Why Are You Pissed Off Today?

Codeine, paracetamol and ibuprofen were good enough for me when I broke my back. Anything stronger is irresponsible.
Key phrase there - “good enough for you.” LB’s already states his mother was in agony. So why should she suffer just to make a point about general rates of opioid addiction?
 
Key phrase there - “good enough for you.” LB’s already states his mother was in agony. So why should she suffer just to make a point about general rates of opioid addiction?

What if she gets addicted?
 
What if she gets addicted?
people very rarely, if ever, get addicted to limited use of low-level pain killers after a procedure, especially when the pain subsides after a few days. the problems arise when these jackoff doctors prescribe things like Oxycontin or Dilauded, which are WAY stronger than necessary, and practically heroin. those are exceptionally addictive. but even in those cases, for limited uses there can be applications where they work. its these fucking doctors that are the problem. i just love the hubris of allowing someone to suffer in pain while being self-righteous enough to look at them and decide how they want them to live their lives. i hope all these people die in a fire.
 
people very rarely, if ever, get addicted to limited use of low-level pain killers after a procedure, especially when the pain subsides after a few days. the problems arise when these jackoff doctors prescribe things like Oxycontin or Dilauded, which are WAY stronger than necessary, and practically heroin. those are exceptionally addictive. but even in those cases, for limited uses there can be applications where they work. its these fucking doctors that are the problem. i just love the hubris of allowing someone to suffer in pain while being self-righteous enough to look at them and decide how they want them to live their lives. i hope all these people die in a fire.

How it works in the UK is that your there to serve the doctors and don't you forget it. Effective pain relief will need to be earned, first through "Well, you just jolly well need to grin and bear it" and after several months of repeated visits they will slowly start to give you what you need, but always there will be a stigma to it that you're somewhat weak for not coping with it. Of course, if you go private, they'll give it to straight away. A deplorable system.

Never worked my way up to the Oxycodones of this world, but even they have their uses, a colleague had some for his lower back slipped disc. He was in serious pain and needed it at the time. He only had a strip of them, so when it became unbearable he took one. We had to practically carry him to his car one day.

If you've just had an operation, a week's worth of decent pain killers is not going to make you addicted and will help with the recovery. Having people writhing in pain is not a good outcome just because the doctor wanted to be a gate keeper to pain relief.

We are grown-ups, we know the risks of addiction and the side effects, thank you very much, so on with the pain relief. And away with the Tramadol, I'll take the really thing. Thanks.

That's how I do it.
 
If you've just had an operation, a week's worth of decent pain killers is not going to make you addicted and will help with the recovery. Having people writhing in pain is not a good outcome just because the doctor wanted to be a gate keeper to pain relief.
correct
 
6 months worth of pain killers - if you are in pain - will not make you an addict.
 
6 months worth of pain killers - if you are in pain - will not make you an addict.

I've been on prescribed oral morphine a number of times and for a number of weeks each time. The only issue I've had is sleeping at night, but a couple of drops of CBD help here. I can't say I've ever really felt anything other than decent pain relief, a lot cleaner than Tramadol, no fuzziness at all.

Certainly no addiction or withdrawal symptoms. But I've never taken them other than when I've been in serious pain.

I think you're right, zero chance of addiction when taking them for a short period after surgery.
 
Early evidence for this idea came from studies of Vietnam veterans, who, as young men, should have had particularly high addiction and relapse risk. Heroin and opium were cheap and easily available to American servicemen overseas; nearly half tried these drugs, and half of these soldiers became addicted. But upon returning home, just 12 percent of those who had been addicted relapsed within three years, and only 2 percent were still addicted at the end of the study — nowhere near 60 percent. Fewer than half got any treatment, and it didn’t make a difference in terms of who recovered.**

This phenomenon, known as “natural recovery” or “maturing out” of addiction, is common with other drugs, too. Large population surveys show that most people who are addicted to alcohol or cocaine quit without treatment. The same type of study shows that around 60 percent of people who met the criteria for prescription opioid addiction at one time no longer do so — and one third of them never received any treatment. This research also finds that the average prescription opioid addiction lasts eight years; for heroin, the average is a decade. For alcohol, the average addiction lasts 15 years.


** Much the same for cigarettes
 
the entire OxyContin "epidemic" is based on a false narrative that asserts that the majority of OxyContin addicts begin as drug-naive pain patients. The cop the Sentinel profiled was actually a typical Oxy addict—a prior drug user—but his real story wasn't what they wanted. If Bloodsworth had been looking for that, she would have noted that government data shows that 90 percent of OxyContin abusers have also taken cocaine, psychedelics, and other prescription painkillers. Readers would have been informed that investigators specializing in prescription drug abuse say the typical OxyContin addict has a lengthy history of multiple-drug abuse.

The paper also would have highlighted that addiction is the exception, not the rule, among people exposed to opiates. Studies consistently show that pain patients taking opiates are no more likely to become addicts than people in the general population (i.e., exposure alone does not cause addiction). That is to say, only between 1 percent and 20 percent of people in the general population experience a period of addiction to some substance, depending primarily on characteristics such as age, stress, family history of addiction, and mental illnesses. (Depression, manic depression, and schizophrenia all dramatically affect one's risk of addiction.) If you rule out prior abusers, the rate settles at the low end, in single digits. (Rush Limbaugh may be one such example, though we still don't know anything about his possible prior drug use.) Even among people who try the most demonized opiate, heroin, for recreation or in a situation of extreme stress, only a minority will become addicted.
 
Even among people who try the most demonized opiate, heroin, for recreation or in a situation of extreme stress, only a minority will become addicted.

Injecting heroin is of course, one of the worse things you can do to yourself and life. I imagine many who start experimenting with this drug will take a long hard look at the road ahead and stop fairly quickly.

I've come across junkies a couple of times during my career and they all seem to have issues of abnormality that I think may have existed before then, or perhaps the drugs caused it i.e. no self awareness, or respect to social norms. We had a departmental dinner once and whilst recreational drug use amongst those there was pretty much endemic, only one person kept on going to the toilet to snort coke and come back and jabber away leaving all his dinner untouched. Everyone else had enough awareness and self-restraint not to do it because of the seriousness of the situation.

Alcoholics are very sad specimens too. You go away overseas on a big project and there's always a few guys who after a couple of months are absolutely lost to the demon drink. Completely saturated with alcohol, unable to work most days and never ever sober. Very pitiful creatures.
 
Fewer than half got any treatment, and it didn’t make a difference in terms of who recovered.

Weren't you researching addiction recovery programs? Is that going to be your recommendation?
 
I lost yet another one of my linen scarves. It's only Zara, but I had a sentimental attachment to it as it was often lifted from me and worn by my lady friend.
 
I have a big healthcare emergency management conference this week in Galveston I was looking forward to. However, changing politics mean I will be under scrutiny and will have to mingle and be nice instead of drinking to excess if I want this promotion. And I also have a wretched cold that has my nose running at 189kph.
 
I have a big healthcare emergency management conference this week in Galveston I was looking forward to. However, changing politics mean I will be under scrutiny and will have to mingle and be nice instead of drinking to excess if I want this promotion. And I also have a wretched cold that has my nose running at 189kph.

I thought you took this current job because you didn't want to move up and it was at the right limit of testing your professional capabilities.
 
I thought you took this current job because you didn't want to move up and it was at the right limit of testing your professional capabilities.

Nope. I made the move from NGO to Govt for the money, training and development opportunities and lower stress.

No big deal, but there’s a vacant position in my team I’d like. Money isn’t that much more but it’s a better title and may be more marketable.

However, my boss put in a pretty mediocre performance for Hurricane Harvey, so now the powers that be seen to want to put their own person in that 2IC role.
 
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Nope. I made the move from NGO to Govt for the money, training and development opportunities and lower stress.

No big deal, but there’s a vacant position in my team I’d like. Money isn’t that much more but it’s a better title and may be more marketable.

However, my boss put in a pretty mediocre performance for Hurricane Harvey, so now the powers that be seen to want to put their own person in that 2IC role.

My Missus is in one of those trans-national multi-government organizations. Looks great on paper, in reality, mega mega political and high casualty and suicide rate. You have the golden handcuffs: you'll never earn that out in the private sector and you've already pushed your outgoings up to your earnings. A bad place to be. Thankfully we're not.

But nothing is as easy as the proverbial flipping burgers.
 
I have to pick between them. One has high contribution low copay and other low contribution high copay. Guess it depends on how much risk I wanna take?

Healthcare is pricey though! 10x more expensive than my UK healthcare. I always thought it was about 2x-3x, but 10x is just silly.
 
I have to pick between them. One has high contribution low copay and other low contribution high copay. Guess it depends on how much risk I wanna take?

Healthcare is pricey though! 10x more expensive than my UK healthcare. I always thought it was about 2x-3x, but 10x is just silly.
If you break down the monthly costs and copay levels for me I can help you decide. Do the plans have out of network benefits?
 
If you break down the monthly costs and copay levels for me I can help you decide. Do the plans have out of network benefits?

Both 20% copay in network, 50% copay out of network, with either 1500 or 2500 max copay and 1500 or 2700 deductible. Monthly cost 88 vs 60.
 
Both 20% copay in network, 50% copay out of network, with either 1500 or 2500 max copay and 1500 or 2700 deductible. Monthly cost 88 vs 60.
Are you going to need any special services for your back like PT or scans? Pain management?
 
Probably PT again at some point
find out what the max number of visits are per year will be and what the co-pay's will be for each visit. also, if out of network facilities are allowed and what the co-pays are there? a lot of the good facilities and doctors are fleeing these networks so you only get left with the shittiest places.

what is the out of pocket maximum for each plan? should be listed separate of the deductible and copay fee schedule.

how much are the co-pays for specialists and procedures? to get in to PT you'll likely have to go see a specialist and get a referral, possibly an MRI as well.

are these HMO's or PPO plans?
 
Fucking United wouldn't give me free business upgrade like the previous time for a cancelled flight.
 
Fucking United wouldn't give me free business upgrade like the previous time for a cancelled flight.

You're expecting free perks from United?

There's a better chance Kim Jong Un resigns and North Korea adopts sharia law. That airline has been about reducing service and battling for the bottom since the Continental merger.
 
Apparently I'm weighing 61.5 kg again. I thought I ate a ton in Spain but maybe it was the agita that made me thin.
 
Look on the bright side - at least you weren't beaten and hauled off the flight.

The attendants have been getting progressively more aggressive though. Made me check in carry on curbside, of course I go back of plane and find two completely empty overheads on a 777 which I told the attendant would happen right before she took my carry on, said to me "don't have time to argue with you."
 
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The thread title is "Why are you pissed", not "Where did you piss"! ;-)

Seriously, though, this is a good reason to specify dark lining in your trousers.

These are vintage (Made in England) Chester Barrie RTW trousers. Being a tailor can be soooo glamorous!
 
fuck health insurance. fuck these people with a big rubber dick.
Oh, try dealing with FEMA. Harvey was 47-48 Days ago and they have inspected our house three times now. We already have some new (to us) appliances, hung about 20 sheets of drywall, had new water pipes done, and they’re still not sure we had water damage.
 

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