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It is more medicine than could possibly have been consumed for legitimate medical reasons, and the drug wholesalers knew it. Companies such as McKesson Corp., Cardinal Health and AmerisourceBergen Drug Co. understood full well they were flooding the Mountain State with poison, but they hid behind the fact they were part of a three-headed monster that included unethical doctors and pain clinics willing to write bogus prescriptions, and pharmacists who turned a blind eye to cash in on the epidemic. But here is the thing: The DEA knew it, too. While the West Virginia Board of Pharmacy is being criticized for having no enforcement mechanism in place against pharmacies or wholesalers that have racked up huge numbers of suspicious orders, the federal agency assigned to just such enforcement was doing little more than writing up reports and issuing warnings. In fact, the DEA has been, over the past two decades, consistently increasing the number of pills it approved for production and sale in the United States. According to John Temple, a professor at West Virginia University, the DEA let pharmaceutical companies produce 3,520 kilograms of oxycodone in 1993; in 2015, it approved production of 137,500 kilograms. Increases were also allowed for hydrocodone, morphine, hydromorphine and, yes, even fentanyl. It starts from the top, then. The DEA, the Board of Pharmacy, the wholesalers, unethical doctors and clinics, and greedy pharmacists are all implicated, either through inaction or intent to rake in large amounts of money.
For the original version including any supplementary images or video, visit http://www.theintermountain.com/opinion/editorials/2016/12/change-starts-from-the-top/
She created an online survey that was distributed to 100 certified recreational divers. Those who were under 18-years-old, ill or taking decongestant medication were excluded. Her goal was to identify the dental symptoms that divers experience and detect trends in how or when they occur. Of the 41 participants who reported dental symptoms, 42 percent experienced barodontalgia, 24 percent described pain from holding the air regulator in their mouths too tightly and 22 percent reported jaw pain. Another five percent noted that their crowns were loosened during their dive, and one person reported a broken dental filling. “The potential for damage is high during scuba diving,” says Ranna, who has completed 60 dives. “The dry air and awkward position of the jaw while clenching down on the regulator is an interesting mix. An unhealthy tooth underwater would be much more obvious than on the surface. One hundred feet underwater is the last place you want to be with a fractured tooth.” The study also found that pain was most commonly reported in the molars and that dive instructors, who require the highest level of certification, experienced dental symptoms most frequently. This frequency is likely attributed to more time spent at shallower depths where the pressure fluctuations are the greatest, says Ranna. The Professional Association of Diving Instructors has issued more than 24 million certifications around the world.
For the original version including any supplementary images or video, visit https://www.sciencedaily.com/releases/2016/12/161222130403.htm