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I'm your insurance company's pharmacy benefit manager. This medicine isn't covered because it's not profitable for me. Hope you feel better. Translation: I am the pharmacy benefit manager for your insurance company. This medication is not covered because it is not financially beneficial for me. I hope you feel better.

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We have enough equipment and medication in the NHS to ensure a comfortable death. The supply chains for medications like midazolam and morphine are closely monitored to prevent shortages. Prescribing morphine per patient is being reviewed to reduce wastage. The clinical team is constantly discussing ways to optimize the supply of key medicines.

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According to a government website, prescription drugs are the third leading cause of death in America, after heart disease and cancer. Shockingly, around half of those who died had taken their medications correctly, following doctors' instructions. This means that even when people followed medical advice, they still ended up dying. Errors such as incorrect dosages or improper use of medications contributed to these deaths. It is concerning that prescription drugs, meant to help, can have such fatal consequences. This information is directly from a .gov website, and it is important to acknowledge these facts.

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I am literally telling you that they're murdering these people, and nobody will listen to me. These people aren't dying from COVID. They don't care what is happening to these people. They don't. I'm literally coming here every day and watching them kill them. It's like going in the fucking twilight zone. Like, everyone here is okay with this. The only way I can kind of put this into context for everybody is an extreme example: He's like, if we were in Nazi Germany and they were taking the Jews to go put them in a gas chamber, I'm the one like, they're saying, hey. This is not good. This is bad. We should not be doing this. And then everyone tells me, hang in there. You're doing a great job. You can't save everybody. But these people aren't dying from COVID. Let me give you several examples here. An anesthesiologist intubated the patient’s right bronchus and of a patient, and they couldn't get the stats up. For about five hours, we were waiting on a chest x-ray to confirm that the placement was wrong. In the meantime, while we're waiting for that, and we've told the anesthesiologist that it was placed wrong because, like, literally only one side of his fucking chest is inflating, he dies. A patient had a heart rate of 40, and the resident starts doing chest compressions on him, which is not what you do. You just externally pace them or you give him some atropine. Then I run in there to stop him from doing chest compressions on somebody with the fucking pulse. And then he decides to push epi. He throws some pads on him to defibrillate the guy in bradycardia. Okay? He has a heart rate of 40 and a stable, you know, bradycardic rhythm. We just need to give him, like, somatropine and pace him. He fucking defibrillates him and kills him. I ran out of the patient’s room to get the director of nursing who was standing out there. And I’m like, can you stop him? He’s going to kill that patient. He’s going to kill that patient if he defibrillates him with bradycardia and a heart rate of 40. The director of nursing just shook his head, and I turned around, and he killed the dude. There was a nurse who placed an NG tube into some guy’s lungs and filled his lungs with tube feeding. There was a nurse who confused a long-acting insulin with a short-acting insulin and gave thirty units of a fast-acting insulin and killed the guy. It’s just here they’re just gonna let them rot on the vent. They’re medically mismanaging these patients. And, like, I’m not a doctor, but there’s basic standards of care. When somebody’s low on blood, literally on the brink of a critical low blood level, we should replace the blood. I asked the residents, and they’re like, does he have internal bleeding? And I said, no. Then they’re like, well, we’re not replacing the blood. In these COVID patients, they all eventually need a blood transfusion. Their blood—if you don’t have enough blood to oxygenate your body, the vent settings don’t fucking matter because you have no oxygen carrying capacity of your blood. We have a nurse who fell asleep at the nurses’ station while we were all in rooms, and her norepinephrine ran out. And the guy had no fucking blood pressure and didn’t perfuse his brain, and I’m pretty sure his brain dead. That same nurse is now running a CRRT machine, a dialysis-like machine, that she has never done before. She said she’ll figure it out. I’m pretty fucking smart, and I figure a lot of shit out, but I would never attempt to try and figure out a CRRT machine on the fly. We are adequately staffed. There’s a shit ton of staff in there, like, and we have a nurse who does CRRT in there. She has a different patient load. We told them, swap these nurses so the one that knows how to work this machine can work this machine, but they didn’t wanna do that. So I’m pretty sure that patient will be dead here in a couple hours. Nobody is listening. They don’t care what is happening to these people. They don’t. I’m literally coming here every day and watching them kill them. I mean, we’re not gonna save everybody. That’s fine. Like, come on, guys. We’re not God. Some of these people are just on sedation to keep them on the vents. Nothing else. I have a lady on a tracheostomy on a vent, and she’s not even fucking cognizant. She’s not even on sedation. You know what we give her every day? I give her breathing treatments, albuterol, and she gets insulin. And that’s it. We’re not treating the COVID, guys. For real, we’re not treating the COVID. You know, every day, we try and get these guys off the vents. Right? Because there’s criteria for weaning. Every day, the day shift nurse will wean them down to minimum sedation. Every night, we come in and we get the same two residents and they fucking max out all the sedation again and undo all the work from the day shift. Then the day shift attending will come in, and they’ll all do rounds. And they’ll be like, he wasn’t synchronizing with the vent. So we had to turn all the sedation on. And I’m like, he wasn’t synchronizing with the vent because it’s in the wrong vent mode. I even tried getting a hold of Black advocacy groups here. They just put me on hold or hang up on me. Tried talking to management. Now I got new units. And someone come up with some type of a solution for me because I’m kind of out of ideas. You know, I try and talk with some of the other nurses here, and they’re like, well, you can’t save everybody. And they all know what’s happening. They all agree with me and they all just shake their heads and I’m like, am I the only one who is not a sociopath to think that this is okay? I mean, guys, they literally don’t even know when they’re dead. Like, how many times have I told you they’ve assigned me a dead person? Like, how long have they been dead? Nobody knows. Like, how is anybody assessing anything without a stethoscope? Normally, we have disposable stethoscopes, but I brought my old chunky one. Nobody has listened to anybody’s lungs as long as I’ve been here. Even with disposable stethoscopes. I keep telling them that, you know, the guys are like, my patient’s going acidosis. We need to do something about this before his kidneys shut down. Then they run five liters of bicarb into a person who’s gained 20 pounds of water weight and completely throw him into heart failure, and he dies several hours later. That was one of my patients. So I let them know. They had me start the bicarb before I left one night. And by the time I came back the next shift, he was dead. And they assigned him to me, and he was already in a body bag. Like, guys, they’re not dying of COVID. I am literally telling you that they’re murdering these people, and nobody will listen to me. My lead at the other hospital warned me I’d have a problem and advocate for the patients too. They moved him to a completely different hospital. I tried reaching out, but he hasn’t texted me. I’m going to the unit. Let’s see how they kill him there. Okay? Stay safe. Stay out of NYC for your health care.

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From March 2020 to March 2024, 941 people in the military community were administered remdesivir. Of those, 601 died, representing a death rate of 64%. The speaker questions whether remdesivir directly caused the deaths, or if other factors were involved. They also question whether the Department of Defense has been forthcoming with information about this.

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It's 2025, and insurance issues are worsening. During a surgery, I received a call from UnitedHealthcare demanding information about a patient who was currently under anesthesia for breast cancer surgery. They insisted I provide her diagnosis and justify her inpatient stay. I explained that she was asleep and needed to stay overnight, and I had already secured approval for the surgery. The representative admitted he wasn't familiar with her case and that I needed to speak to another department. This situation highlights the chaos and frustration surrounding insurance processes. It's simply out of control.

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Dr. Josef Duhring and Dr. Yosef (Doctor Yosef Duhring) discuss antidepressants and SSRIs, outlining perceived risks, data limitations, and long-term concerns, followed by practical guidance on tapering and contact information for a tapering clinic. Key side effects and risks cited - Common side effects: gastrointestinal issues (nausea, vomiting, diarrhea), changes in sleep (insomnia or drowsiness), headaches, nervousness, restlessness, dry mouth, sweating, tremors, sexual dysfunction, decreased libido, difficulty reaching orgasm, erectile dysfunction, appetite and weight changes (gain or loss). - Other reported effects: emotional blunting, feeling less like yourself, dizziness, balance issues (especially early in treatment), increased sweating, abnormal dreams. - Serious but rarer risks: suicidal thoughts or behaviors, particularly under age 25; serotonin syndrome (described as rare); heart rhythm changes at high doses with some SSRIs. - Behavioral effects: mania, psychosis, irritability, aggression; rare but potentially misdiagnosed as bipolar disorder; in some cases leading to escalation to lithium or antipsychotics. - Sleep and long-term effects: SSRI use diminishing sleep quality (less REM and deep sleep), resulting in fatigue and brain fog in long-term users. - Long-term data gaps: “there has never been a randomized control study that looked at them for over a year,” and “seventy percent of antidepressant users are on these drugs for two years or more.” Claims that there is no long-term data on sustained efficacy or safety beyond eight to twelve weeks. Efficacy and data concerns - Most drugs reach market based on eight-week studies; there is a reported two-point difference on a 52-point depression scale between the drug and placebo, which is described as clinically very low. - Outcomes most meaningful to patients (employment, relationships, life meaning) are not directly measured in standard trials, which focus on scale-based movement. - The claim is made that long-term efficacy remains unproven and that the long-term data are unavailable. Observations about prescription patterns and systemic factors - Online “pill mill” platforms allegedly enable easy access to SSRIs (Lexapro), sometimes without video chats, via online questionnaires, with rapid mail delivery. - The dose of prescription and patient interactions are affected by time constraints and economic incentives in healthcare delivery, leading to faster checklists and medication-based treatments rather than in-depth discussions of life context, relationships, or non-drug approaches. - An “unholy alliance” between the pharmaceutical industry and academic medicine is described: investigators may pursue drug trials for career advancement and publications funded by drug companies, potentially biasing conclusions in favor of medications. - The FDA’s stance is portrayed as influenced by this environment, with concerns about regulatory capture and inadequate critical evaluation of risks, including suicide risk data and withdrawal issues. Key long-term and withdrawal considerations - Long-term withdrawal: physicians are described as telling patients that antidepressant withdrawal is mild and resolves in two weeks, but tapering often requires one to two years to avoid withdrawal symptoms; many are tapered too quickly, leading to relapse or withdrawal challenges. - Tapers and recovery: the clinician reports patients improving emotionally during tapering, sometimes even before complete discontinuation; success depends on broader life health improvements (physical health, relationships, purpose) and careful, gradual reduction. Three major concerns observed with antidepressants (as described by Dr. Yosef) - They don’t work for many patients in the long term; diminished efficacy over time due to emotional blunting and neurochemical adaptation. - Behavioral and cognitive changes: potential for mania, psychosis, irritability, and misdiagnosis as bipolar disorder; risk of “drug-induced” psychiatric symptoms. - Toxicity and sleep: long-term blunting reduces emotional responsiveness; chronic sleep disruption and brain fog; long-term toxicity may underlie persistent symptoms after prolonged use. Clinical implications and guidance offered - For those considering antidepressants, emotions matter and should be explored beyond a chemical-imbalance narrative; discuss physical health, relationships, purpose, substances, and non-drug approaches (therapy, lifestyle changes) before relying on medication. - For those already on SSRIs, a careful, patient-guided taper is advised: slowly reduce dosages, use approaches such as liquid tapering to control precise reductions, and listen to one’s body to avoid withdrawal; a two-year taper may be necessary for many patients. - Coming off antidepressants can reveal or restore aspects of life and personality; benefits may appear during tapering as engagement and motivation return, but life circumstances must be addressed in parallel to avoid relapse. Contact information - Tapering clinic website: taperclinic.com (for patients in the U.S.; clinic claims to operate in about 15–16 states, covering roughly 70% of the population). - YouTube channel for further resources: Doctor Yosef (German version) with a free drug tapering training (about five hours) and guidance for working with a doctor. Speaker names - Dr. Yosef Duhring (referred to as Doctor Josef Duhring in the discussion) and Dr. Yosef (the same speaker) are cited; their experiences include FDA and industry roles and a tapering clinic specializing in antidepressant withdrawal and discontinuation.

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Due to drug shortages listed by the FDA, compounding pharmacies can create their own versions of drugs. These compounded versions are not FDA approved or reviewed. Because these pharmacies are regulated at the state level, there is no data available for how many people are taking compounded GLP-1s. This confusing environment makes it easier to take advantage of people. A researcher ordered compounded semaglutide from shady online sellers to investigate.

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Speaker 0 describes being twenty-one months into the protocol and nearing completion. They’ve finished all frequent IV chemo and now only go in once a month for treatment, with oral daily chemo at home, resulting in much less treatment than a few months earlier. Speaker 1 asks if the alternative treatments, in addition to traditional treatment, are helping the child handle side effects. Speaker 0 confirms: “So much better. Okay. So much better.” They note a test result when doctors questioned why the child didn’t seem sicker or look worse; they backed off on some treatments to observe, and within less than a week the child experienced nausea, headaches, bone pain, and other common symptoms. They showed doctors this pattern, demonstrating that when they are not using supplements and daily support, the child becomes sick quickly. They say doctors were skeptical of their approach. Tensions rose around February after they presented a meta-analysis suggesting that some chemo is no longer shown to be helpful and may be more harmful due to toxicity. That, they say, was the last straw. They recount that doctors began to push harder and claimed they would refer to Child Protective Services (CPS) if the child did not look sicker soon. Doctors started testing at every visit for the presence of the oral chemo in the child’s blood, and it’s consistently present because it is given daily. They hired a nurse privately to come to their home at bedtime to administer the meds, and they record the process with video of the child eating the meds; the nurse signs an electronic log verifying administration. When conflicts intensified about a month ago, they had an attorney, who sent a certified letter to the clinic with evidence: the nurse’s documentation, lab results showing the drug in the blood, and observed side effects that were minimal and manageable. They point out there are other variables affecting the child’s ANC; they have twenty-one months of records showing the child’s ANC was sometimes higher even when there were no home meds. They claim the medication is metabolized faster when the child drinks milk. They mention living on an organic farm with their own cows, and that the child drinks milk. They note that taking vitamin D can affect ANC. Speaker 1 remarks on the extraordinary situation: instead of learning what is enabling the child to have fewer side effects, the state is threatening to remove the child. They ask if someone reported them and how they protected the child. Speaker 0 explains that they were told during a September visit that if the child’s ANC wasn’t below 1,500 by the October 17 visit, they would refer to CPS for suspected medication noncompliance, which would be considered neglect. Speaker 1 reiterates the surprise at labeling medication noncompliance and the state deciding what the child should receive, calling it utterly ridiculous.

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A person asks a pharmacy employee for the Moderna vaccine safety studies and placebo safety studies. The employee provides the manufacturer's package insert, stating the patient version is truncated, but the full information is inside. The person questions how informed consent is possible if all safety studies aren't listed. The employee agrees, stating they should not be giving the vaccines at all, but are told to. The employee claims everything they have seen, including patients they have given it to, indicates it is safe. When asked about the studies supporting the claim of safety and effectiveness, the employee says they cannot answer.

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A nurse practitioner in pain management reports that insurance denied their request to start a patient on tramadol for chronic pain. The denial stated that the insurance company believed the patient should be tried on fentanyl first. The nurse practitioner expresses surprise, stating they have never seen a preference for fentanyl over tramadol.

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Patients are being harmed due to severe medical mismanagement. Despite witnessing numerous instances of negligence, no one seems to care. Examples include incorrect intubations, inappropriate defibrillation of bradycardic patients, and failure to administer necessary blood transfusions. Nurses are overwhelmed, and critical care protocols are ignored, leading to preventable deaths. Even basic assessments, like listening to lung sounds, are neglected. The situation is dire, with patients not receiving proper treatment for COVID and suffering from complications that could have been avoided. Efforts to advocate for better care are met with indifference, and the healthcare environment feels increasingly hopeless. There is a desperate need for intervention to prevent further loss of life.

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Patients are being harmed due to gross negligence and medical mismanagement. Despite witnessing numerous incidents, no one seems to care. Examples include incorrect intubations leading to death, inappropriate defibrillation on stable bradycardic patients, and nurses failing to monitor vital equipment. Basic standards of care are ignored, such as not administering blood transfusions when needed. Patients are sedated without proper treatment for their conditions, and critical assessments are overlooked. The environment feels like a twilight zone, where the urgency to save lives is dismissed. Attempts to advocate for better care have been met with indifference, and the situation appears dire, especially for marginalized communities. There’s a desperate need for intervention to prevent further harm.

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After Grace's father left the hospital, doctors increased the drugs given to Grace without anyone advocating for her. Nurse practitioner Sue reviewed Grace's medical records and explained the drugs used. Cresodex, an anesthesia medication, should only be used for sedation or anesthesia for up to 24 hours, but it was used for much longer. Lorazepam, used for anxiety or seizures, was also given. The combination of these drugs, along with morphine, suppressed Grace's breathing and heart function. It is clear that the prolonged and cumulative use of these drugs put Grace at high risk for respiratory depression and cardiac arrest.

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According to a government website, prescription drugs are the third leading cause of death in the United States and Europe, following heart disease and cancer. Shockingly, around half of those who died had taken their medications correctly as instructed by doctors. This means that even following medical advice does not guarantee safety. Errors such as incorrect dosages or improper use of medications contributed to the deaths. It is concerning that the government acknowledges this issue, yet it remains a significant problem.

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Speaker 0 confronts a pharmacist about their son's hospitalization due to myocarditis after receiving a COVID jab. Speaker 0 is upset that his wife was not informed about this potential side effect. Speaker 1 explains that they may not disclose the side effect to avoid scaring parents away from vaccinating their children. Speaker 0 expresses disbelief and insists that parents should be given accurate information to make informed decisions.

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I shared a nurse's story about REM medication causing patients to deteriorate rapidly. Patients with high oxygen levels would suddenly crash after receiving REM, leading to organ failure and death. The nurse suspected the combination of multiple medications being administered simultaneously was causing organ failure, not just the virus itself. The nurse raised concerns about the medication's impact on patients' health and the need for further investigation.

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The speaker hands a cease and desist notice to the pharmacist, warning them about liability for any injuries from COVID injections. The speaker mentions a register to track delivery, eliminating plausible deniability.

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Antibiotics were often prescribed, but if a resident didn't improve, it was considered a "just in case" measure. Consulting with GPs was done over the phone, and regardless of symptoms, "just in case" medication was frequently prescribed. It could take months to get a GP to visit a resident at their home.

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A person confronts a pharmacist about their child developing myocarditis after receiving a COVID vaccine. The person is upset that the pharmacist did not inform them about the potential side effects. The pharmacist explains that they don't want to scare parents and that the benefits of vaccination outweigh the risks. The person argues that no healthy children have died from COVID and accuses the pharmacist of not warning people about the dangers. The conversation becomes heated and the person threatens legal action. The pharmacist maintains that they cannot make decisions about what information to provide. The conversation ends with the person expressing anger and frustration towards the pharmacist.

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Speaker 0 expresses frustration over a price discrepancy in a prescription transaction. The core facts cited are: a medication that costs $4 to dispense, when billed to the insurance, results in the patient being charged $97.06. Speaker 0 repeats the puzzling situation: “We have a claim for a prescription that costs less than $4. The insurance wants to charge the patient $97.” The concern is the patient’s likely reaction: they will be yelled at and blame CVS for the high price set by their insurance, even though the dispensing cost is described as less than $4. Speaker 0 highlights the misalignment between the pharmacy’s dispensing cost and the amount the patient is asked to pay after insurance processing, indicating a breakdown in the expected pricing flow from the pharmacy to insurance to patient. The dialogue underscores the emotional and reputational pressure on the pharmacy staff when patients perceive the price as excessive, regardless of where the markup originates. The closing sentiment, “Love you CVS,” signals a mixture of familiarity and exasperation with the CVS system or process involved in this pricing scenario, though the exact sentiment toward CVS is not elaborated beyond that line.

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Speaker 0 is frustrated because another store refused to fill their prescription, while Speaker 1 explains that they don't have the medication in stock. Speaker 0 mentions Ivermectin, but Speaker 1 clarifies that they don't have it and even if they did, they couldn't fill it due to quantity restrictions and lack of FDA approval. Speaker 0 argues that Wellbutrin is also not FDA approved for smoking cessation, but Speaker 1 doesn't provide a satisfactory answer. The conversation ends with Speaker 0 expressing dissatisfaction with Speaker 1's response.

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A good death requires equipment, medication, and staff. There are enough syringe drivers in the NHS for comfort care. Precautions are in place for medication supply, including morphine and midazolam. Morphine is prescribed per patient to prevent abuse, but there is consideration to relax laws to avoid waste. The supply chain team and clinical team discuss reducing wastage of key medicines. No further comments were made on this topic.

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Patients are being harmed and dying due to gross negligence in medical care. Examples include incorrect intubation, inappropriate defibrillation on stable patients, and mismanagement of blood transfusions. Staff are failing to provide basic care, such as monitoring vital signs and addressing acidotic blood levels, leading to preventable deaths. Despite being aware of these issues, management and other staff are unresponsive, dismissing concerns about patient safety. There’s a lack of accountability, with patients often receiving inadequate treatment, particularly in a facility serving marginalized communities. The situation is dire, and there is a desperate need for intervention to prevent further loss of life.

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I just had a frustrating call with an insurance company regarding a patient's care. The insurance doctor questioned why I ordered certain treatments for a baby, despite established guidelines. I had the guidelines in front of me, but she didn't even have her password to access them. After explaining the medical necessity, she reluctantly agreed to approve the request but suggested that maybe the baby didn’t need such intensive care. I firmly stated that we take infant health very seriously. It’s disheartening to see some doctors prioritize insurance profits over patient care. There should be a clear line drawn when it comes to the value of human life in medicine.
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