IG Finds Missouri VA Did Not Taper Patient Off Opioids Safely

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Taper Opioids

The VA inspector general confirmed allegations that clinicians at one VA located in Missouri were not tapering veterans off opioids safely.

This confirmation follows years of veterans lodging complaints against their primary care providers for removing veterans from opioids without utilizing appropriate tapering techniques. The result of these measures has allegedly forced veterans into the black market to seek alternative treatments for chronic pain including using heroin.

Here, the Missouri VA implicated is the John J. Pershing VA Medical Center located in Poplar Bluff, Missouri.

IG confirmed allegations of poor training and a lack of knowledge with at least one primary care provider who did not know how to convert opioid dosages to conform to basic tapering standards.

We found that a provider lacked knowledge of safe and effective methods for tapering patients’ opioids.

Despite a pain consultant advising on how to taper, the care provider was still unable to apparently add or subtract appropriately.

Where do you think they earned their medical degree?

Scared yet?

This news comes on the heels of another scandal wherein VA doctors, nurses and pharmacy staff are being investigated for skimming medications intended for veterans.

RELATED: Who Is Really Stealing Drugs Intended For Veterans?

Opioid Patient Tamper Issue

The IG report covered a variety of issues, but concerning tapering, IG made the following recommendation, which was allegedly complied with prior to the report being issued:

Recommendation 3. We recommended that the Facility Director ensure that the relevant providers receive education on the concurrent prescribing of dual short acting opioids and tapering of opioids.

Concur

Target date for completion: Completed

Facility response: The relevant providers have received education on dual short acting opioids and tapering of opioids. Safety Initiative Academic Detailing is being provided for all new providers during new provider orientation. Additionally, third quarter 2016,

Pharmacy provided in-services educating providers on the Centers for Disease Control’s (CDC’s) guidelines on prescribing opioids. The medical center also has planned tele involvement with another VISN 15 VA medical center in their Pain Summit, which occurs in spring 2017.

The Chief of Pharmacy Services provided repeat written education regarding prescribing dual short acting opioids in March 2017. Materials related to tapering of opioids, and information on consults that can be placed to assist, were also included.

Consults have been developed and made available for Opioid Taper Clinic Consults and Pain Management eConsults. These patients can be evaluated by a Pain Management Clinical Pharmacy Specialist who will assist the provider with the tapering process. There is also guidance available for tapering opioids in the Academic Detailing Pain Management Opioid Safety: A Quick Reference Guide which was given to all providers. An electronic link for the quick reference guide was also provided.

Additionally when an order is placed, during the Pharmacy review and verification process, the pharmacist monitors for dual short acting opioids. If it is identified that there are dual short action opioids ordered, the provider will be alerted, and clarification will be requested.

A review was completed of all non-oncology patients receiving long term opioid therapy.

Two patients were found with dual short acting opioids, for a compliance rate of 99.8 percent. The two patients who had dual short acting opioids were originally on one, with a new prescription written due to recent clinical changes: one patient was being treated for unilateral kidney stones and given a 30 day supply of an increased strength pain medication, and the other was given a 4 day supply due to increased “suspected cervical radiculopathy pain.” Both have instructions in the medication order “do not take Lortab while taking Percocet.”

I am certain all readers are thankful this idiot primary care provider was educated in how to add and subtract when figuring out how to taper a veteran off opioids, but it seems like too little too late for that oaf, no?

How frequently are other care providers failing to follow generally accepted standards, not asking for help, and then putting a veteran’s life at risk?

Source: https://www.va.gov/oig/pubs/VAOIG-16-01077-255.pdf

James Clement
James Clement

Following.

Flotmorton P. Gildersleeve
Flotmorton P. Gildersleeve

When you don’t prosecute them for murder, they will continue to commit murder and I bet the FBI and IG gave them time to destroy the records/computer trail/paper trail, are you kidding me guess who is Baaaack…..

Flotmorton P. Gildersleeve
Flotmorton P. Gildersleeve

Med Malpractice after you have had the admission that dey jus didn’t study dat stuff in Medical training…………………………….

Warhorse
Warhorse
The so called opioid epidemic is as bad as the boy crying wolf. Many of us require this type of medication to properly perform our jobs. The problem is at the southern border. Has been, always will be. My time in Central America throughout the 80’s confirms that the problem then was as bad as it is now. Politics got involved in medicine, so now it’s an epidemic according to our elected leaders. I ask, how many of them have… Read more »
cj
cj

.

cj
cj

|====|iiVA-drug-theft-programiiiiiii|>——–

cj
cj

Fuck you VA:
…………………./´¯/)
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………./’/…/…./……./¨¯\
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91Veteran
91Veteran
Ben, that poor training and lack of knowledge is a bullshit excuse when the VA is caught doing wrong. The bigger question here is what the hell is that PCP doing stopping any kind of prescription if they are not educated on the medicine…including possible withdrawals? If a PCP has an idea that a medicine can be addictive, wouldn’t that suggest withdrawals? If they are as dumb as a friggin fence post, then maybe they should be flipping burgers instead… Read more »
Angela
Angela
No, I believe their actions are all intentional. If they present their case as being dumb, then, they believe they will not be busted to the extent of being prosecuted in accordance with the law. They are playing the victim same as when the IG conducted their financial audits. If they present to the IG their lousy passwords or poor Accounting with VA funds, then, they believe that it is their way to escape accountability and the rule of law.… Read more »
T
T
I fully agree. And no-one by accident talks trash to veterans, threatens the group, tells us things like never to use the Choice card, never to use civilian emergency rooms or health care at all. Not even after a car crash, heart attack, to broken bones or hips. And much more. So that behavior is intentional, hate filled complete with the smiles coming from that punk with in 2015 bragged about being one of the VA’s best with 18 yrs… Read more »
91Veteran
91Veteran
Angela, I certainly agree it’s intentional, and a claim of lack of training or poor knowledge is an easy excuse to avoid anyone getting in trouble. How many years has it been well known that certain drugs are addictive? To claim a supposedly trained medical professional is not aware of the effects of cutting off that kind of medicine is just ludicrous. If I were a veteran with medicine stopped like that and some bureaucrat asshat said my provider was… Read more »
Angela
Angela
Benjamin, I hope you read my post. My further take on this is even with the legislation that is headed to the Senate “The Accountability Act ” soon to be put into law if confirmed is an uncertainty as to whether it will even help improve the situation within the VA. This is why I say this. Benjamin, the AFGE will be the blocking force like the Liberal judges are to Trump’s extreme vetting orders which are now headed to… Read more »
Angela
Angela
@Benjamin and all, there are signs of some efforts to implement changes that are starting to surface. Not sure about the seriousness of their efforts though. I received letters from the VA system in the Northeast to include the Boston VA system, West Haven, CT, Providence, RI, North Florida/South Georgia VA Medical Centers. Letters came from the VA Connecticut Healthcare System. The letters are about research that is oriented to the purpose of Discontinuing NSAIDs that are being used to… Read more »
figure8fan
figure8fan
Angela, The VA prescribed me NSAIDs for several years at a high dose to try an lessen my pain. The result? I now have a very messed up GI track. I have tried almost every one of the non-narcotic pain meds for my knees. I have tried topical creams, cortisone injections, simvisc injections, therapies, anti-depressants, tricyclic depressants, anticonvulsants, lidocaine patches, acetaminophen, ibuprofen, anticonvulsants, and topical NSAIDs. This was done over the last 12 years. Some worked for a while, some… Read more »
T
T
Dang f8f, I thought you were writing down a large part of my history. With a few slight chances. No simvisc or other injections in the spine if that is what that is. Have had and need injections at times from both big toe joints, ankles, both knees, both hips., both wrist, both elbows, both shoulders. Nothing to be done for the neck but pain pills, collar, and traction here at ahome. Or the Gout but a med or Homeopathic… Read more »
figure8fan
figure8fan
T, All of those were for my knees with the one exception of my right ankle. I shattered the Talus dome and got eight screws and a plate in it. I had very sharp electric shooting pains in it and did not know what it was. Told nerves were reconnecting and was given gabba for it. I also tried it for my knees with no luck. Since the NSAIDs, I visit the restroom a minimum three times a day. Even… Read more »
Angela
Angela
Further down the page with my comment about the VA Healthcare system from the Northeast sending me a letter, well, the Connecticut VA called me on the phone. I was on another call and chose not to answer. Also, though folks, I believe it is a scam of some sort. Reason being is they called me on a Saturday. I really do not even know if this letter or the phone call came from the VA. I did a reverse… Read more »
Crazy elf
Crazy elf
“Where did they receive their medical licenses?” How did they pass a math class, (addition, subtraction, multiplication and division), for elementary school kids? Let me take a fuckin guess! How about some “3rd world country” Seymore talked about a few days ago! Y’all know the ones. They’re the ones where the person pays a lot of money for a “Fake Medical Degree”. Then applies for an “H1B Visa” to come here and work for the VHA’s around our nation. We… Read more »
cj
cj

@Crazy elf: elf, exactly right. The Veterans Administration, where tax payers money is used to pay the world. Sorry GI Joe/Jane, nothing left for you, so go be a good little soldier, and die under a rock. Your not welcome here.

Flotmorton P. Gildersleeve
Flotmorton P. Gildersleeve

Poor Training and Lack of knowledge is no excuse if you lead a platoon into an ambush because you lack knowledge and are poorly trained. The only thing is death, to you if you survive you will be killed by your own troops, and no one will have any evidence of it.

I have heard this poor training and lack of knowledge bullshit for years.

Jo3n
The last time I received an opiate from VA, I had to drive 180 miles, round trip. It was the ??? time they didn’t send them. While waiting an hour or so, for a script they said was on the shelf waiting. After the 6hour ordeal, I suffered a major heart attack. The following month, when they didn’t show, I called again. They, some clerk, told me I tested positive for thc. I hadn’t smoked pot for 3 years. They… Read more »
figure8fan
figure8fan
Prashanthi Bolla, a graduate of Mahadevappa Rampure Medical College, Gulbarga India, stopped my morphine WITHOUT tapering it. I was taking three tablets a day and had been for about two years. I had to deal with the withdraws, increased pain, and no one at the Roudebush VAMC cared one bit. How is this right? This is what made me become homeless. A previous PCP at the Indy VAMC did prescribe the pain med when i saw him but his accent… Read more »
Crazy elf
Crazy elf
“f8f” Because the idiots coming out of those (low ranking) colleges are grateful to have a good paying job OUTSIDE of their “3rd world cesspool country!” Look at India. It’s a fuckin cesspool!!!! Think about it. Wouldn’t you want to get the hell outta India, or any similar country, as soon as possible? I just wonder how many have a real medical degree? I wonder how many reprobates are in VA from Venezuela! People down there have resorted to eating… Read more »
Seymore Klearly
Seymore Klearly
f8f, The number of fake degrees coming out of India is astronomical. Just last year their Cabinet Minister of Law and Justice Jitender Singh Tomar got popped for using two fake degrees to obtain his office. Anyone can buy a degree in any field over there. A lot of the people who buy the degrees are coming to the US. With the Veterans administrations J1 wavier program for physicians they can come over here and start working at the VA… Read more »
Flotmorton P. Gildersleeve
Flotmorton P. Gildersleeve

Hey Bro, we must run the non qualified scrubs out

T
T
Must be why some of them don’t know what low or high blood sugars are or other information that should be stuck in their heads for life, not so in Indiana. Had two and one older white American jesters ask me if 50 was too low of a blood sugar count. And foreigner over there tell me he didn’t believe in Hypoglycemia as an real issue. What do you, or can you calmly, rationally, say to these freaks? Nothing, so… Read more »
T
T
Been gone from the VA since 2015 and I’ve got to say, that is about all I am running into in Terre Haute. Foreigners out the wazoo, MDs that won’t accept news patients, 4 minus one leaving as a pain clinic and that is being passed on to a yet another Paki or something. The so-called PCP like others in this two hospital town that anything other than acute or worse is flown out to Indy to Eskinazi for care… Read more »
Horace Haberdashery
Horace Haberdashery
Welcome to new America,, woops spelt it wrong,,, had to ,, all medical fields are filled with outsource doctors if that is given the right name,,,, I won’t and never will be looked at by a outside help,,, Either his internship is America or its not,,, its pasted on the wall were he got his internship his education,,, I walk if its not or I can’t find his history on line,, period,,, These so called Jack asses,,, are using America… Read more »
figure8fan
figure8fan

So do we boycott any PCP who is not or has not done their internship in America? We have no choice in our PCP. We are assigned one. We should have a say if that person is dealing with our health and wellbeing. I will never have a PCP who has not done this. We can put in for a change of provider. Just a thought.
f8f

Flotmorton P. Gildersleeve
Flotmorton P. Gildersleeve

It is time for veterans to organize LEGALLY into fighting and training units, which are like the Military reserves to be able to respond to the organized thuggery, and which units are known to the feds and the local police. THAT IS WHAT THE 2ND AMENDMENT WAS CREATED FOR:

James Clement
James Clement
Does not matter what problems are uncovered at the VA, or with the AFGE. THERE WILL ALWAYS BE AN EXCUSE they will provide. PERIOD. THAT is why only 1/3 of the VA ANNUAL BUDGET goes to treating/compensating veterans for injuries/disabilities incurred as a result of their service. The OTHER 2/3’s goes to PR Firms, Bonuses for doing such a stellar job of fucking over veterans, Training that is of pyss-poor quality and conducted by third-world providers, and contracting out in… Read more »
namnibor
namnibor

Glad to see you added #9. 🙂

James Clement
James Clement
@Namnibor – – – Just continuing to develop my rant. Working on my petition for veterans to the White House. Part of my rant (SECRET NOFURDEM for now) will become part of that petition. Appreciate your suggestion. I still need to fine tune #9 a bit – – – but thought I would throw it out here for your specific input today. After all, without your comment – – – it might never have occurred to me. Thank You. Disgruntled… Read more »
namnibor
namnibor

I think I may see the problem and it’s right in front of our faces in Benjamin’s “Bad VA Art” today.

That aluminum opiate painkiller blister pack looks deceivingly like a slice of cheese and the rats just love the shit.

RAND Corp. recommends the “Candyman Crush”.

cj
cj

@namnibor: LMAOOOOOOO, Excellent eye you have there. (Makes note, fax over BIG rat traps to namnibor)

cj
cj

Uses mini sledge in the meantime. “Here ratty ratty ratty” BAMMMM!!! <3()~~~

namnibor
namnibor

@cj- That mini sledge will not do in this case. The VA rats have been genetically merged with that of Opossums. Viciously vile creatures with pointy teeth and funny hats.
I’m thinking bear traps connected to 440V live wire with opiate blister packs for bait.

cj
cj

@namnibor: Correction, adds mini, nuclear generator/transformer, to care package. ~¥¥¥¥~ and defanger VvvvV—-> vvv

Flotmorton P. Gildersleeve
Flotmorton P. Gildersleeve

Well said, and if any survive, let’s take em down to a special prosecutor who will guide them into the federal prison hospital for quadraphlegics
I have seen the arrogance of the VA bureaucrats up close many times, we must not have any sympathy for these vultures any more than sympathy for a dog with rabies who has just bitten you child.

James Clement
James Clement
@Flotmorton P. Gildersleeve – – – While I would kill them both, I would find it somewhat harder to kill the dog with rabies . . . The reason I try to stay away from the VA as much as possible is because I fear that one day I will truly SNAP while there. If I ever do SNAP at the VA . . . it would definitely make the news. Better my plan of self-imposed hermitacy. Better for me.… Read more »
namnibor
namnibor

Let the dog with rabies gnaw on them for a bit then see if there’s any difference in their indifferent attitudes while infected with rabies. I guessing not much change from VA zombie rat to VA zombie rat with rabies. But we must try and the dog will be more than happy to help any way he can.

James Clement
James Clement

@Namnibor – – – Brilliant !!!

Jo3n

Until we can find these fools accountable, what’s the use ? I’m usually wrong, but, there are so many issues going on with our new Government, I can’t foresee any changes that will affect anyone making less than 40,000 a year. Other than getting poorer. We have a confused congress, and an ass kissing Senate. Just feel like we gonna get screwed…again. God Bless the Veterans.

Horace
Horace
HELL does any doctor understand tapering off any addictive drugs,,,, I READ THE ENTIRE RULES in my state to all of this not only the VA doesn’t but neither do the private sector obey any of it,,, though the private have more compassion,, and carring then the VA,,,, THIS HAPPEN,,, for me the end of the year came I was using several addictive drugs one was Hydrocoden,, and then cam Jan 1st no one told me no one warned me,,… Read more »
Dennis
Dennis
Good golly if we begin to require VA doctors to comply with American standards then the next thing you guys will want is a requirement that they be multi-lingual and speak English too! I tell you that when you get demanding like this that it has no end! The next thing you know patients will be calling on congress to cook the chicken awarded vets as compensation while enjoying the world class service from folks born around the world during… Read more »
namnibor
namnibor

BVA Murphy has all the RAID secured and is protecting the stockholders from the beneficiaries.

figure8fan
figure8fan

Dennis,
on that college’s website it states:
•Candidates should have passed 12th standard and should have obtained 50% aggregate marks in Physics, Chemistry and Biology (taken together) and should have passed English as one of the subjects.
•The candidates should have completed 17 years of age as on the 31st December of the year of admission.
Selection is through COMED-K and CET
They know where they are sending them. I bet the VA goes over and recruits them.
f8f

Jo3n

I really really really wish RAID would work. What do I expect? I don’t know any more. I’m just going day to day.

Crazy elf
Crazy elf
91Veteran and namnibor, Earlier we discussed about how VA possibly continues keeping veterans on a prescription list, yet the vet is no longer receives it! “91” you seemed to have remembered, possibly/maybe, a veteran being contacted, which alerted the investigator(s) concerning this very issue! Now, Wouldn’t it be a hoot IF every veteran, or at least a large portion of the veterans’ population, were to be contacted – and the investigators were to learn VA employees were responsible for the… Read more »
T
T
Odd. In Indiana both the VA and civilian quacks seems to have cut people off cold turkey for years now and the medical boards, politicians, media, those ‘inspectors’ don’t give a rat’s butt about anything going on here. I am far past the point of showing any form of respect to the scum in suits or long white coats with alphabets by their names or sitting in high offices wallowing in their money and power thinking their fancy titles or… Read more »
figure8fan
figure8fan
T, did you see the story on Fox 59 aobut the Marion VAMC abruptly stopping vets pain meds. It was nowhere near what it should have been. I was supposed to take part in that story; however, it “somehow” got reduced to ONLY the Marion VAMC. The question was never answered by the VA (surprised?) about why the vets narcotic pain meds were just stopped and they were stopped by someone the vets had never seen. Someone in an office… Read more »
Flotmorton P. Gildersleeve
Flotmorton P. Gildersleeve

Unfortunately, in the VA most medical decisions are made by bureaucrats and if it is researched many can be held to have violated federal and state statutes, They are arrogant beyond belief.
They must be kicked down the road. And lil’ cocks the onion man too.

T
T
Howdy! Nope, didn’t see the news report. That is another major issue we Terre Haute sheep are supposed to endure is near total censorship. Easy to see and check out for anyone interested. Just go to Topix Terre Haute forum and try to post something negative about this area, town, the far left wing colleges, about poor VA care, about corruption or ask why veterans especially here aren’t being really helped except for what our local media claims to be… Read more »
OLDMARINE
OLDMARINE

T…….GOOD RANT…….hands-off open air prison camp…had me laughing on that one. how true it is

Lem
Lem

Not done properly means withdrawal seizures possibly ending in death and often with methadone maintenance. I don’t understand why methadone isn’t used as a pain killer because it is supposed to be non progressive the way most pain killers are. The longer you are on opioids the more it takes for the same results.

namnibor
namnibor
Methadone is one of the VA’s favorite RX’s to dispense right next to Gabapentin. When I utilized the VA Deathcare they had me on huge doses of methadone specifically as a first attack on pain. It did not help me and made me sick so the VA turned up the volume with morphine, lots of it. Not on any of it these days, yet am in pain but cope in various other ways, better than the pain in the ass… Read more »
OLDMARINE
OLDMARINE

namnibor………….Gabapentin the wonder drug,..Yeeee..haaaa got rid of my brain and no more pain…and ooooooo what a relief it is ….I think it was the Alka-Seltzer commercial LOL

Dennis
Dennis
I was on methadone for a long time as a pain killer. It is highly effective and lasts MUCH longer than morphine. Let me explain why it is seldom prescribed or if prescribed a patient will question it – morality. Methadone is forever tied to another word Lem; “clinics”. Since drug addiction has been tied to morality by the Christian tradition and since, like it or not, we are a nation still largley guided by the Christian ethos then the… Read more »
OLDMARINE
OLDMARINE

Dennis ……I’m on cabbage mountain you should get it shortly

namnibor
namnibor

No cabbage headed your way from me, as I indeed consider those drugs *deadly*, and only to be utilized when and if absolutely necessary.

I have learned to live with both extreme emotional and physical pain. My coping mechanism is creativity and life itself. Also, cannabis is WAY more effective and…non-addictive. Win/Win.

T
T
I envy those who can use or attain cannabis legally. Anything that’s good for the body is illegal in Indiana. Illinois just a few miles away where they can get it. I have too many enemies in high places to attempt such things. Like I need to do anything wrong for the door to be opened or caught out in my yard again, or driving. I was going to try Kratom since hearing about it. By the time I got… Read more »
namnibor
namnibor

@OLDMARINE- Do you have one of those ‘Salad Shooters’? Or since it’s cabbage, would that be a ‘Stir-Fry Slingshot’? 🙂

OLDMARINE
OLDMARINE

namnibor ……..NO JUST A 80,000 POUND TRUCK LOADED WITH CABBAGE COMING DOWN CABBAGE MOUNTAIN. IT SHOULD MAKE IT TO DENNIS HE CAN ALWAYS MAKE SAUERKRAUT FOR THE MUNCHIES LOL….EAT HEALTHY

Nexdeceptus
Nexdeceptus

Thanks Dennis. I didn’t know about the liver thing with the Gabapentin. I,m taking 600 mg a day for my Spondylosis and it’s not doing much good and I don’t want to up the dose. So I just quit. Guess I’ll have to take more of my Cannabutter.

T
T
I’ve got, had, over 20 yrs in recovery circles, helping manage recovery club, twelve step calls, my own little ministry stuff, seen plenty of suffering and death, stood by and watched helplessly while end of life meds were being kept from dying patients due to the rule and statistics games. I have taken people in suicide situation to the local mental health care hospital only to be told by some college intern idiot, ‘the patient or person isn’t serious enough.’… Read more »
namnibor
namnibor
@T- I just came back from a few trips to Indiana. Very rural farm country Indiana, for my father’s funeral. Although I have not lived in Indiana since I was 17 years old, my family is there so I have an insight into the HORRIBLE heroin and opioid epidemic there, and get this: although I grew-up in the smallest county of Indiana, it now has the highest poverty and heroin and opioid crisis. It’s so bad, I have parts of… Read more »
T
T
Sorry about your loss. Oh yeah it is bad here but there is more to it than them on the news calling it all opiates and such. It’s like our vast epidemic of HIV, Hep C, Cancer rates through the roof, beyond epidemic proportions, gangs, etc. Then have the legal system bounce around with media saying no crime here, we are great here, to having extreme issues, so which is it? Only once on the news did they report just… Read more »
Robert Dean Rose Jr.
Safe taper? How is this for safe taper? Christina Craft, Advanced Practice Registered Nurse, License Number 21419, Licensed only in TN at Mountain Home VAMC, Johnson City TN, started my on a taper mid-October 2016 by telephone. She had no clue about my medical history. I went from 180mg Morphine Sulfate (3x60mg tablet – daily) to zero by December 29th, 2016. My blood pressure went through the ceiling and is still acting up months later. Solution they doubled three separate… Read more »
Flotmorton P. Gildersleeve
Flotmorton P. Gildersleeve

Semper fi to you, Brother and give the Attorney General of Ohio a call

T
T
Fibromyalgia, I was told at the VA that is not a recognized medical affliction and cannot be diagnosed, proven, let alone treated. Migraines were put on the list too about four or five years ago here. I have many of the same issues and the spinal stenosis, degenerative disks, neck, thoracic, lumbar, sacral, etc. My neck cannot be messed with at all, even by chiropractors. I do use a soft neck brace at times and a neck traction unit. After… Read more »
Windguy
Windguy
RDRose and T. Have either of you researched DISH Syndrome? Diffuse Intervertebral Spinal Hyperostosis? AKA Diffuse Idiopathic Skeletal Hyperostosis. It does not appear to be in the VA playbook. It is often initially misdiagnosed as Ankylosing Spondylitis, which, requires a specific genetic marker. Episodes of severe pain occur when a bridging osteophyte stabs into or near the spine. This lasts sometimes for months until the bridging process is complete, and the disc is essentail fused with new bone. I was… Read more »
OLDMARINE
OLDMARINE

LOOK INTO THIS…”https://www.georgekramermd.com/prolozone”

T
T
Thanks for the link. It will be useful. A local dentist was telling me about that and the hyperbolic chambers. Said it would help heal my broken jaw the VA dentist did, but she refused to X-ray for and put in my files that the inner jaw, mandible was extremely shattered from the back molar into the mandible hinge and deep muscle structures. She called it “that issue.” More of that protective “Professional Courtesy” crap. A local spa has one… Read more »
OLDMARINE
OLDMARINE
T….I had that in my favorites read about it awhile ago was going to give the guy a call but cant afford it either….I got some oil yesterday but doesn’t seem to do much yet.. I tried kratom….I’ll try anything to get pain relief..LOL….AND DOCTORS ARE JUST TURDS IN WHITE TRENCH COAT’S….SEE YA AT THE VATICAN….WE NEED TO TOSS HIM OUT AND STEAL HIS BOOKS THE FUCKING HYPOCRITE …..he said something negative about guns once, come to find out they… Read more »
T
T
Beretta Arms? Didn’t know that. Glad to learn something new every day. I had to leave a couple of so-called bible colleges and to get formerly ordained pursuant to state/church laws, but couldn’t handle the revisionist of history, the BS, brain-washing, secrecy, or what or what not to believe. They were as bad as my adventures at those far left liberal arts colleges. Just trash, social engineering, trains ignorant activist, PC-ness out the wazoo, forces complete allegiances, have their own… Read more »
Angela
Angela
@T, in one of your posts you were speaking about the public not knowing the complete picture about the veterans with not getting such good wrap particularly when it relates to the use of addictive drugs like the Opoids. Actually, the private sector is determining particularly in the State of Massachusetts that the Opoid Epidemic problem is pointing to Non-Citizens. This epidemic from what is being determined from research so far is due to the drugs coming from outside of… Read more »
James Clement
James Clement

@Angela – – – Agree with all you have written this post. Twelve Step programs can be very effective. I have personal experience with those. And yes, tapering off any drug is very hard work.

I have found by and large that VA providers do not understand much of anything that makes good sense.

ANutterVet
ANutterVet
Tapering. How much does that take to learn how to taper down BENFICIARY’s (Veterans)? This article has forced me to come out and report, that the VA was going to recklessly cut off 95% of my monthly amount of pain medication. My VA PCP is Fucking Dangerous. VA PCP was fired by me right after I found out that my pain medications were dramatically reduced by a whooping 95%. I’m demanding that my new VA PCP to be licensed in… Read more »
Robert Dean Rose Jr.
Targeted Cities List – Used to develop policies to blame the veterans and to hide the actual numbers of veteran suicide as well as the number of deaths from natural causes by a veteran being tapered or denied… (Based on my research many locals are still missing) Minneapolis, Minnesota – 2012 St. Cloud, Minnesota – 2012 Fargo, Minnesota – 2012 Bedford, Massachusetts – 2013 Roanoke, Virginia – 2014 Dayton, Ohio – 2014 Columbus Ohio – 2014 Show Low, AZ –… Read more »
Flotmorton P. Gildersleeve
Flotmorton P. Gildersleeve
There are also two deaths due to the actions of the former Director of Psychiatry and Psychology/Mental Health in Washington, D.C. who was fired by the Inspector General but got his job back by going on active duty with the U.S. Navy in the same geographical area, (he was a reserve Navy Commander) and coming back four years later to the VA with all of his raises and promotions he would have gotten as if he had never been fired.… Read more »
James Clement
James Clement

@Flotmorton P. Gildersleeve – – – Sir, are you referring to Silvio Weisner? Around Sept. 2015 I believe?

Flotmorton P. Gildersleeve
Flotmorton P. Gildersleeve

No this was prior to that and he’s baaack and doing his dirty bureaucratic stuff without ever being penalized

Seymore Klearly
Seymore Klearly

Nice work Robert Dean Rose.

Flotmorton P. Gildersleeve
Flotmorton P. Gildersleeve
Nurse Practioners and Physicians Assistants have taken over the diagnostic duties in the VA and it is a Ripoff and a violation of several federal statutes. Why do we stand for such a lowering of the standard duty of due care? When you go to see a private doctor, you SEE a private DOCTOR. Most Physicians who take Medicare also charge an additional fee but the only doctors to whom ‘CHOICE’ refers veterans to are doctors who will accept only… Read more »
Windguy
Windguy

Flot: Pig Pharma and Pig Med in the private sector are rolling out PAs and Nurse Practitioners at just as fast a rate as the VA – IMO. A “practitioner” can prescribe drugs which serves Pig Pharma very nicely. There just aren’t enough doctors to push the myriad profit generating drugs. Lobbying isn’t cheap.

Jo3n

Accountability is vital, but having the VA follow the law is equally vital. We can’t hold them accountable if they don’t have to follow the law. They don’t have to follow the law, if we can’t hold them accountable. Dr Shulkin, and President Trump, make the VA obey the law and only then can we hold them accountable. Other than that, the rest of this shit will always be shit. We are tired. You’re in your first year.

cj
cj
The Hungry Hippo Holler: Hungry hungry hippo, or the oompa loompa dance You think you can fire us, but you ain’t got a chance We don’t speak no English, We ain’t gonna go We get paid more than you, so fuck off gi Joe Little tiny teenie weenie pills in a box We are led by one big fat ass who’s name is lil cox Forever we been screwing you out of all that we owe you It’s done with… Read more »
cj
cj

╭┳━┳┳━━━━━╭┫╰╮┈┈┈…┏━╮╭━┓┈.╭━━━━╮
┃┃╭╯╰╮┈VA┈┃▎▃╰╮.┈┈┃┏┗┛┓┃╭┫AFGE┃
╯┣╯┈╭╯CASH╰╭╯╭▌┈┈╰┓▋▋┏╯╯╰━━━━╯
╱┃┈┈╰╮COW╮┈╰┳┻╯┈╭━┻╮╲┗━━━━╮╭╮┈
╱┃┏┳┳┻┻━┓┣┳┳╯╱╱.┈┃▎▎┃╲╲╲╲╲╲┣━╯┈
╱┃┃┃┃╱╱╱┃┃┃┃╱╱..┈.╰━┳┻▅╯╲╲╲╲┃┈┈┈
╱┗┛┗┛╱╱╱┗┛┗┛╱╱ ..┈┈┈╰━┳┓┏┳┓┏╯┈┈┈
…………………….. ┈┈┈┈┈┗┻┛┗┻┛┈┈┈┈

ANutterVet
ANutterVet

@cj – – – with your signature art work, I may have already missed you. Stay well. See ya later. – – – Nutter.

cj
cj
@Flotmorton P. Gildersleeve,@James Clement: Thanks fellas, just late night bordemm. I started another poem sorta thing, that included all the commenters, but I couldn’t remember everyone’s names. I didn’t want anyone to be offended due to my memory problem. It started something like this. Look at Shill-kin fly through the air so fast namnibor must have shoved a rocket up his ass The bulletproof glass in the waiting room, was shattered to smithereens They never should have underestimated the strength… Read more »
James Clement
James Clement

@cj – – – Keep after it! That has some serious potential. Fomenting the seed of an idea now that will require a few weeks . . .

Will e-mail you when I have it (do not expect within a week) and if you like it – – – then use as applicable. Pretty busy here. Lots of letters to answer, research to do, etc.

Will remain in touch.

Disgruntled Veteran
1973 – 1976 USMC
1978 – 1993 USN

Flotmorton P. Gildersleeve
Flotmorton P. Gildersleeve

Great Job right on the money

James Clement
James Clement

@cj – – – Nice work!

ANutterVet
ANutterVet
A Meeting State of Idealism . . . Opening (by animation) the VA’s Top Executive’s Doors to get at their brains and mind-sets, where thought and reasoning occur, is the objective of this meeting. Participants include Top VA Leadership, Attorney Ben Krause (JD) – Veteran Activist, and both Veteran and VA Visionary, and any other Support Staff that is designated by Mr. Krause, then both legal representation and idealists for VA and Veterans, not limited to Veterans Advocating Leaders, and… Read more »
ANutterVet
ANutterVet

Another Thing – Nothing is ever going to be resolved, if we don’t agree to have all parties sitting down together to discuss the best interests of Veteran(s), then this would be a good thing.

T
T
I have tried to herd cats most of my life…. impossible. lol That includes veterans and so-called patriots. It would be nice but such things as integrity, some sacrifice that may hurt things too close to home and hurt the wallet or a job maybe is out of the question today. Not talking about military or engagement style sacrifice either. The kind that is really good for ALL in a community and for the nation’s best interest. Rather than what… Read more »
Flotmorton P. Gildersleeve
Flotmorton P. Gildersleeve

The idea is to co-ordinate all the organizations that have their own agendas

ANutterVet
ANutterVet

Hello, by way of chance, is anyone still up on this early morning?

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