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Joined 1 year ago
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Cake day: June 17th, 2023

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  • The current government can’t even agree that Nazi’s are bad, it is next to hopeless that they will come together and create the new precedent needed to out these corrupt assholes. People have short memories, this situation has been over a decade in the making and now we reap what we sow. RBG fucked us by not retiring despite being old as cancer ridden dirt so Obama could sit a replacement and that combo’d with the country losing its collective mind and voting for Trump caused two dark age justices to be appointed that we just have to deal with. So buckle up I guess, this isn’t getting any better any time soon.




















  • New doc here; its a confusing conversation all around. In training management of controlled meds is often an elephant in the room topic with no one really wanting to address it in too much detail. That’s mostly because everyone has a different view on it as the powers that be (mostly use state board of pharmacy as guideline) are pretty vague. Most can agree that regular visits (every 3 months at least), drug screens at least yearly, and a controlled use agreement contact between provider and patient is the standard of care. Everything in between that is subject to vary. To further complicate matters medical literature on these meds consistently finds them ineffective for chronic management many disorders including back pain which is in contrast to conventional opinion. Many providers see this as reason enough to sparingly use them. Regardless, in my experience so far whether they truly work or not most patient are very reluctant to stop these medications once started.