Toledo Talk

Pharmacies

3 mile radius from Central/Douglas ave, i have lost count on the volume of the Pharmacies, i mean do we need pills for every problem we have with our bodies/minds. Also watched a show that really opened my eyes, it was about counterfeit pills coming in from our good friends from CHINA, lots of pills coming from them are merely made of plaster/drywall. Both these issues are concerning.

created by Emeritus on Mar 03, 2014 at 11:10:40 am     Comments: 40

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Pharmacies have changed and expanded to the point where they're more like a neighborhood grocer that also happens to dispense pharmaceuticals. I think it's that aspect that has contributed more to the proliferation than the drug aspect.

posted by gamegrrl on Mar 03, 2014 at 11:34:40 am     #  

A lot of the grocery stores like Kroger & Meijer seem to offer a lot of incentives to switch your prescriptions, plus nearly all including the Rite Aid and Walgreens have drive thru service for convenience. A lot of value in the small pharmacies that still provide customer service and will deliver for their customers.
Some people seem to think they need a pill for every little ailment. My doctor prescribed BP meds for me recently, but I never filled it. Mainly because it was not very high and I asked her to check my past readings and it was agreed it was not TOO bad. Today's commercials scare the heck out of me when they start rattling off all of the side effects disclaimers !!

posted by Hoops on Mar 03, 2014 at 11:46:43 am     #  

The side effects are just "potential," but legally have to be listed. Of course you know what can be used to treat the side effects??? Other prescription pills!

posted by clt212 on Mar 03, 2014 at 12:01:09 pm     #  

"Hoops" you took the words out of my mouth. The side effects outweigh the benefits of taking the drug. Also i counted about 20 in the 3 mile radius. Unreal.

posted by Emeritus on Mar 03, 2014 at 12:04:46 pm     #  

Ask your friends and co-workers about the meds they take - you'll be amazed how many people take multiple prescription drugs.

Obviously, many are necessary but I have to believe some folks are severely over medicated.

Whenever I have to complete a medical history - such as going to a new doctor/dentist/etc, you wouldn't believe how many times they keep asking me about the meds I take - which, I am thankful to say, is none. Doesn't mean I won't need them some day but for now anyway - I do not.

So to answer your question/statement Emeritus, yes, apparently many people do believe they need a pill for absolutely everything. And doctors seem only too happy to prescribe. And the more they prescribe, the more pharmacies keep popping up on every corner.

Several of my co-workers are walking pharmacies. Pills to get going in the morning, pills to go to sleep at night, pills to keep their mental state "normal", pills for high cholesterol, blood pressure, etc. It is overwhelming to think about.

posted by Foodie on Mar 03, 2014 at 12:10:25 pm     #   1 person liked this

I seen my old neighbor's "pill tray" one time, now this was a few years ago mind you, however, i never understood how one's liver could" survive" 30 plus pills a day. Geez

posted by Emeritus on Mar 03, 2014 at 12:24:26 pm     #  

Hoops, uncontrolled hypertension is the leading cause of stroke. If you want to have someone change your diapers for you in the future continue on. Denial is dangerous position to take.

If anyone wants a reliably cost effective pharmacy I'd suggest Costco. Any non-prescription drug item on store shelves in a RiteAid or a Walgreens or other chain pharmacy is a loss leader. The money is all in the drugs.

More counterfeits are coming in from India than China. Yes indeed, counterfeit drugs area growing problem.

posted by holland on Mar 03, 2014 at 12:55:15 pm     #   1 person liked this

Emeritus posted at 11:24:26 AM on Mar 03, 2014:

I seen my old neighbor's "pill tray" one time, now this was a few years ago mind you, however, i never understood how one's liver could" survive" 30 plus pills a day. Geez

It works like this - when you get old, your systems start to function less and less well over time. Things that previously could be countered with a better diet and more exercise might not work as well as the body's ability to work diminishes.

For example, let's take a relatively healthy 80 year old. Their liver function is naturally deteriorating and they're not producing the enzymes they need in as large of quantities as they'd need. Pill 1. Their blood pressure is also a bit high. Pill 2 and 3. Cholesterol regulation isn't quite working as well. Pill 4 (but this pill might reduce the dosage of 2 and 3). Next, some water retention is being noticed as the kidneys aren't quite up to par - pills 5 and 6. Add in a few vitamin supplements (because their skin isn't producing vitamin D as well, and their digestive system is maybe not extracting nutrition quite as well) ad you're up to 7 and maybe 8. Then you can throw in a baby aspirin every day to help prevent heart attacks, and you're up to 9.

This person's stomach is also starting to get a bit more irritated over time, so a daily antacid is 10. Osteoporosis is kicking in, so calcium and iron are added in (up to 12 now!). See how it works? It's just how it goes.

Take out any one of those pills and the quality and duration of life could be compromised quickly.

(oh and: the amount of pills you take has very little to do with how the liver interacts with your medications, unless you're doing a shot of whiskey with each one. :) of course, there are some meds that will do a number on your liver - tylenol, for example, but most don't)

posted by endcycle on Mar 03, 2014 at 03:56:55 pm     #   2 people liked this

Sounds like endcycle is speaking from experience,but a little routine excersise and proper diet and you can throw half the pills in the garbage.

posted by moxie on Mar 03, 2014 at 04:19:20 pm     #   1 person liked this

Foodie posted at 11:10:25 AM on Mar 03, 2014:

Ask your friends and co-workers about the meds they take - you'll be amazed how many people take multiple prescription drugs.

Obviously, many are necessary but I have to believe some folks are severely over medicated.

Whenever I have to complete a medical history - such as going to a new doctor/dentist/etc, you wouldn't believe how many times they keep asking me about the meds I take - which, I am thankful to say, is none. Doesn't mean I won't need them some day but for now anyway - I do not.

So to answer your question/statement Emeritus, yes, apparently many people do believe they need a pill for absolutely everything. And doctors seem only too happy to prescribe. And the more they prescribe, the more pharmacies keep popping up on every corner.

Several of my co-workers are walking pharmacies. Pills to get going in the morning, pills to go to sleep at night, pills to keep their mental state "normal", pills for high cholesterol, blood pressure, etc. It is overwhelming to think about.

What you describe in the last paragraph is ADDICTION, these same people would throw other addicts in jail because they don't get stoned/upped on the same drugs THEY DO.

America

posted by dbw8906 on Mar 03, 2014 at 04:43:52 pm     #  

I always do a shot with my Vicodin. I kind of found out by accident that a shot of bourbon makes that Vicodin kick right in. One thing you have to be careful about is mixing Xanax and whiskey - if you're an amateur, that is. Right, Moxie?

posted by madjack on Mar 03, 2014 at 04:43:58 pm     #  

Ten four maddog er jack.

posted by moxie on Mar 03, 2014 at 05:11:18 pm     #  

Vicodin is one of the most favored pills to mix with cocktails, Percoset a close second

posted by Hoops on Mar 03, 2014 at 05:55:05 pm     #  

Good shot of whiskey and a parafon forte is what you need

posted by MIJeff on Mar 03, 2014 at 06:11:54 pm     #  

We in the U.S. are the most pill popping people on the planet. I am the lead nurse in one of the largest hospital based chronic pain clinics in the country. The U.S. has about 5% of the world's population. But 85% of all of the prescriptions for opioid pain meds are written right here in the U.S. So does mean we have 85% of the pain? We are the only country that allows direct mass marketing of drugs and medical devices and medical procedures directly to the consumer.We are without a doubt the most obese people per capita on the planet. And taking more pills do not extend life. There are many places where people live well into their 80's and stay very healthy without popping pills. If you could spend just one week sitting at my desk and seeing what I see on a daily basis it would blow your mind. Fully 65% of my patients are not just pain patients but what we call polysubstance abusers. When they pee in the bottle everything from coke to pot and you name it shows up. This cuts across all age groups from 18-80, all genders and all economic levels. I have been dealing with this for 20 years and it gets worse every year. Other countries have drug problems but no where is it as bad as here. I live it every day so people can BS the story all they want but come spend a week standing over my shoulder and you will change your mind real quick.

posted by Wydowmaker on Mar 03, 2014 at 06:27:02 pm     #   1 person liked this

Like I said,did you read "Wydowmaker" maddog er jack,or maybe you can read it rehab.

posted by moxie on Mar 03, 2014 at 06:51:10 pm     #  

Big Pharma are the new Cartels, and some Doctors are the new distributors, and pharmacies are the new corner boys, literally!!!!!

posted by newintown on Mar 04, 2014 at 01:38:01 pm     #   1 person liked this

From Wydowmaker: I am the lead nurse in one of the largest hospital based chronic pain clinics in the country.

So let me see if I understand this. You, with the moniker Wydowmaker [widow maker], are a lead nurse. A care giver, in other words. Has it ever occurred to you that your choice of handle does not inspire a lot of confidence in you, given your expressed vocation?

From Wydowmaker: We are without a doubt the most obese people per capita on the planet.

What does obesity have to do with pain and pills?

From Wydowmaker: And taking more pills do not extend life.

You can stop right there. How about antibiotics? Those are in pill form, as are vitamin supplements and birth control pills. Heart and blood pressure medications are in pill form. Then there are the medications that control mental illness, all of which are in pill form.

Certainly there is abuse of pain medications, but those same medications that are abused by some fraction of the population are allowing other people to have a quality of life they won't get any other way. Because of pain medication, my brother is able to recover from a migraine headache in an hour or so and go back to work. I suppose you'd rather have him just tough it out until the migraine decides to go away.

People with your attitude are half the reason that people who need pain medication have trouble getting it. You bitch to the politicos until they pass another law that restricts the law abiding citizen and does nothing to inconvenience the criminals.

posted by madjack on Mar 04, 2014 at 03:42:45 pm     #   2 people liked this

MIJeff posted at 05:11:54 PM on Mar 03, 2014:

Good shot of whiskey and a parafon forte is what you need

I won't take anything that I can't pronounce.

posted by madjack on Mar 04, 2014 at 03:43:47 pm     #  

So with a name like 'madjack' can we assume that you are a mad man,and its no wonder your brother needs headache pills I mean you don't stop.

posted by moxie on Mar 04, 2014 at 04:37:49 pm     #   1 person liked this

LOL - modern American medicine and big pharmacy are just killing us, I tell you. Time to do away with pills, vaccines, ultrasounds, CT machines, and emergency rooms:

posted by historymike on Mar 04, 2014 at 06:29:00 pm     #   1 person liked this

Nice chart 'historymike',it says what I havebeen saying.Longevity comes from people taking care of themselves like exercising and eating right.21st century health is loaded with people in their 70s and 80s ,I talked to them and they are not sitting home poping pills.

posted by moxie on Mar 04, 2014 at 07:01:53 pm     #  

moxie posted at 06:01:53 PM on Mar 04, 2014:

Nice chart 'historymike',it says what I havebeen saying.Longevity comes from people taking care of themselves like exercising and eating right.21st century health is loaded with people in their 70s and 80s ,I talked to them and they are not sitting home poping pills.

Huh? Eating right and exercising? Americans are fatter than ever... The fact that there are pharmacies on ever corner is a testament to those older folks taking pills.

posted by SensorG on Mar 04, 2014 at 07:23:32 pm     #   1 person liked this

Madjack--

Obesity has a lot to do with pain. Diabetes which is directly related to obesity is a major factor in nerve damage which causes neuropathic pain. Also it is a clinical fact that loss of mobility due to morbid obesity and resulting joint damage are a huge problem in pain treatment. The problems you talk about with increased blood pressure and heart problems are also a problem within American society again related to such things as smoking, drinking, obesity and drug abuse. The answer is not more pills it's a lifestyle change. And oh yes. Antibiotics. Because of abuse of antibiotics we now have a whole new class of superbugs which are antibiotic resistant. I am not anti medication. I am anti medication abuse. As I said. You can't BS me on this one. I live it every day. Ask your doctor if the purple, white, pink, blue, chartreuse pills is right for you. And yes Historymike our life expectancy from birth has increased. But what about quality of life? We are living longer but with ever increasing health problems and astronomical cost. The answer is not throwing more pills at the problem it's using medication and medical procedures wisely and for the purpose intended. We use Botox in our clinic to treat migraines. It's a life saver for some people. It cost about $800 per treatment and is supposed to be used only when other measures fail. We get patients whose headaches are well controlled with less costly measures who come in and demand the Botox just because they feel they are entitled to demand it. There is no valid clinical reason for them to receive the Botox but feel they are entitled. And no. They are not paying for it. You are. Oh and lastly. Vitamin supplements time and time again have been proved a total waste of money in clinical study after clinical study. Unless you have some underlying condition related to a vitamin deficiency you are wasting your money and overuse of some vitamins are actually harmful.

posted by Wydowmaker on Mar 04, 2014 at 07:23:57 pm     #   2 people liked this

Another example

http://www.medicalnewstoday.com/releases/34287.php

posted by Wydowmaker on Mar 04, 2014 at 07:42:33 pm     #  

Our department staff received this yesterday as part of an official e-mail on our new opioid dependence reduction mandate.

http://www.nwrpca.org/health-center-news/239-opioid-redux.html

posted by Wydowmaker on Mar 04, 2014 at 07:53:20 pm     #   1 person liked this

So, I take it my chronic radiculopathy from a herniated lumbar disk, 5 years now, after surgery and physical therapy, maintaining a normal weight, and regular exercise is something you would believe is not to be treated? Thanks for that. Actually I would wish it on you. You and your whatever it is reduction program are a heartless bunch.

posted by holland on Mar 04, 2014 at 08:58:54 pm     #   3 people liked this

I agree with you, Holland

posted by deere1 on Mar 04, 2014 at 09:46:49 pm     #   1 person liked this

One reason for the proliferation might be due to insurance plans. We have to get medications from CVS because of our plan, and before they opened the new one at Monroe and Douglas, we were driving to Findlay once a month. We couldn't go to mail order because my daughter's anti-seizure medications and doses are adjusted too often by her doctor.

I'd be just as happy going to any of the other choices, but it's CVS or full price on the plan we're on.

posted by InfernalKeith on Mar 05, 2014 at 12:22:35 am     #  

It actually comes down to one thing, genetics.. period.

posted by Emeritus on Mar 05, 2014 at 01:00:04 am     #  

Em. So you are going to tell me life choices don't come into play is bullshit.I come from 2 generations of obesity,alcholism and overall bad health including bad backs. I could follow in their footsteps or make a life choice.I choose excercise and have out lived both my grandfather and father who were constantly on meds. I take No meds have good blood pressure,standing still heart rate is good and for 57 years old and my genetics, that is the way it should be.Dont let prevouis generations dictate your health.

posted by moxie on Mar 05, 2014 at 07:27:57 am     #   1 person liked this

Well" moxie", some of us have predisposed medical situations. Certain folks do need meds. , im not saying do away with all meds. But America as a whole is very over medicated, from the toddlers to the silver heads . From the flu shots, to the over precribed antibiotics. Also, when i say genetics, i know plenty of people who smoked, drank like a fish, ate horribly, and still managed to live in there 80's-90's . George Burns??? Then you have people dying from 3rd hand smoke.

posted by Emeritus on Mar 05, 2014 at 09:47:06 am     #   1 person liked this

Well" moxie", some of us have predisposed medical situations. Certain folks do need meds. , im not saying do away with all meds. But America as a whole is very over medicated, from the toddlers to the silver heads . From the flu shots, to the over precribed antibiotics. Also, when i say genetics, i know plenty of people who smoked, drank like a fish, ate horribly, and still managed to live in there 80's-90's . George Burns??? Then you have people dying from 3rd hand smoke.

posted by Emeritus on Mar 05, 2014 at 09:58:57 am     #  

Well" moxie", some of us have predisposed medical situations. Certain folks do need meds. , im not saying do away with all meds. But America as a whole is very over medicated, from the toddlers to the silver heads . From the flu shots, to the over precribed antibiotics. Also, when i say genetics, i know plenty of people who smoked, drank like a fish, ate horribly, and still managed to live in there 80's-90's . George Burns??? Then you have people dying from 3rd hand smoke.

posted by Emeritus on Mar 05, 2014 at 09:59:10 am     #  

Sorry about the repetitve posts, i just woke up and havent taken my "pills" yet.

posted by Emeritus on Mar 05, 2014 at 10:01:14 am     #   1 person liked this

I read Opioid Redux and found it to be nothing more than a propaganda piece aimed at denying pain medication to anyone who needs it, denial being within the purview of the attending physician. And boy, these doctors love their authority to withhold treatment.

The trouble with your attitude Wydowmaker is that you're in favor of withholding treatment on the suspicion that the patient doesn't really need to be treated. The patient can just suffer quietly and change their lifestyle, because suffering builds character and pain meds are bad for you.

posted by madjack on Mar 05, 2014 at 10:53:30 am     #  

I have Reflex Sympathetic Dystrophy, and have had over 30 surgeries to get me walking again...I had an injury that caused my patella to go medially and laterally to my ankle, rupture the quadriceps, the patella tendon, tore the fascia, and meniscus. I have septic arthritis. I have had osteomyelitis, staph infections, and a septic infection. I was put on many different medications, morphine being the heaviest painkiller, I even had a spinal cord stimulator with a morphine pump installed in my back.
Eventually, I realized that the pain killers were not working for my pain, all I was doing was getting HIGH, and numbing myself. I nodded out while driving, nodded out reading to my son's 2nd grade class, etc. I was a medically supervised junkie. Every month, I went to a world renowned hospitals pain treatment center, and filled my 13 prescriptions. I also became less and less myself.
I took myself off the pills, went cold turkey, against medical advice, and have never touched another pill again. It was hell, the withdrawal, and my pain was always present, but no more so, than when I was on the pills.
I think if people are in pain, they must do whatever they need to, to get relief. I also believe that there are a lot of doctors out there, that overprescribe medications because there are incentives, to doing so. BIG PHARMA has ensured that unethical doctors make a lot of money overprescribing. Then you have those patients/customers that become dependent/addicted. But don't worry, they have methadone/suboxin for those people.
I use marijuana, and I bake with it, and nibble on a cookie. I do not do any pills, but if you need pills, take them. I don't think people should suffer with pain, in this day and age. I just think that BIG PHARMA is for profit, and addicts are profitable. I took myself out of that, and use a more natural remedy to help with my ability to live with RSD. Good luck and God bless anyone suffering with pain.

posted by newintown on Mar 05, 2014 at 12:43:04 pm     #   1 person liked this

When I was a kid, there was an old man with a beautiful voice in our church's choir. He was so crippled up with arthritis that he only sang about 1/2 the time--other times he couldn't make it up the 4 steps or so to the choir pit.

I remember my mom being agog at seeing his daily pill regimen one time at a potluck at their house--some unbelievable amount of aspirin or Tylenol (this was the 80s before all the advertised superdrugs). Enough to kill 3 horses and thin his blood to just about water.

But he got up as much as he could and sang as much as he could until the day he died.

I don't think his pain was ever managed. I think the only drug that worked was his attitude towards it. He could have been doped out of his mind on modern miracle pills, but that wasn't his option. How many addicts are created because the drugs are easier than the pain? Doctors want to help, but it seems as though pain is something that has to be dealt with psychologically as well. A pill is a lot easier than psychological adjustment to a failing body, so the candy store remains open.

posted by oldhometown on Mar 05, 2014 at 10:36:43 pm     #  

holland posted at 07:58:54 PM on Mar 04, 2014:

So, I take it my chronic radiculopathy from a herniated lumbar disk, 5 years now, after surgery and physical therapy, maintaining a normal weight, and regular exercise is something you would believe is not to be treated? Thanks for that. Actually I would wish it on you. You and your whatever it is reduction program are a heartless bunch.

From the "If I can't use the drugs I want then FU" update desk.

These people also vote to lock people with 100 dollars worth of a natural plant into jail for 3-5 years for their own "safety" as they wish to "save them".

posted by dbw8906 on Mar 06, 2014 at 01:56:41 pm     #  

I was in a car accident when I was 16 that jacked up the vertebrae in my upper back and neck, I'm on my feet 8-10 hours a day working in sometimes caustic industrial environments, I've did this same kind of work ALL MY LIFE. Guess what... my back really FUCKING hurts some days.

About 7 years ago when this started I dropped the 20 pounds I had since college, started doing yoga with the Mrs, and started seeing the Chiropractor once a week. I spend about 150 bucks a month in chiropractic care and guess what MY BACK STILL FUCKING HURTS, but to a point where it's manageable. Folks it's called being old.

I've had to fire guys off my crews because they come to work "legally stoned" on pain meds. I can't have you running industrial equipment jacked out of your mind. If you think for one second EVERYONE DOESN'T KNOW then you wrong, walking around with a half dazed look in your glazed over eyes because your "back hurts" is not being a productive employee no matter where you work. I can't tell my boss "Hold on buddy I've got to slam 2 shot of Jack so my middle toe stop hurting". Your a addict, just admit it.

I would rather be "old" and deal with my pain then be an addict.

No I'm not talking about people with debilitating issues, I'm talking about the ones who would rather become opium addicts than deal with the natural progression of life. 99% of the time I've found that people with back/knee/hip pain dejour are VERY overweight and put undue stress on their bodies, WM is correct.

posted by dbw8906 on Mar 06, 2014 at 02:11:31 pm     #   1 person liked this