Pain killing drugs

This is a statistic of the availability of the pain killing drugs (Narcotic analgesic) used to treat cancer pain in Mosul Cancer Pain Relief and Palliative Care Clinic.
I found a difficulty to make a table, but this may be clear enough to be understood by you.
the first column showed the present quantity of the drugs (availability). the second column showed the quantity received from January 1,2005 till the mid of July 2005, the third column showed the Annual need for 2005. The last column the Generic name and form of the drug.

Only two items are available now. and that because we received them lately and both are available in the private pharmacies.

Mosul Oncology& Nuclear Medicine Hospital
Mosul Cancer Pain Relief and Palliative Care Clinic
Cancer Pain Relief Drugs Needs 2005

Present...Received mid..Need 2005..........Form
account..July 2005........------------.......(Generic name)

...Nil.......... Nil..............1000 tab........ Buprenorphine as HCL SL 0.2 mg

...Nil.......... Nil..............250 amp........ Buprenorphine as HCL 0.3 mg Inj

...Nil.......... Nil..............1000 patch... Fentanyl transdermal 100 mcg\h

...Nil.......... Nil..............1000 patch... Fentanyl transdermal 25 mcg\h

...Nil.......... Nil..............1000 patch... Fentanyl transdermal 50 mcg\h

...Nil.......... Nil..............1500 patch... Fentanyl transdermal 75 mcg\h

...Nil.......... Nil..............10000 tab.... Morphine sulphate 10 mg (s/r)

...Nil.......... Nil..............20000 tab.... Morphine sulphate 30 mg (s/r)

...Nil.......... Nil..............20000 tab.... Morphine sulphate 60 mg (s/r)

...Nil.......... Nil..............15000 tab.... Morphine sulphate 100 mg (s/r)

...Nil.......... Nil..............15000 tab... Oxycodone HLC

..150........400............. 1500 amp.....Tramadol 100 mg

...Nil.......1000.............5000 supp....Tramadol 100 mg

..690......3000............. 20000 cap.... Tramadol 50 mg

...Nil.......... Nil..............100 drop.....Tramadol 100 mg

...Nil.......... Nil..............5000 tab......Tramadol 100 mg effervescent tab.

...Nil.......... Nil..............5000 tab......Tramadol 100 mg soluble tab

...Nil.......... Nil..............5000 tab......Tramadol 50 mg effervescent tab.

...Nil.......... Nil..............5000 tab......Tramadol 50 mg soluble tab


N.B.:
In 2004 Mosul Oncology& Nuclear Medicine Hospital treated :
2115 new cancer cases (1175 cases from Mosul Province & 940 from nearby Provinces ; Erbil, Dohuk & Kirkuk)

Abu Ghraib again ...!!!

This is an email I received today. It seemed to me as if Abu Ghraib scandal repeated it self. I publish it to let the world see and understand what is going on at dark.

Citizens for Fair Legislation
For Immediate Release
July 25, 2005
********************************
CFL ALERT: BUSH ADMINISTRATION TO LOBBY AGAINST LEGISLATION THAT WOULD BAR TORTURE AND INHUMANE TREATMENT OF PRISONERS.

This weekend the Pentagon blocked images from Abu Ghraib, in violation of a federal court order, that have been described by Defense Secretary Donald Rumsfeld as "blatantly sadistic, cruel and inhumane." Republican Senators who have seen the images said they contained scenes of "rape and murder." The Pentagon refuses to release these images on the basis that it is bad PR for the United States. This
comes at the heels of intensive lobbying efforts by the Bush administration to block legislation that would bar the U.S. military from engaging in "cruel, inhuman or degrading treatment" of detainees, from hiding prisoners from the Red Cross, and from using interrogation methods not authorized by a new Army field manual. Take a moment to send our prewritten letter to the President and to your Representatives telling them that you are appalled that the American public is being kept in the dark about the abuse of Iraqi detainees and that you are outraged that the President is refusing to take measures to ensure these abuses don't occur again.

TALKING POINTS:
* A military report on the abuse at Abu Ghraib states that the images the Pentagon is blocking show detainees being threatened, sodomized with chemical lights and forced into sexually humiliating poses. After viewing these images, Republican Sen. Lindsey Graham of South Carolina told reporters, "'The American public needs to understand
we're talking about rape and murder here. We're not just talking about giving people a humiliating experience." A report by Maj. Gen. Antonio Taguba on the abuse says videotapes and photos also show naked detainees forced to masturbate while being photographed and videotaped, of guards having sex with female detainees, young boys
being sodomized and Iraqi women forced to expose their breasts for American soldiers. New York Times reporter, Seymour Hersh, who helped uncover the scandal, said in a speech before an ACLU convention:
"...There are women there. Some of you may have read they were passing letters, communications to their men....The women were passing messages saying 'Please come and kill me, because of what's happened.
...Boys were sodomized with the cameras rolling. The worst about all of them is the soundtrack of the boys shrieking that your government has. They are in total terror it's going to come out."

*Last week Vice President Cheney met with Republican Senators that publicly expressed frustration about the administration's failure to hold senior military officials responsible for the abuse and torture at Abu Ghraib and Guantanamo. At that meeting Cheney stated his opposition to congressional intervention regarding the treatment of
detainees at either Abu Ghraib or Guantanamo. Later the White House issued a statement stating that President Bush would veto a $442 billion defense bill if representatives continued to attempt to impose restrictions on what the military can and cannot do to detainees.
That statement appeared to be directed at Republican Sen. John McCain who began circulating a letter to look into legislation that would outline the treatment of detainees held by the U.S. military. Sen. McCain's provisions would require that all foreign nationals in U.S. custody be registered with the Red Cross and would also prohibit "cruel, inhuman or degrading treatment or punishment" of anyone in U.S. custody.

*Please take a moment to write to your representatives to express outrage at the treatment of Iraqi prisoners at Abu Ghraib and tell them that you resent that the Pentagon is keeping the American public in the dark about what is happening in Iraq. Tell the President that you expect him to stop taking measures in support of the crimes that happened at Abu Ghraib. By blocking legislation meant to prevent
torture, rape and cruel and unusual punishment the White House is clearly indicating approval for the barbaric treatment of men, women and children held in U.S. run detention centers.

EMAIL AND OR CALL THE WHITE HOUSE
WHITE HOUSE COMMENTS LINE: 202-456-1111
WHITE HOUSE SWITCHBOARD: 202-456-1414
WHITE HOUSE FAX: 202-456-2461
===============================
Citizens for Fair Legislation is a grassroots organization committed to encouraging a fair domestic and foreign policy with an emphasis on the US/Arab world.
http://www.cflweb.org

Please take it seriously and do what your moralistic principle ask you to do.

Horror Story

I get bored from the fruitless discussion about politics in general and the hopeless situation in Iraq in particular.
Waldschrat is (up to my knowledge) the only one who take positive steps to help.
I copied his last post here. I hope it will encourages the other for similar positive action

"Lets talk about horror stories. One of the worst I can think of is a cancer hospital with a total lack of chemotherapy drugs. Here is a list of chemotherapy drugs and a description of the shortages at the hospital in Mosul:

===============================================================
Mosul Oncology & Nuclear Medicine Hospital
Mosul, Iraq

Anticancer Drugs Urgently Needed (Not Available)
July 2005
Priority Generic Name Formulation
1. Vincristine inj. 0.5 mg. vials.
2. 5- Fluorouracil inj. 10 mg and 50mg vial
3. Adriamycin inj 15 mg amp.
4. Carmustine vials 100 mg vials
5. Procarbazine Hydrochloride 10 mg. and 50 mg. vials
6. Actinomycin-D inj. 20 mg. vials
7. Bleomycin inj. 100 mg. amp.
8. Cisplatin inj. 250 mg/ amp.
9. Etoposide inj. 1gm and 2 gm. Vials
10. Oxaliplatin inj. 50mg and 100mg vials
11. Gemcitabine inj. 50 mg caps
12. Docitaxel (Taxotere) inj. 1 mg and 2 mg. vials


N.B.
1. This hospital gives medical care for cancer patients living in Mosul (2.55 million population) and nearby northern provinces (Erbil, Duhok & Kirkuk - approximately 2.85 million population )
2. In 2004 the hospital treated 2115 new cancer patients ( Mosul : 1175 patients, nearby provinces : 940 patients )
===============================================================

I'm told by the hospital contact that Truth Teller put me in touch with that requisitions are submitted but supplies never arrive. I'm beating the bushes bigtime over the phone and the internet trying to figure out how to resolve these shortages but neither Truth Teller's contact nor I fully understand the best way to do this yet. The shortages seem totally believable considering the pathetic state of the Kimadia website (link) which is full of broken links and has apparently been penetrated by a hacker who replaced the organizations news releases with a list of online games.

My trial shipment of ostomy supplies to the hospital was stuck in Dubai for a few days waiting for a flight but seems to have begun to move again according to FedEx tracking.

If anybody out there knows how to lay hands on even limited quantities of those drugs, post here or email truth teller!

That's all for now. Go back to your nice discussion, folks."

Waldschrat

All what can I say is THANK YOU WALDSCHRAT we will never forget you.

Searching

Yesterday at 8:00 PM, I was in my way home from my clinic, I met four strykers in the opposite direction, when the first one became behind me it cross over the curb in between the two streets and stopped behind me the last one did the same and stopped about 100 m in front of me. There were only about 10 cars in the street including mine. An American soldier shout from over one of the strykers in broken Arabic "get out of the cars" .
All the drivers and the passengers left their cars and stood on the side waiting for the next step. Many soldiers came out of the strykers, some of them stood in front of us with their guns pointed to our chest other started searching the cars. I was very close to the commander of the group who asked me to open the rear box, I answered him in English "It is opened", "you speak English" he asked me, "Yes" I answered him, he asked me several other general questions, maily about the life in Mosul, he looked very happy to find someone who speaks English. He was really very polite and so was his group. I returned home late telling the family what happened to me.

Early in the morning today we awoke on a far away sound of loud speakers, I get out to the street to hear what it was. The sound get closer and it was saying:"To all the people in the neighborhood, stay in your houses with their ID ready and open the doors for the collision troops for searching the houses. Don't panic it is a routine search. There were several accidents in this neighborhood, we look for the explosive devices."

I get back home awoke my daughters, to get ready to the inspection. I didn't go to the hospital, just call them by phone and told them that I can't come.

In front of our house there was a main hole for drainage system, this hole was closed by dirt and plastic bags, water started to accumulate in front of our house. I took some tools from the house and with the help of my next door neighbor we started to clean the dirt from the main hole. It took about 2 hours to finish our job as both of us are old and not expert in such work. When we finished the American also finished their job. They didn't search our houses. They left the neighborhood.