Pentagon investigation of White House Medical Unit under Trump finds violations, incl. unauthorized distribution of controlled substances, Jan 2024

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“We found that the White House Medical Unit provided a wide range of health care and pharmaceutical services to ineligible White House staff in violation of Federal law and regulation and DoD policy,” says a new report from the Defense Department’s inspector general. “Additionally, the White House Medical Unit dispensed prescription medications, including controlled substances, to ineligible White House staff.”

Of the numerous problems with the medical unit, one of the most disturbing is its cavalier approach toward narcotics, particularly when the nation is suffering from a devastating opioid addition crisis.

“All phases of the White House Medical Unit’s pharmacy operations had severe and systemic problems,” the inspectors found. It stocked four opioid pain medications: fentanyl, hydrocodone, morphine and oxycodone. But the pharmacy protocols were so poor that they “increased the risk for the diversion of controlled substances” to illicit use.

@Niner, not sure if there's an existing former guy thread where this would be more appropriately posted?
 

White House pharmacists reportedly distributed uppers and downers like candy to Trump administration officials during his time in office, according to a new report from the Department of Defense Inspector General.

The 80-page document, which was released on Jan. 8, found that “all phases of the White House Medical Unit’s pharmacy operations had severe and systemic problems due to the unit’s reliance on ineffective internal controls to ensure compliance with pharmacy safety standards.”

The investigation, which began in 2018 after the Office of Inspector General (DoD OIG) received complaints about improper medical practices within the White House Medical Unit, found a slew of compliance issues and improper safety standards. The medical unit’s operations fall under the jurisdiction of the White House Military Office. The report covers a period between 2009 and 2018, with a majority of its findings coalescing around 2017- 2019, during the height of the Trump administration.
 
This is completely insane, and not surprising to me at all.

Here's a legitimate pharmacy that provides services to Congress, among other people, and is open to the public. (Perhaps they wouldn't cooperate with the Dumpster administration's demands?)


 
There is a possible reason to have supplies of injectable anesthetics on hand for a serious life-threatening emergency requiring operative sedation or pain control before first responders could arrive. That might include injectable Fentanyl and Versed, but questionable on Ketamine.

I certainly would question the amount of DEA Schedule II and Schedule III drugs.

The Fentanly and Versed are injectables. MD's, hospital pharmacies, and anesthesiologists are required to reconcile the use of these drugs, as well as narcotics to document their distribution, usage in a patient and discarding, wasting or disposal. Does the White House also have to reconcile what the do with unused stocks of the Schedule II and Schedule III drugs, as these appear to be ordered regularly? They all have the capacity to be stolen or illegally sold and even in the relatively small amounts stocked, the amounts would soon build up over a year and should not be left without auditable accounting for their presence.

And Wow, that is a ton of Ambien and Provigil. In July only 500 Ambien were ordered, but that jumped up 4X to 2000 in August. What was going on?

Is there a reason no antibiotics, metabolics, insulin, glucose control drugs, hypertensive meds, cardiac meds, lidocaine or other local anesthetics, anticoagulants or other basic resuscitation drugs are listed?

How many people does this WH Clinic serve and what types of problems are they treating? Do they do minor surgery, suturing, treating chronic disease?

I'm shocked.
 
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Sleep meds mostly ? Hmmmmm. What are the other meds usually prescribed for ?
Pain control, operative-type pain control and operative-type sedation. Anti-anxiety medications. Ketamine is a drug when used by prescription induces unconsciousness for surgery. Hard to understand this combination of drugs if the clinic is not doing surgery or monitoring severe neurologic damage.

Ambien is not without significant side effects, including daytime drowsiness, depression and memory loss and should be only be given very carefully to those over 65.

The Rolling Stone article is very damming. Basically, Ambien was available in ready-made packs and was available in a barrel for anyone to pick up. It appears it was used a lot for overseas trips and flights. Great thing for the White House staff to on overseas jaunts: memory loss, depression, daytime drowsiness.

The WH Clinic function was without supervision or proper pharmacy standards for responsible monitoring of dangerous drugs. It was just an open invitation to abuse.

I still don't see things you would need for an emergency: Epinephrine, lidocaine, anti-hypertensives, etc.

In addition, high-cost brand names were used instead of generics. Cost the US Taxpayer tens of thousands of dollars in this one timeframe alone. That's just plain laziness.
 

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