#JohnGalt2014, improved

Posted by $ winterwind 10 years, 5 months ago to The Gulch: General
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This is not a new post [post-it?]; I should have used the Wizard's photo instead of my own. It allows you to read the text more clearly [assuming you want to.......]


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  • Posted by $ rockymountainpirate 10 years, 5 months ago
    Patients will be selected randomly for a urinalysis? Lol.
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    • Posted by $ 10 years, 5 months ago
      yeah, and they mean randomly. You walk in for your appointment and you either get the cup or you don't. No pee, no doctor's appointment, no prescriptions.
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      • Posted by $ rockymountainpirate 10 years, 5 months ago
        What? Is this the VA or something? You have an appointment, but you don't get to HAVE your appointment. You spend YOUR time, YOUR fuel to get to YOUR appointment, to find out you didn't win the lottery that day. I have several rather unladylike like comments about this.
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        • Posted by $ 10 years, 5 months ago
          sorry, clarification needed - I spend my time and money getting to my appointment and maybe I get the cup and maybe I don't. If I don't, my doctor's appointment starts a little earlier. Either way, I see him, unless I don't/can/t fill the cup. If I don't, I think there's a blood test they can use, but they certainly don't give you that option.
          And no, this is a "private" doctor's office.
          I have probably said most of those unladylike comments [we're talking me having to prove I'm not a liar, here] but you can't say them too loud. You can get asked to leave the practice if you're "non-compliant" and then all you have is a few very hard choices and an empty cup.
          I think I'm with khalling, I want to hear your comments. I'll tell you mine if you tell me yours....
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        • Posted by khalling 10 years, 5 months ago
          such as?
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          • Posted by $ rockymountainpirate 10 years, 5 months ago
            It starts with FTFFers.
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            • Posted by $ 10 years, 5 months ago
              Flog Those Federal F'ers?
              ....see what happens when you're bad at Scrabble?
              and remember, amorous activity is good. Don't wish it on 'em.
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              • Posted by $ rockymountainpirate 10 years, 5 months ago
                Sure. Let's use those letters, although I had in mind something that sounds similar to watch you call a web footed water fowl.
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                • Posted by $ 10 years, 5 months ago
                  I know the temptation.
                  But web-footed waterfowl are good, and using a word to describe or insult someone sets up a tiny cognitive dissonance: good?/bad?

                  I do like at least attempting the walk the narrow path of perfect understanding, leaving the insulted person looking mystified until he tries to take a step and finds that you have sliced him in half.
                  Although I know any of you can outdo me, some examples:

                  The short set:
                  Senate Restroom Attendant
                  Tax Audit supervisor
                  the fourth guy not even trying to look like he's doing something on the road repair crew
                  House of Representatives vomit basin evacuator
                  Supreme Court Justice

                  moving on.....

                  You perversely effective sewer inspector! I KNOW it doesn't take 7 trips to fix the main drain line between my house and my septic tank! The last two times you were carrying a knife and fork!
                  Yes, I will take it up with your overseer, the Fifth Assistant - the one in charge of the examination of the shoes of all the sewer inspectors. I'm sorry his magnifying glass didn't arrive yet, he'll just have to continue to identify what he finds by taste.

                  "You have the flag position for the highway work crew today. Sorry, checkered was all we have left."

                  Get in line! Drooling vegetable fondlers to the right, mammering morons to the left.

                  and the ever-popular "See what happens when we let cousins marry? Their offspring grow up to be... you. or an OOFP, second class [that's official officious pheasant plucker who doesn't know which end is up]."

                  it's not easy, but there's a lot of English that doesn't get used much; we really shouldn't let the 4-letter ones get too much exercise. They'll get all.....puny.

                  *tiny letters: I have a feeling I'm going to regret pushing "reply".

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  • Posted by $ jlc 10 years, 5 months ago
    I actually happen to know something about this subject. I was amazed, when we started working with these facilities, to learn that if you have a pain management clinic you are as concerned about the negative drug tests as the positive ones. Let me elaborate a bit.

    Pain management clinics usually involve 'dispensing physicians' who prescribe restricted drugs. These clinics are closely monitored by the FDA. The doctor prescribes you medications A, B, and C for pain management. Your urine test (which, in most of the clinics I have dealt with are scheduled - but perhaps random as well) shows that you have drugs A, B, and D present. This implies that you are selling drug C on the street and buying drug D illegally.

    What is more, since drugs A and B are positive your urine sample will usually be sent off to a reference laboratory for analysis for the metabolites of those drugs. If drug A has the metabolites of A present, but the drug B does not have the metabolites of drug B present, then that implies that you have crumbled up a little bit of the drug B and put it in your urine after you peed in the cup...which implies that you are selling most of drug B on the streets as well.

    I am saying this because the cause of these testing procedures is a step removed from the clinic itself: If the doctor cannot meticulously document to the FDA that he has been performing these tests he risks (a) loosing his license as a dispensing physician, and (b) going to jail.

    So he must jump through these hoops in order to stay in business.

    Since we are dealing with an aging population, pain management clinics are springing up like puffballs after a rainstorm. They are very successful businesses, but they have to be verrrrry careful to document their patients use of their prescribed drugs.

    Of course, were drugs not illegal, we would not have this problem to concern ourselves with in the first place. But I thought that you might like to know something about the mechanism of what the doctors themselves are dealing with.

    Jan
    (I like the explicatives!)
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    • Posted by $ 10 years, 5 months ago
      Thanks for your expansion [most of which I know, but others may not].
      The point that really burns my cookies is that the doctor CHOOSES to enter this business, knowing what it entails. It's not like the DEA sprung it on him suddenly one day. So he has chosen to make his living by crawling into bed with the DEA and any other governmental body that wants to make it their business.
      He could shrug instead.
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  • Posted by Temlakos 10 years, 5 months ago
    All this because the government thinks it can pay for some things, but not others. Never mind that money is fungible.

    This wouldn't be an issue if the government stuck to its core function, as Rand laid out.
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