This was a part of an HBO special about depression, voice over by Sigourney Weaver, and it wasn’t too bad. Here is a link for the entire 30 minute show if interested.
But, if Freud could sing, and about neurology and meds, this is it!
This was a part of an HBO special about depression, voice over by Sigourney Weaver, and it wasn’t too bad. Here is a link for the entire 30 minute show if interested.
But, if Freud could sing, and about neurology and meds, this is it!
IF THERE IS A PROFIT TO BE MADE, THEN PEOPLE WILL OFTEN MISBEHAVE!
Another post that will be evolving through the weekend, but, I think it is time for most in this country to wake up and realize that when people are focused on making money first, and the product or service being provided is secondary to the process, that is not about being beneficial or essential to the public need or healthy want. Again, until proven otherwise, have to have a disclaimer in there, eh?
And for a profit motive to be the driving force in a health care intervention, that to me is beyond malfeasance, that is just blatantly criminal when the process is about lives.
Over at 1boringoldman.com, he (Dr Nardo) had this post about two psychiatrist posts at Psychiatric Times, and I have referred to both of these doctors in the past, Dr Pies repeatedly and just recently for that matter.
Again as a preemptive apology to readers, if you go to the Psych Times articles Dr Nardo links to in his post and can’t read them in full if not a subscriber, sorry. But, the gist of it to me is just “full of sound and fury, signifying nothing”. Who would have thought all those boring hours in High School English would come back and be useful, eh?
I basically like this paragraph in Dr N’s post:
“I couldn’t bring it off – the medication-free part. The recurrences were too unpredictable, too disruptive, too expensive, too disheartening. I was game but surprisingly, in time, the patients weren’t. I did do drug holidays, primarily to be sure TD wasn’t lurking underneath like in the case above. I had some patients who were mostly medication free, but it was way down the line. So personally, I was a person who came to agree that maintenance treatment was the best path, with careful following. What would I do with a patient who refused medications? As Sandra says, It’s not my decision. I’d still follow the patient if they were willing and it wasn’t detrimental.”
It is about choice, and it is about an alliance with the patient, AND, it is about going from least to most invasive! Damn that Hippocratic Oath, always surfacing when one least expects it, right, COLLEAGUES?! Think about this for a minute, and I think some physicians either don’t think about it at all if even for a few milliseconds (like the recent NASCAR race, won by a 0.01 second), why the hell are doctors writing for antipsychotics for flagrantly NON psychotic diagnostic impressions???
I’ll give you my simple reason, maybe not simple but for now it is at least, because these second generation antipsychotic drugs made 10s if not over a hundred billion dollars for these Big Pharma companies that sold them like Pez for mental health indications. And that is profit margin agenda, folks, plain and simple. When you have only about 1-3% of the population who has a primary psychotic disorder, well, that is only so many patient contacts, but, sell it for mood disorders, anxiety, Autism Spectrum, and even covertly for sleep, then that is a much bigger patient pool, hmm?
So, this post will continue to evolve thru the next couple of days, have other points to this profit agenda that just pisses me off, and note the difference to me between an income stream and a profit is simple for me: It is about living and progressing, not just reaping in big bucks to buy, as my buddy George Carlin put it, “more stuff”.
How does Sheryl Crow sing it in her song? Cue “Soak up the sun”
“My friend the communist
Holds meetings in his RV
I can’t afford his gas
So I’m stuck here watching TV
I don’t have digital
I don’t have diddly squat
It’s not having what you want
It’s wanting what you’ve got“
Not many in this society get that point!
Back at ya in a few…
Addendum Feb 27 5PM:
Maybe this is off track, but, why are Hillary Clinton and Donald Trump appealing to such a large audience of the American electorate? For one, it’s their money, and the way they allegedly earned it. Key word there, “allegedly”, and maybe when I think about it more, “earn” as well.
Why has Clinton commanded hundreds of thousands of dollars to speak to privileged, entitled groups of people that are the financial industry? How flagrant an example of “buying” the vote, the actual bankers and advisers of stocks, bonds, and other business earnings that come down to other peoples’ money being used to make a small, finite amount of people even more money.
Yeah, for me, back to the top of the post, when profit is to be made, then people will then misbehave.
As for Trump, what a loser he has floridly shown himself to be. And now, with this pending fraud case about his “University” and how it did not produce what it claimed to be able to provide, well, here’s a recent post to educate?
So, with this, I have to wonder what is narcissism, and now antisocial agenda that is beyond the recklessness of narcissism alone.
Well, this was just my musings I have been entertaining the past couple of days, and after finishing this CPR course in the morning today, for some reason I am just exhausted. So, I hope to wind up this post tomorrow, but as of now I don’t know where else to go that readers haven’t already read and digested.
Maybe this px captures the moment, as one interprets it?
Addendum #3, and last for the post:
Well, it’s Sunday the last one for February of 2016, and leave it to THE WEEK magazine to bail me out for the last point to this post about profiting is just a front for being sleazy and slimy. First, in the Technology section, was this about the company ZENEFITS, several sources commented about how the company tried to cut corners and, wait for it, profit as it flouted the law in efforts to achieve hypergrowth. Gee, what does Gomer Pyle say over and over, “Surprise, surprise, surprise”.
links to educate and enlighten:
and one other to compliment:
Then, part 2 of examples of profit without a clue, and work with me here on this one, the story about Hollywood Presbyterian Medical Center paying a ransom to have it’s computer system back from hackers, dubbed “ransomware”, isn’t just about how slimy hackers got away with a crime. Nope, to me it’s why the hospital agreed to pay a ransom for it’s EMR, because, there’s a story there too why people would be so agreeable to be extorted.
Doesn’t this bother some readers, as the hackers went after a hospital, that outwardly is about being a beneficent role in the community? Again, think about it for a second, seasoned and experienced hackers go after a hospital and not some outward business? Simply about ease, and in this case a captive audience?
Nope, the target was about money, and now that the hospital paid, a precedence has been set, and man, that is scary when it comes to a facility that is supposed to provide care, and not funds!
Oh, and a sidebar, maybe afraid to let authorities in on how dysfunctional, if not downright corrupt, their EMR might contain information to reveal this?!
Finally, part 3 is more per mental health, but again, work with me as I tie it in to the profit margin issue this post is about. In the Health and Science section, their last blurb is called “Health Scare of the Week”, and it was about “ADHD drug misuse rising”. Hmm, no surprise to most of us here, but, another “think about it” moment, it says in there “…college students and young professionals turn to the drugs [stimulants] for a mental edge”. Well, what does that mean?
How about this little gem I think I referenced in the past 6-9 months ago, from the NY Times, about what older folk are doing at work?
Couple of points in there:
“But many young workers insist that using the drugs to increase productivity is on the rise — and that these are drugs used not to get high, but hired.
“Given the increase in rates of abuse in college students over the last decade, it is essential that we understand the outcomes as they leave college and assume adult roles,” Dr. Wilson Compton, the deputy director of the National Institute on Drug Abuse, said in an interview.”
and this, “After founding her own health technology company, Elizabeth soon decided that working hard was not enough; she had to work harder, longer. Sleep went from an indulgence to an obstacle.
So she went to a psychiatrist and complained that she could not concentrate on work. She received a diagnosis of A.D.H.D. and a prescription for Adderall in about 10 minutes, she said.
“Friends of mine in finance, on Wall Street, were traders and had to start at 5 in the morning on top of their games — most of them were taking Adderall,” Elizabeth said. “You can’t be the one who is the sluggish one.”
finally, and no surprise to readers here,
“The number of stimulant misusers who become addicted is unclear. But supply has risen sharply: About 2.6 million American adults received A.D.H.D. medication in 2012, a rise of 53 percent in only four years, according to Express Scripts, the nation’s largest prescription-drug manager. Use among adults 26 to 34 almost doubled.
Most experts say a proper evaluation for the disorder typically requires an extensive inquiry into a patient’s history of impulsivity and inattention. Yet misusers routinely described brief chats with doctors to get a prescription. Two lawyers in Houston said wearing a suit to their appointments guaranteed no scrutiny.”
Hence why this one deserves the conclusion here, it’s not only about the people feigning an illness to get ahead, but also, those docs who are seeing these fakes and giving them meds without the protocol to diagnose responsibly, both are just out to profit at the end of the day.
So, this weekend’s lesson, in a nutshell, is simply this, it’s bad enough people are just out to profit to pawn a gidget or gadget, or a service that will be a fraud in value by year’s end, but, to do it as a health care intervention, simply disgusting and despicable.
Yeah, a nutshell, let’s end with that image, shall we:
Accessing Psych Times articles is a pain in the ass, as you have to be a member, and I forget my password since I go there about, what, every 4-6 months?
Anyway, in the written issue this month, page 14, is Dr Ronald Pies’ article, “Campus Protests, Narcissism, and the Dearth of Civility”.
Hmm, it seems to let me access the article without having to sign in?
So the gems here, I want to copy all I enjoyed. Wow, I actually enjoyed an article written by Dr Pies of late, hence the title “Random Chance…”, this must have been # 20 of what I have read of late.
“Carter argues, “If America is to be civilized in the twenty-first century, it must begin by civilizing its children, teaching them about the necessary balance between instinct and desire, on the one hand; and doing what is morally required, on the other.”7 Carter is making a moral argument here—which I do not dispute.
As a psychiatrist, however, I am also interested in the psychological development of the child, and why some children seem to develop along a trajectory that leads to intense narcissism8—the fertile soil, in my view, upon which incivility thrives. Indeed, there is good evidence that narcissism has been increasing among our young people in recent decades9—a factor that cannot be overlooked as we view incivility on the college campus. Leaving aside various technical and psychoanalytic definitions of the term,8 we can think of narcissism, broadly, as the attitude that proclaims, “I should be able to do whatever the hell I please, and if other people don’t like it, that’s just too bad!”
“Carter recognizes that children are exposed to many malign influences outside the home, which parents must strive to counteract. In this regard, I believe our schools must play a more prominent role in the inculcation of communal and interpersonal values. Over the past decade or so, a consortium of educators has outlined a program known as SEL, or “social and emotional learning.” As described by Greenberg and colleagues,11 “SEL programming builds children’s skills to recognize and manage their emotions; appreciate the perspectives of others; establish positive goals; make responsible decisions; and handle interpersonal situations effectively.”
Finally, ends with this:
“But in order to change the trajectory of our young people’s character development, we will need a concerted effort in which parents and teachers collaborate—a tall order for many schools struggling simply to maintain safety and order.”
The thread is a bit too much butt kissing by too many fawning over his writing, but, on this one, he is correct, in my opinion.
But, readers here know me, I am not interested in being solely a mensch any longer, and let’s have a moment of candor, maybe not brutal here, these adolescent jerks on campuses across the country, they need an ass kicking now, not literally mind you.
And who are they going to vote for as of right now, another narcissistic jerk called Trump, or a fraud selling false hope called Saunders. At least most of them won’t be fooled completely by the real antisocial candidate out there, Shrillary C.
God, listening to her fake laugh makes me cringe and burn simultaneously.
I just want to get started with this I just read this PM at Foxnews.com:
Yep, benzos are not so simple and safe, and I know that, most of physicians should know that, and yet, this article reads terrible. I think most who read here know of what is going on with Opiates, and how it is nothing less than both incredible and hideous that over 70% of patients who had overdosed on opiates wound up back on them by the same physician.
Anyway, stay tuned, there will be addendums galore on this matter thru the weekend, so if interested, come back by Sunday night and read where this post goes…
a video to amuse???
(hope this one works better than the first I put in!)
ADDENDUM #1: This first addition is rather simple, as I have a busy rest of the day, part of it to enjoy the upper 50s this area hasn’t had for a couple of weeks, and hopefully the rest of that 30″ dump of snow nature put on us here on the East Coast 5 weeks ago will be fully gone.
Benzos are not equivalent meds to SSRIS, or Buspar, even Neurontin or Hydroxyzine HCL which I have fairly good success in using as anxiolytics for those who legitmately meet a diagnosis of Anxiety Disorder. And isn’t our policy about going from least to most invasive, so, where the hell are benzos in the opening round of medication intervention, and, let’s have a moment of candor out there, psychiatrist colleagues, how many of you even make an effort to ask, if not insist patients are in therapy if not already so??
Yeah, psychotherapy, often Cognitive Behavioral paradigm work, isn’t that the essential part of TREATING anxiety, not just treating potential symptoms?! And who the hell are these idiots, these morons, these clueless cretins using benzos up front in people with any experience with substance abuse, forget whether active or in some sustained recovery. Oh, and let’s not forget our colleagues using benzos, especially at higher dosages, in those over 60 years old. Oh, just classic…
There are so many damn references, I just copied the first I found:
Anyway, I have a nice day to catch, so just finish up this first addendum with this simple point: If you write for Xanax with any regularity in 2016, and you have a negative outcome either with an intentional overdose or just sloppy misuse by the patient, or you forgot or just minimized the risk of benzos with other controlled subs, and forget Opiates for a second, what about other sleepers like Ambien or Lunesta, or muscle relaxants like Flexeril, or, minimize their comorbid alcohol use that the patient minimizes first in the office, well, how do you defend it? Well, why the hell are you writing for this first?!
Court rooms are not fun places to defend your clinical care algorithms.
Ativan and Clonazepam are the go-to ones IF YOU HAVE TO CONSIDER A BENZO in the treatment process, and I’ll explain later. Also Oxazepam for those with liver/hepatic problems, have had some success with that too.
Benzos, god, I hate these drugs almost all the time…
More addendums to be coming, if interested…
ADDENDUM #2. still Feb 20 at 6PM:
Was a fairly nice afternoon, while not my picture, this was basically what the sunset looked like here in Northwestern outskirts of Baltimore:
So, back to what is wrong with benzodiazepines as a class of drug. They are not meant to be used standing for long periods of time, period! Their strength is they do reduce anxiety, but, to then promote the patient solve the struggles to what lies behind the anxiety, as most patients I have met have issues at hand. You can’t medicate life, um, as the banner says. So, what is the advantage of just becoming dependent on a drug to moreso numb and dumb one down?
I advise readers look into how Upjohn promoted Xanax when it first came out back in the early 1980s. I first knew of it while working as a pharm tech while I was in Pharmacy School, before I got into Med School. Amazing what was going on 30 years ago as compared to now, no real freakin’ difference! Patients coming in with absurd Rxs for 2mg tabs at 3 to 4 a day, altering Rxs by adding numbers to what the MD originally wrote, and even then, the opiate addicts knew the combo was just Oh So Fun!
Here is my standard link for background, I hope you peruse as interested:
Highlights you ask?
“Presently, alprazolam is the most prescribed and the most misused benzodiazepine on the U.S. retail market.The potential for misuse among those taking it for medical reasons is controversial with some expert reviews stating that the risk is low and similar to that of other benzodiazepine drugs and others stating that there is a substantial risk of misuse and dependence in both patients and non-medical users of alprazolam and that the pharmacological properties of alprazolam, high affinity binding, high potency, having a short elimination half-life as well as a rapid onset of action may increase the misuse potential of alprazolam”
THAT I DID NOT KNOW UNTIL NOW, HOW I MISSED IT, WOW. Hey, you learn something every damn day, and now I know and will use it forever to debate and disarm the opiate addicts as why I won’t write for it if they continue to be on opiates, legitimately or not!
There is a lot more to read there, but I will leave readers with this last point in the link, not that it should surprise or amaze anyone with half a conscious thought:
“Alprazolam is one of the most commonly prescribed and misused benzodiazepines in the United States. A large-scale nationwide U.S. government study conducted by SAMHSA found that, in the U.S., benzodiazepines are recreationally the most frequently used pharmaceuticals due to their widespread availability, accounting for 35% of all drug-related visits to hospital emergency and urgent care facilities. Men and women are equally likely to use benzodiazepines recreationally. The report found that alprazolam is the most common benzodiazepine for recreational use followed by clonazepam, lorazepam, and diazepam. The number of emergency room visits due to benzodiazepines increased by 36% between 2004 and 2006.”
One last comment tonight, Feb 20, the issue some colleagues try to throw at me when I note I will write for clonazepam, well, some patients need or have to be on a benzo, at least to wean and minimize the withdrawal anxiety frequently at hand due to prior Xanax use. So, yes, I do write for Klonopin, and do it with much caution, as it is more potent than Xanax, and those who disagree can read up on it to learn I am right, and have a ceiling of 3mg a day divided, at least BID if not TID.
These idiot docs who write for benzos at high dosages as once a day use, geez, get a clue to the pharmacology and kinetics to these meds. Umm, when the pt complains of intensifying anxiety in the PM after that 2-3 mg dose of Xanax or Klonopin they write for as a sleeper, well, you wonder why the patient tells you how wonderful they feel about an hour after the dose in the evening.
Rocket science, well, isn’t that what the benzo addict wants, to take off and be free of any anxiety or discomfort?
Cue the words to the song “Rocket Man” by Elton John:
“And I think it’s gonna be a long, long time
‘Til touchdown brings me ’round again to find
I’m not the man they think I am at home
Oh, no no no
I’m a rocket man
Burnin’ out his fuse up here alone”
Maybe a reader will educate me if the song is about addiction, I don’t feel like sitting in front of the computer anymore tonight. Time to watch a movie with family and enjoy a break from reality, without chemical alteration.
One or two more Addendums tomorrow, thanks for reading if returning today…
It’s a great song, enjoy!
Addendum #3 (and last):
First the copy:
You might have to view it on a large screen to read it better, so my apologies if it is blurred, for some reason my scanner is not as sharp now.
Anyway, I know this is not about benzos specifically, but, the last section about “…that 91% of people who had suffered a nonfatal overdose on opioids got another painkiller Rx soon after.”, well, that is just unacceptable. They go on to note that 70% of those cases the same damn doctor who wrote the Rx the pt OD’d with wrote another thereafter. Now that is not just unacceptable, but plain malfeasance in at least 50% of those cases.
Why do I say at least 50%? Because I know that at least 50% of patients on chronic opiates, are almost always at high dosages, and to me high dosages are greater than 20mg a day of Immediate Release (IR) opiates like vicodin or percocet or more than 30mg a day of Oxycontin or other Long Acting (LA or ER) formulations, and per Methadone, I think more than 40-50mg a day for pain mgmt is just overkill, not a pun intended there .
So, the issue of disruption here is as much tolerance at hand as any chronic pain issues, and, what is the patient offering as interventions on their own part to achieve pain reduction outside of meds use, hmm? Let’s have a brutal moment of candor, how many patients really practice change in behaviors and actions to help reduce pain problems? My bet, 50% at best. And that is NOT a swipe at people with chronic pain in general, but, opiates are a more invasive intervention than some others, obviously not surgery as an alternative sooner, but, why is the concept of dependency so minimized if not ignored?
Read up on that 70% stat of Rxs repeated by the same MD, and ask yourselves, what is that doctor learning from the pt OD experience? Hey, this is rude, but maybe sometimes, “will the patient get it right (by expiring from the OD) the next time?!” I think there are docs out there who think that way, and countertransference takes place in somatic MDs too as much as mental health care clinicians. But, offering the proverbial gun to someone else to shoot oneself is not defensible in the end!!!
Here’s a link to this issue:
There are so many issues we as a culture, a society, need to sit down as a collective and have long, hard discussions on how to stop selfishness, cluelessness, and just ignorance that borders on near suicidal-type “bombing” of communities by this pathetic expectation of quick fixes, not just with medication mind you. Prescription drugs are now exceeding the numbers of illicit substance abuse, outside marijuana users alone, and that is a stat that should make people stop in their tracks!
Because people in white coats should not be tolerated if they are even inadvertently dealing drugs. Ignorance and indifference are not excuses, they are enabling and codependency behaviors at the very least.
Thanks for taking the time to read and return for the conclusion.
And now the closing media exclamation point:
(went thru several to find one that was as short as possible and yet captures the moment- not sure if this one was intended or not, but graphic)
Road to hell is paved with what these days, tablets and capsules?!?!
I think this ending sentence says it all!:
“While it’s not unheard of for presidents to miss the funerals of retired justices, Obama’s absence on Saturday may be the first time in at least 65 years that a current president has skipped the funeral of a sitting justice.”
Says it all. It’s all about him and his agenda.
Hey, anyone know someone who has died recently because of Obamacare disruptions in care? Count on it, many of you will in the next year or so!
Some pictures are just eternal classics!
Addendum Feb 18 AM: read this in full and see what is about popular, easy, and convenient, and oh, sells the message ongoing:
this one in there just shows the arrogance of taking advantage of an opportunity, the unmitigated gall, in my opinion:
When the legendary newscaster passed away in September 2009, President Obama found room in his schedule to travel to New York for the memorial service. Once again, Obama gave a speech at the service. He had openly admitted that he never met Cronkite.”
Addendum #2 Feb 18:
And this opinion as well:
“President Obama’s decision not to attend Justice Antonin Scalia’s funeral is shameful. It mirrors his decision to skip the state funeral for Margaret Thatcher in 2013. On these somber, formal occasions, the president is called upon to represent our country as the head of state. He is not representing his party, his political agenda, or himself personally. He is representing our country—or at least he should be. On Saturday, it is his duty to mourn a man who sat on the Supreme Court for decades. He is shirking that duty.”
That’s a nice, respectful way to put it. No, he’s just being the pervasive opportunist and spiteful ideologue that he is.
ends with this, well said:
“President Obama need not reach these rhetorical heights. But he ought to behave with quiet dignity and represent our nation at Scalia’s funeral. He does not have to pretend he agreed with Scalia’s decisions. He does not have to praise the justice’s judicial philosophy. But he ought to honor the life of a man who spent three decades on the Supreme Court and five years before that on the U.S. appellate bench.”
forget voting for him twice, how do people still enthusiastically and repetitively support Obama who aren’t antisocial cretins themselves? Just my opinion…
Last addendum Feb 18 (hopefully):
“Los Angeles Times opinion writer Michael McGough raised this possibility in calling the decision a “dumb political move.”
“By attending the funeral Obama would have underscored the importance of nonpartisanship when it comes to the court. That could only have helped him make the case that the Republican-controlled Senate has a duty to give fair consideration to the person he nominates to succeed Scalia,” he wrote.”
Piece of advise, cluster B personality disordered people, their “rationale” and agendas do not have to fit the reality of everyone else around them, because quite frankly, at times while it is not a psychotic defined moment, their interpretation of reality really does go to the extremes of sensible. Besides, this is a man who has repeatedly shown what he says has not a damn “smidgen” of any similarity to what he does, and, he does not give a rat’s turd what anyone else thinks. Why we should demand MMPI be given to people pursuing public office as representation, these people who are charaterologically impaired are truly a danger to the public if they are as antisocial as I think this man to be. Nah, I really know in my heart to be.
Addendum #4 and last: Personality Disordered people do not really surprise at the end of the day, in a redeeming and caring way. Nope, the disorder of self is very evident in moments of crisis and conflict. And Barack Obama has shown over and over he has no clue what anyone else thinks or impacted if they do not genuflect to his narrative.
So, not surprised he is not going to Scalia’s funeral, that is such an absolute contradiction to him, and he has no clue how to soothe those in pain and anguish when it doesn’t affect him. In fact, at those funerals and other public events of sorrow and grief he has attended, he more often really came across as aloof and at times even near out of touch with the real sadness.
Antisocials do not know empathy, they do not know how to feel others’ pain, and they certainly don’t genuinely care if others in anguish are impacted if it goes against the antisocials’ inherent goals.
He’s had his Freudian slip moments, and he has too many around him, the Goebbels’ ilk in the media, who cover quickly for him. But, those of us who are on to the antisocial, we catch it, we note it, and we just watch in shame and sorrow that the majority of the public just go back to their own selfish and short sighted regimens.
What does Loki say in the first Avengers movie: “You (the human species) were made to be ruled.” Oh, the irony again of art imitating life…
Yeah, pathetic and hideous, eh…
end of line.
OK, I can’t let this go without this last word–Feb 20 2016:
“Why is it that in a nation with the best medical technology in the world, we are still allowing a law enforcement official and a judge on the end of a telephone line to declare someone dead and pronounce the manner of death as natural without an autopsy?
Autopsy is Greek for “see for yourself.”
It is the one and only scientific method for definitively determining the cause and manner of death. Even if this decedent weren’t a controversial and powerful national figure, he should have had an autopsy. Why? Because whenever someone is dead in bed at a private residence with a pillow over his head, there is the possibility that the death was not a natural one.”
This is from a Forensic Pathologist, not me or someone else just speculating without a level of authority. And, I don’t care what anyone else thinks, it clearly can be legitimate that people might be murdered for an agenda, and I think the Democrats as a whole are an evil, soulless group, their hypocrisy with Scalia’s death and wanting a new Justice in place before Obama leaves office is just spectacular to watch and hear. They want to rule, at any cost.
Thank god they only had a majority in the Legislature with a Democrat President for just two years. Two years, and you listen to Pelosi and Reid and wonder if there still would be a United States of America if they ruled the last 6…
Now hopefully end of line…
Sorry yet again, but Derek Hunter hits the ball out of the stadium:
“With President Obama’s public refusal to attend the funeral service for Supreme Court Justice Antonin Scalia, he demeans the office in a way that transcends politics and exposes him as a small man who never grew into his job.”
“President Obama shows up only when he wants up, only when it matters to him. The funeral of Nelson Mandela – he was there. The funeral of Margaret Thatcher – he couldn’t be bothered. Both were important figures in world history; only one was crucial in winning the Cold War.
The president has no interest in fighting terrorism beyond what he must do. Therefore, after the attack on the offices of Charlie Hebdo, when world leaders united and marched in solidarity to honor the victims, Barack Obama was uninterested.”
“The man could not bring himself to show up to the funeral of a sitting Supreme Court Justice. Let that sink in. Having his spokesman state publicly he wouldn’t rule out golfing instead exposed the man in the office as, yet again, as demeaning the office.”
Hunter also said this in there, “He has his world and his worldview and nothing, not even duty, is going to penetrate that bubble.” You can interpret that in any fashion you want, for me, it is textbook as much for an antisocial as any other personality disorder, perhaps hideously rigid narcissism, but, when you have rhetoric and actions that put people at harm directly, as Obama has done over and over throughout his presidency, then that is illustrative of an antisocial.
Four times I tried to get a private practice in place in the past near 7 years, and all were a total waste and drain in the end. Now, the fourth in Severna Park, MD, has made me realize, one as a psychiatrist can’t provide responsible, caring, and committed services maintaining a standard of care that is appropriate and appreciative and take insurance.
Period, end of sentence. The health insurance industry, thanks to Obamination Care, has screwed up mental health care for the private insured beyond recognition. I am done with these inane and disruptive authorizations, I am done with being told without any shred of clinical support why prescriptions that are completely legit and applicable are outright denied, I am done being told I can’t access psychological testing when it is a crucial diagnostic assessment tool, and, I am done being told what diagnoses are reimbursable. If it’s in the damn DSM 5, well, then again, to hell with managed care.
So, I will wind things down the next 4 months, and then I am eternally a temp for the rest of my career, how long, who knows, but, never again will I try to build a private practice.
Yep, took the plunge and put it in print. Call me on it!
Oh, and to all those PCPs out there playing pseudo-psychiatrist and treating patients at times for years and just screwing up their presentations and then dumping these disasters on docs like me, well, good luck finding your next victims.
Again, let me write for an antibiotic just once, and the howls and catcalls from these moronic PCPs/Family Docs/Internists, well, back at ya, idiots! Road to hell, colleagues, maybe put the saying above one of your office doors so you might notice it once in a while, if you look up!
Let’s end with the most prophetic paragraph from “Atlas Shrugged”, from Dr Hendricks, when he tells you what happens when you turn to doctors who are beat up from being micromanaged and enslaved:
““I have often wondered at the smugness with which people assert their right to enslave me, to control my work, to force my will, to violate my conscience, to stifle my mind—yet what is it that they expect to depend on, when they lie on an operating table under my hands? Their moral code has taught them to believe that it is safe to rely on the virtue of their victims. Well, that is the virtue I have withdrawn. Let them discover the kind of doctors that their system will now produce. Let them discover, in their operating rooms and hospital wards, that it is not safe to place their lives in the hands of a man whose life they have throttled. It is not safe, if he is the sort of man who resents it—and still less safe, if he is the sort who doesn’t.”
Pay attention to that last sentence, as I think I meet more and more “colleagues” who are that latter group, those who don’t resent the disruptions and non clinical direction of care.
When a doctor treats you who doesn’t give a damn what happens to your care, well, if they don’t care about how they are treated as physicians, then, how can they honestly and sincerely care about how you are treated.
Think. About. It!
Sorry to my patients, but, I can’t fight this anymore. I have to save myself before I can save others, and frankly, Obama has sucked the soul from the majority of this country, and most of you just seem to be the sort who doesn’t [resent it]!
You figure out how the picture applies, I hope most Frasier Crane fans know the scene and how it seems to honestly apply to this culture circa 2016!
I used to say, and believe mind you, that death would bring out both the best and worst in people, but, these days, I don’t see much that defines “best” anymore. Boy, do I see a helluva lot of “worst” though.
Take Justice Scalia’s death 2 days ago. Think about it, his death was announced just 2 days ago, and in just two days, these people who masquerade as representatives of the people, have been just pathetic and hideous in trying to take flagrant advantage of his death. That is directed to BOTH Repugnocants and Demon-craps (my new term for Democrats). To these two sides of this polluted and disgustingly partisan bent agendas of the true single party of Republocrats, I just say to almost all of these politicians, can you follow suit and just die of natural causes now, and spare us your endless, exhaustive selfish tirades and hypocritical taunts to America?!
But, forget that for a minute, what happens when people die in families across the American divide these past couple of decades at least? Do people rally and try to support grief, to engage in healing processes, to unify as able? Nah, I see people both personally and professionally who are screwed by family members just trying to flagrantly take control of money, property, or standing in the family following a loss. And what is so tragic and painful to try to relate and encourage in those who are grieving and trying to move forward as positively as possible, is that these charlatans and opportunists need to be refuted, and rejected as thoroughly and persistently as able.
But, this can’t be done, can it? Grief these days is just an opening for the characterologically impaired to swoop in and take advantage of people. And with what I know is a sizeable growth of personality disorder in this society these past couple of decades, I really do not think the concept of empathy really has a standing in America anymore.
Nope, I sense there is a logarithmic growth in the opposite, antipathy, and it spreads across communities like a plague, a cancer, a pestilence that just is entrenched.
Just for the record, I was never a fan of Scalia, nor anyone else of extremist and rigid philosophy or political standing, but, these days the balance of power seems to be critical to have the polar opposites of hate and disdain for the other end to be in equal number, so those of us in the middle of moderate and tolerant views can survive.
[edited a little out, but keep the picture for the point still–JH]
Just a thought. Go back to those outstanding leaders in the Presidential race, Trump and Clinton, I am sure they represent what is American for 2016.
Yeah, there is an image to define what America wants from it’s “Leaders”!!!
“The legal brief speculates that the assassinations were committed on behalf of Victor Mattiece, an oil tycoon who wants to drill for oil on a Louisiana marshland that is a major habitat of an endangered species of brown pelicans. A court case on appeal is expected to make its way to the Supreme Court. The two slain justices had a history of environmentalism — their only common view — and thus Darby surmised that Mattiece hoped to turn the case in his favor by eliminating the two justices. Grantham tells her about “Garcia”, and together they discover that “Garcia” is Curtis Morgan (Jake Weber), a lawyer in the oil and gas division of White & Blazevich in Washington.”
2 points to the Supreme Court that make me see Scalia’s death not by natural causes:
*The pending EPA case to go in front of the Court, as well as the Immigration one as well,
*And, Obama realizes he can’t assume a Democrat will succeed him in the White House, and he needs to influence the Court NOW. But, in the end, martial law is always an acceptable substitute for a tyrant, true?
Hey, I floated that idea out about Martial Law in 2014, but, being the naive guy I was, I ignored the timing and convenience that leads to such acts. Obama won’t leave willingly, count, on, it! His Hope To Change America has had too many inconvenient intrusions, and let’s face it, being a Muslim will not tolerate a woman being in power…
Review Occam’s Razor, and wonder if I am so off the mark.
Next prediction, Obama tries to name a Supreme Court replacement by Executive Act.
D.C. will probably be frightening by May, god hope I am wrong again…
Hey, it is what is Antisocial behavior, in my opinion. Scoff at me writing this at a blog that is primarily for mental health issues, but, laugh AFTER I am proven wrong…
Addendum Feb 15: oh yeah, no conspiracy is founded:
“It then took hours for authorities in remote West Texas to find a justice of the peace, officials said Sunday. When they did, she pronounced Scalia dead of natural causes without seeing the body and decided not to order an autopsy. A second justice of the peace, who was called but couldn’t get to Scalia’s body in time, said she would have ordered an autopsy.
As late as Sunday afternoon, there were conflicting reports about whether an autopsy would be performed, though officials later said Scalia’s body was being embalmed and there would be no autopsy. One report, by WFAA-TV in Dallas, said the death certificate would show the cause of the death was a heart attack.”
Just what you expect from agendas…
I read earlier today at 1boringoldman.com, this post:
Just amazing and hideous simultaneously how psychiatrists think they can just casually turn to illicit substances as the next wave of psychopharmacology to soothe the souls of humanity. I’ve used the reference of “Pay no attention to that man behind the curtain” prior, so won’t be annoyingly repetitive, but, that really is the paradigm that too many KOLs, academic leaders, and the APA hacks in general think can pad their wallets and budgets next.
Imagine if these cretins could look you in the eye and tell you heroin could be a therapeutic agent for depression, anxiety, hell, even PTSD! And yet, why is Ketamine seen as such a less than insulting option?! It’s a freakin’ hallucinogenic drug, for god’s sake! Go back to what the Military tried to do with LSD 50 years ago, or, my bad, history not need apply for reference. What, about 50% of our population thinks history only goes back to when the Internet started???
Hmm, used as an agent for warfare or mind control to manipulate prisoners of war, or, maybe even more nefarious, one’s own population???
Getting back to the here and now, maybe read this article in USA TODAY this week about the lovely mix of illicit substances and firearms, oh yeah, you think dealers won’t challenge their new competition in White Lab Coats? Think about it colleagues…
“And in many places, streams of firearms also are emerging in dealer investigations, making the deadly mix even more lethal. Manchester Police Chief Nick Willard said some dealers are demanding payment in firearms, only to traffic the guns to strict gun-control states like New York where criminals are willing pay a premium.
‘It is an apocalypse,” Willard said in an interview with USA TODAY.”
Read it all, and just wonder what the hell is going on with this never ending push for “better living thru chemistry” or “biochemical imbalance model” for mental health.
Will leave you with this other USA TODAY article from last week:
“Spending was driven almost exclusively by price hikes, not increased use. Use of diabetes drug Lantus, for example, rose 0.5% while the price rose 34%, Overall, use of diabetes drugs rose less than 2%, while prices rose 16%. Use of drugs for mental and neurological disorders dropped 0.5% as prices rose nearly 10%.
Drug companies and industry experts offer several explanations for the price hikes.
Take the case of Glumetza. Officials for Canada-based drug maker Valeant say they expect a generic competitor to enter the market as soon as next month, and point out that it’s common to raise prices in the period before that happens. They also cite their more than 200 active research and development programs and six new drug applications approved by the federal government in the last three years. Valeant has been the subject of Congressional scrutiny over pricing practices, such as raising the prices of newly-acquired drugs.”
At the end of the day, what is the difference between a street dealer and a pharmaceutical executive? Congress gleefully protects the latter, and pretends to villainize the former but still sees the street dealer as part of life. Just as long as it doesn’t disrupt those politicians’ lives. Hey, most of you reelect these cretins to public office with such regularity, I really doubt the electorate knows the difference between an electoral lever in a polling place, and the lever on their toilets.
You figure out the analogy from there…
After all, who is more outraged, the family who lost someone to a heroin OD, or an Oxycontin one? Think about it, really, think. about. it!
Another State is feeling the crushing weight of this pathetic, failed, poorly constructed legislation that I think are just the Democrats insidious and nefarious efforts at politically driven inversely proportional Natural Selection of the American population.
Forget United Healthcare’s woes nationally for a minute, this story is even bigger, because it involves Blue Cross Blue Shield, that is a bigger player at the end of the day:
“Now, we have Blue Cross’s CEO bracing for financial disaster in North Carolina, of which his company is the state’s largest insurer, who might stop selling Obamacare policies altogether. Blue Cross and Blue Shield is the only insurer who sells ACA plans in all 100 counties (via The News and Observer):”
and this, “The expenditures Wilson’s company undertook were astronomical, with him saying, “In year one , five percent of our ACA customers consumed $830 million in health care costs. That’s how much money went out of our door to pay for the heath care for the sickest five percent of the ACA population that we had; we collected $75 million in premiums–between what they could contribute and the government subsidy. Any way you cut it that’s an unsustainable business model.”
And that is what this has been about, the Democrats have always banked on, both politically and literally, that either the poor, or the rich, are their benefactors to stay in power and control, and the middle class, well, they are expendable now. So, this law was about screwing them, making them pay for the poor, and knowing that these crushing premiums and deductibles will make people hesitate on health care choices, and thus be harmed by not pursuing care interventions in a timely manner.
Thus the Natural Selection metaphor, weed out the weak and the financially limited, and leave the survivors who in the end aren’t the strong and resilient, but just the partisan lackeys to carry the Democrap load. Load of crap!
It’s rather ingenious, as long as it stayed quiet and not exposed, but now, it is exposed. And for all you Democrat supporters now being screwed by this law, well, you deserve it. I don’t care how cold and rude people find this attitude to be, you tolerated a slime ball man who had no clue how to be a President, and you pure partisan hacks stayed by his side by electing him twice, and now the consequences are piling on for millions of Americans. Hopefully including you and your loved ones. Think Obama and his ilk buddies in Congress give a rat’s turd about your problems? They are all laughing at you and your blind allegiance!!!
I know this to be true about those being harmed, I see them every week in private practice, not following through on recommendations for treatment, mostly because of cost, and then coming back to complain they are not doing better. And what can I say, I can’t force people to put themselves at financial risk, that is not my job. But, to stay silent while this travesty continues, well, that is my job!
I could go on, but, I have more important things to do this weekend and just don’t have the time to banter further, but leave you with yet another hideous example of why Obama is a characterologically flawed human:
“Obama also revealed that he has considered going out in disguise and talked about how hard it will be to send daughter Malia off to college in the fall.
“She’s one of my best friends. It’s going to be hard for me not to have her around all the time, but she’s ready to go,” Obama said of his 17-year-old daughter, a senior at the exclusive Sidwell Friends School in Washington.”
Maybe just my opinion, but, your children are NEVER your best friend. They are your children, that is a relationship that is always different from a friendship. In my travels, only the personality disordered say things like this, “my child is my best friend”. Because they often have no clue what is friendship in a healthy and responsible way.
You figure it out, I know I have.
Oh, and if you want another laugh or cringe from over at MIA, well, read this latest pathetic effort to take cheap shots at honest and responsible physicians, in this case Daniel Carlat.
The thread is yet another example of why this blog has been and always will be a fraud in claiming to be a fair and credible dissent of mental health care, and why I lose more respect for what little Robert Whitaker had from me when he first started to challenge psychiatry.
You surround yourself with those of equal thought and action, and his site is just chock full of trolls and slimeballs who just hate and demean without pause or consideration. The site will always be to me MAD AT AMERICA, because, that is what personality disordered people seem to embrace the strongest, their way or no way.
Probably almost all of them love Obama, I’d bet $20 a poll of their usual suspects would almost gleefully admit it!!!