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For all their risks, opioids had no pain-relieving
advantage in a yearlong clinical trial

Los Angeles Times, by Karen Kaplan

Original Article

Posted By:MissMolly, 3/7/2018 5:01:11 AM

For years, doctors turned to opioid painkillers as a first-line treatment for chronic back pain and aches in the joints. Even as the dangers of addiction and overdoses became more clear, the drugs´ pain-relieving benefits were still thought to justify their risks. Now researchers have hard data that challenges this view. In the first randomized clinical trial to make a head-to-head comparison between opioids and other kinds of pain medications, patients who took opioids fared no better over the long term than patients who used safer alternatives. "There was no significant difference in pain-related function between the 2 groups over

      


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Reply 1 - Posted by: lakerman1, 3/7/2018 5:48:17 AM     (No. 11564497)

The writers chose to collapse two sets of data into one sentence.
First, 115 deaths per day is almost completely
caused by junkies injecting heroin boosted with fentanyl.
Second, we don´t know what a 4 fold increase in hydrocodone means, since the writers cleverly failed to include the numbers.
(If one person died from an rx drug overdose, and next year, 4 people die from ex overdose, that is a fourfold increase.e.
The article is fundamentally dishonest. But, hey! Everyone is writing dishonest articles about opiods.

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Reply 2 - Posted by: gijohn, 3/7/2018 5:57:42 AM     (No. 11564500)

I didn´t see what the trial was using as opioid med. Kind of dishonest if they were prescribing hydrocodone with acetaminophen. I was given acetaminophen after bypass surgery one time and it worked well. I think it was when they were still getting my BP under control. The trouble with those meds is of course the effect on the liver.

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.New_S.
  


 
Reply 3 - Posted by: paperpuncher, 3/7/2018 6:49:48 AM     (No. 11564530)

I´m sorry but, there is a significant difference between surgical pain and "back and joint pain". After major back surgery it is not jut take two Tylenol and call me in the morning.

I certainly can´t see a medic giving Tylenol rather than morphine to a wounded soldier in the field.

The problem with the addictions is the meds are used too often and prescribed to too long a period of time for relatively minor pain.

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Reply 4 - Posted by: Udanja99, 3/7/2018 6:55:49 AM     (No. 11564533)

Acetaminophen is just Tylenol. Hydorcodone is the opioid and, according to my orthopedic surgeon, contains synthetic codein.

I beg to differ on the advantages. If you’ve ever had bone surgery or an abcessed tooth in need of a root canal, you know that opioids are the only thing that really stops the pain. I have had numerous surgeries and there have been moments when I thanked God for oxycodone.

The key is to use them as prescribed and to stop using them as soon as possible. I do find that doctors tend to prescribe more pills than you need. I was once given 30 oxycodone for an abcessed tooth when I had a root canal scheduled 2 days later. Eight pills would have been enough.


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Reply 5 - Posted by: Truthfetish, 3/7/2018 6:57:30 AM     (No. 11564535)

#1, half those junkies got on heroin because they can´t get oxy scripts renewed by that doctor who prescribed them to keep his own NPS numbers high enuf for Obamacare beancounters.

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Reply 6 - Posted by: earlybird, 3/7/2018 6:59:49 AM     (No. 11564537)

I am among those who cannot take opioids because of their side effects. Faced with a fractured pelvis a few years ago, I tried my regular Aleve and it dealt with the pain very successfully. The doctor gave me the option of taking it a little more often than the usual 12 hour intervals specified on the label. As needed. As soon as I didn’t need so much, I tapered it off.

Pain and painkilling are very individual matters, IMO. I can’t see how one opinion on can fit all.

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Reply 7 - Posted by: GO3, 3/7/2018 7:05:36 AM     (No. 11564542)

I too needed something stronger than tylenol after major surgery. However, I think there is a difference between pain relieving and a drug which makes you not care about the pain. Maybe that´s what they are talking about.

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Reply 8 - Posted by: crunchycon, 3/7/2018 7:07:32 AM     (No. 11564544)

Came here to agree with #4. Like others here I have had surgery. I took my pain meds exactly as prescribed and transitioned off at the end of my prescription. I did, of course, experience some pain, particularly during the last hour before the next dose, but II managed it like a tough gal.. Everyone’s story is difficult fly, but my method kept me outof trouble and may work for otherwise.

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Reply 9 - Posted by: citizen, 3/7/2018 7:41:08 AM     (No. 11564581)

Doctors aren´t John Kerry and cannot feel your pain..the pain scale of 1-10 is a useless way to determine an individual´s pain Also this study was done by the VA? Yikes.


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Reply 10 - Posted by: ladydawgfan, 3/7/2018 7:53:10 AM     (No. 11564601)

I am not supposed to take narcotics due to side effects and the fact that they cause my migraines to go out of control. However, I also have a knee that is severely damaged from a fall and because I am a fluffy woman, I cannot find an orthopedist to correct it surgically. Instead, they keep hitting it with cortisone shots and the latest which was Supartz, none of which did any good (although the Supartz did give me some LOVELY migraines!).

The prescription that I am on for pain is a mild narcotic called transfer, which has been in the news lately for other things as well. It controls the pain in my knee and allows me to function. However, it also aggravates my migraines, makes me tired and occasionally gives me double vision. The sooner I am rid of it, the better.

Now if I could just find someone to really listen to me about my knee....

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Reply 11 - Posted by: ladydawgfan, 3/7/2018 7:54:55 AM     (No. 11564604)

*tramadol

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Reply 12 - Posted by: Rather Read, 3/7/2018 7:59:31 AM     (No. 11564615)

I´ve been given opioids after two operations and a wisdom tooth extraction. They never really relieved pain, but I didn´t care that I hurt. I ditched them after two days and went on ibuprophen and that actually relieved the pain.

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.LockDme.


 
Reply 13 - Posted by: greggojo, 3/7/2018 8:11:31 AM     (No. 11564636)

For those concerned about the LATimes cookies:

http://www.post-gazette.com/news/overdosed/2018/03/06/For-all-their-risks-opioids-had-no-pain-relieving-advantage-in-a-yearlong-clinical-trial/stories/201803060191

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Reply 14 - Posted by: Nevadadad46, 3/7/2018 8:30:24 AM     (No. 11564668)

My surgery and pain meds experience proves there can be no substitute for the proper (I said Proper!) dosage of opioids. Wow! You can go from absolute agony to instant nirvana with the right dosage. But, an emergency operation is over in hours, a few days of pain relief and you are on your way home with a hand full of pills to get you through. Then stop it. That process is a "Repeat as often as needed". But, then long term use on a maintenance prescription of opioids (Oxy and hydro)for control of background pain is off the charts insane. If your pain is that bad, you needs much more than the max legal dose (usually 20 mg) of that stuff. Because in almost no time, a month or two, the "maintenance" dose is useless, and your pain is back but you take the damn pills because now stopping them is not an option! And the bad part is, ask for help getting off them from your insurance and they will tell you real quick- "Not part of the plan, baby!" I had to go cold turkey- What a nightmare! Later Wife did, too. And she had a much rougher time of it. No help, but lots of interference and threats from the Dr. over them- Yes. Threats! (nuther story)

Opioids? No thanks. I now know how to use them. But, had to learn the hard way.

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Reply 15 - Posted by: joew9, 3/7/2018 8:58:24 AM     (No. 11564700)

For me, after surgery and another time during an abscessed tooth I got no pain relief from the prescribed opioids. My family got some relief in that I was too drugged up to complain and moan. So from their perception they believed I got relief.
The side effects were so bad that after two days I quit. It took longer to recover from the opioid side effect than from the surgery. And the abscessed tooth had no pain the very instant they drilled into it and relieved the pressure.

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Reply 16 - Posted by: Jethro bo, 3/7/2018 9:02:20 AM     (No. 11564706)

Well, gee weez, another lie from the fake news. The study was specific and it included hip and knee pain from osteoarthritis, not as, this liar ´journalist´ states in the first sentence (designed to mislead from the start0, ´aches in the joints´. Oseteoarthritis is very differnt from aches i the joints. Why is this misleading? Because osteoarthritis is commonly treated (first line therapy) with non opoid drugs. So there is a selection bias in the design of the study that favors non opioid drugs. The other major red flag is this was published in the Journal of the American Medical Association, a well known liberal poltical advocacy group. It publishes significant political studies disguised as ´science´. Back pain is a hard problem to treat and there is little that has ever been shown consistantly effective so this isn´t a valueless study. But the conclusons are skewed and further stuies are needed.

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Reply 17 - Posted by: Madinmaryland, 3/7/2018 9:05:44 AM     (No. 11564711)

I too had a similar response to opioids. Still had pain, but didn´t care. Give me 800mgm ibuprofen any day for pain relief

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.R-LJ.
  


 
Reply 18 - Posted by: TexaTucky, 3/7/2018 9:56:06 AM     (No. 11564763)

God blessed me with getting really itchy if I take hydrocodone, so I hope I never have any severe pain that can´t be handled by other means.

Since both parents died of overmedication (one accidentally at home, the other negligently by hospital employee), I shun medications anyway, but I believe in the power of appropriately prescribed ones.

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Reply 19 - Posted by: Ribald1, 3/7/2018 10:31:26 AM     (No. 11564814)

A big part of the problem is that people take no personal initiative in learning how to deal with pain anymore.
Pain, emotional and physical, is part and parcel to human life and experience.
There is no need to concern oneself, though as there will come a day when you will feel no more pain. I do not long for that day.

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Reply 20 - Posted by: mildred, 3/7/2018 10:34:50 AM     (No. 11564818)

Why would a doctor prescribe an opioid for a pain level of 3.5-4? At that level the pain is the same as stubbing your toe while wearing heavy boots. When my pain reached about 20 on that scale, I needed everything they had in their power to give relief. Live with stage 4 cancer and then do a study. Tylenol alone does not give any relief to those of us who are really suffering. Doctors also prescribe the opioids because it´s easier for faster results. Then the biggest problem is dealing with the side effects. It´s time that the medical field try alternative pain treatments. Big pharma needs to sell drugs to survive so the patients have to suffer.

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Reply 21 - Posted by: kono, 3/7/2018 10:36:58 AM     (No. 11564820)

The bias is obvious early in the piece, when the words "hard data" are underlined in a tabloid-esque manner not consistent with erudite, professional reporting. Note how many times numbers are included when they support the anti-opioid position, but generalized hand-waving verbiage is employed to tiptoe around contradictory elements.

In addition to the doozie pointed out by #1, it includes qualifiers out the wazoo - "over the long term" being a handy way to dismiss what could be significant short-term differences.

It admits that anxiety was improved more for study participants taking the opioids; but seems uninterested in following that point up.

I´d file this under "The Anatomy of a Hit Piece"...

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Reply 22 - Posted by: earlybird, 3/7/2018 11:12:05 AM     (No. 11564847)

Re #21, that underlined bit is a link to this - not emphasis:

March 6, 2018

Effect of Opioid vs Nonopioid Medications on Pain-Related Function in Patients With Chronic Back Pain or Hip or Knee Osteoarthritis Pain
The SPACE Randomized Clinical Trial

Erin E. Krebs, MD, MPH1,2; Amy Gravely, MA1; Sean Nugent, BA1; et al Agnes C. Jensen, MPH1; Beth DeRonne, PharmD1; Elizabeth S. Goldsmith, MD, MS1,3; Kurt Kroenke, MD4,5,6; Matthew J. Bair4,5,6; Siamak Noorbaloochi, PhD1,2
Author Affiliations
JAMA. 2018;319(9):872-882. doi:10.1001/jama.2018.0899

https://jamanetwork.com/journals/jama/article-abstract/2673971?redirect=true

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Reply 23 - Posted by: agrunt, 3/7/2018 12:45:41 PM     (No. 11564918)

Why would a doctor prescribe an opioid for a pain level of 3.5-4?
I have long term pain. I use pain meds to get down to the 4 level. Further all of this numeric level of pain stuff is subjective, My feeling of a level 4 may be the next guy´s 5. No dishonesty here just how you measure the subjective level of pain in your body. I just do not understand how they an use this "number system" to go between differing folks.

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Reply 24 - Posted by: Chuzzles, 3/7/2018 2:29:28 PM     (No. 11565013)

I have been reading Lucianne´s site since the early days of the Clinton presidency and the blue dress. I know how many very intelligent and diverse people comment here from all professions and walks of life.

I have long considered the commenters on this site to be much more informed about any subject than any media writer out there.

I suspect this article is meant to play into the hands of the Feds and their war on opioids. They just cannot leave Doctors alone. Lawyers should get their own medical licenses and stay out of the medical profession. They have no idea how much harm they are doing to law abiding citizens.

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Reply 25 - Posted by: Rumblehog, 3/7/2018 3:10:47 PM     (No. 11565026)

I suspect very much as #24 states.

I´ve had more than 6 back surgeries, and even had an electronic stimulator implanted into my spine to offset nerve damage pain to no avail. The only thing that helps me deal with chronic pain are two VERY expensive medications, one of which is categorized as "opioid-like." Most of my surgeries were straightforward and I never even took the post-surgery pain meds. One major back surgery however, was extremely debilitating and the only way to make it through the recovery period (3 months) was with moderate levels of Hydrocodone. Trust me, this article is B.S.

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Reply 26 - Posted by: toodles3956, 3/7/2018 3:21:28 PM     (No. 11565035)

Lets give the author of this piece a double knee replacement, then ask her if Tylenol works for her.

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Reply 27 - Posted by: GardenGal, 3/7/2018 3:29:32 PM     (No. 11565041)

I live with pain every day of my life. I, along with everyone else on coumadin, cannot take NSAIDS (aspirin, ibuprofen, etc). Tylenol is useless as a pain reliever for me since it never helped at all with any sort of pain. So I use Voltaren ointment (on some joints I am able to), lidocaine cream, and Norco 5/325 or even 2.5/175 often. I am not the problem Opiod user and these studies are idiotic. I have RA, not OA, and many other problems that are painful. I do not medicate for 3 or 4. That is my every day normal and what I try to aim for if my pain gets worse. But when I broke a rib, the only thing that helped was the Norco.

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Reply 28 - Posted by: Doctorfixit, 3/7/2018 4:53:29 PM     (No. 11565104)

One of the more dishonest pieces of propaganda I´ve seen lately. Why is the corporate propaganda machine pushing this hysteria so hard?

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Reply 29 - Posted by: msjena, 3/7/2018 6:05:59 PM     (No. 11565137)

Hydrocodone(Vicodin,etc.) has the advantage of causing drowsiness, which helps the patient tolerate pain after surgery (by falling asleep). Some surgery causes little pain and some a lot. It all depends. I certainly don´t think opiods are necessary for everyday pain, like headaches. But I remember when I had a shoulder injury, the pain was so great that Vicodin didn´t work. The doctor gave me Tramadol,a different narcotic, which helped. People shouldn´t have to suffer if pain relief is available.

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Reply 30 - Posted by: skedaddle, 3/7/2018 6:41:52 PM     (No. 11565162)

Dear Lord, this war on opiates (war on American public suffering pain) is really making me mad and scared.

I was just diagnosed with a Stage 4 cancer. Will I be left to writhe in pain if treatment fails? It seems like the "doctors" who did this study and most of our elected officials would be just fine with me suffering any level of pain when perfectly good medicines exist to relieve suffering.

I´ve recently been given fentanyl three times for quick pain relief during surgical procedures that didn´t require full anesthesia. It worked and I came out of it quickly - the nurses said that´s why they like to use it. I´ve also had Tylenol with codeine for torn ligaments, a broken bone and root canal in the past.

After all that, I´ve never once been tempted to drive down to the bad part of town to buy heroin. That´s because I´m not a drug addict and my doctors were careful with their instructions and quantity prescribed. Opioids works for me. They made my dad see spiders on the walls and you wouldn´t believe how hard it was to get doctors to give alternate pain meds during recovery from joint replacement surgeries.

There´s a lot of blame to go around for people dying from opiates but our government is punishing the innocent and leaving the guilty to go about their business as usual.

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Reply 31 - Posted by: kono, 3/7/2018 7:06:01 PM     (No. 11565178)

I´m grateful for #22´s info. I was not inclined to click, since the underlined text was not colored like a link on the page I read.

That it wasn´t the only element of apparent bias in the article inclines me to stand by the ´hit piece´ characterization, though.

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Reply 32 - Posted by: peeps, 3/7/2018 8:22:42 PM     (No. 11565217)

Agree with #30. After cancer meds, radiation, and surgery, in my case the Hydrocodone helped me relax and heal better without pain. A body without pain and stress is a body that can focus on healing. This may not work in everyone´s case, but I bless the manufacturers of this drug that helped me heal. Not a drug addict.

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USA Today, by Doyle Rice    Original Article
Posted By: NorthernDog- 6/19/2018 2:24:56 PM     Post Reply
It lived an uneventful life in Earth´s oceans 500 million years ago, but now this newly discovered creature has an unusual honor: It´s been given the scientific name Obamus coronatus, a name that honors President Barack Obama´s passion for science. (Coronatus means "crowned.") The tiny, disc-shaped animal was about a 1/2 inch long, with raised spiral grooves on its surface. It spent its entire life embedded on the ocean floor, likely never moving, according to scientists from the University of California – Riverside. A second small animal, an egg-shaped critter that may have looked like a raisin, was also discovered.

Michelle Obama Joins Laura Bush
in Slamming Trump Border Policy:
‘Sometimes Truth Transcends Party’

46 replie(s)
Newsweek, by Jason Le Miere    Original Article
Posted By: PageTurner- 6/18/2018 11:23:53 PM     Post Reply
Michelle Obama joined her fellow former first lady Laura Bush Monday in criticizing the hard-line Trump administration immigration policy that has led to families being separated at the border. Bush, the wife of former President George W. Bush, penned a tweet over the weekend in which she echoed the widespread condemnation of the new directive from Attorney General Jeff Sessions. “I live in a border state,” Bush said. “I appreciate the need to enforce and protect our international boundaries, but this zero-tolerance policy is cruel. It is immoral. And it breaks my heart.” Quoting that tweet, Obama wrote that “sometimes truth transcends

Hillary Clinton on family separations
at border: Jesus didn’t say, ‘Let
the children suffer’

43 replie(s)
Washington Examiner, by Emma Ayers    Original Article
Posted By: JoniTx- 6/18/2018 5:19:24 PM     Post Reply
Hillary Clinton weighed in Monday morning on the ongoing controversy regarding the Trump administration’s "no-tolerance” border policy, suggesting that Jesus would not condone the actions of the American border authorities. At an awards lunch for the Women’s Forum of New York, the 2016 Democratic presidential nominee called out “those who selectively use the Bible” to give grounds for the separations, which were reported by the Department of Justice on Friday. “I went to a lot of years of Sunday school — even taught it from time to time. I’ve studied both the Old and New Testament, and what is being

Romney calls for ‘disturbing’
family separations to stop

41 replie(s)
Washington Post, by Elise Viebeck    Original Article
Posted By: Tishimself- 6/19/2018 12:53:19 AM     Post Reply
Republican Senate candidate Mitt Romney called on the Trump administration Monday to stop separating immigrant families at the southern border, calling the controversy a “humanitarian crisis” that requires Congress to devise a permanent solution. Romney, the 2012 GOP presidential nominee, declined to blame President Trump or the Department of Homeland Security specifically in remarks to a group of voters at a park here. He called images of children separated from their parents “pretty disturbing” and “heartbreaking.” “I think immediately we should go back to the setting where we’re not ripping children away from their parents, and then we expect Congress to take

Democrats propose changing
legal voting age in Michigan to 16

37 replie(s)
Detroit Free Press, by Kathleen Gray    Original Article
Posted By: NorthernDog- 6/19/2018 10:22:30 AM     Post Reply
LANSING — The unprecedented outpouring of activism from students after the shooting at Marjorie Douglas Stoneman High School in Parkland, Fla., in February is the genesis for a bill introduced in the Legislature last week that would change the voting age in Michigan to 16. "We allow 16-year-olds to go off and get jobs and pay taxes, but we fail to allow them to exercise their voice come election time," said Sen. David Knezek, D-Dearborn Heights. "Young people are setting aside their differences and identifying issues they think need to change. And they can do everything to get that change

Blending in! Michelle Obama steps
out for glamorous lunch meeting
in Venice sporting a pinstripe
blazer and wide-leg trousers

35 replie(s)
Daily Mail [UK], by Staff    Original Article
Posted By: Attercliffe- 6/19/2018 8:52:25 PM     Post Reply
Michelle Obama traded workout clothes for a chic suit as she went out to lunch in Los Angeles on Tuesday. The former first lady looked perfectly chic for her business lunch as she dined at the Gjelina restaurant in Venice. Michelle swapped out her usual jewel tones with a softer palate of pastels for the meeting. She opted for light green wide-leg trousers and a suit jacket done in matching green and black stripes, topping the look off with a simple white shirt and sandals. The former first lady also shielded her face with an oversized pair of pastel pink sunglasses

Separating Families At The Border:
The Hysteria Overlooks Some Key Facts

34 replie(s)
Investor´s Business Daily, by Staff    Original Article
Posted By: RockyTCB- 6/19/2018 5:53:37 AM     Post Reply
Illegal Immigration: The latest outrage by the Trump administration is its policy of "ripping" children away from parents who´ve crossed the border illegally. As with so many other things involving Trump, there´s plenty of emotion but precious little in the way of facts. The furor reached critical mass after the Department of Homeland Security said on Friday that 1,995 children had been separated from their illegal border crossing parents from mid-April through May. That number included, DHS said, cases where the adults were arrested for illegal entry, immigration violations, or possible criminal conduct. The practice has generated a rising storm of protests,

Audio: Congressional Intern Screams ‘F***
You!’ at President Trump at Capitol

31 replie(s)
Gateway Pundit, by Kristinn Taylor    Original Article
Posted By: JoniTx- 6/19/2018 9:15:11 PM     Post Reply
A female Congressional intern, screamed, “Mr. President, f*** you!” as President Donald Trump walked through the Capitol to a meeting with House Republicans on immigration. (Tweet) Video that captured the profane protest was captured by Fox News’ Chad Pergram, “Congressional aide or intern yells “Mr President, f*%k you!” from across the Capitol Rotunda as he walks to the Speaker’s office before mtg with House GOPers on immigration. Gets attention of USCP/Secret Service”…”The woman who heckled the President most likely had to either be an intern or aide. Someone with a hard Congressional pass allowing

The FBI, the DOJ and Hillary
Clinton´s Huge Weiner Problem

31 replie(s)
Daily Caller, by Sidney Powell    Original Article
Posted By: MissMolly- 6/20/2018 5:00:59 AM     Post Reply
Remember Anthony Weiner, also known as “Carlos Danger” — the former congressman who kept texting people pictures of well, umm, that part of his name? It all made quite the splash because he is married to Hillary Clinton’s consigliere and constant sidekick, Huma Abedin. Turns out that Anthony was such a perp — and so enthralled with his own — that he was sexting with a minor. That is a federal offense carrying up to 10 years in prison. So, he got raided by the New York Police Department and the New York office of the FBI. They seized his laptop computer.

How can FBI Director Wray clean out the
swamp if he doesn´t even see the corruption?

28 replie(s)
Fox News, by Tom Fitton    Original Article
Posted By: Pluperfect- 6/19/2018 4:38:13 AM     Post Reply
FBI Director Wray has said nothing to reassure Americans that he understands the serious corruption highlighted in the IG report. The FBI´s cover-ups and stonewalling on Wray´s watch add to his credibility problems. Both in is his press conference after the IG report was released, and in his testimony Monday before the Senate Judiciary Committee, Director Wray demonstrated he was more concerned about protecting the reputation of the institution of the FBI than about the astonishing corruption of top FBI officials detailed in the IG report. During today’s hearing we heard about FBI agents who aren’t corrupt and how the Clinton email

Starbucks provides weak sales
outlook, will close 150 stores

28 replie(s)
Fox Business, by Thomas Barrabi    Original Article
Posted By: JoniTx- 6/19/2018 5:28:07 PM     Post Reply
Starbucks shares fell as much as 3% in after-hours trading Tuesday after the coffeehouse chain provided a weak sales forecast for its upcoming quarter and said it would shutter 150 stores in fiscal 2019. The Seattle-based company said it would close underperforming stores in “densely penetrated markets” and slow its rate of store growth. Starbucks said it traditionally closes about 50 underperforming locations annually. Starbucks said it expects same-store sales to grow 1% in its third fiscal quarter of 2017. Analysts had expected same-store sales to grow 3% in that period. “While certain demand headwinds are transitory, and some of

Melania Trump´s approval rating drops
6 points after she disappears
from public for a month following
her kidney procedure

27 replie(s)
Daily Mail [UK], by Emily Goodin    Original Article
Posted By: Attercliffe- 6/19/2018 1:59:42 PM     Post Reply
Melania Trump´s approval rating is down six points after she spent a month out of the public eye following her kidney procedure, a new poll revealed. A new CNN poll shows 51 percent of Americans approve of the first lady, down from 57 percent in a poll conducted last month. Her unfavorable rating is at 29 percent, up from 27 percent last month. The survey was conducted from June 14-17, one month after Melania Trump had her kidney procedure at Walter Reed Military Medical Center, which took place on May 14 and kept her out of sight for 25 days.


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