirement age, AI is going to become a major solution in the ongoing healthcare staffing shortage: 

“Machine intelligence presents us with an opportunity to significantly improve the delivery of health care, particularly in high-disease or low-resource settings.”

Sameer Antani, PhD
PhD National Library of Medicine

Except for running clinical trials none of the cutting edge technology is ever used in low resource settings this has been my experience

Hariharan Ramamurthy MD

Healthcare Jyotishi/Savant

Willis H. Ware, Chairman Secretary's Advisory Committee on Automated Personal Data Systems

"A young Johns Hopkins University fellow recently asked that question while chatting with Elliot Fishman, MD, about artificial intelligence (AI). The two men were on the opposite ends of the career spectrum: Fishman has been a professor of radiology and oncology at Johns Hopkins Medicine since 1980; the fellow was preparing for his first job as a radiologist.

“I said, ‘Well, I think it’s going to change what we do, but the good news is, at least you’re not a pathologist,’” Fishman recalls. “And he goes, ‘My wife is just graduating and she’s a pathologist.’ So I said, ‘Put away as much money as you can really fast.’”


Fishman laughs when he tells the story, but he understands the concern. Over the past few years, many AI proponents and medical professionals have branded radiology and pathology as dinosaur professions, doomed for extinction. In 2016, a New England Journal of Medicine article predicted that “machine learning will displace much of the work of radiologists and anatomical pathologists,” adding that “it will soon exceed human accuracy.” That same year, Geoffrey Hinton, PhD, a professor emeritus at the University of Toronto who also designs machine learning algorithms for Google (and who received the Association for Computing Machinery’s A.M. Turing Award, often called the Nobel Prize of computing, in 2019), declared, “We should stop training radiologists now."

On a note of caution read 

What if AI in health care is the next asbestos?

you are dying of hunger : pharma wants 40,000$ for 1 vial of your medication

Short Bowel syndrome and  Gattex

CLINICAL APPLICATION OF TEDUGLUTIDE
Teduglutide (Gattex, Shire Pharmaceuticals, Inc., North Reading, Massachusetts) was approved by
the FDA in December 2012 for use in adult patients with SBS dependent on parenteral support [141.
Teduglutide has also been approved by the European Medicines Agency for SBS patients as a long-
term aid to PN weaning (Revestive). The recommended dose is mg/kg/day administered by
subcutaneous injection. A 50% dosage reduction is recommended in patients with renal impairment
(creatinine clearance less than 50 mL/min). Teduglutide is supplied in a sterile, single-use glass vial
containing 5.0 mg of teduglutide as a white, lyophilized powder to be reconstituted with 0.5 mL
of sterile water for subcutaneous injection. The average annual cost for teduglutide administration

18 years as Federal Prison inmate for gaining dollars 3000 selling state secrets?

18 years as Federal Prison inmate for gaining $3000, selling state secrets?

The story of  William Kampiles

A taste of your own medicine drones are easy to buy and make

The dual tragedies of September force us to recognize that the United States government has assisted in the creation Of international terrorist networks and has rarely let a commitment to democracy stand in the way of its global ambitions. But until the attack of September 11, 2001, American citizens seldom experienced the horror, the anguish, the profound loss, and the lingering sense of vulnerability that the survivors of terrorism in other parts of the world know too well. From Chile to East Timor, Congo, Guatemala, El Salvador, Colombia, and many other cold war battlegrounds, ordinary people who desired land reform, better wages, improved health care, education, and the basic right of self-determination were labeled communists by U.S.-backed regimes and murdered, tortured, and disappeared by shadowy paramilitary death squads and state security forces trained by the United States. The perpetrators were almost never held accountable, and officials acknowledged the dead and the abused very slowly, if at all. The Third World victims of cold war atrocities usually did not receive public commemorations, such as those so fittingly published by the New York Times for each individual killed in the World Trade Center, nor were memorials constructed in their honor. Forgetting the proxy wars and covert operations carried out by the United States and the Third World security forces that do its bidding obscures the extent to which modern America emerged as the result of an imperial project that brutalized and oppressed peoples around the world. To understand these international adventures, a broad conceptualization of imperialism is useful, one that begins with the intrusion of U.S. economic interests into other countries and extends to the multiple and varied practices of political, military, and cultural domination. The empire which the United States now possesses is notable for the constellation of military bases that dot the globe; the defense budget that, even before September 11, 2001, totaled billions of dollars; the stockpile of nuclear weapons capable of destroying humankind; the ongoing alliances with repressive regimes that range from the Saudi royal family to the unrepentant military of Guatemala that rules behind a facade of civilian government, and the history of military intervention that continues unabated, as the invasion and occupation of Iraq so amply demonstrates.



It's the latest drone war which will come back to bite you in the butt

Why this story completely disappeared from the news cycle?

In recent years this label of communist has been rewritten as "terrorist" even a Saudi pilot killed two other Navy officers for their comments that he was a pornographic actor was labeled as a terrorist act.

Why this story completely disappeared from the news cycle?

Why do Saudi's are let off easily?

why do they get these are so easily to enter USA?

Why do American presidents dance with the Arabs holding swords?

Obviously Trump does not know the difference between Shiite and Sunni

Did the Saudis did not teach them anything when he was holding the sword and dancing with them?

Nothing on this earth is new

Nothing on this earth is new

In 1921, the ketogenic diet was first discovered as a long-term treatment for epilepsy and until 1970 the diet was used when medications didn’t work. Children usually ate large amounts of fat, just enough protein and limited fruits and vegetables, but the diet proved more difficult for older children being deprived of foods they loved in the past.

Keto Queen Makes Millions with Ancient Indian Ghee

At another instance of people in rich countries making money from the knowledge of poor people