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The Opiod Epidemic has turned MDs into idiots
Posted by: Racer X
Date: December 05, 2019 01:49AM
They would rather me self medicate with muscle relaxants and alcohol than prescribe opiods. I understand the Hippocratic Oath, but isn't leaving a patient to suffer in pain doing mental and emotional harm? I guess that is a trade-off they are willing to make because it isn't legally actionable.

Oddly enough, in Canada, where low dosage codeine and tylenol or aspirin is legal and an OTC, they have 1/3 less addicts per capita.

I even told my GP and my neurologist/pain management specialist I can drive to Canada and get OTC what they are afraid to prescribe. One said "I don't know how to respond to that" and the other said "That's an option"

What the hell is wrong with these people? If I were an addict, why do I still have 6 year old Vicodin and Morphine Sulfate Contin at home (from hip surgery 12/6/2013, a day which changed my life) (it's in my gun safe FWIW) I was treated with opiods for over 8 years and not a problem, other than poops of granite.

When you are constantly told your pain isn't significant enough to warrant real relief, you yourself begin to believe YOU aren't significant or deserving of being treated with dignity and respect, and worthy of at least a modicum of relief.

3 year and 2 week old neck injury. The lawsuits will be settled before the medical community will treat me in any meaningful and effective way.



Edited 4 time(s). Last edit at 12/05/2019 05:42AM by Racer X.
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Re: The Opiod Epidemic has turned MDs into idiots
Posted by: lost in space
Date: December 05, 2019 03:26AM
Playing the devil’s advocate here.

If your pain doc is part of a medical group, it could be because of policy that’s got his hands tied. If he has a privat practice, his malpractice insurance could be holding him back; could be the case if he’s in a group or HMO .

</devil’s advocate>

Maybe you.need a new doc. I was born with a bone disorder that’s extremely painful for some sufferers, others not at all. I’m kind of high moderate . I’ve had a regular refills for an opioid for about ten years. Not a lot but it makes life bearable, and he just doubled it for a flareup. It’s strictly controlled, so I have to stick to the dosage and get tested once a year (used to be every three months.) This is all through a big HMO, so there are channels for reasonable access out there.

Good luck with this. Chronic really does suck.



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Re: The Opiod Epidemic has turned MDs into idiots
Posted by: Sam3
Date: December 05, 2019 04:15AM
Same thing is happening to my mother-in-law. She has severe back pain, she's been prescribed opioids for years to control it, now, all of a sudden, her doctor refused to fill the prescription. They also have been stonewalling her, my wife and my sister-in-law in getting an explanation why all of a sudden she can't get what she needs to control her pain. She is miserable, some days can't get out of bed, and can only walk for a few feet before succumbing to excruciating pain.
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Re: The Opiod Epidemic has turned MDs into idiots
Posted by: cbelt3
Date: December 05, 2019 05:56AM
It’s not about MD’s. It’s about legislative overreaction and draconian laws that forbid doctors from treating patients. My poor wife is another victim of this insanity.
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Re: The Opiod Epidemic has turned MDs into idiots
Posted by: The UnDoug
Date: December 05, 2019 06:50AM
This is really sad to read.

So sorry for those who are suffering, and can't get what they need to help minimize the pain.



[www.zeemaps.com]
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Re: The Opiod Epidemic has turned MDs into idiots
Posted by: Fred_Also
Date: December 05, 2019 07:58AM
Quote
Racer X
Oddly enough, in Canada, where low dosage codeine and tylenol or aspirin is legal and an OTC, they have 1/3 less addicts per capita.

Canada is a lot farther from our southern border than the US.

I live relatively close and it's amazing how many drugs the cops seize every week. Drugs that made it across the border but get caught during a minor traffic violation.

Fred
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Re: The Opiod Epidemic has turned MDs into idiots
Posted by: Acer
Date: December 05, 2019 08:01AM
Meanwhile, the real addicts always find a source.
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Re: The Opiod Epidemic has turned MDs into idiots
Posted by: S. Pupp
Date: December 05, 2019 08:31AM
The problem is that pain has been mismanaged for decades, and attempts are being made to turn this around. Part of the growing pains is that , while opioids are being phased out, training in how to replace them with more appropriate treatments is not being given the same importance.

Things to keep in mind:
1. We the people have been trained to believe that "pain med" = "opioid." Not the case - there are treatments that are much more appropriate, when tailored to the problem at hand. If the docs have not found a treatment that works yet, they should consider increasing doses of more appropriate meds, changing meds, or including other types of treatment such as on-going physical therapy.

2. Opioids tend to increase pain sensitivity over time, which is one reason they are being frowned upon for chronic pain. Doses increase steadily over time to try to overcome the increased pain, until the risk of accidental overdose becomes unacceptable. Then what do you do?

3. Pain has a very strong emotional component.
Imagine stubbing your toe after winning the lottery - you'll hardly notice it.
Imagine stubbing your toe after your house has burned down and you've lost your entire family in the fire - it'll hurt beyond belief.
One of the effects of opioids is that they reduce the emotional response to pain. The perception is then that the pain has decreased, because it doesn't seem to matter as much. There are other ways to address the emotional component of pain such as cognitive behavioral therapy, short term dynamic psychotherapy by a specialist trained specifically for pain management, and antidepressants.

It's not just physicians who need to be educated in this way; the public also needs to understand. Yes there are plenty of exceptions, but the problem is that too many people on opioids believe that they are the exception. It's part of the emotional component of the opioid.
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Re: The Opiod Epidemic has turned MDs into idiots
Posted by: S. Pupp
Date: December 05, 2019 09:47AM
In case my post above leads you to believe I don’t understand what people in pain go through, I suffer from
disabling chronic pain that has changed the direction of my life, and has destroyed a career that gave me a lot of personal satisfaction. I do understand.
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Re: The Opiod Epidemic has turned MDs into idiots
Posted by: vicrock
Date: December 05, 2019 11:16AM
Do you live in a state that allows cannabis? Either medical or both medical or recreational? Might be worth a try
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Re: The Opiod Epidemic has turned MDs into idiots
Posted by: N-OS X-tasy!
Date: December 05, 2019 12:33PM
I'm grateful my mom passed before she would have needed to deal with the current climate. Things have certainly changed from the days when she offered me a gallon jug full of "spare" Vicodin she had been prescribed over the years...



It is what it is.
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Re: The Opiod Epidemic has turned MDs into idiots
Posted by: Buzz
Date: December 05, 2019 12:41PM
It's the fracking addiction gene problem. Cure addiction, and opioids will be fine again. Opioids are NOT the problem. ADDICTION & the resultant abuse from ADDICTS *IS* the problem. Create a network of sobriety companions to dispense opioids, as prescribed, to addictive gene patients, and the problem goes away.

My gosh, look at all the support jobs Micro$haft has created over the years for putting out such a shoddy OS. Instead of lining bureaucrats' pockets, create a support network for genetically deficient, addiction inclined, chronic pain sufferers. I'm all for exploring other pain remedies, but the problem IS still addiction.... whatever the next great pain remedy is, will likely tickle addicts' addiction genes, and eventually just become the next crisis used to line bureaucrats' pockets.

Solve the real problem, by curing addiction. If/when/while that can't be be done, control it by monitoring and controlling consumption. Everybody wins, well, except a bunch of bureaucrats that weren't/shouldn't be entitled to win on the backs of the addiction gene anyway.
==
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Re: The Opiod Epidemic has turned MDs into idiots
Posted by: Racer X
Date: December 05, 2019 01:05PM
Quote
vicrock
Do you live in a state that allows cannabis? Either medical or both medical or recreational? Might be worth a try

The moment you take a puff of marijuana, you forfeit your right to own firearms. If you claim you don't on a form 4473, and they find out, lying on the form is a felony in and of itself, which automatically ALSO guarantees you can't even have possession of someone elses firearm, much less your own.

I have several federal licenses that preclude me from any marijuana use for any reason. Remember, it is still illegal, just that some states voted to ignore federal law.

And as of last Thursday when I checked last, I can bring 50 OTC codeine pills a day across the border. Must be in original packages.



Edited 2 time(s). Last edit at 12/05/2019 01:10PM by Racer X.
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Re: The Opiod Epidemic has turned MDs into idiots
Posted by: Acer
Date: December 05, 2019 01:43PM
My RN friend, who has been working since the 1980s, partially blames a push in the 1990s to over-aggressively treat all pain, to extinguish it, not manage it. With guidelines helpfully provided by the same drug rep taking the doctor out to lunch and showering the office with swag.
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Re: The Opiod Epidemic has turned MDs into idiots
Posted by: Will Collier
Date: December 05, 2019 02:18PM
Quote
Racer X
They would rather me self medicate with muscle relaxants and alcohol than prescribe opiods. I understand the Hippocratic Oath, but isn't leaving a patient to suffer in pain doing mental and emotional harm? I guess that is a trade-off they are willing to make because it isn't legally actionable.

Oddly enough, in Canada, where low dosage codeine and tylenol or aspirin is legal and an OTC, they have 1/3 less addicts per capita.

I even told my GP and my neurologist/pain management specialist I can drive to Canada and get OTC what they are afraid to prescribe. One said "I don't know how to respond to that" and the other said "That's an option"

What the hell is wrong with these people? If I were an addict, why do I still have 6 year old Vicodin and Morphine Sulfate Contin at home (from hip surgery 12/6/2013, a day which changed my life) (it's in my gun safe FWIW) I was treated with opiods for over 8 years and not a problem, other than poops of granite.

When you are constantly told your pain isn't significant enough to warrant real relief, you yourself begin to believe YOU aren't significant or deserving of being treated with dignity and respect, and worthy of at least a modicum of relief.

3 year and 2 week old neck injury. The lawsuits will be settled before the medical community will treat me in any meaningful and effective way.

To put it simply, they're scared.

As occurs most times when bad things happen, bureaucracies overreact. In this case, doctors are scared to death of being brought up on drug trafficking charges by prosecutors under pressure to "do something" about the opioid epidemic. I know an MD myself who got caught up in a pill mill operation and is in prison right now. In that case the doctor in question really did break the law (to say nothing of his oath) quite flagrantly, but fear of that kind of result for innocent mistakes is what's driving the current "sorry, tough it out" situation.

It's bad all around. Large bureaucracies are ill-fitted to nuance.



Edited 1 time(s). Last edit at 12/06/2019 07:53AM by Will Collier.
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Re: The Opiod Epidemic has turned MDs into idiots
Posted by: Racer X
Date: December 05, 2019 09:05PM
7 years ago, my GP's clinic looked at my latest hip X Rays, and upped my meds to morphine. Now, they won't prescribe ANYTHING with opiods.

I got codeine less than 2 years ago when I wrenched my knee and it swelled to the size of a cantaloupe. But now, cracked vertebrae and nerve damage warrants nothing. WTF?
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Re: The Opiod Epidemic has turned MDs into idiots
Posted by: Racer X
Date: December 06, 2019 12:49AM
And for the record, about 2 years of chiropractic and massage therapy, concurrent with about a year of acupuncture and in-clinic PT. The PT I continue to do at home now.

This is so asinine that it has been going on so long that my LMT has passed away before the lawsuit even started. I kid you not. Her daughter will get her deceased mom's pay when the lawsuit is settled.

My pain is so bad they will burn the nerves, but won't prescribe pain meds in the interim.

The Oath should now be changed to "Protect my own interests first"
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