Brigham Buhler

And there's a big movement with the FDA. And hopefully, you know, we'll see what happens with RFK and the Maha movement, but a leadership change at the FDA could open up the world to life-changing, life-saving treatment modalities that are non-addictive, non-abusive. And that's what I was trying to do when I started my first healthcare startup, MediSmart. We would go out and educate.

This is where insurance and pharma and all of it, Alex, is so mind-bending. So I would go out and educate clinicians and I would say, first off, try not to write opioids. They're addictive, they're abusive, they wreck the endocrine system. If you're doing an orthopedic procedure, I understand that patient's gonna come out in pain.

This is where insurance and pharma and all of it, Alex, is so mind-bending. So I would go out and educate clinicians and I would say, first off, try not to write opioids. They're addictive, they're abusive, they wreck the endocrine system. If you're doing an orthopedic procedure, I understand that patient's gonna come out in pain.

This is where insurance and pharma and all of it, Alex, is so mind-bending. So I would go out and educate clinicians and I would say, first off, try not to write opioids. They're addictive, they're abusive, they wreck the endocrine system. If you're doing an orthopedic procedure, I understand that patient's gonna come out in pain.

We have a non-addictive, non-abusive pain cream that insurance will cover. You can use this pain cream and never put this person on an opioid. If you want to put them on an opioid, we have checks and balances. I didn't create these checks and balances. It was actually the head of opioid abuse for the Obama administration, Dr. Bill Massey.

We have a non-addictive, non-abusive pain cream that insurance will cover. You can use this pain cream and never put this person on an opioid. If you want to put them on an opioid, we have checks and balances. I didn't create these checks and balances. It was actually the head of opioid abuse for the Obama administration, Dr. Bill Massey.

We have a non-addictive, non-abusive pain cream that insurance will cover. You can use this pain cream and never put this person on an opioid. If you want to put them on an opioid, we have checks and balances. I didn't create these checks and balances. It was actually the head of opioid abuse for the Obama administration, Dr. Bill Massey.

And I rolled these protocols out to clinics throughout the state of Texas. And the reason I'm telling you all this is when I say corporate capture, We would say, first off, don't prescribe an opioid. If you have to, and insurance will not cover a pain cream, you should toxicology screen this patient. This will tell you, does this patient abuse drugs?

And I rolled these protocols out to clinics throughout the state of Texas. And the reason I'm telling you all this is when I say corporate capture, We would say, first off, don't prescribe an opioid. If you have to, and insurance will not cover a pain cream, you should toxicology screen this patient. This will tell you, does this patient abuse drugs?

And I rolled these protocols out to clinics throughout the state of Texas. And the reason I'm telling you all this is when I say corporate capture, We would say, first off, don't prescribe an opioid. If you have to, and insurance will not cover a pain cream, you should toxicology screen this patient. This will tell you, does this patient abuse drugs?

Is there any other sort of abusive behavior in this patient's medical history? Is this patient potentially diverting or selling the medicine? All of that can be identified if we toxicology screen. It's a basic urine sample or blood sample. Secondly, we could pharmacogenetic test. The wild part about a pharmacogenetic test is it's a simple cheek swab.

Is there any other sort of abusive behavior in this patient's medical history? Is this patient potentially diverting or selling the medicine? All of that can be identified if we toxicology screen. It's a basic urine sample or blood sample. Secondly, we could pharmacogenetic test. The wild part about a pharmacogenetic test is it's a simple cheek swab.

Is there any other sort of abusive behavior in this patient's medical history? Is this patient potentially diverting or selling the medicine? All of that can be identified if we toxicology screen. It's a basic urine sample or blood sample. Secondly, we could pharmacogenetic test. The wild part about a pharmacogenetic test is it's a simple cheek swab.

Through that cheek swab, Alex, I could tell you, are you a slow, fast, or moderate metabolizer of an opioid? Are you at risk of becoming addicted to the opioid? If you're a slow or moderate metabolizer, I can adjust your dosage to prevent an overdose.

Through that cheek swab, Alex, I could tell you, are you a slow, fast, or moderate metabolizer of an opioid? Are you at risk of becoming addicted to the opioid? If you're a slow or moderate metabolizer, I can adjust your dosage to prevent an overdose.

Through that cheek swab, Alex, I could tell you, are you a slow, fast, or moderate metabolizer of an opioid? Are you at risk of becoming addicted to the opioid? If you're a slow or moderate metabolizer, I can adjust your dosage to prevent an overdose.

It will also tell me if you're diverting the medicine because if you're calling me saying it's not working, 20% of people are outliers and opioids don't work at all. Like for Hawaiian and Polynesian descent, opioids are ineffective. But yet we pumped opioids into those communities. They still had the risk of getting addicted. They just didn't get any pain relief.

It will also tell me if you're diverting the medicine because if you're calling me saying it's not working, 20% of people are outliers and opioids don't work at all. Like for Hawaiian and Polynesian descent, opioids are ineffective. But yet we pumped opioids into those communities. They still had the risk of getting addicted. They just didn't get any pain relief.

It will also tell me if you're diverting the medicine because if you're calling me saying it's not working, 20% of people are outliers and opioids don't work at all. Like for Hawaiian and Polynesian descent, opioids are ineffective. But yet we pumped opioids into those communities. They still had the risk of getting addicted. They just didn't get any pain relief.

So those are the three checks and balances. An alternative, toxicology screen, pharmacogenetic test. Okay, within a year, the big five insurance company said, you, we're not covering any alternative to opioids. They can go back on an opioid. So there goes that safety net, corporate capture. Safety net number two. Now I have to put you on an opioid. I'm a pain practice. I need to talk screen you.