Is the Levoxyl recall really a recall?

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Levoxyl 01-2014When is Levoxyl going to be available? Will Levoxyl become available again? When trying to gain answers to a mystery – you start to question the sources of information when seeking answers to the conundrum.

Levoxyl, (levothyroxine sodium), previously manufactured by King Pharmaceuticals LLC, a wholly owned subsidiary of Pfizer Inc, is no longer in production due to smells being emitted by some container situation. After some preliminary research due diligence, another reason production was halted may be due to a profit gain/loss decision to move the manufacturing to another facility.

When a company has to answer to shareholders, it is always a money decision. A recall has to ring adverse when presented to the public keeping consumers “informed” and investors “happy” in harmony. A voluntary recall is not the same tiger as a mandatory recall by the FDA. It would upset the public to hear a necessary prescription was out of production because it wasn’t keeping the money bags content. Shareholders want to be held in high regard when it comes to media output. A bad smell from a container almost conveys a sobersided directive of grievous content.

A quick, brief and analphabet review of the Pfizer board of directors reveals credentials conducive to profit over health ethics. I personally have been a director on multiple boards with members not having a business clue to the company mission, means or mechanics of the organization, with one being an exception. The Pfizer board does have a lot of fancy titles and upper echelon corporate titles.

The American Society of Health-System Pharmacists website claims, according to Pfizer, Levoxyl will become available March 2014. This may be more of a hypothesis than fact. As of the date of this post, I have been unable to verify any information in reference to a date Levoxyl will become available or if it will ever become available.

The repercussions of not having Levoxyl is pragmatic. Beside the fact many families are affected by plant closings – which is tragic and can take another bandwagon tour in itself, thyroid patients unable to get their hands on Levoxyl now have a diminished quality of life. I know because I am unable to fill my long term prescription for Levoxyl. Health care professionals uninterested or unknowingly think other drugs such as Synthroid or generics can be automatically substituted for Levoxyl. Patients know this is not true. It takes a true time commitment with qualified endocrinologists to know everyone reacts differently to different drugs.

Generics are not the same as name brands. Research for this post resulted in seeing a lot of formulary lists for health insurance providers. Health insurance companies are quick to say generics are sufficient. Their primary concern is not for your health. It is to watch profits soar. If your health was a primary mission, formulary lists would not be necessary.

I found out my Levoxyl prescription could not be filled the day after my beloved husband passed away. The nurse practitioner and pharmacists did not have an explanation as to why it was not available. I found the information myself and informed them. I am on my third substitute in 8 months. Blood tests have revealed the current substitutions are not the same. My thyroid levels communicate why my hair is falling out and clogging drains and snarling the vacuum cleaner. My skin is so dry my hands are cracking and snag leggings and fine fabrics. I am lethargic – sleeping twice as much as a normal human being. Intolerance to cold is unfavorable with frigid polar vortexes rampaging. The thermostat is cranked and I’m still wearing a coat around the house. It is best explained as feeling like you are walking through the bottom of a huge swimming pool. I am exhausted, fatigued and frustrated. Blood tests are a true gauge of physical limitations. I thought I was just severely heartbroken and grief stricken. It obviously is not a good time for a compounded predicament.

This is clearly an unscientific and non-professional opinion. It is purely personal.   If anyone has additional information in reference to new production or availability of Levoxyl, please share. Your opinions and thoughts are valued and valuable.

 

Realtors want you to call them

Never think you are interrupting a Realtor when you call with a question. Believe it or not, they are waiting by the telephone like a crazed teenage girl waiting for some over-sexed teenage boy to call them. This is a true fact. A Realtor depends on each and every telephone call to make their living. Too bad, if your call comes in when the Ellen show is on or they’re waiting in the Escalade, in line in front of the elementary school. (Why they drive one block from their home to wait in a line of cars and SUV’s, an hour in advance, to drive their child home is beyond my comprehension. Do they know how to walk down there and walk back?)

No question is mundane. Even if you are just being nebby and want to know information on a neighbor’s listing, a Realtor always has time to speak with you. Each and every conversation leads to a networking opportunity and a means of marketing. If a Realtor does not return your call, almost immediately – Call another Realtor. Real estate agents conducting their business in a professional manner will have a high interest in speaking to anyone interested in listing or buying a property. If you are just “thinking” about listing your property, call an agent for a comparative market analysis. Most agents will create this report for you at no cost. If an agent wants to charge you for the initial CMA, call another agent!

Call a Realtor to ask them what needs arranged in your home for a quick sale. Ask a Realtor how fast homes are selling in an area you’re thinking of purchasing in. A Realtor can calculate the monthly payment for financing your future residence. A real estate agent will know the interior and exterior paint colors in your area which dominate most sales. Call a real estate agent and ask! No real estate professional ever starved to death because they answered their phone during lunch or dinner. We actually understand that not every customer works 9:00 am to 5:00 pm, Monday through Friday! Calls are expected before and beyond “standard business hours”.

A Realtor worth their paycheck will be forthright and up front when telling you to pack up the nick-knacks and paint the fluorescent orange den a neutral color. Factual information will be provided to assist you when making an offer on a future home. A real estate expert representing you will be working for you. Don’t apologize for calling them. They are waiting, with baited breath, for you to call them!

A casual conversation with a Realtor allows insight into new avenues when you will be ready to move. Rapid changes in the real estate vertical have created different tools, creative outlooks and economic turns which may be very different than the last real estate transaction you may have participated in. The world is spinning faster. Changes within the industry are constant.

The value gained by calling a real estate professional can make a difference in thousands of dollars in your pocket. Take advantage of their expertise.

 

Complaint-Lamar County Tax Assessor/Collector office

Recently, I went to the Lamar County courthouse in Paris, Texas to conduct changes on vehicle titles. I also had a registration that had expired in November 2013. The reason this specific registration had not been updated was due to Haskell Maroney – I take it is the person as the named Lamar County Tax Assessor-Collector, returned my check to me because the bank or credit union does not appear on their list as being “local”.

I asked the “representative” behind the counter, what specifically constitutes a local bank. Said “representative” told me if the bank wasn’t on their list, they could not accept the check. I asked how this policy or rule got instituted. She informed me the county lawyer made the rule because he was unable to collect on bounced out-of-town checks.

I think an attorney who knows how to collect bounced out-of-town checks needs to replace an attorney who does not know how to collect on insufficient out-of-town checks. For pennies per item, the checks can also be validated at the counter from an out sourced system. So, to save this “attorney” from conducting due diligence, the citizens of this county are subjected to being treated like a deadbeat. The assumption is every check not written on a local bank is bad.

If you use a debit or credit card, you are charged an extra percentage above the transaction. Without being privy to their merchant agreements, I don’t know if this percentage exceeds the amount the financial institution is charging. There are not any disclosures displayed at the counters.

Your choices for paying for the vehicle registrations are:

1. Get back into your car, find an ATM and obtain cash to pay the registration transaction.

2. Use your debit or credit card and pay an additional fee.

3. Get back into your car and drive to a bank, listed as a “local bank”, open an account, drive back to the courthouse, and wait to see if the bank is still on the local list and your check is accepted.

I did #3. When the local check was presented for the registration, I was then asked how many tickets did I receive for driving a vehicle with an expired registration. I informed the “representative” that the vehicle had not been driven with an expired registration. I had just paid her for title changes on two other vehicles with current registrations. Again, being treated like a deadbeat.

One of the title changes I requested was for an antique plate. The original antique plate registration was paid for in March 2013. This plate was good for 5 years. The “representative” told me it was expired. I informed her it was less than a year old and expires in 2018. She told me it was too late, she had already entered into the system to reissue a new one in my name only. The previous owner was my deceased husband. Because she read the expiration date as 2013 instead of 2018, it cost me more money to issue the new antique plate. When I questioned the transaction, I was immediately dismissed, again with “it’s too late, I already put it in the system”.Auto Registration 01-2014

There seemed to be little to no interest in looking at the insurance verification I presented at the window. It makes me wonder who is insured around here and who isn’t.

Word to the wise – don’t change the titles until the registration expires. Know who your elected officials are and what they won’t do when you go to the polls. Mail your “local bank check” to the Lamar County, Texas Tax Assessor/Collector so you don’t feel like a common thief, deadbeat, low life when doing it in person.

Customer service is non-existent when there is no competition. It takes training, common sense and effort to convey respect and “delight” to serve from behind the counter of a public office. Even if the policies were made by someone uneducated in the means to create fair and non-discriminating practices to the majority, the message could be relayed in a professional and positive manner. I’ve goggled this specific office and have found this situation is not new or recent. The solution to the problem is someone speaking up, providing the information necessary to rectify the adverse actions and implementing the personnel willing to practice the golden rule.

I have volunteered at a local food pantry. The clients utilizing the services of the food pantry are treated with higher regard and respect than at the courthouse where we pay all of the salaries.

 

Building a fire

My resume does not include fire building as a high priority or emphasized line item. It is a good thing and bad thing, to know it takes some effort to create fire in a fireplace or wood burning stove.

If I didn’t want something to burn, it would catch in a second. Intentionally creating fire is an art to behold when needed. I have learned the equipment list and supplies are as important as the task.

Keep all junk newspaper items received from the United States Postal Service. If you have a newspaper subscription, keep them handy. You are going to use them. This is integral to getting an inferno blaring. Unless you are handy with a hatchet, chain saw, DeWalt saw, or are willing to walk your legs through the woods to pick up kindling that won’t infiltrate your chimney with scum – talk nice to your cousin-in-law who is kind enough to share his kindling with you.Those long handled butane lighters are important for spark so as not to burn your hands, arms, sleeves, eye lashes and hair. Those incidental necessities will catch fire immediately. It is a good idea to have a working fire extinguisher nearby. Knowing where it is and being able to see it could be a life saving measure.

A rack to stack tons of wood on will keep it off the ground outside. You still need easy access when it is snowing, pouring down rain or the outside temps are freezing. The backyard neighbors have seen it all when I engage in obtaining a new wood supply for inside by going outside in my leopard slippers, exotic night wear, knee length red and blue striped sweater, rust color ski jacket and wrapped in the blanket with the coffee latte’ motif on it. Try carrying a fourth of an oak tree while the wind is whipping your butt and the chill factor is filling your orifices.

Different size logs will determine the internal temperature of the inside the house environment! One skinny log, half a ton of kindling and the Sunday Houston Chronicle will maintain a temperature of approximately 62 degrees for a short period of time. That is, if the fire catches on. A split medium log, a skinny log and a weekday newspaper will get the ponderosa up to 70 degrees. A bunch of piping hot coals, left over from the initial fire starting attempts, a split medium log and 2 fat logs may get the temp up to a toasty 80 degrees. If you intend to keep warm throughout the night, as my friend Frances refers to it, a huge “night” log is necessary. Depending on the size of your stove or fireplace, you still may be getting your cold tired ass out of bed around 4:00 am to throw more logs on the fire. Important Note: make sure the log fits into the wood burning stove BEFORE shoving it into the fire storm. You certainly don’t want a burning log hanging outside of the stove door!Building a fire 01-2014 a

Designate tons of time to this activity unless you have a house boy named Sven to assist in taking care of your every comfort. Building a fire will lead to contentment and a coziness few electric heating units are able to replicate. Practice and patience will accomplish the task.

A life changing event

Apology is extended for the lapse in time in posting to this blog.

Your normal self walks around with striking confidence, a cocky attitude, omnipotent disposition and wham – the earth falls out from under you. A life changing event is truly a “life changing” event. You are shocked. You are afraid. You have now become someone else. The crazy cloud surrounding you makes everything a daze. It is unkind but oddly protective.

Through my walks in life, I hear or know someone who has lost their partner or spouse. If it has never happened to you, and it will, you extend sympathy, condolences and prayers. Your expectation is for the person with affluent loss to bounce back into their own true selves. Everyone else is in their comfortable routine of work, kids, family, hobbies, activities and even the mundane of watching Lockdown at 1:00 am. It is understandable they do not grasp the internal panic the grief-stricken party is experiencing. We are not them or in their moment.

So we walk on eggshells and try to be sensitive to selective subjects. We don’t mention the precious conversational tidbit recently shared with our own spouse. Conscientious effort is made not to even mention a squabble. The lone surviving wife or husband views someone else’s fight as a cherished event they wish they could have had – always wishing for those “few more minutes”.

Extreme turnabout is the oblivious asses asking what you’re going to do with the partner’s personal possessions. It isn’t small talk or an extension to assist. They want the cowboy boots they saw on the back porch or the lace tablecloth that is on the table. It is self-serving and greedy. It is usually someone not in the inner circle with no ties to sentimental journey.  Concrete comparison is required to know the genuinely good from the classless bad.

When any of this, from either side, happens to you – keep in mind we are each human. There is no right or wrong. Unless someone has lost multiple spouses to death, they have no experience with what is happening to them. Losing a partner in your twenties may be very different from losing one when they are fifty. Life plans for the survivor instantaneously evaporate. A solitary passage of doing everything for one instead of two.

Please understand a smiling face, a gracious greeting and a brave face may be veiling extreme sadness and grief. Fill their lives with new experiences, fanciful flashes and be open to share a memory or two down the lane when that special door is open.