Some reflections on traveling via songthaew. These sheets can be rolled down in case of rain.
Fancy songthaew have plastic sheets attached to the roof. A songthaew is a pickup truck with seats attached to the bed, over which (usually) a roof or shelter of some sort is erected.
No one talked about false alarms and how they might turn away desperate patients at pharmacies which deny them refills.įailure to address these fundamental issues is already causing grievous harm.Popular mode of transportation in much of Thailand. Not once did any speaker identify how many cases of doctor shopping or drug diversion have so far been detected by existing State PMDPs. No one wants to have to upload real-time data to any PDMP unless burdens can be reduced on doctor workload.
Bart simpson one hand clapping professional#
They also oppose risk thresholds, as well as expressing concern over documentation that would be routinely imposed upon doctors who choose to exceed any specified dose level on behalf of their patients.Ī speaker from a different organization declared that if opioid prescription practice standards are to be updated, then the task should be left to professional Associations and Academies in each medical specialty, not with the FDA.ĭoctors expressed concern that State PDMPs are time-inefficient and interrupt doctors workflow. The Veterans Administration is trying to get rid of opioids altogether. Their 90 MMED nonsense has widely been interpreted as a statutory limit on opioid prescribing.Ībove this threshold, doctors are at risk of being persecuted out of practice by DEA and State authorities. The CDC and Veterans Administration have already killed hundreds of patients with their scientifically unsupported risk threshold. I was particularly pleased by professional responses to the first question posed by the Steering Committee. One Hand Clapping Professional Responses To The message was dont make a horrible situation worse by further over-regulating doctors.ĭont deny treatment to patients for whom opioids are the only therapy that works. Patients are lapsing into agony and death by medical collapse and suicide. These presentations were dominated by strong emotions and regrettably few facts. One surprise was that a substantial amount of integration and data sharing has already occurred in multiple over-lapping programs funded under Federal grants. The FDA had previously announced eight questions relating to the implementation of an FDA Risk Evaluation and Mitigation Strategy (REMS) responding to the so-called opioid crisis in America.įDA is considering steps to more tightly regulate standards of physician and pharmacist practice in prescribing and reporting opioid analgesic use.Īlthough the audience was discouraged from applause, some of the speakers also seemed not to connect hands or ideas. The Committee is composed of eight FDA senior department heads and Center directors. One might be that the sound of one hand clapping is silenceunless met by another hand. What is the sound of one hand clapping can have many answers. It was generally acknowledged that many people with addiction first begin with pills prescribed to others they havent themselves seen a doctor.
Bart simpson one hand clapping mod#
Members 1.8k Online Created Join Top posts may 8th 2019 Top posts of may, 2019 Top posts 2019 help Reddit App Reddit coins Reddit premium Reddit gifts about careers press advertise blog Terms Content policy Privacy policy Mod policy Reddit Inc 2021. The show is set in the fictional town of Springfield and parodies American culture, society and television. The rTheSimpsons subreddit is fan base of redditors who love The Simpsons. Press question mark to learn the rest of the keyboard shortcuts Log In Sign Up User account menu 23 Bart, I have a riddle for you - whats the sound of one hand clapping.
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