Do People Just Not Want To Work Anymore?

[pulmonarymd]

Nov 17, 2021 19:56:00 GMT -5 Opti said:

Nov 17, 2021 19:34:24 GMT -5 NomoreDramaQ1015 said:

Cause after a point it isn't about being high you need it just to function. Your body adjusts it's homeostasis and freaks out if you aren't using.

Caffeine is an excellent socially acceptable example of this. You actually can't function without that coffee because your body has adjusted it's own performance to compensate. That's why you are a miserable human being without it.

And that's why it is not so simple as ordering someone to just not do it. That's why someone else dying doesn't matter.

The neuroscience on addiction is fascinating and has really changed my worldview on the subject.

Any idea at what level of coffee drinking that is? I have never had even a cup of coffee every day of the week. 

These studies have a really wide range of cups/day. Most are saying multiple cups a day are protective

[jerseygirl]

Two large cups in the morning before I’m capable

I didn’t drink coffee prior to graduate school. Did my research in the medical school in the surgery department . There the Mr Coffee was running constantly but people were putting their cups under as it perked so the pot never filled.

[finnime]

I've known several functioning alcoholics including in my family, and most people I know and love have a coffee habit. I don't know any opioid or other recreational drug addicts. I don't know where people with that predilection get the funding.

[Deleted]

Nov 17, 2021 19:56:00 GMT -5 Opti said:

Any idea at what level of coffee drinking that is? I have never had even a cup of coffee every day of the week. 

I'm sure it varies with body chemistry. My late husband and I, for example, both took opioids only on extreme occasions (him for back pain, me for the occasional dental crisis) and neither of us continued them for more than a day. we didn't like the side effects and had no withdrawal symptoms. I've got about 50 of them stashed somewhere.

Coffee- I make a 6-cup carafe every morning and that's my limit. I occasionally have a diet cola during the day and no other caffeine. Last week I had an afternoon echocardiogram and had to avoid caffeine- by the time I got there for the test I had a mild withdrawal headache.  For me it may be a mental rather than physical habit- I was sort of OK drinking peach tea that morning because it was still a nice, hot drink.

[Miss Tequila]

Nov 18, 2021 4:36:06 GMT -5 finnime said:

I've known several functioning alcoholics including in my family, and most people I know and love have a coffee habit. I don't know any opioid or other recreational drug addicts. I don't know where people with that predilection get the funding.

Based on my experience, they steal it. My one cousin just got out of prison (for the second time) a few months ago. My aunt was taking him to visit everyone. I told her not to bring him to my house. Last thing I want is a heroin addict knowing where I live.

[Miss Tequila]

Nov 17, 2021 19:52:43 GMT -5 pulmonarymd said:

Nov 17, 2021 19:30:47 GMT -5 nidena said:

The high outweighs the fear for the ones who are addicted and there's always more getting addicted each day.

Thank you to many doctors who didn't know about painkillers.

That’s not entirely true. Many factors went into the crisis. There is an excellent series on Hulu called dopesivk that shows how this came about

I’ve heard this recommended several times so I started watching it last night. I’m only on episode 3 and am already horrified.

I do think it explains people that became addicted from ‘96 until mid 2000’s, when it became known that Oxy was addicting. That is the time frame that my one cousin got addicted (he has OD several times but he managed to survive each one).

I can’t blame pharmaceutical companies for the people getting addicted now.

[nidena]

Nov 17, 2021 20:00:34 GMT -5 wvugurl26 said:

<snip>

ETA: the story I've heard from the law enforcement side of my agency is its super cheap and enables them to stretch the cocaine/heroin further.

Sounds like the same reason that food makers used for putting High Fructose Corn Syrup in everything: cheap and allows them to use less but still have peak sweetness.

[nidena]

Being allergic to many meds, I was prescribed Hydrocodone for cramps.  I would take it once a month, on the worst day, but I could see how those meds are addictive: They make everything soft and fuzzy until they wear off.

[jerseygirl]

Also during that time the pain scale (0-10) rating was required along with HR BP etc. and ratings were online for individual doctors and hospitals
Emphasized treating pain , if people didn’t get pain meds they gave poor ratings.,There were consequences for poor ratings so some gave out med prescription too freely
Daughter is ER nurse during that time in Newark NJ intercity hospital. Lots of drug seeking

[pulmonarymd]

Nov 18, 2021 9:06:44 GMT -5 Miss Tequila said:

Nov 17, 2021 19:52:43 GMT -5 pulmonarymd said:

That’s not entirely true. Many factors went into the crisis. There is an excellent series on Hulu called dopesivk that shows how this came about

I’ve heard this recommended several times so I started watching it last night. I’m only on episode 3 and am already horrified.

I do think it explains people that became addicted from ‘96 until mid 2000’s, when it became known that Oxy was addicting. That is the time frame that my one cousin got addicted (he has OD several times but he managed to survive each one).

I can’t blame pharmaceutical companies for the people getting addicted now.

The show is horrifying. Purdue knew exactly what it was doing and took advantage of the situation. Unless you were a physician during the time, it is difficult to imagine how it could happen

I started my career when we tried to minimize narcotic use. Ideas changed, pain physicians and patient activists, aided by companies like Purdue, changed the conversation, leading to labeling of pain as the “fifth” viral sign, and saying we were underutilizing narcotics, and doing our patients a disservice by not treating their pain aggressively. Patient satisfaction surveys asked if your pain was adequately treated when you were hospitalized, and given to all patients, even addicts. These surveys were made public, and reimbursement was tied to the results. This question was on the survey long after the Purdue information came to light, and after physicians were being blamed for the opiate crisis.

Prescriptions of opiates began to decline, so those who were addicted went looking for other suppliers. This coincided with the increasing availability of illegal fentanyl. Fentanyl can lead to faster addiction and a higher risk of overdose.

As I said, the issue is complicated. Many factions were responsible, and aided by an irresponsible corporation. Which is where we are today

[gs11rmb]

Nov 17, 2021 19:22:56 GMT -5 @pinkcshmere said:

Nov 17, 2021 18:49:50 GMT -5 pulmonarymd said:

Better high

But it still doesn’t make sense from a business standpoint to me, with what little I know about it.

If you lace your drugs with fentanyl and your customers die, first of all, there goes your repeat customers. Since they’re dead, they won’t buy anything else from you. And why would your other living customers not be wary because all your other customers are dying, and find a different plug?

I wondered about that on a different thread.  raeoflyte linked to an article that said it's often added in too high a dose accidentally or through cross-contamination.

[gs11rmb]

Nov 18, 2021 9:13:10 GMT -5 nidena said:

Being allergic to many meds, I was prescribed Hydrocodone for cramps.  I would take it once a month, on the worst day, but I could see how those meds are addictive: They make everything soft and fuzzy until they wear off.

The only effect I've ever had from hydrocodone (or any opiod) is the pain stops.  I've taken them for a few days after a c-section and dental surgery.

I realize how fortunate I am because the drugs don't make me feel sick or high.

[nidena]

This is one way to react to a reduced workforce: CVS to close 900 stores (out of 9,900) in the next three years.

[NomoreDramaQ1015]

Nov 18, 2021 19:16:13 GMT -5 nidena said:

This is one way to react to a reduced workforce: CVS to close 900 stores (out of 9,900) in the next three years.

We have one and there is hardly anyone in the parking lot. We already had three Walgreens plus the supermarket pharmacies.

I guess no one was impressed with CVS.

So I'm not shocked.

[minnesotapaintlady]

I don't think I've ever seen a CVS store.  I just thought they were all in Target.

[CCL]

Nov 18, 2021 23:54:01 GMT -5 minnesotapaintlady said:

I don't think I've ever seen a CVS store.  I just thought they were all in Target.

LOL. They are all over around here. I was looking to see where they are doing Covid testing and 11 CVS pharmacies and 6 or 7 Walgreens within about 5 miles came up, although they aren't all administering tests.

[TheOtherMe]

Only one here is in Target.

[NoNamePerson]

Nov 18, 2021 19:41:00 GMT -5 NomoreDramaQ1015 said:

Nov 18, 2021 19:16:13 GMT -5 nidena said:

This is one way to react to a reduced workforce: CVS to close 900 stores (out of 9,900) in the next three years.

We have one and there is hardly anyone in the parking lot. We already had three Walgreens plus the supermarket pharmacies.

I guess no one was impressed with CVS.

So I'm not shocked.

We had one close in a small strip and build a huge big store directly across the street on a busy intersection. I pass it pretty regularly and I usually see one or two cars in parking lot - figure it is employees?? I don't even know if it is still open. They and all the other chain drugstores are all over this city. Running joke here is 4 corners/intersection = gas station, drug store, fast food chain, bank of who knows from where!!! We've had small banks popping up all over the place. I figure mafia branches  

[buystoys]

There's a CVS here but it's almost impossible to make a left turn into it from the north bound lane.  It's right on the corner of a very busy four lane intersection.  I wonder if it's on the "close" list?

[NoNamePerson]

Nov 19, 2021 9:09:04 GMT -5 buystoys said:

There's a CVS here but it's almost impossible to make a left turn into it from the north bound lane.  It's right on the corner of a very busy four lane intersection.  I wonder if it's on the "close" list?

The one I referenced I use periodically just to cut thru the parking lot to avoid the busy intersection!! It has two entrances from two streets    I'm headed out today and will have to pass it again - think I'll cut thru lot and see if closed sign on door!!

[teen persuasion]

Nov 18, 2021 23:54:01 GMT -5 minnesotapaintlady said:

I don't think I've ever seen a CVS store.  I just thought they were all in Target.

They used to be common here, but a while ago Rite Aid bought them up locally.  Then they had way too many locations, and closed a bunch.  Now Walgreens seems to have bought the Rite Aids!

But when we were searching for Pfizer vaccines for the boys in April, CVS had them - we had to drive nearly an hour, two counties away to the nearest CVS.

[minnesotapaintlady]

Nov 19, 2021 10:11:32 GMT -5 teen persuasion said:

Nov 18, 2021 23:54:01 GMT -5 minnesotapaintlady said:

I don't think I've ever seen a CVS store.  I just thought they were all in Target.

They used to be common here, but a while ago Rite Aid bought them up locally.  Then they had way too many locations, and closed a bunch.  Now Walgreens seems to have bought the Rite Aids!

But when we were searching for Pfizer vaccines for the boys in April, CVS had them - we had to drive nearly an hour, two counties away to the nearest CVS.

I got curious and did a search and the nearest CVS not in a target is 85 miles from me.  Our town does have a Walgreens but I don't know how they stay in business, the parking lot is always empty.  I know I would never miss it.

The vast majority of the vaccinations in my county are done at vaccine clinics not pharmacies.  The park rec and several of the schools hold them weekly as well as the regular medical clinic attached to the hospital (although, that one is by far the most unorganized and takes the longest).  The park rec runs it like a cattle operation and are so fast.  I can easily register for a same day appointment online, drive down there get right in and be back to my desk in 30 minutes including the 15 minute wait time.

[NomoreDramaQ1015]

Nov 19, 2021 10:11:32 GMT -5 teen persuasion said:

Nov 18, 2021 23:54:01 GMT -5 minnesotapaintlady said:

I don't think I've ever seen a CVS store.  I just thought they were all in Target.

They used to be common here, but a while ago Rite Aid bought them up locally.  Then they had way too many locations, and closed a bunch.  Now Walgreens seems to have bought the Rite Aids!

But when we were searching for Pfizer vaccines for the boys in April, CVS had them - we had to drive nearly an hour, two counties away to the nearest CVS.

The stand alone CVS have been good for appointments for testing but horrid for shot availability.   The CVS in Target is the one offering kids vaccines so I signed up through them.   Walgreens is God awful for testing and not much better for shots.


The grocery store pharmacies and Walmart believe it or not have been the best about getting adults their shots.

[Lizard Queen]

Nov 19, 2021 9:24:55 GMT -5 NoNamePerson said:

Nov 19, 2021 9:09:04 GMT -5 buystoys said:

There's a CVS here but it's almost impossible to make a left turn into it from the north bound lane.  It's right on the corner of a very busy four lane intersection.  I wonder if it's on the "close" list?

The one I referenced I use periodically just to cut thru the parking lot to avoid the busy intersection!! It has two entrances from two streets    I'm headed out today and will have to pass it again - think I'll cut thru lot and see if closed sign on door!!

You know you can get a ticket for doing that, right?

[Miss Tequila]

CVS is about 4 minutes from my house and always super busy. We have a Walgreens about 10 minutes away but Thor parking lot is a pain to get in and out of. I hope my CVS isn’t on the chopping block

[NoNamePerson]

Nov 19, 2021 10:43:52 GMT -5 Lizard Queen said:

Nov 19, 2021 9:24:55 GMT -5 NoNamePerson said:

The one I referenced I use periodically just to cut thru the parking lot to avoid the busy intersection!! It has two entrances from two streets    I'm headed out today and will have to pass it again - think I'll cut thru lot and see if closed sign on door!!

You know you can get a ticket for doing that, right?

Yes but any cops on that corner are busy trying to keep the traffic from backing up into the intersection be cause of Starbucks, McDonalds, and gas station. Hell of a intersection. I’m actually helping by cutting thru lot. 

[nidena]

Nov 18, 2021 23:54:01 GMT -5 minnesotapaintlady said:

I don't think I've ever seen a CVS store.  I just thought they were all in Target.

Indianapolis has a distribution center so there are many CVS here and usually not far from Walgreens.  We have no Rite Aids though.  The nearest Rite Aid is over in Ohio.

[pulmonarymd]

Walgreens bought Rite-Aide

[Cookies Galore]

We have a lot of CVS stores around here, and I have many stores to choose from in just a 5 mile radius. I don't shop there for medical needs because they're so expensive, but their sheet masks collection is fantastic so I stock up on my favorites. CVS used to have a really large K-beauty section, so I'm bummed about that, but at least they still sell my favorite masks!
I get my flu shot at the Target CVS so I can get the $5 Target coupon, and I got my COVID booster at a standalone CVS and got another $5 coupon.

[nidena]

Jobless claims lowest since 1969


"Along with the drop in weekly claims, continuing claims, which run a week behind, fell by 60,000 to 2.05 million, a fresh pandemic-era low and a strong sign that the labor market is getting notably tighter."

Can't say nobody wants to work any more.