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</o:shapelayout></xml><![endif]--></head><body lang=EN-US link=blue vlink=purple><div class=WordSection1><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Thanks for the reminder and edification to all that responded. Laurie said it in the most simplest terms this mechanical engineer could understand, “That’s how systemic drugs work. You take the pill and it has to go all over your body before it reaches the intended body part. We have to take a large dose to ensure a therapeutic amount of it reaches its target.”<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>I stand down to you experts out there and thank you for enlightening me (again?) on why there is so much un-metabolized meds leaving out body into the environment. Jim’s chart was quite surprising. Don’t think I’ve seen anything like it before. <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Jim? What do you think the chances are that RI will pass legislation for passing on the cost to big Pharma to collect and destroy cytotoxic chemotherapy “leftovers”?<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Allen Gilliam<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>(Pharmwaste not in my job description, just continually passing thru)<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>ADEQ State Pretreatment Coordinator<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>501.682.0625<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><div><div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0in 0in 0in'><p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>From:</span></b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'> Heil, Ann [mailto:AHeil@lacsd.org] <br><b>Sent:</b> Wednesday, January 07, 2015 9:34 AM<br><b>To:</b> 'Catherine Zimmer'; Gilliam, Allen; 'jmullowney'; 'Bill Speenburgh'; pharmwaste@lists.dep.state.fl.us<br><b>Subject:</b> RE: [Pharmwaste] RE: Pharmwaste Digest, Vol 111, Issue 1<o:p></o:p></span></p></div></div><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Just to chime in here, just because a pharmaceutical passes through your body doesn’t NOT mean you are being overdosed or given unnecessary medication. Some drugs work without being consumed. If you have any chemistry background, think of a catalyst – it causes certain reactions to occur, but is not consumed in the process. And yes, those little inserts in the drug packages have all sorts of good information on them.<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Ann Heil<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>LACSD<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><div><div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0in 0in 0in'><p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>From:</span></b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'> <a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">pharmwaste-bounces@lists.dep.state.fl.us</a> [<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">mailto:pharmwaste-bounces@lists.dep.state.fl.us</a>] <b>On Behalf Of </b>Catherine Zimmer<br><b>Sent:</b> Wednesday, January 07, 2015 7:09 AM<br><b>To:</b> 'Gilliam, Allen'; 'jmullowney'; 'Bill Speenburgh'; <a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br><b>Subject:</b> RE: [Pharmwaste] RE: Pharmwaste Digest, Vol 111, Issue 1<o:p></o:p></span></p></div></div><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Hi Allen and all,<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Yes, if you remember some years back, Ann Heil from I think its LA’s wastewater district compiled a list of metabolism vs. pass through of a number of common rx. And a EPA, Region 3 scientist says, I paraphrase here, “the drug companies overdose us”. Pharmaceutical metabolism is less than an exact science, and Pharma is apparently not too interested in making it more so. Now, maybe with Almeda Co.’s take back ordinance, or maybe if EPA demanded Pharma clean up the nation’s waters—that would be incentive to develop more site specific and directed drugs. <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Following up on Jim’s comments—I have done exactly that with my physician. When she prescribes a drug—for which there is no rx-free alternative treatment, we’ll get out the package insert to identify the amount that passes through. A good education for both you and your MD. <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><div><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Very truly yours,<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Catherine Zimmer, MS, BSMT<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Zimmer Environmental Improvement, LLC<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>St. Paul, MN <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Ph: 651.645.7509<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><a href="mailto:zenllc@usfamily.net">zenllc@usfamily.net</a><o:p></o:p></span></p></div><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><div><div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0in 0in 0in'><p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>From:</span></b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'> <a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">pharmwaste-bounces@lists.dep.state.fl.us</a> [<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">mailto:pharmwaste-bounces@lists.dep.state.fl.us</a>] <b>On Behalf Of </b>Gilliam, Allen<br><b>Sent:</b> Wednesday, January 07, 2015 8:39 AM<br><b>To:</b> jmullowney; Bill Speenburgh; <a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br><b>Subject:</b> RE: [Pharmwaste] RE: Pharmwaste Digest, Vol 111, Issue 1<o:p></o:p></span></p></div></div><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>So the general public would not realize they’re paying for perhaps 25% of the (almost prohibitively) expensive drug they’ve been prescribed; the rest being wasted to the environment? Sumpthin just doesn’t pass the smell test on this scenario.<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Allen g<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><div><div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0in 0in 0in'><p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>From:</span></b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'> <a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">pharmwaste-bounces@lists.dep.state.fl.us</a> [<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">mailto:pharmwaste-bounces@lists.dep.state.fl.us</a>] <b>On Behalf Of </b>jmullowney<br><b>Sent:</b> Wednesday, January 07, 2015 5:38 AM<br><b>To:</b> Bill Speenburgh; <a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br><b>Subject:</b> RE: [Pharmwaste] RE: Pharmwaste Digest, Vol 111, Issue 1<o:p></o:p></span></p></div></div><p class=MsoNormal><o:p> </o:p></p><div><p class=MsoNormal>Bill<o:p></o:p></p></div><div><p class=MsoNormal>You do not need to have your urine tested you can just read the drug insert,that pice of paper that comes with your prescription with all the fine print. It will tell you how much passes in the urine and feces and how quickly. This is all information from the FDA.<o:p></o:p></p></div><div><p class=MsoNormal>A patient on a chemotherapy drug called cyclophosphamide will urinate 1000 ppm in 24 hours, enough to kill a child nevermind the fact it is a US Epa hazardous waste and a known carcinogen as well as known to cause birtdefects. <o:p></o:p></p></div><div><p class=MsoNormal>Not all drugs are hazardous to humans in small quantities but the ones that are need to be controlled such as cytotoxic chemotherapy drugs.<o:p></o:p></p></div><div><p class=MsoNormal>Pee in a cup for two days after treatment if you are on chemo as recommended by the World Health Organization. Check out <a href="http://www.cytotoxicsafety.org">www.cytotoxicsafety.org</a> <o:p></o:p></p></div><div><p class=MsoNormal><o:p> </o:p></p></div><div><p class=MsoNormal><o:p> </o:p></p></div><div><div><p class=MsoNormal><span style='font-size:7.0pt;color:#575757'>Sent from my T-Mobile 4G LTE Device<o:p></o:p></span></p></div></div><p class=MsoNormal style='margin-bottom:12.0pt'><o:p> </o:p></p><div><p class=MsoNormal>-------- Original message --------<o:p></o:p></p></div><div><p class=MsoNormal>From: Bill Speenburgh <<a href="mailto:wcermail@gmail.com">wcermail@gmail.com</a>> <o:p></o:p></p></div><div><p class=MsoNormal>Date:01/06/2015 8:15 PM (GMT-05:00) <o:p></o:p></p></div><div><p class=MsoNormal>To: <a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a> <o:p></o:p></p></div><div><p class=MsoNormal>Cc: <o:p></o:p></p></div><div><p class=MsoNormal>Subject: [Pharmwaste] RE: Pharmwaste Digest, Vol 111, Issue 1 <o:p></o:p></p></div><div><p class=MsoNormal><o:p> </o:p></p></div><p class=MsoNormal style='margin-bottom:12.0pt'>As a person with Type II diabetes, I am prescribed by the VA with 2 x 1000<br>mg tablets of Metformin per day. Maybe I will get my urine tested to see<br>what passes thru? <br><br>William G. Speenburgh<br>World Class Environmental Resources, LLC<br><br>(973) 770-2275 (Phone)<br>(973) 219-5720 (cell)<br><br>-----Original Message-----<br>From: <a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">pharmwaste-bounces@lists.dep.state.fl.us</a><br>[<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">mailto:pharmwaste-bounces@lists.dep.state.fl.us</a>] On Behalf Of<br><a href="mailto:pharmwaste-request@lists.dep.state.fl.us">pharmwaste-request@lists.dep.state.fl.us</a><br>Sent: Tuesday, January 6, 2015 3:54 AM<br>To: <a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br>Subject: Pharmwaste Digest, Vol 111, Issue 1<br><br>Send Pharmwaste mailing list submissions to<br><a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br><br>To subscribe or unsubscribe via the World Wide Web, visit<br><a href="http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste">http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste</a><br>or, via email, send a message with subject or body 'help' to<br><a href="mailto:pharmwaste-request@lists.dep.state.fl.us">pharmwaste-request@lists.dep.state.fl.us</a><br><br>You can reach the person managing the list at<br><a href="mailto:pharmwaste-owner@lists.dep.state.fl.us">pharmwaste-owner@lists.dep.state.fl.us</a><br><br>When replying, please edit your Subject line so it is more specific than<br>"Re: Contents of Pharmwaste digest..."<br><br>---<br>Note: As a courtesy to other listserv subscribers, please post messages to the listserv in plain text format to avoid the garbling of messages received by digest recipients.<br>---<br>TO SUBSCRIBE, go to: <a href="http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste">http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste</a> <br>TO UNSUBSCRIBE, DO NOT REPLY TO THE LISTSERV. Please send an e-mail to <a href="mailto:pharmwaste-unsubscribe@lists.dep.state.fl.us">pharmwaste-unsubscribe@lists.dep.state.fl.us</a> -- the subject line and body of the e-mail should be blank.<br>If you believe you may be subscribed with a different email address, please visit the subscriber listing at <a href="http://lists.dep.state.fl.us/cgi-bin/mailman/roster/pharmwaste">http://lists.dep.state.fl.us/cgi-bin/mailman/roster/pharmwaste</a> <br>FOR PROBLEMS: Contact List Administrator <a href="mailto:Laurie.Tenace@dep.state.fl.us">Laurie.Tenace@dep.state.fl.us</a> <br>SEND MAIL to the list server at: <a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><o:p></o:p></p></div></body></html>