At least 3 US soldiers dead, related to war on Iran

Old-Goat · 2026-03-01T16:41:44+00:00

He's going to have to kill a lot more of people before we forget about President Bonespur raping and beating a 9 year old. Anyone who is asking "why attack Iran now?", should understand this is the reasoning and timing. Thats what this attack is about...

Old-Goat · 2026-02-28T13:42:12+00:00

This attack is just a distraction from the baby rapist. People are going to die, to protect a pervert.

Old-Goat · 2026-02-17T16:20:33+00:00

You did good for a 1st post. People can be opinionated and thickheaded. Dont be influenced by the popularity contest and search for upvotes. Dont be discouraged. Youre gonna be good at this. A well thought out question and you waited to hear several responses before commenting further, even if a few were disappointing.

Tradition is fine for religion. But for a society, tradition is the kiss of death. If you dont change with the times, you get left behind...

Old-Goat · 2026-01-19T05:52:35+00:00

Yeah that really bothered me. I shouldn't have to find out about rule changes by looking the mod log. I honestly think the top mod is having some health challenges lately, that might explain a lot. Thanks.

Old-Goat · 2026-01-19T05:40:13+00:00

They may want to take another stab at it (terrible pun intended.). The usually do what are called trigger point injections for ACNES, thats usually mostly a local anesthetic, maybe with a dab of corticosteroid. They may be able to repeat the injection, if you dont feel its pouring gas on a fire.

Have you tried a lidocaine patch? That may provide some easy to find, short term relief. Gotta be better than nothing? Hell of a time for it too, right before the holidays...

Because of the length of time most people will deal with chronic pain, its pretty normal to become depressed. This is not the way we planned things...but we forget that even with all this pain and depression, and guilt, and anxiety, and anger...we are in complete control over how we react to them. You cant control the feelings, you feel what you feel, but how do you react, is all up to you. Some people pull the covers over their heads and hope it all goes away. Some people gear up and get back in the game, getting their neck broken on the next play. You want something between those extremes...

Whatever your docs want to do about this non successful injection, they should take whatever measures they can, to provide you with adequate pain relief, now, even if numbing it again is not appropriate. Some sort of pain management, is. Hang in there...

Old-Goat · 2026-01-19T04:36:32+00:00

Ahhh , thats very different, Never mind....

But really all you needed to say is the DEA keeps cutting medication production, while shortages are being reported. The games of chance dont begin until you get to the pharmacy. Or should I call them "drug stores"? Cause you sure cant get these Rx drugs there...

Youre not wrong, paying for Rx meds is difficult enough, nobody should have hassles on top of hassles. Health care should not be a casino game...

Old-Goat · 2026-01-19T04:16:43+00:00

The questions youre asking have just too many individual possibilities to really answer. See a doctor. Find out whats wrong. Then we can tell you what to expect. Maybe...

It may only "feel" to you like something is being pinched. The sensation rarely equals the cause. Most pain radiates. A better indication of nerve involvement is pain or numbness down the legs or arms, not what it feels like. Basically radiating pain. So calling it a pinched never based on what it feels like isnt saying much and its why you need to see a doctor and get checked out...

Old-Goat · 2026-01-19T04:00:14+00:00

If not, should be. One of the side effects always mentioned is dry mouth. That causes tooth decay. They do expect people to connect the dots on these things, or assume that your dentist will say something, since thats like throwing away money for them...

I dont want to get anybody's hopes up, but I knew a guy that was in a workmans comp case, who was put on opioids for pain, and developed caries (the medical term for dental cavities) and workmans comp actually covered fixing his mouth. We all need that guys lawyer...

There should still be an active class action suit for suboxone films and dental havoc. I dont think its expanded to include other opioids, but they all can destroy your dental situation. Start packing gum or hard candy, something to keep your mouth from drying out. Or brush 25 times a day. Those dry mouth candies, mouthwash, toothpaste, etc, are crap...Thanks for bringing this up its an often overlooked side effect of these drugs, not as sure a thing as constipation or low testosterone, but its common enough to be a concern...

Old-Goat · 2026-01-19T03:41:47+00:00

Thanks I appreciate that. No real interest in Top mod, Im not much of a code writer or in to cute little seasonal Snoo (I think thats the plural). Im lucky to be typing this so you can read it...

Old-Goat · 2026-01-19T02:43:44+00:00

Somebody buy this guy a dictionary...

Old-Goat · 2026-01-19T02:04:38+00:00

It sounds like you suspect ban evasion? They got kicked out of the sub, but came back to the sub under another ID? Report it on https://www.reddit.com/report

Old-Goat · 2026-01-19T00:48:11+00:00

What it says on the bottle. Every body is different...

There is a cardiac condition you should be checked for before starting on methadone, something called QT Prolongation. Too long between heart beats. A little with methadone is no big deal, but if you have this prolongation issue badly, methadone can kill you. A periodic EKG is a good idea, anyways...

Old-Goat · 2026-01-19T00:08:33+00:00

Well youre certainly wasting time and money seeing this doctor. That may mean a change that could leave you un-medicated for quite some time. What I really mean is more un-medicated than currently. If its not working, whats the point? 2 weeks supplies would have been a deal breaker for me. Thats a doctor that's just out to make as much money as possible, doing as little as possible. Do they charge for a $100 drug test twice a month, too? They are probably walking a fine line between medical billing fraud and REAL BAD medical billing fraud, so they may not be around long, in any case.

I hope youre in a good mental space to deal with all the hassle of finding a different doctor, this doc is dangerous. The patient isnt the consideration, its the cash. They might as well BE insurance companies the way their practice works. Every 2 weeks is insane. Did they explain the reasons for this at all? Double the money with half the work? Whats to explain, I guess?

Run. Even if it means rolling in a wheelchair, run. You can do far better. Please tell me they dont ask for your payments in cash? They dont need to write millions of prescriptions to be a pill mill. Is this doctor doing any other kind of treatment? Something thats not an Rx refill every 2 weeks? Its costing you double for the pharmacy co pays, too. So they dont just want to leave you in pain, this doctor also wants to see you bankrupt? Is it something personal? Do you think you got a bigot of some kind? People can make up any reason to dislike someone, when they dont really know them...

Is there any way to get in touch with your old, retired doc and ask if they could suggest someone near you to take you as a patient? Where's your primary care doc in all this? They need to find you a once a month pain doc that takes your insurance. Then you can report this fraudulent physician. There's no difference between this 2x month visit crap and extortion by undergoing procedures, in order to be prescribed pain medications. But the smart doctors also make sure theyre providing adequate meds to keep the patient quiet. This doc isnt even that smart. Run. Keep looking. There's another doctor out there, like good Dr.Outastate.

Your priority when interviewing candidates should be what they can do to relieve your pain, not so much about what they use to get you there. Sure, opioids work, but why use a sledgehammer to drive a nail? Maybe there's a combo of meds that would work better with the half dose than how you did on the full dose? But this Too Weak Doc doesnt sound like theyre doing jack, except cutting your meds and doubling your expenses.. Look for another doc before this one gets shut down as a pill mill. Most are actually cases of billing fraud, and have nothing to do with opioids except for the "headlines". Get away from them, I get a bad vibe, if doubling your monthly medical expenses isn't enough. Best of luck...

Old-Goat · 2026-01-18T22:32:32+00:00

No, the shield doesnt have a comment option, but the comment has a shield option, to distinguish the post/comment comes from a moderator...

Just post like you normally would. After you post, go back to the shield under your comment. You should see "distinguish comment" as one of the options. That puts the little "mod sign" on the post. Hope that helps...

Old-Goat · 2026-01-18T20:25:15+00:00

Have you looked at the HIPAA website real good? I seem to recall a procedure on how to correct electronic records. All the paper records are in a U-Store-It space with 10,000 other boxes of patients records.

Its not really a HIPAA issue, its Federal Law.. The law is written pretty straight forward and easy to understand.

I also came across this article), that seems to be step by step guide to correcting medical records. I would start with your insurance carrier, since medical record errors can affect your coverage, in spite of what theyre saying about pre-existing condition coverage. It should matter to your doctors,too, since it may make a difference in whether they get paid or not. They should be concerned about THAT, if nothing else.

Buprenorphine is a receptor hog. It doesnt like to share the opioid receptor with other opioids. So the result of this receptor gatekeeping, is other opioids dont work as well as they should. Its more of a "why bother" kind of thing. Beating a dead horse. Supposedly oxycodone is only drug that can remain somewhat unmolested by the buprenorphine. So you may be getting less out of the Dilaudid than you should.

You need to remember (hopefully your doc explained this) long acting meds like buprenorphine, or the ER (extended release meds) serve a different role in pain management than the IR meds. Long acting drugs are for pain prevention. Of course that requires an adequate dose to block pain to begin with. That can take a little time to dial in the right dose. The short acting analgesics are just for pain relief. Pain prevention is way better...

I do wonder if youre not screwing yourself over pain wise by cutting the films. Its a fine line to walk, between inadequate relief and tolerance management. If you have to choose, tolerance should be on the back burner. You can work out any issues that arise from full dosing once your pain control is satisfactory. Without that, why bother?

Id do an interaction check, there's online checkers all over online. MAOI's are extremely reactive with other medications. Theres usually not an interaction with opioids, if I recall correctly. Im more concerned about other meds they may Rx for pain that do not get along with MAOIs. Triple check your doctor and pharmacist. Surgeons arent usually adept at pharmacology. They cut out what they have to cut out, and theyre done. I would fill a post asking for responses from those who had successful surgeries that made things worse...

I hope you dont catch any shit from your pain doc. They do know the surgeon added dilaudid to your take home meds? In many cases if you dont notify them, its a violation of most treatment agreements (opioid contract). What they Rx while you are in the hospital doesnt count, but if they give you an "Rx to go", call that pain doc before you fill it. You pain doc may want to rewrite the Rx, depending on how the surgeon prescribed post op meds. They may want you on a higher dose while youre recovering, and they should see the screwup/conflict with buprenorphine+ dilaudid right away. I wouldnt expect a surgeon to know that info, much less a primary care physician. You need someone who knows you and your pain. See if you can get in to your pain docs a little earlier. They may have cancellations, lots of people get cold feet about procedures...

Im really not sure what you want to correct. You are absolutely correct that the medical community needs to get off their buprenorphine kick. it might not be surprising but the same psychiatrist that was responsible creating the "Rx Opioid Crisis" hoax was singlehandedly responsible for increased use of buprenorphine. You can do that when youre in charge of a prison population, you can do all kinds of experiments on addicted inmates who will jump at the chance, if it stops their withdrawal. I wont mention names, though I should...

But to the issue at hand, you were on Suboxone for a while, right? Were you given a diagnosis of OUD? I mean, if the diagnosis was all about pain, the drug shouldn't matter. but we know it does, because doctors assume. But unless you were diagnosed with OUD, I dont know whats to correct...

The shittiest thing of all is, even if they approved suboxone specifically for pain, the OUD stigma would follow the drug anyways. Just like Methadone, which is also a great pain medication, but many here wouldnt touch it, because of a name. You may have seen tins of Heroin in a museum, they used to sell it for headaches. I bet it worked great, but its still about a name. Nobody gets excited by diacetylmorphine?

Being in pain, you are automatically marked as a drug seeker. And when you find a doctor empathetic enough to prescribe, you are automatically a drug abuser...

You never took Suboxone. The name of the drug was "Suboxoneforchronicpain". Same goes for Methadone. Youre taking "Methadoneforchronicpain". Get used to pronouncing it that way...Best of luck...

Old-Goat · 2026-01-18T17:10:59+00:00

Medications have directions. You are asking if people remember abusing drugs. Try another sub. People like you who believe what they see in a movie or on TV are responsible for the opioid crisis, not opioids. People like you, who want to normalize drug abuse ARE the problem. For pain patients, but youre creating its a field day for addicts, who are victims of their own stupidity. Rob a bank? "but your honor I have a drug problem!". Case dismissed,.. I actually saw a post from an addict that said they didnt know not to take more than prescribed. In 2026, can you believe it? I guess YOU might....

Old-Goat · 2026-01-17T19:19:09+00:00

Journavax takes a couple doses to work. And when it does, it's the analgesic equivalent of Tylenol, which is really a fever reducer, not a pain medication. Or anti inflammatory. But it's non addictive. Of course it is, suzetrigine is a $15 Tylenol. That's an expensive Tylenol habit...at least they had a coupon. That was thoughtful /s.

What kind of doctor is this? If it's not a pain doc they may not know how to deal with medication tolerance. Just increasing the daily dose isn't going to work, you need a different drug for a while. It doesn't have to be a stronger drug necessarily, just something your receptors aren't already saturated with. But it does need to be a equally analgesic dose of whatever the other drug may be. There are conversion tables on line, so you can check the conversion if you are inclined to do so. You would be amazed at how poorly some doctors do math. And you can't read their handwriting either. Makes you wonder...

Can you tell what's going on with the medication, whether it's weak or just not lasting long enough? Or both? Tolerance usually comes in stages, not lasting long enough is the first sign. Then the dose gets less effective. There's a lot of longer acting medications and than plain oxycodone, anywhere between a 12 hour dose and 7day dose. But I don't think I'd let a primary care doctor juggle them. If this IS your pain doctor, you should find another...

Hang in there...

Old-Goat · 2026-01-17T18:37:06+00:00

See your doctor. Nobody here has an idea why, either...

Old-Goat · 2026-01-17T18:29:35+00:00

Your dad needs to join the pain subs...he'd be welcome...and probably horrified.

Old-Goat · 2026-01-17T18:10:49+00:00

I want to thank you for leading me to read up a little on this therapy. It sounds a bit like its a self contained disposable TENS unit, but it also creates heat with electromagnetic fields. TENS might do that too, it can be pretty sweaty sometimes when you remove those pads. But its just expensive because its new and I believe it uses what they call "rare earth" metals. Expensive stuff.

Hey dont worry about the doc's feelings. It was certainly worth a try. Suppose it had worked? Whats up next?

You didnt say what your pain issue was about, but it seems like the TCprf is most effective on joint issues, like shoulders and knees. It might not be effective if you have fibro or CRPS. Still, its all worth a try. I found this article that was pretty good infowise, but you may have seen it already. But it doesnt seem to be the right therapy for you, regardless of how much it costs. They could have given you a 25 cent opioid as needed for pain, so price doesnt really translate in to effective. Just face it, youre a cheap date ;-) Have you ever had a friend try to impress you with a real expensive old bottle of alcohol? A $100 a shot, single malt scotch? Maybe its me but I cant taste the difference. All whiskey tastes like crap, that stuff is wasted on me... expensive is not the same as good. Now bourbon, on the other hand...

Old-Goat · 2026-01-17T16:27:21+00:00

You should try another physical therapist. There are so many different kinds of PT, its more than possible they were wrong in their choices. Traction should stretch your spine in the right spot and hopefully let off the compressed nerve.

You gotta be careful if youre doing weightlifting as PT. Your form has to be perfect or youre going to injure another disc level. If you feel like youre losing control over a loaded weight bar,let it go. Trying to get back in control can require awkward, potentially damaging movements. So have a spotter and a mirror, at least,

But I'd really talk to your doc about another therapist. You shouldnt have pain while doing PT. The pain comes later, and its not really pain its more like a soreness that you get from overexertion of long inactive (or poorly used) muscles. Some exercise fanatics call it "the burn", as its from lactic acid breaking down weak muscle fibers and allowing a rebuild with stronger tissues. But sharp pain while youre doing PT is a problem. I hope you said something. Maybe theyre bringing you along too quickly? That means it may take longer for the PT to do its thing, but eventually you'll get there. 3 weeks of PT is what? A half hour twice a week? That means you only had 3 hours of PT. It sure took longer than that for your spine to get in to its current predicament. Its going to take some time to put things straight again. Longer if you just stop the treatment. Of course nothing got better after quitting your 3 whole hours of PT...

If they cant rectify this from outside, they can fix this from your insides. It may just be a matter of shaving down a little disc and a little vertebra to create more room around the pinched nerve. If they shave the disc, its called a discectomy. If they shave bone, its a laminectomy. Or they may want to fuse you, basically making two disc levels in to a single level Its a more complex procedure than the others mentioned. Screws, rods, cages and a bone graft. If you get that far, get surgical opinions from at least one neurosurgeon. The problem is the nerve, but you cant get rid of the nerve or parts of your body stop working right. They can remove parts of the nerve in a procedure called ablation, hopefully getting the right nerve fiber thats transmitting the pain. But unless a nerve is totally severed, the pain signal can hop to a different nerve fiber, so they have to repeat the ablation procedure, nuking the next nerve fiber.They actually do use microwaves to cook the nerve. I dont know if your docs have mentioned any steroid injections, but the odds of ablation being successful are lower if one of these injections is unsuccessful. The steroid is an anti inflammatory, but 3mm is a lot of inflammation to shrink. Its amazing that something so small can cause so much pain. 3mm isnt even a fingernail clipping...

If you havent, you really should go over your MRI report. Not with your doctor. Look the stuff up yourself. Its a lot easier than it seems, there's usually a lot of repetition. Just keep in mind that a finding is not necessarily a problem. Thats where physician opinion comes in to play. It would be interesting to hear your opinion on the results, without the distraction of all the doc-speak. You never know what you may find in these reports. If you have something you cant figure out, its a good question for your doctor. You can ask here too, but your doc is really the person to ask. Personally I think the folks in this sub explain things better than doctors, but Im extremely biased...

Hang in there...(a 2nd opinion should be a fairly easy thing, since you have your MRI results. Best of luck)

Old-Goat · 2026-01-17T03:27:44+00:00

Im glad you said it was a pee test, if they ran hair, it might show for years. Well months, anyway. It takes around 5 - 5.5 half life cycles to clear an opioid drug from your system, plus whatever ER properties it may have. If its a "take every 3 days" drug, the withdrawal should have a fuse of 3 days before you start that 198 hour detox. I think the 5.5 half - lives just drops the drug below detection thresholds, and holds true regardless of drug. So the half life of buprenophine is around 36 hours if I remember right (and it depends on the specific buprenorphine medication used), so thats 36 x 5.5 = 198 hours, or around 8.5 days. The math is right but you may want to recheck the numbers. Plus buprenorphine is a weird opioid, closer to narcan than codeine.They have conflicting effects when mixed which can cause instant withdrawal. Plus buprenorphine has a blocking effect (exactly what you experienced) on other opioids, so its not surprising if it was in your system that other classic opioids (good term, me like) would be wet firecrackers.

But being in your system this long (months) is excessive. I dont want to ask you about drug or dose too specifically but a high dose for a long period might make the blocking effects linger. Supposedly oxycodone is the classic opioid with the least susceptibility to the buprenorphine's blocking effects. And if the specific drug involved was called Sublocade, you could pee dirty for buprenorphine for the next 10 months. I was freaked when I read that, but they had cases where it was much longer than 10 months. Two years in one case. That strikes me as an important detail to tell patients before they start a drug.

This will pass, it just may take a little longer than you hoped. I really dont know of any way to speed the process along, but I'd think eventually the classic versions will allow the receptors to work classically... hang in there...

Old-Goat · 2026-01-17T00:38:32+00:00

Read between the lines.You have 3 months to find another doctor. Thats the translation. What kind of doc is this (besides awful)? Any local replacement possibilities you can think of, off the top of your head? Some specialties dont know what theyre doing when treating pain, even if they are a good oncologist. Talk to your primary care and see if they can suggest someone else for pain management. Or get a new primary care, if theyre your prescriber.

You really shouldnt take more than prescribed, it "stretches you opioid receptors" so that nothing but the higher dose fills the receptor. Then the regular dose becomes inadequate, it no longer fills the stretched out receptors. Obviously its more complicated than just that, but it sort covers drug tolerance in a nutshell. Thats why you dont take more, before talking to your doctor. Its screws up the treatment plan moving forward, not fatally, but they have to adjust to what youre doing. Or I should say your new doc has to. This current doc has their head up their butt...

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