Just got back from one of my regular Radio Frequency Ablations on lumbar spine area which requires the folks to pull pants/underwear to just below where crack of my @$$ begins to clean and place surgical drape. Newish girl in surgical center where have these done made mention of never seeing underwear like mine or with patent number, label (Secure Planet Gen II-ABL Kevlar shrapnel shorts) plus all the panels and pockets. Anesthesia tech and surgeons assistant told her they were "bulletproof" and soon as we get him to outpatient he will want his bulletproof vest back on immediately.
Had my Zofran (I.V.anti-nausea), 0.3 ml of 1.0 ml Fentanyl administered, tech was hooking up the Prophenol and given me first 1/3 as normal before paging surgeon. I explained at some point nothing is bullet proof if someone has a big enough gun and my underwear were blast/shrapnel resistant in pelvic, groin and butt area then the removeable ballistic pads covering femorial artery area protection level is up to small caliber handgun to medium caliber handgun based on pads chosen to wear in the sewn in pockets. I wear everyday to protect from a endmill coming unglued at 30,000 rpm or spall if have to take cover behind something if gunfire were to become a threat. Was slurring the last of my explanation out as surgeon (wears body armor on his walking commute to work and has NIJ 2 panels in his lead lined surgical vest, as does anesthesia tech, which protects them from x-ray backscatter) walked in.
Segway to Enlignten Folks on Pain Management:
Have installed ballistic barriers, sold body armor and other goodies to locally owned pharmacies all over Mayberry. While the facility I was in is @!!¡@^c€ Spine they do have "pain center" as secondary smaller copy as they specialize in surgical pain mitigation rather than handing out pills. Watched a program on NatGeo over the weekend about issues with prescription pain medications in Nashville TN and interviewed one pharmacy owner who tells anyone that calls or walkins do not sell oxycodone, oxycontin or any hydrocodone based meds has had six armed robberies seeking pain meds in just three years and an attempted after hours burglary almost monthly.
Pill mills and greedy doctors have turned a huge portion of people into junkies for profit and its stigmatized all pain patients while turning pain management providers into targets. Saw another t.v. program where two brothers opened a pain clinic in Florida, hired a half dozen doctors with no morals, had a huge pharmacy and would see even out of state patients who were making six million dollars per month servicing junkies and dealers selling pain meds. Its easier to buy pain meds on the street than through doctors and pharmacies from what I understand now. I was on a high powered pain medication for five years 2011 through 2016 that a 30 day supply was under $100 initially and to try and stop abuse was $850 per month when purchased last bottle in 2016.
Cost, Federal and local law enforcement crack downs has made it almost impossible for even needy patients to get (most doctors can no longer write scripts for high powered pain meds, must be DEA certified) that in my ministry work know of six local pastors who shot themselves when their GP could no longer write their scripts and were afraid they would loose their job if a congregation member saw them going into a "pain clinic". During end of Obama era was helping elderly who had real issues understand why and integrate from their lifetime doctor helping them into modern pain management system usually at request of pastors who were scared some of their elderly who didn't understand would bust a cap on themselves.
When I was in final phase of titrating off daily use of pain meds (that bottle is still half full) it was a major deal to fill my last medication before quit. Was seeing elderly WW2, Vietnam vets, former military with major injuries who could not get their meds from V.A. as rules changed so fast. Also were elderly men/women with serious injuries flooding into my pain clinic in tears because their doctor could not write their prescriptions anymore and the paperwork required along with records (try and get original records for injuries that happened more than ten years in past), monthly blood and urine analysis who were baffled.
For better part of 2015 through 2017 I would spend an hour or more holding hands, helping old people fill out the twenty to thirty pages of incoming documents and explaining why they had to go through this every trip to my specialist because I felt bad for them and staff had limited time. Many didn't understand real reason was the Democrats were trying to kill them and get them out of Social Security/Medicare benefits. Throwing in rules where people had to actually bring in all prescription bottles regularly to all doctors has turned medical facility parking lots into a freaking war zone of muggings to take an old person's bag of meds. Now covid is their best answer to killing off elderly.
Been seeing current pain specialist in Atlanta for 13 years now and he has a huge number of Atlanta PD cops, ex military paying cash or using retirement benefits from job they had after service, elderly who can't get help from their GP of twenty years and has gone from two offices to twenty-two offices since the rules changed. I went from a drug screen every six months to every month (insurance and Medicare pays $664 for each patients monthly screening) as they wanted to be sure patients are taking their meds, not selling them.
My doctor is a surgeon and was one of the first dozen board certified pain specialists in United States and founder of the Emory Hospital/University Pain Center. All he does is surgical intervention but has doctors on staff for people that are better managed with medication. I have to be back next Wednesday and thus far have had five outpatient procedures in 2022. You have to be tough to survive a procedure with anesthesia every three to five weeks plus my regular physical therapy which keeps me off pain meds. The 72 hours following each Radio Frequency Ablation burn, two to three per area every six months as wear off. I get thoracic, lumbar, SI done and left knee for average of fourteen burns per year and two facet blocks with steroids in lumbar as an RFA does not hold for six months where I have most damage.
I no longer have them done to neck but have to be at my neurologist tomorrow for my every 120 days injections to trashed disks in neck (new deal that works better and less recovery) but these do not require anesthesia or multiday recovery. Pain medication I take now is Ketorolac (prescription Ibuprophen) and have a maximum five day supply per month script. I dread the day have to go back to narcotics but it will likely come by my 70s. That said have seen multiple friends and relatives die from overuse of OTC ibuprofen and Tylenol. If eating ibuprofen daily or more days than not your going to die of stomach and intestinal complications. If choose Tylenol then your going to loose your liver. Ask an honest doctor if don't believe me.
Thus Obama war on prescription opioid abuse has just sent opiods to black market from dishonest doctors, theft or fakes. Guy who was one time national president of a biker club son bought over 3/4 million Vicoden from one Air Force supplyman who figured out how to cook the books. In just two months of 2021 DEA seized enough Fentanyl being smuggled from China to make over two million fake pain pills which 1 in 4 fakes seized have a lethal dose. Same two month period 700,000 fakes made in U.S. by Mexican cartels were seized in a single bust and over a million legitimate pills stolen from distribution hubs. Just in actual seizures the two month period tracked between stolen legitimate pills, smuggled legitimate pills, smuggled fakes, fakes made in U.S. and chemicals to make fakes U.S. law enforcement rounded up over ten million oxycontins, oxycodones, vicadens, etc. The federal crack down created a huge demand but worse increased the use of heroin by over ten times as its easier to get.
Back on Body Armor:
As I was dressing out in post op the surgeon returned my 1911 which he locks in his desk drawer when hand it to him in pre-op. Normally just hands my my pistol and moves on as he has patients stacked in two operatories but today he said topic of conversation were my bullet proof underwear and wanted more information. Gave him quick description and they are blast/shrapnel rated with removeable ballistic panels that cover the two major arteries in each thigh in area a tourniquet is almost impossible to use and bleed out in minutes if any are busted. He asked where he could get some and told him would bring him a package of three with pair of trauma pads next week when go in for second part of current RFA.
Sometime today am sending him an email on difference between Tier 1 and Tier 2 Protective Undergarments and actual NIJ rated underwear. I have a pair of NIJ 2 that actually fit well and have good coverage plus a pair of NIJ 3a that are not. Wife says the 3a brand is comfortable for her. Also have a company that makes a carbon fiber and Kevlar cup worn in ballistic briefs or athletic supporter have not been tempted to buy as is expensive and suspect comfort will be poor. Have Tier II PUGs from various countries including the most recent USGI version very few civilians have seen much less own.
The very best and only ballistic underwear have ever seen only made it to the development, NIJ approval, SHOT Show then limited release before the company discontinued it. They had two models (one with butt cheek panels, other with genetals/thigh area only) and had announced release of their Gen 3 models when dropped it from their line. Guess $800 underwear was not a big seller. Scored a pair with butt panels off a cop who purchased a pair which was too small and sold them on fleabay as "tried on for size only" and a second pair from guy I buy lots of salesman samples from.
The pair with butt panels are o.k. if standing or sit in soft chair for under twenty minutes but sitting in truck seat for hours are not fun. The front panel only version is better but chaffs after a day of general wear in places that get sore. But if I were going to a gun fight would definitely wear and when have high profile church events wear the pair without butt panels. I have USGI Tier 1 PUGs from four suppliers (USMC are way different than Army) but prefer Secure Planet and Short Bark Industries.
Wear the Secure Planet whenever feel the need to have the ballistic panels over thighs and Short Bark when go without panels. The Secure Planet are super comfortable, fit better than most normal underwear without any bulges and I wear a size medium in them. (5' 10", 168 pounds) The Short Bark are a bit more bulky but have more layers of Kevlar and more area of coverage with Kevlar. They don't make you look like wearing a diaper or Depends as some Gen 1 Tier 1 PUGs did. I wear a large in Short Barks. Going to Atlanta or doing security at church wear Secure Planet with either one layer of inserts (380 acp) or two layers (NIJ 2 unrated) of inserts. Daily wear to work or around town its Short Bark with no panels.
If plan to go with my NIJ 3 covert kits or NIJ 3/4 overt kits its either with panels and Tier II over garment PUGs, Duratech ACCS (current British version) or full NIJ 2 or NIJ 3a underwear. With the new USGI Tier 2 overgarment thigh protection and Tier 1 its actually reasonably comfortable (especially compared to Gen 2 Tier 2), have good mobility and can be fairly sure that will hurt but survive 9mm hits to your pelvic and thigh area which is second place I will shoot if someone sucks up a center mass hit. Everyone seems to have overt torso kits and helmets these days but very few have groin and thigh protection. Shoot a man in his hip its going to bust his femoral arteries and put him down from busted hip bone while he bleeds out.
Today even coming home following a procedure where nerves were fried above and below my belt line the Secure Planet PUGs with single layer of thigh panels were as comfortable as any cotton or silk civilian/performance outdoor underwear I own. Wife kept seeing more packages of PUGs coming, assumed it was underwear I wanted to wear so put 15 pair in service and are now my daily wear. Reading articles where military surgeons pulled dozens of fragments from grenades/IEDs from guys PUGs that instead would have taken multiple surgeries to remove from groin/pelvis without them and realizing how comfortable current generation are they just make sense. They are also super antimicrobial. Bet my surgeon will ask for more just like most of my doctors now own two covert bullet resistant kits plus a kit for their wives. Most doctors I know don't like the walk from office to vehicle these days.