re: No message

Also just to say one thing about something you’ve mentioned a few times a the issue of cross-tolerance and cocaine that have not really addressed. Cocaine is such a categorically unique stimulant in pretty much all ways that the body and brain don’t really have the time nor ability to identify it as something that would typically build tolerance in a medicine. The actual pharmacology behind it is rather complicated but cocaine triggers unique certain parts of the brain in ways other stimulants don’t, it crosses through the blood brain barrier so fast it basically destroys it, and then it’s filtered out almost immediately with no staying power. So beyond the flooding of dopamine, cocaine does other things and just moves too fast. It’s a unicorn in the stimulant family that is chock full of fast acting quickly filtered medicines in general.

I have mixed opinions regarding this. As I said addiction has largely been laid at the field of psychiatry to essentially solve, so even though I don’t see patients whose major diagnosis is just addiction, I still get them either inherited, from docs currently on vacation, or just as a secondary condition in my new patients. For this reason I have a suboxone number and pharmacies will fill it if I write it. I make every attempt to take ever individual case as it’s on however, and I just cannot find it the proper course typically. My solution is usually taper new patients, if filling in for someone just write it for them and be done with it, or refer to someone like the above mentioned private practices who might be a better fit.

Yea sounds like you do a good job as far as it goes. I think tapering off of it is a good idea and that is easier to do than if they were buying something on the street. And yea addiction is such a difficult and complex problem, sounds like you’re doing the best you can though.

I said the government pays 500 per month per child until 18 for a , and I wasn't saying or judging moms and dads that give it to kids who need it. I'm saying a lot of docs will write scripts because parents say kid is hyperactive. I think psychologist or should help make that decision.

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just wonder what happened in the last 50 years to make it so noticeable.

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Vaccines