Thanks so much for posting this, Dr. Fudin. As an Ehlers-Danlos patient with a keen interest in science, it frustrates me when people can’t get their facts right. If Vicodin is the same thing as heroin, then we might as well say that Maxalt (rizatriptan benzoate) is the same thing as a tricyclic antidepressant because both can contribute to serotonin syndrome. The website for the PBS documentary “The Botany of Desire” outlined the chemical differences between different kinds of opiates quite clearly; interested readers might want to check it out. (I can’t find a link, though.) I have never taken hydrocodone, but I used to use Tylenol w/ codeine in the past for acute pain. Now that I live in New York, I can’t even get a prescription for that. As a result, I’ve had to make a prescription for 20 Tylenol 3 stretch over the course of a year and a half. Some people would be gracious and say that they would never wish their pain on their worst enemy, but if my enemy worked for the FDA, I certainly would. Maybe it would provoke a change of perspective. Thank you for your advocacy.
This is the time when clients tend to go off the rails, says Bill Ryon, co-founder and managing partner of the Dover, Delaware-based Compass Investment Advisors. Whenever Ryon sees clients taking distributions that are larger than what’s called for within their financial savings plan, he knows that they’re going on an international trip. “It can be a little bit of a sensitive conversation, since it is their money and I want them to enjoy themselves," he says, "however not at the expense of derailing their plan or jeopardizing their lifestyle in the future."