The opioid crisis is many things,…

First, I advise readers to peruse this column by Mr French:

In there was this:

“Moreover, the challenge is compounded by the fact that the crisis is worst in the communities most disconnected from social and economic support. I wrote last October about some disturbing findings from Senator Mike Lee’s invaluable Social Capital Project. Less-educated individuals are more likely to overdose, but look at the statistics on marriage:

Married and widowed Americans account for 68 percent of the population but only 28 percent of overdose deaths. “In contrast, never-married and divorced Americans made up about 32 percent of the population, but accounted for 71 percent of all opioid overdose deaths.”

In that piece I wrote about the necessity of family repair as a means of confronting the crisis, but I fear that using those words doesn’t sufficiently convey the complexity of the task. Family repair is an immense cultural challenge, yet success in that immense challenge isn’t foolproof. The best of families can still face the scourge of addiction. The most loving wives lose their husbands. The best parents still lose their children.”

That is quite the observation, eh?

I am not going to dwell on addiction issues ad nauseum here, because if anyone reads here with any regularity, it is obvious I am outspoken about addiction from what I deal with day in and out doing outpatient work.  Addicts are selfish, destructive, and inconsiderate louts at the end of the day.  They have no motivation to change or accept they have a problem until they crash into their own personal abyss.

And even then some can’t climb out of such a hole.

Addiction is a multi-dimensional beast, and thus has to be approached for treatment as well as in persistent efforts to squash it as a societal consequence in a multi-dimensional manner.  Again, a bio-psycho-social problem, requiring bio-psycho-social solutions.

I find it both hideous and hilarious that so many in the medical field persist in throwing chemicals at a chemical problem as the sole intervention, until proven otherwise.  Gee, fighting fire with fire, it works, what, 1 out of 20 times, which is statistical random chance?  Good luck playin’ those odds, folks!

I think David French hits it square in the nose in the end:

“Each of those things is important in its own right, but even as we keep our eyes fixed on Donald Trump’s Twitter feed, we cannot forget the larger challenge that faces us all. Too many of our nation’s citizens live in the depths of hopelessness and despair. We in the media and in politics respond by shying away from uncertainty and complexity and focus instead on the things we can change. So we talk more about lesser matters, and while our attention is turned elsewhere our friends and neighbors slip further and further away.”

There are many examples of why our politicians, forget what pathetic party they belong to for just one minute, have no clue how to truly represent their constituents at the end of the day.  But, letting this opioid situation just stagnate and continue to take lives, one has to wonder, is this politicians’ efforts to prune down the population they see as expendable?  Yeah, a harsh proposition, but, I think the deplorable comments from Shrillary and her ilk legion speak volumes why the Left don’t give a shit anymore about anyone else but their own choir of shriek show scumbags.

(oh, and now that CNN and other idiots are writing and saying shit all over media outlets, I guess George C lost one of his 7 dirty words not said in public, sorry, Georgey…)

Deeds not words folks, sometimes the silence is deafening.

No posts over the weekend, will be doing a walkabout for next 4 or so days…

Image result for image of hiking in the wilderness


Louts and Regressives are real idiots, so who is of diminished capacity…


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So this book released by Michael Wolff basically calling Trump incompetent, mentally impaired, and even comments now of diminished capacity, well, where did these idiots from the Left (Louts), Progressives (Regressives), and Liberals (Libelous) go when they tried to pin the scarlet letters “SH” for sexual harassment on Trump and Roy Moore from Alabama?  Hmm, Conyers, Franken, and assorted other cretins who are firmly from the camp of Louts/Regressives/Libelous are out of power, control, and influence for exactly the shit they were shoveling onto the Republicans (Repugnocants), Right (wRongs), and Conservatives (Constipatives: ie full of shit).

Remember when someone reported there were meds being used by Congress/Senate politicians that included dementia meds?  You can’t just pursue selected accusations of diminished mental capacity without opening the door for the whole body of politicians being scrutinized.  Oh how I look forward to seeing Pelosi and Waters being exposed as impaired losers in coming months.  Anyway, getting back to Wolff’s excrement, er, expose he had released today…

We’ll start with this link to show the damage control already in place:

One thing Wolff wrote in the Prologue:

“Sometimes I have let the players offer their versions, in turn allowing the reader to judge them. In other instances I have, through a consistency in the accounts and through sources I have come to trust, settled on a version of events I believe to be true.”

Gee, already accounting for people to challenge his version of truths.  This guy is the real moron here, his projections of what Trump is allegedly guilty of really apply to many of this bozo’s cronies who hate Trump with a zeal people had for Hitler (yeah, I’ll go there as an analogy, I’ll get back to why in future addendums…), and his unethical behaviors as an alleged journalist/reporter will be exposed AGAIN.

Anyway, I’ll be writing about this sack of shit literary attack dog effort over the weekend, and hope readers will start with what alleged colleagues are doing to continue to violate Goldwater Rules making overtly diagnostic comments and advising political actions.

Geez, if this doesn’t make the APA look even more pathetic, I don’t know what can.

Read this joke of a journalistic interview report and watch the video of this moron politician from Maryland, my home state of assholes and antisocial jerks, who double talk so much it is amazing for people to understand the diarrhea spewing from his mouth!

Not making a diagnosis, but she (the unethical bitch from Yale) is just saying he is dangerous and unable to handle the duties of being in office.  WHAT THE FUCK IS THAT SHIT!?!?  It’s a diagnostic impression, folks!!!

But, you think the APA will hand out punishment for this bitch psychiatrist’s violations of standards of ethical expectations?  No, because most if not all of the APA hierarchy can’t be heard because they have their mouths so firmly pressed on Democrat/ Liberal/ Progressive genitals or anuses.

Think that last sentence was crude or harsh, stay tuned…

Rod Serling


First addendum, just 10 minutes later:  Read this and see why I have every right to be outraged by these lying sack of shit psychiatrists who have agendas and partisan goals, oh how I hope she is exposed to be a Democrat hack!

“Since then, I have been among the many who are shocked and saddened by President Trump’s behavior and can well understand the impulse toward protest and activism that motivated Dr. Lee and her colleagues to formally express their views in this book. However, as a physician and psychiatrist, I cannot condone and must strongly criticize these actions as unprofessional, unethical, and irresponsible.

I embrace the First Amendment and subscribe to Voltaire’s famous quote: “I disapprove of what you say, but I will defend to the death your right to say it.” However, the matter of Donald Trump’s mental status is different from the Vietnam War, the civil rights movement, or abortion rights in which physicians have historically expressed their strong support for social justice. In opining on the POTUS’s mental health, we are using our professional credentials to express a medical opinion when we have neither the right nor the evidence to do so.”

Read the whole column and figure it out for yourselves…


Next and last addendum, 12N Sunday 1/7/18:

This story gathering steam from this book is just so pathetic, by this moronic author, by the possessed Louts and Regressives who will stop at nothing to see Trump ousted from the White House, by Trump himself who shows how entrenched his narcissism truly engulfs his narratives and agendas, and finally the idiots behind him who feel they can ride his coattails as long as possible, as long as they can benefit as equally selfish and narrow minded.

Hey folks, this is what I have been railing about for the last couple of years, this is the hallmark of the country’s Personality Disordered Society.  We elected a narcissist to avoid another 4 to 8 years of more antisocial shit the Democraps have fully embraced.  But, the message I see much brighter than the petty piss ass bickering from both sides of the real one party Republocrats is that evil will likely endure at the end of the day.

I have a read for those interested, albeit from over 6 years ago, but, I think it still applies, and boy, I bet the author is just shaking his head in disbelief watching how Trump is the poster child for his article:

So much to want to copy, but I will just go with this one paragraph:

“One of the primary characteristics of narcissists is their exaggerated sense of entitlement. It’s hardly surprising then that so many politicians (or narcissist-politicians) somehow think they “deserve” to game the system. After all, from their self-interested perspective, isn’t that what the system is for? In their heavily self-biased opinion, if they want something, by rights it should be their’s. So, nothing if not opportunistic, they take from public and private coffers alike whatever they think they can get away with. And given their grandiose sense of self, they’re inclined to believe they can get away with most anything. Sad to say, in today’s world of capitalistic politics their judgment isn’t that skewed. Which is to say they’re much more often right than wrong.”

But, there is more to read and absorb there, hope it’s worth your time.

I want to finish this post noting the sheer hypocrisy and self serving agenda that Bandy X Lee is illustrating in her quest to be the leader for taking down Trump.  I apologize rather halfheartedly in my earlier comment here about her, but really, she is being a bitch with her faux claims she has no political agenda.  Sorry, loser colleague at Yale, but if she couldn’t see the antisocial shit in Obama and Hillary Clinton sooner, there is the real injustice to the people.  But, deeds speak louder than words, and for this unethical and immoral psychiatrist to have the unmitigated gall to speak to Congressmen/women as a representative of psychiatry needs to be dealt with, real fucking quick!

But, the APA has the same agenda as Lee, so I hope they all go down in flames for taking such a dumbass role in trying to screw up politics even more!  Another shining moment of history repeating itself, and I’ll bet some of the assholes at the APA were around when they lynched Goldwater, yep, some of these fuckers just can’t die fast enough!  Yeah, rude and crude, but, frame it respectfully?!  Hell NO!!!

Lesson I learned in trying to thwart Narcissists and Antisocials, you best be ready to be hurt in some fashion, because one cannot enter than arena and try to be the mensch or respectful person when one is to be challenging someone of such Personality Disordered magnitude, who has no interest or ability to figure out where is a balance to minimize damage.

Trump is not primarily going to screw up America, nope, he will drag as many equally dysfunctional idiots and losers who want to jump into that ring and start flailing around, with one eye looking for any cameras to get into that spotlight.  It takes a village to raise and serve the idiots!

To bring it back to psychiatry in general, that is why so much of this “treatment resistant” bullshit is just ruining peoples’ lives, and not just the patients.  One cannot medicate personality disordered issues that are a primary drive to the dysfunction bringing these people into treatment.  And I will go to my grave knowing that medication makes Personality Disordered people worse.

So to conclude from my humble yet outraged opinion, don’t buy this asshole Wolff’s book.  Just watch the news every couple of days or so, find a site that has a nice mix of reflections, mine are and .  I think Guy Benson and Ben Shapiro, respectively the head editors of these sites, really have a reliable read on this shit show, especially Shapiro.  Just remember the adage about what to expect if one gets into a knife fight.  You’re gonna get cut!

Again, 2016 was about lesser of evils.  I can’t for the life of me imagine what this country would be like with Shrillary running the country.  Oh yeah, I have the image that captures it nicely, regular readers will know it:

Meanwhile, this pathological weather here on the East Coast, wow, 3 damn degrees this morning outside Baltimore.  Hell has frozen over, folks!!!

Image result for image of snow on palm trees from Grayson storm

That is South Carolina folks, and not just a dusting…

And we’ve only just finished one week of 2018, how wonderful…

Finally, someone writes this…

in the below link, this was said:

“While we reflect on our experience with this defendant, we are unsure of the lessons to be learned. We ponder whether psychiatry does a disservice when not being clearer about what constitutes a serious mental illness. We wonder if we exacerbated the confusion by the removal of “Axis II” categories from the DSM, implying that severe personality disorders are no longer different from, say, schizophrenia and bipolar disorder. Rarely do we hear psychiatrists point out that unusual behaviors do not equal mental illness. We are often too pleased in advocating for more resources by saying that all crimes, all substance misuses, and all annoying behaviors are forms of mental illness when, in reality, the criminal, the addictive, and the less common are not always biologically based mental disorders or even the real problem, for that matter.”


Oh, at the end was this:

“Psychiatry’s difficulty in verbalizing the difference between those disorders harms the public perception of mental disorders. As a result, we have a forensic system similar to the rest of the community health care system – with an abundance of individuals with severe mental illness not referred for treatment or evaluation, and several patients with personality disorders bogging down a system with very limited resources.”

You think so, these personality disordered cretins are bogging down the system, just ask those in the State Mental Health inpatient system…

if they are still working there…


New Year’s resolutions, anyone?

Again, brief post here, just wondering, what do people really want to accomplish differently, more effectively, responsibly, hell, even appropriately for 2018?

Myself, I am genuinely looking to end my time working as a psychiatrist by the end of next year.  Why, if one is interested to ask?  Frankly, why does anyone with a soul stay in this line of work when it has been so whored and cowarded (yeah I know, not words) for so long.  After 7 plus years of Temp work, I have seen very little that is redeeming, rewarding, validating, or even professional as a whole most of the time.  Not a complete indictment of my colleagues, but a fairly general one.

Also, I hope to prepare to move out of Maryland by the end of 2019 if possible, but that one is not my sole decision.

Finally, as I think presenting things in thirds is a healthy perspective in much of my travels, I hope to be as least reliant on much of the population here, again that is realistic for me and family   I think it is painfully obvious that we are in the midst of a very pathological Personality Disordered Society, and the rigid, inflexible systems that such individuals bring to interpersonal relations is nothing less than painful and dysfunctional.  Amazing how the losers try to dump it on Trump, when the projection and deflection by much in the Media and Louts/Regressives/Libelous is so excessive…

Happy New Year to all who come and read here, thank you for your time and interests, and I hope you all have a better 2018, even if you felt 2017 was a welcome, rejuvenating year for you.  I can’t imagine how one could have pulled it off…

'I didn't know they had board-certified panhandlers.'


just read it!

wow, amazing what agendas accomplish, eh?

“As Senator Cruz explained in a passionate speech on the Senate floor, one of the provisions that was to be eliminated from the amendment was particularly important — it would allow parents with a child with disabilities to use a 529 plan to pay for educational therapy, which can often be prohibitively expensive.

How could the Democrats vote against that?

“We’ve got right now a motion to waive this mean-spirited, vindictive point of order that discriminates against homeschoolers and carves out kids with disabilities,” Cruz charged. He argued that the vote “ought to be 100 to nothing.”

Nevertheless, not a single Democrat voted for Senator Cruz’s motion. Not one. The Democrats knowingly and proudly discriminated against homeschooled kids and kids with disabilities, in many cases destroying their access to quality education. Even by the Democrats’ woefully low standards, it was a shameful display.

Next time Democrats attempt to take the moral high ground on some issue related to education or welfare, Americans should remember exactly what they did here. When given the choice to help children with disabilities, they chose partisanship. When given the opportunity to make life better for millions of children, they chose to RESIST.

Shame on them. Shame on all of them.”

Yeah, merry freakin’ Christmas…

Good luck to you all, readers!

After waking up and reading my last post from last night, I am done commenting on pretty much anything and everything for now.  Seeing how much the FBI, special counsel run by Mueller, and anything and everything coming from Democrats/ Liberals /Progressives/ Leftist propagandists, I have to disassociate from this morass of agendas, disruptions, and plain power seeking and maintaining control fairly much anyone with a chip in the game is playing.

Frankly, I don’t know how anyone who honestly and responsibly is trying to maintain sanity in this country can do so continuing to follow this bullshit from all sides of this shit slinging show!  Again, I honestly would love to watch the major players go after each other in an abandoned field and just bludgeon themselves to death with their skulls as the only weapons provided!  Pay Per View coverage of such an event, I would purchase it in a heartbeat!

And I genuinely don’t care who is insulted, outraged, or disgusted with this.  Corruption of this magnitude cannot, should not, nor ever tolerated or rationalized.  We are beyond doomed here, folks, and to stay silent, well, I hope readers can live with their choices.

Me, I hope to find that proverbial island to seek asylum by the end of 2018.  What that means I have to relinquish, well, all choices are on the table for me!

waiting for a job

Happy Holidays, be safe and well as one can be and seek…

How do people tolerate in America all the dishonesty, disdain, and disingenuous dialogue day in and out?

This will be short and to the point, I really don’t get why so many people in the country put up with all this bullshit that passes for political representation, media reporting, and entertainment effort these days.  It really is astounding and incredulous what so many folks who claim to lead, influence, and educate the masses is just manipulation, misleading, and frank lying just to promote causes and agendas.

Frankly, I don’t really care anymore who is being clueless, complicit, or just frankly criminal anymore, any of these efforts or choices just suck endless stool quantities.

The Democrats are just massive quantities of shit-bags, the Republicans are just endless douchebags, and the corporation assholes are just that, anal sphincters trying to dump on us endlessly.

I think he sums it up perfectly, even with his history lesson at the beginning.

But, I like better what Agent Smith says to Morpheus in the Matix:

Live well and proper, or, really propagate the Bullshit!

Because the politicians aren’t the only ones that suck around here…

Image result for image of times are rough times are hard here's your fucking christmas card

inside ends as those who know the adage well…

Another example of blatant characterological behaviors…

I’ve repeated this line from a M*A*S*H episode many times here and in my life outside the Net, and that was from Father Mulcahy in an episode where he tried to help a soldier looking for sanctuary:  “a faith of convenience is a shallow faith!”

Well, of late these days from so many loser and jackasses out there trying to claim superiority in so many ways, let’s just look at those who use morality as a convenience, like the loser Democrats of late who think they can toss out a few, expendable politicians in their herd and then think they can demand anyone else be forced out as well.

Nice try.  The jerk Franken is, he’ll resign “in a few weeks”.  What the hell is that?!?!

Then, ethical conveniences, like the loser media jerks who think they can make wild and unsubstantiated accusations without firm facts and validation, then claim either those were exceptions or being taken out of context.  God, I am so sick and tired of that lame excuse, taken out of context, when the irony of the shit being thrown around by the flagrant Trump haters is exactly that, no context of truth!  FAKE NEWS LIVES!!!

Finally, what I see professionally in my field, doctors who use loose standards of care as conveniences, like prescribing medications like Pez and then claiming there is evidence in the literature to substantiate reckless prescribing behaviors when consequences play out.  Or making loose and vague diagnostic impressions, gee, on political or celebrity figures and then claim that it isn’t a violation of the Goldwater rule (read here to understand: ) but a greater duty to warn the public of impending harm.  Bullshit!

Any behavior /agenda that is first and foremost to promote a personal, political, or small group gain is just that:  selfish, reckless, and disruptive.  Which is a characterological trait, and needs outed as such.  People who do things solely for convenience are losers, creeps, and bastards, there is no other way to frame it.

Which makes one wonder, we have politicians, from both sides of the polluted aisle of Republocrats, who live by what is popular, easy, and CONVENIENT!

So, the next time one hears someone exclaim he/she as the accuser is demanding something such accuser doesn’t reflect in their own prior behaviors or deeds, and even have the unmitigated gall to say that the rules don’t apply to the accuser but to others, well, why does one put up with such bullshit and hypocrisy?

Think about it!  Gillebrand below would have blown Clinton when it would benefit her elected or re-elected, I’ll say what Trump should have said!  And then where is the real abuse then, eh, Kirsten!


Another “D” word for Democrats…

Disposable.  Goes with my prior three of Dishonest, Disdainful, and Disingenuous.  Yeah, I wrote about the below a month or so ago, but, read it from someone else that spells it out more pleasantly than I do:

“Obamacare is great for those near poverty (where Democrats prefer Americans to dwell), but terrible for anyone even close to middle class. Doug Gray, executive director of the Virginia Association of Health Plans, told the paper: “For the people without a subsidy, it’s ridiculous. It’s completely unaffordable. It works very well for people who are at 100 [percent] to 400 percent of the poverty line. It doesn’t work at all if you’re over that.”

I read something recently that sums up what Democrats and their evil choir are really about, the 3 “V” words, of being “Victims”, “Voters”, and “Vengeance”, and for me, sums up what the Demon-craps are all about.  Keep your supporters obliged, by making (1) their pain and suffering an illusion the leaders fake giving a shit about, then (2) make sure the sell that getting what people think they need, but more often just want, makes them vote lock stock and barrel just for a party, and finally, well, (3) the vengeance part is the most heinous of all.

Here’s the most pathetic and vile example of that third part, from these shit-bag Liberals and Progressives from last week:  better to align with Palestinians who want heard and respected because they will just be violent and destructive, than with honest and responsible allies like the Israelis, because acknowledging that Jerusalem is the capital of the country is such a vile and terrible thing to consider.

Oh, pay no attention to the fact the last 3 Demon-crap Presidents outwardly agreed to that premise when they ran for office!

to hell with the Democrats, their supporters, and those who think that ruling by threat, intimidation, and promoting ruinous causes is leadership.  Hey, I despise the Republicans, who are Repugnocants, but, at least they don’t outwardly want me demeaned, defiled, or simply dead!

Alabama’s election tomorrow is a referendum of the complete and utter lack of real representation from these shitbag Republocrats, they once again give the people either a Republican sexual predator or a Democrat hack hawking murder, who thinks abortion on demand up to the end of the third trimester is appropriate and responsible.

That lesser of evil thing, how’s it goin’ for ya, American expectorant, er, electorate!?!?

Obama will have his reckoning, I just hope to be there to see it!!!

obamacare lies

Addendum Tuesday Dec 12:  I read this AM the mayor of San Damn-cisco died yesterday, and I know this rude and insensitive, but still write it, oh well…

Really, this bastard didn’t care about Kate Steinle’s death, so, why should those of us who are responsible and accountable give a damn about this loser’s death as well?

Tell me I am equally a bastard, well, at least I don’t support illegal immigration and thwarting healthy boundaries, so if that is hell doing what appears to be right and responsible , so be it…

Disillusioned? Or perhaps more??


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Over at my near least favorite site here at the Net, good ol’, Dr Eve Wood wrote this post, and a shame she wasted it at such a thankless, ungrateful, and just mostly Personality Disordered trolled “mental health critic” (just read the thread, never ceases to amaze me how the editors are equally shameful and pathetic in their false claims of moderation).  Well here is her post:

It is a good read to the end, but, read the thread like you are willing to wade hip dip into septic tank drivel.  Some highlights I found worthy to echo:

“We psychiatrists were once “soul teachers,” which is the true meaning of the word psychiatrist. Not that long ago, our work involved stepping into the deepest recesses of our patients’ worlds, and partnering with them to find healing and transformation. Many of us were drawn to the field of psychiatry specifically because it afforded us the best opportunity to get to know, and help, others in need of healing. The therapeutic relationship was broadly understood to be paramount to that process.”

(incredible how many assholes attacked her comment of being “soul teachers”.  Oh yeah, most of those losers have no soul, so the comment had no redeeming impact…)


“The changes I have seen in the field of psychiatry over the course of my 35 years in medicine are stunning! Things once unthinkable are now common. On October 15, 2017, an article appeared on Doximity’s Op-(med) feed written by Jeffrey Alan Vernon, DO, titled: “Why Psychotherapy Training Shouldn’t Be Part of Psychiatry Residency”! For those of you unaware, Doximity is an online social networking service for U.S. clinicians. Launched in March of 2011, Doximity has over 800,000 verified members as of February 2017. Since the publication of Dr. Vernon’s article, 214 physicians, mostly psychiatrists, have commented on it. Most have been deeply troubled by the suggestion that psychotherapy should be relegated elsewhere, and the psychiatrist “freed up” to do more of the “Medical Management.” But 32 have expressed their thumbs up, or like, for the article.”


“Many of us have become disillusioned with our profession. We have experienced a loss of meaning, purpose, connection, and hope. As the field has moved away from the wonder and pathos of human existence, and taken on a model that reduces life to tick boxes and pill dispensing, we have lost touch with what makes us human. The psychoanalytically oriented field I was raised in, psychodynamic psychiatry, told of complex human beings who suffered and struggled. As psychiatrists, we had the opportunity to meet with such people and hear their stories in an intimate way.”

Read it all, but I’ll finish with something that stole my thunder:

“We psychiatrists no longer treat patients, we “manage medicines.” Almost all of us use an electronic health record (EHR), in which we need to document the clinical notes and prescriptions. This activity takes precious time away from the few face-to-face moments we have with our patients. All the work of the visit, which is frequently less than 20 minutes long, must be documented in a cumbersome, time-consuming EHR.”

I wanted to write about these shitty EMRs in the next week or so, as the one I am using at my current Locums job is so useless, but, hey Obamination Care had to fuck up peoples’ lives in as many creative and disruptive ways, and making sure it is easy to access, well, like what you are learning about the corruption of the FBI?!  Dr Wood summed it up fine so I’ll go with that…

Near the bottom of the usual troll infested thread, as of this writing Dec 9th, a Madmom wrote this at the end of her comment, and boy, resonated with me:

“My brother left the practice of medicine after twenty years doling out pills to his patients and became a landscaper. Now he heals the earth. He has never been happier.”

I would like to do so as well, humanity at least in this country, just a bunch of weeds, fungus, and other disruptions to the homeostasis of the planet.

On a more interesting and somewhat positive note, overall, 5 inches of snow fell today here on the East Coast.  White Christmas might be a reality this year?!

Image result for image of white christmas